Tikudziwa kuti kukhala ndi matenda a Parkinson nthawi zina kumakhala kovuta. Sikophweka kupirira tsiku lonse ndi zinthu monga kunjenjemera ndi kuyenda pang'onopang'ono. Chifukwa chake madokotala amapereka mankhwala osiyanasiyana kuti athetse zizindikirozi. Lero tikambirana za mankhwala apadera, Tolcapone. Awa si mankhwala omwe nthawi zambiri amaperekedwa okha. Amaperekedwa ndi levodopa- carbidopa , yomwe ndi mankhwala akuluakulu a matenda a Parkinson . Mwachidule, ali ngati "wothandizira" yemwe amathandiza mankhwala akuluakulu.
Kodi Tolcapone ndi chiyani?
Chabwino, tiyeni tinene mwachidule. Matenda a Parkinson amapezeka pamene kupanga mankhwala otchedwa dopamine muubongo wathu kumachepa. Mankhwala omwe mumapatsidwa, otchedwa levodopa-carbidopa, amagwira ntchito polowa muubongo ndikuwusandutsa dopamine. Koma nthawi zina mphamvu ya mankhwalawa imatha kuchepa pang'onopang'ono.
Apa ndi pomwe tolcapone imayambira. Tolcapone ndi mankhwala omwe ali m'gulu la mankhwala otchedwa COMT inhibitors. Amagwira ntchito poletsa thupi kuti lisawononge levodopa lisanafike ku ubongo. Izi zikutanthauza kuti amalola mankhwala ambiri akuluakulu kufika ku ubongo, zomwe zimapangitsa kuti likhale lothandiza komanso lokhalitsa . Dzina la mankhwala awa ndi Tasmar.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Mankhwalawa angagwirizane ndi matenda ena. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe/zoona za thanzi | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a chiwindi | Mankhwalawa amatha kukhudza chiwindi, choncho ndikofunikira kudziwa ngati pali kufooka kulikonse kwa chiwindi. |
| Matenda a impso | Mankhwala amachotsedwa m'thupi ndi impso. Chifukwa chake, dokotala ayenera kudziwa momwe impso zimagwirira ntchito. |
| Matenda amisala | Nthawi zina mankhwala amenewa amatha kukhudza thanzi la maganizo, choncho ndikofunikira kudziwa izi pasadakhale. |
| Kulephera kupuma mokwanira kapena matenda obwera chifukwa cha kugona | Mankhwalawa angapangitse anthu ena kugona mwadzidzidzi, choncho ndikofunikira kunena za matenda aliwonse otere. |
| Ngati mukuyesera kutenga mimba, muli ndi pakati, kapena ndinu mayi woyamwitsa | Onetsetsani kuti mwatchula izi, chifukwa muyenera kusamala kwambiri pankhani yogwiritsa ntchito mankhwala pazochitika izi. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Uzani dokotala wanu za ziwengo zilizonse zomwe muli nazo. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri.
- Mezani piritsi ndi kapu ya madzi.
- Imwani mlingo wolembedwa pa nthawi yolembedwa, monga momwe dokotala wanenera. Mutha kumwa musanadye kapena mutadya.
- Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse vuto lalikulu.
- Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wa ana za vutoli.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani National Poisons Information Centre ku Colombo National Hospital nthawi yomweyo. Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Chitani izi ngati zadzidzidzi.
Kumbukirani, mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo monga inu.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba , chifukwa mankhwala ena amatha kusokonezana ndi tolcapone.
| Kodi n’chiyani chingayambitse mavuto? | Kufotokozera |
|---|---|
| Musatenge izi ndi chilichonse. | |
| Mankhwala amtundu wa MAOI | Mankhwala ochizira matenda a maganizo monga Marplan, Nardil, ndi Parnate. |
| Uzani dokotala wanu ngati mukumwa mankhwalawa pamodzi. | |
| Mowa | Mowa ungasinthe mphamvu ya mankhwala ndikuwonjezera kugona. |
| Mankhwala oletsa kugona kapena nkhawa | Kugona ndi kuchepa kwa chidwi kungawonjezeke. |
| Apomorphine, dobutamine, dopamine, epinephrine, isoproterenol, norepinephrine | Mankhwalawa amaperekedwa pa matenda monga matenda a mtima ndi kuthamanga kwa magazi. |
| Warfarin | Mankhwala operekedwa kuti aletse magazi kuundana. |
| Zina | Desipramine, linezolid, methyldopa, mankhwala ochepetsa ululu. |
Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwala?
Ndikofunikira kwambiri kulabadira kusintha kwa thupi lanu mukamamwa mankhwalawa.
- Chizungulire ndi kukhazikika : InuMungamve chizungulire kapena mutu wopepuka. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka pamalo okhala, makamaka ngati ndinu okalamba.
- Kugona mwadzidzidzi: Izi ndi zovuta kwambiri. Anthu ena amatha kugona mwadzidzidzi osagona, akulankhula, akudya, kapena ngakhale kuyendetsa galimoto. Ngati mukukumana ndi izi, uzani dokotala wanu nthawi yomweyo.
- Zilakolako Zosalamulirika: Anthu ena akhoza kukhala ndi chilakolako chosalamulirika chofuna kutchova juga, kugonana, kuwononga ndalama mosafunikira, kapena kudya kwambiri akumwa mankhwalawa. Izi si zochititsa manyazi, ndipo zingakhale zotsatirapo za mankhwalawo. Ngati mukumana ndi chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
- Kusamalira khungu: Mukamamwa mankhwalawa, nthawi zonse yang'anani khungu lanu kuti muwone ngati pali kusintha kwa matuza omwe alipo kapena matuza atsopano. Ngati muwona kusintha kulikonse, uzani dokotala wanu .
- Pakamwa pouma : Ngati pakamwa panu pali pouma, kutafuna chingamu chopanda shuga, kuyamwa maswiti osatsekemera, ndi kumwa madzi ambiri kungathandize.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, tolcapone ikhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, zina ndizofala.
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wachikasu kapena bulauni wakuda, maso kapena khungu lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru, kusowa chilakolako cha chakudya. |
| Zizindikiro za kuwonongeka kwa minofu | Mkodzo wakuda, kuvutika kukodza, kufooka kosazolowereka, kupweteka kwa minofu. |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro zina zazikulu | Kutsegula m'mimba kwambiri, kuona zinthu ngati zilombo, kugona tulo mwadzidzidzi, kutaya chidziwitso ndi kugwa, kugwedezeka kosalamulirika kwa miyendo monga manja, miyendo, nkhope, ndi khosi. |
| Kutsegula m'mimba | Chizungulire |
| Mutu | Kutaya chilakolako |
| Kusanza | Kuvutika kugona |
Kodi mankhwalawo mumasunga kuti?
- Sungani pamalo omwe ana sangafikire .
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Tsekani bwino chivundikiro cha botolo.
- Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
Uthenga Wopita Nawo Kunyumba
- Tolcapone ndi mankhwala othandiza omwe amawonjezera mphamvu ya mankhwala anu akuluakulu a Parkinson.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Samalani ndi tulo tadzidzidzi, chilakolako chosalamulirika, komanso zizindikiro za kuwonongeka kwa chiwindi. Ngati muwona chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
- Ngati mukukayikira kuti mwamwa mankhwala opitirira muyeso, pitani ku National Poisons Information Center kapena ku chipatala chapafupi cha Emergency Department (ETU).
- Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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