Kurarama nechirwere chekuora mwoyo, chirwere chinonzi kuora mwoyo, kunogona kuoma dzimwe nguva, handiti? Paunonzwa sekunge waneta nehupenyu uye usina hanya nechero chinhu, ungangove wakafunga kuti, "Hapana mhinduro yeizvi here?" Selegiline Patches ndeimwe yemishonga inogona kukubatsira panguva dzakadaro. Ngatitaurei nezvazvo zvakadzama nhasi, sekutaura neshamwari.
Mushonga werudzii uyu? Selegiline...
Muchidimbu, Selegiline mushonga unoshandiswa kurapa kushungurudzika. Unouya uri muchimiro cheganda raunozora paganda. Unogona kunge wakamboona uchishandisa zita rekuti `EMSAM`.
Mushonga uyu ndeweboka remishonga inonzi `MAOI` (Monoamine Oxidase Inhibitors). Funga nezvazvo, kune makemikari akasiyana-siyana muuropi hwedu anobatsira kudzora manzwiro edu. Rimwe remakemikari akadaro idopamine. Dopamine ikemikari inobatanidzwa muzvinhu zvakaita semufaro, kugara zvakanaka, uye kutarisisa mupfungwa dzedu. Zvinoitwa nemushonga uyu weSelegiline zvinobatsira kuchengetedza huwandu hwedopamine muuropi hwakaringana. Zvadaro, kumwe kusagadzikana kunokonzerwa nekuora mwoyo kunogona kuderedzwa.
Dzimwe nguva vanachiremba vanogona kunyora mushonga uyu kune zvimwe zvirwere, saka kana muine mimwe mibvunzo nezveizvi, zvakanaka kubvunza chiremba wenyu kana wemishonga.
Chii chandinofanira kuudza chiremba ndisati ndashandisa mushonga uyu?
Usati watanga kushandisa Selegiline Patches, pane zvinhu zvishoma zvaunofanira kuudza chiremba wako. Nekuti haisi mishonga yese yakafanana kune wese munhu. Kana uine chimwe chezvirwere zvinotevera, zivisa chiremba wako:
- Dambudziko reBipolar: Kana uine chirwere cheBipolar.
- Kukwira kweropa: Kana uine BP yakakwira, kureva kuti, kana BP yako yakakwira.
- Kushandisa doro: Kana uchinwa doro nguva dzose.
- Chirwere chechiropa: Kana uine chirwere chechiropa.
- Pheochromocytoma: Iri bundu rinoumbwa mumagland eadrenal. Kana uine chirwere ichi.
- Matambudziko eganda kana kusanzwa: Kana uine chero chirwere cheganda kana ganda rako richinzwa kurwadza zvakanyanya.
- Pfungwa dzekuzviuraya: Kana wakambofunga kana kuronga kuzviuraya, wakamboedza kuzviuraya, kana kuti mumwe munhu wemumhuri mako akaita izvozvo. Izvi zvakakosha zvikuru.
- Kurwara: Kana uine allergy kune selegiline, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza.
- Kubata pamuviri: Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa: Kana uri amai vari kuyamwisa mwana.
Nekuudza chiremba wako nezvezvinhu izvi, anogona kukupa mazano chaiwo ekuti mushonga uyu wakakunakira here kana kuti kwete, uye kuti ungaushandisa sei zvakachengeteka.
Ndingashandisa sei chigamba ichi chaizvo?
Mushonga uyu ndewekushandisa kunze chete, saka tevera mirairo iri papepa remushonga rawakapihwa nachiremba wako.
Heino mashandisirwo echigamba zviri nyore:
1. Kubvisa chigamba: Bvisa chigamba nekubvarura chikwama chidiki chine chigamba uchishandisa maburi ari pamativi. Usashandise chigero.
2. Nzvimbo yekushandisa: Chigamba chinofanira kuiswa panzvimbo yakachena, yakaoma, uye yakapfava yeganda . Kazhinji, musana wepamusoro, chipfuva chepamusoro, zvidya zvepamusoro, kana kumashure kwemaoko epamusoro ndizvo nzvimbo dzakakodzera izvi.
3. Nzvimbo dzisingaenderane neganda: Usaise chigamba panzvimbo dzine maronda, ganda rakatsvuka, mavanga, kana ganda rakakombama.
4. Shandisa chigamba chimwe chete panguva imwe chete: Usashandise chigamba chinodarika chimwe chete panguva imwe chete.
5. Usacheke: Usacheke kana kupatsanura chigamba.
6. Kunamira zvakanaka: Tarisa kuti chigamba chakabatana zvakasimba uye zvakadzika paganda. Kunyanya mipendero inofanira kunge yakanyatsonamirwa.
7. Kubvisa yekare: Usati waisa chigamba chitsva, iva nechokwadi chekubvisa chigamba chekare.
8. Kuchinja nzvimbo: Nguva imwe neimwe yaunoisa chigamba chitsva, usachinamira panzvimbo imwe chete neyapfuura, asi chinamira panzvimbo yakasiyana, senge kumusana wepamusoro, chipfuva chepamusoro, chidya chepamusoro, kana kumashure kweruoko rwepamusoro. Usachinamira panzvimbo imwe chete kakawanda.
9. Usashandise zvinopfuura zvakarayirwa nachiremba, uye usarega kuishandisa nguva yakatarwa isati yasvika. Kana ukarega , ita izvozvo chete sezvakarairwa nachiremba wako.
Kana wawana mushonga uyu kubva ku pharmacy, uchagamuchirawo kapepa kemirayiridzo kakakosha (`MedGuide`). Verenga kapepa aka nokungwarira pese paunowana mushonga, uye pese paunowana mushonga wacho. Zvakakosha zvikuru.
Mushonga uyu wakakodzera vana here?
Mushonga uyu haubvumidzwe kushandiswa kuvana. Kunyanya musaupe kuvana vari pasi pemakore gumi nemaviri ekuberekwa. Kana mwana wenyu achida rudzi urwu rwekurapwa, taurai nachiremba wevana nezvazvo.
Chii chinoitika kana ukatora yakawandisa? ('Kudarika mwero')
Kana uchifunga kuti watora mushonga uyu wakawandisa, kana kuti mumwe munhu akautora netsaona, fonera nzvimbo inodzora chepfu kana kamuri rekukurumidzira riri pedyo nekukasika.
Mushonga uyu ndewako chete!
Uyu mushonga wakanyorerwa iwe chete. Saka, usaugovana nevamwe.
Unoita sei kana ukasawana nguva yekurapwa?
Kana ukarasikirwa nechigamba chako chakarongwa, chiise nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekuti chigamba chako chinotevera chiite, usaise chitsva. Isa chigamba chinotevera chete panguva yakatarwa. Usamboisa zvigamba zviviri panguva imwe chete kana kutora imwe dose.
Ndezvipi zvimwe zvingaitika pamushonga uyu?
Iyi inyaya yakakosha zvikuru. Selegiline mushonga unogona kusanganiswa nemimwe mishonga nezvimwe zvekudya. Saka unofanira kungwarira zvikuru nezveizvi.
Selegiline haifanirwe kushandiswa nemishonga inotevera:
- Atomoxetine
- Carbamazepine
- Cyclobenzaprine
- Dextromethorphan - inogona kuwanikwa mune mamwe manyuchi ekukosora.
- Mimwe mishonga yeMAOI: Mienzaniso inosanganisira Marplan, Nardil, uye Parnate.
- Mimwe mishonga inoderedza marwadzo inosanganisira: meperidine, tramadol, methadone, uye pentazocine.
- Kune mimwe mishonga yakawanda yekurapa kuora mwoyo.
- Mimwe mishonga ine selegiline: Semuenzaniso, mishonga inonzi `Eldepryl` na `Zelapar`.
- Rasagiline
- Safinamide
- Mishonga inosimudzira pfungwa.
- St. John's Wort - Uyu mushonga wemishonga unoshandiswa nevamwe vanhu.
- Viloxazine
Mushonga uyu unogona zvakare kusangana nezvinotevera:
- Doro
- Buspirone
- Ephedrine
- Epinephrine kana racepinephrine
- Mishonga inobvisa kuputika kwemuviri: yakaita sephenylephrine nepseudoephedrine.
- Norepinephrine
- Mishonga inosimudzira muviri inoshandiswa kuderedza huremu kana kuti kuramba wakamuka.
Rondedzero iyi haina zvese zvinobatanidzwa. Saka, udza chiremba wako nezvemishonga yese yaunotora (yakanyorwa nachiremba, inotengeswa pasina kunyorerwa chiremba, mishonga yemishonga, mavitamini, zvekudya zvinovaka muviri). Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Zvimwe zvezvinhu izvi zvinogona kukanganisa mushonga wako.
Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?
Zvakakosha kutaura nachiremba wako nezvehutano hwako uye kugara uchiongororwa paunenge uchitora mushonga uyu. Kana zviratidzo zvako zvikasavandudzika kana kuti zvichiratidza kuipa, udza chiremba wako.
Zvinogona kutora mavhiki akati wandei kuti mushonga uyu uone kushanda kwakazara. Saka, zvakakosha kuramba uchitora mushonga sezvawakarairwa nachiremba wako. Usarega kutora mushonga kamwe kamwe usina kupiwa zano nachiremba. Kuita izvi kunogona kukonzera kusagadzikana kwakanyanya. Chiremba wako achakuudza kuti mushonga wakawanda sei waunofanira kutora.
Chenjerera pfungwa dzekuzviuraya!
Varwere nemhuri dzavo vanofanira kungwarira pfungwa itsva kana dziri kuwedzera dzekuzviuraya kana kuora mwoyo. Uyewo, chenjererai kuchinja kwemanzwiro kamwe kamwe - semuenzaniso, kunzwa kusagadzikana, kutsamwa, hasha, kutsamwa, kusagadzikana, kufara zvakanyanya, kana kunetseka kurara - uye taurai nachiremba wenyu nekukasika kana izvi zvikaitika, kunyanya pakutanga kwekurapwa kana mushure mekuchinja mushonga wenyu.
Chenjerera nezvekudya zvine tyramine!
Kana chiremba wako akawedzera mushonga uyu kusvika pa6 mg pazuva, unofanirawo kuziva nezvezvikafu zvine kemikari inonzi tyramine. Mushonga uyu unogona kusangana nezvikafu zvakadaro wokonzera musoro wakakomba, kuwedzera kweropa kamwe kamwe, kana kurova kwemoyo kusina kurongeka .
Kunyangwe mushure mekunge chiremba wako aderedza dose yako kusvika pamamirigiramu matanhatu (`6 mg`) pazuva, kana mushure mekunge warega kutora dose ye9 kana 12 milligrams (`12 mg`) pazuva, unofanirwa kurega kudya nezvinwiwa zvine tyramine yakawanda kwemavhiki maviri . Zvisinei, kana ukatanga woramba uchitora dose ye6 mg, ungasafanira kuchinja zvakanyanya kudya kwako. (Unogona kubvunza chiremba wako kana nyanzvi yezvekudya kuti uwane rumwe ruzivo nezveizvi.)
Zvimwe zvinhu zvekufunga nezvazvo:
- Hope/Dzungu: Unganzwa hope kana dzungu. Saka, dzivisa kutyaira, kushandisa michina, kana kuita chero chinhu chinoda kutarisisa kusvika waziva kuti mushonga uyu unokukanganisa sei. Usamira kana kugara wakamuka kamwe kamwe, kunyanya kana wakwegura. Kuita izvi kunogona kuderedza njodzi yedzungu nekudonha.
- Doro: Doro rinogona kukanganisa kushanda kwemushonga uyu. Saka, dzivisa kunwa doro.
- Muromo wakaoma: Muromo wako unganzwa wakaoma. Kutsenga chingamu isina shuga, kusveta toffee isina shuga, uye kunwa mvura yakawanda zvinogona kubatsira kuderedza dambudziko iri. Kana dambudziko iri rikaramba riripo kana kuti rikanyanya, taura nachiremba wako.
- Mimwe mishonga:Usatore mushonga wekukosora, dzihwa, kana allergies usina kubvunza chiremba wako. Zvakare, usatore mushonga wekuderedza uremu usina kupiwa mazano nachiremba. Zvinoshandiswa mune mimwe yemishonga iyi zvinogona kuwedzera migumisiro yakaipa.
- Chirwere cheshuga: Mushonga uyu unogona kukanganisa huwandu hweshuga muropa. Kana uine chirwere cheshuga (Diabetes Mellitus), taura nachiremba wako usati wachinja kudya kwako kana mushonga wako wechirwere cheshuga.
- Kuvhiyiwa: Kana uri kuvhiyiwa chero kupi zvako kwechiremba kana mazino, udza chikwata chezvekurapa kuti uri kutora mushonga uyu, sezvo ungangoshanda pamwe chete nemimwe mishonga inoshandiswa panguva yekuvhiyiwa.
- Chigamba netembiricha yemuviri: Chigamba ichi chinonzwa kana paine shanduko mutembiricha yemuviri. Izvi zvinoreva kuti kana ganda rako rikanyanya kupisa, chigamba chinogona kupinza mushonga wakawanda muganda rako. Saka, kana ukaita fivha, taura nachiremba wako. Zvakare, dzivisa kugeza mumvura inopisa zvikuru, kushambira pazuva, kushandisa machubhu anopisa, sauna, kudziyisa ganda rako nehairdryer, kushandisa ma heating pads, magumbeze emagetsi, ma waterbeds anopisa, uye marambi ekupisa. Zvakare, deredza kurovedza muviri kunowedzera tembiricha yemuviri wako panguva ino. Izvi zvinonyanya kukosha kana paine kupisa munyika medu.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemishonga yese, iyi inogona kukonzera mimwe migumisiro yakaipa, asi havasi vese vanoiwana.
Migumisiro yaunofanira kuudza chiremba wako nekukasika:
- Kurwara nepfungwa: mapundu eganda, kuvaviwa, mapundu, kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Kukwira kwakanyanya kweropa: musoro wakakomba kamwe kamwe, kuda kurutsa, kurutsa, kuomarara kwemutsipa, kurova kwemoyo nekukurumidza kana kusina kurongeka.
- Pfungwa dzekuzviuraya kana kuzvikuvadza, kuora mwoyo, kana kunzwa kusuruvara kwakanyanya.
Migumisiro isingawanzodi mazano echiremba, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo kana kuti ichikunetsa:
- Dzungu
- Kurara
- Muromo wakaoma
- Musoro
- Kusagadzikana kwakadai sekutsvuka uye kuvaviwa panzvimbo pakaiswa chigamba (Kutsamwiswa panzvimbo pakaiswa chigamba)
- Kusvotwa
- Dambudziko rekurara
Rondedzero iyi ingasave nemhedzisiro yese. Kana ukasangana nemimwe migumisiro, taura nachiremba wako nezvayo. Unogona zvakare kuudza migumisiro yakaipa kuFDA (Food and Drug Administration) nekufonera 1-800-FDA-1088.
Munochengeta sei mushonga uyu?
- Mushonga uyuChengeta kure nevana nezvipfuyo.
- Chengeta patembiricha yemukamuri (pakati pe20 ne25 degrees Celsius / 68 ne77 degrees Fahrenheit).
- Chengeta mushonga uyu mubhegi rawo rekudzivirira kusvika wagadzirira kushandiswa.
- Usashandise mishonga yapera, irasire kure.
Munorasa sei mushonga usina kushandiswa, wapera basa?
- Tora mushonga uyu uende kunzvimbo ine "chirongwa chekutora mishonga." Unogona kuwana ruzivo nezvenzvimbo dzakadaro kubva ku pharmacy yako kana kumapurisa.
- Kana pasina nzira yekuidzosera, bvunzai wemishonga kana chiremba kuti mungarasa sei mushonga uyu zvakachengeteka.
Mushure mekubvisa chigamba chakamboshandiswa, peta mativi anonamira pamwe chete, chiise mupaketi isina chinhu, wobva wangochikanda mugaba remarara rine chivharo. Izvi zvinodzivirira vana nemhuka kuti vasapinda. Wobva wageza maoko ako zvakanaka.
Mharidzo Yekuenda Nayo Kumba:
Zvakanaka, saka tataura zvakawanda nezveSelegiline Patches, handiti? Ichi chigamba chinoiswa paganda uye chinoshandiswa kurapa kushungurudzika.
- Tevedzera mirairo yachiremba wako nemazvo: Shandisa mushonga wakanyorwa kwenguva yakatarwa, sezvakarairwa nachiremba wako. Usarega kuutora kamwe kamwe.
- Udza chiremba wako nezveutano hwako: Iva nechokwadi chekuudza chiremba wako nezvehumwe hurwere, mishonga yaunotora, uye allergies dzaunadzo.
- Ngwarira migumisiro yakaipa: Ngwarira migumisiro yakaipa, yakadai sekufunga kuzviuraya uye BP. Kana ukasangana nechimwe cheizvi, taurira chiremba wako nekukasika.
- Chikafu nemimwe mishonga: Zvimwe zvekudya (zvine `Tyramine`) nemimwe mishonga zvinogona kukanganisa chigamba ichi, saka ziva izvozvo zvakare.
- Isa chigamba uye chengeta chigamba nemazvo: Chenjerera mashandisiro aunoita chigamba, mabvisiro aunoita chekare, uye mashandisiro aunoita nzvimbo yaunoisa chitsva. Uyewo, usakanganwa kuchengeta mushonga nemazvo.
Rangarirai kuti chinyorwa chino ndecheruzivo rwese chete. Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu, ndapota kurukurai nachiremba wenyu, murapi wemishonga, kana mumwe mupi wehutano. Tinokushuvirai kupora nekukurumidza!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Phenelzine (Nardil) mushonga wekuderedza kushungurudzika here?
Kwete! Uyu hausi mushonga wepfungwa weSSRI (seFluoxetine)! Uyu mushonga wekare, asi une simba kubva kuboka re'MAOI' unopiwa senzira yekupedzisira ye 'kuora mwoyo kwakanyanya uye kwakakomba' (kuora mwoyo kusingarapike) uko kusati kwamborapwa nemishonga mitsva. Mushonga uyu unowedzera makemikari akawanda 'emufaro' (Serotonin, Dopamine, Norepinephrine) muuropi panguva imwe chete, uchiporesa murwere nekukurumidza.
💬 Sei vanhu vanotora mushonga uyu (MAOI) vachifanira kutevedzera 'kudya' kwakakosha?
Izvi zvakakosha zvikuru! Mushonga uyu unovhara enzyme inopwanya kemikari inonzi 'Tyramine' mumuviri wedu. Saka kana ukadya chikafu chakadai sechizi, nyama yakwegura (Salami), masoseji, mapickles, doro uye soy sauce paunenge uchitora mushonga uyu, muviri wako uchazadzwa netyramine uye BP yako ichakwira kamwe kamwe kusvika painoputika (Hypertensive crisis), aneurysm yeuropi/heart attack uye unogona kufa!
💬 Ndingatora mimwe mishonga yekudzora marwadzo nemushonga uyu here?
Hazvina basa! Izvi zvinouraya. Kana ukatora Phenelzine nemimwe mishonga yakaita seFluoxetine / Sertraline / cough syrup, huwandu hweserotonin muuropi huchawedzera kusvika padanho risingatsungiririki (Serotonin syndrome) uye murwere achafa. Kunyangwe mushure mekumira kushandisa Phenelzine, vanachiremba havazokubvumidze kutanga mimwe mishonga yekudzora marwadzo kwemazuva gumi nemana (mavhiki maviri)!
Selegaline , kuora mwoyo, MAOI, dopamine, chigamba, hutano hwepfungwa, migumisiro yakaipa
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