Ropinirole

Zamkati

• Musanatenge ropinirole,
• Ropinirole amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Ropinirole amagwiritsidwa ntchito payekha kapena ndi mankhwala ena kuchiza zizindikiro za matenda a Parkinson (PD; vuto lamanjenje lomwe limayambitsa zovuta poyenda, kuwongolera minofu, ndikuwongolera), kuphatikiza kugwedeza ziwalo za thupi, kuuma, kuyenda kocheperako, ndi mavuto moyenera. Ropinirole amagwiritsidwanso ntchito kuthana ndi vuto la miyendo yopumula (RLS kapena Ekbom syndrome; vuto lomwe limayambitsa kusakhazikika kwamiyendo ndikulimbikitsa mwamphamvu kusuntha miyendo, makamaka usiku komanso pokhala kapena kugona pansi). Ropinirole ali mgulu la mankhwala otchedwa dopamine agonists. Zimagwira ntchito m'malo mwa dopamine, chinthu chachilengedwe muubongo chomwe chimafunikira kuwongolera kuyenda.

Ropinirole amabwera ngati piritsi komanso piritsi lotulutsa nthawi yayitali kuti atenge pakamwa. Ropinirole atha kutengedwa ndi chakudya kuti ateteze m'mimba. Ropinirole akagwiritsidwa ntchito pochiza matenda a Parkinson, piritsi lomwe limakhalapo nthawi zambiri limamwedwa katatu patsiku ndipo piritsi lotulutsira limatengedwa kamodzi tsiku lililonse. Ropinirole akagwiritsidwa ntchito pochiza matenda amiyendo yopanda pake, piritsi lomwe limakhalapo nthawi zambiri limatengedwa kamodzi patsiku, 1 mpaka 3 maola asanagone. Mapiritsi otulutsira Ropinirole sanagwiritsidwe ntchito pochiza matenda amiyendo yopuma. Tengani ropinirole mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ropinirole ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Palinso mankhwala ena omwe ali ndi mayina ofanana ndi dzina la ropinirole. Muyenera kukhala otsimikiza kuti mumalandira ropinirole osati mankhwala amtundu uliwonse mukadzaza mankhwala anu. Onetsetsani kuti mankhwala omwe dokotala akukupatsani ndiwosavuta kuwerenga. Muyenera kudziwa dzina la mankhwala anu komanso chifukwa chake mukumwa mankhwalawo. Ngati mukuganiza kuti munapatsidwa mankhwala olakwika, lankhulani ndi wamankhwala wanu. Musamamwe mankhwala pokhapokha mutatsimikiza kuti ndi mankhwala omwe dokotala wanu adakupatsani.

Kumeza mapiritsi otulutsidwa otalikiratu; osagawana, kutafuna, kapena kuwaphwanya.

Dokotala wanu akuyambitsani pa ropinirole wocheperako ndipo pang'onopang'ono muwonjezere mlingo wanu kuti muchepetse zizindikilo zanu. Ngati mukumwa ropinirole kuchiza matenda a Parkinson, dokotala wanu mwina sangakuwonjezereni kangapo pamlungu. Ngati mukumwa ropinirole kuti muzitha kuchiza matenda amiyendo yopanda mpumulo, dokotala wanu adzawonjezera kuchuluka kwanu pakatha masiku awiri, komanso kumapeto kwa sabata yoyamba, osatero kangapo kamodzi pa sabata. Zitha kutenga milungu ingapo musanafike pa mlingo womwe umakugwirirani ntchito. Ngati mukumwa ropinirole kuti muchepetse matenda amiyendo yopanda pake, mutha kulandira zida zoyambira zomwe zili ndi mapiritsi owonjezera omwe angatenge m'masabata awiri oyamba a chithandizo chanu. Mlingo wa mankhwala omwe mungafune umadalira momwe thupi lanu limayankhira mankhwalawo, ndipo atha kukhala osiyana ndi kuchuluka kwa mankhwala omwe ali mchikacho. Dokotala wanu angakuuzeni momwe mungagwiritsire ntchito chida chija komanso ngati muyenera kumwa mapiritsi onse omwe ali nawo. Tsatirani malangizo a dokotala mosamala.

Ropinirole amawongolera zizindikilo za matenda a Parkinson ndi matenda amiyendo yopuma koma samachiritsa izi. Pitilizani kumwa ropinirole ngakhale mukumva bwino. Osasiya kumwa ropinirole osalankhula ndi dokotala. Ngati mukumwa ropinirole ndipo mwadzidzidzi mwasiya kumwa mankhwalawo, mutha kukhala ndi malungo, kugunda kwamtima, kulimba kwa minofu, thukuta, chisokonezo, ndi zizindikilo zina. Ngati dokotala akukufunsani kuti musiye kumwa ropinirole, dokotala wanu angachepetse mlingo wanu pang'onopang'ono, patatha masiku asanu ndi awiri.

Mukasiya kumwa ropinirole pazifukwa zilizonse, musayambe kumwa mankhwalawa osalankhulanso ndi dokotala. Dokotala wanu angafunenso kuonjezera mlingo wanu pang'onopang'ono.

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.

Musanatenge ropinirole,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la ropinirole, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a ropinirole kapena mapiritsi otulutsidwa. Funsani dokotala wanu kapena wamankhwala mndandanda wa zowonjezera mu mapiritsi a ropinirole okhazikika kapena owonjezera.
• 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: antidepressants ('mood lifters'); antipsychotic (mankhwala amisala); cimetidine (Tagamet, Tagamet HB); fluoroquinolone maantibayotiki monga ciprofloxacin (Cipro), ndi norfloxacin (Noroxin); fluvoxamine (Luvox); mankhwala obwezeretsa mahomoni ndi njira zolerera za mahomoni (mapiritsi oletsa kubereka, zigamba, mphete, ndi jakisoni); insulini; lansoprazole (Prevacid); levodopa (ku Sinemet, ku Stalevo); mankhwala a nkhawa ndi khunyu; mankhwala omwe amachititsa kusinza; metoclopramide (Reglan); mexiletine (Mexitil); modafanil (Provigil); nafcillin; omeprazole (Prilosec, Zegerid); mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Onetsetsani kuti muuze dokotala kapena wamankhwala mukasiya kumwa mankhwala aliwonse mukamwa ropinirole.
• uzani dokotala wanu ngati mudakhalapo ndi chidwi chofuna kutchova juga chomwe chinali chovuta kuwongolera komanso ngati mwakhala mukugona masana mwadzidzidzi kapena vuto la kugona kupatula kupumira kwamiyendo; kuthamanga kapena kuthamanga kwa magazi; matenda amisala (matenda amisala omwe amabweretsa kuganiza kapena malingaliro osazolowereka); kapena matenda a mtima, chiwindi, kapena impso.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga ropinirole, itanani dokotala wanu. Uzaninso dokotala wanu ngati mukuyamwitsa. Ropinirole amachepetsa kuchuluka kwa mkaka wa m'mawere.
• muyenera kudziwa kuti ropinirole imatha kukupangitsani kugona kapena itha kukupangitsani kugona mwadzidzidzi mukamagwira ntchito tsiku ndi tsiku. Mwina simungamve kugona kapena kukhala ndi zizindikiro zina musanagone mwadzidzidzi. Osayendetsa galimoto, kugwiritsa ntchito makina, kugwira ntchito pamalo okwera, kapena kuchita nawo zoopsa pachiyambi cha chithandizo chanu mpaka mutadziwa momwe mankhwalawo amakukhudzirani. Ngati mumagona modzidzimutsa pamene mukuchita zinthu monga kuonera TV, kulankhula, kudya, kapena kukwera galimoto, kapena ngati mutagona kwambiri, makamaka masana, itanani dokotala wanu. Osayendetsa, kugwira ntchito m'malo okwezeka, kapena kugwiritsa ntchito makina mpaka mutalankhula ndi dokotala wanu.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa. Uzani dokotala wanu ngati mumamwa mowa nthawi zonse.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Itanani dokotala wanu mukayamba kapena kusiya kusuta mukamamwa mankhwala ndi ropinirole. Kusuta kumatha kuchepetsa mphamvu ya mankhwalawa.
• Muyenera kudziwa kuti anthu ena omwe amamwa mankhwala monga ropinirole 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 ropinirole imatha kuyambitsa chizungulire, mutu wopepuka, nseru, kapena thukuta mukadzuka msanga kuchokera pomwe mwakhala kapena kugona. Izi ndizofala kwambiri mukayamba kumwa ropinirole kapena kuchuluka kwa ropinirole. Pofuna kupewa vutoli, tulukani pampando kapena pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zochepa musanayimirire.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mumamwa mapiritsi a ropinirole pafupipafupi kuti muchiritse matenda a Parkinson ndipo mwaphonya mlingo, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika.

Ngati mukumwa mapiritsi a ropinirole pafupipafupi kuti muchiritse matenda amiyendo yopanda pake ndipo mwaphonya mlingo, tulukani mlingo womwe umasowa. Tengani mlingo wanu wokhazikika 1 mpaka 3 maola musanagone. Musachulukitse mlingo wotsatira kuti mupange mlingo womwe mwaphonya.

Ngati mukumwa mapiritsi a ropinirole otalikirapo kuti muchiritse matenda a Parkinson ndipo mwaphonya mlingo, tengani mlingo womwe mwaphonya mukangokumbukira. Bwererani ku dongosolo lanu la dosing tsiku lotsatira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ropinirole amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kupweteka m'mimba
• kutentha pa chifuwa kapena mpweya
• kutsegula m'mimba
• kudzimbidwa
• kuchepa kwa njala
• kuonda
• chizungulire
• Kusinza
• kutopa
• kufooka
• mutu
• kutuluka thukuta kapena kutsuka
• chisokonezo
• zovuta kukumbukira kapena kusamalira
• nkhawa
• kusasunthika, kusuntha kwadzidzidzi kwa thupi
• kugwedeza gawo la thupi lanu lomwe simungathe kulilamulira
• Kuchepetsa chidwi (kuyankha) kukhudza
• pafupipafupi kapena mwachangu kufunika kokodza
• kuvuta kukodza kapena kupweteka mukakodza
• mwa amuna, kuvuta kukwaniritsa kapena kusunga erection
• msana, minofu, kapena kulumikizana
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kupweteka m'manja kapena m'mapazi
• kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• pakamwa pouma

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• kukomoka
• kupweteka pachifuwa
• pang'onopang'ono, mofulumira, kapena kugunda kwa mtima kosasinthasintha
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa nkhope, milomo, pakamwa, lilime, kapena pakhosi
• kupuma movutikira
• zovuta kumeza kapena kupuma
• masomphenya awiri kapena kusintha kwina kwamasomphenya

Anthu omwe ali ndi matenda a Parkinson atha kukhala pachiwopsezo chachikulu chotenga khansa ya khansa yapakhungu (mtundu wa khansa yapakhungu) kuposa anthu omwe alibe matenda a Parkinson. Palibe chidziwitso chokwanira chodziwitsa ngati mankhwala omwe amagwiritsidwa ntchito pochiza matenda a Parkinson monga ropinirole amawonjezera chiopsezo chokhala ndi khansa yapakhungu. Muyenera kukhala ndi mayeso a khungu pafupipafupi kuti muwone ngati ali ndi khansa ya khansa mukamamwa ropinirole ngakhale mulibe matenda a Parkinson. Lankhulani ndi dokotala wanu za chiopsezo chotenga ropinirole.

Anthu ena omwe amamwa ropinirole ndi mankhwala ena ofananawo asintha kusintha kwamankhwala (mabala kapena makulidwe) m'mapapu awo ndi mavavu amtima. Sizikudziwika ngati vutoli limayambitsidwa ndi ropinirole. Lankhulani ndi dokotala wanu za chiwopsezo chomwa mankhwalawa.

Ropinirole 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. Zisunge kutentha komanso kutali ndi dzuwa, 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:

• nseru
• kusanza
• chizungulire
• kukomoka
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• maloto olakwika
• Kusinza
• chisokonezo
• thukuta
• mantha mukakhala pamalo ang'ono kapena otsekedwa
• kusuntha kwa thupi komwe kumakhala kovuta kuwongolera
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kupweteka pachifuwa
• kufooka
• chifuwa
• kubvutika

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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