Ntchito Zothandizira Khungu Monga Dopamine Agonist, Mayankho Asokoneze
Chipilala cha Neupro ndi mankhwala a mankhwala, ogulitsidwa pansi pa dzina la rotigotine transdermal, limene limagwiritsidwa ntchito pakhungu ndipo lingagwiritsidwe ntchito pochiza zizindikiro za matenda a Parkinson ndi matenda a miyendo yopanda mapeto (RLS) kapena matenda a Willis-Ekbom. Kodi chiphaso cha Neupro chimagwira ntchito bwanji? Ndi zina zotani zomwe zimawopsa? Phunzirani za momwe Neupro amagwiritsira ntchito matendawa, kuphatikizapo mtengo, malo osungira malo, ndi machenjezo.
Kugwiritsira ntchito Patch ya Neupro Yopanda Matenda Osapepuka Matenda
Neupro ndi chigamba cha mankhwala chomwe chingagwiritsidwe ntchito pochiza matenda a Parkinson ndi kuyeza mozama mpaka ku matenda aakulu a miyendo (RLS). Matenda a Parkinson amadziwika ndi kupumula, kuuma kapena kusagwedera, kuchepa kwa kuyenda, ndi kusakhazikika kwapambuyo komwe kumayambitsa kugwa. RLS ili ndi kumverera kosasangalatsa kapena kosamvetseka komwe kumakhudzana ndi kukhumba kusuntha komwe kumachitika nthawi zambiri pamene wagona madzulo. Movement characterallyally amatsitsimutsa kumva zovuta izi. Chimodzi mwazimenezi zimayambitsidwa chifukwa cha zolakwika zomwe zimagwirizana ndi dopamine.
Kodi Patch ya Neupro Imagwira Ntchito Bwanji?
Chikwangwani cha Neupro chimagwira ntchito polimbikitsa ovomerezeka a dopamine m'thupi. Iwo amadziwika ngati osagwidwa ndi dopamine agonist. Dopamine ndi imodzi mwa ziwalo za ubongo, kapena nthumwi za mankhwala, mkati mwa maselo a mitsempha mu ubongo ndi pulogalamu yamanjenje yowopsa. Monga otchedwa dopamine agonist, Neupro imapangitsa ntchito ya maselo ofunika awa.
Ndani Sagwiritse Ntchito Phukusi la Neupro?
Pali zinthu zina zomwe mapepala a Neupro ayenera kugwiritsidwa ntchito mosamala kapena ayi. Sitiyenera kugwiritsidwa ntchito pa chikhalidwe cha psychosis. Izi ziyenera kugwiritsidwa ntchito mosamala ngati muli ndi mankhwala osokoneza bongo. Neupro amatha kuyanjana ndi mankhwala ena, makamaka omwe angawononge maganizo.
Muyenera kukambirana za ntchito yake ndi kuthekera kwa kuyanjana ndi mankhwala ena ndi dokotala wanu. Kugwiritsa ntchito mowa tiyenera kupeŵa pogwiritsa ntchito Neupro. Chenjezo lofunika kwambiri pakukhazikitsa matenda a mtima ndi matenda ena ogona omwe amachititsa kuti munthu asagone usana. Zomwe zingachititse kutupa kumapazi kapena miyendo ngati zotsatira zake, Neupro sayenera kugwiritsidwa ntchito ndi omwe angakhale pachiopsezo chosungiramo madzi. Chitetezo cha Neupro pa mimba ndi kuyamwa sikudziwika.
Kodi Ndi Zotani Zonse Zogwirizana Zogwirizana ndi Phukusi la Neupro?
Monga ndi mankhwala alionse, pali zotsatira zowononga zotsatira ndi kugwiritsa ntchito chigawo cha Neupro. Ngakhale kuti simungayembekezere kukhala ndi zotsatira zowonjezera-ndipo mwina simungakumane nawo-zina mwazofala zomwe zingachitike ndi kugwiritsa ntchito Neupro monga:
- Khungu likuchitidwa pamalo a patch application (yokhudza 37% mu 1 chaka)
- Kugona kapena kutopa
- Kutupa (Pemipheral edema)
- Nsowa kapena kusanza
- Zimakhumudwa m'mimba
- Kutaya njala
- Chizungulire
- Mutu
- Kusokonezeka kapena kusokonezeka kugona
- Kukwapula
- Kusintha kosasintha
- Kufiira (Erythema)
- Kupweteka kumodzi kapena minofu yamtundu
- Kutsekedwa
- Kuthamanga kwa magazi (kuthamanga kwa magazi)
- Maloto osadziwika
- Matenda opatsirana kwambiri (monga chimfine)
- Zizoloŵezi zochititsa manyazi (monga kugula kosayendetsedwa kapena njuga)
- Kuopsa kwa chizindikiro kumayambira kapena kuwonjezeka (kumakhudza 13%)
Pa zaka zisanu ndi ziwiri, odwala 295 omwe adagwiritsa ntchito Neupro, 57% atasiya mankhwala. Mu phunziro ili, 30% analeka kugwiritsa ntchito chifukwa cha zotsatirapo ndipo 11% anaima pogwiritsa ntchito chigamba chifukwa cha kupanda phindu. Ngati mukudandaula za zomwe zingatheke, zimalimbikitsa kuti mufike kuchipatala mwamsanga.
Kodi N'zotheka Kuyankha Kwambiri Ndi Kutsegula kwa Neupro Patch?
Zomwe zimachitikanso mankhwalawa zikhoza kuchitika. Ngakhale izi zimachitika nthawi zambiri, zina mwazochitika zazikulu ndizo:
- Mwadzidzidzi kugona zigawo
- Lightheadedness kapena kutaya
- Hallucinations
- Psychosis
- Kusintha kosasintha
- Fibrosis (kukulitsa kapena kuphulika kwa ziphuphu) zovuta
- Kutha kwa retinal (mu maphunziro a zinyama)
- Matenda osokoneza bongo (posachedwa kuchotsa)
Ngati mukudandaula za zotsatirazi, ganizirani mofulumira ndikuyesa kugwiritsa ntchito mankhwala omwe akuyang'aniridwa ndi dokotala.
Zowonjezereka Zokhudza Neupro Gwiritsani Ntchito: Ndalama, Kuyika, ndi Kuchenjeza
Kuchiza kwa miyendo yopanda pakhosi, mlingo wa 1 mg mpaka 3 mg umagwiritsidwa ntchito kuchiza. Kawirikawiri, mlingo wapang'ono umayambika ndipo umangowonjezera ngati pakufunika. Mlingo ayenera kuwonjezeka pambuyo pa sabata imodzi yogwiritsiridwa ntchito. Ngati mankhwala atayimitsidwa, mlingowo uyenera kuchepetsedwa ndi 1 mg tsiku ndi tsiku ndikuyimitsa. Zofunika zimasiyana ndi inshuwalansi ndi mitengo ya mankhwala.
Chikopa cha Neupro chimaikidwa pa khungu ndipo malo a malo akuyenera kusinthidwa. Iyenera kugwiritsidwa ntchito kamodzi pa tsiku m'mawa. Webusaiti iliyonse yogwiritsira ntchito iyenera kugwiritsidwa ntchito kamodzi pamasabata awiri kuti mupewe kuthamanga.
Pali ena amene ayenera kugwiritsa ntchito Neupro mosamala kapena ayi, monga momwe tafotokozera pamwambapa. Kupewa kwa mankhwala pa mimba ndi kuyamwitsa sikunakhazikitsidwe. Ndikofunika kufufuza kukanikiza kwa magazi pamene mukuyamba kapena kuwonjezera mlingo wa mankhwala kuti musataye mtima. Kufufuza khungu kaŵirikaŵiri kuyenera kuchitidwa kuti mudziwe zoyenera kuchita. Pamene kuthandizidwa kwa chigambachi chili ndi aluminiyumu, chiyenera kuchotsedwa ndi njira za mtima komanso matenda a MRI kuti asamawotche. Monga tafotokozera pamwambapa, mankhwalawa ayenera kuponyedwa ngati akulepheretsa kupeŵa zotsatirapo kuchokera ku kuchotsa mwadzidzidzi.
Ngati muli ndi vuto lililonse pogwiritsira ntchito Neupro, muyenera kukhala pafupi ndi wothandizira zaumoyo wanu kapena katswiri wodziwa kugona .
> Zotsatira:
> "Neupro." Epocrates Rx Pro. Version 5.1.2, 2013. Epocrates, Inc. San Mateo, California.
> Oertel W, et al . "Kutetezeka Kwambiri Kwambiri Kwambiri kwa R otigotine Transdermal Patch kwa Zomwe Zidzakhala Zosasuntha Zomwe Zidzakhala Zosasunthika Zomwe Zidzakhala Zosasuntha. Lancet Neurol 2011; 10: 710-720.