Masifunde ngezi capsules ezisebenza ixesha elide (Carbidopa; Levodopa Extended-Release Capsules) ezisetyenziselwa isifo sikaParkinson.

Ngaba unengxaki yokwenza imisebenzi yakho yemihla ngemihla ngenxa yesifo sikaParkinson? Mhlawumbi uziva uqinile okanye amalungu akho ayangcangcazela? Siyazi ukuba akulula ukuphila nezi mpawu. Ngoko ke namhlanje siza kuthetha ngeyeza elinokukunceda unciphise ezi ntlungu. Oko kukuthi, iiCapsules eziKhululwayo, ezidityaniswe namayeza amabini abizwa ngokuba yiCarbidopa kunye neLevodopa.

Kwenzeka ntoni ngokwenene ngale mithi?

Ngamafutshane, eli yeza, iCarbidopa; iLevodopa, lisetyenziselwa ukulawula iimpawu zesifo sikaParkinson. Iingqondo zethu ziqulathe ikhemikhali ebizwa ngokuba yidopamine. Oku kunceda ukulawula iintshukumo zomzimba wethu kunye nokulungelelaniswa kwazo. Xa isifo sikaParkinson sikhula, ubungakanani bedopamine engqondweni buyancipha. Kulapho kuvela khona iimpawu ezifana nokuqina kunye nokungcangcazela. Ngoko ke eli yeza lisebenza ngokunyusa ubungakanani bedopamine engqondweni kunye nokunciphisa ezo mpawu. Eli yeza ngamanye amaxesha linokusetyenziswa nakwezinye izinto. Ungabuza ugqirha wakho okanye ikhemisti ngalo. Igama lebhrendi elidumileyo leli yeza yiRytary.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale ukusebenzisa eli yeza

Ngaphambi kokuba uqale eli yeza, kubaluleke kakhulu ukwazisa iqela lakho lezonyango (iqela lokhathalelo) ngezinto ezithile. Kuba olo lwazi luya kugqiba ukuba eli yeza likulungele na okanye alikulungele, kunye nendlela elifanele linikwe ngayo.

Ukuba unayo nayiphi na kwezi meko, qiniseka ukuba uyazikhankanya:

• Ukuba unesifo sokudakumba okanye esinye isifo sengqondo.
• Ukuba unesifo seswekile.
• Ukuba une-glaucoma emehlweni akho.
• Isifo sentliziyo, oko kuthetha ukuba ube nokuhlaselwa yintliziyo ngaphambili, okanye ukuba nembali yokubetha kwentliziyo okungahambelaniyo.
• Ukuba unesifo sezintso.
• Ukuba unesifo sesibindi.
• Ukuba unesifo semiphunga, umzekelo, isifo sesifuba.
• I-Narcolepsy - Imeko apho ulala ngequbuliso ungalawulekiyo emini.
• Ukuba une-sleep apnea, imeko apho uyeka ukuphefumla xa ulele.
• Ukuba uneengxaki zesisu okanye zamathumbu.
• Ukuba ukhe waba ne-allergy okanye i-reaction engaqhelekanga kwiLevodopa, Carbidopa, amanye amayeza, ukutya, iidayi zokwenziwa, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla, kulungile?

Ndingayisebenzisa njani kanye kanye le yeza?

Eli yeza kufuneka lithathwe neglasi yamanzi. Landela imiyalelo ekwileyibhile kagqirha wakho njengoko itshilo. Ikhaphu mayiginywe yonke. Musa ukuyityumza, ukuyihlafuna, okanye ukuyiqhekeza phakathi.

Masithi kunzima ukuginya le capsule. Kwimeko enjalo, ungayijika ngononophelo i capsule uyivule uze uthulule lonke iyeza ngaphakathi phezu kwepunipoyi enye okanye ezimbini ze-applesauce. Nangona kunjalo, kufuneka usebenzise iyeza ngoko nangoko emva kokulixuba nokutya. Musa ukuligcina ukuze ulisebenzise kamva. Thatha iyeza lakho ngexesha elifanayo yonke imihla, ngamaxesha athile. Musa ukuthatha amayeza angaphezu kwalawo ugqirha wakho akuxelele wona. Kwakhona, musa ukuyeka ukuthatha iyeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.

Kwakhona, ukuba utya ukutya okunamafutha amaninzi kunye neekhalori, kungathatha ixesha elide ukuba iyeza lingene emzimbeni wakho. Oku kunokulibazisa ukuqala kweyeza ngeeyure ezimbini ukuya kwezintathu. Ngoko ke, cinga ngokuthatha idosi yakho yokuqala yosuku iyure okanye ezimbini ngaphambi kokutya. Nangona kunjalo, ukuba uziva unesicaphucaphu emva kokusela iyeza, ungalithatha kunye nokutya.

Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana eli yeza, ngoko ke thetha neqela lakho lezonyango ngalo.

Kubalulekile: Eli yeza limiselwe wena wedwa. Ungaze wabelane ngeli yeza nabanye.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.

Kuthekani ukuba ndiphoswa ngamayeza am?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe yidosi uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe umthamo ophindwe kabini okanye umthamo owongezelelweyo.

Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)

Kukho amayeza athile, afana neCarbidopa; iLevodopa, anokubangela iingxaki xa esetyenziswa kunye. Ngoko ke, ukuba usebenzisa amanye amayeza, kubalulekile ukuxelela ugqirha wakho .

Ungaze uthathe eli yeza kunye namayeza alandelayo:

• Amayeza akudidi lwamayeza abizwa ngokuba yi-MAOIs, afana neMarplan, iNardil, kunye neParnate.
• I-Reserpine
• I-Tetrabenazine

Unxibelelwano lunokwenzeka nakule mithi:

• Utywala
• I-Droperidol
• I-Entacapone
• Izongezo zesinyithi okanye ii-multivitamins ezinesinyithi
• I-Isoniazid (INH)
• I-Linezolid
• Amayeza okudakumba, ixhala, okanye iingxaki zengqondo
• Amayeza oxinzelelo lwegazi oluphezulu
• Iipilisi zokulala
• I-Metoclopramide
• I-Papaverine
• I-Procarbazine
• I-Tedizolid
• I-Rasagiline
• ISelegiline
• I-Tolcapone

Olu luhlu lusenokungabandakanyi zonke iindlela osebenzisana ngazo. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owathathayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, iimveliso zemifuno, iivithamini). Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokuchaphazela amayeza akho.

Izinto ekufuneka uzikhumbule xa usebenzisa eli yeza

Bona ugqirha wakho rhoqo ukuze ujonge ukuba uqhuba njani ngelixa usela eli yeza. Xelela ugqirha wakho ukuba iimpawu zakho aziphucuki okanye ziya ziba mandundu. Musa ukuyeka ukusela eli yeza ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela impendulo enzulu. Ugqirha wakho uza kukuxelela ukuba kufuneka uthathe amayeza angakanani.

• Ukozela kunye nesiyezi: Ungaziva ulele okanye unesizungu. Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma okanye ukuvuka kwindawo ohleli kuyo ngequbuliso, ingakumbi ukuba sele ukhulile. Ukwenza njalo kunokunciphisa umngcipheko wokuba nesiyezi kunye nokuwa. Utywala bunokuphazamisa indlela eli yeza elisebenza ngayo. Ngoko ke kuphephe ukusela utywala.

• Ukulala ngequbuliso: Xa usela eli yeza, ungalala ngequbuliso ngaphandle kwesilumkiso . Ungalala ngelixa uqhuba imoto, uthetha, okanye usitya. Usenokungaziva ulele ngaphambi kokuba oku kwenzeke. Ukuba oku kuyenzeka kuwe, xelela ugqirha wakho ngoko nangoko.

• Iminqweno engaqhelekanga: Abanye abantu baye baxela ukuba bafumana iminqweno engaqhelekanga yesondo ngelixa besebenzisa eli yeza, okanye ukuba baneminqweno engalawulekiyo yokungcakaza, ukutya kakhulu, okanye ukuthenga izinto abangazidingiyo. Ukuba ufumana nayiphi na kwezi mpawu, xelela ugqirha wakho ngokukhawuleza.

• Iziphumo 'zokuphelelwa ngamandla' kunye 'nokupheliswa kwamandla': Ngamanye amaxesha, ngaphambi kokuba kufike ixesha lokuthatha idosi yakho elandelayo, ungaziva ngathi iyeza liyaphela (isiphumo 'sokuphelelwa ngamandla'). Kwakhona, ngamanye amaxesha iyeza lisenokuyeka ukusebenza ngequbuliso (ukusuka kwimizuzu embalwa ukuya kwiiyure ezimbalwa) lize liqale ukusebenza kwakhona (isiphumo 'sokuphelelwa ngamandla'). Kufana nokuvula iswitshi 'yokuvula' okanye 'yokucima'. Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho . Idosi yakho inokufuna ukulungiswa.

• Ukutya okuneproteni ephezulu:Ukutya isidlo esineproteni eninzi kunokulibazisa okanye kuthintele ukufunxwa kwale yeza. Ngoko ke, ukuze uphephe ezi ngxaki, kuphephe ukutya isidlo esineproteni eninzi (umzekelo, inyama eninzi, intlanzi, iilentili, njl.njl.) kufutshane nexesha olithatha ngalo iyeza. Thatha iyeza ubuncinane imizuzu engama-30 ngaphambi okanye iyure enye emva kokutya. Ungatya ukutya okuneproteni eninzi kamva emini okanye ngobuninzi obuncinci. Thetha nogqirha wakho ngale nto.

• Kwabo banesifo seswekile: Ukuba unesifo seswekile, eli yeza linokubangela iziphumo ezingezizo zeswekile kumchamo wakho. Ngoko ke thetha nogqirha wakho ngale nto.

• Ukutshintsha kombala womchamo okanye ukubila: Eli yeza linokubangela ukuba umchamo okanye ukubila kwakho kube mnyama (njengomnyama) okanye kube bomvu. Oku akusosizathu sokukhathazeka. Nangona kunjalo, kunokungcolisa impahla.

• Ukunqongophala kweVithamin B6: Eli yeza linokubangela ukwehla kwamanqanaba eVithamin B6 emzimbeni. Ke ngoko, kufuneka uqiniseke ukuba ufumana iVithamin B6 eyaneleyo ngelixa usebenzisa eli yeza. Thetha nogqirha wakho malunga nokutya kunye neeVithamin ozisebenzisayo.

Iziphumo ebezingalindelekanga ezinokubakho zale yeza

Njengazo zonke amayeza, le inokuba nemiphumo emibi. Eminye iyingozi, eminye ayibi yingozi kangako.

Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo:

Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezidweliswe ngezantsi, kufuneka uxelele ugqirha wakho okanye iqela lezonyango ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Ngequbuliso ndilala ndisebenza emini.
• Utshintsho kwisantya sentliziyo: ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla.
• Uxinzelelo lwegazi oluphantsi: isiyezi, ukuquleka, ukubona izinto ezingaqondakaliyo.
• Utshintsho kwindlela ovakalelwa ngayo kunye nokuziphatha: ixhala, ukungazinzi, ukudideka, ukubona izinto ezingekhoyo, ukucaphuka, ubutshaba, iingcinga zokuzibulala, imeko yengqondo ewohlokayo, iimvakalelo zokudakumba.
• Iintshukumo ezintsha okanye eziya ziba mandundu, ezingalawulekiyo, neziphindaphindayo zobuso, umlomo, okanye umzimba ongasentla.
• Ukopha kwesisu: indle enegazi okanye eyomileyo, ukuhlanza into emdaka efana nekofu egayiweyo, okanye igazi.
• Iintlungu zamehlo okanye utshintsho lombono ngequbuliso: umzekelo, ukubona izinto zingabonakali, ukubona izinto ezijikeleze izibane, okanye ukulahleka kombono.
• Izilingo ezingaqhelekanga:Iindlela zokuziphatha ezingafanelekanga ongenakukwazi ukuzilawula, njengokungcakaza, ukutya kakhulu, ukuzibandakanya kwizenzo zesondo, okanye ukuthenga izinto ngendlela eyahlukileyo kunendlela obuqhele ukwenza ngayo.

Iziphumo ebezingalindelekanga ezihlala zingadingi ngcebiso kagqirha (kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza):

• Umbala obomvu okanye omnyama wamathe, ukubila, okanye umchamo.
• Isiyezi.
• Ukozela.
• Intloko ebuhlungu (intloko ebuhlungu).
• Isicaphucaphu.

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Thetha nogqirha wakho ukuze akunike iingcebiso malunga neziphumo ebezingalindelekanga.

Ufanele uwagcine njani amayeza akho?

Gcina eli yeza kude nokufikelela kwabantwana.

Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, phakathi kwe-59 kunye ne-86 degrees Fahrenheit). Khusela ekukhanyeni nasekufumeni. Lahla naliphi na iyeza elingasetyenziswanga eliphelelwe lixesha.

Khumbula (Umyalezo Wokuya Ekhaya)

Kulungile, masikukhumbuze ngezinye zezona zinto zibalulekileyo esikhe sathetha ngazo.

• Eli yeza leCarbidopa; iLevodopa linceda ekunciphiseni iimpawu zeParkinson's.
• Kubaluleke kakhulu ukuxelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye namanye amayeza owasebenzisayo ngaphambi kokuba uqalise amayeza .
• Ginya iyeza liphelele. Musa ukulityumza okanye ukulihlafuna. Ukuba unengxaki yokuginya, lityumze uze ulisele ne-applesauce.
• Sela idosi emiselweyo ngexesha elimiselweyo. Musa ukuyeka ukuyisebenzisa ngaphandle kwengcebiso kagqirha wakho.
• Lumka kuba oko kunokubangela ukozela kunye nesiyezi. Ungalala ngequbuliso.
• Lumka ngezinto ezingaqhelekanga ezinjengokudinwa/ukudinwa. Ukuba oku kuyenzeka, xelela ugqirha wakho .
• Musa ukutya ukutya okuneproteni eninzi xa sele usondele ixesha lokusela amayeza akho.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezingaqhelekanga, ingakumbi ezo zikuluhlu "lweziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo" esixoxe ngazo, xelela ugqirha wakho ngoko nangoko.

Khumbula, le ncwadana sisishwankathelo nje. Isenokungagubungeli lonke ulwazi. Ukuba unemibuzo engaphezulu malunga nale yeza, thetha nogqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Baya kukwazi ukukunceda.

Isifo sikaParkinson , i-carbidopa, i-levodopa, i-dopamine, amayeza kaParkinson, iziphumo ebezingalindelekanga, ukunxibelelana kwamayeza