Mlembi: William Ramirez
Tsiku La Chilengedwe: 23 Sepitembala 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Treatment of Alzheimer’s Disease - Galantamine, Rivastigmine, and Donepezil
Kanema: Treatment of Alzheimer’s Disease - Galantamine, Rivastigmine, and Donepezil

Zamkati

Rivastigmine amagwiritsidwa ntchito pochotsa matenda amisala (vuto laubongo lomwe limakhudza kutha kukumbukira, kuganiza bwino, kulumikizana, ndikuchita zochitika zatsiku ndi tsiku ndipo zitha kusintha kusintha kwa malingaliro ndi umunthu) mwa anthu omwe ali ndi matenda a Alzheimer's (matenda amubongo omwe amawononga kukumbukira pang'onopang'ono kutha kuganiza, kuphunzira, kulumikizana komanso kuthana ndi zochitika za tsiku ndi tsiku). Rivastigmine imagwiritsidwanso ntchito pochiza matenda amisala mwa anthu omwe ali ndi matenda a Parkinson (matenda am'mitsempha yamanjenje ndi mantha omwe ali ndi zizindikiro zakuchedwa kuyenda, kufooka kwa minofu, kuyenda kosakhazikika, komanso kukumbukira kukumbukira). Rivastigmine ali mgulu la mankhwala otchedwa cholinesterase inhibitors. Zimathandizira magwiridwe antchito am'mutu (monga kukumbukira ndi kuganiza) powonjezera kuchuluka kwa chinthu china chachilengedwe muubongo.

Rivastigmine amabwera ngati kapisozi ndi yankho (madzi) oti atenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku ndikudya m'mawa ndi madzulo. Tsatirani malangizo omwe mwalandira mosamala ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani rivastigmine chimodzimodzi monga mwawuzidwa. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.


Dokotala wanu akuyambitsa mlingo wochepa wa rivastigmine ndikuwonjezera pang'onopang'ono mlingo wanu, osapitilira kamodzi pamasabata awiri alionse.

Rivastigmine itha kukulitsa luso loganiza ndi kukumbukira kapena kuchepetsa kutayika kwa maluso awa koma sichitha matenda a Alzheimer's kapena dementia mwa anthu omwe ali ndi matenda a Parkinson. Pitirizani kumwa rivastigmine ngakhale mukumva bwino. Osasiya kumwa rivastigmine osalankhula ndi dokotala.

Ngati mukumwa rivastigmine yankho, funsani wamankhwala kapena dokotala kuti akupatseni malangizo a wopanga kuti mugwiritse ntchito. Werengani mosamala malangizowa. Nthawi zonse mugwiritse ntchito syringe ya m'kamwa yomwe imabwera ndi yankho la rivastigmine kuti muyese mlingo wanu. Lankhulani ndi dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza momwe mungayezerere yankho lanu la rivastigmine.

Njira yothetsera vuto la Rivastigmine imatha kumeza mwachindunji kuchokera mu syringe kapena kusakanikirana ndi madzi musanagwiritse ntchito. Sakanizani ndi kapu ya madzi, madzi ozizira zipatso, kapena koloko. Onetsetsani kuti mukusakaniza kwathunthu. Osasakaniza mankhwalawa ndi madzi ena onse kupatula omwe adalembedwa. Ngati mankhwalawa asakanizidwa ndi madzi, msuzi, kapena koloko, ayenera kumwa mkati mwa maola 4.


Kuti mutenge njira ya rivastigmine solution, tsatirani izi:

  1. Chotsani syringe ya m'kamwa yomwe imabwera ndi mankhwalawa poteteza.
  2. Kankhirani pansi ndikupotoza kapu yosagwira ana kuti mutsegule botolo la rivastigmine yankho.
  3. Ikani nsonga ya syringe pakamwa poyimitsa yoyera pamwamba pa botolo.
  4. Mukamagwira jekeseni yowongoka, ikani chojambuliracho kuti mufike pa syringe yomwe ikufanana ndi mlingo wanu.
  5. Chongani madzi mu syringe kwa thovu mpweya. Ngati pali thovu lalikulu, pang'onopang'ono musunthire syringe plunger mmwamba ndi pansi kangapo. Osadandaula ndimatenda ochepa ampweya.
  6. Onetsetsani kuti plunger ili pa chidebe chomwe chimafanana ndi mlingo wanu.
  7. Chotsani sirinji yapakamwa m'botolo mwakunyamula.
  8. Sungani mlingo wanu kuchokera mu syringe mwachindunji, kapena musakanize ndi madzi omwe mwasankha. Kumwa kapena kumeza yankho lonse.
  9. Pukutani kunja kwa jakisoni wamkati ndi thumba loyera, ndikubwezeretsanso jekeseni wake.
  10. Tsekani kapu yosagwira ana pa botolo la mankhwala.

Rivastigmine imagwiritsidwanso ntchito nthawi zina kuchiza matenda a dementia a Lewy (momwe ubongo umapangira mapuloteni osazolowereka, ndipo ubongo ndi dongosolo lamanjenje zimawonongeka pakapita nthawi). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.


Asanatenge rivastigmine,

  • auzeni dokotala kapena wamankhwala ngati munayamba mwadwalapo rivastigmine mutamwa kapisozi kapena yankho la m'kamwa kapena kugwiritsa ntchito chikopa cha khungu, mankhwala ena aliwonse, kapena chilichonse chothandizira mu rivastigmine solution kapena makapisozi. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: antihistamines; aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); bethanechol (Duvoid, Urecholine); ipratropium (Atrovent, mu Mgwirizano, DuoNeb); ndi mankhwala a matenda a Alzheimer's, glaucoma, matenda opweteka a m'mimba, matenda oyenda, zilonda zam'mimba, kapena mavuto amikodzo. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • auzeni adotolo ngati mukulemera ochepera 110 lb (50 kg), ngati mwakhala mukudwala mphumu, zilonda zam'mimba, kugunda kwamtima kosazolowereka, kapena matenda ena amtima, chiwindi, impso, kapena mapapo.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga rivastigmine, itanani dokotala wanu.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa rivastigmine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ngati mwaphonya kumwa rivastigmine kwa masiku opitilira ochepa, lankhulani ndi dokotala musanayambirenso kumwa. Muyenera kuti muyambenso kuyitenga pamlingo wotsika.

Rivastigmine imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • nseru
  • kusanza
  • kusowa chilakolako
  • kutentha pa chifuwa kapena kudzimbidwa
  • kupweteka m'mimba
  • kuonda
  • kutsegula m'mimba
  • kudzimbidwa
  • mpweya
  • kufooka
  • chizungulire
  • mutu
  • kutopa kwambiri
  • kusowa mphamvu
  • kunjenjemera kapena kukula kwa kunjenjemera
  • thukuta lowonjezeka
  • kuvuta kugona kapena kugona
  • chisokonezo

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

  • zidzolo
  • ming'oma
  • kuvuta kupuma kapena kumeza
  • mipando yakuda ndi yodikira
  • magazi ofiira m'mipando
  • masanzi amagazi
  • kusanza komwe kumawoneka ngati malo a khofi
  • kuvuta kukodza
  • pokodza kwambiri
  • kugwidwa
  • kukhumudwa
  • nkhawa
  • nkhanza
  • kumva mawu kapena kuwona zinthu zomwe kulibe
  • mayendedwe osalamulirika ndi kufinya kwa minofu

Rivastigmine amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Sungani yankho la rivastigmine pamalo owongoka. Osayika yankho la rivastigmine mufiriji kapena lolani yankho la rivastigmine kuti liundane.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

  • nseru
  • kusanza
  • kuchuluka malovu
  • thukuta
  • wosakwiya mtima kugunda
  • kulephera kusunga mkodzo
  • kuchepetsa kuganiza ndi kuyenda
  • chizungulire
  • kukomoka
  • kusawona bwino
  • kuvuta kupuma
  • kutaya chidziwitso
  • kulanda

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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