Ukwelashwa okusha kwesifo sikaParkinson: Ake sifunde ngeCarbidopa; iLevodopa Suspension!

Isifo sikaParkinson ngezinye izikhathi singenza kube nzima ukwenza imisebenzi yansuku zonke , akunjalo? Ukuphila nezimpawu ezifana nokuqina nokuthuthumela akulula. Kodwa-ke, ngokuthuthuka kwesayensi yezokwelapha, kunezelwa izindlela ezintsha zokwelashwa ukulawula lezi zimpawu. Namuhla sizokhuluma ngenye yezindlela zokwelashwa ezinjalo. Lokho `i-Carbidopa; i-Levodopa Suspension` . Lokhu akufani namaphilisi avamile, kodwa umuthi onikezwa umzimba ngendlela ehluke kancane.

Uyini lomuthi? Usebenza kanjani?

Kalula nje, i-'Carbidopa; i-Levodopa' umuthi onikezwa ukuqeda izimpawu zesifo sikaParkinson. Ubuwazi, kukhona ikhemikhali ebizwa ngokuthi i- 'Dopamine' esiza ukulawula ukunyakaza kobuchopho bethu. Esifweni sikaParkinson, izinga le-'Dopamine' ebuchosheni liyehla. Ngakho-ke, lo muthi wandisa inani le-'Dopamine' ebuchosheni futhi unciphisa izimpawu ezifana nokuqina nokuthuthumela emzimbeni.

Odokotela ngezinye izikhathi bangase bakunike lo muthi kwezinye izimo. Uma unemibuzo ngawo, buza udokotela wakho noma usokhemisi. Igama lomkhiqizo walo muthi yi-'Duopa'.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale lokhu kwelashwa, kubaluleke kakhulu ukutshela ithimba lakho lokunakekela ngezinto ezithile. Uma unezinye zezimo ezilandelayo, kufanele nakanjani ubatshele:

• Isifo sikashukela
• Uma ungumuntu ophuza utshwala
• Isimo se-Glaucoma
• Isifo senhliziyo
• Umfutho wegazi ophakeme
• Uma uke waba nokushaya kwenhliziyo okungajwayelekile ngaphambilini
• Isifo sezinso
• Isifo sesibindi
• Umfutho wegazi ophansi
• Izifo zamaphaphu noma zokuphefumula (isb. i-asthma)
• Ukushintsha kwesimo sengqondo noma ukuziphatha
• I-Narcolepsy
• Ukuphefumula komoya ngesikhathi sokulala
• Izinkinga zesisu noma zamathumbu
• Imicabango, amacebo, noma imizamo yokuzibulala; uma wena noma ilungu lomndeni wake wakwenza lokho
• Uma uke waba nokusabela okungavamile noma okungezwani ne-levodopa, i-carbidopa, eminye imithi, ukudla, udayi noma izithasiselo
• Uma ukhulelwe noma uzama ukukhulelwa
• Uma ungumama oncelisayo

Uma udokotela esezazi lezi zinto, uzokwazi ukukwelapha ngendlela efanele kakhulu.

Ngingawusebenzisa kanjani lo muthi?

Njengoba lo umuthi ungowekhethelo, kubalulekile ukuwuqonda kahle.

Umthamo wakho wemithi owunqunyiwe uzolungiswa yithimba lakho lezempilo bese ufakwa 'ephampini' encane. Uzoqala ukhonjiswe ukuthi ungayisebenzisa kanjani le 'khasethi' nephampu. Kufanele futhi ufunde 'Imiyalelo Yokusebenzisa' ngokucophelela. Ithimba lakho lezempilo kuphela elizoshintsha umthamo wakho wemithi, futhi kuphela uma likhona. Ungayeki ukuthatha lo muthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.

Lo muthi kufanele usetshenziswe ekushiseni kwegumbi. Khipha ikhasethi yemithi esiqandisini bese uyikhipha ebhokisini imizuzu engama-20 ngaphambi kokuyisebenzisa. Sebenzisa uma usufinyelele izinga lokushisa legumbi, ngaphandle kwalokho ungase ungatholi umthamo ofanele womuthi.

Lo muthi uzoqhubeka nokunikezwa emzimbeni wakho amahora angu-16. Lokhu kwenziwa kusetshenziswa ipompo encane, njenge-CADD-Legacy 1400. Lepompo izoletha umuthi usuka ekhasethini uye eshubhu lakho le-PEG-J (ithubhu ekhethekile efakwa esiswini sakho iye emathunjini akho amancane). Ikhasethi ngayinye ingasetshenziswa kanye kuphela. Ungasebenzisi kabusha ikhasethi evuliwe. Futhi, akukhuthazwa ukusebenzisa ikhasethi amahora angaphezu kwangu-16.

Ngemva kokuphela kwesikhathi samahora angu-16 somuthi, susa ipompo epayipini le-PEG-J. Bese ugeza ipayipi lakho le-PEG-J ngesirinji egcwele amanzi okushisa kwegumbi. Ngemva kwalokhu kufakwa kwansuku zonke, kufanele uphuze amaphilisi akho avamile omlomo we-carbidopa-levodopa ebusuku njengoba kuyalelwe. Uma ungakwazi ukuthatha lokhu kufakwa nganoma yisiphi isizathu, gcina amanye amaphilisi avamile e-carbidopa-levodopa eduze.

Lomuthi awunikezwa izingane ezincane.

Okubalulekile: Lo muthi ungowakho kuphela. Ungawubelani nabanye.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Kuthiwani uma ngiphuthelwa umthamo wemithi?

Uma nganoma yisiphi isizathu ukumnika kwakho kumiswe isikhathi esingaphezu kwamahora amabili phakathi nesikhathi samahora ayi-16, shayela ithimba lakho lezempilo bese uthatha amaphilisi akho e-carbidopa-levodopa njengoba kuyalelwe kuze kube yilapho ukumnika kuqala futhi. Uma ukumnika kumiswe isikhathi esingaphansi kwamahora amabili, awudingi ukuthatha amaphilisi, kodwa ithimba lakho lezempilo lingakutshela ukuthi uthathe umthamo owengeziwe wokumnika.

Hlala ugcina amaphilisi e-carbidopa-levodopa akhishwa ngokushesha eduze uma ungakwazi ukuthola umuthi wokumnika.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Eminye imithi ingasebenzisana neCarbidopa; iLevodopa. Lokhu kusho ukuthi izinkinga zingavela uma zithathwa ndawonye. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi emithi, kanye nezithasiselo.

Ungawuthathi lo muthi kanye nemithi elandelayo:

• Izidakamizwa zohlobo lwe-`MAOI` (isb. `Marplan`, `Nardil`, `Parnate`)
• `I-Reserpine`
• `I-Tetrabenazine`

Le mithi ingasebenzisana futhi:

• Utshwala
• `I-Droperidol`
• `I-Entacapone`
• Izithasiselo zensimbi noma amavithamini amaningi anensimbi
• `Isoniazid (INH)`
• `I-Linezolid`
• Imithi yokucindezeleka, ukukhathazeka, noma ukuphazamiseka kwengqondo
• Imithi yokwelapha umfutho wegazi ophakeme
• Amaphilisi okulala
• 'I-Metoclopramide'
• `I-Papaverine`
• `I-Procarbazine`
• `I-Tedizolid`
• `I-Rasagiline`
• `Selegiline`
• `I-Tolcapone`

Lolu hlu lungase lungaphelele, ngakho tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Ithimba lakho lezokwelapha lizohlola impilo yakho njalo ngenkathi uthatha lo muthi. Qiniseka ukuthi uyawagcina ama-aphoyintimenti akho. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma zibonakala ziba zimbi kakhulu. Ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu.

Indlela yokunakekela ishubhu le-PEG-J

Ithimba lakho lezokwelapha lizokutshela ukuthi ungayinakekela kanjani indawo yakho yepayipi le-PEG-J. Qapha indawo njalo ukuze uthole izimpawu zokutheleleka. Inqubo yokufaka ipayipi le-PEG-J ingabangela izinkinga zesisu noma zamathumbu. Uma unezinhlungu esiswini, ukuqunjelwa izinsuku eziningana, isicanucanu, ukuhlanza, umkhuhlane, noma indle emnyama, tshela ithimba lakho lezokwelapha ngokushesha.

Uma ithubhu le-PEG-J liqhekeka, libhidlika, noma linamathela, izimpawu zikaParkinson zingase zibe zimbi kakhulu noma ukushintshashintsha kwemisipha kungabuya. Uma lokhu kwenzeka, khuluma nodokotela wakho.

Ukudla

Ukudla ukudla okunamaphrotheni amaningi kungathinta indlela lo muthi osebenza ngayo. Uma ushintsha indlela odla ngayo, khuluma nodokotela wakho ngakho.

Ukozela kanye nesiyezi

Ungase uzizwe ulele noma unesizungu. Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungavuki noma uhlale phansi ngokushesha, ikakhulukazi uma usukhulile. Lokhu kunganciphisa ingozi yokuba nesizungu nokuwa. Utshwala bungaphazamisa indlela lo muthi osebenza ngayo. Ngakho gwema ukuphuza utshwala.

Ukulala okungazelelwe

Uma uthatha lo muthi, ungalala ngokuzumayo ngaphandle kwesixwayiso. Ungalala ngenkathi ushayela, ukhuluma, noma udla. Ungase ungazizwa ulele ngaphambi kokuba ulale. Uma lokhu kwenzeka kuwe, tshela udokotela wakho ngokushesha.

Ukuziphatha okungenangqondo

Abanye abantu babike ukuthi banezifiso zobulili ezandayo noma ezinye izifiso ezinamandla, njengokugembula noma ukudla ngokweqile, ngenkathi bethatha lo muthi. Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha okukhulu.

Impilo yengqondo

Iziguli kanye nemindeni yazo kufanele ziqaphele ukucindezeleka okusha noma okubi kakhulu kanye nemicabango yokuzibulala. Uma uzizwa ucindezelekile noma unemicabango yokuzibulala, shayela ithimba lakho lezempilo ngokushesha.

Imiphumela 'yokuguguleka' kanye 'neyoku-On-Off'

Ngaphambi kokuba kufike isikhathi sokuthatha umthamo wakho olandelayo, ungase uzizwe umuthi uphela (umphumela 'wokuphela'). Futhi, ngezinye izikhathi umuthi ungase uyeke ukusebenza imizuzu embalwa kuya emahoreni ambalwa bese uqala ukusebenza futhi ngokuzumayo (umphumela 'wokuphela'). Uma unalezi zimpawu, tshela udokotela wakho. Umthamo wakho ungase udinge ukulungiswa.

Kwabanesifo sikashukela

Uma unesifo sikashukela, ungathola umphumela ongelona iqiniso uma uhlola ushukela emchameni wakho. Khuluma nodokotela wakho ngalokhu.

Ukushintsha kombala womchamo noma wokujuluka

Lomuthi ungabangela ukuthi umchamo noma umjuluko wakho ube mnyama noma ube bomvu ngombala. Lokhu akusona isizathu sokukhathazeka. Kodwa-ke, ungangcolisa izingubo.

I-Vitamin B6

Lo muthi ungase wehlise amazinga akho e-vitamin B6. Ngakho-ke, kufanele uqiniseke ukuthi uthola i-vitamin B6 eyanele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla namavithamini owathathayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ayibi yingozi kangako.

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo
• Ukuvaleka kwamathumbu - ukuqaqamba okukhulu kwesisu, ukungakwazi ukukhipha indle noma ukuphuma umoya, ukulahlekelwa yisifiso sokudla, ukuhlanza
• Ukulala ngesikhathi somsebenzi wansuku zonke
• Ukushintsha kwesigqi senhliziyo - ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula
• Umfutho wegazi ophansi - isiyezi, ukuquleka, umbono ofiphele
• Ukushintsha kwesimo sengqondo nokuziphatha - ukukhathazeka, ukungahlaliseki, ukudideka, ukubona izinto ezingekho, ukucasuka, ubutha, imicabango yokuzibulala, ukucindezeleka
• Ukunyakaza okusha noma okunzima okungalawulwa kobuso, umlomo, noma umzimba ongaphezulu
• Ubuhlungu, ukuqaqamba, noma ukungazweli emilenzeni
• Ukutheleleka kwendawo - ukubomvu, ukuvuvukala, ukufudumala, noma ubuhlungu endaweni yokufaka ithubhu
• Ukopha kwesisu - indle emnyama enegazi noma ephuzile, ukuhlanza izinto ezinsundu ezibukeka njengezitsha zekhofi
• Ubuhlungu bamehlo noma ukushintsha kombono ngokuzumayo (isib., umbono ofiphele, ukubona indandatho eduze kokukhanya, ukulahlekelwa umbono)
• Unesifiso esingavamile sokuzibandakanya ekuziphatheni okungazelelwe, njengokugembula, ukudla ngokweqile, ukuzibandakanya emsebenzini wobulili, noma ukuthenga.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Ukushintsha kombala wamathe, umjuluko, noma umchamo okubomvu noma okumnyama
• Isiyezi
• Ukozela
• Ikhanda elibuhlungu (Kubonakala sengathi livela kolunye ulimi, igama lesiSinhala elifanele lithi: Ikhanda elibuhlungu )
• Isicanucanu

Lolu hlu lungase lungaphelele. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.

Ngingawugcina kanjani lo muthi?

• Gcina kude nezingane.
• Gcina amakhasethi angavulwanga esiqandisini kuma-degree Celsius angu-2 kuya kwangu-8 (36 kuya ku-46 degrees Fahrenheit). Ungayiqandisi. Vikela ikhasethi ekukhanyeni bese uyigcina ebhokisini kuze kube yilapho isetshenziswa. Sebenzisa ngaphambi kosuku lokuphelelwa yisikhathi. Lahla umuthi ophelelwe yisikhathi.
• Lahla ibhokisi ngemva kwamahora angu-16 ulikhiphe esiqandisini, ngemva kokulivula, noma ngesikhathi sokulisebenzisa, noma ngabe lisaqukethe umuthi. Sebenzisa ngaphambi kosuku lokuphelelwa yisikhathi.

Kufanele kuqashelwe:Lesi sihloko siyisifinyezo kuphela. Singase singabi nalo lonke ulwazi. Uma unemibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake siphinde sixoxe ngezinto ezibaluleke kakhulu esikhulume ngazo:

• Lo "Carbidopa; Levodopa Suspension" uyindlela ethile yokwelapha esiza ukulawula izimpawu ze-Parkinson's.
• Lokhu kunikezwa emzimbeni nge-'pump' kanye ne-'PEG-J tube'.
• Kufanele nakanjani utshele udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
• Landela imiyalelo kadokotela wakho ngqo yokuthi ungawusebenzisa kanjani umuthi nokuthi ungayinakekela kanjani ithubhu le-PEG-J.
• Qaphela izinto ezifana nokozela, ukuqala kokulala ngokuzumayo, ukushintsha kwemizwa, kanye nokuziphatha okungazelelwe. Uma ubona noma yini engavamile , tshela udokotela wakho ngokushesha.
• Ungayeki ukuthatha umuthi ngokuzumayo.
• Uma kuvela imiphumela emibi, ikakhulukazi uma inzima kakhulu, funa iseluleko sezokwelapha ngokushesha.

Nakuba ukuphila nesifo sikaParkinson kungaba yinselele, ngokwelashwa okufanele kanye neseluleko sezokwelapha, ungakwazi ukulawula izimpawu zakho futhi uphile impilo engcono. Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka ongase ube nakho. Ngaleyo ndlela, ungathola usizo oludingayo.

I- Carbidopa, i-Levodopa, isifo sikaParkinson, i-Dopamine, i-PEG-J tube, imiphumela emibi yemithi, ukwelashwa kukaParkinson