Siyazazi izinselele zokuphila nesifo sikaParkinson. Ngezinye izikhathi kungaba nzima kakhulu ukwenza imisebenzi yansuku zonke enezimpawu ezifana nokuthuthumela nokuqina komzimba. Ngakho-ke, udokotela wakho kungenzeka ukuthi ukunike imithi ehlukahlukene yokulawula lezi zimpawu. Uma usuvele uthatha iCarbidopa neLevodopa, omunye umuthi obalulekile osetshenziswa nazo yi-Opicapone. Ake sixoxe ngalo muthi ngendlela elula nenobungane namuhla.
Iyini i-Opicapone? Isebenza kanjani?
Kalula nje, i-Opicapone umuthi osiza ukulawula izimpawu ze-Parkinson's. Ngokuvamile awunikezwa wodwa, kodwa unikezwa kanye nemithi osuvele uyithatha, i-Carbidopa kanye ne-Levodopa.
Cabanga nje, kukhona ikhemikhali ebalulekile ebuchosheni bethu elawula ukunyakaza okubizwa ngokuthi i-dopamine . Esifweni sikaParkinson, izinga lale dopamine ebuchosheni liyehla. Umuthi i-Levodopa usebenza ngokuya ebuchosheni bese uwuguqula ube yi-dopamine. Kodwa i-dopamine ekhiqizwayo isheshe iphulwe umzimba.
Yilapho i-Opicapone ingena khona. Lo muthi usebenza ngokuvimbela ukuwohloka kwe-dopamine nokusiza ukuyigcina ebuchosheni isikhathi eside. Kufana nokuvala imbobo ebhakedeni lamanzi nokugcina amanzi isikhathi eside. Ngenxa yalokho, izimpawu zomzimba wakho njengokuqina nokuthuthumela zilawulwa kangcono.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Nakuba i-Opicapone ingumuthi ophephile kubantu abaningi, ingase ihlangane nezimo ezithile zempilo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala lo muthi.
| Isimo noma umkhuba okufanele uwubike | Kungani kufanele wazise udokotela? |
|---|---|
| Uma uphuza utshwala njalo | Utshwala lungandisa imiphumela emibi yomuthi (ikakhulukazi isiyezi kanye nokozela). |
| Uma unesifo sezinso noma sesibindi | Lezi zitho zomzimba zinesibopho sokususa izidakamizwa emzimbeni. Uma ukusebenza kwazo kuphazamiseka, umthamo womuthi kungadingeka ulungiswe. |
| Uma une-blood pressure ephansi | Lomuthi ngezinye izikhathi ungawehlisa kakhulu umfutho wegazi. |
| Uma unezifo ezihlobene nokulala (isib. i-Narcolepsy, i-sleep apnea) | Ingozi yokulala ngokuzumayo inganda ngenxa yemithi. |
| Uma unezifo zengqondo ezifana ne-schizophrenia | Ezinye izimpawu zengqondo zingashintsha ngenxa yalo muthi. |
| Uma une-allergies ku-Opicapone noma eminye imithi, ukudla, noma udayi. | Lokhu kubalulekile ukuvimbela ukungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kubalulekile ukwazisa udokotela wakho ukuqinisekisa ukuphepha kwalomuthi ngesikhathi sokukhulelwa nokuncelisa. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Ukuze uthole okuningi ngomuthi, kubaluleke kakhulu ukuwusebenzisa njengoba kuqondiswe.
- Thatha nengilazi yamanzi: Gwinya leli philisi lonke nengilazi yamanzi.
- Thatha isisu esingenalutho: Lena yinto ebaluleke kakhulu. Kufanele uthathe lo muthi okungenani ihora ngaphambi noma ngemva kokudla . Lokhu kungenxa yokuthi ukuwuthatha nokudla kuzonciphisa ukumuncwa komuthi emzimbeni. Isibonelo, uma udla ngo-8 ebusuku, kungcono ukuthatha umuthi ngemva kuka-9 ebusuku.
- Ungayeki kuze kube yilapho udokotela wakho ekuyala ukuthi: Kungakhathaliseki ukuthi uzizwa kahle kangakanani, ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo, yeqa. Thatha iphilisi elilodwa kuphela ngesikhathi esilandelayo esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
- Uma uphuza umuthi omningi kakhulu: Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungesabi. Shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungabelani ngomuthi wakho nabanye. Kungaba yingozi kubo.
Eminye imithi engase ihlangane ne-Opicapone
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo. Eminye imithi ingasebenzisana ne-Opicapone futhi ibangele izimo eziyingozi.
| Ungalokothi uthathe lo muthi kanye nalo muthi! (INGOZI ENKULU) | |
|---|---|
| Umuthi wohlobo lwe-MAOI | Imithi efana neMarplan, iNardil, neParnate. Lena imithi esetshenziselwa ukwelapha ukucindezeleka. Ukuthatha lokhu nge-opicapone kungabangela umfutho wegazi ophakeme ngendlela eyingozi. |
| Ungase usabele ngalezi zinto - tshela udokotela wakho. | |
| Utshwala | Kwandisa ukozela kanye nesiyezi. |
| Imithi yomkhuhlane kanye nokungezwani komzimba (ama-Antihistamine) | Kungandisa ukozela. |
| Imithi yokukhathazeka noma yokulala | Ubuthongo obukhulu bungase buvele. |
| Eminye imithi yokucindezeleka | Isibonelo: i-amitriptyline, i-fluoxetine, i-sertraline |
| Imithi ethile yokuquleka | Isibonelo: i-phenobarbital, i-primidone |
| Ezinye izidakamizwa ezivamile zokubulala izinzwa kanye nemithi esetshenziswa ukukhulula imisipha ngesikhathi sokuhlinzwa | Yazisa udokotela wezinzwa ngayo yonke imithi oyithathayo ngaphambi kokuhlinzwa. |
| Ama-opioid (izibulala-zinhlungu) | Kungase kube nezinkinga zobuthongo nokuphefumula. |
| Izidakamizwa ezifana ne-Dobutamine, i-Dopamine, i-Epinephrine, ne-Norepinephrine | Lezi izidakamizwa ezivame ukusetshenziswa ezibhedlela ezimweni eziphuthumayo. |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngakho konke okuthathayo, okuhlanganisa amavithamini, imithi yendabuko (umuthi wesiSinhala), kanye nezithasiselo .
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
Uma uthatha lo muthi, kunezinto eziningana okufanele uziqaphele ukuze uphephe futhi ube nenhlalakahle.
Ukulala okungazelelwe
Lokhu kungase kuzwakale kungavamile, kodwa empeleni kungenzeka. Abanye abantu bangalala ngaphandle kwesixwayiso ngenkathi benza lokho abakwenzayo ngenkathi bethatha lo muthi. Cabanga ukuthi kungaba yingozi kangakanani uma ushayela imoto noma ukhuluma nothile.
- Uma lokhu kwenzeka kuwe: Tshela udokotela wakho ngokushesha.
- Ukuze uphephe: Gwema imisebenzi eyingozi njengokushayela, ukusebenza ezindaweni eziphakeme, noma ukusebenzisa imishini uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
Izinkinga zokulawula umfutho
Lokhu futhi kuyimiphumela emibi engavamile, kodwa ebalulekile, yalo muthi. Abanye abantu bangase babe nezifiso ezijulile lapho bethatha lo muthi ababengenawo ngaphambili.
- Isifiso esinamandla sokugembula.
- Intshisekelo engavamile ekuziphatheni ngokocansi.
- Ukudla ngokweqile.
- Ukuchitha imali ngokungadingekile nokuthenga izinto.
Akulona iphutha lakho lokhu, lokhu kungaba umphumela omubi womuthi. Uma wena noma umndeni wakho nibona lolu hlobo loshintsho ekuziphatheni kwenu, ningabi namahloni noma ningesabi, tshela udokotela wakho ngokushesha.
Isiyezi kanye nokuquleka
Ungase uzizwe unesiyezi futhi amehlo akho angase abe luhlaza okwesibhakabhaka, ikakhulukazi uma uvuka endaweni yokuhlala noma uma uvuka embhedeni. Lokhu kungenxa yokuthi umfutho wegazi lakho wehla ngokuzumayo.
- Okufanele ukwenze: Uma ushintsha izikhundla , zishintshe kancane. Ungavuki konke ngesikhathi esisodwa, linda isikhashana ngaphambi kokuvuka.
- Lesi simo singaba sibi kakhulu uma uphuza utshwala.
Ungayeki ukuthatha umuthi ngokuzumayo.
Lokhu kubaluleke kakhulu. Uma uyeka ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho, ungase ube nokusabela okubi njengomkhuhlane, ukuqina kwemisipha, kanye nokushintsha kokuqaphela. Uma udinga ukuyeka ukuthatha umuthi, udokotela wakho uzonciphisa kancane kancane umthamo.
Umlomo owomile
Abanye abantu bangase babe nomlomo owomile lapho bethatha lo muthi.
- Amakhambi: Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, nokuphuza amanzi amancane usuku lonke kungasiza. Uma lokhu kuqhubeka, tshela udokotela wakho.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Opicapone ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukulala okungazelelwe | Ukulala ngenkathi wenza imisebenzi yansuku zonke. |
| Ukuphupha izinto ezingekho | Ukubona noma ukuzwa izinto ezingekho. |
| Umfutho wegazi ophansi | Isiyezi esikhulu, ukuquleka, umbono ofiphele. |
| Ukunyakaza okungalawuleki (i-Dyskinesia) | Ukunyakaza okusha noma okwandayo okungalawuleki kobuso, umlomo, noma umzimba ongaphezulu. |
| Izinguquko zokuziphatha | Izifiso ezingalawuleki, njengokugembula okukhulunywe ngakho ngenhla kanye nokusebenzisa imali ngokweqile. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | - |
| Isiyezi | - |
| Umlomo owomile | - |
| Inkinga yokulala | - |
Uyigcina futhi uyilahle kanjani imithi ngokuphephile?
- Indawo Yokugcina: Gcina imithi kude nezingane nezilwane ezifuywayo . Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Ungasebenzisi imithi ephelelwe yisikhathi.
- Ukususwa:Indlela engcono kakhulu yokuqeda imithi ephelelwe yisikhathi noma engadingeki ukubuza udokotela wakho ngohlelo lapho ungawabuyisela khona. Uma lokho kungenzeki, susa amaphilisi ebhodleleni, uwaxube namaqabunga etiye asetshenzisiwe, izingcezu zekhofi, noma okuthile okubolile, uwafake esikhwameni esivalwe kahle, bese uwaphonsa emgqonyeni kadoti. Ungalokothi uwahlanze endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- I-Opicapone umuthi onikezwa ne-Carbidopa/Levodopa ukusiza ukulawula izimpawu ze-Parkinson's.
- Njalo thatha lo muthi esiswini esingenalutho, okungukuthi, ihora elilodwa ngaphambi noma ihora elilodwa ngemva kokudla.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Qaphela izimpawu ezingavamile ezifana nokulala okungazelelwe kanye nezifiso ezingalawuleki. Uma uhlangabezana nanoma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
- Uma unemibuzo noma ukukhathazeka mayelana nomuthi, ungesabi ukukhuluma nodokotela wakho ngawo.
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