Inbrija (levodopa)

Zamkati

• Inbrija ndi chiyani?
• Kuchita bwino
• Inbrija generic
• Zotsatira za Inbrija
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Zotsatira zoyipa
• Inbrija mlingo
• Mitundu ya mankhwala ndi mphamvu
• Mlingo wa matenda a Parkinson
• Ndingatani ngati ndaphonya mlingo?
• Kodi ndiyenera kugwiritsa ntchito mankhwalawa nthawi yayitali?
• Inbrija wa matenda a Parkinson
• Kuchita bwino
• Inbrija ndi mowa
• Kuyanjana kwa Inbrija
• Inbrija ndi mankhwala ena
• Inbrija ndi zitsamba ndi zowonjezera
• Momwe Inbrija amagwirira ntchito
• Kodi Inbrija amachita chiyani?
• Zimatenga nthawi yayitali bwanji kuti zigwire ntchito?
• Inbrija mtengo
• Thandizo lazachuma komanso inshuwaransi
• Inbrija bongo
• Zizindikiro zambiri za bongo
• Zomwe muyenera kuchita mukamagwiritsa ntchito bongo
• Njira zina ku Inbrija
• Inbrija vs. Apokyn
• Ntchito
• Mafomu azamankhwala ndi makonzedwe
• Zotsatira zoyipa ndi zoopsa
• Kuchita bwino
• Mtengo
• Momwe mungatengere Inbrija
• Nthawi yoti mutenge
• Inbrija ndi mimba
• Inbrija ndi kulera
• Inbrija ndi kuyamwitsa
• Mafunso wamba a Inbrija
• Kodi zikutanthauza chiyani kukhala ndi 'nthawi yopuma' ya matenda a Parkinson?
• Kodi ndingapeze Inbrija ku pharmacy yanga?
• Kodi Inbrija angalowe m'malo mwa carbidopa / levodopa wanga wamba?
• Kodi ndiyenera kutsatira zakudya zinazake ndikamagwiritsa ntchito Inbrija?
• Kodi ndingathe kumeza kapisozi wa Inbrija?
• Kodi ndidzakhala ndi zisonyezo zakusiya ngati mwadzidzidzi ndisiya kumwa Inbrija?
• Kodi ndingamwe Inbrija ngati ndili ndi matenda osokoneza bongo (COPD) kapena mphumu?
• Inbrija zodzitetezera
• Kutha kwa Inbrija, kusunga, ndi kutaya
• Yosungirako
• Kutaya
• Zambiri za Inbrija
• Zisonyezero
• Njira yogwirira ntchito
• Pharmacokinetics ndi metabolism
• Zotsutsana
• Yosungirako

Inbrija ndi chiyani?

Inbrija ndi dzina la mankhwala omwe amagwiritsidwa ntchito pochiza matenda a Parkinson. Amapatsidwa kwa anthu omwe amabwerera mwadzidzidzi zizindikiro za Parkinson akamamwa mankhwala omwe amatchedwa carbidopa / levodopa. Kubweranso kwa matendawa kumatchedwa "nthawi yopuma." Zimachitika pamene zotsatira za carbidopa / levodopa zatha kapena mankhwalawa sakugwira ntchito moyenera.

Mukatenga Inbrija, imafika muubongo wanu ndikusandulika chinthu chotchedwa dopamine. Dopamine amathandiza kuthetsa zizindikiro za matenda a Parkinson.

Inbrija imabwera ngati kapisozi wokhala ndi ufa mkati mwake. Nthawi iliyonse mukamagula Inbrija, mupezanso chida cha inhaler. Mumayika makapisozi mu chipangizocho ndikupumira Inbrija kudzera pakamwa panu. Mankhwalawa amapezeka mwamphamvu imodzi: 42 milligrams (mg) pa kapisozi.

Kuchita bwino

Inbrija wapezeka kuti ndiwothandiza pothana ndi matenda a Parkinson.

Pakafukufuku wamankhwala, zotsatira za Inbrija zidafaniziridwa ndi placebo (mankhwala opanda mankhwala osokoneza bongo) mwa anthu 226 omwe ali ndi matenda a Parkinson. Anthu onse omwe anali mu kafukufukuyu anali kumwa carbidopa / levodopa komabe anali ndi zizindikilo zadzidzidzi za Parkinson.

Inbrija amapatsidwa kwa anthu nthawi iliyonse chizindikiro chadzidzidzi chikabwerera. Atatenga Inbrija, 58% ya anthu adabwerera ku "nthawi" ya matenda a Parkinson. Nthawi yake ndi pamene simumva zizindikiro zilizonse. Mwa anthu omwe adatenga maloboti, 36% adabwerera munthawi ya Parkinson.

Inbrija generic

Inbrija (levodopa) imapezeka kokha ngati mankhwala a dzina lodziwika. Sikupezeka pakadali pano mu mawonekedwe achibadwa.

Zotsatira za Inbrija

Inbrija imatha kuyambitsa zovuta zochepa kapena zoyipa. Mndandanda wotsatira uli ndi zovuta zina zomwe zingachitike mukamamwa Inbrija. Mndandandawu mulibe zovuta zonse zomwe zingachitike.

Kuti mumve zambiri pazomwe zingachitike chifukwa cha Inbrija, lankhulani ndi dokotala kapena wamankhwala. Amatha kukupatsirani malangizo amomwe mungathetsere mavuto omwe angakhale ovuta.

Zotsatira zofala kwambiri

Zotsatira zofala kwambiri za Inbrija zitha kuphatikiza:

• chifuwa
• matenda opuma opuma, monga chimfine
• nseru yomwe imatenga nthawi yayitali (onani "Zambiri zoyipa" pansipa)
• madzi amtundu wakuda monga mkodzo kapena thukuta (onani "Zambiri za zotsatira zoyipa" pansipa)

Zambiri mwa zotsatirazi zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Zotsatira zoyipa zochokera ku Inbrija sizachilendo, koma zimatha kuchitika. Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala.

Zotsatira zoyipa komanso zizindikilo zake zimatha kuphatikiza:

• matenda obwezeretsa
• hypotension (kuthamanga kwa magazi)
• psychosis ndi kuyerekezera zinthu m'maganizo (kuwona kapena kumva china chake chomwe kulibe)
• zolimbikitsa zachilendo
• dyskinesia (kusadziletsa komanso kusuntha mwadzidzidzi)
• Kugona pazochitika zachizolowezi
• zotsatira zachilendo kuchokera kumayeso a labotale, kuphatikiza kuyesa kwa chiwindi (kungakhale chizindikiro cha kuwonongeka kwa chiwindi)

Zindikirani: Onani gawo la "Zotsatira zoyipa" pansipa kuti mudziwe zambiri za zotsatirazi.

Zotsatira zoyipa

Mutha kudabwa kuti zovuta zina zimachitika kangati ndi mankhwalawa, kapena ngati zovuta zina zake zimakhudza. Nazi zina mwazinthu zingapo zomwe mankhwalawa angapangitse kapena sangayambitse.

Kuchotsa matenda

Mutha kukhala ndi matenda obwera pambuyo pochepetsa mwadzidzidzi mlingo wanu wa Inbrija kapena kusiya kumwa. Izi ndichifukwa choti thupi lanu limazolowera kukhala ndi Inbrija. Mukasiya mwadzidzidzi kumwa, thupi lanu lilibe nthawi yosinthira bwino kuti lisakhale nalo.

Zizindikiro za kusuta kungaphatikizepo:

• malungo kapena kutentha thupi komwe kumatenga nthawi yayitali
• chisokonezo
• kuuma minofu
• mayendedwe amtima osasintha (kusintha kwa kugunda kwa mtima wanu)
• kusintha kwa kupuma

Uzani dokotala wanu ngati mukukumana ndi vuto lililonse lochoka. Musayambe kuyambiranso Inbrija ngati mukumva zizindikiro zakutha pokhapokha dokotala wanu atakulangizani. Amatha kukupatsirani mankhwala othandizira matenda anu.

Kutaya magazi (kuthamanga kwa magazi)

Mutha kukhala ndi kuthamanga kwa magazi mukamamwa Inbrija. Pakafukufuku wamankhwala, 2% ya anthu omwe amamwa Inbrija anali ndi kuthamanga kwa magazi. Palibe aliyense mwa anthu omwe adatenga placebo (chithandizo chopanda mankhwala osokoneza bongo) anali ndi kuthamanga kwa magazi.

Nthawi zina, kuthamanga kwa magazi kumatha kukupangitsani kuti musamayende bwino ndikugwa. Pofuna kupewa izi, dzukani pang'onopang'ono ngati mwakhala pansi kapena kugona kwa nthawi yayitali.

Zizindikiro za kuthamanga kwa magazi zimatha kuphatikiza:

• chizungulire
• nseru womwe umakhalitsa
• kukomoka
• khungu lolimba

Uzani dokotala wanu ngati mukukumana ndi matenda ochepetsa magazi omwe samatha. Amatha kuwona kuthamanga kwa magazi kwanu kuti awone ngati muli ndi hypotension. Komanso, atha kukuthandizani kuti mupange dongosolo lazakudya kapena kukupatsani mankhwala kuti muwonjezere kuthamanga kwa magazi.

Kusokonezeka maganizo

Mutha kukhala ndi zochitika zama psychotic (kuphatikiza kuyerekezera zinthu m'maganizo) mukamamwa Inbrija. Ndi magawo amisala, malingaliro anu enieni angasinthidwe. Mutha kuwona, kumva, kapena kumva zinthu zomwe sizili zenizeni. Sizikudziwika kuti mbali iyi ndi yofala bwanji ndi Inbrija.

Zizindikiro za psychosis zitha kuphatikiza:

• kuyerekezera zinthu m'maganizo
• chisokonezo, kusokonezeka, kapena kuganiza molakwika
• kusowa tulo (kuvuta kugona)
• ndikulota kwambiri
• paranoia (kuganiza kuti anthu akufuna kukupweteketsani)
• zonyenga (kukhulupirira zinthu zomwe sizowona)
• nkhanza
• kuvutikira kapena kumva kusowa mtendere

Magawo azamisala akuyenera kuthandizidwa kuti asakuvulazeni. Lolani dokotala wanu adziwe nthawi yomweyo ngati muli ndi zizindikiro za psychosis. Amatha kupereka mankhwala othandizira ndi zizindikilo ndi magawo amisala. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala.

Zolimbikitsa zachilendo

Inbrija imatha kukhudza ziwalo zamaubongo anu zomwe zimayang'anira zomwe mukufuna kuchita. Chifukwa chake kutenga Inbrija kungasinthe zomwe ndi nthawi yomwe mukufuna kuchita zinthu. Makamaka, mutha kukhala ndi chidwi chofuna kuchita zinthu zomwe simumachita.

Zizindikiro zimatha kuphatikiza:

• chikhumbo chadzidzidzi cha juga
• khalidwe lokakamiza (monga kudya kapena kugula)
• kulakalaka kwambiri zogonana

Sizikudziwika kuti izi zimakhala zofala bwanji.

Nthawi zina, anthu omwe akutenga Inbrija sangathe kuzindikira zofuna zawo zachilendo. Samalani kwambiri ngati mnzanu kapena wachibale wanena kuti simukuchita monga inu nokha. Mutha kukhala ndi zokopa zachilendo osadziwa.

Uzani dokotala wanu ngati inu, banja lanu, kapena abwenzi anu muwona zizolowezi zosazolowereka mwa inu. Dokotala wanu akhoza kuchepetsa mlingo wanu wa Inbrija kuti akuthandizeni kuchepetsa chiopsezo chokhala ndi zofuna zachilendozi.

Dyskinesia

Mutha kukhala ndi dyskinesia (kusasunthika komanso kusuntha kwadzidzidzi kwa thupi) mukamamwa Inbrija. Pakafukufuku wamankhwala, 4% ya anthu omwe amamwa Inbrija anali ndi dyskinesia. Poyerekeza, 1% ya anthu omwe amatenga placebo anali ndi dyskinesia. Kusunthaku kumachitika kumaso kwa anthu, malilime, ndi ziwalo zina za matupi awo.

Zizindikiro za dyskinesia zitha kuphatikiza:

• kusuntha mutu mmwamba ndi pansi
• kuseka
• osatha kumasuka
• kugwedeza thupi
• kugwedezeka kwa minofu
• kugwedezeka

Dokotala wanu adziwe ngati muli ndi matenda a dyskinesia mukamamwa Inbrija. Dokotala wanu adzayang'ana momwe zinthu ziliri kuti asankhe ngati Inbrija ndiye mankhwala abwino kwambiri kwa inu.

Kugona pazochitika zachizolowezi

Inbrija atha kusintha momwe umagonera. Mutha kumverera kuti muli maso koma mukugona mwadzidzidzi. Sizikudziwika kuti izi zimakhala zofala bwanji.

Mukamutenga Inbrija, mutha kugona mwadzidzidzi mukugwira ntchito wamba, monga:

• kuyendetsa
• kugwiritsa ntchito kapena kugwiritsa ntchito zinthu zowopsa, monga mipeni
• kudya
• kugwira ntchito zakuthupi, monga kunyamula zinthu zolemetsa
• kuyankhula ndi anthu

Kugwa mwadzidzidzi kungakhale koopsa, kutengera zomwe mukuchita. Mwachitsanzo, mungadzivulaze nokha komanso kuvulaza ena ngati mutagona mukuyendetsa. Chifukwa chake, muyenera kupewa kuyendetsa galimoto kapena kugwiritsa ntchito zinthu zowopsa, monga mipeni kapena zida zina, mukamatenga Inbrija.

Adziwitseni dokotala ngati kugona mwadzidzidzi kumakhudza zochitika zanu za tsiku ndi tsiku. Adzakulangizani za momwe mungathanirane ndi zotsatirazi. Akambirananso ngati Inbrija ndi mankhwala oyenera kwa inu.

Kugwa mwadzidzidzi kumatha kupitilirabe kupitilira chaka chimodzi mutayamba kumwa Inbrija. Mukasiya kumwa Inbrija, funsani dokotala wanu za kuyendetsa, kugwiritsa ntchito makina ndikukweza zinthu zolemetsa. Atha kukulangizani ngati zinthuzi zili zotetezeka kwa inu nthawi ino.

Zotsatira zachilendo zaku labotale

Inbrija imatha kubweretsa zotsatira zabodza m'mayeso ena a labotale, kuphatikiza kuyesa kwa chiwindi. Zotsatira zachilendozi zitha kukhala chizindikiro cha kuwonongeka kwa chiwindi. Sizikudziwika kuti izi zimakhala zofala bwanji.

Ngati mukuganiza kuti zotsatira za labotale zimakhala zachilendo (kuti mankhwala ndi okwera kwambiri), funsani dokotala wanu. Amatha kuyang'ana pazotsatira zanu kuti awone ngati china chake chalakwika.

Nseru

Pakafukufuku wamankhwala, anthu 5% omwe adatenga Inbrija adachita nseru. Poyerekeza, 3% ya anthu omwe adatenga maloboti anali ndi nseru. Pazochitika zonsezi, kunyoza sikunali kovuta, ndipo sikunayambitse zovuta zina.

Lankhulani ndi dokotala ngati mwachita mseru kwa masiku opitilira atatu. Amatha kukuthandizani kuti mupange dongosolo lazakudya zokuthandizani kuti muchepetse mseru wanu. Ngati kusintha kwa zakudya zanu sikuthandizani, dokotala akhoza kukupatsani mankhwala kuti athetse mseru wanu.

Mkodzo wamtundu wakuda

Mukamamwa Inbrija, mutha kukhala ndi mkodzo wakuda. Madzi ena amthupi monga thukuta, malovu kapena phlegm amathanso kukhala amdima. Mwambiri, izi sizowononga ndipo sizikhala ndi zoyipa zilizonse mthupi lanu.

Ngati mupitiliza kukhala ndi mkodzo wakuda kapena madzi ena amthupi ndipo mumayamba kuda nkhawa, lankhulani ndi dokotala wanu. Amatha kunena zakayezetsa magazi kuti awonetsetse kuti Inbrija ndiotetezeka kwa inu.

Matenda okhumudwa (osati zotsatira zoyipa)

Matenda okhumudwa sanatchulidwe ngati zoyipa pakafukufuku wina wazachipatala wa Inbrija. Komabe, kukhumudwa kumatha kukhala chifukwa cha matenda a Parkinson.

Akuti pafupifupi 35% ya anthu omwe ali ndi matenda a Parkinson atha kukhala ndi zizindikilo zakukhumudwa. Peresenti iyi imatha kusiyanasiyana kutengera zaka za anthu. Kawirikawiri, achinyamata omwe ali ndi Parkinson amakhala ndi chiopsezo chachikulu cha kukhumudwa.

Zizindikiro zakukhumudwa kwa anthu omwe ali ndi matenda a Parkinson ndizosiyana ndi anthu omwe alibe vutoli. Zizindikiro zakukhumudwa zomwe zimafala kwambiri kwa anthu omwe ali ndi Parkinson ndi monga:

• chisoni
• kuda nkhawa kwambiri
• kupsa mtima
• dysphoria (wosasangalala kwambiri ndi moyo)
• chiyembekezo (kumva ngati chilichonse ndi choipa kapena kuyembekezera zotsatira zoyipa)
• maganizo ofuna kudzipha

Lankhulani ndi dokotala ngati mukuganiza kuti mutha kukhala opsinjika. Amatha kukugwirizanitsani ndi zothandizira ndikuthandizani kuti mukhale bwino. Akakupezani kuti muli ndi vuto la kukhumudwa, amatha kukupatsani mankhwala kuti amuthandize.

Kulephera kwa Erectile (osati zotsatira zoyipa)

Kulephera kwa Erectile (ED) sikunatchulidwe ngati zotsatira zoyipa pakafukufuku wina wazachipatala wa Inbrija.Koma amuna omwe ali ndi matenda a Parkinson atha kukhala ndi ED.

Akuyerekeza kuti amuna 79% omwe ali ndi Parkinson ali ndi ED, mavuto okomoka, kapena amavutika kukhala ndi vuto. Ngati matenda a Parkinson amphongo apita patsogolo kwambiri, amatha kuyambitsa ED.

Amuna omwe ali ndi matenda a Parkinson omwe amakhalanso ndi nkhawa, kukhumudwa, kapena kupsinjika atha kukulira ED poyerekeza ndi ena. Komanso, kumwa mowa ndikusuta fodya kumatha kupangitsa ED kukhala yovuta kwambiri. Muyenera kupewa kumwa kapena kusuta ngati muli ndi ED.

Dokotala wanu adziwe ngati muli ndi ED yomwe siyimatha. Amatha kukupatsirani mankhwala ochizira ED.

Kutuluka thukuta (osati zotsatira zoyipa)

Kutuluka thukuta mopitirira muyeso sikunanenedwe ngati zotsatira zoyipa pakufufuza kwamankhwala kwa Inbrija. Koma thukuta lingakhale chizindikiro cha hypotension (kuthamanga kwa magazi). Kuthamanga kwa magazi ndi zotsatira zoyipa za Inbrija.

Kuthamanga kwa magazi komwe kumakhudza momwe mungakhalire komanso momwe mumakhalira kumatchedwa orthostatic hypotension. Thukuta ndi chizindikiro chodziwika cha izi. Zizindikiro zina zofala za orthostatic hypotension ndi monga:

• chizungulire
• nseru
• kukomoka

Adziwitseni adotolo ngati mukukula thukuta kwambiri kapena zina mwa zizindikiro za orthostatic hypotension. Adzayeza kuthamanga kwa magazi anu kuti awone ngati muli ndi hypotension. Mukatero, atha kukuthandizani kuti mupange dongosolo lazakudya kuti muwonjezere kuthamanga kwa magazi. Ngati sichikula chifukwa cha kusintha kwa zakudya zanu, adokotala angakupatseni mankhwala kuti achulukitse kuthamanga kwa magazi.

Inbrija mlingo

Mlingo wa Inbrija yemwe dokotala akukulemberani umadalira kuopsa kwa zomwe mukugwiritsa ntchito Inbrija pochiza komanso momwe thupi lanu limachitira ndi mankhwalawa.

Nthawi zambiri, dokotala wanu amakupangitsani muyeso wochepa. Kenako azisintha pakapita nthawi kuti akwaniritse zomwe zikukuyenerani. Dokotala wanu pomaliza adzakupatsani mlingo wochepa kwambiri womwe umafunikira.

Chidziwitso chotsatirachi chimalongosola miyezo yomwe amagwiritsidwa ntchito kwambiri kapena amalimbikitsidwa. Komabe, onetsetsani kuti mwatenga mlingo womwe dokotala akukulemberani. Dokotala wanu adzazindikira mlingo woyenera kuti mukwaniritse zosowa zanu.

Mitundu ya mankhwala ndi mphamvu

Inbrija imabwera ngati kapisozi komwe mumapumira pogwiritsa ntchito inhaler. Amapezeka kokha mwamphamvu imodzi: 42 mg pa kapisozi.

Mlingo wa matenda a Parkinson

Mlingo woyenera wa Inbrija ndi makapisozi awiri pa "nthawi yonse" ya matenda a Parkinson. Nthawi yopuma ndi yomwe mumakhala ndi zizindikiro za Parkinson ngakhale mutalandira chithandizo cha carbidopa / levodopa.

Simuyenera kumwa mlingo umodzi (makapisozi awiri) a Inbrija nthawi iliyonse. Komanso, musamamwe mankhwala opitilira asanu (makapisozi 10) a Inbrija patsiku.

Ndingatani ngati ndaphonya mlingo?

Inbrija iyenera kugwiritsidwa ntchito pokhapokha mukapuma. Ngati mulibe nthawi yopuma, simuyenera kutenga Inbrija. Ngati muli ndi mafunso okhudza nthawi yomwe muyenera kumwa Inbrija, lankhulani ndi dokotala wanu.

Kodi ndiyenera kugwiritsa ntchito mankhwalawa nthawi yayitali?

Inbrija amayenera kugwiritsidwa ntchito ngati chithandizo chopitilira. Ngati inu ndi adokotala mwaganiza kuti Inbrija ndiwotetezeka komanso wothandiza kwa inu, mutha kumwa mankhwalawa nthawi yayitali.

Inbrija wa matenda a Parkinson

Food and Drug Administration (FDA) imavomereza mankhwala akuchipatala monga Inbrija kuti athetse mavuto ena.

Inbrija ndi wovomerezeka ndi FDA kuti athetse "nthawi zopumira" za matenda a Parkinson mwa anthu omwe amamwa mankhwala osakaniza omwe amatchedwa carbidopa / levodopa.

Nthawi zopuma za Parkinson zimachitika pomwe zotsatira za carbidopa / levodopa zikutha kapena mankhwalawa sakugwira ntchito moyenera. Izi zikachitika, mutha kukhala ndi zizindikiro zoopsa za Parkinson, kuphatikiza mayendedwe osalamulirika. Nthawi ikatha, carbidopa / levodopa ikhoza kuyambanso kukuthandizaninso.

Kuchita bwino

Pa kafukufuku wamankhwala, Inbrija anali othandiza pochiza matenda a Parkinson mwa anthu omwe amatenga carbidopa / levodopa. Inbrija adachotsa zisonyezo zazikulu za Parkinson zomwe anthu amakhala nazo nthawi iliyonse. Anthu ambiri omwe amamwa Inbrija amatha kumapeto kwa nthawi atamwa mankhwalawa.

Phunziroli, 58% ya anthu omwe adakumana ndi zadzidzidzi za matenda a Parkinson komanso omwe adatenga Inbrija adatha kubwerera ku "site" yawo (popanda zisonyezo za Parkinson's). Poyerekeza, anthu 36% omwe adatenga maloboti (mankhwala osagwiritsa ntchito mankhwala osokoneza bongo) adabwerera kwawo.

Komanso mu phunziroli, mphamvu ya Inbrija inayesedwa pogwiritsa ntchito mota wa UPDRS Part III pamphindi 30 mutamwa mankhwala. Ichi ndi mulingo womwe umayeza kukula kwa zizindikilo zakuthupi za munthu za matenda a Parkinson. Kutsika kwa mphotho kumatanthauza kuti zizindikilo za munthuyo ndizocheperako kuposa kale.

Pambuyo pa masabata 12, anthu omwe adatenga Inbrija anali ndi kuchepa kwamagalimoto a UPDRS Part III a 9.8. Izi zikufaniziridwa ndi kuchepa kwa 5.9 kwa anthu omwe adatenga malowa.

Inbrija ndi mowa

Palibe mgwirizano wodziwika pakati pa Inbrija ndi mowa. Komabe, Inbrija ndi mowa zimatha kuyambitsa chizungulire komanso kuwodzera zikagwiritsidwa ntchito paokha. Komanso, mutha kukhala ndi vuto loyang'ana komanso kugwiritsa ntchito malingaliro mwa aliyense wa iwo. Kumwa mowa ndikumwa Inbrija kumatha kukulitsa zotsatirazi.

Ngati mumamwa mowa, kambiranani ndi dokotala wanu ngati zili bwino kuti mumwe mukamwa Inbrija.

Kuyanjana kwa Inbrija

Inbrija amatha kulumikizana ndi mankhwala ena angapo. Itha kulumikizananso ndi zowonjezera zina.

Kuyanjana kosiyanasiyana kumatha kubweretsa zovuta zosiyanasiyana. Mwachitsanzo, kulumikizana kwina kumatha kusokoneza momwe Inbrija amagwirira ntchito. Kuyanjana kwina kumatha kukulitsa zovuta zake kapena kuwapangitsa kukhala owopsa.

Inbrija ndi mankhwala ena

M'munsimu muli mndandanda wa mankhwala omwe angagwirizane ndi Inbrija. Mndandandawu mulibe mankhwala onse omwe atha kuyanjana ndi Inbrija.

Musanatenge Inbrija, lankhulani ndi dokotala komanso wamankhwala. Auzeni zamankhwala onse omwe mumalandira, pa-pakauntala, ndi mankhwala ena omwe mumamwa. Auzeni za mavitamini, zitsamba, ndi zowonjezera zilizonse zomwe mumagwiritsa ntchito. Kugawana izi kungakuthandizeni kupewa kuyanjana komwe kungachitike.

Ngati muli ndi mafunso okhudzana ndi mankhwala omwe angakukhudzeni, funsani dokotala kapena wamankhwala.

Inbrija ndi mankhwala osokoneza bongo

Monoamine oxidase inhibitors (MAOIs) ndi mankhwala omwe amagwiritsidwa ntchito kuthana ndi kukhumudwa. Anthu omwe amamwa mtundu wina wa mankhwalawa, omwe amatchedwa MAOSI osasankha, sayenera kumwa Inbrija.Kuwatenga ndi Inbrija kungayambitse kuthamanga kwa magazi, komwe kumatha kubweretsa zovuta zazikulu monga matenda amtima.

Ngati mutenga MAOI osasankha, muyenera kudikirira osachepera milungu iwiri mutakwaniritsa mlingo wanu womaliza musanayambe Inbrija.

Ma MAI osasankha omwe amagwiritsidwa ntchito kwambiri pakukhumudwa ndi awa:

• isocarboxazid (Marplan)
• phenelzine (Nardil)
• tranylcypromine (Zamasamba)

Lankhulani ndi dokotala ngati mutenga MAOI osasankha. Amatha kukupatsirani njira ina yothetsera Inbrija kapena mankhwala opatsirana omwe angakhale otetezeka kwa inu.

Ngati mutenga mtundu wina wa MAOI, wotchedwa MAO-B-inhibitor, mutha kutenga Inbrija. Komabe, kumwa mankhwalawa pamodzi kungapangitse chiopsezo chanu chokhala ndi hypotension (kuthamanga kwa magazi). Makamaka, zitha kuwonjezera mwayi wanu wokhala ndi kuthamanga kwa magazi komwe kumakhudza momwe mungakhalire komanso kukhazikika. Izi zitha kukupangitsani kuti musasunthike ndikugwa.

MAO-B-inhibitors omwe amagwiritsidwa ntchito kwambiri kukhumudwa ndi awa:

• rasagiline (Chidziwitso)
• selegiline (Emsam, Zelapar)

Lankhulani ndi dokotala ngati mutenga MAO-B-inhibitor. Amatha kuyang'anira kuthamanga kwa magazi kwanu kuti awone ngati muli ndi hypotension. Ngati zingafunike, amathanso kukuthandizani kuti mupange dongosolo lazakudya kapena kukupatsani mankhwala kuti muchepetse kuthamanga kwa magazi.

Zindikirani: Kuti mumve zambiri za kuthamanga kwa magazi, onani gawo la "Inbrija side effects" pamwambapa.

Inbrija ndi dopamine D2 receptor antagonists

Kutenga omwe amatsutsana ndi dopamine D2 receptor ndi Inbrija atha kupanga Inbrija kukhala osagwira ntchito. Izi ndichifukwa choti otsutsa a D2 receptor ndi Inbrija ali ndi zovuta zina muubongo wanu. Otsutsa a D2 amalandila kuchepa kwa dopamine muubongo wanu, pomwe Inbrija amawachulukitsa.

Otsutsa a D2 receptor amagwiritsidwa ntchito pochiza psychosis. Omwe amatsutsana nawo dopamine D2 receptor ndi awa:

• wanjanji
• mankhwala enaake
• haloperidol (Haldol)
• risperidone (Risperdal)

Wotsutsa wina wa D2, metoclopramide (Reglan), amagwiritsidwa ntchito pochiza matenda a reflux a gastroesophageal, omwe ndi mtundu wa acid reflux.

Adziwitseni adotolo ngati mukumwa dopamine D2 receptor antagonist. Amatha kukambirana nanu ngati mungamwe Inbrija kapena ngati mankhwala ena angakhale abwino kwa inu.

Inbrija ndi isoniazid

Isoniazid ndi mankhwala omwe amagwiritsidwa ntchito pochizira TB (TB). Kugwiritsa ntchito Inbrija limodzi ndi isoniazid kungapangitse Inbrija kukhala wosagwira ntchito kwambiri. Izi ndichifukwa choti mankhwala awiriwa amatha kusokoneza ubongo wanu. Isoniazid imachepetsa kuchuluka kwa dopamine muubongo wanu, pomwe Inbrija amawachulukitsa.

Uzani dokotala wanu nthawi yomweyo ngati mwapatsidwa isoniazid kuti muchiritse TB mukamamwa Inbrija. Mutha kukambirana ngati mankhwala ena opha tizilombo angakhale abwino kwa inu. Ngati isoniazid ndiyo njira yabwino kwambiri, dokotala wanu atha kukuchotsani ku Inbrija kupita ku mankhwala ena kuti muchiritse matenda a Parkinson.

Inbrija ndi mchere wachitsulo kapena mavitamini

Kutenga Inbrija limodzi ndi mankhwala okhala ndi mchere wachitsulo kapena mavitamini kumatha kupangitsa Inbrija kukhala wosagwira ntchito kwambiri. Izi ndichifukwa choti mchere wamchere ndi mavitamini amatha kuchepetsa kuchuluka kwa Inbrija yomwe imafikira ubongo wanu.

Adziwitseni adotolo za mankhwala onse omwe mukumwa, kuphatikiza owonjezera. Mutha kukambirana ngati muyenera kusiya kumwa mankhwala omwe ali ndi mchere wachitsulo kapena mavitamini mkati mwake mukamamwa Inbrija.

Inbrija ndi zitsamba ndi zowonjezera

Anthu ena amatenga zitsamba zotchedwa Mucuna pruriens (Mucuna) kuthandiza kuthetsa zizindikiro za matenda a Parkinson. Mucuna amabwera ngati piritsi kapena ufa. Inbrija ndi Mucuna zili ndi levodopa, ndipo zonsezi zimawonjezera kuchuluka kwa dopamine muubongo wanu.

Kukhala ndi dopamine wambiri muubongo wanu kungakhale kovulaza. Zitha kubweretsa zovuta zoyipa, kuphatikiza kutsika kwa magazi, psychosis, ndi dyskinesia (onani gawo la "Inbrija zoyipa" pamwambapa).

Lankhulani ndi dokotala wanu ngati mukumwa kapena mukufuna kutenga Mucuna mukamagwiritsa ntchito Inbrija. Mutha kukambirana ngati izi zili bwino, ndipo ngati ndi choncho, ndi mulingo wanji wa Mucuna womwe tikulimbikitsidwa.

Momwe Inbrija amagwirira ntchito

Matenda a Parkinson ndi matenda amanjenje. Izi zikutanthauza kuti zimapangitsa ma cell (otchedwa ma neuron) muubongo wanu ndi msana kufa. Sizikudziwikabe kuti ndichifukwa chiyani maselo amafa komanso chifukwa chake maselo atsopano samakula m'malo awo.

Matenda a Parkinson amakupangitsani kutaya ma cell ambiri mbali zina za thupi lanu zomwe zimapanga dopamine (chinthu chofunikira kuwongolera mayendedwe). Chifukwa chake dopamine wocheperako amapangidwa, zomwe zimathandizira kukulitsa zizindikiritso za Parkinson.

Popita nthawi, kutayika kwa maselo kumakhudza kuwongolera kwanu mayendedwe amthupi lanu. Pamene kutayika kumeneku kumachitika, zizindikiro zofala kwambiri za matenda a Parkinson nthawi zambiri zimayamba kuwonekera (kuphatikiza mayendedwe osalamulirika).

Kodi Inbrija amachita chiyani?

Inbrija imagwira ntchito makamaka pakuwonjezera kuchuluka kwa dopamine muubongo wanu.

Kuchuluka kwa dopamine kumathandizira maselo anu otsala kukonza magwiridwe awo. Izi zimathandiza kuthetsa zizindikilo za matenda a Parkinson ndipo zimakupatsani mwayi wowongolera mayendedwe anu.

Zimatenga nthawi yayitali bwanji kuti zigwire ntchito?

Inbrija amayamba kugwira ntchito pasanathe mphindi zochepa mutangotenga. Kwa anthu ambiri, zizindikiro zowopsa za matenda a Parkinson zimamasulidwa mkati mwa mphindi 30 mutatenga Inbrija.

Inbrija amangogwiritsidwa ntchito pochiza matenda akulu panthawi "yopuma" ya matenda a Parkinson. Zizindikiro zanu zimatha kubwerera pambuyo poti Inbrija watha. Poterepa, tengani Inbrija monga mwafunsira dokotala (onani gawo la "Inbrija dosage" pamwambapa).

Lankhulani ndi dokotala wanu ngati muli ndi nthawi zopitilira zisanu za matenda a Parkinson patsiku. Pamodzi, mutha kusankha ngati mankhwala omwe muli nawo tsiku lililonse a Parkinson akugwirani ntchito bwino kapena ngati mungayesere mankhwala ena.

Inbrija mtengo

Monga mankhwala onse, mtengo wa Inbrija umasiyana. Kuti mupeze mitengo yamtundu wa Inbrija mdera lanu, onani WellRx.com. Mtengo womwe mumapeza pa WellRx.com ndiomwe mungalipire popanda inshuwaransi. Mtengo weniweni womwe mudzalipira umadalira dongosolo la inshuwaransi yanu, komwe mumakhala, komanso malo ogulitsira mankhwala omwe mumagwiritsa ntchito.

Ndikofunikira kudziwa kuti Inbrija imangopezeka kuma pharmacies apadera. Awa ndi malo ogulitsa mankhwala ovomerezeka kunyamula mankhwala apadera (mankhwala osokoneza bongo, okhala ndi mitengo yokwera, kapena ovuta kumwa).

Thandizo lazachuma komanso inshuwaransi

Ngati mukufuna thandizo lazachuma kuti mulipire Inbrija, kapena ngati mukufuna thandizo kuti mumvetsetse inshuwaransi yanu, thandizo lilipo.

Acorda Therapeutics Inc., wopanga Inbrija, amapereka pulogalamu yotchedwa Prescription Support Services. Pulogalamuyi itha kuthandiza kuchepetsa mtengo wamankhwala anu. Kuti mumve zambiri komanso kuti mudziwe ngati mukuyenera kuthandizidwa, imbani foni 888-887-3447 kapena pitani patsamba lino.

Inbrija bongo

Kugwiritsa ntchito mopitilira muyeso woyenera wa Inbrija kumatha kubweretsa zovuta zoyipa.

Zizindikiro zambiri za bongo

Zizindikiro za bongo zingaphatikizepo:

• mavuto amtima, kuphatikizapo arrhythmia (kuthamanga mwachangu kapena kosazolowereka kwamtima) ndi hypotension (kuthamanga kwa magazi)
• rhabdomyolysis (kuwonongeka kwa minofu)
• mavuto a impso
• psychosis (onani "zotsatira zoyipa za Inbrija" pamwambapa)

Zomwe muyenera kuchita mukamagwiritsa ntchito bongo

Ngati mukuganiza kuti mwatenga Inbrija kwambiri, itanani dokotala wanu. Muthanso kuyitanitsa American Association of Poison Control Center ku 800-222-1222 kapena kugwiritsa ntchito chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Njira zina ku Inbrija

Mankhwala ena amapezeka kuchiza matenda a Parkinson. Zina zitha kukuyenererani kuposa ena.

Njira zodziwika bwino zopangira Inbrija zomwe zimachotsa "magawo" ndi monga:

• apomorphine (Apokyn)
• safinamide (Xadago)

Njira zodziwika bwino zochiritsira Inbrija pochiza matenda a Parkinson ndi monga:

• carbidopa / levodopa (Sinemet, Duopa, Rytary)
• mankhwala (Mirapex, Mirapex ER)
• ropinirole (Chofunika, XL)
• zozungulira (Neupro)
• selegiline (Zelapar)
• rasagiline (Chidziwitso)
• entacapone (Comtan)
• benztropine (Cogentin)
• chithapolodi

Ngati mukufuna kupeza njira ina m'malo mwa Inbrija, lankhulani ndi dokotala wanu. Amatha kukuwuzani zamankhwala ena omwe atha kukuthandizani.

Inbrija vs. Apokyn

Mutha kudabwa momwe Inbrija amafanizira ndi mankhwala ena omwe amaperekedwa kuti agwiritse ntchito chimodzimodzi. Apa tikuwona momwe Inbrija ndi Apokyn alili ofanana komanso osiyana.

Ntchito

Food and Drug Administration (FDA) yavomereza onse Inbrija ndi Apokyn kuchitira anthu omwe ali ndi "nthawi zopuma" za matenda a Parkinson. Nthawi zopumira zimachitika pamene anthu omwe amamwa mankhwala a Parkinson mwadzidzidzi amakhala ndi zizindikilo zowopsa za Parkinson.

Anthu okha omwe amatenga carbidopa / levodopa kuchiza Parkinson ndi omwe ayenera kutenga Inbrija. Amagwiritsidwa ntchito pochiza chizindikiro chilichonse cha Parkinson.

Apokyn itha kugwiritsidwa ntchito kwa anthu omwe amamwa mankhwala aliwonse a Parkinson. Amagwiritsidwa ntchito pochiza kuchepa kwa thupi panthawi yopuma ya Parkinson.

Inbrija muli mankhwala levodopa. Apokyn muli mankhwala apomorphine.

Inbrija ndi Apokyn onse amachulukitsa zochitika mu dopamine muubongo wanu. Izi zikutanthauza kuti ali ndi zovuta zomwezo mthupi lanu.

Mafomu azamankhwala ndi makonzedwe

Inbrija imabwera ngati kapisozi wokhala ndi ufa womwe umatulutsa. Amapezeka mwamphamvu imodzi: 42 mg. Mlingo woyenera wa Inbrija ndi 84 mg (makapisozi awiri) nthawi yayitali yamatenda a Parkinson.

Mumatenga Apokyn poyika jakisoni pansi pa khungu lanu (jakisoni wocheperako). Apokyn imapezeka mwamphamvu imodzi: 30 mg. Mlingo woyenera ndi 2 mg mpaka 6 mg pa nthawi ya Parkinson.

Zotsatira zoyipa ndi zoopsa

Inbrija ndi Apokyn ali ndi zovuta zina zofanana ndi zina zomwe zimasiyana. M'munsimu muli zitsanzo za zotsatirazi.

Zotsatira zofala kwambiri

Mndandandawu muli zitsanzo za zovuta zoyipa zomwe zimatha kuchitika ndi Inbrija, ndi Apokyn, kapena ndi mankhwala onse (akamwedwa payekhapayekha).

• Zitha kuchitika ndi Inbrija:
  • chifuwa
  • matenda opuma opuma, monga chimfine
  • madzi amtundu wakuda monga mkodzo kapena thukuta
• Zitha kuchitika ndi Apokyn:
  • kuyasamula kwambiri
  • Kusinza
  • chizungulire
  • mphuno
  • kusanza komwe kumatenga nthawi yayitali
  • kuyerekezera zinthu m'maganizo (kuwona kapena kumva china chake chomwe kulibe)
  • chisokonezo
  • kutupa m'miyendo yanu, akakolo, mapazi, manja, kapena ziwalo zina za thupi lanu
  • zochita za jakisoni, monga kuphwanya, kutupa, kapena kuyabwa
• Zitha kuchitika ndi Inbrija ndi Apokyn:
  • nseru womwe umakhalitsa

Zotsatira zoyipa

Mndandandandawu muli zitsanzo za zovuta zoyipa zomwe zingachitike ndi Inbrija, ndi Apokyn, kapena ndi mankhwala onsewa (akamwedwa payekhapayekha).

• Zitha kuchitika ndi Inbrija:
  • zotsatira zachilendo kuchokera kumayeso a labotale, kuphatikiza kuyesa kwa chiwindi (kungakhale chizindikiro cha kuwonongeka kwa chiwindi)
• Zitha kuchitika ndi Apokyn:
  • thupi lawo siligwirizana
  • kuundana kwamagazi
  • kugwa
  • mavuto amtima, kuphatikizapo matenda amtima
  • nyimbo yachilendo
  • zovuta zam'mimba (zosintha zamatenda anu)
  • priapism (kutalika, zopweteka zopweteka)
• Zitha kuchitika ndi Inbrija ndi Apokyn:
  • psychosis
  • zolimbikitsa zachilendo
  • dyskinesia (kusadziletsa komanso kusuntha mwadzidzidzi)
  • Kugona pazochitika zachizolowezi
  • kuchotsa matenda, ndi zizindikiro monga kutentha thupi kapena nthenda yachilendo ya mtima
  • hypotension (kuthamanga kwa magazi)

Kuchita bwino

Mankhwalawa sanafanane mwachindunji m'maphunziro azachipatala. Komabe, kafukufuku wapeza Inbrija ndi Apokyn kukhala othandiza pochiza matenda a Parkinson.

Mtengo

Inbrija ndi Apokyn onse ndi mankhwala osokoneza bongo. Pakadali pano palibe mitundu yabwinobwino ya mankhwalawa. Mankhwala omwe ali ndi dzina nthawi zambiri amawononga ndalama zambiri kuposa ma generic.

Malinga ndi kuyerekezera kwa WellRx, Inbrija ndi Apokyn nthawi zambiri amawononga ndalama zofanana. Mtengo womwe mudzalipira Inbrija kapena Apokyn umadalira pulogalamu yanu ya inshuwaransi, malo omwe muli, komanso malo ogulitsira omwe mumagwiritsa ntchito.

Ndikofunika kudziwa kuti Inbrija ndi Apokyn atha kupezeka kuma pharmacies apadera. Awa ndi malo ogulitsa mankhwala ovomerezeka kunyamula mankhwala apadera (mankhwala osokoneza bongo, okhala ndi mitengo yokwera, kapena ovuta kumwa).

Momwe mungatengere Inbrija

Inbrija imabwera ngati kapisozi wokhala ndi ufa womwe umatulutsa. Tengani Inbrija malinga ndi malangizo a dokotala kapena wamankhwala. Webusayiti ya Inbrija ili ndi chiwonetsero cha makanema ndi malangizo mwatsatanetsatane kuti akuthandizeni kutenga Inbrija molondola.

Muyenera kungotenga Inbrija poipumira. Ndikofunika kuti musatsegule kapena kumeza kapisozi aliyense wa Inbrija. Ma capsules akuyenera kungoikidwa mu Inbrija inhaler device. Chipangizocho chimagwiritsa ntchito ufa mkati mwa makapisozi kukulolani kuti mulowetse mankhwalawo.

Musagwiritse ntchito makapisozi a Inbrija muzida zilizonse zopumira kupatula Inbrija inhaler. Komanso, musapumire mankhwala ena aliwonse kudzera mu Inbrija inhaler yanu.

Funsani dokotala wanu kapena wamankhwala ngati mukuvutika kutenga Inbrija. Adzakuyendetsani m'masitepe onse kuti mutsimikizire kuti mukuyenda m'njira yoyenera.

Nthawi yoti mutenge

Muyenera kumwa Inbrija kumayambiliro a matenda a Parkinson. Komabe, musatenge mankhwala opitilira asanu (makapisozi 10) a Inbrija tsiku limodzi. Ngati mulibe nthawi yopuma mukamwa mankhwala asanu a Inbrija patsiku, itanani dokotala wanu. Mutha kukambirana ngati mukufuna mankhwala osiyanasiyana tsiku lililonse kuti muchiritse matenda a Parkinson kuti musagwiritse ntchito Inbrija pafupipafupi.

Osasiya kumwa mankhwala ena tsiku lililonse kuti muzitha kulandira Parkinson panthawi yomwe mwalandira Inbrija.

Inbrija ndi mimba

Palibe maphunziro azachipatala a Inbrija mwa amayi apakati. M'maphunziro azinyama, Inbrija adakumana ndi zovuta pazinyama zazing'ono. Ana amabadwa ali ndi zolepheretsa kubadwa, kuphatikizapo mavuto m'ziwalo ndi mafupa awo. Komabe, maphunziro azinyama sikuwonetsa nthawi zonse zomwe zimachitika mwa anthu.

Lankhulani ndi dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati mukatenga Inbrija. Mutha kukambirana za kuopsa ndi maubwino otenga Inbrija.

Inbrija ndi kulera

Sizikudziwika ngati Inbrija ndiotetezeka kugwiritsa ntchito nthawi yapakati. Ngati mukugonana ndipo inu kapena mnzanuyo mungakhale ndi pakati, lankhulani ndi dokotala wanu za zosowa zanu zakulera pamene mukugwiritsa ntchito Inbrija.

Inbrija ndi kuyamwitsa

Palibe maphunziro azachipatala omwe amayang'ana zotsatira za Inbrija panthawi yoyamwitsa. Koma kuyesa kwa labotale kukuwonetsa kuti Inbrija amadutsa mkaka wa m'mawere wa munthu. Komanso, kafukufuku akuwonetsa kuti Inbrija atha kupangitsa kuti thupi lanu lipange mkaka wochepa. Sizikudziwika ngati nkhanizi zingakhale zovulaza inu kapena mwana wanu.

Uzani dokotala wanu ngati mukuyamwitsa kapena mukufuna kuyamwitsa mukamamwa Inbrija. Mutha kukambirana ngati zili bwino kuti mutenge Inbrija mukamayamwitsa.

Mafunso wamba a Inbrija

Nawa mayankho pamafunso omwe amafunsidwa kawirikawiri za Inbrija.

Kodi zikutanthauza chiyani kukhala ndi 'nthawi yopuma' ya matenda a Parkinson?

Nthawi zopumira za matenda a Parkinson ndi nthawi yomwe mankhwala anu a tsiku ndi tsiku ochiza matenda a Parkinson atha kapena sakugwira ntchito moyenera. Izi zikachitika, zizindikiro zanu za Parkinson zimabweranso mwadzidzidzi.

Anthu omwe ali ndi matenda a Parkinson amatenga mankhwala kuti achulukitse kuchuluka kwa dopamine muubongo wawo. Dopamine ndichinthu chofunikira kuwongolera mayendedwe amthupi lanu. Popanda dopamine, thupi lanu silingayende bwino. Izi zimapangitsa kuti zizindikiro za Parkinson ziwonekere.

Mankhwala owonjezera kuchuluka kwa dopamine muubongo wanu nthawi zambiri amagwira ntchito bwino kwakanthawi. Koma nthawi zina amasiya kugwira ntchito kwakanthawi. Munthawi imeneyi yomwe sikugwira ntchito, mutha kukhala ndi zizindikilo za Parkinson. Nthawi izi pamene mankhwala anu sakugwira ntchito amatchedwa nthawi ya Parkinson.

Kodi ndingapeze Inbrija ku pharmacy yanga?

Mwina ayi. Mutha kungopeza Inbrija kuma pharmacies apadera, omwe amaloledwa kunyamula mankhwala apadera. Awa ndi mankhwala ovuta, okhala ndi mitengo yokwera, kapena ovuta kumwa.

Funsani dokotala wanu ngati simukudziwa kumene mungapeze Inbrija. Angakulimbikitseni mankhwala apadera m'dera lanu omwe amanyamula.

Kodi Inbrija angalowe m'malo mwa carbidopa / levodopa wanga wamba?

Ayi, sichingatero. Inbrija amangogwiritsidwa ntchito pochiza matenda a Parkinson. Sitiyenera kumwedwa tsiku ndi tsiku kuti m'malo mwanu mugwiritse ntchito carbidopa / levodopa.

Lankhulani ndi dokotala ngati muli ndi nkhawa zakumwa za carbidopa / levodopa ndi Inbrija. Dokotala wanu akhoza kufotokozera kufunikira kwa chithandizo chamankhwala onse kuti athetse mavuto anu a matenda a Parkinson.

Kodi ndiyenera kutsatira zakudya zinazake ndikamagwiritsa ntchito Inbrija?

N'zotheka kuti dokotala wanu angakulimbikitseni kuti muzitsatira zakudya zinazake mukamamwa Inbrija.

Zakudya zomwe zili ndi mapuloteni kapena mavitamini angapangitse Inbrija kukhala yosagwira ntchito mukamadya nthawi yomweyo ndi mankhwala. Izi ndichifukwa choti mapuloteni ndi mavitamini amatha kuchepetsa kuchuluka kwa Inbrija komwe kumafikira kuubongo wanu. Inbrija ayenera kufikira ubongo wanu kuti agwire ntchito mthupi lanu.

Dokotala wanu angakuuzeni kusintha pamene mutenga mlingo wanu wa Inbrija kuti musamamwe nthawi yomweyo mukamadya zakudya zokhala ndi mavitamini kapena mapuloteni.

Lankhulani ndi dokotala wanu ngati muli ndi mafunso okhudza zomwe muyenera kudya. Mutha kupatsidwa dongosolo lazakudya zoyenera kutsatira mukamamwa Inbrija.

Kodi ndingathe kumeza kapisozi wa Inbrija?

Ayi, simungatero. Kumeza kapisozi wa Inbrija kumapangitsa kuti asamagwire bwino ntchito. Izi ndichifukwa choti Inbrija wocheperako azitha kufikira ubongo wanu.

Makapisozi a Inbrija ayenera kuikidwa mu Inbrija inhaler chipangizo chomwe chimabwera ndi makapisozi. Mu chipangizocho, makapisozi amatulutsa ufa womwe umatulutsa.

Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza Inbrija. Amatha kufotokoza momwe mungagwiritsire ntchito chida cha inhaler kuti muwonetsetse kuti mukumwa Inbrija moyenera. Muthanso kuyendera tsamba la Inbrija kuti muwone kanema wowonetsera ndikupeza malangizo mwatsatanetsatane kuti mutenge Inbrija molondola.

Kodi ndidzakhala ndi zisonyezo zakusiya ngati mwadzidzidzi ndisiya kumwa Inbrija?

Mwina. Mutha kukhala ndi zizindikilo zobwerera m'mbuyo ngati mwadzidzidzi muchepetsa mlingo wa Inbrija kapena kusiya kumwa. Izi ndichifukwa choti thupi lanu limazolowera Inbrija. Mukasiya mwadzidzidzi kumwa, thupi lanu lilibe nthawi yosinthira bwino kuti lisakhale nalo.

Zizindikiro zakutha zomwe mungakumane nazo ndi Inbrija ndi monga:

• malungo omwe ndi okwera kwambiri kapena amakhala nthawi yayitali
• chisokonezo
• minofu yolimba
• mayendedwe amtima osasintha (kusintha kwa kugunda kwa mtima)
• kusintha kwa kupuma

Uzani dokotala wanu ngati mukumva zizindikiro zakusiyiratu mukatsitsa mlingo wa Inbrija kapena kusiya kumwa. Amatha kukupatsirani mankhwala othandizira matenda anu.

Kodi ndingamwe Inbrija ngati ndili ndi matenda osokoneza bongo (COPD) kapena mphumu?

Mwina ayi. Inbrija imatha kubweretsa mavuto ndi kupuma kwanu ndipo imatha kupangitsa kuti matenda am'mapapo (a nthawi yayitali) akhale ovuta kwambiri. Chifukwa chake, Inbrija sivomerezeka kwa anthu omwe ali ndi mphumu, COPD, kapena matenda ena am'mapapo osachiritsika.

Lankhulani ndi dokotala wanu ngati muli ndi matenda a m'mapapo. Amatha kukuthandizani kupeza mankhwala omwe angakhale oyenera kwa inu.

Inbrija zodzitetezera

Musanatenge Inbrija, lankhulani ndi dokotala za mbiri yanu. Inbrija sangakhale woyenera kwa inu ngati mukudwala. Izi zikuphatikiza:

• Kusokonezeka maganizo. Inbrija imatha kuyambitsa zizindikilo za psychosis, zomwe zimachitika mukazindikira kusintha kwanu. Mutha kuwona, kumva, kapena kumva zinthu zomwe sizili zenizeni. Musanatenge Inbrija, uzani dokotala ngati mwakhalapo ndi matenda amisala m'mbuyomu. Ngati mwatero, kutenga Inbrija sikungakhale koyenera kwa inu.
• Zovuta zowongolera. Inbrija imatha kukhudza ziwalo zamaubongo anu zomwe zimayang'anira zomwe mukufuna kuchita. Zingakupangitseni kukhala wofunitsitsa kuchita zinthu zomwe simumakonda, monga kutchova juga komanso kugula zinthu. Zovuta zowongolera zovuta zimakhudzanso zomwe anthu akufuna kuchita komanso nthawi yomwe akufuna kuzichita. Chifukwa chake kutenga Inbrija kumatha kukulitsa chilimbikitso chachilendo ichi ngati muli ndi mbiri yazovuta zoyendetsa.
• Dyskinesia. Ngati mwakhala ndi dyskinesia (kusasunthika kapena kusuntha kwadzidzidzi kwa thupi) m'mbuyomu, Inbrija sangakhale otetezeka kwa inu. Kutenga Inbrija kungakulitse chiopsezo chanu chokhala ndi dyskinesia ngati mudakhalapo ndi vutoli.
• Glaucoma. Ngati muli ndi glaucoma (matenda amaso omwe amakhudza masomphenya anu), Inbrija sangakhale otetezeka kwa inu. Izi ndichifukwa choti Inbrija imatha kuyambitsa kupanikizika kwa intraocular (kuthamanga kwambiri m'maso), komwe kumatha kukulitsa glaucoma yanu. Ngati muli ndi glaucoma, dokotala wanu adzakuyang'anirani kuthamanga kwa diso lanu mukamamwa Inbrija kuti muwone ngati kukakamizidwa kukuwonjezereka. Ngati kuthamanga kwa diso lanu kuli pamwamba, dokotala wanu angakuuzeni kuti musiye kumwa Inbrija ndikuyesa mankhwala ena.
• Matenda a m'mapapo (a nthawi yayitali). Inbrija sivomerezeka kwa anthu omwe ali ndi mphumu, matenda osokoneza bongo (COPD), kapena matenda ena am'mapapo. Inbrija imatha kubweretsa mavuto kupuma kwanu ndipo imatha kupangitsa kuti matenda am'mapapowa akhale owopsa.

Zindikirani: Kuti mumve zambiri paza zotsatira zoyipa za Inbrija, onani gawo la "Zotsatira za Inbrija" pamwambapa.

Kutha kwa Inbrija, kusunga, ndi kutaya

Mukalandira Inbrija kuchokera ku pharmacy, wamankhwala adzawonjezera tsiku lotha ntchito pa cholembedwacho. Tsikuli limakhala chaka chimodzi kuyambira tsiku lomwe adapereka mankhwalawo.

Tsiku lothera ntchito limatsimikizira kuti Inbrija adzagwira ntchito panthawiyi. Maganizo apano a Food and Drug Administration (FDA) ndikupewa kugwiritsa ntchito mankhwala omwe atha ntchito. Ngati mwagwiritsa ntchito mankhwala omwe sanadutse nthawi yatha, lankhulani ndi wamankhwala wanu ngati mungakwanitsenso kuugwiritsa ntchito.

Yosungirako

Kutalika kwa nthawi yayitali kuti mankhwala azigwiritsidwa ntchito kumadalira pazinthu zambiri, kuphatikiza momwe mumasungira mankhwalawo.

Makapisozi a Inbrija amayenera kusungidwa kutentha (68 mpaka 77 ° F kapena 20 mpaka 25 ° C) mumtsuko wosindikizidwa mwamphamvu komanso wopepuka. Mutha kuwonjezera kutentha mpaka 59 mpaka 86 ° F (15 mpaka 30 ° C) ngati mukuyenda.

Makapisozi a Inbrija sayenera kusungidwa mu Inbrija inhaler. Izi zitha kufupikitsa nthawi yomwe makapisozi amakhalabe abwino. Makapisozi omwe sali abwino atha kukhala ovulaza kwa inu.

Ponyani chipangizo cha inhaler mutatha kugwiritsa ntchito makapisozi onse mkati mwa katoni. Mudzalandira inhaler yatsopano nthawi iliyonse mukadzaza zolemba zanu za Inbrija.

Kutaya

Ngati simufunikanso kumwa Inbrija ndikukhala ndi mankhwala otsala, ndikofunika kuwataya mosamala. Izi zimathandiza kupewa ena, kuphatikiza ana ndi ziweto, kuti amwe mankhwalawo mwangozi. Zimathandizanso kuti mankhwalawa asawononge chilengedwe.

Tsamba la FDA limapereka malangizo angapo othandiza pakutha mankhwala. Muthanso kufunsa wamankhwala wanu kuti mumve momwe mungathere mankhwala anu.

Zambiri za Inbrija

Zotsatirazi zimaperekedwa kwa azachipatala ndi ena othandizira azaumoyo.

Zisonyezero

Inbrija amawonetsedwa kuti amachiza "nthawi zopumira" za matenda a Parkinson. Chizindikiro chake chimangokhala kwa odwala omwe amathandizidwa ndi carbidopa / levodopa.

Njira yogwirira ntchito

Njira yogwiritsira ntchito yomwe Inbrija amachepetsa zizindikiritso zakanthawi za matenda a Parkinson sizidziwika.

Inbrija ili ndi levodopa, yomwe imayambitsa dopamine. Levodopa adutsa chopinga chamagazi ndi ubongo. Muubongo, levodopa amasandulika dopamine. Dopamine yomwe imafikira ku basal ganglia imalingaliridwa kuti imachepetsa zizindikilo za magawo am'magazi a Parkinson.

Pharmacokinetics ndi metabolism

Pamaso pa carbidopa, mtundu umodzi wa Inbrija 84 mg umafika pachimake mkati mwa mphindi 30 mutayendetsa. Kuchuluka kwake kwakanthawi kokwanira ndi pafupifupi 50% yamapiritsi am'kamwa a levodopa.

Kupezeka kwa Inbrija pafupifupi 70% yamapiritsi amlomo otulutsidwa a levodopa. Kamodzi m'dongosolo, Inbrija 84 mg imafikira kuchuluka kwa magawidwe a 168 L.

Ambiri a Inbrija amadwala enzymatic metabolism. Njira zazikuluzikulu zamagetsi zimaphatikizapo decarboxylation ndi dopa decarboxylase ndi O-methylation wolemba catechol-O-methyltransferase. Pamaso pa carbidopa, kayendedwe kamodzi ka Inbrija 84 mg kumakhala ndi theka la moyo wa maola 2.3.

Palibe malipoti akuti pali kusiyana kwakukulu (Cmax) ndi dera lomwe lili pansi pa mphika (AUC) pakati pa amuna ndi akazi omwe amatenga Inbrija. Palibe kusiyana komwe kwawonedwa pakati pa anthu omwe amasuta ndi omwe samasuta.

Zotsutsana

Kugwiritsa ntchito Inbrija kumatsutsana ndi odwala omwe amatenga nonselective monoamine oxidase inhibitors (MAOIs). Zimatsutsidwanso kwa odwala omwe atenga MAOI osasankha pasanathe milungu iwiri.

Kuphatikiza kwa Inbrija ndi MAOIs osasankha kungayambitse kuthamanga kwa magazi. Wodwala akayamba kumwa MAOI osasankha, chithandizo ndi Inbrija chiyenera kuthetsedwa.

Yosungirako

Inbrija makapisozi ayenera kukhalabe phukusi lawo loyambirira. Phukusilo ndi chidebe ziyenera kusungidwa pa 68 mpaka 77 ° F (20 mpaka 25 ° C). Kutentha uku kumatha kukwezedwa mpaka 59 mpaka 86 ° F (15 mpaka 30 ° C) mukamayenda.

Kusunga makapisozi a Inbrija mu Inbrija inhaler chipangizo kumatha kusintha kukhazikika kwa mankhwala. Odwala ayenera kuchenjezedwa za kusunga makapisozi muzotengera zawo zoyambirira.

Chodzikanira: Medical News Today yachita kuyesetsa konse kuti zitsimikizidwe kuti zowona zonse ndizolondola, zonse, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.