Ngati inu kapena wina m'banja mwanu muli ndi matenda a Parkinson, dokotala wanu mwina wakupatsani mtundu watsopano wa mankhwala. Amatchedwa selegiline, piritsi lomwe limasungunuka pa lilime. Ndi losiyana pang'ono ndi mapiritsi omwe nthawi zambiri mumameza ndi madzi. Chifukwa chake lero, tiyeni tikambirane za mankhwala awa, momwe mungawagwiritsire ntchito, komanso zomwe muyenera kusamala kwambiri mukamamwa.
Kodi mankhwala awa otchedwa Selegiline ndi chiyani?
Mwachidule, Selegiline ndi mankhwala omwe amagwiritsidwa ntchito poletsa zizindikiro za matenda a Parkinson. Nthawi zambiri amaperekedwa kwa anthu omwe akumwa Levodopa. Matenda a Parkinson amapezeka pamene dopamine ya mankhwala yachepa muubongo mwathu. Dopamine iyi imathandiza kulamulira mayendedwe a thupi lathu ndi kulumikizana kwa thupi. Chifukwa chake, zomwe piritsi la Selegiline limachita ndikuwonjezera kuchuluka kwa dopamine muubongo. Kenako, zizindikiro za matenda a Parkinson monga kuuma ndi kunjenjemera zimachepa pang'onopang'ono. Mankhwalawa ndi a gulu la mankhwala otchedwa MAOIs.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni Selegiline, adzakufunsani mafunso ena. Ngati muli ndi vuto lililonse m'munsimu, muyenera kuuza dokotala wanu .
- Ngati muli ndi kuthamanga kwa magazi.
- Ngati muli ndi matenda a chiwindi.
- Ngati muli ndi kuthamanga kwa magazi kotsika.
- Ngati muli ndi vuto la narcolepsy (vuto lomwe limayambitsa kugona tulo kosalamulirika masana).
- Ngati muli ndi vuto la majini lotchedwa Phenylketonuria (PKU).
- 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 piritsi ili?
Momwe izi zimagwiritsidwira ntchito ndi zosiyana pang'ono, choncho samalani kwambiri.
1. Imwani m'mawa: Mankhwalawa nthawi zambiri amatengedwa m'mawa. Imwani panthawi yoyenera monga momwe dokotala wanu wanenera.
2. Momwe mungachotsere piritsi: Musatulutse piritsi pokanikiza pepala la aluminiyamu lomwe lili pa piritsi. Kuchita izi kungayambitse kuti piritsi liphwanyike. M'malo mwake, kokani pepalalo pang'onopang'ono kuchokera pakona imodzi ndikuchotsa piritsi mosamala ndi manja owuma .
3. Isungeni pa lilime lanu: Mukangomwa piritsi, isungeni pa lilime lanu. Idzasungunuka yokha pakatha masekondi ochepa. Musaimeze ndi madzi.
4. Dikirani mphindi 5 musanadye: Piritsi likasungunuka, musadye kapena kumwa chilichonse kwa mphindi pafupifupi 5 .
5.Imwani pa nthawi yake: Imwani mankhwalawo monga momwe dokotala wanu wanenera, panthawi yoyenera. Musamwe mankhwala opitirira mlingo womwe walembedwa.
6. Musasiye mwadzidzidzi: Pewani kusiya kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
Chofunika kwambiri: Mankhwalawa ndi anu okha. Musagawane ndi wina aliyense.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, imbani National Poisons Information Centre ku National Hospital nthawi yomweyo. Kapena pitani ku Emergency Treatment Unit (ETU) kuchipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Selegiline ndi mankhwala omwe angagwirizane ndi mankhwala ena ndi zakudya zina. Chifukwa chake, ndikofunikira kuuza dokotala wanu ngati mukumwa mankhwala ena.
| Musamwe Selegiline ndi mankhwala awa konse! | |
|---|---|
| Atomoxetine | Mankhwala ochepetsa ululu monga Meperidine, Methadone, ndi Tramadol |
| Cyclobenzaprine (mankhwala opumulitsa minofu) | Rasagiline, Safinamide (mankhwala ena a matenda a Parkinson) |
| Dextromethorphan (yomwe imapezeka mu mankhwala ena a chifuwa) | Mankhwala olimbikitsa a matenda a kuchepa kwa chidwi |
| MAOI ena monga Marplan, Nardil, Parnate | Wort wa St. John (mankhwala azitsamba) |
| Viloxazine | Mankhwala ena okhala ndi Selegiline, monga Emsam kapena Eldepryl |
| Selegiline ingathenso kukhudzana ndi zinthu izi, choncho samalani. | |
|---|---|
| Mankhwala ena a matenda amisala monga kuvutika maganizo ndi nkhawa | Mankhwala monga Phenylephrine ndi Pseudoephedrine oletsa kutsekeka kwa mphuno |
| Mankhwala monga Carbamazepine, Phenobarbital, Phenytoin, omwe amagwiritsidwa ntchito pa matenda a khunyu (kufinya) | Metoclopramide (mankhwala oletsa kusanza) |
| Ephedrine, Epinephrine, Norepinephrine | Mankhwala opha tizilombo monga Rifampin ndi Nafcillin |
| Mankhwala ena amphamvu ochepetsa ululu | Mankhwala ena olimbikitsa thupi omwe amatengedwa kuti achepetse thupi kapena kuti akhale maso |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Muuzeninso ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
Chisamaliro chapadera pa zakudya zomwe zili ndi Tyramine
Izi ndizofunikira kwambiri. Ngati mutenga Selegiline ndikudya zakudya zokhala ndi tyramine yambiri, mutha kuwona kukwera kwadzidzidzi kwa kuthamanga kwa magazi, mutu waukulu, komanso kugunda kwa mtima kosasinthasintha. Chifukwa chake, pewani kapena chepetsani zakudya zotsatirazi:
- Tchizi chosungidwa
- Nyama ndi nsomba zosungidwa, zosuta, zoviikidwa mu uvuni (monga masoseji, salami)
- Mitundu ya Mowa ndi Ale
- Vinyo (makamaka vinyo wofiira)
- Avokado, nthochi, nkhuyu, mphesa zouma
- Soya msuzi, supu ya miso
- Zipatso zakupsa kwambiri
Funsani dokotala wanu kuti akupatseni mndandanda wonse wa izi.
Mfundo zina zofunika
- Kugona ndi chizungulire:Mankhwalawa angakupangitseni kugona kapena kuzunguzika mutu. Choncho, musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musaime kapena kukhala tsonga mwadzidzidzi. Izi zingachepetse chiopsezo chokomoka ndi kugwa, makamaka ngati ndinu okalamba.
- Kugona mwadzidzidzi: Anthu ena angagone mwadzidzidzi popanda chenjezo akumwa mankhwalawa. Izi zitha kuchitika akuyendetsa galimoto kapena akulankhula. Ngati izi zitakuchitikirani, uzani dokotala wanu nthawi yomweyo.
- Zilakolako zachilendo: Anthu ena akamamwa mankhwalawa, amakhala ndi chilakolako champhamvu chofuna kutchova juga, kugonana, kudya mopitirira muyeso, kapena kugwiritsa ntchito ndalama m'njira zomwe sakanachita kawirikawiri. Ngati mukukumana ndi khalidwe lililonse lachilendoli, musachite manyazi ndipo uzani dokotala wanu.
- Pakamwa pouma: Pakamwa pouma ndi pofala. Mutha kuwongolera izi mwa kutafuna chingamu chopanda shuga ndikumwa madzi ambiri.
- Chifuwa, chimfine: Musamwe mankhwala anu a chifuwa, chimfine, kapena ziwengo popanda kufunsa dokotala wanu.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuthamanga kwa magazi | Kuyamba mwadzidzidzi mutu waukulu, nseru, kusanza, kuuma kwa khosi, kugunda kwa mtima mofulumira kapena kosasinthasintha. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa, kusakhazikika, kusokonezeka maganizo, kuona zinthu molakwika, kuganiza zodzipha, kuvutika maganizo. |
| Kusuntha kosalamulirika | Kusuntha kwatsopano kapena kowonjezereka kosalamulirika kwa nkhope, pakamwa, kapena thupi lapamwamba. |
| Zina | Kugona tulo pamene ukugwira ntchito masana, kukumana ndi zilakolako zachilendo. |
| Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Chizungulire, kugona | Pakamwa pouma |
| Mutu, nseru | Kusowa tulo |
| Ululu kapena kupweteka komwe piritsi linayikidwa (mkamwa) | |
Uthenga Wopita Nawo Kunyumba
- Selegiline ndi piritsi lomwe limasungunuka pansi pa lilime. Musameze ndi madzi. Musadye kapena kumwa chilichonse kwa mphindi 5 piritsi litasungunuka.
- Mungakhale ndi vuto lalikulu la zakudya zomwe zili ndi Tyramine (tchizi wakale, nyama, vinyo) mukamamwa mankhwalawa. Chifukwa chake, pewani zakudya zotere.
- Mankhwalawa angayambitse kugona mwadzidzidzi komanso chizungulire. Choncho, samalani kwambiri mukamayendetsa galimoto kapena kuchita ntchito zomwe zimafuna kusamala kwambiri.
- Ngati mukukumana ndi zotsatirapo zoyipa, monga khalidwe losazolowereka (monga kutchova juga), mutu waukulu, kapena kusintha kwa maganizo, uzani dokotala nthawi yomweyo.
- Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala aliwonse omwe mumamwa komanso matenda aliwonse omwe muli nawo.
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