Pane mumwe munhu mumhuri mako, zvichida amai vako, baba, kana mudiwa wako, ane chirwere cheParkinson here? Saka ungangoziva kuti dzimwe nguva muviri wavo unobva waoma , vanotanga kudedera, uye havagone kuita chero chinhu. Zvakafanana nemotokari inomira kamwe kamwe. Nhasi tiri kutaura nezvejekiseni rakakosha rinoshandiswa kupa zororo nekukurumidza kubva kune aya anonzi "off-periods." Ndiyo jekiseni reApomorphine.
Chii chinonzi Apomorphine?
Muchidimbu, Apomorphine mushonga unoshandiswa kurapa zviratidzo zvechirwere cheParkinson. Unoshanda nenzira yakafanana nekemikari inonzi dopamine muuropi hwedu. Waizviziva here kuti chirwere cheParkinson chinokonzerwa nekurasikirwa kwemasero muuropi hwedu anogadzira kemikari iyi inonzi dopamine. Dopamine iyi inobatsira kudzora mafambiro emuviri wedu uye kushanda pamwe chete.
Saka, kana pasina dopamine yakakwana, zviratidzo zvakaita sekuomarara uye kudedera zvinoonekwa. Jekiseni reapomorphine rinoshanda sedopamine, richizadza kushomeka ikoko kwenguva pfupi, uye richibatsira kudzoreredza mafambiro emuviri. Izvi zvinowanzo kuwanikwa pamusika pasi pezita rekuti Apokyn .
Fungidzira kuti chirwere cheParkinson chasiya muviri wako wakamira, semusuwo wakakiyiwa usina kiyi. Jekiseni reapomorphine rakaita sekiyi yakakosha inovhura musuwo iwoyo. Rinokurumidza kudzorera muviri wako pakare. Asi rinogonawo kushandiswa kune zvimwe zvinhu, saka kana uine mibvunzo, bvunza chiremba wako.
Zvinhu zvekuudza chiremba wako usati washandisa mushonga uyu
Chiremba wako asati akupe mushonga uyu, anofanira kuziva nhoroondo yako yese yehutano. Izvi zvinodaro nekuti mamwe mamiriro ezvinhu anoda kutarisirwa zvakanyanya pakushandisa mushonga uyu. Iva nechokwadi chekuudza chiremba wako nezvechero chezvinotevera:
- Kana uine asthma.
- Kana uine katsika kekurara nguva nenguva masikati kana kurara kamwe kamwe.
- Kana uchinwa doro nguva dzose.
- Kana wakambova nestroke kare.
- Kana uine chirwere chemwoyo .
- Kana uine nhoroondo yekugara uchiwira mumatambudziko .
- Kana paine kurova kwemoyo kusina kurongeka kana kuchinja kwemutinhimira.
- Kana uine chirwere cheitsvo kana chechiropa.
- Kana uine BP yakaderera .
- Kana uine matambudziko epfungwa (akadai sekuora mwoyo).
- Kana wakambova neallergy yekunwa apomorphine, sulfites, kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vari kuyamwisa .
Kupa ruzivo urwu kuna chiremba wako nemazvo kwakakosha zvikuru kuti uchengetedzeke.
Nzira yekushandisa sei mushonga wekudzivirira chirwere nemazvo?
Iyi ijekiseni rinoiswa pasi peganda. Paunotanga kutora mushonga uyu, chiremba wako kana nesi achakupa mirairo yakadzama yekuti ungagadzirira sei jekiseni uye kuti ungaribaya sei iwe pachako. Zvakakosha kutevedzera mirairo iyi nemazvo.
- Shandisa sezvakaudzwa nachiremba wako: Usashandise zvinopfuura mwero wakatarwa kana kuti kakawanda.
- Usarega kutora mushonga uyu kamwe kamwe: Usarega kutora mushonga uyu kunze kwekunge chiremba wako akuudza kuti udaro. Kurega kamwe kamwe kunogona kukonzera migumisiro yakaipa uye kuita kuti mamiriro ako ezvinhu awedzere kuipa.
- Rasa tsono nemasirinji zvakachengeteka: Usambofa wakarasa tsono nemasirinji akamboshandiswa mumarara. Anofanira kuiswa mumudziyo wakagadzirirwa zvinhu zvinopinza . Kana usina, unogona kukumbira chiremba wako kuti akupe imwe.
- Verenga pepa remirayiridzo: Verenga pepa remirayiridzo rinouya nemushonga uyu nokungwarira. Kana muine mibvunzo, bvunzai chiremba wenyu.
Ko kana ndikanwa doro zvakanyanya?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuchipatara chiri pedyo neEmergency Department (ETU) kana kufonera National Poisons Information Centre kuColombo National Hospital nekukasika.
Mushonga uyu wakanyorerwa iwe chete. Saka, usambougovana nemumwe munhu.
Ndeipi mimwe mishonga isingafaniri kushandiswa nemushonga uyu?
Mimwe mishonga inogona kushanda pamwe chete neapomorphine uye kukonzera matambudziko akakomba. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemiti, uye zvinowedzera.
| Rudzi rwemishonga | Tsananguro nemienzaniso |
|---|---|
| Mishonga isingafaniri kutorwa zvachose | |
| Mimwe mishonga yekurutsa/kurutsa | Semuenzaniso: dolasetron, granisetron, ondansetron, palonosetron |
| Mimwe mishonga | Dronedarone, Ketoconazole, Levoketoconazole, Pimozide, Thioridazine |
| Zvinhu zvekushandisa nekungwarira/zvingangoitika zvekutaurirana | |
| Doro | Migumisiro yakaipa inokonzerwa zvakanyanya nekuwedzera kwacho. |
| Mishonga yekuzvidya mwoyo kana kurara | Semuenzaniso: Benzodiazepines dzakadai sealprazolam, diazepam, lorazepam |
| Mimwe mishonga yeBP | Iva nechokwadi chekubvunza chiremba wako nezveizvi. |
| Nitroglycerin | Kumanikidzwa kweropa kunogona kuderera zvine njodzi (izvi zvinotsanangurwa pazasi). |
| Mimwe mishonga | Haloperidol, Metoclopramide, Opioids, mimwe mishonga inokanganisa kurova kwemoyo, Phenothiazines. |
Rondedzero iyi haina kukwana, saka zvakanaka kuudza chiremba wako nezvese zvaunotora.
Zvinhu zvekurangarira kana uchitora mushonga uyu
Pane zvinhu zvakati wandei zvekufunga nezvazvo maererano nekuchengetedzeka kwako paunenge uchishandisa mushonga uyu.
Ona chiremba kakawanda.
Enda kuna chiremba wako nguva nenguva kuti utarise mamiriro ako ezvinhu uye uone kana zviratidzo zvako zviri nani kana kuti zvakanyanya kuipa. Kana zviratidzo zvako zvikasava nani kana kuti zvakanyanya kuipa, udza chiremba wako .
Kusvotwa nekurutsa
Mushonga uyu unogona kukonzera kuda kurutsa uye kurutsa, dzimwe nguva zvinogona kuva zvakanyanya. Chiremba wako achakupa mumwe mushonga weizvi. Usatore mushonga wekuda kurutsa wega. Izvi zvinodaro nekuti mimwe mishonga yekuda kurutsa inogona kushanda pamwe chete neapomorphine.
Kurara uye kutyaira
Mushonga uyu unogona kukanganisa nguva yako yekushanda pamwe chete uye nguva yekuita zvinhu. Saka, kusvika waziva kuti mushonga uyu unokubatsira sei , dzivisa kuita zvinhu zvinoda kungwarira, zvakaita sekutyaira kana kushandisa michina. Uyewo, mira zvishoma nezvishoma paunomira kamwe kamwe, kana paunosimuka kubva panzvimbo yawakagara. Zvikasadaro, unganzwa dzungu uye musoro wakareruka. Njodzi iyi inotowedzera kana ukanwa doro.
Zvakakosha! Paunenge uchitora mushonga uyu, vamwe vanhu vanogona kungoerekana varara vasina yambiro . Izvi zvinogona kuitika paunenge uchityaira, uchitaura, kana uchidya. Kana izvi zvikaitika kwauri, taurira chiremba wako nekukasika.
Kuita ne nitroglycerin
Kana uri kutora nitroglycerin yechirwere chemwoyo, unofanira kungwarira zvikuru. Kuitora pamwe chete nemushonga uyu kunogona kukonzera kuti BP yako iderere zvakanyanya. Izvi zvinogona kukonzera dzungu, kupera simba, uye kudonha.
Saka kana uchida kutora nitroglycerin,
1. Kutanga, rara pasi.
2. Wobva waisa piritsi pasi perurimi rwako.
3. Ramba wakarara pasi kwemaminitsi makumi mana nemashanu.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, apomorphine inogona kukonzera migumisiro yakaipa. Mimwe yakakomba, mimwe yakajairika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kurwara kwakanyanya (Allergic reactions kana angioedema) | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, maziso, miromo, rurimi, maoko kana tsoka, kuoma kumedza kana kufema. |
| Kurwadziwa pachipfuva (Angina) | Kunzwa kurwadziwa, kuomarara, kana kumanikidzwa muchipfuva, mutsipa, musana, kana maoko. |
| Kurara kamwe kamwe | Kurara pasina yambiro paunenge uchishanda masikati. |
| Kufungidzira zvinhu zvisipo | Kuona kana kunzwa zvinhu zvisipo. |
| Zviratidzo zvechirwere chemwoyo | Kurwadziwa nechipfuva, papfudzi, paruoko kana pashaya, kuda kurutsa, kufema zvakaoma, kudikitira nechando, dzungu. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kupera simba, kurwadziwa pachipfuva. |
| Kupererwa neropa kweropa | Kuneta kusingawanzoitiki, dzungu, musoro, kuoma kufema, weti yakasviba, kutsvuka kweganda kana maziso. |
| Maitiro asina kujairika | Chido chisingadzoreki chekubhejera, kudya zvakanyanya, kuita zvepabonde, kana kushandisa mari zvisina kufanira. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Dzungu, hope | Izvi zvinogona kuitika kakawanda. |
| Kusvotwa, kurutsa | Zvinoitika kakawanda pakutanga kwekutora mushonga. |
| Mhuno inoyerera kana mhino yakazadza | Zvinganzwa sezviratidzo zvechikosoro. |
| Kuzvimba kwezvitsitsinho, maoko, kana tsoka | Zvinogona kunge zvichikonzerwa nekuchengetwa kwemvura mumuviri. |
Kana mukasangana nemimwe migumisiro isiri pane iyi rondedzero, ndapota zivisai chiremba wenyu.
Munochengeta uye munorasa sei mishonga?
- Chengeta kure nevana nezvipfuyo.
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius).
- Usashandise mushonga wapera basa.
- Paunenge uchirasa mishonga isina kushandiswa kana yapera, bvunza chiremba wako nezvenzira yakachengeteka.
Mharidzo Yekuenda Nayo Kumba
- Jekiseni reApomorphine mushonga unobatsira nekukurumidza kubva pakuoma kwemuviri uye kudedera ("kunze kwekusvika panguva yekuenda kumwedzi") muchirwere cheParkinson.
- Gara uchiudza chiremba wako nezvemimwe mishonga yauri kutora uye chero zvimwe zvirwere zvaunazvo.
- Dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Yeuka kuti ungangoerekana wanzwa hope.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akakomba akadai sekurwadziwa muchipfuva, kusawirirana kwakanyanya, kana kuchinja kwekurova kwemoyo.
- Nguva dzose rasa tsono nemasirinji akamboshandiswa zvakachengeteka mu "chirongo chakapinza" chakakosha.
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