Tiyeni tiphunzire za makapisozi awa omwe amagwira ntchito kwa nthawi yayitali (Carbidopa; Levodopa Extended-Release Capsules) omwe amagwiritsidwa ntchito pa matenda a Parkinson.

Kodi mukuvutika kuchita ntchito zanu za tsiku ndi tsiku chifukwa cha matenda a Parkinson? Mwina mukumva kuuma kapena miyendo yanu ikugwedezeka? Tikudziwa kuti sikophweka kukhala ndi zizindikirozi. Kotero lero tikambirana za mankhwala omwe angakuthandizeni kuchepetsa kusasangalala kumeneku. Ndiko kuti, Ma Capsules Otulutsidwa Kwambiri, omwe ndi kuphatikiza kwa mankhwala awiri otchedwa Carbidopa ndi Levodopa.

Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?

Mwachidule, mankhwalawa, Carbidopa; Levodopa, amagwiritsidwa ntchito poletsa zizindikiro za matenda a Parkinson. Ubongo wathu uli ndi mankhwala otchedwa dopamine. Izi ndi zomwe zimathandiza kulamulira mayendedwe a thupi lathu ndi kugwirizana kwa thupi. Matenda a Parkinson akakula, kuchuluka kwa dopamine mu ubongo kumachepa. Pamenepo ndi pomwe zizindikiro monga kuuma ndi kunjenjemera zimawonekera. Chifukwa chake mankhwalawa amagwira ntchito powonjezera kuchuluka kwa dopamine mu ubongo ndikuchepetsa zizindikirozo. Nthawi zina mankhwalawa angagwiritsidwenso ntchito pazinthu zina. Mutha kufunsa dokotala wanu kapena wamankhwala za izi. Dzina lodziwika bwino la mankhwalawa ndi Rytary.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa

Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa gulu lanu lachipatala (gulu losamalira odwala) za zinthu zina. Chifukwa chidziwitso chimenecho chidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso momwe ayenera kuperekedwera.

Ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwatchula izi:

• Ngati muli ndi vuto la kuvutika maganizo kapena matenda ena amisala.
• Ngati muli ndi matenda a shuga.
• Ngati muli ndi glaucoma m'maso mwanu.
• Matenda a mtima, kutanthauza kuti adadwala matenda a mtima kale, kapena kukhala ndi mbiri ya kugunda kwa mtima kosakhazikika.
• Ngati muli ndi matenda a impso.
• Ngati muli ndi matenda a chiwindi.
• Ngati muli ndi matenda a m'mapapo, mwachitsanzo, mphumu.
• Matenda a Narcolepsy - vuto lomwe mwadzidzidzi mumagona mosalamulirika masana.
• Ngati muli ndi vuto la kupuma movutikira, vuto lomwe limakulepheretsani kupuma mukagona.
• Ngati muli ndi vuto la m'mimba kapena m'matumbo.
• Ngati mwakhalapo ndi vuto la ziwengo kapena vuto lachilendo la Levodopa, Carbidopa, mankhwala ena, zakudya, utoto wochita kupanga, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala zinthu izi popanda kuzibisa, eti?

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa ayenera kumwedwa ndi kapu ya madzi. Tsatirani malangizo omwe ali pa chizindikiro cha dokotala chomwe mwapatsidwa monga momwe chanenedwera. Kapisozi iyenera kumezedwa yonse. Musaiphwanye, kutafuna, kapena kuidula pakati.

Tiyerekeze kuti mukuvutika kumeza kapisozi iyi. Zikatero, mutha kutembenuza kapisoziyo mosamala ndikutsanulira mankhwala onse mkati pamwamba pa supuni imodzi kapena ziwiri za applesauce. Komabe, muyenera kugwiritsa ntchito mankhwalawa nthawi yomweyo mutawasakaniza ndi chakudya. Musasunge kuti mudzagwiritse ntchito pambuyo pake. Imwani mankhwala anu nthawi yomweyo tsiku lililonse, nthawi ndi nthawi. Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakuuzani. Komanso, musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala wanu.

Komanso, ngati mudya chakudya chokhala ndi mafuta ambiri ndi ma calories, zingatenge nthawi yayitali kuti mankhwalawa alowe m'thupi lanu. Izi zitha kuchedwetsa kuyamba kwa mankhwala ndi maola awiri kapena atatu. Chifukwa chake, ganizirani kumwa mlingo wanu woyamba wa tsiku limodzi ola limodzi kapena awiri musanadye. Komabe, ngati mukumva nseru mutamwa mankhwalawo, mutha kumwa limodzi ndi chakudya.

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana, choncho lankhulani ndi gulu lanu lachipatala za izi.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwala awa ndi ena.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Nanga bwanji ngati ndiphonya kumwa mankhwala anga?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kapena wowonjezera.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)

Pali mankhwala ena, monga Carbidopa; Levodopa, omwe angayambitse mavuto akamwedwa pamodzi. Chifukwa chake, ngati mukumwa mankhwala ena aliwonse, ndikofunikira kuuza dokotala wanu .

Musamwe mankhwalawa pamodzi ndi mankhwala awa:

• Mankhwala omwe ali mgulu la mankhwala otchedwa MAOIs, monga Marplan, Nardil, ndi Parnate.
• Reserpine
• Tetrabenazine

Mankhwalawa angagwirizanenso ndi mankhwala awa:

• Mowa
• Droperidol
• Entacapone
• Zakudya zowonjezera zachitsulo kapena multivitamini zokhala ndi chitsulo
• Isoniazid (INH)
• Linezolid
• Mankhwala ochizira kuvutika maganizo, nkhawa, kapena matenda amisala
• Mankhwala a kuthamanga kwa magazi
• Mapiritsi ogonetsa
• Metoclopramide
• Papaverine
• Procarbazine
• Tedizolid
• Rasagiline
• Selegiline
• Tolcapone

Mndandandawu sungakhale ndi zinthu zonse zomwe mumagwiritsa ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (olembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini). Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zina mwa izi zingakhudze mankhwala anu.

Zinthu zofunika kukumbukira mukamamwa mankhwalawa

Pitani kwa dokotala wanu nthawi zonse kuti muone momwe zinthu zilili pamene mukumwa mankhwala awa. Uzani dokotala wanu ngati zizindikiro zanu sizikusintha kapena ngati zikuipiraipira. Musasiye kumwa mankhwala awa popanda upangiri wa dokotala wanu. Kuchita zimenezi kungayambitse vuto lalikulu. Dokotala wanu adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa.

• Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire. Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musayimirire kapena kudzuka mwadzidzidzi mutangokhala, makamaka ngati ndinu okalamba. Kuchita zimenezi kungachepetse chiopsezo cha chizungulire ndi kugwa. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho pewani kumwa mowa.

• Kugona tulo mwadzidzidzi: Mukamwa mankhwalawa, mungagone mwadzidzidzi popanda chenjezo . Mungagone mukuyendetsa galimoto, mukulankhula, kapena mukudya. Simungamve tulo izi zisanachitike. Ngati izi zitakuchitikirani, uzani dokotala wanu nthawi yomweyo.

• Zilakolako zachilendo: Anthu ena anena kuti amakumana ndi chilakolako cha kugonana chachilendo akamamwa mankhwalawa, kapena kuti ali ndi chilakolako chosalamulirika chofuna kutchova juga, kudya mopitirira muyeso, kapena kugula zinthu zomwe sakuzifuna. Ngati mukumana ndi zizindikiro izi, uzani dokotala wanu mwamsanga.

• Zotsatira za 'Kutha' ndi 'Kutha': Nthawi zina, musanafike nthawi yoti mutenge mlingo wanu wotsatira, mungamve ngati mankhwalawo akutha (zotsatira za 'kutha'). Komanso, nthawi zina mankhwalawo angasiye kugwira ntchito mwadzidzidzi (kuyambira mphindi zochepa mpaka maola angapo) kenako n’kuyambanso kugwira ntchito (zotsatira za 'kutha'). Zili ngati kuyatsa switch 'yoyatsa' kapena 'yozimitsa'. Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu . Mlingo wanu ungafunike kusinthidwa.

• Zakudya zokhala ndi mapuloteni ambiri:Kudya chakudya chokhala ndi mapuloteni ambiri kungathe kuchedwetsa kapena kuletsa kuyamwa kwa mankhwalawa. Chifukwa chake, kuti mupewe mavutowa, pewani kudya chakudya chokhala ndi mapuloteni ambiri (monga nyama yambiri, nsomba, mphodza, ndi zina zotero) pafupi ndi nthawi yomwe mwamwa mankhwalawa. Imwani mankhwalawa mphindi 30 musanadye kapena ola limodzi mutadya. Mutha kudya chakudya chokhala ndi mapuloteni ambiri masana kapena pang'ono. Lankhulani ndi dokotala wanu za izi.

• Kwa odwala matenda a shuga: Ngati muli ndi matenda a shuga, mankhwalawa angayambitse zotsatira zabodza za shuga mu mkodzo wanu. Choncho lankhulani ndi dokotala wanu za izi.

• Kusintha mtundu wa mkodzo kapena thukuta: Mankhwalawa angayambitse mkodzo kapena thukuta lanu kukhala lakuda (ngati lakuda) kapena lofiira. Izi sizikutanthauza nkhawa. Komabe, zimatha kuipitsa zovala.

• Kusowa kwa Vitamini B6: Mankhwalawa angayambitse kuchepa kwa vitamini B6 m'thupi. Chifukwa chake, muyenera kuonetsetsa kuti mukupeza vitamini B6 yokwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya ndi mavitamini omwe mukumwa.

Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Ena ndi oopsa, ena si oopsa kwambiri.

Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu:

Ngati mukukumana ndi zotsatirapo zilizonse zomwe zili pansipa, muyenera kuuza dokotala wanu kapena gulu lanu lachipatala mwamsanga:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kugona mwadzidzidzi pamene ndikugwira ntchito masana.
• Kusintha kwa kugunda kwa mtima: kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma.
• Kuthamanga kwa magazi kotsika: chizungulire, kukomoka, kusawona bwino.
• Kusintha kwa maganizo ndi khalidwe: nkhawa, kusakhazikika, chisokonezo, kuona zinthu molakwika, kukwiya, udani, malingaliro ofuna kudzipha, kuipiraipira kwa maganizo, kumva kupsinjika maganizo.
• Kusuntha kwatsopano kapena koipa, kosalamulirika, kobwerezabwereza kwa nkhope, pakamwa, kapena thupi lapamwamba.
• Kutuluka magazi m'mimba: ndowe zamagazi kapena zochedwa, kusanza chinthu chofiirira chomwe chimaoneka ngati khofi wophikidwa, kapena magazi.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: mwachitsanzo, kusawona bwino, kuona kuwala kozungulira magetsi, kapena kutaya masomphenya.
• Mayesero achilendo:Makhalidwe osakhazikika omwe simungathe kuwaletsa, monga kutchova juga, kudya mopitirira muyeso, kuchita zachiwerewere, kapena kugula zinthu mosiyana ndi momwe mumachitira nthawi zonse.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Malovu, thukuta, kapena mkodzo zimakhala zofiira kapena zakuda.
• Chizungulire.
• Kugona tulo.
• Mutu (kupweteka mutu).
• Kusanza.

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.

Kodi muyenera kusunga bwanji mankhwala anu?

Sungani mankhwalawa pamalo omwe ana sangafikire.

Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit). Tetezani ku kuwala ndi chinyezi. Tayani mankhwala aliwonse osagwiritsidwa ntchito omwe atha ntchito.

Kumbukirani (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikukumbutseni zina mwa zinthu zofunika kwambiri zomwe takambirana.

• Mankhwala a Carbidopa; Levodopa awa amathandiza kuchepetsa zizindikiro za matenda a Parkinson.
• Ndikofunikira kwambiri kuuza dokotala wanu za matenda anu onse ndi mankhwala ena omwe mukumwa musanayambe kumwa mankhwalawo .
• Mezani mankhwala onse. Musawaphwanyire kapena kuwatafuna. Ngati mukuvutika kumeza, muphwanyireni ndipo imwani ndi applesauce.
• Imwani mlingo wolembedwa panthawi yolembedwa. Musasiye kumwa popanda malangizo a dokotala.
• Samalani chifukwa zingayambitse kugona ndi chizungulire. Muthanso kugona mwadzidzidzi.
• Dziwani zilakolako zachilendo, monga 'kutopa'/'kutopa'. Ngati izi zitachitika, uzani dokotala wanu .
• Musadye chakudya chokhala ndi mapuloteni ambiri nthawi yomwe mwamwa mankhwala anu.
• Ngati mukukumana ndi zotsatirapo zachilendo, makamaka zomwe zili pamndandanda wa "zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu" zomwe takambirana, uzani dokotala wanu nthawi yomweyo.

Kumbukirani, kabuku aka ndi chidule chabe. Sikangathe kufotokoza zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Adzakuthandizani.

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