KwaNirogi Lanka, siyaqonda ukuthi ukuphila nesifo sikaParkinson kungaletha izinselele eziyingqayizivele zansuku zonke. Ukuzulazula empilweni ngenkathi uphatha izimpawu ezifana nokuthuthumela noma ukuhamba kancane akulula neze. Ukuze usize ekuphatheni lezi zimpawu, udokotela wakho angase akunikeze imithi ehlukahlukene. Namuhla, sifuna ukuxoxa ngomuthi othize obizwa ngokuthi iTolcapone. Akuvamile ukuthi unikezwe njengokwelashwa okuzimele; kunalokho, usetshenziswa kanye ne -levodopa-carbidopa , umuthi oyinhloko we -Parkinson's . Cabanga ngeTolcapone "njengomsizi" ozinikele osiza umuthi wakho oyinhloko ukuthi usebenze kahle kakhulu.
Iyini ngempela iTolcapone?
Masihlale silula. Isifo sikaParkinson senzeka lapho ubuchopho bukhiqiza isithunywa samakhemikhali esincane esibizwa ngokuthi i-dopamine . I-levodopa-carbidopa oyithathayo iguqulwa ibe yi-dopamine ebuchosheni bakho. Kodwa-ke, ngokuhamba kwesikhathi, ukusebenza kahle kwalomuthi ngezinye izikhathi kungancipha.
Yilapho iTolcapone inikeza khona ukwesekwa. I-Tolcapone ingeyesigaba semithi ebizwa ngokuthi i-COMT inhibitors. Indima yayo eyinhloko ukuvimba ukuwohloka kwe-levodopa emzimbeni wakho ngaphambi kokuba ifinyelele ebuchosheni bakho. Empeleni, iqinisekisa ukuthi imithi yakho eyinhloko eminingi ifinyelela ebuchosheni, yandisa ukusebenza kwayo, futhi iyisize ukuthi ihlale isikhathi eside. Igama lomkhiqizo lalo muthi yi-Tasmar.
Ulwazi olubalulekile kudokotela wakho ngaphambi kokuthi uqale
Kubaluleke kakhulu ukuxoxa ngomlando wakho wezokwelapha ophelele nodokotela wakho ngaphambi kokuqala i-Tolcapone, njengoba ezinye izimo zempilo zingase zihlangane nalo muthi. Sicela wazise udokotela wakho uma unanoma yikuphi kwalokhu okulandelayo:
| Isimo/Iqiniso | Kungani udokotela wakho kudingeka azi |
|---|---|
| Isifo sesibindi | I-Tolcapone ingathinta ukusebenza kwesibindi, ngakho-ke kubalulekile ukuhlola impilo yesibindi kusengaphambili. |
| Isifo sezinso | Izinso zakho zisiza ekususeni umuthi emzimbeni wakho; ukuhlolwa kokusebenza kuyadingeka. |
| Izimo zempilo yengqondo | Lo muthi ungathinta isimo sengqondo noma impilo yengqondo, ngakho-ke ingxoxo yasekuqaleni ibalulekile. |
| I-apnea yokulala noma i-Narcolepsy | Ngenxa yokuthi lo muthi ungabangela ukozela okungazelelwe, udokotela wakho kumele aqaphele izinkinga zokulala ezikhona kakade. |
| Ukukhulelwa, ukuhlela ukukhulelwa, noma ukuncelisa | Kudingeka ukunakekelwa okukhethekile phakathi nalezi zigaba; sicela wazise umhlinzeki wakho wezempilo ngokushesha. |
| Ukungezwani nemithi, ukudla, noma udayi | Njalo dalula noma yikuphi ukungezwani komzimba okwaziwayo kudokotela wakho. |
Indlela yokusebenzisa lo muthi ngendlela efanele
Ukusebenzisa lo muthi kulula:
- Phuza iphilisi nengilazi egcwele amanzi.
- Landela imiyalelo kadokotela wakho ngqo mayelana nesikhathi kanye nomthamo. Ngokuvamile ingathathwa nokudla noma ngaphandle kokudla.
- Ungalokothi uthathe okungaphezu kwenani elibekiwe.
- Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ngoba kungase kubangele ukusabela okubi kakhulu.
- Uma lo muthi ungowengane, sicela uxoxe ngemininingwane nochwepheshe wezingane.
Kuthiwani uma ngiphuthelwa umthamo?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma umthamo wakho olandelayo ohleliwe usondela, yeqa umthamo ophuthelwe bese uqala kabusha isimiso sakho esivamile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kwenzekani uma kwenzeka ukudlula ngokweqile?
Uma usola ukuthi uphuze imithi eminingi kunaleyo oyiyalelwe, xhumana nesikhungo sakho sokulawula ubuthi sendawo ngokushesha noma uqhubekele eMnyangweni Wezimo Eziphuthumayo (ED) oseduze. Phatha lokhu njengesimo esiphuthumayo sezokwelapha.
Khumbula, le kadokotela yenzelwe wena ngqo. Ungabelani ngayo nanoma ubani omunye, noma ngabe banezimpawu ezifanayo nezakho.
Ukusebenzisana Okungaba Khona Kwezidakamizwa Ne-Tolcapone
Kubalulekile ukuthi wazise udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo njengamanje. Izinto ezithile zingase zingasebenzi kahle ne-Tolcapone.
| Ukusebenzisana Okungenzeka | Imininingwane |
|---|---|
| UNGAZIHLANGANISI nalezi | |
| Ama-MAOI (ama-Monoamine Oxidase Inhibitors) | Imithi yokucindezeleka efana neMarplan, Nardil, noma iParnate. |
| Xhumana nodokotela wakho ngaphambi kokusebenzisa lezi zinto | |
| Utshwala | Utshwala bungashintsha ukusebenza kahle komuthi futhi bukhuphule kakhulu ukozela. |
| Izinsiza zokulala noma imithi yokulwa nokukhathazeka | Lokhu kungase kukhulise ukozela futhi kuphazamise ukugxila kwakho. |
| Imithi ye-Adrenergic (i-Apomorphine, i-dobutamine, njll.) | Isetshenziselwa izimo zenhliziyo noma ukuphathwa komfutho wegazi. |
| I-Warfarin | Umuthi osetshenziselwa ukuvimbela ukuqhekeka kwegazi. |
| Abanye | I-Desipramine, i-linezolid, i-methyldopa, kanye nemithi yokunciphisa izinhlungu. |
Izinyathelo Zokuqapha Ngesikhathi Uthatha Lo Muthi
Kubalulekile ukuqapha indlela umzimba wakho osabela ngayo kulokhu kwelashwa.
- Isiyezi Nokulinganisela : Ungase ube nesiyezi noma ikhanda elibuthakathaka. Kuze kube yilapho uqonda ukuthi lo muthi uthinta kanjani wena, gwema ukushayela noma ukusebenzisa imishini esindayo. Uma ungumuntu omdala, qaphela kakhulu lapho uvuka uhleli noma ulele.
- Ukulala Okungazelelwe: Ezinye iziguli zingase zilale ngokuzumayo ngaphandle kwesixwayiso, ngisho nalapho zikhuluma, zidla, noma zishayela. Xhumana nodokotela wakho ngokusheshauma uhlangabezana nalokhu.
- Ukuphazamiseka Kokulawula Umfutho: Abanye abantu bangase babe nezifiso ezingavamile nezingalawuleki (njengokugembula, ukuthandana nabantu abathandana nabobulili obufanayo, ukuthenga ngokweqile, noma ukudla ngokweqile). Lokhu akulona iphutha lomuntu, kodwa umphumela ongase ube khona. Xoxa ngalokhu nodokotela wakho ngokushesha uma kwenzeka.
- Ukuqapha Isikhumba: Naka noma yiziphi izinguquko esikhumbeni sakho, njengemibimbi emisha noma eshintshayo. Yazisa udokotela wakho uma ubona noma yini engavamile.
- Umlomo Owomile : Ukuze ulawule umlomo owomile, zama ukuhlafuna itshungama engenashukela, ukumunca amaswidi aqinile angenashukela, noma ukuhlala unamanzi amaningi.
Imiphumela Engase Ibe Khona
Njengayo yonke imithi, i-Tolcapone ingabangela imiphumela emibi. Lokhu kungaba nomthelela omncane kuya kokubi kakhulu. Njalo funa usizo lwezokwelapha ngokushesha ngokushayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze uma ubhekana nokusabela okubi kakhulu.
| Izimpawu zokulimala kwesibindi | Umchamo onombala omnyama, ukuphuzi kwesikhumba noma amehlo (i-jaundice), ubuhlungu esiswini esingaphezulu kwesokudla, isicanucanu, kanye nokulahlekelwa yisifiso sokudla. |
| Izimpawu zokulimala kwemisipha | Umchamo omnyama, ubunzima bokuchama, ubuthakathaka bemisipha obungachazeki, kanye nobuhlungu bemisipha. |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, noma ukuvuvukala kobuso, izindebe, noma ulimi. |
| Ezinye izimpawu ezinkulu | Uhudo olunzima, ukubona izinto ezingekho, ukuhlaselwa ubuthongo obungazelelwe, ukuquleka, noma ukunyakaza okungalawuleki kwezandla, imilenze, ubuso, noma intamo. |
| Uhudo | Isiyezi |
| Ikhanda elibuhlungu | Ukulahlekelwa yisifiso sokudla |
| Isicanucanu | Inkinga yokulala |
Indlela yokugcina imithi yakho
- Gcina kude nezingane.
- Gcina ekamelweni lokushisa (20-25°C).
- Gcina isitsha sivaliwe kahle.
- Lahla noma yimiphi imithi esele ngemva kosuku lokuphelelwa yisikhathi.
Izinto Ezibalulekile Okufanele Uzithathe (eNirogi Lanka)
- I-Tolcapone iyindlela yokwelapha eyengeziwe eyenzelwe ukuthuthukisa ukusebenza kahle kwemithi yakho eyinhloko ye-Parkinson.
- Ngaphambi kokuqala, sicela unikeze udokotela wakho umlando ogcwele wezimo zakho zempilo ezikhona kanye nemithi yakho yamanje.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho.
- Ziqaphele ukuthi awunazo yini izimpawu zokulala ngokuzumayo, izifiso ezingalawuleki, noma izimpawu zokucindezeleka kwesibindi. Bika lokhu ngokushesha.
- Uma usola ukuthi uphuze ngokweqile, xhumana nezinsizakalo zezimo eziphuthumayo (911) noma uvakashele umnyango wezimo eziphuthumayo wesibhedlela esiseduze ngokushesha.
- Zizwe ukhululekile ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
