Umntu ophila nesifo sikaParkinson ngamanye amaxesha ngequbuliso ulahlekelwa lulawulo lweentshukumo zomzimba wakhe, umzimba wakhe uqina , aze aqalise ukungcangcazela. Sibiza oku ngokuthi 'kuvaliwe'. Kuvakala ngathi utshintsho 'lucinyiwe'. Ngoko ke namhlanje siza kuthetha ngeyeza elikhethekileyo elisetyenziselwa ukubonelela ngoncedo olukhawulezileyo ngamaxesha anje. Leyo yipilisi engaphantsi kolwimi ebizwa ngokuba yi-apomorphine.
Yintoni le Apomorphine?
Ngamafutshane, eli liyeza elinikwa ukulawula iimpawu zesifo sikaParkinson. Ikhemikhali ebizwa ngokuba yidopamine inceda ukulawula intshukumo kunye nokulungelelaniswa kwengqondo yethu. Cinga ngale dopamine njengesithunywa esilawula iintshukumo zomzimba wethu. Kwisifo sikaParkinson, ubungakanani besi sithunywa buyancipha engqondweni. Kulapho kuvela khona iimpawu ezifana nokungcangcazela kunye nokuqina .
Ngoko ke into eyenziwa leli yeza, i-Apomorphine, kukusebenza njengesixhobo sokuthumela i-dopamine esiphelileyo kwaye kunceda ingqondo ukuba ithumele imiyalezo ngokufanelekileyo kwakhona. Ngenxa yoko, iimpawu zikaParkinson ziyancipha ngokukhawuleza kwaye umzimba uzive ungcono kancinci.
Eli yeza likwaphantsi kwegama le-KYNMOBI. Nangona kunjalo, ekubeni lingasetyenziselwa nezinye izinto, kungcono ukuthetha nogqirha wakho ngazo naziphi na izinto ezikuxhalabisayo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yezonyango ngaphambi kokuba akunike eli yeza. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi.
- Ukuba usoloko unesizungu okanye uphelelwa ngamandla: Eli yeza ngamanye amaxesha linokubangela uxinzelelo lwegazi oluphantsi. Ngoko ke ukuba sele unayo le ngxaki, kubalulekile ukuyikhankanya.
- Isifo sentliziyo: Ukuba unesifo sentliziyo, ingakumbi ukubetha kwentliziyo okungahambelaniyo.
- Uxinzelelo lwegazi oluphantsi: Ukuba uxinzelelo lwegazi lwakho luphantsi.
- Ukuba ukhe waba nestroke.
- Isifo sezintso okanye sesibindi: Ukuba izintso okanye isibindi sakho asisebenzi kakuhle.
- Izifo zemiphunga: Ubunzima bokuphefumla obufana ne-asthma.
- Iingxaki zempilo yengqondo: Iimeko ezifana nokudakumba.
- Ukuba uziva ulele ngendlela engalawulekiyo emini.
- Ukuba usela rhoqo.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo.
- Ukuba unezinye izinto ezibangela ukuba umzimba wakho ungabi namdla: Xelela ugqirha wakho ukuba unezinye izinto ezibangela ukuba umzimba wakho ungabi namdla kwi-apomorphine, i-sulfites, amanye amayeza, ukutya, izithinteli okanye iidayi.
Kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha olu lwazi ngaphandle kokulufihla.
Ulisebenzisa njani kanye kanye eli yeza?
Indlela yokusebenzisa oku ilula kakhulu, kodwa yinto ekufuneka yenziwe ngobunono.
1. Yisebenzise ngexesha: Sebenzisa oku kwangoko xa unexesha 'lokungasebenzi', njengoko ugqirha wakho ekuxelele.
2. Susa kwipakethi: Gcina iyeza kwingxowa yefoyile ude ulungele ukulithatha.
3. Izandla mazibe zomile: Qinisekisa ukuba izandla zakho zomile ngaphambi kokuba uphathe iyeza. Linokunyibilika ukuba ulichukumisa ngezandla ezimanzi.
4. Beka ifilimu phantsi kolwimi lwakho: Beka ifilimu phantsi kolwimi lwakho. Yivumele inyibilike kwaye ifunxwe ngumzimba wakho.
5. Musa ukuhlafuna, ukuphula, okanye ukutyumza: Musa ukuhlafuna, ukuphula, okanye ukutyumza eli yeza emlonyeni wakho. Lifanele linyibilike phantsi kolwimi lwakho.
Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho. Oku kunokubangela iziphumo ebezingalindelekanga ezibi kwaye kunokubangela ukuba imeko yakho ibe mandundu.
Yintoni omawuyenze ukuba ugqithisile?
Ukuba ucinga ukuba usele kakhulu eli yeza, ungoyiki. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Okanye, fowunela iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
Kuthekani ukuba ndiphoswa yidosi?
Eli asiloyeza elifanele lithathwe ngexesha elinye yonke imihla. Lisetyenziswa kuphela ngexesha leziganeko 'ezingekhoyo', xa iimpawu zikaParkinson zisanda ngequbuliso. Ngoko ke 'uphoswe yidosi' akusebenzi apha. Nangona kunjalo, ukuba uthatha idosi yokuqala ngexesha lesiganeko 'esingekhoyo' kwaye iimpawu zakho aziphucuki, musa ukuthatha idosi yesibini ngelo xesha. Thetha nogqirha wakho ngale nto.
Amanye amayeza anokusebenza kunye nale mayeza
Eli licandelo elibaluleke kakhulu. Amanye amayeza anokubangela iimpembelelo eziyingozi xa esetyenziswa ne-Apomorphine.
| Ungaze uyithathe nale yeza! | |
|---|---|
| I-Cisapride | I-Pimozide |
| I-Dronedarone | I-Thioridazine |
| I-Ketoconazole | I-Levoketoconazole |
| Amanye amayeza okugabha kunye nokucaphuka (umz., i-dolasetron, i-granisetron, i-ondansetron, i-palonosetron) | |
| Lumka kakhulu xa usebenzisa ezi zinto | |
|---|---|
| Utywala | Iipilisi zokulala |
| Amanye amayeza okudakumba (umz. i-amitriptyline) | Isiphumzi semisipha |
| Ezinye ii-opioids zentlungu okanye ukukhwehlela | I-Nitroglycerin |
| Amanye amayeza okunyanga ii-allergies (ii-Antihistamines) | Amayeza anjengeHaloperidol kunye neMetoclopramide |
Olu luhlu aluphelelanga, ngoko ke xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini, amayeza esintu, amayeza esintu, kwanezongezo zemifuno) .
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
- Isicaphucaphu nokuhlanza: Eli yeza linokubangela isicaphucaphu nokuhlanza. Ngamanye amaxesha linokuba qatha kakhulu. Ugqirha wakho uza kukunika iyeza elahlukileyo loku. Musa ukuthatha amayeza okulwa nesicaphucaphu athengiswa ngaphandle kwemvume kagqirha. Ayizizo zonke iiyeza zokulwa nesicaphucaphu ezihambelana neli yeza.
- Ukulala ngequbuliso:Oku kubaluleke kakhulu. Xa usela eli yeza, ungalala ngequbuliso ngaphandle kwesilumkiso. Khawuthelekelele uqhuba imoto, utya, okanye uthetha nomntu uze ulale ungaqondanga. Oku kuyingozi kakhulu. Ngoko ke , musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Ukuba uhlangabezana noku, xelela ugqirha wakho ngoko nangoko.
- Utywala: Ukusela eli yeza kunye notywala kwandisa kakhulu umngcipheko wokuba nesiyezi, ukuquleka, kunye nokulala ngequbuliso.
- I-Nitroglycerin: Ukuba usebenzisa i-nitroglycerin ngolwimi oluthile ngenxa yesifo sentliziyo, ukusebenzisa la mayeza mabini kunye kunokubangela uxinzelelo lwegazi oluphantsi kakhulu. Ngoko ke, ukuba kufuneka usebenzise i-nitroglycerin, lala phantsi kuqala . Emva koko sebenzisa la mayeza. Hlala ulele ubuncinane imizuzu engama-45 emva kokusebenzisa la mayeza.
Zeziphi iziphumo ebezingalindelekanga ezinokubonwa?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, amehlo, ubunzima bokuphefumla okanye bokuginya. |
| Ukulala ngequbuliso | Ukulala emini ngaphandle kwesilumkiso . |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa kakhulu, ukuquleka, ukubona izinto ezingaqhelekanga. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga, iintlungu esifubeni, ubunzima bokuphefumla. |
| Utshintsho lwengqondo | Ukubona okanye ukuva izinto ezingekhoyo (imibono), utshintsho olungaqhelekanga kwindlela yokuziphatha. |
| Iminqweno engalawulekiyo | Iminqweno engalawulekiyo yokubandakanyeka kwimisebenzi efana nokungcakaza, ukutya kakhulu, ukwenza izinto zesondo, kunye nokusebenzisa imali ngokungeyomfuneko. |
| I-Hemolytic anemia | Ukuziva udiniwe ngendlela engaqhelekanga, unesizungu, ubunzima bokuphefumla, umchamo omnyama, ukuba tyheli kolusu okanye amehlo. |
| Iziphumo ebezingalindelekanga ezihlala zibonwa, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Isiyezi | Ukozela |
| Intloko ebuhlungu | Isicaphucaphu nokuhlanza |
| Apho iyeza lalikhona, oko kukuthi, phantsi kolwimi, kukho intlungu, ukudumba, okanye ubuhlungu. | |
Ungayigcina njani iyeza?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya. Oku kubaluleke kakhulu.
- Gcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius).
- Gcina iyeza kwipakethi yefoyile lide lilungele ukusetyenziswa.
- Lahla amayeza aphelelwe lixesha.
Buza ugqirha wakho indlela yokulahla ngokukhuselekileyo amayeza angasetyenziswanga okanye aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Apomorphine yipilisi esetyenziswa ngolwimi oluncinci enika ulawulo olukhawulezileyo lweempawu ngexesha lokungabikho kwesifo sikaParkinson.
- Ngaphambi kokuba usebenzise eli yeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Usenokulala ungaqondanga xa usebenzisa eli yeza. Ngoko ke, ziphephe izinto ezifuna ukuphaphama, njengokuqhuba imoto, ude wazi ukuba eli yeza lichaphazela njani umzimba wakho.
- Ukuze unciphise isiyezi kunye nokuquleka, vuka rhoqo xa uhleli okanye ulele phantsi.
- Lumka ngemiphumo emibi kakhulu (efana nokunganyamezelani komzimba, utshintsho kwisantya sentliziyo, utshintsho lwengqondo) efuna unyango olukhawulezileyo.
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
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