Chithandizo chatsopano cha matenda a Parkinson: Tiyeni tiphunzire za Carbidopa; Levodopa Suspension!

Matenda a Parkinson nthawi zina angapangitse kuti zikhale zovuta kuchita zinthu za tsiku ndi tsiku , sichoncho? Kukhala ndi zizindikiro monga kuuma ndi kunjenjemera sikophweka. Komabe, ndi kupita patsogolo kwa sayansi ya zamankhwala, mankhwala atsopano akuwonjezedwa kuti athetse zizindikirozi. Lero tikambirana za mankhwala amodzi otere. Amenewo ndi `Carbidopa; Levodopa Suspension` . Izi sizili ngati mapiritsi wamba, koma mankhwala omwe amaperekedwa m'thupi mwanjira yosiyana pang'ono.

Kodi mankhwala awa ndi chiyani? Amagwira ntchito bwanji?

Mwachidule, `Carbidopa; Levodopa` ndi mankhwala omwe amaperekedwa kuti achepetse zizindikiro za matenda a Parkinson. Kodi mukudziwa, pali mankhwala otchedwa ` Dopamine` omwe amathandiza kuwongolera mayendedwe a ubongo wathu. Mu matenda a Parkinson, kuchuluka kwa `Dopamine` mu ubongo kumachepa. Chifukwa chake, mankhwalawa amawonjezera kuchuluka kwa `Dopamine` mu ubongo ndikuchepetsa zizindikiro monga kuuma ndi kunjenjemera m'thupi.

Madokotala nthawi zina angakupatseni mankhwala awa pa matenda ena. Ngati muli ndi mafunso okhudza mankhwalawa, funsani dokotala wanu kapena wamankhwala. Dzina lina la mankhwala awa ndi `Duopa`.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe chithandizochi, ndikofunikira kwambiri kuuza gulu lanu la chisamaliro za zinthu zina. Ngati muli ndi vuto lililonse mwa izi, muyenera kuwauza:

• Matenda a shuga
• Ngati ndinu chidakwa
• Matenda a glaucoma
• Matenda a mtima
• Kuthamanga kwa magazi
• Ngati kale munali ndi kugunda kwa mtima kosasinthasintha
• Matenda a impso
• Matenda a chiwindi
• Kuthamanga kwa magazi kotsika
• Matenda a m'mapapo kapena kupuma (monga mphumu)
• Kusintha kwa maganizo kapena khalidwe
• Matenda Osatha Kugona
• Kupuma movutikira
• Mavuto a m'mimba kapena m'matumbo
• Maganizo, mapulani, kapena zoyesayesa zodzipha; ngati inu kapena wachibale wanu munachitapo zimenezo
• Ngati mwakhala ndi vuto lachilendo kapena la allergic reaction chifukwa cha levodopa, carbidopa, mankhwala ena, zakudya, utoto kapena zosungira
• Ngati muli ndi pakati kapena mukufuna kutenga mimba
• Ngati ndinu mayi woyamwitsa

Dokotala akadziwa zinthu zimenezi, adzatha kukuthandizani m'njira yoyenera kwambiri.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Popeza iyi ndi mankhwala apadera, ndikofunikira kumvetsetsa bwino.

Mlingo wa mankhwala omwe mwapatsidwa udzakonzedwa ndi gulu lanu lachipatala ndikuyikidwa mu 'pampu' yaying'ono. Choyamba mudzawonetsedwa momwe mungagwiritsire ntchito 'kaseti' iyi ndi pampu. Muyeneranso kuwerenga 'Malangizo Ogwiritsira Ntchito' mosamala. Gulu lanu lachipatala lokha ndi lomwe lidzasinthe mlingo wanu wa mankhwala, ndipo pokhapokha ngati alipo. Musasiye kumwa mankhwalawa kapena kusintha mlingo popanda upangiri wa dokotala wanu.

Mankhwalawa ayenera kugwiritsidwa ntchito kutentha kwa chipinda. Tulutsani kaseti ya mankhwala mufiriji ndipo muichotse m'bokosi kwa mphindi 20 musanagwiritse ntchito. Gwiritsani ntchito ikafika kutentha kwa chipinda, apo ayi simungapeze mlingo woyenera wa mankhwala.

Mankhwalawa adzapitirira kuperekedwa m'thupi lanu kwa maola 16. Izi zimachitika pogwiritsa ntchito kachipangizo kakang'ono, monga CADD-Legacy 1400. Pampu iyi idzapereka mankhwala kuchokera mu kachipangizo kupita ku chubu chanu cha PEG-J (chubu chapadera chomwe chimalowetsedwa m'mimba mwanu kupita m'matumbo anu ang'onoang'ono). Kachipangizo kalikonse kangagwiritsidwe ntchito kamodzi kokha. Musagwiritsenso ntchito kachipangizo kotsegulidwa. Komanso, sikoyenera kugwiritsa ntchito kachipangizo kwa maola opitilira 16.

Pambuyo pa maola 16 a mankhwala, chotsani pampu mu chubu cha PEG-J. Kenako, tsukani chubu chanu cha PEG-J ndi sirinji yodzazidwa ndi madzi otentha m'chipinda. Mukamaliza kumwa mankhwalawa tsiku lililonse, muyenera kumwa mapiritsi anu a carbidopa-levodopa omwe amamwa usiku wonse monga momwe mwalangizidwira. Ngati simungathe kumwa mankhwalawa pazifukwa zilizonse, khalani ndi mapiritsi ena a carbidopa-levodopa nthawi zonse.

Mankhwalawa saperekedwa kwa ana aang'ono.

Chofunika: Mankhwalawa ndi a inu nokha. Musagawane 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 ndaphonya mlingo wa mankhwala?

Ngati pazifukwa zilizonse kumwa mankhwala oletsa kuyamwa kwa maola opitilira awiri mkati mwa maola 16, imbani gulu lanu la zaumoyo ndipo imwani mapiritsi anu a carbidopa-levodopa monga mwalangizidwira mpaka kumwa mankhwalawo kuyambikanso. Ngati kumwa mankhwalawo kwayimitsidwa kwa maola osakwana awiri, simuyenera kumwa mapiritsiwo, koma gulu lanu la zaumoyo lingakuuzeni kuti mumwe mlingo wowonjezera wa mankhwalawo.

Nthawi zonse khalani ndi mapiritsi ena a carbidopa-levodopa omwe amatulutsidwa nthawi yomweyo pafupi ngati simungathe kuwamwa.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Mankhwala ena amatha kusokonezana ndi Carbidopa; Levodopa. Izi zikutanthauza kuti mavuto amatha kuchitika akamwedwa limodzi. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera.

Musamwe mankhwalawa pamodzi ndi mankhwala otsatirawa:

• Mankhwala amtundu wa `MAOI` (monga `Marplan`, `Nardil`, `Parnate`)
• `Reserpine`
• `Tetrabenazine`

Mankhwalawa angagwirizanenso ndi:

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

Mndandanda uwu sungakhale wokwanira, choncho uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo.

Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa

Gulu lanu lachipatala lidzayang'ana thanzi lanu nthawi zonse mukamamwa mankhwalawa. Onetsetsani kuti mwasunga nthawi yanu yokumana ndi dokotala. Uzani dokotala wanu ngati zizindikiro zanu sizikusintha kapena ngati zikuoneka kuti zikuipiraipira. Musasiye kumwa mankhwala popanda upangiri wa dokotala wanu. Kuchita zimenezi kungayambitse vuto lalikulu.

Momwe mungasamalire chubu cha PEG-J

Gulu lanu la zachipatala lidzakuuzani momwe mungasamalire malo anu a PEG-J. Yang'anirani malowo nthawi zonse kuti muwone ngati pali zizindikiro za matenda. Njira yoyika chubu cha PEG-J ingayambitse mavuto m'mimba kapena m'matumbo. Ngati muli ndi ululu m'mimba, kudzimbidwa kwa masiku angapo, nseru, kusanza, malungo, kapena ndowe zakuda, uzani gulu lanu lachipatala nthawi yomweyo.

Ngati chubu cha PEG-J chaphwanyika, kugwedezeka, kapena kutsekeka, zizindikiro za Parkinson zitha kukulirakulira kapena kusintha kwa kayendedwe ka thupi kungabwererenso. Ngati izi zitachitika, lankhulani ndi dokotala wanu.

Zakudya

Kudya zakudya zokhala ndi mapuloteni ambiri kungakhudze momwe mankhwalawa amagwirira ntchito. Ngati mukusintha zakudya zanu, lankhulani ndi dokotala wanu za izi.

Kugona ndi chizungulire

Mungamve tulo kapena chizungulire. Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musadzuke kapena kukhala pansi mwachangu, makamaka ngati ndinu okalamba. Izi zitha kuchepetsa chiopsezo cha chizungulire ndi kugwa. Mowa ungasokoneze momwe mankhwalawa amagwirira ntchito. Choncho pewani kumwa mowa.

Kugona mwadzidzidzi

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

Khalidwe losakhazikika

Anthu ena anena kuti ali ndi chilakolako chogonana chowonjezeka kapena chilakolako china champhamvu, monga kutchova juga kapena kudya kwambiri, akamamwa mankhwalawa. Ngati mukukumana ndi chilichonse mwa izi, uzani dokotala wanu mwachangu.

Thanzi la maganizo

Odwala ndi mabanja awo ayenera kukhala tcheru ndi kuvutika maganizo kwatsopano kapena koipiraipira komanso maganizo ofuna kudzipha. Ngati mukumva kupsinjika maganizo kapena muli ndi maganizo ofuna kudzipha, imbani gulu lanu lazaumoyo nthawi yomweyo.

Zotsatira za 'Kutopa' ndi 'Kutaya'

Musanayambe kumwa mlingo wanu wotsatira, mungamve kuti mankhwalawo akutha (zotsatira za 'kutha'). Komanso, nthawi zina mankhwalawo amatha kusiya kugwira ntchito kwa mphindi zochepa mpaka maola angapo kenako mwadzidzidzi amayambanso kugwira ntchito (zotsatira za 'kutha'). Ngati muli ndi zizindikiro izi, uzani dokotala wanu. Mlingo wanu ungafunike kusinthidwa.

Kwa odwala matenda a shuga

Ngati muli ndi matenda a shuga, mutha kupeza zotsatira zabodza mukayesa shuga mumkodzo wanu. Lankhulani ndi dokotala wanu za izi.

Kusintha kwa mtundu wa mkodzo kapena thukuta

Mankhwalawa angapangitse mkodzo wanu kapena thukuta lanu kukhala lakuda kapena lofiira. Izi sizikutanthauza kuti muyenera kuda nkhawa. Komabe, zingadetse zovala.

Vitamini B6

Mankhwalawa angachepetse kuchuluka kwa vitamini B6 m'thupi lanu. Chifukwa chake, muyenera kuonetsetsa kuti mukupeza vitamini B6 yokwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya ndi mavitamini omwe mukumwa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

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

Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu:

• Matenda a ziwengo - ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime kapena pakhosi
• Kutsekeka kwa matumbo - kupweteka kwambiri m'mimba, kulephera kuchita chimbudzi kapena kutulutsa mpweya, kusowa chilakolako cha chakudya, kusanza
• Kugona tulo pa ntchito ya tsiku ndi tsiku
• Kusintha kwa kayimbidwe ka mtima - kugunda kwa mtima mwachangu kapena kosakhazikika, 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, kuvutika maganizo
• Kusuntha kwatsopano kapena koopsa kwa nkhope, pakamwa, kapena thupi lapamwamba
• Ululu, kumva kuwawa, kapena dzanzi m'miyendo
• Matenda a malo - kufiira, kutupa, kutentha, kapena kupweteka pamalo pomwe chubucho chalowetsedwa
• Kutuluka magazi m'mimba - ndowe zakuda zodzaza ndi magazi kapena zochedwa, kusanza zinthu zofiirira zomwe zimaoneka ngati khofi
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya (monga kuwona molakwika, kuwona mphete mozungulira magetsi, kutayika kwa masomphenya)
• Mumakhala ndi chilakolako chachilendo chochita zinthu mopupuluma, monga kutchova juga, kudya mopitirira muyeso, kuchita zachiwerewere, kapena kugula zinthu.

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

• Kusanduka kwa malovu, thukuta, kapena mkodzo kofiira kapena kwakuda
• Chizungulire
• Kugona tulo
• Mutu (Zikuoneka kuti izi zikuchokera ku chilankhulo china, mawu olondola a Chisinhala ndi awa: Mutu )
• Kusanza

Mndandanda uwu mwina sungakhale wokwanira. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.

Kodi ndiyenera kusunga bwanji mankhwalawa?

• Sungani pamalo omwe ana sangafikire.
• Sungani makaseti osatsegulidwa mufiriji pa madigiri 2 mpaka 8 Celsius (36 mpaka 46 Fahrenheit). Musamaundanitse. Tetezani kaseti ku kuwala ndipo isungeni m'bokosi mpaka mutagwiritsa ntchito. Gwiritsani ntchito isanafike tsiku lotha ntchito. Tayani mankhwala otha ntchito.
• Tayani bokosi patatha maola 16 kuchokera pamene mwalitulutsa mufiriji, mutatsegula, kapena mukaligwiritsa ntchito, ngakhale litakhalabe ndi mankhwala. Gwiritsani ntchito lisanafike tsiku lotha ntchito.

Tiyenera kudziwa kuti:Nkhaniyi ndi chidule chokha. Mwina siili ndi mfundo zonse. Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Uthenga Wopita Nawo Kunyumba

Chabwino, tiyeni tikambirane zinthu zofunika kwambiri zomwe takambirana:

• "Carbidopa; Levodopa Suspension" iyi ndi mankhwala enieni omwe amathandiza kuwongolera zizindikiro za Parkinson's.
• Izi zimaperekedwa ku thupi kudzera mu `pampu` ndi `chubu cha PEG-J`.
• Muyenera kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
• Tsatirani malangizo a dokotala wanu momwe mungagwiritsire ntchito mankhwalawo komanso momwe mungasamalire chubu cha PEG-J.
• Dziwani zinthu monga kugona tulo, kugona mwadzidzidzi, kusintha kwa maganizo, ndi khalidwe losakhazikika. Ngati muwona china chake chachilendo , uzani dokotala wanu nthawi yomweyo.
• Musasiye kumwa mankhwala mwadzidzidzi.
• Ngati zotsatirapo zake zichitika, makamaka ngati zili zoopsa, funsani upangiri wa dokotala nthawi yomweyo.

Ngakhale kukhala ndi matenda a Parkinson kungakhale kovuta, ndi chithandizo choyenera komanso upangiri wachipatala, mutha kuwongolera zizindikiro zanu ndikukhala ndi moyo wabwino. Kambiranani momasuka ndi dokotala wanu za mafunso, mantha, kapena nkhawa zilizonse zomwe mungakhale nazo. Mwanjira imeneyi, mutha kupeza thandizo lomwe mukufuna.

Carbidopa , Levodopa, matenda a Parkinson, Dopamine, chubu cha PEG-J, Zotsatira zoyipa za mankhwala, chithandizo cha Parkinson