Ingabe wena noma othile emndenini wakho unesifo sikaParkinson? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike iphilisi elenziwe ngokuhlanganisa le mithi emithathu. Nakuba igama lalo muthi lingase libonakale liyinkimbinkimbi kancane, uma usuqonda ukuthi usebenza kanjani, lilula kakhulu. Namuhla, ake sixoxe ngalo muthi, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele, ngendlela enobungane nelula.
Kwenzekani uma lezi zidakamizwa ezintathu zihlanganiswa?
Kalula nje, lokhu kuyinhlanganisela yemithi emithathu: i-Carbidopa, i-Levodopa, ne-Entacapone . Iqhawe eliyinhloko laleli philisi yi-Levodopa. Isifo sikaParkinson sibangelwa ukwehla kwekhemikhali ethi 'Dopamine' ebuchosheni bethu. Umuthi obizwa ngokuthi i-Levodopa usebenza ngokuya ebuchosheni futhi usize ekwakheni kabusha le dopamine enciphile.
Ngakho-ke kwenzekani kwezinye izidakamizwa ezimbili? Cabanga ukuthi iLevodopa ingumuntu ophethe umyalezo obalulekile.
- I-Carbidopa ifana nomqaphi ovikela umuntu ezinkingeni endleleni (ekuphukeni kwesidakamizwa kwezinye izingxenye zomzimba ngaphambi kokufika ebuchosheni).
- I-Entacapone ifana nomunye umsizi oqinisa umsebenzi womlindi futhi avumele i-Levodopa ukuthi isebenze isikhathi eside futhi ngempumelelo.
Uma lezi zintathu zihlangana, zingaba usizo olukhulu ekulawuleni izimpawu zikaParkinson (njengokuthuthumela, ukuthuthumela, nokuhamba kancane).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele ngaphambi kokukunikeza lo muthi. Lokhu kungenxa yokuthi sidinga ukuqaphela kakhulu lapho sisebenzisa lo muthi ngezimo ezithile zezokwelapha. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Ukugula noma isimo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Ukucindezeleka noma ezinye izifo zengqondo | Lo muthi ngezinye izikhathi ungathinta izimo zengqondo. |
| Isifo sikashukela | Umuthi ungathinta amazinga kashukela egazini. |
| Isimo se-Glaucoma | Ngoba kungathinta ukucindezeleka kwamehlo. |
| Isifo senhliziyo, umlando wokuhlaselwa yinhliziyo, ukushaya kwenhliziyo okungajwayelekile | Isilinganiso senhliziyo kanye nomfutho wegazi kungathinteka. |
| Isifo sezinso noma sesibindi | Ngoba kuthinta inqubo yokususa umuthi emzimbeni. |
| Izifo zamaphaphu ezifana ne-asthma | Ngezinye izikhathi uhlelo lokuphefumula lungathinteka. |
| I-apnea yokulala noma i-narcolepsy | Ngoba lo muthi ungabangela ukozela. |
| Izilonda zesisu noma izifo zamathumbu | Ingozi yemiphumela ethile emibi inganda. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kufanele ukhulume nodokotela wakho ngemiphumela engaba khona enganeni yakho. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Qaphela ukuthi kungenzeka ukuthi kube nokungezwani komzimba nalo muthi. |
Uyisebenzisa kanjani le mithi?
- Gwinya iphilisi ngengilazi yamanzi. Lithathe njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele.
- Okubaluleke kakhulu: Ungaliphuli, ulichoboze, noma ulihlafune iphilisi. Ligwinye lonke.
- Qaphela ngokudla: Lo muthi ungathathwa nokudla noma ngaphandle kokudla. Kodwa-ke, qaphela lapho uthatha umuthi.Gwema ukudla ukudla okunamafutha amaningi, amakhalori, kanye namaprotheni (njengenyama, inhlanzi, amaqanda, kanye nemikhiqizo yobisi) , njengoba lokhu kudla kunganciphisa ukumuncwa kweLevodopa. Khuluma nodokotela wakho ngokudla kwakho.
- Ungaphuthelwa umthamo: Thatha umuthi wakho ngesikhathi. Ungathathi ngaphezu komthamo onqunyiwe noma uyeke ukuwuthatha ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungaba nemiphumela emibi kakhulu.
- Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha iphilisi elilandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Okubalulekile: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo), njengoba eminye imithi ingase ihlangane nalena.
Ikakhulukazi, imithi ye -MAOI (Monoamine Oxidase Inhibitors) yesifo sengqondo (isib. iMarplan, iNardil, iParnate) akufanele isetshenziswe kanye nalo muthi.
Ngaphezu kwalokho, lo muthi ungasebenzisana nalokhu okulandelayo:
- Utshwala
- Izithasiselo zensimbi - Uma uthatha izithasiselo zensimbi, zithathe amahora ama-2 ngaphambi noma ngemva kokuthatha lo muthi.
- Eminye imithi yokwelapha umfutho wegazi ophakeme
- Imithi yokugula ngengqondo, ukukhathazeka, kanye nokulala
- Amanye ama-antibiotic (isib. i-ampicillin, i-erythromycin, i-rifampin)
- Imithi yokwelapha ubuhlungu
- I-Warfarin (umuthi osetshenziselwa ukuvimbela ukujiya kwegazi)
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo.
Amaphuzu akhethekile okufanele acatshangelwe ngenkathi uthatha umuthi
Ukozela kanye nokulala okungazelelwe
Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngezinye izikhathi, ngaphandle kwesixwayiso , ungase ulale ngenkathi ushayela noma ukhuluma. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki ngokushesha endaweni ohleli kuyo noma omile. Lokhu kunganciphisa ingozi yokuba nesizungu nokuwa.
Imizwa kanye nokuziphatha okungavamile
Akuvamile kakhulu ukuthi abanye abantu abasebenzisa lo muthi babikwe ukuthi banezifiso ezingavamile. Isibonelo, bangase babe nesifiso esinamandla sokugembula, babe nobulili, basebenzise imali ngokungadingekile, noma badle ngokweqile. Uma wena noma umndeni wakho nibona noma yiluphi lwalezi zinguquko, tshela udokotela wakho ngokushesha.
Umphumela 'wokuguguleka' kanye 'nowokucinywa'
Ngezinye izikhathi, njengoba umthamo olandelayo womuthi usondela, kungase kuzwakale sengathi umuthi ulahlekelwa ukusebenza kwawo futhi izimpawu ze-Parkinson yakho ziyabuya. Lokhu kubizwa ngokuthi umphumela 'wokukhathala'. Ngezinye izikhathi, kungase kuzwakale sengathi umuthi awusebenzi nhlobo (isikhathi 'sokungasebenzi'), bese uqala ukusebenza futhi ngemva kwesikhashana (isikhathi 'sokungasebenzi'). Uma lokhu kwenzeka kuwe, tshela udokotela wakho. Angase akwazi ukulungisa umthamo wakho.
Ukushintsha kombala womchamo nokujuluka
Lomuthi ungase uguqule umchamo wakho, amathe, noma umjuluko ube nsundu ngokumnyama, ube bomvu, noma ube mnyama. Lokhu akuyona into okufanele ukhathazeke ngayo. Kodwa-ke, qaphela ngoba kungangcolisa izingubo.
Nakekela isikhumba sakho.
Ngesikhathi uthatha lo muthi, hlola isikhumba sakho njalo ukuze ubone izinguquko kuma-moles akho akhona noma ukubukeka kwama-moles amasha. Tshela udokotela wakho uma ubona noma yiziphi izinguquko.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Iningi lawo alilibi kangako. Kodwa kunezinto ezithile okudingeka siziqaphele.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| • Ukusabela kokungezwani komzimba okufana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi | • Ukunyakaza okungalawuleki kwezandla, ubuso, umlomo, intamo, noma umzimba ongaphezulu |
| • Ukulala okungazelelwe | • Izinguquko esimweni sengqondo noma ekuziphatheni, imibono engekho |
| • Ukushaya kwenhliziyo okusheshayo, okungajwayelekile | • Ubuhlungu besisu, umkhuhlane, ubuhlungu bemisipha |
| • Isiyezi, ukuquleka | • Ubunzima bokuchama noma ushintsho enanini lomchamo |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| • Ukuqunjelwa | • Ikhanda elibuhlungu |
| • Ukulahlekelwa yisifiso sokudla | • Ukuphazamiseka kwesisu, isicanucanu |
| • Ubunzima bokulala | • Umlomo owomile |
Umlayezo Wokuya Nawe Ekhaya
- Thatha lo muthi njengoba nje udokotela emyalile, ngesikhathi esifanele, nangesilinganiso esifanele. Ungaliphuli noma ulichoboze iphilisi.
- Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo.
- Uma uzwa ubuthongo obungazelelwe noma ukuphazamiseka kwengqondo okungavamile ngenkathi uthatha umuthi, tshela udokotela wakho ngokushesha.
- Gwema ukudla ukudla okuneprotheyini nensimbi eningi ngesikhathi uthatha umuthi. Khuluma nodokotela wakho ngalokhu.
- Uma unemibuzo noma ukukhathazeka ngempilo yakho, ungesabi ukukhuluma nodokotela wakho.
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