Apha eNirogi Lanka, siyaqonda ukuba ukuphila nesifo sikaParkinson kunokubangela imingeni eyahlukileyo yemihla ngemihla. Ukuhamba ubomi ngelixa ulawula iimpawu ezifana nokungcangcazela okanye ukuhambahamba ngokuguquguqukayo ngokuqinisekileyo akulula. Ukuze uncede ukulawula ezi mpawu, ugqirha wakho unokukunika amayeza ahlukeneyo. Namhlanje, sifuna ukuxoxa ngamayeza athile abizwa ngokuba yiTolcapone. Ayinikwa rhoqo njengonyango oluzimeleyo; endaweni yoko, isetyenziswa kunye ne -levodopa-carbidopa , iyeza eliphambili leParkinson's . Cinga ngeTolcapone "njengomncedisi" ozinikeleyo onceda amayeza akho aphambili ukuba asebenze ngempumelelo ngakumbi.
Yintoni kanye kanye iTolcapone?
Masihlale silula oku. Isifo sikaParkinson senzeka xa ingqondo ivelisa isithunywa sekhemikhali esincinci esibizwa ngokuba yidopamine . I-levodopa-carbidopa oyithathayo iguqulwa ibe yidopamine engqondweni yakho. Nangona kunjalo, ngokuhamba kwexesha, ukusebenza kwale mayeza ngamanye amaxesha kunokuncipha.
Kulapho iTolcapone inika khona inkxaso. ITolcapone ikwiqela lamayeza abizwa ngokuba yi-COMT inhibitors. Indima yayo ephambili kukuyeka ukubola kwe-levodopa emzimbeni wakho ngaphambi kokuba ifikelele engqondweni yakho. Ngokwenyani, iqinisekisa ukuba uninzi lwamayeza akho aphambili afikelela engqondweni, inyusa ukusebenza kwayo, kwaye inceda ukuba ihlale ixesha elide. Igama lophawu lwale mayeza yiTasmar.
Ulwazi olubalulekileyo kugqirha wakho ngaphambi kokuba uqale
Kubaluleke kakhulu ukuxoxa ngembali yakho epheleleyo yezonyango nogqirha wakho ngaphambi kokuba uqale iTolcapone, njengoko ezinye iimeko zempilo zinokudibana nale mithi. Nceda wazise ugqirha wakho ukuba unayo nayiphi na kwezi zilandelayo:
| Imeko/Inyani | Kutheni ugqirha wakho kufuneka azi |
|---|---|
| Isifo sesibindi | I-Tolcapone inokuchaphazela ukusebenza kwesibindi, ngoko ke kubalulekile ukuvavanya impilo yesibindi kwangaphambili. |
| Isifo sezintso | Izintso zakho zinceda ekususeni amayeza emzimbeni wakho; kufuneka uvavanyo lomsebenzi. |
| Iimeko zempilo yengqondo | Eli yeza linokuba nefuthe kwimo yengqondo okanye kwimpilo yengqondo, ngoko ke ingxoxo yasekuqaleni ibalulekile. |
| I-sleep apnea okanye i-Narcolepsy | Ngenxa yokuba eli yeza linokubangela ukozela ngequbuliso, ugqirha wakho kufuneka azi ngeengxaki zokulala esele zikhona. |
| Ukukhulelwa, ukucwangcisa ukukhulelwa, okanye ukuncancisa | Kufuneka unonophelo olukhethekileyo kwezi zigaba; nceda wazise umboneleli wakho wezempilo ngoko nangoko. |
| Ukunganyamezelani namayeza, ukutya, okanye idayi | Soloko uchaza naluphi na uhlobo lwe-allergies oluziwayo kugqirha wakho. |
Indlela yokuthatha eli yeza ngokuchanekileyo
Ukusebenzisa eli yeza kulula kakhulu:
- Sela ithebhulethi neglasi yamanzi apheleleyo.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo malunga nexesha kunye nomthamo. Ngokuqhelekileyo ingathathwa kunye nokutya okanye ngaphandle kokutya.
- Ungaze uthathe ngaphezu komlinganiselo omiselweyo.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho, kuba linokubangela iziphumo ezibi kakhulu.
- Ukuba eli yeza lelomntwana, nceda uxoxe ngeenkcukacha nogqirha wezingane.
Kuthekani ukuba ndiphoswa yidosi?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba idosi yakho elandelayo ecwangcisiweyo isondela, yitsibe idosi oyiphosileyo uze uqalise kwakhona ishedyuli yakho eqhelekileyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyiphosileyo.
Kwenzeka ntoni xa kusetyenziswe i-overdose?
Ukuba ukrokrela ukuba uthathe amayeza amaninzi kunalawo amiselweyo, nxibelelana neziko lakho lolawulo lwetyhefu ngoko nangoko okanye uye kwiSebe leNgxamiseko elikufutshane (ED). Phatha oku njengengxamiseko yezonyango.
Khumbula, le mithi yenzelwe wena. Musa ukuyabelana nabanye abantu ngayo, nokuba baneempawu ezifanayo nezakho.
Ubudlelwane obunokwenzeka phakathi kwamayeza neTolcapone
Kubalulekile ukuba wazise ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo okwangoku. Izinto ezithile zinokusebenzisana kakubi neTolcapone.
| Unxibelelwano olunokwenzeka | Iinkcukacha |
|---|---|
| MUSA ukuzidibanisa nezi | |
| Ii-MAOI (ii-Monoamine Oxidase Inhibitors) | Amayeza okudakumba afana noMarplan, uNardil, okanye uParnate. |
| Buza ugqirha wakho ngaphambi kokuba usebenzise ezi zinto | |
| Utywala | Utywala bunokutshintsha ukusebenza kweyeza kwaye bunyuse kakhulu ukozela. |
| Amayeza okuthomalalisa ubuthongo okanye amayeza okulwa nokuxhalaba | Ezi zinto zinokwenza ukozela kube nzima ngakumbi kwaye ziphazamise ukugxila kwakho. |
| Amayeza e-Adrenergic (i-Apomorphine, i-dobutamine, njl.njl.) | Isetyenziselwa izifo zentliziyo okanye uxinzelelo lwegazi. |
| I-Warfarin | Iyeza elisetyenziselwa ukuthintela ukuqhekeka kwegazi. |
| Ezinye | I-Desipramine, i-linezolid, i-methyldopa, kunye neziyobisi ezinciphisa iintlungu. |
Amanyathelo okuzikhusela ngelixa uthatha le mayeza
Kubalulekile ukujonga indlela umzimba wakho osabela ngayo kolu nyango.
- Ukudinwa Nokulinganisela : Usenokuba nesiyezi okanye intloko ebuhlungu. Ude uqonde indlela eli yeza elikuchaphazela ngayo, kuphephe ukuqhuba okanye ukusebenzisa oomatshini abanzima. Ukuba ungumntu omdala, lumka ngakumbi xa uvuka uhleli okanye ulele.
- Ukulala Ngequbuliso: Ezinye izigulana zinokulala ngequbuliso ngaphandle kwesilumkiso, nokuba zithetha, zisitya, okanye ziqhuba. Nxibelelana nogqirha wakho ngoko nangokoukuba uhlangabezana nale meko.
- Iingxaki Zokulawula Impembelelo: Abanye abantu banokuba neminqweno engaqhelekanga nengalawulekiyo (njengokungcakaza, ukuthanda abantu abathandana nabobulili obufanayo, ukuthenga izinto ezingafanelekanga, okanye ukutya kakhulu). Oku akusiso isiphene sobuntu, kodwa sisiphumo esingalindelekanga. Xoxa nogqirha wakho ngoku ukuba kuyenzeka.
- Ukujonga Ulusu: Nika ingqalelo kuzo naziphi na iinguqu eluswini lwakho, ezinje ngee-moles ezintsha okanye ezitshintshayo. Yazisa ugqirha wakho ukuba ubona into engaqhelekanga.
- Umlomo Owomileyo : Ukuze ulawule umlomo owomileyo, zama ukuhlafuna itshungama engenaswekile, ukufunxa iilekese eziqinileyo ezingenaswekile, okanye uhlale unamanzi aneleyo.
Iziphumo ebezingalindelekanga ezinokubakho
Njengazo zonke iziyobisi, iTolcapone inokubangela iziphumo ebezingalindelekanga. Ezi zinokuqala kwezincinci ukuya kwezinzulu. Soloko ufuna uncedo lwezonyango ngokukhawuleza ngokufowunela i-911 okanye undwendwele isebe likaxakeka elikufutshane ukuba ufumana impendulo eqatha.
| Iimpawu zomonakalo wesibindi | Umchamo onombala omnyama, ukutyheli kolusu okanye amehlo (i-jaundice), intlungu esiswini esingaphezulu ngasekunene, isicaphucaphu, kunye nokuphelelwa ngumdla wokutya. |
| Iimpawu zomonakalo wemisipha | Umchamo omnyama, ubunzima bokuchama, ubuthathaka bemisipha obungachazekiyo, kunye nentlungu yemisipha. |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, okanye ukudumba kobuso, imilebe, okanye ulwimi. |
| Ezinye iimpawu ezinzulu | Urhudo olukhulu, ukubona izinto ezingekhoyo, ukuhlaselwa bubuthongo ngesiquphe, ukuquleka, okanye ukushukuma okungalawulekiyo kwezandla, imilenze, ubuso, okanye intamo. |
| Urhudo | Isiyezi |
| Intloko ebuhlungu | Ukulahlekelwa ngumdla wokutya |
| Isicaphucaphu | Ingxaki yokulala |
Indlela yokugcina amayeza akho
- Gcina kude nokufikelela kwabantwana.
- Gcina kubushushu begumbi (20-25°C).
- Gcina isitya sivaliwe kakuhle.
- Lahla nayiphi na imithi eseleyo emva komhla wokuphelelwa.
Izinto ezibalulekileyo ekufuneka uzithathe (eNirogi Lanka)
- I-Tolcapone lunyango oluncedisayo olwenzelwe ukuphucula ukusebenza kakuhle kwamayeza akho aphambili eParkinson.
- Ngaphambi kokuba uqalise, nceda unike ugqirha wakho imbali epheleleyo yeemeko zakho zempilo ezikhoyo kunye namayeza akhoyo.
- Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho.
- Zijonge ukuba awunazo na iimpawu zokulala ngequbuliso, iminqweno engalawulekiyo, okanye iimpawu zokuphazamiseka kwesibindi. Zixele ngoko nangoko.
- Ukuba ukrokrela ukuba uthatha i-overdose, qhagamshelana neenkonzo zongxamiseko (911) okanye undwendwele isebe longxamiseko lesibhedlele elikufutshane ngoko nangoko.
- Zive ukhululekile ukuthetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
