Kodi dokotala wanu wakupatsani mankhwala awa kwa inu kapena munthu wina m'banja mwanu, mwina amayi anu kapena abambo anu, chifukwa cha matenda a Parkinson? Dzinali lingawoneke lovuta pang'ono. Koma musadandaule. Lero tikambirana za mankhwala awa otchedwa Carbidopa; Levodopa, kutanthauza kuti, mankhwala omwe nthawi zambiri amatchulidwa mayina ngati SINEMET m'dziko lathu, chilichonse ndi chosavuta kumvetsetsa.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, uwu ndi mankhwala omwe amaperekedwa kuti athetse zizindikiro za matenda a Parkinson. Matenda a Parkinson ndi matenda omwe amakhudza maselo muubongo wathu omwe amalamulira kuyenda. Matendawa amayambitsa zizindikiro monga kunjenjemera, kuuma, komanso kuyenda pang'onopang'ono.
Kotero chomwe mankhwalawa amachita ndikuwonjezera kuchuluka kwa mankhwala otchedwa dopamine omwe amapezeka mwachibadwa muubongo mwathu. Dopamine ndi chinthu chomwe chimathandiza thupi lathu kuyenda ndikugwirizana bwino. Mukamwa mankhwalawa, kuchuluka kwa dopamine muubongo kumawonjezeka, ndipo zizindikiro za Parkinson zimachepa kwambiri.
Nthawi zina madokotala angakupatseni mankhwala awa pa matenda ena. Choncho nthawi zonse tsatirani malangizo a dokotala wanu.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Musanasankhe ngati mankhwalawa ndi oyenera kwa inu, dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu. Onetsetsani kuti mwawauza za vuto lililonse mwa zotsatirazi, makamaka ngati muli nalo:
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Kuvutika maganizo kapena matenda ena amisala | Mankhwalawa amatha kusintha maganizo ena. |
| Matenda a shuga | Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. |
| Glaucoma (kuthamanga kwa magazi m'maso) | Chifukwa zimatha kukhudza kuthamanga kwa maso. |
| Matenda a mtima, mbiri ya matenda a mtima, kapena kugunda kwa mtima kosasinthasintha | Kugunda kwa mtima kapena kuthamanga kwa magazi kungakhudzidwe. |
| Matenda a impso kapena chiwindi | Mlingo ungafunike kusinthidwa chifukwa umakhudza kuchotsedwa kwa mankhwala m'thupi. |
| Matenda a m'mapapo monga mphumu | Chifukwa zingakhudze dongosolo la kupuma. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Kuganizira zotsatira zomwe zingachitike pa mwana. |
| Kutupa kwa mankhwala ena, zakudya, kapena zinthu zina | Kupewa vuto la ziwengo ku mankhwala. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kumwa mlingo woyenera, panthawi yoyenera, monga momwe dokotala wanenera.
- Imwani mankhwalawa ndi kapu ya madzi.
- Mezani piritsi lonse. Musaliphwanye kapena kulitafuna. Komabe, mitundu ina ya mapiritsi (CR - Controlled Release) imatha kusweka pakati. Funsani dokotala wanu za izi.
- Yesetsani kumwa mankhwala anu pa nthawi yake, pafupifupi nthawi yomweyo tsiku lililonse.
- Musasiye kumwa mankhwala anu popanda upangiri wa dokotala. Kusiya mwadzidzidzi kungayambitse zotsatirapo zoyipa kwambiri.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Ndikofunikira kulabadira kusintha kwa thupi lanu mukamamwa mankhwalawa.
Kugona ndi chizungulire
Mankhwalawa angakupangitseni kugona kapena kuzunguzika. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukadzuka pamalo okhala kapena kutuluka pabedi. Izi zichepetsa mwayi wokhala ndi chizungulire ndi kugwa. Kumwa mowa kungapangitse kuti izi ziwonjezeke, choncho pewani mowa kwathunthu.
Kugona mwadzidzidzi
Nthawi zina, mungagone mwadzidzidzi popanda chenjezo lililonse. Izi zingachitike mukuyendetsa galimoto, mukulankhula, kapena mukudya. Ngati izi zitakuchitikirani, zingakhale zoopsa kwambiri. Choncho uzani dokotala wanu nthawi yomweyo.
Zilakolako zachilendo
Anthu ena omwe akumwa mankhwalawa akhoza kukhala ndi machitidwe olakwika kwambiri, monga kutchova juga, kuchita zachiwerewere, komanso kugwiritsa ntchito ndalama mosayenera. Ngati izi sizomwe mumachita nthawi zonse, musachite manyazi ndipo uzani dokotala wanu mwachangu.
Zotsatira za "Kutha" ndi "Kutha"
Izi n'zovuta kumvetsa pang'ono, koma ndizofunikira kwambiri.
- "Kutha mphamvu": Tangoganizirani, maola ochepa musanayambe kumwa mankhwala ena, mphamvu ya mankhwalayo imatha. Kugwedezeka ndi kuuma kwake kumabweranso. Izi zimatchedwa 'kutha mphamvu'.
- Zotsatira za "On-off": Apa ndi pamene mankhwalawo amasiya kugwira ntchito mwadzidzidzi kenako amayambanso kugwira ntchito patatha mphindi kapena maola angapo.
Ngati izi zitachitika, uzani dokotala wanu. Iye akhoza kusintha mlingo kapena nthawi ya mankhwala anu.
Samalani zakudya zanu.
Zakudya zokhala ndi mapuloteni ambiri (monga nyama, nsomba, mazira, mkaka, mtedza) zitha kuchepetsa kuyamwa kwa mankhwalawa. Chifukwa chake:
- Pewani kudya zakudya zokhala ndi mapuloteni ambiri nthawi yomwe mwatenga mankhwalawo isanafike.
- Ndi bwino kumwa mankhwalawa mphindi 30 musanadye kapena ola limodzi mutadya .
- Lankhulani ndi dokotala wanu za zakudya zomwe mumadya ndipo pemphani upangiri.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusakhazikika, kuona zinthu molakwika, kuganiza zodzipha, kuvutika maganizo kwambiri. |
| Kusuntha kosalamulirika | Kusuntha kwatsopano kapena kowonjezereka kosalamulirika kwa nkhope, pakamwa, kapena thupi lapamwamba. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda kapena chamagazi, chinthu chomwe chimaoneka ngati khofi wophikidwa, kapena kusanza magazi. |
| Zotsatirapo zomwe nthawi zambiri sizifuna thandizo lachipatala (koma ziyenera kunenedwa ngati zikupitirira) | |
| Mtundu wa malovu, thukuta, kapena mkodzo | Kusanduka wakuda kapena wofiira (izi sizowopsa, koma zingadetse zovala). |
| Chizungulire ndi kugona | Izi zitha kuchepa thupi likayamba kuzolowera mankhwala. |
| Mutu ndi nseru | Izi nthawi zina zimatha kuthetsedwa mwa kumwa mankhwala pamodzi ndi chakudya. |
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angakhudze momwe mankhwalawa amagwirira ntchito. Choncho uzani dokotala wanu za mankhwala onse, mavitamini, zowonjezera, ndi mankhwala achikhalidwe omwe mukumwa. Samalani kwambiri ndi izi:
- MAOIs (mankhwala ochizira kuvutika maganizo)
- Mavitamini kapena zowonjezera zachitsulo
- Mankhwala a kuthamanga kwa magazi
- Mapiritsi ogonetsa
- Mowa
Uthenga Wopita Nawo Kunyumba
- Carbidopa; Levodopa ndi mankhwala omwe amawonjezera kuchuluka kwa dopamine muubongo kuti achepetse zizindikiro za Parkinson's.
- Pokhapokha ngati dokotala wanu wakuuzani kuti muchite zimenezo, musaphwanye kapena kutafuna piritsi. Mezani lonse.
- Onetsetsani kuti mwauza dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mumamwa.
- Dziwani zotsatirapo zoopsa monga kugona tulo mwadzidzidzi, khalidwe losazolowereka, komanso kusintha kwa maganizo. Ngati izi zitachitika, dziwitsani dokotala wanu nthawi yomweyo.
- Pewani kudya zakudya zokhala ndi mapuloteni ambiri ndi kumwa mankhwala. Funsani dokotala wanu za izi.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
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