Kodi mukuvutika ndi zizindikiro za matenda a Parkinson monga kunjenjemera ndi kuuma? Ngati ndi choncho, dokotala wanu mwina adakupatsani mankhwala otchedwa Selegiline pamodzi ndi Levodopa. Uwu ndi mankhwala omwe nthawi zambiri amaperekedwa. Chifukwa chake, m'nkhaniyi, tikambirana za Selegiline, zomwe imachita, komanso zomwe muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa.
Kodi Selegiline ndi chiyani? Imagwira ntchito yanji?
Mwachidule, Selegiline ndi mankhwala omwe amagwiritsidwa ntchito poletsa zizindikiro za matenda a Parkinson. Ndi a gulu la mankhwala otchedwa MAOIs. Ubongo wathu uli ndi mankhwala otchedwa dopamine . Izi ndi zomwe zimathandiza thupi lathu kuyenda bwino komanso kugwirizana bwino. Mwa anthu omwe ali ndi matenda a Parkinson, kuchuluka kwa dopamine muubongo kumachepa.
Selegiline imagwira ntchito powonjezera kuchuluka kwa dopamine muubongo. Izi zingathandize kuchepetsa zizindikiro monga kuuma ndi kunjenjemera, zomwe zimakulolani kuchita zinthu za tsiku ndi tsiku mosavuta.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni Selegiline. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Ngati muli ndi kuthamanga kwa magazi.
- Ngati muli ndi matenda aliwonse a chiwindi.
- Ngati muli ndi kuthamanga kwa magazi kotsika.
- Ngati muli ndi vuto la narcolepsy, vuto lomwe limakupangitsani kugona mwadzidzidzi masana.
- Ngati muli ndi vuto la kupuma movutikira.
- Ngati muli ndi vuto la selegiline kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi. Ndikofunikira kwambiri kumwa mankhwalawo panthawi yoyenera, mu mlingo woyenera, monga momwe dokotala wanu wanenera. Musawonjezere, kuchepetsa, kapena kuimitsa mlingowo momwe mukufunira.
Chofunika kwambiri: Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse vuto lalikulu. Ngati musiya, muyenera kuchepetsa pang'onopang'ono mlingo monga momwe dokotala wanu akukulangizirani.
Kodi mungachite chiyani ngati mumwa mankhwala mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Nthawi yomweyoImbani National Poison Information Centre ku Colombo National Hospital. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaiwala kumwa mlingo ndipo mwakumbukira nthawi yochepa, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Zinthu zomwe siziyenera kugwiritsidwa ntchito ndi Selegiline (Interactions)
Ichi ndi chinthu choyenera kusamala nacho kwambiri. Selegiline ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ndi zakudya zina.
Mavuto ndi mankhwala
Ngati mukugwiritsa ntchito mankhwala otsatirawa, musamwe Selegiline konse .
- Atomoxetine, Cyclobenzaprine, Dextromethorphan (yomwe ili mu mankhwala ena a chifuwa)
- Mankhwala ena a MAOI monga Marplan, Nardil, ndi Parnate
- Mankhwala ochepetsa ululu monga Meperidine, Methadone, ndi Tramadol
- Mankhwala ena okhala ndi Selegiline, monga Emsam
- Rasagiline, Safinamide (komanso mankhwala a matenda a Parkinson)
- Mankhwala olimbikitsa mavuto a chidwi
- Wort wa St. John (mankhwala ochokera ku zitsamba)
- Viloxazine
Kuphatikiza apo, mankhwala a matenda amisala monga kuvutika maganizo ndi nkhawa, mankhwala ena ochepetsa kutsekeka kwa magazi (phenylephrine, pseudoephedrine), ndi mankhwala ochepetsa thupi nawonso angathandize pa izi.
Choncho, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ochepetsa ululu) .
Mavuto ndi chakudya (Kuyanjana kwa Tyramine)
Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kusamala nacho mukamamwa mankhwalawa. Sikoyenera kudya zakudya zomwe zili ndi tyramine yambiri mukamamwa Selegiline. Kuchita izi kungapangitse kuti kuthamanga kwa magazi kukwere mwadzidzidzi, kumayambitsa mutu waukulu, komanso kugunda kwa mtima kosakhazikika.
| Zakudya zomwe muyenera kupewa mukamamwa Selegiline chifukwa cha kuchuluka kwa Tyramine m'thupi. | |
|---|---|
| Mtundu wa chakudya | Zitsanzo |
| Tchizi Zakale | Tchizi monga Cheddar, Blue cheese, Gorgonzola, ndi Parmesan. |
| Nyama/nsomba yokonzedwa ndi kusuta | Soseji, salami, pepperoni, nsomba zouma, jalapenos. |
| Zakumwa zoledzeretsa | Mowa (makamaka mowa wopangidwa ndi draft), vinyo wofiira, sherry. |
| Zogulitsa za soya | Msuzi wa soya, supu ya miso, tofu. |
| Zina | Mapeyala, nthochi, mphesa zouma, zipatso zokhwima bwino. |
Funsani dokotala wanu kuti akupatseni mndandanda wonse wa izi.
Zinthu zomwe muyenera kusamala nazo kwambiri mukamamwa mankhwala
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena kuzungulire. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka mwadzidzidzi mutangokhala kapena kuyimirira.
- Mowa: Pewani kumwa mowa. Kungasokoneze mphamvu ya mankhwala.
- Pakamwa pouma: Ngati muli ndi pakamwa pouma, mutha kupeza mpumulo potafuna chingamu chopanda shuga ndikumwa madzi ambiri.
- Matenda ena: Funsani dokotala wanu musanamwe mankhwala odzipatsa nokha pa zinthu monga chifuwa, chimfine, ndi malungo.
- Matenda a shuga: Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu. Choncho lankhulani ndi dokotala musanasinthe mlingo kapena zakudya zomwe mumadya.
- Kusintha kwa khungu: Dziwani kusintha kulikonse pakhungu lanu kapena mawonekedwe a mawanga atsopano mukamamwa mankhwalawa. Yang'anani khungu lanu nthawi zonse. Ngati muwona kusintha kulikonse kotere, uzani dokotala wanu nthawi yomweyo.
Zotsatirapo zomwe zingachitike ndi mankhwalawa
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Kuthamanga kwa magazi kwakukulu | Kuyamba mwadzidzidzi mutu waukulu, nseru, kusanza, kuuma khosi, ndi kugunda kwa mtima mofulumira. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusokonezeka maganizo, kuona zinthu molakwika, kuganiza zodzipha, kuvutika maganizo kwambiri. |
| Kusuntha kosalamulirika | Kusuntha kwatsopano kapena kowonjezereka kosalamulirika kwa nkhope, pakamwa, kapena thupi lapamwamba. |
| Zizindikiro zina zazikulu | Makhalidwe osazolowereka monga kugona mwadzidzidzi pamene mukuchita ntchito za tsiku ndi tsiku, chizungulire ndi kusawona bwino, kuthamanga kwa magazi pang'ono, kutchova juga, ndi kudya mopitirira muyeso. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| |
Uthenga Wopita Nawo Kunyumba
- Selegiline ndi mankhwala omwe amathandiza kuchepetsa zizindikiro za Parkinson ndikuwonjezera kuchuluka kwa dopamine muubongo.
- Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
- Pewani kwathunthu zakudya zokhala ndi tyramine yambiri (monga tchizi chotsukidwa, nyama yokonzedwa, ndi vinyo wofiira) mukamamwa mankhwalawa.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
- Ngati mukukumana ndi mavuto ena aakulu monga mutu waukulu, kukwera mwadzidzidzi kwa kuthamanga kwa magazi, kapena kusintha kwa maganizo, funsani upangiri wa dokotala nthawi yomweyo.
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