Munhu anorarama nechirwere cheParkinson dzimwe nguva anowana nguva dzekuti muviri wake ufe kamwe kamwe, nhengo dzake dzikarasikirwa nesimba, uye hadzigone kufamba zvakanaka. Munguva idzi, anonzwa asina simba uye haakwanise kuita mabasa ezuva nezuva. Saka, nhasi tiri kutaura nezvemushonga unobatsira kukurumidza kudzora nguva iyoyo yekumbomira.
Mushonga uyu unonzi Apomorphine chii?
Zvichitaurwa zviri nyore, Apomorphine mushonga unoshandiswa kurapa mafambiro echirwere cheParkinson, ayo anongoerekana aoma. Unouya seganda rakatetepa rinonyungudika pasi perurimi. KYNMOBI izita rinozivikanwa remushonga uyu.
Fungidzira, pfungwa dzedu dzine kemikari inonzi dopamine. Izvi ndizvo zvinotibatsira kudzora mafambiro emuviri wedu uye kubatana kwemuviri. Huwandu hwedopamine iyi muuropi hwemunhu ane chirwere cheParkinson hunoderera. Apomorphine inowedzera huwandu hwedopamine muuropi, zvichikurumidza kuderedza zviratidzo zvakaita sekuomarara, kudedera, uye kufamba zvishoma nezvishoma.
Zvinhu zvekuudza chiremba wako usati washandisa mushonga uyu
Zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako asati akupe mushonga uyu. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Ona kana uine mamiriro aya |
|---|
| Kana ukangoerekana warara uchiita mabasa ezuva nezuva (semuenzaniso, kutaura, kudya) |
| Kana uchiomerwa nekudzora tsandanyama dzako |
| Kana uine chirwere chemwoyo, kusagadzikana kwemutinhimira wemoyo, kana shanduko mumutinhimira |
| Kana uine BP yakaderera |
| Kana uine chirwere cheitsvo kana chechiropa |
| Kana uine matambudziko ekufema akadai sechirwere chemapapu kana asthma |
| Kana wakambosangana nestroke |
| Kana uine chero rudzi rwechirwere chepfungwa |
| Kana uine sleep apnea |
| Kana uri munhu anonwa doro nguva dzose |
| Kana uine allergies kune apomorphine, sulfites, kana chero imwe mishonga, chikafu, kana kupenda |
| Kana uine pamuviri kana kuti uchitarisira kuva nepamuviri |
| Kana uri amai vanoyamwisa |
Ndingashandisa sei mushonga uyu chaizvo?
Izvi zviri nyore kushandisa, asi unofanira kutevedzera mirairo yacho nemazvo.
1. Shandisa mushonga uyu chete kana mamiriro ezvinhu 'asina kushanda' atanga .
2. Maoko ako anofanira kunge akaoma zvachose usati wabata mushonga.
3. Putsai chikwama chefoil chakavharwa chine mushonga uye bvisai firimu rinonyungudika nokungwarira .
4. Isa firimu iroro pasi perurimi rwako .
5. Rega ichinyungudike yoga. Usaitema, kupwanya, kana kuitsenga.
6. Usashandise zvinopfuura huwandu hwakatarwa nachiremba.
Chinonyanya kukosha ndechekuti usarega kutora mushonga uyu kunze kwekunge chiremba wako akuudza kuti udaro. Kurega kamwe kamwe kunogona kuita kuti mamiriro ako emuviri awedzere kuipa uye kukonzera migumisiro yakaipa.
Chii chaunofanira kuita kana ukanwa doro zvakanyanya ?
Kana uchifunga kuti watora mushonga uyu wakawandisa, kurumidza kubata National Poisons Information Centre paColombo National Hospital, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo. Mushonga uyu wakanyorerwa iwe chete. Usambougovana nevamwe.
Ko kana ndikarasikirwa nedosi?
Uyu hausi mushonga unofanirwa kutorwa kakawanda pazuva. Unoshandiswa chete kana uine nguva yekuzorora. Saka pfungwa yekushaikwa kwemushonga haishande pano. Zvisinei, kana usingawane zororo kubva pazviratidzo zvako mushure mekushandisa firimu rimwe chete kwenguva yekuzorora, usashandise rimwe firimu kwenguva iyoyo. Taura nachiremba wako nezveizvi.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Apomorphine mushonga unogona kusanganiswa nemimwe mishonga. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
| Usatore Apomorphine nemishonga iyi zvachose. | |
|---|---|
| Mimwe mishonga yekurapa kuda kurutsa/kurutsa (semuenzaniso, dolasetron, granisetron, ondansetron, palonosetron) | |
| Cisapride, Dronedarone, Pimozide, Thioridazine | |
| Chenjerera zvikuru kana uchitora Apomorphine pamwe chete nemishonga iyi. | |
| Doro | |
| Mishonga yekuzvidya mwoyo kana kurara | |
| Mishonga yeBP, chirwere chemwoyo, uye matambudziko emwoyo | |
| Mishonga yekurwadziwa inodhaka | |
| Nitroglycerin | |
| Haloperidol, Metoclopramide, Phenothiazines (semuenzaniso chlorpromazine, prochlorperazine) | |
| Mimwe mishonga inokanganisa rhythm yemoyo (inorebesa nguva yeQT) |
Rondedzero iyi haina kukwana, saka iva nechokwadi chekuudza chiremba wako nezvemishonga yese yauri kutora.
Zvinhu zvekurangarira kana uchishandisa mushonga uyu
- Kurara nedzungu: Unganzwa hope kana dzungu. Saka , usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei. Usasimuka kubva panzvimbo yawakagara kana kugara pasi kamwe kamwe, kunyanya kana wakwegura.
- Kurara kamwe kamwe: Vamwe vanhu vanogona kungoerekana varara vasina yambiro pavanenge vachitora mushonga uyu. Izvi zvinogona kuitika pavanenge vachityaira, vachitaura, kana vachidya. Kana izvi zvikaitika kwauri, taurira chiremba wako nekukasika.
- Zvishuwo zvisingadzoreki: Vamwe vanhu vakataura kuti vane zvishuwo zvakasimba zvekuita zvinhu zvakaita sekubhejera, kuita zvepabonde, kudya zvakanyanya, kana kutenga zvinhu pavanenge vachinwa mushonga uyu. Kana ukasangana nemaitiro aya asina kujairika, taurira chiremba wako nekukasika.
- Kusvotwa nekurutsa: Mushonga uyu unogona kukonzera kuda kurutsa kwakanyanya. Chiremba wako anogona kukupa mumwe mushonga wekudzivirira izvi. Zvisinei, haisi mishonga yese yekuda kurutsa inogona kushandiswa pamwe chete nemushonga uyu. Saka bvunza chiremba wako kuti ndeupi mushonga wakakunakira.
- Kushandisa Nitroglycerin: Kana uri kutora Nitroglycerin, BP yako inogona kudzikira kamwe kamwe paunotora Apomorphine. Saka, kana uri kutora piritsi reNitroglycerin risingashandiswi, zvakakosha kuti urare pasi usati watora uye wapedza. Izvi zvinogona kubatsira kudzivirira dzungu nekudonha.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
| Migumisiro yaunofanira kuudza chiremba wako nekukasika |
|---|
| Kurwara nepfungwa - mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro |
| Marwadzo echipfuva (Angina) - kurwadziwa, kumanikidzwa, kana kuomarara muchipfuva, mutsipa, musana, kana maoko |
| Kuvhiringidzika, kuona zvinhu zvisipo |
| Kungoerekana wabatwa nehope uchiita mabasa ezuva nezuva |
| Kuchinja kwemoyo - kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kufenda, kurwadziwa pachipfuva, kuoma kufema |
| Kushaya simba kweropa (hemolytic anemia) - kuneta kusingawanzoitiki, kushaya simba, dzungu, musoro, kufema zvishoma, weti yakasviba, kutsvuka kweganda kana maziso |
| Kuderera kweropa - dzungu, kupera simba, kuona zvisipo |
| Kufamba kutsva kana kuwedzera kusingadzoreki kwechiso, muromo, kana muviri wepamusoro |
| Maronda emuromo kana pahuro, kutsvuka, kuzvimba, uye kurwadziwa |
| Kuzvimba kwezvitsitsinho, maoko, kana tsoka |
| Kuonekwa kwezvishuwo zvisingadzoreki zvataurwa pamusoro apa (zvakadai sekubhejera, kudya zvakanyanya) |
| Migumisiro inofanira kuudzwa chiremba kana ikaramba iripo kana kuti ichinetsa |
| Kuchinja kwekuravira mumuromo |
| Kurara |
| Musoro |
| Kusvotwa |
| Mhuno inoyerera kana mhino yakazadza |
Munochengeta uye munorasa sei mushonga wacho?
- Chengeta kure nevana nezvipfuyo .
- Chengeta patembiricha yemukamuri yakajairika (pakati pe20-25 degrees Celsius).
- Chengeta mupaketi yakavharwa kusvika yagadzirira kushandiswa.
- Bvunza chiremba wako nezvenzira yakachengeteka yekurasira mishonga yapera kana kuti isingachadiwi.
Mharidzo Yekuenda Nayo Kumba
- Firimu reApomorphine sublingual mushonga unopiwa kune zviitiko zveParkinson's 'zvisingadzoreki' kamwe kamwe, kwete mushonga wezuva nezuva.
- Chengeta maoko ako akaoma paunenge uchishandisa izvi, zviise pasi perurimi rwako worega zvichinyunguduka. Usambozvitsenga kana kuzvipwanya.
- Mushonga uyu unogona kuita kuti unzwe hope, saka chenjerera zvikuru paunenge uchiita mabasa anoda kungwarira, kunyanya paunenge uchityaira.
- Kana uchinzwa zvishuwo zvisingadzoreki kana mimwe migumisiro yakaipa, taurira chiremba wako nekukasika.
- Zvakakosha zvikuru kuzivisa chiremba wako nezvemimwe mishonga yese yauri kutora.
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