Ingabe kukhona umuntu emndenini wakho, mhlawumbe umama wakho, ubaba, noma othandekayo wakho, onesifo sikaParkinson? Khona-ke cishe uyazi ukuthi ngezinye izikhathi umzimba wakhe uba lukhuni ngokuzumayo, baqala ukuthuthumela, futhi abakwazi ukwenza lutho. Kufana nemoto evele ima. Namuhla sikhuluma ngomjovo okhethekile osetshenziselwa ukunikeza impumuzo esheshayo kulezi zinto ezibizwa ngokuthi "izikhathi zokungasebenzi." Lowo ngumjovo we-Apomorphine.
Kuyini i-Apomorphine?
Kalula nje, i-Apomorphine umuthi osetshenziselwa ukwelapha izimpawu zesifo sikaParkinson. Isebenza ngendlela efanayo nekhemikhali ebizwa ngokuthi i-dopamine ebuchosheni bethu. Ubuwazi ukuthi isifo sikaParkinson sibangelwa ukulahlekelwa amaseli ebuchosheni bethu akhiqiza leli khemikhali elibizwa ngokuthi i-dopamine. Le dopamine isiza ukulawula ukunyakaza kwemizimba yethu kanye nokuxhumana kwayo.
Ngakho-ke, uma i-dopamine inganele, kuvela izimpawu ezifana nokuqina nokuthuthumela. Umjovo we-apomorphine usebenza njenge-dopamine, ugcwalisa okwesikhashana lokho kuntuleka, futhi usize ekubuyiseleni ukunyakaza komzimba. Lokhu kuvame ukutholakala emakethe ngaphansi kwegama elithi Apokyn .
Cabanga ukuthi isifo sikaParkinson sishiye umzimba wakho ubambekile, njengomnyango okhiyiwe ongenasihluthulelo. Umjovo we-apomorphine ufana nesihluthulelo esikhethekile esivula lowo mnyango. Ubuyisela umzimba wakho esimweni esijwayelekile ngokushesha. Kodwa ungasetshenziswa nakwezinye izinto, ngakho uma unemibuzo, buza udokotela wakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokukunikeza lo muthi, udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi ezinye izimo zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi. Qiniseka ukuthi utshela udokotela wakho nganoma yikuphi kwalokhu okulandelayo:
- Uma une-asthma.
- Uma uthambekele ekulale njalo emini noma ulale ngokuzumayo.
- Uma uphuza njalo.
- Uma uke waba nesifo sohlangothi ngaphambili.
- Uma unesifo senhliziyo .
- Uma unomlando wokuhlala ungena enkingeni .
- Uma kukhona ukushaya kwenhliziyo okungajwayelekile noma ushintsho lwesigqi.
- Uma unesifo sezinso noma isifo sesibindi .
- Uma une -blood pressure ephansi .
- Uma unezinkinga zempilo yengqondo (njengokucindezeleka).
- Uma uke waba nokusabela kokungezwani komzimba ngaphambilini ne-apomorphine, ama-sulfite, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ukunikeza udokotela wakho lolu lwazi ngokunembile kubaluleke kakhulu ekuphepheni kwakho.
Ungawusebenzisa kanjani umuthi wokugoma ngendlela efanele?
Lona umjovo ongaphansi kwesikhumba. Uma uqala ukuthatha lo muthi, udokotela wakho noma umhlengikazi uzokunikeza imiyalelo eningiliziwe yokuthi ungawulungiselela kanjani umjovo nokuthi ungawujova kanjani wena ngokwakho. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
- Sebenzisa njengoba nje udokotela wakho ekutshelile: Ungasebenzisi ngaphezu komthamo noma imvamisa enqunyiwe.
- Ungayeki ukuthatha lo muthi ngokuzumayo: Ungayeki ukuthatha lo muthi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Ukuwuyeka ngokuzumayo kungabangela imiphumela emibi kakhulu futhi kwenze isimo sakho sibe sibi kakhulu.
- Lahla izinaliti nezinaliti ngokuphepha: Ungalokothi ulahle izinaliti nezinaliti ezisetshenzisiwe kudoti. Kufanele zifakwe esitsheni esikhethekile esinomshini wokuhlaba esinikeziwe. Uma ungenayo, ungacela udokotela wakho ukuthi akunike yona.
- Funda incwajana yemiyalelo: Funda incwajana yemiyalelo eza nalo muthi ngokucophelela. Uma unemibuzo, buza udokotela wakho.
Kuthiwani uma ngisebenzisa ngokweqile?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze noma ushayele i-National Poisons Information Centre e-Colombo National Hospital .
Lo muthi unikezwe wena kuphela. Ngakho-ke, ungalokothi uwuhlanganyele nanoma ubani omunye.
Yimiphi eminye imithi okungafanele isetshenziswe nalo muthi?
Eminye imithi ingasebenzisana ne-apomorphine futhi ibangele izinkinga ezinkulu. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo.
| Isigaba sezidakamizwa | Incazelo nezibonelo |
|---|---|
| Imithi okungafanele neze ithathwe | |
| Eminye imithi yokwelapha isicanucanu/ukuhlanza | Isibonelo: i-dolasetron, i-granisetron, i-ondansetron, i-palonosetron |
| Eminye imithi | I-Dronedarone, i-Ketoconazole, i-Levoketoconazole, i-Pimozide, i-Thioridazine |
| Izinto okufanele uzisebenzise ngokucophelela/ukuxhumana okungenzeka | |
| Utshwala | Imiphumela emibi ithonywa kakhulu ukwanda. |
| Imithi yokukhathazeka noma yokulala | Isibonelo: Ama-Benzodiazepine afana ne-alprazolam, i-diazepam, ne-lorazepam |
| Eminye imithi yokucindezela kwegazi | Qiniseka ukuthi ubuza udokotela wakho ngalokhu. |
| I-Nitroglycerin | Umfutho wegazi ungehla kakhulu ngendlela eyingozi (lokhu kuchazwe ngezansi). |
| Eminye imithi | I-Haloperidol, i-Metoclopramide, ama-opioid, eminye imithi ethinta isigqi senhliziyo, ama-Phenothiazines. |
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule lapho uthatha lo muthi wokugomela
Kunezinto eziningana okufanele uzicabangele mayelana nokuphepha kwakho ngenkathi usebenzisa lo muthi.
Bona udokotela njalo.
Bona udokotela wakho njalo ukuze uhlole isimo sakho futhi ubone ukuthi izimpawu zakho ziyathuthuka noma ziya ziba zimbi yini. Uma izimpawu zakho zingathuthuki noma ziba zimbi kakhulu, tshela udokotela wakho .
Isicanucanu nokuhlanza
Lo muthi ungabangela isicanucanu nokuhlanza, ngezinye izikhathi kungaba nzima kakhulu. Udokotela wakho uzokunikeza omunye umuthi walokhu. Ungathathi noma yimuphi umuthi wokucanuzela wedwa. Lokhu kungenxa yokuthi eminye imithi yokucanuzela ingasebenzisana ne-apomorphine.
Ukozela nokushayela
Lo muthi ungathinta isikhathi sakho sokusebenzisana kanye nesikhathi sokusabela. Ngakho-ke, uze wazi kahle ukuthi lo muthi ukuthinta kanjani , gwema ukwenza imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini. Futhi, sukuma kancane uma usukuma ngokuzumayo, noma uma uvuka endaweni yokuhlala. Ngaphandle kwalokho, ungase uzizwe unesiyezi futhi unamahloni. Le ngozi inkulu nakakhulu uma uphuza utshwala.
Kubalulekile! Lapho uthatha lo muthi, abanye abantu bangase balale ngokuzumayo ngaphandle kwesixwayiso . Lokhu kungenzeka ngenkathi ushayela, ukhuluma, noma udla. Uma lokhu kwenzeka kuwe, tshela udokotela wakho ngokushesha.
Ukusabela nge-nitroglycerin
Uma uthatha i-nitroglycerin yesifo senhliziyo, kudingeka uqaphele kakhulu. Ukuyithatha kanye nalomuthi kungabangela ukwehla komfutho wegazi lakho. Lokhu kungabangela isiyezi, ukuquleka, kanye nokuwa okungenzeka.
Ngakho-ke uma udinga ukuthatha i-nitroglycerin,
1. Okokuqala, lala phansi.
2. Bese ubeka ithebhulethi ngaphansi kolimi lwakho.
3. Hlala ulele phansi okungenani imizuzu engama-45.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-apomorphine ingabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela okukhulu kwe-allergy (Ukusabela kwe-allergy noma i-angioedema) | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula. |
| Ubuhlungu besifuba (i-Angina) | Ukuzwa ubuhlungu, ukuqina, noma ingcindezi esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Ukulala ngokuzumayo | Ukulala ngaphandle kwesixwayiso ngenkathi usebenza emini. |
| Ukuphupha izinto ezingekho | Ukubona noma ukuzwa izinto ezingekho. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu esifubeni, ehlombe, engalweni noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukujuluka okubandayo, isiyezi. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba. |
| I-anemia ye-Hemolytic | Ukukhathala okungajwayelekile, isiyezi, ikhanda elibuhlungu, ubunzima bokuphefumula, umchamo omnyama, ukuphuzi kwesikhumba noma amehlo. |
| Amaphethini okuziphatha angajwayelekile | Isifiso esingalawuleki sokugembula, ukudla ngokweqile, ukwenza ucansi, noma ukusebenzisa imali ngokungadingekile. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isiyezi, ukozela | Lokhu kungenzeka ngokuvamile. |
| Isicanucanu, ukuhlanza | Kuvamile ezigabeni zokuqala zokusebenzisa umuthi. |
| Impumulo egobhozayo noma impumulo evalekile | Kungase kuzwakale njengezimpawu zomkhuhlane. |
| Ukuvuvukala kwamaqakala, izandla, noma izinyawo | Kungase kube ngenxa yokugcinwa koketshezi emzimbeni. |
Uma uhlangabezana nanoma yimiphi eminye imiphumela emibi engekho ohlwini lwalolu hlu, sicela wazise udokotela wakho.
Uyigcina futhi uyilahla kanjani imithi?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Ungasebenzisi umuthi ophelelwe yisikhathi.
- Uma ulahla imithi engasetshenziswanga noma ephelelwe yisikhathi, buza udokotela wakho ngendlela ephephile.
Umlayezo Wokuya Nawe Ekhaya
- Umjovo we-apomorphine umuthi onikeza impumuzo esheshayo ekuqaleni okungazelelwe kokuqina nokuthuthumela ("ukungabi sesikhathini") kwisifo sikaParkinson.
- Tshela udokotela wakho njalo ngayo yonke eminye imithi oyiphuzayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.
- Gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Khumbula ukuthi ungase uzizwe ulele ngokuzumayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi kakhulu njengobuhlungu besifuba, ukusabela okukhulu kokungezwani komzimba, noma izinguquko ekushayeni kwenhliziyo.
- Njalo lahla izinaliti ezisetshenzisiwe kanye nesirinji ngokuphephile "esitsheni esikhethekile sezinto ezibukhali".
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