Yu dɔktɔ dɔn gi yu Phenytoin suspension fɔ yu ɔr pɔrsin na yu famili fɔ epilepsy/seizure disorder? Dis na wan mɛrɛsin we rili impɔtant ɛn we dɔn de fɔ lɔng tɛm we dɛn kin yuz fɔ kɔntrol di sik we pɔsin kin gɛt na Sri Lanka ɛn ɔlsay na di wɔl. So i rili impɔtant fɔ no bɔt dis mɛrɛsin gud gud wan we yu de yuz am. Tide, wi go tɔk bɔt am simpul wan ɛn di we we yu go ɔndastand.
Wetin rili na Fɛnitɔyn?
Fɔ tɔk am simpul wan, fenitoin na wan mɛrɛsin we de kɔntrol di we aw di nɛv sɛl dɛn na yu bren de wok pasmak . Di sik kin kam bikɔs di nerv dɛn na di bren kin wok wantɛm wantɛm ɛn we dɛn nɔ kin kɔntrol. So dis mɛrɛsin de wok bay we i de mek dɛn nerv dɛn de kol ɛn mek di sik nɔ kam ɛn kɔntrol am. Sɔntɛnde, dɛn kin yuz am fɔ ɔda mɛrɛsin rizin dɛn. Yu dɔktɔ go ɛksplen dis to yu.
Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a bigin dis mɛrɛsin?
Bifo yu bigin fɔ yuz phenytoin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- If yu gɛt adikshɔn to rɔm .
- If yu kɔmɔt na Eshia (sɔm jɛnɛtik tin dɛn kin afɛkt aw yu de ansa di mɛrɛsin).
- If yu gɛt blɔd sik ɔ yu gɛt prɔblɛm we de mek yu blɔd klɔt.
- If yu gɛt dayabitis mɛllitus .
- If yu gɛt at sik ɔ yu gɛt at prɔblɛm.
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If yu gɛt wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl Pɔfyuria .
- If yu de tek redyushɔn tɛrapi fɔ kansa .
- If yu de tink bɔt fɔ dɔn yu layf , yu dɔn tray fɔ du am bifo, ɔ yu gɛt famili histri bɔt am.
- If yu gɛt tayroyd sik .
- If yu gɛt alɛji to phenytoin ɔ ɛni ɔda mɛrɛsin, it, ɔ tin we de mek yu nɔ pwɛl.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu de gi yu pikin in bɛlɛ .
If yu ayd dis infɔmeshɔn, dat kin mek yu gɛt siriɔs prɔblɛm. So tɔk klia wan bɔt ɔl dis wit yu dɔktɔ.
Aw fɔ yuz di mɛrɛsin kɔrɛkt wan?
Bikɔs dis na wata mɛrɛsin, i rili impɔtant fɔ mɛzhɔ di rayt doz.
- Shek gud gud wan: Bifo yu yuz di mɛrɛsin bɔtul.Shek fayn ɔltɛm, bikɔs sɔm patikyula mɛrɛsin dɛn kin setul na di bɔtul in bɔtul.
- Kɔrɛkt mɛzhɔmɛnt: Yuz di spɛshal mɛzhɔmɛnt kɔp, sirinj, ɔ ɔral sirinj/spɔn/drɔpa we yu dɔktɔ ɔ famasi gi yu fɔ mɛzhɔ yu mɛrɛsin nɔmɔ. Nɔ mɛzhɔ wit ti spɔnj ɔ tebul spɔnj we yu kin yuz na os. Dɛn nɔ de tɔk di rayt tin.
- Na di rayt tɛm: Tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Dis go ɛp fɔ mek di lɛvɛl we di mɛrɛsin de na yu blɔd nɔ chenj.
- Wit ɔ atɔl it: Dɛn kin it dis bifo ɔ afta yu it. Bɔt if yu bɛlɛ at, i go fayn fɔ tek am wit it .
- Nɔ stɔp: Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm pas yu dɔktɔ tɛl yu fɔ tek am. We yu du dat, i kin mek di fit kam bak.
If yu de gi pikin dɛn dis mɛrɛsin, tɔk to yu dɔktɔ bɔt ɛni spɛshal instrɔkshɔn.
O! Wetin a go du if a tek bɔku mɛrɛsin? (Ovados) .
If yu tink se yu dɔn gɛt mɔ pas aw yu bin de tink, nɔ delay .
Go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. Dɔn bak, if i pɔsibul, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays. Dis rili impɔtant.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul . Nɔ ɛva tek dabl doz .
Ɛni ɔda mɛrɛsin de we nɔ gri wit dis mɛrɛsin? (Drug Intarakshɔn) .
Yɛs, na fɔ tru. Phenytoin na wan mɛrɛsin wae kin intarakt wit bɔrku ɔda mɛrɛsin dɛm. Dis min se we dɛn tek am wit ɔda mɛrɛsin, di effektiv we di phenytoin de wok kin ridyus, i kin bɔku, ɔ di sayd ɛfɛkt kin go ɔp.
Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn) . Dis dɔŋ ya na sɔm mɛrɛsin dɛm wae kin mek yu gɛt prɔblɛm wit phenytoin.
- Sɔm mɛrɛsin dɛn we de agens di vayrɔs (dɛn wan dɛn we dɛn kin gi fɔ HIV ɔ Epatitis) .
- Antifכngal dεm (e.g. `(flukonazכl)`, `(kεtokonazכl)`)
- Ɔda mɛrɛsin dɛn we de mek pɔsin sik (e.g., carbamazepine, valproic acid) .
- Mεdisin dεm we de mek bכdi nכ kכlכt (e.g. warfarin, aspirin) .
- Mεdikeshכn dεm we de dכn kכlestכl (e.g., atorvastatin, simvastatin) .
- Mɛrɛsin fɔ pwɛl hat ɔr wɔri
- Antibayɔtiks (e.g. `(dɔksisayklin)`, `(kloramfenikol)`)
- Mεdisin dεm fכ bεlε we de at/gastritis (e.g. antacids, omeprazole) .
- Pils dɛn we de mek pɔsin nɔ bɔn pikin we gɛt ɔmon
- Di kayn stεroyd dεm (e.g. `(prednisone)`)
- Rum
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Yu dɔktɔ go aks yu fɔ du blɔd tɛst ɔltɛm. Dis go chɛk di lɛvɛl we di fenitoin de na yu blɔd ɛn no if di doz nid fɔ inkrisayz ɔ ridyus. Nɔ skip dɛn tɛst ya.
- Siriɔs riakshɔn na dɛn skin: Sɔm pipul kin gɛt siriɔs riakshɔn na dɛn skin sɔm wik ɔ mɔnt afta dɛn dɔn bigin dis mɛrɛsin. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt fiva, yu bɔdi de at, yu gɛt rɛd ɔ pepul skin rɔsh, blista, ɔ sos insay yu mɔt, yu fes ɔ yu lip swel, ɔ yu gɛt rɔsh na yu nɛk ɔ yu armpit .
- Fɔ slip ɛn diziz: Dis mɛrɛsin kin mek yu slip ɛn diziz. So , nɔ drayv ɔ yuz mashin te yu bɔdi ajɔst to di mɛrɛsin. Tek tɛm we yu de grap wantɛm wantɛm we yu sidɔm, mɔ if yu dɔn ol.
- Pils fɔ kɔntrol bɔn pikin: If yu tek fenitoin, dat kin mek di pils fɔ kɔntrol bɔn nɔ wok fayn . So if yu nɔ de plan fɔ bɔn pikin, tɔk to yu dɔktɔ bɔt aw fɔ yuz ɔda we fɔ kɔntrol bɔn pikin (e.g., kɔndɔm).
- Gum swelling: Dis na wan kɔmɔn sayd ɛfɛkt fɔ phenytoin. Di gɔm kin gro di we aw i nɔmal. So brus yu tit fayn fayn wan ɛvride ɛn go to yu dɛntist ɔltɛm .
- Vitamin we nɔ de: If yu yuz dis mɛrɛsin fɔ lɔng tɛm, dat kin mek yu nɔ gɛt bɛtɛ vaytamɛn D ɛn fɔlik asid. So, tɔk to yu dɔktɔ bɔt aw fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn fɔ tek vaytamɛn sɔpɔtmɛnt if nid de.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, fenitoin kin mek pɔsin gɛt sayd ɛfɛkt. Sɔm pan dɛn siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Tin dɛn fɔ ripɔt to di dɔktɔ ɔ ETU wantɛm wantɛm | |
| Siriɔs alɛji dɛn | Skin rash, it, swel na di fes/lip/tɔng, i nɔ izi fɔ blo. |
| Di sayn dɛm we de sho se di liva dɔn pwɛl | Pen na di ɔpa rayt bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu yay/skin de yɔlɔ, yu urine dak. |
| Siriɔs sik dɛn we kin apin na di skin | Fiva, we kin kam wit rɛd/pɔpul blista na di skin, skin we de pul, ɛn mɔt sos. |
| Simptom dɛm fɔ Fɛnitoin Pɔyzin (Toxicity) . | yu yay we yu nɔ de kɔntrol, i nɔ izi fɔ waka (we yu nɔ de balans), i nɔ izi fɔ tɔk, yu de slip pasmak, yu de nɔs/vɔmit. |
| Di chenj dɛn we pɔsin kin gɛt na in maynd | Tin fɔ tink bɔt fɔ kil yusɛf, fɔ gɛt pwɛl hat mɔ ɛn mɔ. |
| Blɔd we nɔ de kɔmɔt fayn | Brus ɔ blɔd de kɔmɔt na di skin fɔ natin. |
| Tin dɛm fɔ tɛl yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu | |
| Kɔmɔn sayd ɛfɛkt dɛn | Drɔw, diziz, ed we de at, i nɔ kin izi fɔ pe atɛnshɔn. |
Mɛsej we dɛn kin kɛr go na os
- Phenytoin na wan rili impɔtant mɛrɛsin we de kɔntrol fit. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu, insay di rayt doz, di rayt tɛm.
- Bifo yu bigin fɔ tek di mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Nɔ du tin dɛn we gɛt prɔblɛm we yu de tek di mɛrɛsin bikɔs i kin mek yu slip ɛn diziz. Nɔ drink rɔm kpatakpata.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk bad bad skin lɛsin, mɔt so, yu yay we de yɔlɔ, ɔ we yu de slip pasmak, go to dɔktɔ wantɛm wantɛm.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
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