Ropinirole

Zvemukati

• Usati watora ropinirole,
• Ropinirole inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Ropinirole inoshandiswa yoga kana nemimwe mishonga kurapa zviratidzo zvehosha yaPasinson (PD; kusagadzikana kwenzvimbo inokonzeresa matambudziko nekufamba, kudzora tsandanyama, uye kuenzanisa), kusanganisira kuzunza kwenhengo dzomuviri, kuomarara, kufamba kunonoka, uye matambudziko nekuenzanisa. Ropinirole inoshandiswawo kurapa kusagadzikana kwemakumbo syndrome (RLS kana Ekbom syndrome; mamiriro anokonzera kusagadzikana mumakumbo uye chishuwo chakasimba chekufambisa makumbo, kunyanya husiku uye kana wakagara kana kurara pasi). Ropinirole ari mukirasi yemishonga inonzi dopamine agonists. Inoshanda nekuita panzvimbo yedopamine, chinhu chechisikigo muuropi icho chinodiwa kudzora kufamba.

Ropinirole inouya sehwendefa uye yakawedzerwa-kuburitsa (yakareba-inoshanda) piritsi yekutora nemuromo. Ropinirole inogona kutorwa nechikafu kudzivirira dumbu kugumbuka. Apo ropinirole inoshandiswa kurapa chirwere cheParkinson, iyo piritsi yenguva dzose inowanzo kutorwa katatu pazuva uye iyo yakawedzerwa-kuburitsa piritsi inotorwa kamwe zuva nezuva. Kana ropinirole ichishandiswa kurapa kusagadzikana kwemakumbo syndrome, iyo piritsi yakajairwa inowanzo kutorwa kamwe chete pazuva, 1 kusvika maawa matatu nguva yekurara isati yarara. Mahwendefa eRopinirole akawedzera-kuburitsa haana kushandiswa kurapa kusagadzikana kwemakumbo syndrome. Tora ropinirole panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora ropinirole chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kune mimwe mishonga ine mazita akafanana nezita rechiratidzo ropinirole. Iwe unofanirwa kuve nechokwadi chekuti unogashira ropinirole uye kwete imwe yemishonga yakafanana nguva dzese paunozadza tsamba yako. Iva nechokwadi chekuti mushonga waunopihwa nachiremba wakajeka uye uri nyore kuverenga. Iwe unofanirwa kuziva zita remishonga yako uye nei uri kuitora. Kana iwe uchifunga kuti wakapihwa isiriyo mishonga, taura nachiremba wako. Usatore chero mushonga kunze kwekunge uine chokwadi kuti ndiwo mushonga wakarairwa nachiremba wako.

Medza mahwendefa akasunungurwa-akazara; usatsemure, kutsenga, kana kuvapwanya.

Chiremba wako anokutanga iwe pane yakaderera dosi ye ropinirole uye zvishoma nezvishoma wedzera yako dosi kuti ubatsire kudzora zviratidzo zvako. Kana iwe uri kutora ropinirole kurapa chirwere cheParkinson, chiremba wako angangodaro asina kuwedzera dosi yako kazhinji kanopfuura kamwe pasvondo. Kana iwe uri kutora ropinirole kurapa isina kugadzikana makumbo syndrome, chiremba wako angangowedzera dosi yako mushure memazuva maviri, zvakare pakupera kwevhiki yekutanga, uyezve kwete kakawanda kanopfuura kamwe pasvondo. Zvinogona kutora vhiki dzinoverengeka usati wasvika kune imwe dhivhizheni inoshanda kwauri. Kana iwe uri kutora ropinirole kurapa isina kugadzikana makumbo chirwere, iwe unogona kugamuchira kitambo chekutanga icho chiine mahwendefa ekuwedzera madosi kutorwa mukati memavhiki maviri ekutanga ekurapa kwako. Muyero wemishonga yauchazoda unoenderana nekuti muviri wako unopindura sei kumushonga, uye unogona kunge wakasiyana nemadhivhosi ari mukiti. Chiremba wako anokuudza mashandisiro ekiti uye kana uchifanira kutora mapiritsi ese arimo. Tevedza zvirevo zvechiremba wako zvakanyatsonaka.

Ropinirole inodzora zviratidzo zvehosha yaPasinson uye isina kugadzikana makumbo chirwere asi isingarape aya mamiriro. Ramba uchitora ropinirole kunyangwe iwe uchinzwa zvakanaka. Usarega kutora ropinirole usina kutaura nachiremba wako. Kana iwe uri kutora ropinirole uye iwe ukangoerekana warega kutora mushonga, unogona kusangana nefivha, kukurumidza kurova kwemoyo, kuomarara kwemhasuru, kudikitira, kuvhiringidzika, uye zvimwe zviratidzo. Kana chiremba wako akakukumbira kuti urege kutora ropinirole, chiremba wako angangoderedza dhizaini yako zvishoma nezvishoma, pamusoro pemazuva manomwe.

Kana iwe ukarega kutora ropinirole chero chikonzero, usatange kutora mushonga zvakare usina kutaura nachiremba wako. Chiremba wako angangoda kuwedzera dosi yako zvakare zvishoma nezvishoma.

Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora ropinirole,

• udza chiremba wako uye wemishonga kana iwe uri weergoria kune ropinirole, chero mimwe mishonga, kana chero chipi zvacho chemapiritsi e ropinirole kana mapiritsi akawedzerwa-kuburitsa. Kumbira chiremba wako kana wemishonga kuti uwane runyorwa rwezvigadzirwa mu ropinirole akajairwa kana akawedzeredzwa-mahwendefa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: antidepressants ('mood elevator'); antipsychotic (mishonga yechirwere chepfungwa); cimetidine (Tagamet, Tagamet HB); fluoroquinolone antibiotic yakadai se ciprofloxacin (Cipro), uye norfloxacin (Noroxin); fluvoxamine (Luvox); hormone replacement therapy uye mahormone ekudzivirira kubata pamuviri (piritsi rekudzivirira kubereka, zvigamba, mhete, uye majekiseni); jekiseni; lansoprazole (Prevacid); levodopa (muSinemet, muStalevo); mishonga yekushushikana nekubatwa; mishonga inokonzera kukotsira; metoclopramide (Reglan); mexiletine (Mexitil); modafanil (Provigil); nafcillin; omeprazole (Prilosec, Zegerid); kunyaradza; mapiritsi ekurara; uye zvinodzivirira. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Ive neshuwa yekuudza chiremba wako kana wemishonga kana iwe ukarega kutora chero mishonga paunenge uchitora ropinirole.
• udza chiremba wako kana iwe wakambove nechishuwo chekubhejera izvo zvainetsa kudzora uye kana iwe kana wakambove neakambove neakarara asingatarisirwe masikati kana chirwere chehope kunze kwekusagadzikana kwemakumbo syndrome. yakakwira kana yakaderera BP; chirwere chepfungwa (chirwere chepfungwa chinokonzeresa kufunga zvisina kujairika kana kufunga); kana moyo, chiropa, kana hosha yeitsvo.
• udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukava nepamuviri uchitora ropinirole, dana chiremba wako. Uyezve udza chiremba wako kana iwe uchiyamwisa. Ropinirole inogona kudzikisa huwandu hwemukaka wako wepamu.
• iwe unofanirwa kuziva kuti ropinirole inogona kukuita iwe kukotsira kana inogona kukukonzera iwe kukotsira kamwe kamwe panguva yemabasa ako ezuva nezuva. Iwe unogona kusanzwa kukotsira kana kuve nechero imwe zviratidzo zvekuyambira usati warara kamwe kamwe. Usafambisa mota, kushandisa michina, kushanda pakakwirira, kana kutora chikamu mune zvinogona kuita njodzi zviitiko pakutanga kwekurapwa kwako kusvika iwe waziva kuti mushonga unokubata sei. Kana iwe ukangoerekana warara iwe paunenge uchiita chimwe chinhu senge kutarisa terevhizheni, kutaura, kudya, kana kukwira mumotokari, kana kana iwe ukanyanya kukotsira, kunyanya panguva yemasikati, fonera chiremba wako. Usafambisa, shanda munzvimbo dzakakwirira, kana kushandisa michina kusvikira wataura nachiremba wako.
• rangarira kuti doro rinogona kuwedzera kuhope dzinokonzerwa nemushonga uyu. Udza chiremba wako kana uchigara uchinwa zvinwiwa zvinodhaka.
• udza chiremba wako kana ukashandisa zvigadzirwa zvefodya. Dana chiremba wako kana iwe ukatanga kana kurega kusvuta panguva yekurapa kwako ne ropinirole. Kusvuta kunogona kudzora kushanda kwemushonga uyu.
• iwe unofanirwa kuziva kuti vamwe vanhu vakatora mishonga senge ropinirole vakatanga matambudziko ekubhejera kana zvimwe zvinokurudzira zvakanyanya kana hunhu hwaive hwekumanikidza kana husina kujairika kwavari, sekuwedzera kwekushuva kwepabonde kana maitiro. Iko hakuna ruzivo rwakaringana kutaura kuti vanhu vakagadzira matambudziko aya nekuti ivo vakatora mushonga kana nekuda kwezvimwe zvikonzero. Fonera chiremba wako kana iwe uine shungu yekubheja iyo yakaoma kudzora, iwe une zvakakomba kukurudzira, kana iwe uri kutadza kudzora maitiro ako. Udza nhengo dzemhuri yako nezve njodzi iyi kuitira kuti vafonere chiremba kunyangwe iwe usinga zive kuti kubhejera kwako kana zvimwe zvinokuchidzira zvakanyanya kana maitiro asina kujairika rave dambudziko.
• iwe unofanirwa kuziva kuti ropinirole inogona kukonzeresa dzungu, huremu husina musoro, kusvotwa, kana kutuka ziya paunomuka nekukurumidza zvakanyanya kubva pakagara kana chinzvimbo chekunyepa. Izvi zvinowanzoitika kana iwe ukatanga kutora ropinirole kana nekuwedzera muyero ye ropinirole. Kuti udzivise dambudziko iri, buda pachigaro kana pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Kana iwe uri kutora akajairwa ropinirole mapiritsi ekurapa chirwere chePasinson uye iwe uchirasikirwa neiyo dose, tora iyo yakarasika dosi nekukurumidza sekunge uchayeuka iyo. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose.

Kana iwe uri kutora akajairwa ropinirole mapiritsi ekurapa asina zororo makumbo chirwere uye iwe uchirasikirwa neiyo dose, ruka iro rakarasika dosi. Tora dhosi yako yenguva dzose 1 kusvika maawa matatu usati warara nguva inotevera yekurara. Usapeta kaviri muyero unotevera kuti uwane dhosi rakarasika.

Kana iwe uri kutora akawedzera-kuburitsa ropinirole mahwendefa ekurapa chirwere chePasinson uye iwe uchirasikirwa nedosi, tora iyo yakarasika dosi nekukurumidza kana uchinge uchayeuka izvozvo. Dzokera kune yako yenguva dzose dosing purogiramu zuva rinotevera. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Ropinirole inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• kurwadziwa nemudumbu
• chirungurira kana gasi
• manyoka
• kuvimbiswa
• kuderera pakudya
• kuonda
• dzungu
• kutsimwaira
• kuneta
• kushaya simba
• musoro
• kudikitira kana kuyerera
• kuvhiringidzika
• kunetseka kurangarira kana kuisa pfungwa
• kushushikana
• isingadzoreki, kamwe kamwe kufamba kwemuviri
• kuzunza chikamu chemuviri wako chausingakwanise kudzora
• kuderera kwekunzwa (mhinduro) kubata
• kazhinji kana kuda kukurumidza kuita weti
• kunetseka kuita weti kana kurwadziwa kana uchiita weti
• mune varume, kunetseka kuwana kana kuchengetedza erection
• musana, mhasuru, kana kurwadziwa kwemajoini
• kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka
• kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
• muromo wakaoma

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• kufenda
• kurwadziwa pachipfuva
• inononoka, inokurumidza, kana isina kujairika kurova kwemoyo
• mapundu
• mikoko
• kuvava
• kuzvimba kwechiso, miromo, muromo, rurimi, kana huro
• mweya wekufema
• kunetseka kumedza kana kufema
• kuona kaviri kana kumwe kuchinjika muchiono

Vanhu vane chirwere chePasinson vanogona kuva nenjodzi huru yekubatwa nemelanoma (rudzi rwegomarara reganda) kupfuura vanhu vasina chirwere chePasinson. Iko hakuna ruzivo rwakakwana kuti utaure kana mishonga inoshandiswa kurapa chirwere cheParkinson senge ropinirole inowedzera njodzi yekuita gomarara reganda. Iwe unofanirwa kugara uine bvunzo dzeganda kuongorora maranoma paunenge uchitora ropinirole kunyangwe usina chirwere cheParkinson. Taura nachiremba wako nezve njodzi yekutora ropinirole.

Vamwe vanhu vanotora ropinirole nemimwe mishonga yakafanana vakagadzira shanduko yefibrotic (scarring kana thickening) mumapapu avo nemagetsi emoyo. Hazvisati zvazivikanwa kuti dambudziko iri rinokonzerwa neropinirole. Taura nachiremba wako nezve njodzi yekutora mushonga uyu.

Ropinirole inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nezuva chairo, kupisa kwakanyanya, uye hunyoro (kwete mubathroom).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• kusvotwa
• kurutsa
• dzungu
• kufenda
• kufungidzira (kuona zvinhu kana kunzwa manzwi zvisipo)
• hope dzinotyisa
• kutsimwaira
• kuvhiringidzika
• vangadikitira
• kutya kana uri mune diki kana yakavharwa nzvimbo
• kufamba kwemuviri kunonetsa kudzora
• nekukurumidza, zvisina kujairika, kana kurova kurova kwemoyo
• kurwadziwa pachipfuva
• kushaya simba
• kukosora
• kusagadzikana

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Zvinodiwa^®
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