Ingabe unezimpawu zesifo sikaParkinson ezifana nokuthuthumela nokuqina? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi iSelegiline kanye neLevodopa. Lo umuthi ovame ukukunikezwa. Ngakho-ke, kulesi sihloko, sizokhuluma ngokuthi iSelegiline iyini, ukuthi yenzani ngempela, nokuthi yini okufanele uyiqaphele kakhulu lapho usebenzisa lo muthi.
Iyini iSelegiline? Yenzani?
Kalula nje, i-Selegiline umuthi osetshenziswa ukulawula izimpawu zesifo sikaParkinson. Ungowesigaba semithi ebizwa ngokuthi i-MAOIs. Ubuchopho bethu buqukethe ikhemikhali ebizwa ngokuthi i-dopamine . Yilokhu okusiza imizimba yethu ukuthi inyakaze futhi ixhumane kahle. Kubantu abanesifo sikaParkinson, izinga lale dopamine ebuchosheni liyehla.
I-Selegiline isebenza ngokwandisa inani le-dopamine ebuchosheni. Lokhu kungasiza ekunciphiseni izimpawu ezifana nokuqina nokuthuthumela, okukuvumela ukuthi wenze imisebenzi yansuku zonke kalula.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza i-Selegiline. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo.
- Uma une-high blood pressure.
- Uma unesifo sesibindi.
- Uma une-blood pressure ephansi.
- Uma unesifo sokulala, isimo esikwenza ulale ngokuzumayo emini.
- Uma une-sleep apnea.
- Uma une-allergy ku-selegiline noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngiyisebenzisa kanjani ngempela le mithi?
Lo muthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi. Kubaluleke kakhulu ukuthatha umuthi ngesikhathi esifanele, ngesilinganiso esifanele, njengoba kunqunywe udokotela wakho. Ungawandisi, ungawanciphisi, noma umise umthamo ngokuthanda kwakho.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukusabela okubi kakhulu. Uma uyeka, kufanele wenze kanjalo ngokunciphisa kancane kancane umthamo njengoba udokotela wakho ekutshela.
Yini okufanele uyenze uma uphuza imithi ngokweqile?
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungesabi. NgokusheshaShayela i-National Poison Information Centre e-Colombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Uma ukhohlwa ukuthatha umthamo bese ukhumbula ngokushesha ngemva kwalokho, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Izinto okungafanele zisetshenziswe nge-Selegiline (Interactions)
Lokhu kuyinto okufanele uyiqaphele kakhulu. I-Selegiline umuthi ongasebenzisana neminye imithi nokudla.
Izinkinga ngemithi
Uma usebenzisa imithi elandelayo, ungayithathi nhlobo i-Selegiline.
- I-Atomoxetine, i-Cyclobenzaprine, i-Dextromethorphan (equkethwe kwezinye iziraphu zokukhwehlela)
- Eminye imithi ye-MAOI efana neMarplan, iNardil, neParnate
- Izibulala-zinhlungu ezifana neMeperidine, iMethadone, neTramadol
- Eminye imithi equkethe i-Selegiline, njenge-Emsam
- I-Rasagiline, i-Safinamide (futhi iyimithi yesifo sikaParkinson)
- Imithi evuselelayo yezinkinga zokunaka
- I-St. John's Wort (umkhiqizo wezitshalo)
- I-Viloxazine
Ngaphezu kwalokho, imithi yezifo zengqondo ezifana nokucindezeleka nokukhathazeka, eminye imithi yokuqeda ukuminyana (i-phenylephrine, i-pseudoephedrine), kanye nemithi yokwehlisa isisindo nayo ingathintana nalokhu.
Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi yokubulala izinhlungu) .
Izinkinga ngokudla (Ukusebenzisana kwe-Tyramine)
Lena yinto ebaluleke kakhulu okufanele uyiqaphele lapho uthatha lo muthi. Akuyona into enhle ukudla ukudla okune- tyramine eningi ngesikhathi uthatha i-Selegiline. Ukwenza kanjalo kungabangela ukuthi umfutho wegazi wakho ukhuphuke ngokuzumayo, kubangele ikhanda elibuhlungu kakhulu, futhi kubangele ukushaya kwenhliziyo okungajwayelekile.
| Ukudla okufanele ukugweme lapho uthatha i-Selegiline ngenxa yokuqukethwe kwayo okuphezulu kwe-Tyramine | |
|---|---|
| Uhlobo lokudla | Izibonelo |
| Ushizi Omdala | Ushizi olufana neCheddar, ushizi oluhlaza okwesibhakabhaka, iGorgonzola, neParmesan. |
| Inyama/inhlanzi ecutshunguliwe nebhemayo | Amasoseji, i-salami, i-pepperoni, inhlanzi eyomisiwe, ama-jalapenos. |
| Iziphuzo ezidakayo | Ubhiya (ikakhulukazi ubhiya obungafakwanga), iwayini elibomvu, i-sherry. |
| Imikhiqizo yesoya | Isosi yesoya, isobho se-miso, i-tofu. |
| Okunye | Ama-avokhado, ubhanana, omisiwe, izithelo ezivuthiwe kahle. |
Cela udokotela wakho uhlu oluphelele lwalezi zidakamizwa.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka endaweni yokuhlala noma yokuma ngokuzumayo.
- Utshwala: Gwema ukuphuza utshwala. Kungaphazamisa ukusebenza kahle komuthi.
- Umlomo owomile: Uma unomlomo owomile, ungathola impumuzo ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
- Ezinye izifo: Buza udokotela wakho ngaphambi kokuthatha imithi yokuzilapha ngezinto ezinjengokukhwehlela, umkhuhlane kanye nemfiva.
- Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungathinta amazinga kashukela egazini lakho. Ngakho-ke khuluma nodokotela wakho ngaphambi kokushintsha umthamo noma ukudla kwakho kwemithi yesifo sikashukela.
- Izinguquko zesikhumba: Qaphela noma yiziphi izinguquko esikhumbeni sakho noma ukubonakala kwamabala amasha ngenkathi uthatha lo muthi. Hlola isikhumba sakho njalo. Uma ubona noma yiziphi izinguquko ezinjalo, tshela udokotela wakho ngokushesha.
Imiphumela emibi engase ivele ngalo muthi
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Umfutho wegazi ophakeme kakhulu | Ukuqala ngokuzumayo kwekhanda elibuhlungu kakhulu, isicanucanu, ukuhlanza, intamo eqinile, kanye nokushaya kwenhliziyo okusheshayo. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka, ukucasuka, imibono engekho, imicabango yokuzibulala, ukucindezeleka okukhulu. |
| Ukunyakaza okungalawuleki | Ukunyakaza okusha noma okwandisiwe okungalawuleki kobuso, umlomo, noma umzimba ongaphezulu. |
| Ezinye izimpawu ezinkulu | Ukuziphatha okungajwayelekile okungajwayelekile njengokulala ngokuzumayo ngenkathi wenza imisebenzi yansuku zonke, isiyezi kanye nokungaboni kahle, umfutho wegazi ophansi, ukugembula, kanye nokudla ngokweqile. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| |
Umlayezo Wokuya Nawe Ekhaya
- I-Selegiline umuthi osiza ukulawula izimpawu ze-Parkinson futhi ukhuphule amazinga e-dopamine ebuchosheni.
- Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Gwema ngokuphelele ukudla okune-tyramine eningi (njengoshizi ocoliwe, inyama ecutshunguliwe, newayini elibomvu) ngenkathi uthatha lo muthi.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu bekhanda obukhulu, ukwanda kwengcindezi yegazi ngokuzumayo, noma izinguquko zengqondo, funa iseluleko sezokwelapha ngokushesha.
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