Wannan matsalar na yau da kullum a yanayin cutar Parkinson yana buƙatar wata hanya mai tunani
Levodopa shi ne magani na "zinariya" don cutar cutar Parkinson, wanda ke nufin yana da mafi amfani da magani na farko. Yana aiki ne ta hanyar canzawa zuwa dopamine, wanda ke taimakawa mutum ya motsa kuma ya kula da tsokoki.
Abin baƙin ciki shine, saboda yawancin mutane, kamar yadda ci gaban Parkinson ke ci gaba, levodopa ba ya aiki sosai wajen kawarwa ko sarrafa ikon mutum.
Wannan shi ne saboda, a tsawon lokaci, levodopa fara farawa da sauri da sauri, yana haifar da maganin "kashewa".
Da kyau, lokacin da ka dauki maganin magani kamar levodopa a cikin jadawali na yau da kullum, kada ka lura da yawa daga bambancin da ke cikin alamar cututtuka tsakanin kwayoyin. A wasu kalmomi, bayyanar cututtuka ya kamata ya kasance mai sauƙi a tsawon lokaci, ko da kuwa lokacin da ka karshe ya ɗauki maganin ku.
Duk da haka, idan abin ya faru a kan cutar ta Parkinson, za ku ji daɗin ("on") a matsayin sabon kashi na maganin ku fara farawa, kuma mafi muni ("kashe") kafin ku sami wani kashi . A ƙarshe, tsawon lokaci na jihohin "on" ya fi guntu kuma saka "kashewa" ya faru da sauri (nan da nan ga wani kashi na levodopa).
Yaya Lafiya na Kayan Kwayar Cibiyar Parkinson ke ji
Wasu masana sun bayyana lokacin "kan" kamar yadda za a sauya a kan haske, da kuma lokacin "kashewa" kamar yadda fitilu suka ƙare.
A cikin '' '' jihar, mutumin da ke fama da cutar Parkinson na iya jin dadi kuma yana iya motsawa cikin sauƙi. Duk da haka, a cikin yanayin "kashewa," mutum zai iya zama mai ƙarfi, jinkirin, kuma bazai iya iya motsawa ba don mintoci kaɗan. Mutum ma yana da wahalar yin magana, kuma za ka iya lura da shi ko ta juya kalmomin su.
Kamar yadda kake tsammani, yanayin "kashe" zai iya zama matukar damuwa.
Sarrafa Mutumin da ke Kashewa a cikin Parkinson's
A wasu mutane da ke fama da cutar Parkinson, halayen "kan-off" suna da yiwuwar ganewa. Sun san cewa lalacewar levodopa za su kashe bayan kimanin sa'o'i uku, saboda haka zasu iya shirya yadda ya dace.
Ga wasu mutane, da rashin alheri, haɓaka "kan-off" ba su da tabbas, kuma wannan, hakika, shine mafi hatsarin jiha. Babu wanda ya san dalilin da yasa fassarori ba su da tabbas a wasu lokuta.
Wannan ya ce, akwai wasu 'yan zaɓuɓɓuka da za a samu sau daya ko ƙaunarka da kuka fara ganin abin da ke faruwa.
Ga wasu mutane, hawan motsa jiki suna neman amsawa akan tsarin sarrafawa-levodopa (wanda ake kira Sinemet CR). Duk da haka, sarrafawa-saki levodopa ba ya aiki da kyau ga kowa da kowa kuma rashin alheri, zai iya haifar da wasu cututtuka su ci gaba da muni.
Maimakon canzawa zuwa daban-daban na levodopa, likita na iya rage lokaci tsakanin levodopa allurai kimanin minti 30 zuwa 60 (musamman a Cibiyar Parkinson ta ci gaba).
A madadin haka, likitanku na iya bayar da shawarar ƙara ƙarin magani. Magunguna, idan aka kara wa levodopa, za su iya rage tsawon lokacin da kuke kashewa, amma sun zo tare da hadarin wasu cututtuka masu tasiri irin su hallucinations da kuma halin halayen.
Masu hana COMT kamar Comtan (mahaukaci) na iya tsawanta da haɓaka sakamako na levodopa amma zai iya ƙara yawan tasiri daga ciki.
A ƙarshe, idan aka kara wa levodopa, masu hanawa MAO-B zasu iya taimakawa (albeit tare da sakamako masu illa). Ma'aikatan MAO-B sunyi aiki ta hanyar kulle enzyme wanda yakan hana dopamine cikin kwakwalwa.
Domin cutar ciwon kwayar cutar Parkinson, ciwon gel na ciki na levodopa zai iya taimakawa, kuma a cikin wani mummunan yanayi na wannan sanadiyar kwayar cutar da ake kira Apokyn (apomorphine hydrochloride injection) zai iya zama da amfani.
Kalma Daga
Abinda ake kashewa shi ne matsala mara kyau a lura da cutar ta Parkinson, kuma yayin da wasu mutane zasu iya lura da shi a farkon lokacin da suka fara levodopa, mafi yawan suna lura da shi a cikin shekaru uku zuwa biyar.
Duk da yake akwai hanyoyi daban-daban don magance wannan sabon abu, mafi kyawun ku shi ne tattauna dukan zabinku tare da likitanku. Kayan buƙatunku na iya zama mafi dacewa da tsarin daya ko magani ga wani - abin da ke mafi kyau a gare ku bazai zama mafi kyau ga wani ba.
> Sources:
> Fasano A et al. Jirgin levodopa na Intrajejunal na ci gaba da cutar ciwon kwayar cutar Parkinson: sakamako mai tsawo a kan mota da marasa motsa jiki da kuma tasiri ga rayuwar mai haƙuri da mai kulawa. Binciken Turai don Kimiyya da Kimiyyar Pharmacological. 2012 Janairu 16 (1): 79-89.
> Martinez-Martin P et al. EuroInf: nazarin nazarin nazarin nazarin nazarin apomorphine da kuma levodopa a cikin kwayar cutar Parkinson. Matsalar motsa jiki. 2015 Afrilu 30 (4): 510-6.
> Pahwa R, Lyons KE. Rubutun Levodopa da aka lalata a cikin cutar Parkinson: ganewa da kuma gudanarwa. Bincike Mad Res . 2009 Afrilu 25 (4): 841-9.
> Stocchi F, Jenner P, Obada JA. Yaya aka fara nuna hawan motsi na levodopa a cutar cutar Parkinson? Eur Neurol . 2010; 63 (5): 257-66.
> Tarsy D. (2017). Hanyoyin motsi da dyskinesia a cutar Parkinson. Hurtig HI, ed. Na zamani. Waltham, MA: UpToDate Inc.