Yini i-Rivastigmine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Rivastigmine iyimithi kadokotela esiza ukunciphisa ukulahlekelwa yinkumbulo nezinkinga zokucabanga kubantu abanesifo i-Alzheimer's kanye nokuwohlala kwengqondo. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-cholinesterase inhibitors, asebenza ngokugcina amakhemikhali athile obuchopho esebenza isikhathi eside ukuze asekele inkumbulo namakhono okucabanga.

Ngenkathi i-rivastigmine ingakwazi ukwelapha lezi zimo, ingakusiza wena noma othandekayo wakho ukuthi nilondoloze imisebenzi yansuku zonke nokucabanga okucacile isikhathi eside. Cabanga ngayo njengokunikeza uhlelo lokuxhumana lobuchopho bakho ukukhuthazwa okuncane uma ludinga ukusekelwa okwengeziwe.

Yini i-Rivastigmine?

I-Rivastigmine iyimithi yobuchopho esiza ukugcina inkumbulo namakhono okucabanga kubantu abanokuwohlala kwengqondo. Iza ngesimo samaphilisi, isixazululo somlomo, kanye nezithambiso zesikhumba ongazisebenzisa ekhaya ngaphansi kokuqondisa kukadokotela wakho.

Le mithi ithathwa njengenketho yokwelapha enamandla aphakathi nendawo ekwehlayeni kwengqondo. Ayithambile njengezinye izithasiselo, kodwa futhi ayinqeni njengokwelashwa okusha okusahlolwa. Abantu abaningi bayakuthola kulawuleka njengengxenye yomsebenzi wabo wansuku zonke.

Umuthi usebenza ngokuvimba i-enzyme eqeda i-acetylcholine, ikhemikhali yobuchopho ebalulekile ngenkumbulo nokufunda. Ngokugcina okuningi kwaleli khemikhali litholakala, i-rivastigmine isiza amaseli obuchopho ukuthi axhumane kangcono.

Isetshenziselwani i-Rivastigmine?

I-Rivastigmine iphatha ukuwohlala kwengqondo okuncane kuya kokulingene okubangelwa isifo i-Alzheimer's kanye nesifo i-Parkinson's. Udokotela wakho uyayibhala lapho uhlangabezana nezinkinga zenkumbulo, ukudideka, noma ubunzima ngemisebenzi yansuku zonke ethinta izinga lempilo yakho.

Umuthi usiza ngezimpawu eziningi zokucabanga ezingakhathaza kakhulu wena nomndeni wakho. Nakhu i-rivastigmine engasiza ukuthuthukisa:

• Izinkinga zenkumbulo nokukhohlwa
• Ubunzima bokugxilisa ingqondo noma ukunaka
• Ukudideka ngesikhathi, indawo, noma abantu abajwayelekile
• Ubunzima bokuxazulula izinkinga nokwenza izinqumo
• Izinselelo ngolimi nokuxhumana
• Ubunzima bokuphatha imisebenzi yansuku zonke efana nokupheka noma ukuphatha imali

Kubalulekile ukuqonda ukuthi i-rivastigmine isiza ukuphatha izimpawu kunokwelapha isimo esibangela. Abantu abaningi bathola ukuthi ibasiza ukuthi bagcine inkululeko yabo nokuqonda kwabo ingqondo isikhathi eside.

Isebenza Kanjani I-Rivastigmine?

I-Rivastigmine isebenza ngokuvikela ikhemikhali yobuchopho ebizwa nge-acetylcholine ebalulekile ngenkumbulo nokucabanga. Ku-dementia, i-enzyme ebizwa nge-acetylcholinesterase yephula le khemikhali ngokushesha kakhulu, okuholela ezinkingeni zokuxhumana phakathi kwamaseli obuchopho.

Umuthi uvimba le enzyme, okuvumela i-acetylcholine ukuthi ihlale isebenza isikhathi eside ebuchosheni bakho. Lokhu kunikeza amaseli akho obuchopho isikhathi esiningi sokuthumela nokwamukela imiyalezo ebalulekile esiza ngenkumbulo, ukunaka, nokuqonda.

Njengomuthi onamandla aphakathi nendawo, i-rivastigmine inikeza ukusekelwa okubalulekile ngaphandle kokuba nolaka ngokweqile. Abantu abaningi baqaphela ukuthuthuka kancane kancane ekusebenzeni kwabo kwansuku zonke phakathi namasonto ambalwa kuya ezinyangeni zokuqala ukwelashwa.

Kufanele Ngiyithathe Kanjani I-Rivastigmine?

Thatha i-rivastigmine ngendlela udokotela wakho ayichaza ngayo, ngokuvamile kabili ngosuku ngokudla ukunciphisa isisu esicasulayo. Amaphilisi kanye nesixazululo somlomo kufanele kuthathwe ngesidlo sasekuseni nesakusihlwa, kuyilapho isiqeshana sifakwa kanye ngosuku esikhumbeni esihlanzekile, esomile.

Nansi indlela yokuthatha i-rivastigmine ngokuphepha nangempumelelo:

• Thatha amaphilisi noma uketshezi ngokudla ukuvimbela isicanucanu nokucasuka kwesisu
• Gwinya amaphilisi wonke ngamanzi - ungaqobi, uhlafune, noma uwavule
• Xuba ikhambi lomlomo ngamanzi, ijusi, noma i-soda uma kudingeka
• Faka iziqeshana ezindaweni ezinjengomhlane ongenhla, isifuba, noma ingalo engenhla
• Shintshanisa izindawo zokuqeshana nsuku zonke ukuvimbela ukucasuka kwesikhumba
• Susa isiqeshana esidala ngaphambi kokufaka esisha

Udkt wakho cishe uzoqala ngomthamo ophansi futhi awunyuse kancane kancane emasontweni amaningana. Le ndlela isiza umzimba wakho ukuthi ujwayele umuthi futhi inciphisa amathuba emiphumela emibi.

Ngingawuthatha isikhathi esingakanani i-Rivastigmine?

Ngokuvamile uzothatha i-rivastigmine uma nje iqhubeka nokusiza ngezimpawu zakho futhi udkt wakho ekuncoma. Abantu abaningi basebenzisa lo muthi izinyanga kuya eminyakeni njengengxenye yohlelo lwabo lokulawula i-dementia yesikhathi eside.

Udkt wakho uzoqapha intuthuko yakho njalo ngokuhlolwa futhi angase alungise ukwelashwa kwakho ngokuya ngokuthi usabela kanjani. Abanye abantu bayazuza ku-rivastigmine iminyaka eminingana, kanti abanye bangase badinge ukushintshela emithini ehlukene ngokuhamba kwesikhathi.

Kubalulekile ukuthi ungaluyeki i-rivastigmine ngokuzumayo ngaphandle kokukhuluma nodkt wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi izimpawu zakho zibe zimbi ngokushesha, ngakho noma yiziphi izinguquko ekwelashweni kwakho kufanele zenziwe kancane kancane ngaphansi kokuqondisa kwezokwelapha.

Yiziphi Imiphumela Emibi ye-Rivastigmine?

I-Rivastigmine ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma iqaliswa kancane kancane. Imiphumela emibi evame kakhulu ihilela uhlelo lwakho lokugaya ukudla futhi ngokuvamile iyathuthuka njengoba umzimba wakho ujwayela umuthi.

Ukuqonda okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo. Nawa imiphumela emibi evame kakhulu:

• Ukugula nokuhlanza
• Ukulahlekelwa isifiso sokudla nokuncipha kwesisindo
• Ukuqunjelwa noma ukuphazamiseka kwesisu
• Isiyezi noma ukuzizwa ungazinzile
• Ukucindezeleka
• Ukukhathala noma ubuthakathaka
• Ukuthuthumela noma ukuzamazama

Lezi zimpawu zivame ukuncipha emasontweni ambalwa njengoba umzimba wakho uzivumela. Ukuthatha imithi nokudla nokuqala ngomthamo ophansi kungasiza ekunciphiseni le miphumela.

Abanye abantu bahlangabezana nemiphumela engavamile kodwa ebucayi kakhulu edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Ukwanda kokuhlanza okungami
• Izimpawu zokuphelelwa amanzi emzimbeni ngenxa yokuqunjelwa okuqhubekayo
• Ushintsho olungavamile ekushayeni kwenhliziyo
• Isiyezi esikhulu noma ukuquleka
• Ubunzima bokuchama
• Ukuhlaselwa (okungavamile kakhulu)

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezibucayi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa okuphuthumayo. Abantu abaningi bathola ukuthi izinzuzo ze-rivastigmine zidlula ukungakhululeki kwesikhashana kwemiphumela emincane.

Ubani Ongafanele Athathwe I-Rivastigmine?

I-Rivastigmine ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile zezempilo zingenza lo muthi ungaphephile noma ungasebenzi kahle kuwe.

Udokotela wakho uzofuna ukwazi nganoma yiziphi izimo zezempilo ezikhona ezingase zithinte indlela ozosabela ngayo ku-rivastigmine. Nawa amazwi lapho lo muthi ungafaneleki khona:

• Ukungezwani okwaziwayo ne-rivastigmine noma imithi efanayo
• Isifo sesibindi noma sezinso esibi kakhulu
• Izilonda zesisu ezisebenzayo noma izifo zokuphuma igazi
• Isifuba esibi kakhulu noma izinkinga zokuphefumula
• Izifo ezithile zokushaya kwenhliziyo
• Ukuvinjelwa komchamo noma izinkinga ezinzima zesinye
• Isithuthwane noma izifo zokuhlaselwa

Ngaphezu kwalokho, abanye abantu badinga ukuqapha okwengeziwe noma ukulungiswa komthamo lapho bethatha i-rivastigmine. Udokotela wakho uzocabangela lezi zinto ngokucophelela:

• Ukukhulelwa noma ukuncelisa
• Umlando wezinkinga zenhliziyo
• Ukwenyuka kwesisindo somzimba noma ukungondleki kahle
• Ukuphuza eminye imithi ethinta amakhemikhali obuchopho
• Ukuhlinzwa noma ukugula kwamuva

Ungadikibali uma i-rivastigmine ingakulungele. Zikhona ezinye izindlela zokwelapha ezitholakalayo, futhi udokotela wakho uzosebenza nawe ukuthola indlela engcono kakhulu yesimo sakho esithile.

Amagama Omkhiqizo we-Rivastigmine

I-Rivastigmine itholakala ngaphansi kwegama lomkhiqizo elithi Exelon, eliza ngama-capsules, isixazululo somlomo, kanye nezithambiso zesikhumba. Izinhlobo ze-generic ze-rivastigmine nazo ziyatholakala futhi zisebenza ngempumelelo njengomuthi wegama lomkhiqizo.

Ikhemisi lakho lingase lithwale izinhlobo ezahlukene zabakhiqizi be-generic rivastigmine. Zonke izinhlobo ezivunyelwe yi-FDA ziqukethe isithako esifanayo esisebenzayo futhi zihlangabezana namazinga afanayo ekhwalithi, ngakho-ke ungaqiniseka ngempumelelo yazo.

Uma ushintsha phakathi kwezinhlobo zegama lomkhiqizo kanye ne-generic, noma phakathi kwabakhiqizi abahlukene be-generic, yazisa udokotela wakho. Ngenkathi imithi ilingana, abanye abantu baqaphela umehluko omncane endleleni abazizwa ngayo noma abasabela ngayo.

Ezinye izindlela ze-Rivastigmine

Eminye imithi eminingi ingasiza ngezimpawu ze-dementia uma i-rivastigmine ingakulungele. Ezinye izindlela ezivamile zihlanganisa i-donepezil (Aricept) kanye ne-galantamine (Razadyne), esebenza ngendlela efanayo ne-rivastigmine kodwa ingase ibe namaphrofayili ahlukene emiphumeleni emibi.

Udokotela wakho angase futhi acabangele i-memantine (Namenda), esebenza ngendlela ehlukile ngokuvikela amaseli obuchopho ekulimaleni. Abanye abantu bayazuza ekuhlanganiseni i-memantine ne-cholinesterase inhibitor efana ne-rivastigmine.

Ngaphandle kwemithi, ithimba lakho lokunakekelwa kwezempilo lingase lincomende ukwelashwa ngengqondo, ukuzivocavoca umzimba, imisebenzi yomphakathi, kanye nezinguquko zokuphila ezingasekela impilo yobuchopho. Lezi zindlela zisebenza kahle kakhulu uma zihlanganiswe nokwelashwa ngemithi efanele.

Ingabe i-Rivastigmine ingcono kune-Donepezil?

Kokubili i-rivastigmine ne-donepezil ziyizindlela zokwelapha eziphumelelayo ze-dementia, kodwa zisebenza ngendlela ehlukile futhi zingase zivumelane nabantu abahlukene kangcono. Akukho umuthi ongcono kunomunye - ukukhetha okungcono kuncike ekuphileni kwakho komuntu siqu kanye nendlela ozosabela ngayo ekwelashweni.

I-Rivastigmine ingase ikhetheke uma unenkinga yokugwinya amaphilisi, njengoba iza ngendlela yesiqeshana kanye nesixazululo esiwuketshezi. Ifomu lesiqeshana lingasiza ikakhulukazi kubantu abakhohlwa ukuthatha imithi yansuku zonke noma abanezinkinga ezinkulu zokugwinya.

I-Donepezil ingase ibe yindlela engcono uma uzwela esiswini, njengoba ivame ukubangela imiphumela emibi emincane yokugaya ukudla. Iphinde ithathwe kanye ngosuku, okuthile abantu bakuthola kulula kune-rivastigmine edinga ukuthathwa kabili ngosuku.

Udokotela wakho uzocabangela izinto ezinjengeminye imithi yakho, izimo zezokwelapha, kanye nezintandokazi zakho siqu lapho encoma inketho engcono kakhulu kuwe. Abanye abantu bangase badinge ukuzama yomibili imithi ukuze babone ukuthi iyiphi esebenza kangcono.

Imibuzo Evame Ukubuzwa Nge-Rivastigmine

Ingabe i-Rivastigmine iphephile kubantu abanezifo zenhliziyo?

I-Rivastigmine ingasetshenziswa ngokuphepha kubantu abaningi abanezifo zenhliziyo, kodwa udokotela wakho uzodinga ukukuqapha eduze. Umuthi ngezinye izikhathi ungathinta ukushaya kwenhliziyo, ngakho-ke kubalulekile ukuxoxa ngesimo senhliziyo yakho ngokucophelela ngaphambi kokuqala ukwelashwa.

Udokotela wakho angase ancome izivivinyo zokuqapha inhliziyo noma alungise umthamo wakho ngokuya ngesimo sakho senhliziyo esithile. Abantu abaningi abanezifo zenhliziyo ezinzile bathatha i-rivastigmine ngaphandle kwezinkinga, ikakhulukazi uma isimo senhliziyo yabo silawulwa kahle.

Ngingenzani uma ngithatha i-Rivastigmine eningi ngengozi?

Uma uthatha i-rivastigmine eningi, xhumana nodokotela wakho ngokushesha noma ushayele i-poison control ku-1-800-222-1222. Ukuthatha imithamo eyengeziwe kungabangela isicanucanu esikhulu, ukuhlanza, ukukhiqizwa okukhulu kwamathe, ukujuluka, kanye nokwehla okuyingozi kwenani lenhliziyo.

Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ochwepheshe bezokwelapha. Gcina ibhodlela lemithi linawe uma ufuna usizo ukuze abahlinzeki bezempilo bazi kahle ukuthi uthatheni ini nokuthi uthathe kangakanani.

Uma othile engazi, enenkinga yokuphefumula, noma ekhombisa izimpawu zokuhlaselwa ushevu okukhulu, shayela ku-911 ngokushesha. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga ezinzima ezivela ekweqiseni umthamo.

Kufanele Ngenzeni Uma Ngeqe Umthamo We-Rivastigmine?

Uma weqa umthamo we-rivastigmine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile - ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.

Uma weqa imithamo eminingi ilandelana, xhumana nodokotela wakho ngaphambi kokuqala kabusha umuthi. Udokotela wakho angase adinge ukuqala kabusha ngomthamo ophansi ukuvimbela imiphumela emibi, ikakhulukazi uma ungaphandle komuthi izinsuku ezingaphezu kwezimbili.

Ukusetha izikhumbuzi zansuku zonke ocingweni lwakho noma ukusebenzisa umhleli wamaphilisi kungakusiza ukuthi ukhumbule ukuthatha i-rivastigmine ngokuqhubekayo. Ukulinganisa okuqhubekayo kusiza ukugcina amazinga aqinile omuthi ohlelweni lwakho.

Ngingayeka Nini Ukuthatha I-Rivastigmine?

Kufanele uyeke kuphela ukuthatha i-rivastigmine ngaphansi kokuqondisa kukadokotela wakho, ngisho noma uzizwa sengathi ayisizi ngalutho. Ukuyeka kungazelelwe kungabangela izimpawu zakho ze-dementia zibe zimbi ngokushesha, okungaba buhlungu kuwe nomndeni wakho.

Udokotela wakho angase ancome ukuyeka i-rivastigmine uma uba nemiphumela emibi emibi, uma isimo sakho siqhubeka size sifinyelele lapho umuthi ungasasizi, noma uma udinga ukushintshela kwenye indlela yokwelapha.

Isinqumo sokuyeka i-rivastigmine kufanele senziwe njalo njengengxenye yengxoxo ebanzi mayelana nohlelo lwakho lokunakekelwa olujwayelekile. Udokotela wakho uzokusiza ukuthi udlulele ngokuphepha ekwelashweni okuhlukile uma kudingeka.

Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Rivastigmine?

Kungcono ukunciphisa noma ukugwema utshwala ngenkathi uthatha i-rivastigmine, njengoba utshwala bungenza imiphumela emibi yomuthi ibe mibi futhi iphazamise ukusebenza kwawo. Utshwala bungakhuphula isiyezi, ukudideka, nokuphazamiseka kwesisu, okungase kube yizinto ezikhathazayo nge-rivastigmine.

Uma ukhetha ukuphuza ngezikhathi ezithile, xoxa ngalokhu nodokotela wakho kuqala. Bangakunika iseluleko ngemikhawulo ephephile ngokusekelwe empilweni yakho yonke nokuthi usabela kanjani emuthini.

Khumbula ukuthi utshwala bungenza ngisho nezimpawu ze-dementia zibe zimbi, ngakho ukunciphisa ukusetshenziswa kotshwala kungazuza impilo yakho yengqondo ngaphandle nje kokugwema ukuxhumana kwemithi.