Kodi pali wina m'banja mwanu, mwina amayi anu, abambo anu, agogo anu kapena agogo anu, amene akudwala matenda a Parkinson? N'zomvetsa chisoni kwambiri kuwaona akuvutika ndi zizindikiro monga kunjenjemera, kuuma, komanso kuyenda pang'onopang'ono, sichoncho? Chifukwa chake, lero taganiza zolankhula za Carbidopa ndi Levodopa, omwe ndi mankhwala ofunikira kwambiri omwe angathandize kuchepetsa zizindikirozi ndikupangitsa moyo kukhala wosavuta.
Kodi mankhwalawa amagwira ntchito bwanji?
Mwachidule, ubongo wathu uli ndi mankhwala apadera otchedwa dopamine. Dopamine iyi ndi yofunika kwambiri pogwirizanitsa ndi kulamulira mayendedwe a thupi lathu. Chomwe chimachitika kwa munthu amene ali ndi matenda a Parkinson ndichakuti maselo muubongo omwe amapanga dopamine iyi amawonongeka pang'onopang'ono. Kenako kuchuluka kwa dopamine kumachepa, ndipo zizindikiro zomwe tidakambirana, monga kunjenjemera ndi kuuma, zimawonekera.
Kotero, carbidopa iyi; levodopa, mankhwala omwe amagwira ntchito powonjezera kuchuluka kwa dopamine muubongo kachiwiri. Ngakhale izi sizingachiritse matendawa kwathunthu, zimatha kuwongolera kwambiri zizindikiro ndikuthandiza wodwalayo kuchita zinthu zatsiku ndi tsiku mosavuta.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapereke mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu. Onetsetsani kuti mwamuuza za matenda aliwonse omwe ali pansipa.
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Kuvutika maganizo kapena matenda ena amisala | Mankhwalawa angasinthe maganizo ena. |
| Matenda a shuga | Shuga mu mkodzo ungakhudze zotsatira za mayeso. |
| Matenda a glaucoma | Kupanikizika kwa maso kungakhudzidwe. |
| Matenda a mtima, mbiri ya matenda a mtima, kapena kugunda kwa mtima kosasinthasintha | Kuthamanga kwa mtima ndi kuthamanga kwa magazi zingakhudzidwe. |
| Matenda a impso kapena chiwindi | Mmene mankhwala amachotsedwera m'thupi zingakhale ndi zotsatirapo zake. |
| Matenda a m'mapapo (monga mphumu) | Kupuma movutikira kungachitike. |
| Mavuto a m'mimba kapena m'mimba | Kumwa mankhwala ndi zotsatira zake zingakhudzidwe. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Muyenera kukambirana ndi dokotala wanu za zotsatira zake pa mwanayo. |
| Ngati muli ndi vuto la mankhwala ena, chakudya kapena mankhwala ena | Kuwunika chiopsezo chotenga ziwengo ndi mankhwala. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi . Ndikofunikira kwambiri kumwa mlingo woyenera, panthawi yoyenera, monga momwe dokotala wanu wanenera. Musawonjezere kapena kuchepetsa mlingo wa mankhwala kapena kusiya mwadzidzidzi momwe mukufunira. Kuchita zimenezi kungayambitse mavuto aakulu. Ngati musiya kumwa mankhwala, chitani pang'onopang'ono, malinga ndi malangizo a dokotala wanu.
Chofunika: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yatsala pang'ono, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Kodi mungachite chiyani ngati mwamwa 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 kuti mupeze malangizo.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mankhwala ena, mavitamini, mankhwala azitsamba, ndi mowa womwe mukumwa zingagwirizane ndi mankhwalawa. Chifukwa chake, uzani dokotala wanu zonse zomwe mukumwa.
Musamwe mankhwalawa ndi:
- MAOIs, gulu la mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala (monga Marplan, Nardil, Parnate)
- Reserpine
- Tetrabenazine
Mukhozanso kuchitapo kanthu ndi zinthu izi:
- Mowa
- Mavitamini kapena zowonjezera zachitsulo
- Maantibayotiki monga Linezolid, Isoniazid (INH), Procarbazine, ndi Tedizolid
- Mankhwala a kuvutika maganizo, nkhawa, kapena matenda ena amisala
- Mankhwala a kuthamanga kwa magazi
- Mapiritsi ogonetsa
- Mankhwala oletsa kutupa: Metoclopramide, Droperidol, Papaverine
- Rasagiline, Selegiline, Entacapone, Tolcapone (izi ndi mankhwala ena omwe amagwiritsidwa ntchito pa matenda a Parkinson)
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Kodi mphamvu ya mankhwala idzatha? (Zotsatira zake ndi zofooka)
Nthawi zina, pamene mlingo wotsatira ukufunika, mphamvu ya mankhwala imatha kuchepa ndipo zizindikiro zingabwererenso. Komanso, nthawi zina mankhwalawo amatha kusiya kugwira ntchito kwa mphindi imodzi kapena ola limodzi kenako n’kuyambanso kugwira ntchito. Izi zimatchedwa ‘on-off effect’. Ngati izi zitakuchitikirani, musachite manyazi ndipo uzani dokotala wanu. Iye akhoza kusintha mlingo kapena nthawi ya mankhwala anu kuti athetse vutoli.
Samalani ndi chakudya ndi zakumwa.
Zakudya zokhala ndi mapuloteni ambiri (monga nyama, nsomba, mazira, mkaka, mtedza) zimatha kuchepetsa kuyamwa kwa mankhwalawa. Chifukwa chake, pewani kudya zakudya zokhala ndi mapuloteni ambiri nthawi yomwe mwatenga mankhwalawa. Ndi bwino kumwa mankhwalawa mphindi 30 musanadye kapena ola limodzi mutatha kudya. Ndi bwino kulankhula ndi dokotala wanu za zakudya zanu ndikupeza upangiri.
Kugona, chizungulire, komanso kugona tulo mwadzidzidzi
Mankhwalawa angakupangitseni kugona kapena kuzunguzika mutu. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi mutangokhala. Dikirani kangapo musanadzuke pang'onopang'ono.
Anthu ena angagone mwadzidzidzi popanda chenjezo akamamwa mankhwalawa. Izi zitha kuchitika ngakhale mukuyendetsa galimoto kapena mukulankhula. Ngati izi zitakuchitikirani, uzani dokotala wanu nthawi yomweyo.
Khalani maso ndi mayesero achilendo.
Kawirikawiri, anthu ena amakhala ndi chilakolako chachilendo chofuna kutchova juga, kuchita zachiwerewere, kudya mopitirira muyeso, kapena kugwiritsa ntchito ndalama mosafunikira akamamwa mankhwalawa. Izi ndi zotsatira zoyipa za mankhwalawa. Ngati inu kapena wina m'banja mwanu awona kusintha kulikonse, muyenera kuuza dokotala wanu nthawi yomweyo.
Mfundo zina
- Mkodzo kapena thukuta lanu likhoza kukhala lakuda (lakuda kapena lofiira) . Izi ndi zachilendo ndipo palibe chodetsa nkhawa. Komabe, zingadetse zovala zanu.
- Ngati muli ndi matenda a shuga, mankhwalawa angakhudze mayeso a shuga m'mkodzo (sakhudza mayeso a magazi).
- Mankhwalawa angayambitse kusowa kwa vitamini B6. Choncho, lankhulani ndi dokotala wanu za kudya zakudya zokhala ndi vitamini B6 yambiri (monga kale, sipinachi, mbatata).
Zotsatirapo zoyipa za mankhwalawa
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mwachangu, kugunda kwa mtima kosakhazikika, kupweteka pachifuwa, kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusokonezeka maganizo, kuona zinthu molakwika, kuganiza zodzipha, kupsinjika maganizo kwambiri. |
| Kusuntha kosalamulirika | Kusuntha kwatsopano kapena kowonjezereka kosalamulirika kwa nkhope, pakamwa, kapena thupi lapamwamba. |
| Kutuluka magazi m'mimba | Chimbudzi chakuda kapena chokhazikika, kusanza komwe kumaoneka ngati khofi. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kuda kwa malovu, thukuta, ndi mkodzo | Izi nthawi zambiri sizimavulaza. |
| Chizungulire ndi kugona | Izi ndizofala. |
| Mutu ndi nseru | Uzani dokotala wanu ngati zizindikirozi zikupitirira. |
Uthenga Wopita Nawo Kunyumba
- Carbidopa; Levodopa si mankhwala a matenda a Parkinson, koma ndi mankhwala omwe amawongolera zizindikiro ndikupangitsa moyo kukhala wosavuta.
- Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo.
- Dziwani zotsatirapo zake monga kugona tulo mwadzidzidzi, kusintha kwa maganizo, ndi zilakolako zachilendo. Ngati muwona kusintha kulikonse, uzani dokotala wanu nthawi yomweyo.
- Zakudya zokhala ndi mapuloteni ambiri zingachepetse mphamvu ya mankhwala. Chifukwa chake, lankhulani ndi dokotala wanu za zakudya zomwe mumadya.
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