Ingabe kukhona umuntu emndenini wakho, mhlawumbe umama wakho, ubaba, ugogo noma umkhulu wakho, onesifo sikaParkinson? Kuyadabukisa kakhulu ukubabona behlushwa izimpawu ezifana nokuthuthumela, ukuqina, nokuhamba kancane, akunjalo? Ngakho-ke, namuhla sicabange ukuthi sizokhuluma ngeCarbidopa neLevodopa, okuyimithi ebaluleke kakhulu engasiza ekulawuleni lezi zimpawu futhi yenze impilo ibe lula kancane.
Lomuthi usebenza kanjani?
Kalula nje, ubuchopho bethu buqukethe isithunywa samakhemikhali esikhethekile esibizwa ngokuthi i-dopamine. Le dopamine ibalulekile ekuhleleni nasekulawuleni ukunyakaza kwemizimba yethu. Okwenzekayo kumuntu onesifo sikaParkinson ukuthi amangqamuzana asebuchosheni akhiqiza le dopamine abhujiswa kancane kancane. Bese izinga le-dopamine liyehla, bese kuvela izimpawu esikhulume ngazo, njengokuthuthumela nokuqina.
Ngakho-ke, le carbidopa; levodopa, umuthi osebenza ngokwandisa amazinga e-dopamine ebuchosheni futhi. Nakuba lokhu kungeke kuphulukise ngokuphelele lesi sifo, kungalawula kakhulu izimpawu futhi kusize isiguli ukuthi senze imisebenzi yansuku zonke kalula.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezibalwe ngezansi.
| Isimo sakho sempilo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Ukucindezeleka noma ezinye izifo zengqondo | Lo muthi ungashintsha ezinye izimo zengqondo. |
| Isifo sikashukela | Ushukela emchameni ungathinta imiphumela yokuhlolwa. |
| Isimo se-Glaucoma | Ukucindezeleka kwamehlo kungase kuthinteke. |
| Isifo senhliziyo, umlando wokuhlaselwa yinhliziyo, noma ukushaya kwenhliziyo okungajwayelekile | Isilinganiso senhliziyo kanye nomfutho wegazi kungathinteka. |
| Isifo sezinso noma sesibindi | Indlela umuthi okhishwa ngayo emzimbeni ingaba nemiphumela. |
| Izifo zamaphaphu (isib. i-asthma) | Kungase kube nobunzima bokuphefumula. |
| Izinkinga zesisu noma zamathumbu | Ukumuncwa kwemithi kanye nemiphumela emibi kungathinteka. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kufanele uxoxe nodokotela wakho ngemiphumela engaba khona enganeni. |
| Uma une-allergy kunoma yimuphi omunye umuthi, ukudla noma izinto ezisetshenziswayo | Ukuhlola ingozi yokuba nomzimba ongezwani nomuthi. |
Ngingawusebenzisa kanjani lo muthi?
Lo muthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi . Kubaluleke kakhulu ukuthatha umthamo ofanele, ngesikhathi esifanele, njengoba kunqunywe udokotela wakho. Ungakhulisi noma wehlise umthamo womuthi noma uwuyeke ngokuzumayo njengoba uzizwa uthanda. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Uma uyeka ukuthatha umuthi, yenza kanjalo kancane kancane, ngokwemiyalelo kadokotela wakho.
Okubalulekile: Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze nawe ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi, amavithamini, imithi yamakhambi, kanye notshwala obuthathayo kungase kuhlangane nalo muthi. Ngakho-ke, tshela udokotela wakho ngakho konke okuthathayo.
Ungawuthathi lo muthi kanye:
- Ama-MAOI, uhlobo lwemithi esetshenziswa ukwelapha izifo zengqondo (isib. iMarplan, iNardil, iParnate)
- I-Reserpine
- I-Tetrabenazine
Ungasabela futhi ngalezi zinto:
- Utshwala
- Izithasiselo zensimbi noma amavithamini
- Ama-antibiotic afana ne-Linezolid, i-Isoniazid (INH), i-Procarbazine, ne-Tedizolid
- Imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
- Imithi yokwelapha umfutho wegazi ophakeme
- Amaphilisi okulala
- I-Metoclopramide, i-Droperidol, i-Papaverine
- I-Rasagiline, i-Selegiline, i-Entacapone, i-Tolcapone (lena futhi eminye imithi esetshenziselwa isifo sikaParkinson)
Izinto okufanele uziqaphele lapho uthatha umuthi
Ingabe umphumela womuthi uzophela? (Umphumela wokuphelelwa yisikhathi)
Ngezinye izikhathi, njengoba umthamo olandelayo usufikile, umphumela womuthi ungase uphele futhi izimpawu zingase zibuye. Futhi, ngezinye izikhathi umuthi ungase uyeke ukusebenza umzuzu noma ihora bese uqala ukusebenza futhi. Lokhu kubizwa ngokuthi 'umphumela wokuvala'. Uma lokhu kwenzeka kuwe, ungabi namahloni utshele udokotela wakho. Angase akwazi ukulungisa umthamo noma isikhathi somuthi wakho ukuze aphathe lesi simo.
Qaphela ukudla nokuphuza.
Ukudla okucebile ngamaprotheni (isib. inyama, inhlanzi, amaqanda, ubisi, amantongomane) kunganciphisa ukumuncwa kwalomuthi. Ngakho-ke, gwema ukudla ukudla okucebile ngamaprotheni eduze nesikhathi osithatha ngaso umuthi. Kungcono ukuthatha umuthi imizuzu engama-30 ngaphambi noma ihora elilodwa ngemva kokudla. Kungcono ukukhuluma nodokotela wakho ngokudla kwakho bese uthola iseluleko.
Ukozela, isiyezi, kanye nokulala ngokuzumayo
Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lomuthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki endaweni yokuhlala ngokuzumayo. Linda imizuzwana embalwa ngaphambi kokuvuka kancane.
Abanye abantu bangase balale ngokuzumayo ngaphandle kwesixwayiso lapho bethatha lo muthi. Lokhu kungenzeka ngisho noma beshayela noma bekhuluma. Uma lokhu kwenzeka kuwe, tshela udokotela wakho ngokushesha.
Qaphela izilingo ezingavamile.
Akuvamile kakhulu, abanye abantu bangase babe nezifiso ezingavamile zokugembula, benze ucansi, badle ngokweqile, noma bachithe imali ngokungadingekile ngenkathi bethatha lo muthi. Lokhu kuwumphumela omubi womuthi. Uma wena noma othile emndenini wakho ebona noma yiluphi lwalezi zinguquko, kufanele utshele udokotela wakho ngokushesha.
Amanye amaphuzu
- Umchamo noma umjuluko wakho ungase ushintshe umbala ube mnyama (mnyama noma ubomvu) . Lokhu kuyinto evamile futhi akukho okufanele ukhathazeke ngakho. Kodwa-ke, kungase kungcolise izingubo zakho.
- Uma unesifo sikashukela, lo muthi ungase uthinte ukuhlolwa kukashukela komchamo (awuthinti ukuhlolwa kwegazi).
- Lo muthi ungabangela ukuntuleka kwe-vitamin B6. Ngakho-ke, khuluma nodokotela wakho mayelana nokudla ukudla okucebile nge-vitamin B6 (njenge-kale, isipinashi, amazambane).
Imiphumela emibi yomuthi
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okungajwayelekile, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka, ukucasuka, imibono engekho, imicabango yokuzibulala, ukucindezeleka okukhulu. |
| Ukunyakaza okungalawuleki | Ukunyakaza okusha noma okwandayo okungalawuleki kobuso, umlomo, noma umzimba ongaphezulu. |
| Ukopha kwesisu | Indle emnyama noma ephuzile, ukuhlanza okufana nekhofi. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ubumnyama bamathe, umjuluko, nomchamo | Lokhu ngokuvamile akulona ingozi. |
| Isiyezi kanye nokozela | Lokhu kuvamile. |
| Ikhanda elibuhlungu kanye nesicanucanu | Tshela udokotela wakho uma lezi zimpawu ziqhubeka. |
Umlayezo Wokuya Nawe Ekhaya
- I-Carbidopa; I-Levodopa akuyona ikhambi lesifo sikaParkinson, kodwa umuthi olawula izimpawu futhi wenze impilo ibe lula.
- Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
- Qaphela imiphumela emibi efana nokulala okungazelelwe, ukushintshashintsha kwemizwa, kanye nezifiso ezingavamile. Uma ubona noma yiziphi izinguquko, tshela udokotela wakho ngokushesha.
- Ukudla okunamaprotheni amaningi kunganciphisa ukusebenza kahle komuthi. Ngakho-ke, khuluma nodokotela wakho ngokudla kwakho.
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