Masifunde ngeepilisi zeTetrabenazine? Unyango lweentshukumo ezizenzekelayo kwisifo sikaHuntington

Ngaba wena okanye umntu omaziyo ngamanye amaxesha uvakalelwa kukuba amalungu okanye imizimba yabo iyashukuma ngokungalawulekiyo? Ngamanye amaxesha, kuvakala ngathi abakwazi ukuzibamba, njengaxa besitya, besela, okanye besayina uxwebhu. Olu hlobo lokushukuma ngokunganyanzelekanga lunokwenzeka, ngakumbi xa benesifo sikaHuntington , okanye oko abanye bakubiza ngokuba yiHuntington's chorea . Elinye lamayeza anikwa ngoogqirha kwiimeko ezinjalo yi -tetrabenazine . Makhe sithethe kancinci ngale mithi namhlanje, akunjalo?

Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndiqalise eli yeza?

Ngaphambi kokuba uqale ukuthatha iipilisi zeTetrabenazine , ngokuqinisekileyo kufuneka uxelele ugqirha wakho okanye ikhemisti ngezi zinto. Kuba olu lwazi luya kugqiba ukuba eli yeza lifanelekile kuwe okanye akunjalo, kwaye lifanele linikwe njani. Khumbula, kufuneka ulumke kakhulu xa unika eli yeza kubantu abanezifo ezithile.

Baxelele ngezi zinto:

• Ukuba unesifo somhlaza ebuchosheni .
• Ukuba unomhlaza webele .
• Ukuba unengxaki yokuginya ukutya nokusela.
• Ukuba ukhe wenzakala entloko ngaphambili.
• Ukuba unesifo sentliziyo .
• Ukuba ungumntu osebenzisa utywala rhoqo.
• Ukuba unesifo sezintso okanye isifo sesibindi .
• Ukuba uneemeko ezifana nesiyezi xa umi okanye uxinzelelo lwegazi oluphantsi .
• Ukuba unesifo sikaParkinson .
• Ukuba wena okanye umntu kusapho lwakho ukhe wacinga ngokuzibulala , okanye uceba ukuzibulala, okanye uzame ukuzibulala.
• Ukuba ukhe wasebenzisa iyeza elivela kwiqela le-MAOI (iMonoamine Oxidase Inhibitor) , elifana ne-`Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`, kwiintsuku ezili-14 ezidlulileyo.
• Ukuba une -allergy kwi- tetrabenazine , amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa .
• Ukuba ungumama oncancisayo .

Kubaluleke kakhulu kwimpilo yakho ukuthetha ezi zinto ngaphandle kokuzifihla.

Ndingayisebenzisa njani le yeza?

Eli yeza lipilisi olisela ngomlomo. Ufanele ulisele neglasi yamanzi. Lisele kanye njengoko ugqirha wakho ekuxelele, ngexesha elifanelekileyo, nangomlinganiselo ofanelekileyo. Kubaluleke kakhulu ukulisela rhoqo . Musa ukulisela ngaphezulu, ngaphantsi, okanye kaninzi ngaphezu koko ugqirha wakho akuxelele kona.

Okubaluleke kakhulu: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela ezinye iingxaki.

Xa ufumana eli yeza kwikhemesti, nokuba libhalwe ngugqirha omtsha okanye xa uligcwalisa kwakhona, uza kunikwa incwadana yemiyalelo ekhethekileyo (iMedGuide) . Lifunde ngononophelo rhoqo. Liqulethe ulwazi oluninzi olubalulekileyo kuwe.

Ukuba unika abantwana eli yeza:

Ukuba unika umntwana wakho eli yeza, thetha nogqirha wabantwana ngalo. Ngamanye amaxesha kufuneka unyango olukhethekileyo.

Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo):

Ukuba ngempazamo usele amayeza amaninzi kunokuba kufanelekile, fowunela igumbi likaxakeka lesibhedlele esikufutshane okanye kwiziko lokulawula ityhefu ngoko nangoko. Yiphathe le nto njengengxamiseko.

Enye into: Eli yeza lelakho wedwa. Musa ukunika abanye amayeza akho, nokuba baneempawu ezifanayo nezakho.

Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?

Ukuba ulibele ukusela amayeza akho, thatha idosi ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yeka idosi ongayithathanga uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini okanye eyongezelelweyo. Ukwenza njalo kunokunyusa umngcipheko weziphumo ebezingalindelekanga.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Kukho amayeza anokubangela iingxaki xa esetyenziswa ngeTetrabenazine . Ngoko ke, ukuba usebenzisa amanye amayeza, kubalulekile ukuxelela ugqirha wakho ngawo.

Ungaze uthathe iTetrabenazine kunye nala mayeza:

• Amayeza akwiqela le- (MAOI - Monoamine Oxidase Inhibitor) , afana ne-`Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`.
• Iyeza elibizwa ngokuba yiReserpine .

Ezi zinto zinokusebenzisana neTetrabenazine:

• Utywala
• I-Fluoxetine (iyeza elisetyenziselwa iimeko ezifana nokudakumba)
• Amayeza okuphazamiseka kwengqondo
• Amayeza okulala
• I-Paroxetine ( iyeza elisetyenziselwa iimeko ezifana nokudakumba)
• I-Quinidine ( iyeza leengxaki zesingqisho sentliziyo)

Olu luhlu lusenokungabandakanyi yonke into. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (amayeza kagqirha nalawo athengiswa ngaphandle kwemvume kagqirha), amayeza owasebenzisayo, iivithamini (izongezo zokutya), kunye nokuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Yintoni endifanele ndiyilumkele xa ndisebenzisa eli yeza?

Ugqirha uza kukujonga rhoqo ukuze abone ukuba imeko yakho injani na kwaye nokuba iyeza liyasebenza na. Ngoko ungalibali ukuya ekliniki ngemihla ebekiweyo (ukuhlolwa rhoqo) . Kungathatha iiveki ezininzi ukubona iziphumo ezipheleleyo zale yeza. Ngoko ke yiba nomonde.

Kubaluleke kakhulu: Izigulana kunye neentsapho zazo kufuneka ziqaphele iimpawu zokudakumba okukhulu okanye iingcinga zokuzibulala . Ukuba ezi mpawu ziyavela, ingakumbi xa uqala unyango okanye emva kokutshintsha umthamo, thetha nogqirha wakho ngoko nangoko. Oku kubaluleke kakhulu.

Usenokuziva unesizungu okanye ulele . Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukulumka ngengqondo ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma okanye ukuvuka kwindawo ohleli kuyo ngequbuliso, ingakumbi ukuba sele ukhulile. Khumbula, ungaziva unesizungu kwaye uwe xa usukuma. Oku kunciphisa umngcipheko wokuba nesizungu okanye ukuphelelwa ngamandla. Ukusela utywala kunokwenza esi sizungu kunye nokozela kube mandundu. Ngoko ke, kuphephe ngokupheleleyo utywala.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, iTetrabenazine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Ezinye iziphumo ebezingalindelekanga ziyingozi kwaye kufuneka uxelele ugqirha wakho ngoko nangoko ukuba ziyavela. Ezinye azibi kakhulu kangako, kodwa ukuba ziyaqhubeka okanye ziyakhathaza, xelela ugqirha wakho .

Ukuba ubona naziphi na kwezi mpawu, xelela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza:

• Iimpendulo ze-allergy : ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
• Ubunzima bokuginya .
• Ukuba nesiyezi okanye ukuquleka .
• Ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo .
• Uxinzelelo lwegazi oluphantsi .
• Imeko yokungazinzi edinga ukufuduka ngokukhawuleza , ngamanye amaxesha ebizwa ngokuba yi-akathisia .
• Izihlunu eziqinileyo, umkhuhlane, kunye nokubila – ezi zinokuba ziimpawu zesifo esiyingozi esibizwa ngokuba yiNeuroleptic Malignant Syndrome (NMS) .
• Iingcinga zokuzibulala okanye ezinye iinguqu zemood .
• Ukushukuma kwentloko, umlomo, intamo, ingalo, okanye imilenze okungalawulekiyo – ezi zisenokuba ziimpawu zesifo esibizwa ngokuba yi-tardive dyskinesia .
• Ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga .

Iziphumo ebezingalindelekanga ezihlala zingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

• Utshintsho kwinkanuko okanye kwindlela asebenza ngayo ngokwesondo .
• Ukuqhinwa kwesisu .
• Ukozela .
• Ukuphazamiseka kwesisu , njengesicaphucaphu.
• Ubunzima bokulala .

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho. Ungaxela neziphumo ebezingalindelekanga kwi -FDA (uLawulo loKutya namayeza ).

Ufanele uwagcine njani amayeza akho?

Gcina eli yeza kude nabantwana . Oku kubaluleke kakhulu.

Gcina kubushushu begumbi , phakathi kwe-15 kunye ne-30 degrees Celsius (59 kunye ne-86 degrees Fahrenheit). Musa ukuyibeka kwindawo eshushu kakhulu okanye efumileyo.

Musa ukusebenzisa amayeza aphelelwe lixesha . Lahla kakuhle.

Qaphela: Eli phetshana lisisishwankathelo kuphela. Lisenokungabi nalo lonke ulwazi. Ukuba unemibuzo engaphezulu malunga neli yeza, nceda uthethe nogqirha wakho, usokhemesti, okanye umboneleli wezempilo.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule?

Kulungile, ukuyibeka ngokulula, nazi iingongoma eziphambili ekufuneka uzikhumbule malunga neyeza leTetrabenazine esithethe ngalo:

• I-Tetrabenazine liyeza elisetyenziselwa ukunyanga iintshukumo ezizenzekelayo, ezibangelwa ikakhulu sisifo sikaHuntington .
• Ngaphambi kokuba uqale ukusebenzisa eli yeza, qiniseka ukuba uxelela ugqirha wakho ngezinye izifo onazo, amanye amayeza owasebenzisayo, kunye nazo naziphi na izinto ezibangela ukuba umzimba wakho ungabi naso isifo .
• Sela amayeza kanye njengoko ugqirha ekuxelela, ngexesha nangobungakanani obumiselweyo . Musa ukuyeka ukuwasela ngequbuliso.
• Usenokuziva unesizungu okanye ulele ngelixa usebenzisa eli yeza. Ngoko ke, lumka xa uqhuba okanye usenza eminye imisebenzi efuna ukulumka.Musa ukulisebenzisa eli yeza kunye notywala.
• Ukuba ufumana iimpawu ezifana nokudandatheka okuya kusiba mandundu, iingcinga zokuzibulala , okanye ezinye iziphumo ebezingalindelekanga, xelela ugqirha wakho ngoko nangoko.
• Funda incwadana yemiyalelo ekhethekileyo (iMedGuide) oyinikwe yikhemesti ngononophelo.
• Gcina eli yeza ngokufanelekileyo, kude nabantwana .

Ukuba uyazikhumbula ezi zinto uze usebenzise eli yeza njengoko ugqirha wakho eyalele, uya kukwazi ukufumana isiqabu kwimeko yakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Tetrabenazine, isifo sikaHuntington, iintshukumo ezizenzekelayo, iziphumo ebezingalindelekanga zamayeza, ukusebenzisana kwamayeza, izifo zemithambo-luvo