Ngaba ngokwenene ukhetho olukhuselekileyo nolunempumelelo?
I-Symmetrel (i-amantadine hydrochloride) isilwanyana esisetyenziswayo ukuphatha isifo sika-Parkinson kodwa ngokuqhelekileyo sikhethwe ngaphandle-ilebula ukuphatha ukhathala kubantu abane- multiple sclerosis (MS) . Kwakhona kwakusetyenziswe ngaphambili ukunyanga i-influenza kodwa kuye kwagqitywa ngenxa yokuxhatshazwa kwe-amantadine.
Iziphumo ezichasene nokukhathala zafunyanwa kuqala xa abantu abane-MS baphathwe ngentsholongwane yase-Asia baza bafumanisa ukuba amanqanaba abo wamandla akhutshwa ngokukhawuleza kwaye aphuculwe kakhulu.
Nangona i-Symmetrel namhlanje isetyenziswe ngokubanzi ekuphatheni ukukhathala okuhlobene ne-MS, akukavunyelwanga ukusetyenziswa kwale-US yokuLawula nokuDa.
Indlela i-Symmetrel isebenza ngayo
Iimpawu ze-Symmetrel ngqo kwinkqubo yesistim ephakathi kwaye inceda ukukhuthaza ukuveliswa kwe-dopamine, i-chemical neurotransmitting chemicals efana ne-adrenaline. I-Dopamine ithintela inxalenye yengqondo eyaziwa ngokuba yi- basal ganglia ekunceda ukulawula ukuhamba, iimpendulo zengqondo, kunye nokukwazi ukufumana injabulo kunye nentlungu.
Nangona i-Symmetrel ibonakala inika inzuzo encinci kubantu abaphila nesifo se-Parkinson, ezo mpazamo ziguqulelwe ukukhululeka okulula kuya kuyingqinisiso kubantu abanexinzelelo oluhlobene ne-MS. Inkqubo yesenzo ayisayiqondwa ngokupheleleyo, kodwa inzuzo ebonakalayo kukuba iSymmetrel ithathwa ngabaninzi ukuba ibe yindlela yokuqala yokunyanga le meko ephazamisayo kwaye ehlala iphosakeleyo.
Ukusebenza kweSimmetrel
Olunye uphando olwenziwe ngo-2014 lwavandlakanya ukusebenza kweziyobisi esekelwe kwi-Modified Fatigue Impact Scale (MFIS) enokunyusa ukukhathala kwisikali se-0 ukuya ku-84. Emva kokusebenzisa inyanga enye, i-Symmetrel yahlanganiswa nama-34 ekhulwini ekunciphiseni ubunzima bokukhathala kubantu abane-MS.
Nangona kubalulekile, xa kuthelekiswa namanye unyango olunjenge-aspirin okanye i-acetyl-L-carnitine (isongezelelo sokutya okuthandwayo), iSymmetrel ayibonakalwanga ukuba iyasebenza okanye ingasebenzi ngaphantsi.
INcomo yoLungiso
Ukulawula ukukhathala kudibanisa ne-MS, isilinganisi esingaqhelekanga singama-100 ukuya kwi-200 mg imihla ngemihla, kuthathwa kusasa kwimini ukuze kungaphazamisi ubuthongo. Kuza kokubili ukubunjwa kwepilisi yelunxantathu kunye nesiraphu esineqhamo.
Imiphumo Yecala Lonyango
Imiphumo emibi yeSymetmetrel ibhekwa njengento encinci. Iimpawu eziqhelekileyo ezibandakanya ukungena kunye nomlomo owomileyo. Amanqanaba angaphezu kwama-milligridi angama-300 ngamanye amaxesha angabangela i-liveo reticularis, imeko yesikhumba ebonakaliswe yimifanekiso ebomvu kwimilenze.
Ezinye iimiphumo ze-Symmetrel, ngelixa zingavamile, ziquka:
- Ukulahla, ngakumbi xa kuthathwa kamva ngosuku
- Umbono ogqityiweyo, ngakumbi kubantu abane-ne- optic neuritis enxulumene ne-MS
- Ukutyunjwa
- Utywala
- Ukungabikho kwamanzi
Uninzi lwezi zibonakaliso , ezifana nokulala nokungabikho komzimba , zixhaphaka kakhulu. Ngoko ke, kubalulekile ukubeka iliso kunoma yimuphi umonakalo okanye ukubonakala kwakhona kweempawu xa unyango luqalisiwe ukuba luvandlakanise ukuba ingaba imbangela inxulumene neziyobisi okanye i- MS iyakwazi ukuphinda ibuyele .
Ukuqwalaselwa kunye nokuchasene
I-Symmetrel kufuneka isetyenziswe ngokubaluleka kubantu abaneengxaki zokutshatyalaliswa, ingxaki yenhliziyo, ukungasebenzi kweengso, okanye ukuxinezeleka kwekliniki njengoko ukusetyenziswa kwayo kunokunyusa isisombululo okanye sishukumise isiganeko esibi.
Abantu abafumene i-schizophrenia okanye ezinye iingxaki ze-psychotic akufanele zimiselwe njengoko i-Symmetrel inokuyingozi ngakumbi impawu zeengqondo.
Ngenxa yokungabikho kophando, i-Symmetrel ayilunconywa ngexesha lokukhulelwa njengoko kungaziwa ukuba le nkunkuma ingabangela ingozi kumntwana. Kufuneka kwakhona kugwenywe ngexesha lokuncelisa kunye nabasetyhini abaceba ukukhulelwa.
> Imithombo:
> Generali, J. noCada, D. "i-Amantadine: Ukuxhalaba okuninzi kwe-Sclerosis." Hosp Pharm . 2014; 49 (8): 710-712.
> Ulawulo lweZiko lokuTya kunye neDrug. "I- Symmetrel (i-Amantadine Hydrochloride) Isiraphu kunye neeThebhethi." Silver Springs, Maryland; hlaziywa ngoJanuwari 2009.