URopinirole

-Delile

• Ngaphambi kokuthatha i-ropinirole,
• I-Ropinirole ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Ropinirole isetshenziswa yodwa noma neminye imithi yokwelapha izimpawu zesifo sika-Parkinson (PD; ukuphazamiseka kohlelo lwezinzwa oludala ubunzima ngokunyakaza, ukulawula imisipha, nokulinganisela), kufaka phakathi ukuzamazama kwezingxenye zomzimba, ukuqina, ukunyakaza okuhamba kancane, nezinkinga ngebhalansi. I-Ropinirole ibuye isetshenziselwe ukwelapha ukuqaqanjelwa kwemilenze (RLS noma i-Ekbom syndrome; isimo esidala ukungakhululeki emilenzeni kanye nesifiso esinamandla sokuhambisa imilenze, ikakhulukazi ebusuku nalapho uhleli noma ulele phansi). URopinirole usesigabeni semithi ebizwa ngama-dopamine agonists. Isebenza ngokusebenza esikhundleni se-dopamine, into yemvelo ebuchosheni edingekayo ukulawula ukunyakaza.

URopinirole uza njengethebhulethi kanye nethebhulethi ekhishwa isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. I-Ropinirole ingathathwa nokudla ukuvimbela ukucasuka kwesisu. Lapho i-ropinirole isetshenziselwa ukwelapha isifo sika-Parkinson, ithebhulethi ejwayelekile ivame ukuthathwa kathathu ngosuku futhi ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku. Lapho i-ropinirole isetshenziselwa ukwelapha isifo semilenze esingenakuphumula, ithebhulethi ejwayelekile ivame ukuthathwa kanye ngosuku, ihora eli-1 kuya kwele-3 ngaphambi kokulala. Amaphilisi okukhishwa anwetshiwe e-Ropinirole awasetshenziselwa ukwelapha ukuqaqanjelwa yimilenze. Thatha i-ropinirole cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ropinirole njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Kuneminye imithi enamagama afana negama lomkhiqizo le-ropinirole. Kufanele uqiniseke ukuthi uthola i-ropinirole hhayi umuthi ofanayo njalo lapho ugcwalisa incwadi kadokotela. Qiniseka ukuthi incwadi kadokotela akunikeza yona icacile futhi ifundeka kalula. Kufanele wazi igama lomuthi wakho nokuthi kungani uwuphuza. Uma ucabanga ukuthi unikezwe umuthi ongafanele, khuluma nosokhemisi wakho. Ungathathi noma imuphi umuthi ngaphandle uma uqinisekile ukuthi ngumuthi owunikwe udokotela wakho.

Gwinya wonke amaphilisi akhululiwe; ungawahlukanisi, ungawahlafune noma uwagxoze.

Udokotela wakho uzokuqala ngomthamo ophansi we-ropinirole futhi kancane kancane akhuphule umthamo wakho ukusiza ukulawula izimpawu zakho. Uma uthatha i-ropinirole ukwelapha isifo sika-Parkinson, udokotela wakho cishe ngeke andise umthamo wakho kaningi ngaphezu kwesisodwa ngesonto. Uma uthatha i-ropinirole ukwelapha isifo semilenze esingazinzi, udokotela wakho mhlawumbe uzokwandisa umthamo wakho ngemuva kwezinsuku ezimbili, futhi futhi ekupheleni kwesonto lokuqala, hhayi kaningi ngesonto. Kungathatha amasonto ambalwa ngaphambi kokufinyelela umthamo osebenzela wena. Uma uthatha i-ropinirole ukwelapha isifo semilenze esingazinzi, ungathola ikhithi yokuqalisa equkethe amaphilisi ezilinganiso ezandayo ezizothathwa phakathi kwamasonto amabili okuqala okwelashwa kwakho. Umthamo wemithi ozowudinga uncike ekutheni umzimba wakho uphendula kanjani emithini, futhi ungahluka kunamanani aqukethwe kukhithi. Udokotela wakho uzokutshela ukuthi ungayisebenzisa kanjani le kit nokuthi kufanele uwathathe wonke amaphilisi aqukethe. Landela izinkomba zikadokotela wakho ngokucophelela.

I-Ropinirole ilawula izimpawu zesifo sika-Parkinson nesifo semilenze esingenakuphumula kodwa ayizelaphi lezi zimo. Qhubeka uthathe i-ropinirole noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-ropinirole ngaphandle kokukhuluma nodokotela wakho. Uma uthatha i-ropinirole futhi ngokungazelelwe uyeka ukuthatha umuthi, ungahle ube nomkhuhlane, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha, ukujuluka, ukudideka nezinye izimpawu. Uma udokotela wakho ekucela ukuthi uyeke ukuthatha i-ropinirole, udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane, ngaphezu kwezinsuku eziyi-7.

Uma uyeka ukuthatha i-ropinirole nganoma yisiphi isizathu, ungaqali ukuthatha umuthi futhi ngaphandle kokukhuluma nodokotela wakho. Udokotela wakho mhlawumbe uzofuna ukwandisa umthamo wakho futhi kancane kancane.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-ropinirole,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ropinirole, noma imiphi eminye imishanguzo, noma iziphi izithako ezisemaphilisi e-ropinirole noma amaphilisi akhululiwe. Buza udokotela wakho noma usokhemisi uhlu lwezithako kumaphilisi e-ropinirole avamile noma anwetshiwe.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kwalokhu okulandelayo: imishanguzo yokulwa nengcindezi (’elevators elevator’); ama-antipsychotic (imithi yokugula ngengqondo); i-cimetidine (iTagamet, iTagamet HB); ama-antibiotic e-fluoroquinolone afana ne-ciprofloxacin (Cipro), ne-norfloxacin (Noroxin); i-fluvoxamine (i-Luvox); ukwelashwa okubuyisela ama-hormone nezindlela zokuvimbela inzalo ze-hormonal (iphilisi lokulawula ukuzalwa, amabala, izindandatho nemijovo); i-insulini; i-lansoprazole (Prevacid); levodopa (eSinemet, eStalevo); imithi yokukhathazeka nokuquleka; imithi ebangela ukozela; i-metoclopramide (Reglan); i-mexiletine (Mexitil); i-modafanil (i-Provigil); nafcillin; omeprazole (Prilosec, Zegerid); isidambisi; amaphilisi okulala; kanye nezithambisi. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Qiniseka ukuthi utshela udokotela noma usokhemisi wakho uma uyeka ukuthatha noma yimiphi imithi ngenkathi uthatha i-ropinirole.
• Tshela udokotela wakho uma wake waba nesifiso sokugembula okwakunzima ukusilawula futhi uma uke waba nokulala okungalindelekile emini noma ukuphazamiseka kokulala ngaphandle kwesifo semilenze esingenakuphumula; umfutho wegazi ophakeme noma ophansi; ukuphazamiseka kwengqondo (ukugula kwengqondo okubangela ukucabanga okungafanele noma imibono); noma isifo senhliziyo, isibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-ropinirole, shayela udokotela wakho. Tshela nodokotela wakho uma uncelisa. I-Ropinirole inganciphisa inani lobisi lwakho lwebele.
• kufanele wazi ukuthi i-ropinirole ingakwenza ukozele noma ikubangele ukuthi ulale ngokuzumayo phakathi nemisebenzi yakho ejwayelekile yansuku zonke. Ungahle ungazeli ukozela noma ube nezinye izimpawu zokuxwayisa ngaphambi kokuba ulale ngokuzumayo. Ungashayeli imoto, sebenzisa imishini, usebenze ezindaweni eziphakeme, noma uhlanganyele emisebenzini engaba yingozi ekuqaleni kokwelashwa kwakho uze wazi ukuthi umuthi ukuthinta kanjani. Uma ulala ngokungazelelwe ngenkathi wenza okuthile njengokubuka ithelevishini, ukukhuluma, ukudla, noma ukugibela emotweni, noma uma wozela kakhulu, ikakhulukazi ngesikhathi sasemini, shayela udokotela wakho ucingo. Ungashayeli, usebenze ezindaweni eziphakeme, noma usebenzise imishini uze ukhulume nodokotela wakho.
• khumbula ukuthi utshwala bungangezela ukozela okubangelwa yilomuthi. Tshela udokotela wakho uma uphuza njalo iziphuzo ezidakayo.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Shayela udokotela wakho uma uqala noma uyeka ukubhema ngesikhathi sokwelashwa kwakho nge-ropinirole. Ukubhema kunganciphisa ukusebenza kwalo muthi.
• kufanele wazi ukuthi abanye abantu abathathe imishanguzo efana ne-ropinirole baba nezinkinga zokugembula noma ezinye izifiso ezinkulu noma isimilo ebesibaphoqa noma singavamile kubo, njengokukhuphuka kwezifiso zocansi noma isimilo. Akukho mininingwane eyanele yokutshela ukuthi ngabe abantu baba nezinkinga yini ngenxa yokuthi bathathe umuthi noma ngenxa yezinye izizathu. Shayela udokotela wakho uma unesifiso sokugembula okunzima ukusilawula, unezikhalazo ezinkulu, noma awukwazi ukulawula ukuziphatha kwakho. Tshela amalungu omndeni wakho ngale ngozi ukuze bakwazi ukubiza udokotela noma ngabe awuboni ukuthi ukugembula kwakho noma yiziphi ezinye izifiso ezinamandla noma ukuziphatha okungajwayelekile kube yinkinga.
• kufanele wazi ukuthi i-ropinirole ingadala isiyezi, ikhanda elikhanyayo, isicanucanu, noma ukujuluka lapho uvuka ngokushesha okukhulu lapho uhleli noma ulele khona. Lokhu kuvame kakhulu lapho uqala ukuthatha i-ropinirole noma ngokwanda komthamo we-ropinirole. Ukugwema le nkinga, phuma esihlalweni noma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma uthatha amaphilisi ejwayelekile e-ropinirole ukwelapha isifo sika-Parkinson futhi uphuthelwa umthamo, thatha umthamo ongabanjwanga ngokushesha nje lapho usikhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa.

Uma uthatha amaphilisi ejwayelekile e-ropinirole ukwelapha ukuqaqanjelwa kwemilenze futhi uphuthelwa umthamo, weqa umthamo ongabanjwanga. Thatha umthamo wakho ojwayelekile 1 kuya ku-3 amahora ngaphambi kokulala kwakho okulandelayo. Ungawuphindi kabili umthamo olandelayo ukwenzela umthamo ongabanjwanga.

Uma uthatha amaphilisi e-ropinirole akhishwa isikhathi eside ukwelapha isifo sika-Parkinson futhi uphuthelwa umthamo, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Buyela esimisweni sakho sokulinganisa okujwayelekile ngosuku olulandelayo. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Ropinirole ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• isilungulela noma igesi
• isifo sohudo
• ukuqunjelwa
• ukuncipha kokudla
• ukuncipha komzimba
• isiyezi
• ukozela
• ukukhathala
• ubuthakathaka
• ikhanda
• ukujuluka noma ukugeleza
• ukudideka
• ubunzima bokukhumbula noma ukugxila
• ukukhathazeka
• ukunyakaza okungalawuleki, okungazelelwe komzimba
• ukuzamazama kwengxenye yomzimba wakho ongeke ukwazi ukuyilawula
• kunciphise ukuzwela (impendulo) ukuthinta
• kaningi noma ngokuphuthumayo isidingo sokuchama
• ubunzima bokuchama noma ubuhlungu lapho uchama
• emadodeni, ubunzima bokuthola noma ukugcina ukwakhiwa
• emuva, imisipha, noma ubuhlungu obuhlangene
• ubuhlungu, ukuvutha, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi
• umlomo owomile

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• ukuquleka
• ubuhlungu besifuba
• ukushaya kwenhliziyo okuhamba kancane, okusheshayo, noma okungajwayelekile
• ukuqubuka
• isifuba
• ukulunywa
• ukuvuvukala kobuso, izindebe, umlomo, ulimi, noma umphimbo
• ukuphelelwa umoya
• ubunzima bokugwinya noma ukuphefumula
• ukubona kabili noma ezinye izinguquko kumbono

Abantu abanesifo sika-Parkinson bangaba nengozi enkulu yokuthola i-melanoma (uhlobo lomdlavuza wesikhumba) kunabantu abangenaso isifo sika-Parkinson. Akukho lwazi olwanele ukusho ukuthi imishanguzo esetshenziselwa ukwelapha isifo sikaParkinson njenge-ropinirole inyusa ingozi yokuba nomdlavuza wesikhumba. Kufanele ube nokuhlolwa kwesikhumba okujwayelekile ukuhlola i-melanoma ngenkathi uthatha i-ropinirole noma ngabe awunaso isifo sikaParkinson. Khuluma nodokotela wakho ngengozi yokuthatha i-ropinirole.

Abanye abantu abathatha i-ropinirole neminye imishanguzo efanayo baye bathuthukisa izinguquko ze-fibrotic (scarring noma ukuqina) emaphashini nasemaphayiphu enhliziyo. Akukaziwa ukuthi le nkinga ibangelwa yi-ropinirole. Khuluma nodokotela wakho ngengozi yokuthatha le mithi.

I-Ropinirole ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Ukugcine ekamelweni lokushisa kude nelanga eliqondile, ukushisa okweqile, nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• isicanucanu
• ukuhlanza
• isiyezi
• ukuquleka
• ukusangana (ukubona izinto noma ukuzwa amazwi angekho)
• amaphupho amabi
• ukozela
• ukudideka
• ukujuluka
• ukwesaba lapho usendaweni encane noma evaliwe
• ukunyakaza komzimba okunzima ukulawula
• ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla
• ubuhlungu besifuba
• ubuthakathaka
• ukukhwehlela
• ukuyaluza

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

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