Jekeseni wa Apomorphine

Zamkati

• Musanagwiritse ntchito jakisoni wa apomorphine,
• Jekeseni wa apomorphine itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
• Zizindikiro za bongo zingaphatikizepo izi:

Jekeseni wa apomorphine amagwiritsidwa ntchito kuthana ndi ma episode `` (nthawi zovuta kuyenda, kuyenda, ndi kuyankhula zomwe zitha kuchitika ngati mankhwala akutha kapena mwachisawawa) mwa anthu omwe ali ndi matenda a Parkinson (PD; matenda amanjenje omwe amayambitsa zovuta ndi kuyenda, kuwongolera minofu, komanso kusamala) omwe akumwa mankhwala ena chifukwa cha matenda awo. Jekeseni wa Apomorphine ali mgulu la mankhwala otchedwa dopamine agonists. Zimagwira ntchito m'malo mwa dopamine, chinthu chachilengedwe chomwe chimapangidwa muubongo chomwe chimafunikira kuwongolera kuyenda.

Apomorphine imabwera ngati yankho lobaya jakisoni (pansi pa khungu). Apomorphine nthawi zambiri amabayidwa mukafunika, malinga ndi malangizo a dokotala wanu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito jakisoni wa apomorphine monga momwe adauzira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito mlingo wachiwiri wa jakisoni wa apomorphine pochiza gawo lomwelo "lochoka". Dikirani osachepera maola 2 pakati pa mlingo.

Dokotala wanu adzakupatsani mankhwala ena otchedwa trimethobenzamide (Tigan) omwe mungamwe mukayamba kugwiritsa ntchito jakisoni wa apomorphine. Mankhwalawa athandiza kuchepetsa mwayi wanu wopeza nseru ndi kusanza mukamagwiritsa ntchito jakisoni wa apomorphine, makamaka koyambirira kwa chithandizo. Dokotala wanu angakuuzeni kuti muyambe kumwa trimethobenzamide masiku angapo musanayambe kugwiritsa ntchito jakisoni wa apomorphine, ndikupitiliza kumwa kwa miyezi iwiri. Muyenera kudziwa kuti kumwa trimethobenzamide limodzi ndi jakisoni wa apomorphine kumatha kukulitsa chiopsezo chogona, chizungulire, ndi kugwa. Komabe, musaleke kumwa trimethobenzamide musanalankhule ndi dokotala.

Dokotala wanu mwina angakuyambitseni pa jakisoni wochepa wa jakisoni wa apomorphine ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi masiku angapo. Funsani dokotala wanu zoyenera kuchita ngati simugwiritsa ntchito jakisoni wa apomorphine kupitilira sabata limodzi. Dokotala wanu angakuuzeni kuti muyambirenso mankhwalawa pogwiritsa ntchito mlingo wochepa ndipo pang'onopang'ono muwonjezere mlingo wanu.

Yankho la Apomorphine limabwera mu cartridge yamagalasi kuti mugwiritse ntchito ndi cholembera cha injector. Masingano ena amaperekedwa ndi cholembera chanu ndipo singano zina zimagulitsidwa padera. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza mtundu wa singano yomwe mukufuna. Nthawi zonse mugwiritse ntchito singano yatsopano, yosabala jakisoni aliyense. Musagwiritsenso ntchito singano, ndipo musalole kuti singano igwire paliponse kupatula malo omwe mungalandire mankhwala. Osasunga kapena kunyamula cholembera cha jakisoni ndi singano yolumikizidwa. Tayani singano zomwe zidagwiritsidwa ntchito mu chidebe chosagonjetsedwa ndi ana. Lankhulani ndi dokotala kapena wamankhwala za momwe mungatayire chidebe chosagwira ntchito.

Mulandila jakisoni woyamba wa jekeseni wa apomorphine kuofesi yazachipatala komwe dokotala wanu amatha kuyang'anitsitsa matenda anu. Pambuyo pake, adokotala angakuwuzeni kuti mutha kubaya jekeseni wa apomorphine nokha kapena kuti nzanu kapena wachibale azibaya jakisoni. Musanagwiritse ntchito jekeseni wa apomorphine nokha nthawi yoyamba, werengani malangizo olembedwa omwe amabwera nawo. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni kapena munthu yemwe ati adzalandire mankhwalawo momwe angabayire.

Onetsetsani kuti mukudziwa manambala omwe ali mu cholembera ojambulira akuwonetsa kuchuluka kwanu. Dokotala wanu atha kukuwuzani kuchuluka kwa mamiligalamu omwe mukufuna kugwiritsa ntchito, koma cholembedwacho chimakhala ndi milliliters. Funsani dokotala wanu kapena wamankhwala ngati simukudziwa momwe mungapezere mlingo wanu cholembera.

Cholembera cha apomorphine injector chimangogwiritsidwa ntchito ndi munthu m'modzi. Osagawana cholembera chako ndi aliyense.

Samalani kuti musalandire jakisoni wa apomorphine pakhungu lanu kapena pamaso panu. Ngati jakisoni wa apomorphine afika pakhungu lanu kapena m'maso mwanu, sambani khungu lanu nthawi yomweyo kapena kutsuka m'madzi ozizira.

Mutha kubaya apomorphine m'mimba mwanu, mkono wapamwamba, kapena mwendo wapamwamba. Osabaya jekeseni kapena malo omwe khungu limapweteka, lofiira, laphwanyidwa, lili ndi zipsera, limakhala ndi kachilombo, kapena lachilendo m'njira iliyonse. Gwiritsani ntchito malo osiyana a jakisoni aliyense, posankha malo omwe mwauzidwa kuti mugwiritse ntchito. Lembani tsiku ndi malo a jakisoni aliyense. Musagwiritse ntchito malo omwewo kawiri motsatira.

Nthawi zonse yang'anani yankho lanu la apomorphine musanaibayize. Iyenera kukhala yoyera, yopanda utoto, komanso yopanda tinthu tating'onoting'ono. Musagwiritse ntchito apomorphine ngati kuli mitambo, yobiriwira, ili ndi tinthu tating'onoting'ono, kapena ngati tsiku lotha ntchito pa katoni lidutsa.

Lembani kuchuluka kwa jakisoni wa apomorphine yomwe mumagwiritsa ntchito nthawi iliyonse mukalandira jakisoni kuti mudziwe nthawi yomwe mungalowe m'malo mwa katiriji wamankhwala.

Mutha kutsuka cholembera chanu cha apomorphine ndi nsalu yonyowa ngati mukufunika. Musagwiritse ntchito tizilombo toyambitsa matenda mwamphamvu kapena kutsuka cholembera chanu pansi pamadzi.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito jakisoni wa apomorphine,

• uzani adotolo ndi wazamankhwala ngati simukugwirizana ndi apomorphine, mankhwala ena aliwonse, ma sulfite, kapena zinthu zina zilizonse mu jakisoni wa apomorphine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukumwa alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso), ondansetron (Zofran), kapena palonosetron (Aloxi). Dokotala wanu angakuuzeni kuti musagwiritse ntchito jakisoni wa apomorphine ngati mukumwa imodzi mwa mankhwalawa.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: ziwengo, chifuwa ndi mankhwala ozizira; amiodarone (Nexterone, Pacerone); mankhwala opatsirana pogonana; mankhwala; mankhwala enaake; disopyramide (Norpace); dofetilide (Tikosyn); erythromycin (EES); haloperidol (Haldol); mankhwala ochizira matenda amisala, kukhumudwa m'mimba, matenda amtima, kuthamanga kwa magazi, kupweteka, kapena kugwidwa; metoclopramide (Reglan); moxifloxacin (Avelox); zotsegula minofu; mankhwala ena a matenda a Parkinson; pimozide (Orap); kupeza; prochlorperazine (Compro); mankhwala; quinidine (mu Nuedexta); mankhwala ogonetsa; sildenafil (Viagra, Revatio); mapiritsi ogona; sotalol (Betapace); tadalafil (Cialis); zotetezera; vardenafil (Levitra); kapena nitrate monga isosorbide dinitrate (Isordil, ku Bidil), isosorbide mononitrate (Monoket), kapena nitroglycerin (Nitro-Dur, Nitrostat, ena). Nitrate amabwera ngati mapiritsi, timapepala tating'ono (pansi pa lilime) mapiritsi, opopera, zigamba, pastes, ndi mafuta. Funsani dokotala ngati simukudziwa ngati mankhwala anu ali ndi nitrate. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• muyenera kudziwa kuti ngati mutenga nitroglycerin pansi pa lilime lanu mukamagwiritsa ntchito jakisoni wa apomorphine, kuthamanga kwamagazi kwanu kumatha kutsika ndikupangitsa chizungulire. Mutamwa mapiritsi a nitroglycerin pansi pa lilime, muyenera kugona kwa mphindi zosachepera 45 ndikupewa kuyimirira panthawiyi.
• auzeni dokotala ngati mumamwa mowa kapena ngati mwakhalapo ndi mphumu; chizungulire; kukomoka; kugunda pang'onopang'ono kapena kosasinthasintha; kuthamanga kwa magazi; otsika potaziyamu kapena magnesium m'magazi; matenda amisala; vuto la kugona; stroke, stroke-mini, kapena mavuto ena a ubongo; kusuntha kosayendetsa mwadzidzidzi ndi kugwa; kapena matenda a mtima, impso, kapena chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa apomorphine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni yamano, uzani adotolo kapena dokotala kuti mukugwiritsa ntchito jakisoni wa apomorphine.
• muyenera kudziwa kuti jakisoni wa apomorphine amatha kukupangitsani kuti muziwodzera. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chingakuike pachiwopsezo chovulala mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti mutha kugona mwadzidzidzi mukamagwira ntchito tsiku ndi tsiku mukamagwiritsa ntchito jakisoni wa apomorphine. Simungamve kusinza musanagone. Ngati mwadzidzidzi mukugona mukuchita zochitika za tsiku ndi tsiku monga kudya, kulankhula, kapena kuwonera TV, itanani dokotala wanu. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutalankhula ndi dokotala wanu.
• simuyenera kumwa mowa mukamagwiritsa ntchito jakisoni wa apomorphine. Mowa umatha kukulitsa mavuto omwe amabwera chifukwa cha jakisoni wa apomorphine.
• Muyenera kudziwa kuti anthu ena omwe adamwa mankhwala monga jakisoni wa apomorphine adayamba kutchova juga kapena zolakalaka zina kapena zikhalidwe zomwe zinali zowakakamiza kapena zachilendo kwa iwo, monga zolakalaka zakugonana kapena zikhalidwe. Palibe chidziwitso chokwanira chodziwitsa ngati anthu adayamba chifukwa cha kumwa mankhwalawo kapena pazifukwa zina. Itanani dokotala wanu ngati muli ndi chidwi chofuna kutchova juga komwe kuli kovuta kuletsa, muli ndi chidwi chachikulu, kapena simutha kudziletsa. Uzani achibale anu za chiopsezo ichi kuti athe kuyimbira adokotala ngakhale simukuzindikira kuti kutchova juga kwanu kapena zina zilizonse zolimbikitsa kapena zikhalidwe zina zasanduka vuto.
• muyenera kudziwa kuti jakisoni wa apomorphine amatha kuyambitsa chizungulire, mutu wopepuka, nseru, thukuta, ndi kukomoka mukaimirira mwachangu pamalo abodza kapena atakhala. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito jakisoni wa apomorphine kapena kutsatira kuwonjezeka kwa mlingo. Pofuna kupewa vutoli, dzukani pabedi kapena nyamukani pamalo pomwe mwakhala pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zochepa musanayimirire.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mankhwalawa amagwiritsidwa ntchito ngati pakufunika kutero.

Jekeseni wa apomorphine itha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kudzimbidwa
• kutsegula m'mimba
• mutu
• kuyasamula
• mphuno
• kufooka
• mkono, mwendo, kapena kupweteka kwa msana
• kupweteka kapena kuvuta pokodza
• Kupweteka, kufiira, kupweteka, kuvulala, kutupa, kapena kuyabwa pamalo pomwe mudabaya apomorphine

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• zidzolo; ming'oma; kuyabwa; kutupa kwa nkhope, mmero, lilime, milomo, kapena maso; kuvuta kupuma ndi kumeza; kupuma movutikira, chifuwa; kapena hoarseness
• kuthamanga kapena kugunda kwamtima
• kupweteka pachifuwa
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuvulaza
• kusuntha kwadzidzidzi kwadzidzidzi
• kugwa pansi
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), nkhanza, kukwiya, kumverera ngati anthu akutsutsana nanu, kapena malingaliro osokonekera
• kukhumudwa
• malungo
• chisokonezo
• erection yowawa yomwe sichitha

Zinyama zina za labotale zomwe zidabayidwa ndi apomorphine zidadwala matenda amaso. Sizikudziwika ngati jakisoni wa apomorphine amachulukitsa chiopsezo cha matenda amaso mwa anthu. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Apomorphine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito 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 mankhwalawa mu cartridge yomwe imabwera komanso kuchokera kwa ana. Zisunge chikwama chonyamulira kutentha komanso kutalikirana ndi kuwala, kutentha kwambiri ndi chinyezi (osati kubafa).

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
• kukomoka
• chizungulire
• kusawona bwino
• kugunda kochedwa mtima
• khalidwe losazolowereka
• kuyerekezera zinthu m'maganizo
• kusuntha kwadzidzidzi kwadzidzidzi

Sungani maimidwe onse ndi dokotala wanu.

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.

• Apokyn^®