Tiyeni tiphunzire za kuphatikiza kwa mankhwala atatu awa (Carbidopa; Levodopa; Entacapone) omwe amagwiritsidwa ntchito pa matenda a Parkinson.

Kodi inuyo kapena wina m'banja mwanu ali ndi matenda a Parkinson? Ngati ndi choncho, dokotala wanu mwina anakupatsani piritsi lopangidwa mwa kuphatikiza mankhwala atatuwa. Ngakhale dzina la mankhwala awa lingawoneke lovuta pang'ono, mukamvetsetsa momwe amagwirira ntchito, ndi losavuta kwambiri. Lero, tiyeni tikambirane za mankhwala awa, zomwe amachita, komanso zomwe muyenera kusamala nazo, mwaubwenzi komanso mosavuta.

Kodi chimachitika ndi chiyani mankhwala atatuwa akaphatikizidwa?

Mwachidule, iyi ndi kuphatikiza kwa mankhwala atatu: Carbidopa, Levodopa, ndi Entacapone . Munthu wamkulu amene amamwa mapiritsiwa ndi Levodopa. Matenda a Parkinson amayamba chifukwa cha kuchepa kwa mankhwala otchedwa 'Dopamine' muubongo mwathu. Mankhwala otchedwa Levodopa amagwira ntchito popita ku ubongo ndikuthandizira kumanganso dopamine yotsikayi.

Ndiye kodi chimachitika ndi chiyani ndi mankhwala ena awiriwa? Tangoganizani kuti Levodopa ndi munthu amene akunyamula uthenga wofunika.

• Carbidopa ili ngati mlonda woteteza munthu ku mavuto omwe amabwera chifukwa cha mankhwala omwe amawononga ziwalo zina za thupi asanafike ku ubongo.
• Entacapone ili ngati wothandizira wina amene amalimbitsa ntchito ya mlonda ndipo amalola Levodopa kugwira ntchito nthawi yayitali komanso moyenera.

Zinthu zitatuzi zikagwirizana, zimathandiza kwambiri poletsa zizindikiro za Parkinson (monga kunjenjemera, kugwedezeka, ndi kuyenda pang'onopang'ono).

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa

Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse yachipatala musanakupatseni mankhwala awa. Izi zili choncho chifukwa tiyenera kusamala kwambiri tikamagwiritsa ntchito mankhwalawa ndi matenda enaake. Ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za matendawa.

Kodi mumagwiritsa ntchito bwanji mankhwalawa?

• Mezani piritsi ndi kapu ya madzi. Imwani monga momwe dokotala wanu wanenera, panthawi yoyenera.
• Chofunika kwambiri: Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani lonse.
• Samalani ndi chakudya: Mankhwalawa akhoza kumwedwa ndi chakudya kapena ayi. Komabe, samalani mukamamwa mankhwalawo.Pewani kudya zakudya zokhala ndi mafuta ambiri, ma calories, ndi mapuloteni (monga nyama, nsomba, mazira, ndi mkaka) , chifukwa zakudya zimenezi zimachepetsa kuyamwa kwa Levodopa. Lankhulani ndi dokotala wanu za zakudya zanu.
• Musaphonye mlingo: Imwani mankhwala anu pa nthawi yake. Musamwe mankhwala opitirira muyeso womwe mwapatsidwa kapena siyani kumwa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungakhale ndi zotsatirapo zoopsa.
• Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa piritsi lotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa

Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, zitsamba, ndi zowonjezera), chifukwa mankhwala ena angagwirizane ndi mankhwalawa.

Makamaka, mankhwala a MAOI (Monoamine Oxidase Inhibitors) a matenda amisala (monga Marplan, Nardil, Parnate) sayenera kumwedwa pamodzi ndi mankhwalawa.

Kuphatikiza apo, mankhwalawa akhoza kuyanjana ndi izi:

• Mowa
• Zakudya zowonjezera za iron - Ngati mukumwa mankhwala othandizira a iron, imwani maola awiri musanayambe kumwa mankhwala awa kapena mutamwa.
• Mankhwala ena a kuthamanga kwa magazi
• Mankhwala a matenda amisala, nkhawa, ndi tulo
• Maantibayotiki ena (monga ampicillin, erythromycin, rifampin)
• Mankhwala osokoneza bongo ochepetsa ululu
• Warfarin (mankhwala omwe amagwiritsidwa ntchito poletsa magazi kuundana)

Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.

Mfundo zapadera zomwe ziyenera kuganiziridwa mukamamwa mankhwala

Kugona ndi kugona mwadzidzidzi

Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Nthawi zina, popanda chenjezo , mungagone mukuyendetsa galimoto kapena mukulankhula. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwachangu kuchokera pamalo omwe mudakhala kapena kuyimirira. Izi zitha kuchepetsa chiopsezo cha chizungulire ndi kugwa.

Zilakolako ndi makhalidwe osazolowereka

Kawirikawiri, anthu ena omwe akumwa mankhwalawa amanenedwa kuti ali ndi chilakolako chachilendo. Mwachitsanzo, akhoza kukhala ndi chilakolako champhamvu chotchova juga, kugonana, kuwononga ndalama mosafunikira, kapena kudya mopitirira muyeso. Ngati inu kapena banja lanu muwona kusintha kulikonse mwa izi, uzani dokotala wanu nthawi yomweyo.

Zotsatira za 'Kutha' ndi 'Kutha'

Nthawi zina, pamene mlingo wotsatira wa mankhwala ukuyandikira, mungamve ngati mankhwalawo akutaya mphamvu yake ndipo zizindikiro za matenda a Parkinson zikubwereranso. Izi zimatchedwa 'kutopa'. Nthawi zina, zingamve ngati mankhwalawo sakugwira ntchito konse (nthawi 'yopuma'), kenako n’kuyambanso kugwira ntchito pakapita kanthawi (nthawi 'yopuma'). Ngati izi zikukuchitikirani, uzani dokotala wanu. Iye akhoza kusintha mlingo wanu.

Kusintha kwa mtundu wa mkodzo ndi thukuta

Mankhwalawa angasinthe mkodzo wanu, malovu, kapena thukuta lanu kukhala lakuda, lofiira, kapena lakuda. Izi sizinthu zodetsa nkhawa. Komabe, samalani chifukwa zingadetse zovala.

Samalani khungu lanu.

Mukamamwa mankhwalawa, yang'anani khungu lanu nthawi zonse kuti muwone ngati pali kusintha kwa matuza omwe alipo kapena mawonekedwe a matuza atsopano. Uzani dokotala wanu ngati muwona kusintha kulikonse.

Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Ambiri mwa iwo si oopsa. Koma pali zinthu zina zomwe tiyenera kuzidziwa.