Nguva Yekuti Stop Aricept, Namenda & Excelon muAlzheimer's
Fungidzira ichi; Iwe ndiwe muchengeti mukuru wewakada wako, uye iwe unoda kugovera zvakanakisisa kutarisira kwake. Izvo zvinosanganisira kuongorora mishonga yaari kugamuchira uye kana ichifanira kuenderera mberi. Zvechokwadi, izvi zvisarudzo zvinogadzirwa nekubatana nachiremba wake, asi mushure mekunge chiremba anopa chikonzero chezvavanorayira, iye angangokubvunza iwe zvaunofunga.
Saka, chii chaunofanira kuita?
Kubatsirwa Kwemishonga
Mishonga inorayirwa kune vanhu vane chirwere chekuita nehutano hwemweya pamwe netariro yekuderedza kupfuurira mberi kana kunyange kugadzirisa kusangana kwekuziva kwenguva yakati. Kutsvakurudza kwakaratidza kuti pane kumwe kubatsirwa nemishonga iyi, kunyange zvazvo vasingarapiki chirwere chacho.
Kurapa Matambudziko aAlzheimer
Kune marudzi maviri emishonga inorayirwa kuti ipe chirwere cheAlzheimer.
- Aricept (donepezil): Yakagamuchirwa kuva munyoro, kuenzanisa uye yakanyanya Alzheimer's
- Exelon (rivastigmine): Yakagamuchirwa kuti unyatsorevedza Alzheimer's
- Razadyne (galantamine): Yakagamuchirwa kuva munyoro kuenzanisa neAlzheimer's
N-Methyl D-Aspartate (NMDA) Antagonists
Namenda (mementine) ndeimwe mishonga inoshandiswa kuedza kuderedza kuderera kwekuita kwemagariro evanhu uye inogamuchirwa kuti ishandiswe pakuenzanisa kusvika kune chirwere chakakomba cheAlzheimer.
Kurega Kurapa
Funga kuregera mishonga kana chimwe kana zvose zviviri zvinotevera zvinomuka:
Migumisiro Yechiri
Kana pane dzakawanda zvinokonzerwa nemigumisiro kana kuti kuderedza hupenyu hwemunhu, kunyatsofungisisa kunofanira kupiwa pakurega mishonga.
Hapana Rubatsiro
Kana murwere kana mudiwa akave ari pamishonga kwenguva yakareba uye ikozvino kuora mwoyo kwake kwave kuchifambira mberi kusvika kumatanho ekupedzisira, vanachiremba nevashambadziri dzimwe nguva vanorayira kurega mishonga kana pasina zvakaratidzwa kubatsirwa.
Ichi chisarudzo chingaita, pane dzimwe nguva, chikaitwa kana munhu achisarudzira kutarisira vana , asi pane dzimwe nguva inofungidzirwa sechinhu chisarudzo chete kana zvakanakira kubatsirwa zvishoma kana kuti zvisina.
Mishonga Inofanira Kurasikirwa Sei?
- Rega mushonga zvishoma nezvishoma
- Ramba mishonga imwe panguva
Paunorega kushandisa mishonga, chengetedza mudiwa wako kana murwere zvakanyanya. Kana iwe ukatanga kuona kuora kukuru mukugunun'una kana mufambiro, ungada kubvunza chiremba kuti atangezve mishonga.
Kana kuonekwa kunopera mukushanda kunowedzera mushure mekuregera, kutangazve mushonga munguva pfupi kupfuura gare gare kunogona kuwedzera mikana yemunhu anenge achidzoka pedyo neyekare (asati agumisa mishonga) yehutano.
Kutsvakurudza Kwakaratidzwa Sei?
Izvo hazvina kuve nekutsvakurudza kwakawanda kunoitwa pakurambidza mishonga yekurapa kwekuita kwemangara. Zvisinei, kumwe kutsvakurudza kunoratidzika kuratidza kuti vanhu vane mishonga yekuora mwoyo kwemagumisiro vakaregererwa kunonoka mukucherechedza uye mufambiro nekukurumidza.
Imwe yedzidzo yakaenzanisa imba yevanamapi vagari vane dementia vakange vachiwana mishonga yekurapa inhibitor mishonga yekubata chirwere chemangwana kune vamwe veimba yekuchengetedza vagari avo vane cholinesterase inhibitors vakagumiswa.
Vatsvakurudzi vakawana kuti avo vane mishonga yavo yakagumiswa vakawana zvinetso zvekuita zvakadai sekudzokororazve mibvunzo uye zvinetso zvehutano. Iri boka rakabatanidzwawo zvishoma mumabasa kana vachienzaniswa nevaya vakanga vachiri pamishonga yavo.
Ita Zvisarudzo Zvakadzidziswa
Muzviitiko zvangu zvekuchipatara, ndakaona mhando yezvigumisiro mushure mokunge mishonga yekutemerwa kwemagumisiro yanyangarika. Pane dzimwe nguva, pakange pave nekuderera mukushanda sekurondedzerwa pamusoro apa mushure mekuregera mishonga; zvisinei, pane zvakare kune dzimwe mamiriro ezvinhu apo pakanga pasina kuchinja kukuru, kana zvakadaro, mushure mekunge mishonga yekuodzwa mwoyo yakagumiswa.
Chinokosha ndechokuti nhengo dzemhuri ndeyekuziva kuti mukana wekuderera uripo uye kuita chisarudzo pamwe chete nechiremba wavo waanoda.
Shoko kubva
Mumwe chiremba akarongerwa mubvunzo unotevera paanofunga kana kana kusarega mishonga yekurapa chirwere cheAlzheimer:
"Pane chimwe chinhu chiri kuitika muhupenyu huno hwakanaka uye hungave husisipo kana mishonga ikamira?" (Dr. Gene Lammers)
Chisarudzo chekuenderera mberi kana kumisa mishonga muchirwere cheAlzheimer chinofanira kuva chimwe chinobva pane zvaunofarira uye kushanda kweumwe neumwe. Zvichida kuongorora mubvunzo uri pamusoro apa kunobatsira kutsanangurira matanho ako anotevera apo iwe uchitsvaka zvakanakisisa zvemudiwa wako.
Sources:
American Family Physician. 2011 Jun 15; 83 (12): 1403-1412. Kurapa kweAlzheimer's Disease. http://www.aafp.org/afp/2011/0615/p1403.html
American Journal of Geriatric Pharmacotherapy. 2009 Apr; 7 (2): 74-83. Mugumisiro wekuregera chirongwa cheinhibitor therapy pamusoro pekuzvibata uye mafungiro emunharaunda mumusha wevanotarisira varwere vane dambudziko rekuora mwoyo. http://www.ncbi.nlm.nih.gov/pubmed/19447360
BC Medical Journal, Vol. 53, Nha. 8, Gumiguru 2011, peji (s) 404-408. Cholinesterase inhibitors. http://www.bcmj.org/articles/cholinesterase-inhibitorsphealey_stop_medication_2007-03.ppt - IDND
Healey, P. March 14, 2007. Pane nguva yekumira mishonga inonzi dementia-specific? phealey_stop_medication_2007-0314.ppt - IDND
Neurodegenerative Disease Management. 1.3 (June 2011): p191. Bvunza Nyanzvi: Iwe unomira rinhi rinonzi inhibitor muchirwere cheAlzheimer? http://www.futuremedicine.com/doi/abs/10.2217/nmt.11.30
The New England Journal of Medicine. 2012; 366: 893-903. Donepezil uye Mememine yeHuruzha-ye-Yakanyanya Dambudziko reAlzheimer's. http://www.iranneurology.com/component/content/article/224-donepezil-and-memantine-for-moderate-to-severe-alzheimers-disease.html
End of Life / Palliative Education Resource Center. Dhementia Mishonga Mukuchengetedza Kwakawanda. Yakasvika paFebruary 16, 2014. http://www.eperc.mcw.edu/EPERC/FastFactsIndex/ff_174.htm