Zolemba zazing'ono za Apomorphine

Zamkati

• Kuti mugwiritse ntchito filimu yamagulu apomorphine, tsatirani izi:
• Musanagwiritse ntchito apomorphine,
• Malembo ang'onoang'ono a Apomorphine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa mu ZISANGIZO ZAPADERA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

Malembo amtundu wa Apomorphine amagwiritsidwa ntchito kuthana ndi zigawo `` zochotsa '' (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 poyenda, kuwongolera minofu, komanso kusamala). Apomorphine ali mgulu la mankhwala otchedwa dopamine agonists. Zimagwira ntchito m'malo mwa dopamine, chinthu chachilengedwe chomwe chimapangidwa muubongo chomwe chimafunikira kuwongolera kuyenda.

Apomorphine amabwera ngati kanema wazinenero zingapo kuti atenge pansi pa lilime. Malingaliro amtundu wa Apomorphine nthawi zambiri amagwiritsidwa ntchito pakufunika kutero, malinga ndi malangizo a dokotala wanu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito apomorphine malembedwe angapo monga mwalamulo. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.

Musagwiritse ntchito mlingo wachiwiri wa apomorphine malembedwe ang'onoang'ono kuti muchiritse gawo lomwelo "lochoka". Dikirani osachepera 2 maola pakati pa Mlingo ndipo musagwiritse ntchito Mlingo wopitilira 5 patsiku.

Dokotala wanu adzakupatsani mankhwala ena otchedwa trimethobenzamide (Tigan) omwe mungamwe mukayamba kugwiritsa ntchito apomorphine malembedwe ochepa. Mankhwalawa athandiza kuchepetsa mwayi wanu wokhala ndi mseru komanso kusanza mukamagwiritsa ntchito apomorphine, makamaka koyambirira kwa chithandizo. Dokotala wanu mwina angakuuzeni kuti muyambe kumwa trimethobenzamide masiku atatu musanayambe kugwiritsa ntchito apomorphine, ndikupitiliza kumwa kwa miyezi iwiri. Muyenera kudziwa kuti kumwa trimethobenzamide pamodzi ndi apomorphine kumawonjezera chiopsezo chogona, chizungulire, ndi kugwa. Komabe, musaleke kumwa trimethobenzamide musanalankhule ndi dokotala.

Mukalandira mlingo wanu woyamba wa apomorphine kuofesi yazachipatala komwe dokotala wanu amatha kuyang'anitsitsa matenda anu kuti adziwe kuchuluka kwanu. Pambuyo pake, dokotala wanu adzakuuzani kuti mugwiritse ntchito apomorphine timalingaliro tating'onoting'ono kunyumba ndikuwunika zovuta.

Kuti mugwiritse ntchito filimu yamagulu apomorphine, tsatirani izi:

1. Imwani madzi kuti musunthire pakamwa panu.
2. Tsegulani thumba pogwiritsa ntchito totsegulira mapiko. Onetsetsani kuti mwaika zala zanu molunjika pamadontho omwe akwezedwa patsamba lililonse lamapiko. Pepani totsegulira mapiko kuti mutsegule thumba. Osatsegula phukusi la zojambulazo mpaka mutakonzeka kugwiritsa ntchito mankhwalawa. Osadula kapena kung'amba kanemayo.
3. Gwirani apomorphine thunzi tating'ono pakati pa zala zanu m'mphepete mwakunja ndikuchotsa kanema wonse m'thumba. Gwiritsani ntchito apomorphine sublingual film yonse. Ngati yasweka, itayeni ndikugwiritsa ntchito mlingo watsopano.
4. Ikani kanema wazilankhulo zonse pansi pa lilime lanu kutali kwambiri pansi pa lilime lanu momwe mungathere. Tsekani pakamwa panu.
5. Siyani kanemayo m'malo mwake mpaka itasungunuka kwathunthu. Zitha kutenga mphindi zitatu kuti kanemayo asungunuke. Osatafuna kapena kumeza kanemayo. Osameza malovu anu kapena kuyankhula pamene kanemayo amasungunuka.
6. Tsegulani pakamwa panu kuti muwone ngati kanemayo wasungunukiratu.
7. Kanemayo atasungunuka pang'ono pang'ono, mutha kumezanso.

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

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

Musanagwiritse ntchito apomorphine,

• uzani adotolo ndi wazamankhwala ngati simukugwirizana ndi apomorphine, mankhwala ena aliwonse, ma sulfite, kapena zinthu zina zilizonse m'zilembo za 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 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: azithromycin (Zithromax), chlorpromazine, chloroquine, ciprofloxacin (Cipro), haloperidol (Haldol); mankhwala ochizira kuthamanga kwa magazi; methadone (Dolophine); metoclopramide (Reglan); prochlorperazine (Compro); mankhwala; mapiritsi ogona; thiothixene; kapena opondereza. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa ma nitrate monga isosorbide dinitrate (Isordil, ku Bidil), isosorbide mononitrate (Monoket), kapena nitroglycerin (Nitro-Dur, Nitrostat, ena) omwe amabwera ngati mapiritsi, zilankhulo zochepa (pansi pa lilime) mapiritsi, opopera, zigamba, zopaka, ndi mafuta.Funsani dokotala wanu kapena wamankhwala 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 mugwiritsa ntchito nitroglycerin pansi pa lilime lanu mukamagwiritsa ntchito apomorphine tating'ono tating'ono, kuthamanga kwa magazi kwanu kumatha kutsika ndikupangitsa chizungulire. Mutagwiritsa ntchito mawu apomorphine, muyenera kugona pansi musanagwiritse ntchito nitroglycerin.
• Uzani dokotala ngati mumamwa mowa kapena ngati mwakhala ndi nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), kufooka, potaziyamu kapena magnesium m'magazi, kugunda kwapang'onopang'ono kapena kosasinthasintha, kuthamanga kwa magazi, kugona tulo, sitiroko, sitiroko yaying'ono, kapena mavuto ena amubongo, mphumu, mayendedwe osagwedezeka mwadzidzidzi ndi kugwa, matenda amisala, kapena mtima, impso, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito zilembo za apomorphine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito apomorhine malembedwe angapo.
• muyenera kudziwa kuti apomorphine imatha kukupangitsani kugona. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chingakuike pachiwopsezo chovulala mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• simuyenera kumwa mowa mukamagwiritsa ntchito apomorphine. Mowa umatha kukulitsa mavuto obwera chifukwa cha apomorphine.
• muyenera kudziwa kuti apomorphine imatha kuyambitsa chizungulire, mutu wopepuka, nseru, thukuta, ndi kukomoka mukaimirira mwachangu pamalo abodza kapena atakhala. Izi ndizofala kwambiri mukayamba kugwiritsa ntchito 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.
• Muyenera kudziwa kuti anthu ena omwe amamwa mankhwala monga 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 mutha kugwa mwadzidzidzi mukamagwira ntchito tsiku ndi tsiku mukamagwiritsa ntchito apomorphine malembedwe ochepa. 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.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Mankhwalawa amagwiritsidwa ntchito ngati pakufunika kutero.

Malembo ang'onoang'ono a Apomorphine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusanza
• pakamwa pouma
• mutu
• mphuno
• kutopa
• kufiira mkamwa, zilonda, kuuma, kutupa, kapena kupweteka
• kupweteka ndi kumeza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi kapena izi zomwe zalembedwa mu ZISANGIZO ZAPADERA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• zidzolo; ming'oma; kuyabwa; kutupa kwa nkhope, mmero, lilime, kapena milomo; kuthamanga; kukhazikika pakhosi; kapena kupuma movutikira kapena kumeza
• kugwa pansi
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), nkhanza, kukwiya, kumverera ngati anthu akutsutsana nanu, kapena malingaliro osokonekera
• malungo, minofu yolimba, kusintha kwa kupuma kapena kugunda kwa mtima, kapena kusokonezeka
• kupuma pang'ono, kugunda kwamtima, kupweteka pachifuwa, kapena chizungulire
• erection yowawa yomwe sichitha

Nyama zina zasayansi zomwe zidapatsidwa apomorphine ngati jakisoni zidayamba matenda amaso. Sizikudziwika ngati zilembo zingapo za apomorphine zimawonjezera chiwopsezo cha matenda amaso mwa anthu. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Manenedwe apomorphine amatha kuyambitsa 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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

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.

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.

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti wina aliyense agwiritse ntchito 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.

• Wachinyamata^®