Uma wena noma othile emndenini wakho enesifo sikaParkinson, udokotela wakho kungenzeka ukuthi ukunikeze uhlobo olusha lomuthi. Lubizwa ngokuthi i-selegiline, iphilisi elincibilika olimini. Lihlukile kancane kumaphilisi ovame ukuwagwinya ngamanzi. Ngakho-ke namuhla, ake sixoxe ngokuthi uyini ngempela lo muthi, ukuthi uwusebenzisa kanjani, nokuthi yiziphi izinyathelo zokuphepha ezikhethekile okudingeka uzithathe lapho uwuthatha.
Uyini lo muthi obizwa ngokuthi iSelegiline?
Kalula nje, i-Selegiline umuthi osetshenziselwa ukulawula izimpawu zesifo sikaParkinson. Ivame ukunqunyelwa abantu abathatha i-Levodopa. Isifo sikaParkinson senzeka lapho kuncipha i-dopamine yamakhemikhali ebuchosheni bethu. Le dopamine isiza ukulawula ukunyakaza kwemizimba yethu kanye nokuxhumana kwayo. Ngakho-ke, okwenziwa yileli philisi le-Selegiline ukwandisa izinga le-dopamine ebuchosheni. Ngemuva kwalokho, izimpawu zesifo sikaParkinson ezifana nokuqina nokuthuthumela ziyancipha kancane kancane. Lo muthi ungoweqembu lemithi ebizwa ngokuthi ama-MAOI.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokukunikeza i-Selegiline, udokotela wakho uzokubuza imibuzo ethile. Uma unezinye zezimo ezingezansi, kufanele utshele udokotela wakho .
- Uma une-high blood pressure.
- Uma unesifo sesibindi.
- Uma une-blood pressure ephansi.
- Uma une-narcolepsy (isimo esibangela ukozela okungalawuleki emini).
- Uma unesifo sofuzo esibizwa ngokuthi i-Phenylketonuria (PKU).
- Uma une-sleep apnea.
- Uma une-allergy ku-Selegiline noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngilisebenzisa kanjani kahle leli philisi?
Indlela esetshenziswa ngayo ihlukile kancane, ngakho-ke nakisisa.
1. Yithathe ekuseni: Lo muthi uvame ukuthathwa ekuseni. Yithathe ngesikhathi esifanele njengoba udokotela wakho ekuyalele.
2. Indlela yokususa ithebhulethi: Ungalikhiphi ithebhulethi ngokucindezela i-aluminium foil ethebhulethini. Ukwenza kanjalo kungabangela ukuthi ithebhulethi idilike. Esikhundleni salokho, donsa i-foil kancane ekhoneni bese uyisusa ngokucophelela ithebhulethi ngezandla ezomile .
3. Yigcine olimini lwakho: Uma nje usuyiphuze iphilisi, yigcine olimini lwakho. Izoncibilika yodwa ngemizuzwana embalwa. Ungayigwinyi ngamanzi.
4. Linda imizuzu emi-5 ngaphambi kokudla: Ngemva kokuba iphilisi selincibilikile, ungadli noma uphuze lutho cishe imizuzu emi-5 .
5.Yithathe ngesikhathi: Thatha umuthi njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele. Ungalokothi uthathe ngaphezu komthamo owubekiwe.
6. Ungayeki ngokuzumayo: Gwema ukuyeka lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Okubaluleke kakhulu: Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
Kuthiwani uma ngisebenzisa ngokweqile?
Uma ucabanga ukuthi uthathe okungaphezu komthamo onqunyiwe, shayela i-National Poisons Information Centre e-National Hospital ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) esibhedlela esiseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Selegiline umuthi ongasebenzisana neminye imithi nokudla. Ngakho-ke, kubalulekile ukutshela udokotela wakho uma uthatha eminye imithi.
| Ungayithathi nhlobo i-Selegiline kanye nalomuthi! | |
|---|---|
| I-Atomoxetine | Izibulala-zinhlungu ezifana neMeperidine, iMethadone, neTramadol |
| I-Cyclobenzaprine (isiphumuli semisipha) | I-Rasagiline, i-Safinamide (eminye imithi yesifo sikaParkinson) |
| I-Dextromethorphan (equkethwe kwezinye iziraphu zokukhwehlela) | Imithi evuselelayo yokuphazamiseka kokungakwazi ukunaka |
| Amanye ama-MAOI afana neMarplan, iNardil, neParnate | I-St. John's Wort (umuthi wamakhambi) |
| I-Viloxazine | Eminye imithi equkethe i-Selegiline, njenge-Emsam noma i-Eldepryl |
| I-Selegiline ingaxhumana nalezi zinto, ngakho-ke qaphela. | |
|---|---|
| Eminye imithi yokwelapha izifo zengqondo njengokucindezeleka nokukhathazeka | Imithi efana nePhenylephrine nePseudoephedrine yokuminyana kwamakhala |
| Imithi efana neCarbamazepine, iPhenobarbital, iPhenytoin, esetshenziselwa isifo sokuwa (ukukhubazeka) | I-Metoclopramide (umuthi wokulwa nokuhlanza) |
| I-Ephedrine, i-Epinephrine, i-Norepinephrine | Ama-antibiotic afana ne-Rifampin ne-Nafcillin |
| Amanye amaphilisi obuhlungu anamandla | Ezinye izikhuthazi ezisetshenziswa ukuze wehlise isisindo noma uhlale uphapheme |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Mtshele futhi uma ubhema noma uphuza utshwala.
Izinto okufanele uzicabangele lapho uthatha umuthi
Ukunaka okukhethekile ekudleni okuqukethe i-Tyramine
Lokhu kubaluleke kakhulu. Uma uthatha i-Selegiline futhi udla ukudla okune-tyramine eningi, ungase uzwe ukwanda okungazelelwe komfutho wegazi, ikhanda elibuhlungu elibi, kanye nokushaya kwenhliziyo okungajwayelekile. Ngakho-ke, gwema noma unciphise ukudla okulandelayo:
- Ushizi ogciniwe
- Inyama nenhlanzi egciniwe, ebhemayo, efakwe uviniga (isb. amasoseji, isalami)
- Izinhlobo zobhiya kanye ne-Ale
- Iwayini (ikakhulukazi iwayini elibomvu)
- Ukwatapheya, ubhanana, umkhiwane, omisiwe
- Isosi yesoya, isobho se-miso
- Isithelo esivuthiwe kakhulu
Cela udokotela wakho uhlu oluphelele lwalezi zidakamizwa.
Amanye amaphuzu abalulekile
- Ukozela kanye nesiyezi:Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo. Lokhu kunganciphisa ingozi yokuquleka nokuwa, ikakhulukazi uma usukhulile.
- Ukulala ngokuzumayo: Abanye abantu bangase balale ngokuzumayo ngaphandle kwesixwayiso ngenkathi bethatha lo muthi. Lokhu kungenzeka ngenkathi beshayela noma bekhuluma. Uma lokhu kwenzeka kuwe, tshela udokotela wakho ngokushesha.
- Izifiso Ezingavamile: Ngesikhathi bethatha lo muthi, abanye abantu bangase babe nezifiso ezinamandla zokugembula, babe nobulili, badle ngokweqile, noma basebenzise imali ngezindlela ababengeke bazenze. Uma uhlangabezana nanoma yikuphi kwalokhu kuziphatha okungavamile, ungabi namahloni bese utshela udokotela wakho.
- Umlomo owomile: Umlomo owomile uvamile. Ungakulawula lokhu ngokuhlafuna itshungama engenashukela nokuphuza amanzi amaningi.
- Ukukhwehlela, umkhuhlane: Ungathathi umuthi wakho wokukhwehlela, umkhuhlane, noma ukungezwani komzimba ngaphandle kokubonisana nodokotela wakho.
Imiphumela emibi engase ivele ngenxa yemithi
| Uma uhlangabezana nalezi zimpawu, bona udokotela ngokushesha. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Umfutho wegazi ophakeme | Ukuqala ngokuzumayo kwekhanda elibuhlungu kakhulu, isicanucanu, ukuhlanza, ukuqina kwentamo, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka, ukungahlaliseki, ukucasuka, imibono engekho, imicabango yokuzibulala, ukucindezeleka. |
| Ukunyakaza okungalawuleki | Ukunyakaza okusha noma okwandayo okungalawuleki kobuso, umlomo, noma umzimba ongaphezulu. |
| Okunye | Ukulala ngesikhathi usebenza emini, uhlangabezana nezifiso ezingavamile. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Isiyezi, ukozela | Umlomo owomile |
| Ikhanda elibuhlungu, isicanucanu | Ukungalali |
| Ubuhlungu noma ubuhlungu lapho iphilisi lifakwe khona (emlonyeni) | |
Umlayezo Wokuya Nawe Ekhaya
- I-Selegiline iyiphilisi elincibilika ngaphansi kolimi. Ungaligwinyi ngamanzi. Ungadli noma uphuze lutho imizuzu emi-5 ngemuva kokuba iphilisi selincibilikile.
- Ungase ube nokusabela okukhulu ekudleni okuqukethe i-Tyramine (ushizi osukhulile, inyama, iwayini) ngenkathi uthatha lo muthi. Ngakho-ke, gwema ukudla okunjalo.
- Lomuthi ungabangela ukozela okungazelelwe kanye nesiyezi. Ngakho-ke, qaphela kakhulu lapho ushayela noma wenza imisebenzi edinga ukugxilisa ingqondo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi engathi sína, njengokuziphatha okungavamile (njengokugembula), ikhanda elibuhlungu kakhulu, noma izinguquko zengqondo, tshela udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyiphuzayo kanye nazo zonke izimo zezokwelapha onazo.
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