Umuntu ophila nesifo sikaParkinson ngezinye izikhathi uba nezikhathi 'zokungasebenzi' lapho umzimba ngokuzumayo uphelelwa amandla, izitho zilahlekelwa amandla azo, futhi zingakwazi ukunyakaza kahle. Phakathi nalezi zikhathi, uzizwa engenamandla futhi engakwazi ukwenza ngisho nemisebenzi yansuku zonke. Ngakho-ke, namuhla sikhuluma ngomuthi okhethekile osiza ukulawula ngokushesha isikhathi 'sokungasebenzi' okungazelelwe.
Uyini lo muthi obizwa ngokuthi i-Apomorphine?
Kalula nje, i-Apomorphine umuthi osetshenziselwa ukwelapha izigaba 'zokuyeka' zesifo sikaParkinson, okuyizinyathelo ezisheshayo nezinzima. Iza njengefilimu encane encibilika ngaphansi kolimi. I-KYNMOBI igama lomkhiqizo elidumile lalo muthi.
Cabanga nje, ubuchopho bethu buqukethe ikhemikhali ekhethekile ebizwa ngokuthi i-dopamine. Yilokhu okusisiza ukulawula ukunyakaza kwemizimba yethu kanye nokuxhumana kwayo. Izinga lale dopamine ebuchosheni bomuntu onesifo sikaParkinson liyehla. I-Apomorphine yandisa inani le-dopamine ebuchosheni, inciphisa ngokushesha izimpawu ezifana nokuqina, ukuthuthumela, kanye nokunyakaza okuhamba kancane.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo.
| Bheka ukuthi unazo yini lezi zimo |
|---|
| Uma ulala ngokuzumayo ngenkathi wenza imisebenzi yansuku zonke (isib. ukukhuluma, ukudla) |
| Uma unenkinga yokulawula imisipha yakho |
| Uma unesifo senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ukushintsha kwesigqi |
| Uma une-blood pressure ephansi |
| Uma unesifo sezinso noma sesibindi |
| Uma unezinkinga zokuphefumula ezifana nesifo samaphaphu noma i-asthma |
| Uma uke waba nesifo sohlangothi |
| Uma unesifo sengqondo |
| Uma une-sleep apnea |
| Uma uphuza njalo |
| Uma une-allergies ku-apomorphine, ama-sulfite, noma yimuphi omunye umuthi, ukudla, noma umbala |
| Uma ukhulelwe noma unethemba lokukhulelwa |
| Uma ungumama oncelisayo |
Ngiyisebenzisa kanjani ngempela le mithi?
Kulula kakhulu ukuyisebenzisa, kodwa kufanele ulandele imiyalelo ngqo.
1. Sebenzisa lo muthi kuphela uma isimo 'sokungasebenzi' siqala .
2. Izandla zakho kufanele zome ngokuphelele ngaphambi kokuphatha umuthi.
3. Phula isikhwama sefoyile esivaliwe esinomuthi bese ususa ngokucophelela ifilimu encibilikayo.
4. Beka leyo filimu ngaphansi kolimi lwakho .
5. Yiyeke incibilike yodwa. Ungayinqumi, ungayichobozi, noma uyihlafune.
6. Ungasebenzisi okungaphezu kwesilinganiso esinqunywe udokotela.
Okubaluleke kakhulu, ungayeki ukuthatha lo muthi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Ukuwuyeka ngokuzumayo kungenza isimo sakho sibe sibi kakhulu futhi kubangele imiphumela emibi kakhulu.
Yini okufanele uyenze uma uphuza ngokweqile ?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
Kuthiwani uma ngiphuthelwa umthamo?
Lona akuwona umuthi odinga ukuthathwa izikhathi eziningi ngosuku. Usetshenziswa kuphela uma unesikhathi 'sokuphumula'. Ngakho-ke umqondo wokulahlekelwa umthamo awusebenzi lapha. Kodwa-ke, uma ungatholi impumuzo ezimpawini zakho ngemuva kokusebenzisa ifilimu eyodwa isikhathi 'sokuphumula', ungasebenzisi elinye ifilimu ngaleso sikhathi. Khuluma nodokotela wakho ngalokhu.
Eminye imithi engase ihlangane nalo muthi
I-Apomorphine umuthi ongasebenzisana neminye imithi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Ungayithathi nhlobo i-Apomorphine kanye nale mithi. | |
|---|---|
| Eminye imithi yokucanuzela/ukuhlanza (isib. i-dolasetron, i-granisetron, i-ondansetron, i-palonosetron) | |
| I-Cisapride, i-Dronedarone, i-Pimozide, i-Thioridazine | |
| Qaphela kakhulu uma uthatha i-Apomorphine kanye nale mithi. | |
| Utshwala | |
| Imithi yokukhathazeka noma yokulala | |
| Imithi yokwelapha umfutho wegazi, isifo senhliziyo, kanye nezinkinga zesigqi senhliziyo | |
| Imithi yobuhlungu edakayo | |
| I-Nitroglycerin | |
| I-Haloperidol, i-Metoclopramide, ama-Phenothiazines (isib. i-chlorpromazine, i-prochlorperazine) | |
| Eminye imithi ethinta isigqi senhliziyo (elula isikhathi se-QT) |
Lolu hlu aluphelele, ngakho qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uzikhumbule uma usebenzisa lo muthi
- Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ungasukumi endaweni yokuhlala noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile.
- Ukulala okungazelelwe: Abanye abantu bangase balale ngokuzumayo ngaphandle kwesixwayiso ngenkathi bethatha lo muthi. Lokhu kungenzeka ngenkathi beshayela, bekhuluma, noma bedla. Uma lokhu kwenzeka kuwe, tshela udokotela wakho ngokushesha.
- Izifiso ezingalawuleki: Abanye abantu babike ukuthi banezifiso ezinamandla zokwenza imisebenzi efana nokugembula, ukwenza ucansi, ukudla ngokweqile, noma ukuthenga ngenkathi bethatha lo muthi. Uma uhlangabezana nanoma yikuphi kwalokhu kuziphatha okungavamile, tshela udokotela wakho ngokushesha.
- Isicanucanu nokuhlanza: Lo muthi ungabangela isicanucanu esinzima nokuhlanza. Udokotela wakho angase akunike omunye umuthi ukuvimbela lokhu. Kodwa-ke, akuyona yonke imithi yesicanucanu engasetshenziswa nalo muthi. Ngakho buza udokotela wakho ukuthi yimuphi umuthi ofanele wena.
- Ukusetshenziswa kwe-Nitroglycerin: Uma uthatha i-Nitroglycerin, umfutho wegazi wakho ungase wehle ngokuzumayo uma uthatha i-Apomorphine. Ngakho-ke, uma uthatha iphilisi le-Nitroglycerin elingaphansi kolimi, kubaluleke kakhulu ukulala phansi ngaphambi nangemva kokulithatha. Lokhu kungasiza ekuvimbeleni isiyezi nokuwa.
Yimiphi imiphumela emibi engaba khona yomuthi?
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha |
|---|
| Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo |
| Ubuhlungu besifuba (i-Angina) - ubuhlungu, ingcindezi, noma ukuqina esifubeni, entanyeni, emhlane, noma ezingalweni |
| Ukudideka, imibono engekho |
| Ukulala ngokuzumayo ngenkathi wenza imisebenzi yansuku zonke |
| Izinguquko ekushayweni kwenhliziyo - ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula |
| I-Hemolytic anemia - ukukhathala okungavamile, ubuthakathaka, isiyezi, ikhanda elibuhlungu, ukuphelelwa umoya, umchamo omnyama, ukuphuzi kwesikhumba noma amehlo |
| Umfutho wegazi ophansi - isiyezi, ukuquleka, umbono ofiphele |
| Ukunyakaza okusha noma okwandisiwe okungalawulwa kobuso, umlomo, noma umzimba ongaphezulu |
| Izilonda zomlomo noma zomphimbo, ukubomvu, ukuvuvukala, kanye nobuhlungu |
| Ukuvuvukala kwamaqakala, izandla, noma izinyawo |
| Ukuvela kwezifiso ezingalawuleki ezishiwo ngenhla (njengokugembula, ukudla ngokweqile) |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza |
| Ukushintsha kokunambitheka emlonyeni |
| Ukozela |
| Ikhanda elibuhlungu |
| Isicanucanu |
| Impumulo egobhozayo noma impumulo evalekile |
Uwugcina futhi uwulahla kanjani umuthi?
- Gcina kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa evamile yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Gcina ephaketheni elivaliwe kuze kube yilapho selikulungele ukusetshenziswa.
- Buza udokotela wakho ngendlela ephephile yokulahla imithi ephelelwe yisikhathi noma engasadingeki.
Umlayezo Wokuya Nawe Ekhaya
- Ifilimu ye-Apomorphine sublingual iyimithi enikezwa izigameko 'ezingazelelwe' zesifo sikaParkinson, hhayi imithi yansuku zonke.
- Gcina izandla zakho zomile uma usebenzisa lokhu, kubeke ngaphansi kolimi lwakho bese ukuyekela kuncibilike. Ungalokothi ukuhlafune noma ukuchoboze.
- Lo muthi ungakwenza uzizwe ulele, ngakho-ke qaphela kakhulu lapho wenza imisebenzi edinga ukugxilisa ingqondo, ikakhulukazi uma ushayela.
- Uma uhlangabezana nezifiso ezingalawuleki noma eminye imiphumela emibi emibi, tshela udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
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