Umbhali: Janice Evans
Umhla Wokudalwa: 25 Eyekhala 2021
Hlaziya Umhla: 18 Eyenkanga 2024
Anonim
Pramipexole, Ropinerole Mnemonic for USMLE
Ividiyo: Pramipexole, Ropinerole Mnemonic for USMLE

Umxholo

Ipramipexole isetyenziswa yodwa okanye namanye amayeza ukunyanga iimpawu zesifo sika-Parkinson (PD; ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula izihlunu, kunye nokulingana), kubandakanya ukushukuma kwamalungu omzimba, ukuqina, ukucothisa iintshukumo, kunye neengxaki ngokulinganisela. Ipramipexole ikwasetyenziselwa ukunyanga isifo semilenze esingazinzanga (RLS; imeko ebangela ukungonwabi emilenzeni kunye nomnqweno onamandla wokuhambisa imilenze, ngakumbi ebusuku naxa uhleli okanye ulele phantsi). Ipramipexole ikudidi lwamayeza abizwa ngokuba yi-dopamine agonists. Isebenza ngokusebenza endaweni ye-dopamine, into yendalo kwingqondo efunekayo ukulawula ukuhamba.

Ipramipexole iza njengecwecwe kunye nokukhutshelwa okwandisiweyo (ukusebenza ixesha elide) ukuthatha ngomlomo. Xa i-pramiprexole isetyenziselwa ukunyanga isifo sika-Parkinson, ithebhulethi yesiqhelo ihlala ithathwa kathathu ngemini kwaye ithebhulethi ekhutshiweyo ihlala ithathwa kube kanye yonke imihla. Xa i-pramiprexole isetyenziselwa ukunyanga isifo semilenze engenakuphumla, ithebhulethi yesiqhelo ihlala ithathwa kanye ngemini, iiyure ezi-2 ukuya kwezi-3 ngaphambi kokulala. Iipilisi zokukhupha ezandisiweyo zePramipexole azisetyenziselwa ukunyanga isifo semilenze engenakuphumla. Ipramipexole inokuthathwa kunye okanye ngaphandle kokutya, kodwa ukuthatha ipramipexole ngokutya kunokunceda ukuthintela isicaphucaphu esinokubangelwa linyango. Landela umkhombandlela kwileyibhile yakho yonyango ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha ipramipexole ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Ginya iipilisi zokukhululwa ezandisiweyo; ungahluleli, ungahlaleli, okanye uzityumze.

Ugqirha wakho uyakuqala kwidosi esezantsi yepramipexole kwaye ngokuthe ngcembe wandise idosi yakho. Ugqirha wakho ngekhe anyuse idosi yakho rhoqo kunakuqala rhoqo kwiintsuku ezi-4 ukuya kwezi-7. Kungathatha iiveki ezininzi ngaphambi kokuba ufikelele kwidosi ekusebenzela.

Ukuba uthatha i-pramipexole ukunyanga isifo semilenze esingazinzanga, kuya kufuneka uyazi ukuba unyango lwakho luyaqhubeka, iimpawu zakho zinokuba mandundu, zinokuqala kwangoko ngokuhlwa okanye emva kwemini, okanye zinokwenzeka kusasa. Shayela ugqirha wakho ukuba iimpawu zakho ziba nzima okanye ukuba ziqala ukuvela ngamaxesha ahlukeneyo kunaphambili.

I-Pramipexole ilawula iimpawu zesifo sika-Parkinson kunye nesifo semilenze engazinzanga kodwa ayizinyangi ezi meko. Qhubeka nokuthatha i-pramipexole nokuba uziva uphilile. Sukuyeka ukuthatha ipramipexole ngaphandle kokuthetha nogqirha wakho. Ukuba uthatha ipramipexole ukunyanga isifo sikaParkinson kwaye ngesiquphe uyeke ukuthatha amayeza, unokufumana, umkhuhlane, ukuqina kwemisipha, utshintsho ezingqondweni, kunye nezinye iimpawu. Ukuba uthatha i-pramipexole ukunyanga isifo semilenze engazinzanga kwaye uyeke ngequbuliso ukuthatha amayeza, iimpawu zakho zinokuba mandundu kunokuba babenjalo ngaphambi kokuba uqalise ukusebenzisa eli yeza. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.


Ukuba uyeka ukuthatha i-pramipexole ngaso nasiphi na isizathu, musa ukuqala ukuthatha amayeza kwakhona ungakhange uthethe nogqirha wakho. Ugqirha wakho uya kufuna ukwandisa idosi yakho kwakhona ngokuthe ngcembe.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-pramipexole,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana nepramipexole okanye nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi zepramipexole okanye iipilisi ezandisiweyo zokukhululwa Buza ugqirha wakho okanye usokhemesti uluhlu lwezinto ezingasebenziyo.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na iivithamini kagqirha kunye nezinganyanzelekanga, izongezo zesondlo kunye neemveliso zamayeza ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: antihistamines; cimetidine (iTagamet); amayeza e-allergies, ukugula ngengqondo, kunye nesicaphucaphu; metoclopramide (Reglan); ukuthomalalisa; iipilisi zokulala; kunye noxinzelelo. . Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ngaba ukhe wagula ngengqondo, unengxaki yokulawula ukuhamba kwemisipha yakho, ingxaki yokulala ngaphandle kwesifo semilenze esingazolanga, isiyezi, ukuphelelwa ngamandla, uxinzelelo lwegazi okanye isifo sezintso.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa okanye ukuncancisa. Ukuba ukhulelwa ngelixa uthatha ipramipexole, tsalela ugqirha wakho.
  • Kuya kufuneka uyazi ukuba i-pramipexole inokukwenza wozele okanye inokubangela ukuba ulale ngesiquphe ngexesha lomsebenzi wakho wemihla ngemihla. Usenokuziva ukozela ngaphambi kokuba ulale ngequbuliso. Musa ukuqhuba imoto okanye usebenzise oomatshini ekuqaleni konyango lwakho de ube uyazi ukuba ipramipexole iza kukuchaphazela njani. Ukuba ngequbuliso ulale xa usenza into efana nokubukela umabonwakude okanye ukukhwela emotweni, okanye ukuba uyozela kakhulu, tsalela umnxeba ugqirha wakho. Musa ukuqhuba okanye ukusebenzisa oomatshini de uthethe nogqirha wakho.
  • Kuya kufuneka uyazi ukuba utywala bunokongeza ukozela okubangelwa leli yeza. Tshela ugqirha wakho ukuba uhlala usela iziselo ezinxilisayo.
  • Kuya kufuneka uyazi ukuba i-pramipexole inokubangela ukuba nesiyezi, ukuba nentloko elula, isicaphucaphu, ukubetha isiqaqa, okanye ukubila xa usukuma ngokukhawuleza kwindawo ohleli kuyo okanye olele kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha ipramipexole, okanye xa idosi yakho inyukile. Ukuthintela le ngxaki, phuma esitulweni okanye ebhedini kancinci, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
  • Kuya kufuneka uyazi ukuba abanye abantu abathathe amayeza afana nepramipexole ukunyanga isifo sikaParkinson okanye isifo semilenze esingazinzanga siphuhlise iingxaki zokungcakaza, ukwanda komdla ekuthengeni okanye ekwabelaneni ngesondo, iingxaki zokutya kakhulu, okanye eminye iminqweno okanye iindlela zokuziphatha ezazinyanzelekile okanye ezingaqhelekanga kubo. Akukho lwazi lwaneleyo lokuchaza ukuba ingaba abantu baziphuhlisile na ezi ngxaki kuba bathathe amayeza okanye ezinye izizathu. Fowunela ugqirha wakho ukuba ukhula ngamandla okanye unengxaki yokulawula nayiphi na kwezi ndlela zokuziphatha. Xelela amalungu osapho lwakho ngezi ngozi ukuze babize ugqirha nokuba awuqondi ukuba indlela oziphethe ngayo sele iyingxaki.
  • Kuya kufuneka uyazi ukuba ukuba uthatha iipilisi zokukhupha ezandisiweyo, ungabona into ebonakala ngathi ithebhulethi edumbileyo okanye iziqwenga zethebhulethi ezidumbileyo kwisitulo sakho. Ukuba oku kuyenzeka, ngakumbi kunye nokwanda kweempawu zesifo sika-Parkinson, tsalela ugqirha wakho.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.


Ukuba uthatha iipilisi ze-pramipexole rhoqo ukunyanga isifo sika-Parkinson, thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ukuba uthatha iipilisi ze-pramipexole rhoqo ukunyanga isifo semilenze engenasiphelo, tsiba idosi ephosiweyo. Thatha idosi yakho yesiqhelo ukuya kwiiyure ezi-3 ngaphambi kwexesha lakho lokulala elilandelayo. Sukuyiphinda kabini idosi elandelayo ukwenza idosi ephosiweyo.

Ukuba uthatha iipilisi ze-pramipexole ezandisiweyo kwaye uphosa idosi, thatha idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule. Nangona kunjalo, ukuba ngaphezulu kweeyure ezili-12 zidlulile ukusukela idosi yakho ephosiweyo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ipramipexole inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • isicaphucaphu
  • ubuthathaka
  • isiyezi
  • ukulahleka kokulinganisela, ukuwa
  • ubunzima bokulala okanye ukulala
  • kunzima ukukhumbula
  • amaphupha angaqhelekanga
  • isilungulela
  • ukuqhina
  • urhudo
  • umlomo owomileyo
  • ukudumba, ukuqina, okanye iintlungu
  • iintlungu emqolo, iingalo okanye imilenze
  • Ukuchama rhoqo okanye isidingo esingxamisekileyo sokuchama
  • ubunzima bokuchama okanye iintlungu xa uchama

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

  • ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho), isiphithiphithi, indlela yokuziphatha enoburharha, ukuphazamiseka, iingcinga ezingaqhelekanga
  • utshintsho kumbono
  • iintshukumo zomzimba ezingaqhelekanga kunye nezindululo ongakwaziyo ukuzilawula
  • utshintsho kwindlela ohleli okanye ume ngayo ongenakukwazi ukuyilawula, njengokugoba kwentamo yakho, ukugoba phambili esinqeni, okanye ukugoba ecaleni xa uhleli, ume okanye uhamba,
  • umchamo omnyama, obomvu okanye wekhola
  • ukuthamba kwemisipha
  • ukuqina kwemisipha okanye ukuba buhlungu
  • ubuthathaka bemisipha

Ipramipexole inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Gcina iipilisi eziqhelekileyo kude nokukhanya.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • ukukhawuleza kwentliziyo

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Mirapex®
  • Mirapex® ER
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