He aha te Cevimeline: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā whakahau a Cevimeline e āwhina ana i tō tinana ki te whakaputa i te nui ake o te huware me ngā roimata. He mea hanga motuhake mō te hunga e mate ana i te mate a Sjögren, he āhua ārai-a-tinana e pā ana ki te waha maroke me ngā kanohi maroke mā te whakaeke i ngā repe e whakaputa ana i ēnei wai nui.

E mahi ana tēnei rongoā me te tūpātai ngawari ki ō repe huware, e akiaki ana i a rātou kia kaha ake te mahi. Ahakoa e kore e rongoa i te āhua e takoto ana, ka taea e te cevimeline te whakapai ake i tō whakamarie me te kounga o te oranga mā te whakatika i aua tohu maroke e raru ana.

He aha te Cevimeline?

E hāngai ana a Cevimeline ki tētahi rōpū rongoā e kīia ana ko ngā kaiwhakawhanaunga cholinergic. Whakaarohia he karere matū e whai ana i ngā tohu e tukuna ana e tō pūnaha io ki ō repe huware me ngā roimata.

Ka tae mai te rongoā i roto i te puka pūtau, ka tangohia mā te waha. E hokona ana i raro i te ingoa waitohu Evoxac i te United States. Ka tohua e tō tākuta tēnei rongoā i te wā e kore ai ētahi atu maimoatanga mō te waha maroke e whai hua.

Kāore i rite ki ētahi rongoā e mahi ana puta noa i tō tinana katoa, i hangaia te cevimeline hei whai i ngā repe motuhake. E āwhina ana tēnei huarahi arotahi ki te whakaiti i ngā pānga kore e tika ana ki ētahi atu wāhanga o tō tinana i te wā e whakanui ana i ngā painga i te wāhi e hiahia ana koe.

He aha te Cevimeline e whakamahia ana?

Ko te mea nui, ka tohua te Cevimeline hei rongoa i ngā tohu waha maroke i te hunga e mate ana i te mate a Sjögren. E pā ana tēnei āhua ārai-a-tinana ki tō pūnaha ārai mate ki te whakaeke i ngā repe e whakaputa ana i te huware me ngā roimata.

E āwhina ana te rongoā ki te whakahoki i te makuku ki tō waha, e taea ai te kai, te kōrero, me te horomia kia pai ake. He maha ngā tāngata e mate ana i te waha maroke nui e kite ana ko ngā mahi ngawari pēnei i te kōrero mō ngā wā roa, te kai rānei i ētahi kai ka uaua ki te kore e nui te whakaputanga huware.

Ahakoa kāore i whakaaetia ōkawa mō ētahi atu āhuatanga, ka tohutohu pea ētahi tākuta i te cevimeline mō te waha maroke i pā mai i te rongoā iraruke, i ētahi rongoā rānei. Heoi anō, me tino āta tirotiro tēnei whakamahinga e te tākuta, nā te mea he rerekē ngā take i raro i te mate o Sjögren.

Me pēhea te mahi a Cevimeline?

Ka mahi a Cevimeline mā te whakahihiko i ngā kaiwhakawhiwhi muscarinic i ō repe huware. Ko ēnei kaiwhakawhiwhi he rite ki ngā huri e, ka whakahohetia, ka kī atu ki ō repe kia nui ake te huware me ngā roimata.

E kiia ana he kaha te rongoā i roto i tōna whai huatanga. Ko te tikanga ka tīmata te mahi i roto i te 30 ki te 60 meneti i muri i te tango, me ngā pānga nui ka puta i te 1 ki te 2 hāora i muri mai. Ko te nuinga o ngā painga ka roa mō ētahi hāora i mua i te ngaro haere.

Ka whakautu ō repe huware ki te cevimeline mā te whakanui i te rōrahi me te tere o te rere o te huware. Mā tēnei whakanui i te hanga ka āwhina i te whakahoki mai i ngā mahi tiaki me te whakahinuhinu tūturu e whakaratohia ana e te huware mō tō waha, ō niho, me tō korokoro.

Me pēhea taku tango i te Cevimeline?

Tangohia te cevimeline kia rite ki tā te tākuta i tohutohu ai, te tikanga e toru ngā wā i te rā me te kore rānei he kai. Ko te horopeta paerewa ko te 30 mg e toru ngā wā i te rā, ahakoa ka whakatika pea tō tākuta i tēnei i runga i tō urupare me ō pānga taha e pā ana ki a koe.

Ka taea e koe te tango i tēnei rongoā ki te wai, te miraka, te wai rānei. Kāore he whakaritenga kai motuhake, engari ko te tango me te paramanawa iti ka āwhina pea ki te whakaiti i te pōpō o te puku mēnā he tairongo koe ki ngā rongoā. Whakamātauria te whakatakoto i ō horopeta kia ōrite puta noa i te rā, pērā i te parakuihi, te tina, me te hākari.

He mea nui te rite tonu ki te cevimeline. Ko te tango i te wā kotahi i ia rā ka āwhina ki te pupuri i ngā taumata pumau i roto i tō pūnaha me te whakarato i te whakamaarama tohu e mōhiotia ana. Mēnā he mōrearea koe ki te wareware i ngā rongoā, whakaarohia te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i te kaiwhakarite pire.

Kia pēhea te roa o taku tango i te Cevimeline?

Ko te Cevimeline he rongoā wā-roa te tikanga, ka haere tonu koe i te rongoā i te wā e whai hua ana, ā, e pai ana tō tinana ki te rongoā. I te mea he mate tawhito te mate a Sjögren, he mea tika te rongoā tonu hei pupuri i te whakaiti i ngā tohumate.

Ko te nuinga o te tangata ka kite i te pai ake o ngā tohumate waha maroke i roto i ngā rā tuatahi ki ngā wiki o te rongoā. Heoi, ka roa pea te 6 wiki kia kite i ngā hua katoa o te rongoā. Ka aroturukihia e tō tākuta tō urupare i tēnei wā tuatahi.

He mea nui ngā whakaritenga whai-a-muri i ngā wā katoa hei aromatawai i te pai o te mahi a te rongoā me te titiro mō ngā pānga taha. Ka tohutohu pea tō tākuta i ngā wā i te okiokinga i te rongoā kia kite ai mehemea kua pai ake ō tohumate i te taiao, mehemea rānei kei te hiahia tonu koe i te rongoā tonu.

He aha ngā Pānga Taha o te Cevimeline?

Pērā i ngā rongoā katoa, ka taea e te cevimeline te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te rongoā. Ko ngā pānga taha tino noa e pā ana ki te pikinga o te mahi repe i tō tinana katoa.

Ko ngā pānga taha ka pā ki a koe ka taka ki ngā kāwai e rua: ngā mea noa e pā ana ki te nuinga o te tangata me ngā mea kāore i te noa e puta ana i roto i te tokoiti o ngā tāngata. Mā te māramatanga ki ēnei ka āwhina i a koe ki te mōhio ki ngā mea e tūmanakohia ana me te wā hei whakapā atu ki tō tākuta.

Ngā pānga taha noa ko:

• Te nui o te werawera, ina koa i ngā wiki tuatahi o te rongoā
• Te whakapairuaki, te pōpō rānei o te puku, e pai ake ana i te wā
• Te ihu e rere ana, te pikinga rānei o ngā hū ngāwari
• Te korere, te tūtae rānei
• Te whanoke, ina koa ka tū wawe
• Te ānini
• Te mimi pinepine

Ko ēnei pānga taha noa ka heke i te wā e urutau ana tō tinana ki te rongoā. Ko te nuinga o te tangata ka kite i te iti o te raruraru i muri i ngā wiki tuatahi o te rongoā.

Ngā pānga taha kāore i te noa engari he nui ake te kino ko:

• Te mamae puku nui, te kōpiko rānei
• Te uaua ki te hā, te whio rānei
• Te mamae o te uma, te ngākau tōtōrō rānei
• Te whanoke nui, te ngaro rānei
• Ngā huringa o te tirohanga, te mamae rānei o te kanohi
• Te nui o te werawera e pā ana ki ngā mahi o ia rā

Mēnā ka pā ki a koe ētahi o ēnei pānga taha nui ake, whakapā atu ki tō tākuta tonu. Ahakoa he mea pāwhara, ka tohu pea ēnei tohumate kāore te rongoā i te tika mōu, me whakatika rānei tō horopeta.

Ko wai kāore e tika kia tango Cevimeline?

Kāore a Cevimeline i te haumaru mō te katoa, ā, nā ētahi āhuatanga hauora ka kore e tika, ka tūpono rānei te whakamahi. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Me karo e te hunga whai āhuatanga hauora motuhake a cevimeline katoa, nā te mea ka kino ake pea ō rātou tohumate, ka raru rānei i ā rātou rongoā. Kei te noho ēnei aukati hei tiaki i tō haumaru, hei ārai i ngā pānga tūpono he mōrearea.

Kāore koe e tika kia tango cevimeline mēnā he:

• Asthma kāore i te whakahaeretia, he raruraru hā nui rānei
• Glaucoma koki whāiti (he āhuatanga kanohi nui)
• Te mate ngākau nui, te manawataki tōtōrō rānei
• Te puku, te whekau rānei e pā ana
• Te mate tākihi, te ate rānei e pā ana ki te mahi okana
• He hītori o te hopu, te kirika rānei
• Te mate o Parkinson, ētahi atu raruraru nekehanga rānei

I tua atu, me kōrero e ngā wāhine hapū, e ngā wāhine e whāngai ana i te ū, ngā tūponotanga me ngā painga ki tō rātou tākuta, nā te mea kāore anō kia tino whakapūmautia te haumaru o cevimeline i te wā e hapū ana. Ka whakatau tō tākuta i ngā painga tūpono ki ngā tūponotanga ki a koe me tō pēpi.

Ngā Ingoa Waitohu Cevimeline

Kei te wātea a Cevimeline i raro i te ingoa waitohu Evoxac i Amerika. Koinei te momo rongoā e tino whakahaua ana, e mōhiotia ana.

Kei te wātea hoki ngā momo rongoā whānui o te cevimeline, kei roto tonu te whakauru kaha kotahi engari he rerekē pea ngā kamupene e hanga ana. Ko ēnei momo rongoā whānui te nuinga he iti ake te utu i te wā e whakarato ana i ngā painga rongoā kotahi.

Ahakoa ka whiwhi koe i te Evoxac waitohu, i te cevimeline whānui rānei, he rite tonu te mahi o te rongoā. Ka taea e tō kai rongoā te kōrero mō ngā rerekētanga o te utu, ā, ka āwhina i a koe ki te mārama ko tēhea momo e pai ana te hipoki a tō inihua.

Ngā Kōwhiringa kē mō te Cevimeline

Mēnā kāore te cevimeline e pai ana mōu, e pā ana rānei ngā pānga taha raru, he maha ngā rongoā kē e wātea ana mō te whakahaere i ngā tohumate waha maroke. Ka taea e tō tākuta te āwhina i a koe ki te tūhura i ēnei kōwhiringa i runga i tō āhuatanga motuhake.

Ko te Pilocarpine (Salagen) te rongoā tino rite ki te cevimeline. E mahi ana mā te ara kotahi engari he pai ake te urupare a ētahi tāngata ki tētahi i tērā. Ka tohutohu pea tō tākuta ki te huri mēnā kāore koe e whiwhi i te whakawātea tika mai i te cevimeline.

Ko ētahi atu kōwhiringa rongoā ko:

• Ngā hua huware horihori me ngā horoi waha
• Ngā pūmua niho kua tohua mō te waha maroke
• Ngā kapia me ngā rōkara kore huka e whakaihiihi ana i te hanga huware
• Ngā rongoā e aro ana ki te āhua autoimmune kei raro
• Ngā whakarerekētanga o te oranga pēnei i te noho pai te wai me te whakamahi i te whakamākū

He maha ngā tāngata e kite ana ko te whakakotahi i te cevimeline me ēnei atu huarahi e whakarato ana i te whakahaere tohumate pai ake i te whakawhirinaki ki te rongoā anake.

He Pai Ake te Cevimeline i te Pilocarpine?

He rongoā whai hua te cevimeline me te pilocarpine mō te waha maroke, engari he rerekē te mahi, ā, he pai ake pea mō ngā tāngata rerekē. Kāore tētahi rongoā e tino pai ake i tērā.

He kaha ake te mahi a Cevimeline, ā, he iti ake pea ngā pānga taha ki ētahi tāngata. E toru ngā wā e tangohia ana i ia rā, he mea e pai ana ki ētahi tāngata i te whā wā i ia rā o te pilocarpine.

Kua roa te pilocarpine e wātea ana, ā, he nui ake ngā rangahau e tautoko ana i tōna whakamahinga. He pai ake te urupare a ētahi tāngata ki te pilocarpine, engari he pai ake te cevimeline ki ētahi atu. Ka whakaaro tō tākuta ki ō tohu motuhake, te hītori rongoā, me te oranga o te tangata i te wā e tūtohu ana i te rongoā hei whakamātau i te tuatahi.

Ngā Pātai Auau mō Cevimeline

He Haumaru a Cevimeline mō te hunga mate huka?

Ka taea te whakamahi i te Cevimeline i roto i te hunga mate huka, engari me mātakitaki. Kāore te rongoā e pā tika ana ki ngā taumata huka toto, engari ka pā ki te āhua o te tinana e tukatuka ana i ngā wai me ngā hiko.

Ka hiahia tō tākuta ki te mātakitaki i tō huka toto i te wā e tīmata ana i te cevimeline, ina koa he raruraru tākihi tōu mai i te mate huka. Ko te piki haere o te mimi e puta ana i ētahi wā me te cevimeline ka pā pea ki tō āhua wai me te whakahaere huka toto.

Me aha au ki te tango au i te nui rawa o te Cevimeline?

Ki te tango koe i te nui rawa o te cevimeline i te mea i whakaritea, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei i te wā tonu. Ka taea e te horopeta nui te whakaputa i te werawera nui, te whakapairuaki, te ruaki, te korere, me ngā huringa mōrearea i roto i te manawa.

Kaua e whakamātau ki te ruaki i a koe anō ki te kore i tohutohutia e tētahi kaiwhakarato hauora. Engari, inu wai kia noho wai, ā, rapua te āwhina rongoā i te wā tonu. Kawea mai te pounamu rongoā ki a koe kia whakaatu ki ngā kaiwhakarato hauora te aha me te nui i tango koe.

Me aha au ki te ngaro au i tētahi horopeta o Cevimeline?

Mena ka ngaro koe i te horopeta o te cevimeline, tangohia i te wa e mahara ana koe, ki te kore e tata ana te wa mo to horopeta e whai ake nei. I taua keehi, pekehia te horopeta i ngaro, ka haere tonu ki to waarangi auau.

Kaua rawa e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka piki ake to tupono ki nga paanga taha. Mena ka wareware koe i nga horopeta, whakaarohia te whakarite i nga whakamaharatanga i runga i to waea, te whakamahi ranei i te kaiwhakarite pire ia wiki hei awhina i a koe kia mau tonu.

Ahea Ka Taea e Au te Kati te Tango Cevimeline?

Me mutu noa koe te tango cevimeline i raro i te tohutohu a to taakuta. I te mea e rongoa ana i te mate tawhito, ko te whakamutu i te rongoa ka puta te hokinga mai o o tohu waha maroke i roto i etahi ra ki etahi wiki.

Ka kii pea to taakuta kia mutu te cevimeline mena ka pa ki a koe nga paanga taha e kore e taea te whakahaere, mena ka pai ake to mate i raro i te whenua, mena ranei e hiahia ana koe ki te whakamatau i tetahi huarahi maimoatanga rereke. Ka awhina ratou i a koe ki te whakawhanake i tetahi mahere mo te whakahaere i o tohu i te wa o te whakawhiti rongoa.

Ka Taea e Au te Inu waipiro i te wa e tango ana i te Cevimeline?

He pai ake te whakaiti i te inu waipiro i te wa e tango ana i te cevimeline, na te mea ka kaha ake te waipiro i nga tohu waha maroke, ka piki ake pea etahi paanga taha penei i te whanoke. Ka mahi ano te waipiro hei diuretic, ka taea te whakahiato i te piki haere o te mimi i etahi wa ka puta me te cevimeline.

Mena ka whiriwhiria e koe te inu waipiro i etahi wa, mahia i runga i te whakaōrite me te noho pai te wai. Korero ki to taakuta mo te nui o te inu waipiro, mena he, e tika ana mo to ahuatanga motuhake me to hauora.