I fitness leh mood titha thei tur damdawi i zir dawn em ni? (Valproic Acid / Divalproex Sodium) te hi a tha ber pawl a ni.

A chang chuan fit i nei ang maiin i inhriat nghal em? A nih loh leh i mood chu a sang leh chho nghal a, a chang chuan i ngaihtuah phak loh khawpin a inthlak danglam thin em? Mi dangte chuan tuar theih loh lu na an nei a, chu chu migraine kan ti a, an nun chu hrehawm takin an siam thei bawk. Vawiin hian hetiang dinhmun control nana doctor ten an hman thin damdawi pawimawh tak kan sawi dawn a ni. Hei hi valproic acid an ti a. `Divalproex Sodium` tih pawh i hre tawh mai thei.

He damdawi hi eng nge ni? Eng atan nge hman a nih?

A awlsam zawngin sawi ila, Valproic Acid hi kan thluaka chemical thenkhat, neurotransmitters an tih te hnathawh tidanglamna hmanga natna engemaw zat control thei damdawi a ni. Divalproex Sodium pawh hi he thil nen hian a inzawm a, delayed release drug anga duan a ni.

Tunah chuan hei hi eng atan nge hman ber tih hi han en ila:

• Stop fits: Mi thenkhat chuan epilepsy vangin fits an nei thin. Hei hi chutiang fit control nan hman a ni.
• Bipolar mania tan: Bipolar disorder vei te hian mania hun engemaw chen an nei thin a, chu chu hlimna nasa tak, thil tih tam lutuk, leh thil tih duh lohna te a ni. He damdawi hi mania control nan pawh hman a ni.
• Migraine ven: Mi thenkhat chuan migraine lu na fo leh na tak an tuar thin. He damdawi hi an lo awm loh nan an hmang bawk.

Hengte hi a pawimawh ber a ni. Mahse a chang chuan doctor-te chuan he damdawi hi natna dang tan pawh an pe thei bawk. He damdawi hi `(Stavzor)` tih ang chi brand name hnuaiah pawh i hmu mai thei. Chuvangin he damdawi hi eng atan nge a nih i hriat chian loh chuan i doctor emaw pharmacist emaw hnenah zawhfiah a tha ber.

He damdawi ka ei hmaa doctor hnena ka hrilh tur pawimawh te chu engte nge ni?

Okay, tunah chuan hei hi a pawimawh hle . He damdawi hi i doctor-in a pek hma che chuan i hriselna chungchang eng emaw zat a hriat a ngai a ni. A chhan chu chu thu hriatna chuan he damdawi hi i tan a tha em tih leh engzat nge pek tur che tih a hril dawn a ni. A hnuaia mi hi i tan a hman theih chuan i doctor hnenah i hrilh ngei ang :

• Zu in fo thin i nih chuan .
• Kidney natna i neih chuan .
• Liver natna i neih chuan (hei hi a pawimawh zual hle).
• Platelet count hniam i neih chuan .
• Mitochondrial disease tih hming pu genetic condition i neih chuan .
• Mahni intihchhiat i duh a nih chuan, tih i tum a nih chuan, a hma pawhin i lo tum tawh a nih chuan, emaw, i chhûngkuaa mi tu emaw chuan mahni intihhlum tumna, ruahmanna, a nih loh leh intihhlum tumna a neih chuan. Hei pawh hi a pawimawh hle.
• Urea Cycle Disorder (UCD) ang chi natna i neih chuan (hei pawh hi genetic condition a ni).
• Damdawi `divalproex sodium`, `sodium valproate`, `valproic acid`, emaw damdawi dang, ei tur, ei tur rawng, emaw, a vawn that theihna tur allergy i neih chuan
• Naupai emaw, nau pai tum emaw i nih chuan hei pawh hi a pawimawh hle a, he damdawi hian naute a nghawng thei a ni.
• Nu hnute pe lai i nih chuan .

Heng thu hi thup lova doctor hnena hrilh hi nangmah himna atan a pawimawh hle a, i hrethiam em?

Engtin chiah nge he damdawi hi ka hman ang?

Damdawi ei dawnin a hman dan dik hriat a pawimawh hle. A ei dik loh chuan a thatna a ti tlem thei a, side effect a tipung thei bawk.

• He damdawi (capsule-a lo awm fo thin) hi ka ei tur a ni . Tui glass khat khat nen ei la.
• I doctor-in a pek che prescription label-a thupekte chu zawm rawh .
• Heng capsule te hi tichhia suh, tikehsawm suh, chew suh. A pumin ei rawh.
• Hei hi ei tur nen emaw ei loh pawhin ei theih a ni . Amaherawhchu, i pum a na tih i hriat chuan chaw ei ruala ei a tha ber.
• I damdawi chu a hun takah, a hun takah i ei tur a ni . Doctor-in a tih aia tam emaw, tlem emaw ei suh.
• Doctor thurawn tel lova he damdawi hi ei nghal mai loh a pawimawh hle. Chutianga tih chuan i dinhmun a tichhe thei a ni.
• Damdawi dawr chuan he damdawi nen hian lehkhabu bik `MedGuide` tih chu a pe ang che . Damdawi thar i dawn apiangin ngun takin chhiar la, a thar i hmuh pawhin. He damdawi chungchangah hian thu pawimawh tak tak a awm a.

He damdawi hi naupang hnena pek dawna hriat reng tur

I doctor chuan i fate chu he damdawi hi pek a tum a nih chuan i pediatrician nen in sawiho tur a ni . Condition thlan bik thenkhat tan chuan naupang kum 10 hnuai lam tan pawh pek theih a ni. Amaherawhchu, fimkhur ngai a awm a, chu chu fimkhur tur thil a awm tihna a ni. Chuvangin i doctor thusawi chu ngun takin ngaithla rawh.

Damdawi i ei sual palh chuan engtin nge i tih ang?

Tihsual kan nei vek a. Chuvangin he damdawi hi i ei sual emaw, i ei tam lutuk emaw a nih i rin chuan i hnai ber poison control center emaw hospital emergency room emaw call nghal la, emergency room-ah kal rawh.

He damdawi hi i tan chauh a ni tih hre reng ang che. I thian emaw, chhungte emaw hian nangmah ang natna hi nei ve mah se, i damdawi chu pe suh. A hlauhawm thei hle.

Damdawi ei tur appointment i neih loh chuan engtin nge i tih?

A châng chuan i damdawi i ei loh phah thei bawk. Chutiang a nih chuan lungngai suh.

• I hriatreng veleh hun hloh chu siam tha leh nghal rawh .
• Mahse, i hriatreng hunah i dose lo awm tur nen a inhnaih hle a nih chuan, dose hloh chu skip la, a hun ruatah dose dang ei mai rawh .
• Double dose ei ngai suh la, damdawi extra ei ngai suh. Chutianga tih chuan overdose a thlen thei a ni.

He damdawi nena inmil lo damdawi dang (Interactions) .

Tunah chuan hei pawh hi a pawimawh hle. He valproic acid i ei hian damdawi dang thenkhat chu he valproic acid nen hian a inmil lo hle. Chu chu, chu damdawi te chu i ei dun chuan an inthlau thei a, a nih loh leh a side effect a pung thei tihna a ni. Chuvangin he thu hi tlem han sawi ila.

• He damdawi nena ei ngai loh tur damdawi pakhat chu `sodium phenylbutyrate` a ni.

Tin, a hnuaia damdawi te hian valproic acid nen an inzawm thei bawk:

• Aspirin a ni
• Antibiotics thenkhat (e.g. ertapenem, imipenem, meropenem) te hi a tha hle.
• Depression, lungkhamna emaw, rilru lam harsatna dang emaw damdawi thenkhat
• Seizure damdawi dang thenkhat (e.g. carbamazepine, lamotrigine, phenobarbital, phenytoin, topiramate) .
• Thisen zam tur venna damdawi thenkhat (e.g. warfarin) .
• `cholestyramine` (cholesterol tihhniamna atana hman thin damdawi) .
• Hmeichhe hormone (e.g., estrogens awmna damdawi, naupai venna damdawi, patch, ring) .
• `propofol` (anesthesia atana hman thin damdawi) .
• `rifampin` (tuberculosis enkawlna atana hman thin antibiotic) .
• `ritonavir` (HIV kai damdawi) .
• `tolbutamide` (zunthlum damdawi) .
• `zidovudine` (HIV kai damdawi dang) .

He list hi a kim lo mai thei. Chuvângin, i damdawi ei zawng zawngte chu i doctor hnênah hrilh la, chutah chuan damdawi, thing leh mau, damdawi ei loh, leh ei leh in lama tihpunna te pawh a tel a ni. Tin, zu i in emaw, zu i in emaw, ruihhlo i hman a nih chuan i doctor hrilh a pawimawh bawk . Thil thenkhat chu i damdawi nen a inzawm thei.

He damdawi ei huna fimkhur tur dang

He damdawi i hman lai hian i himna atan tlem fimkhur deuh deuh a ngai a.

• Nangmah ta a niI natna lan chhuah dan a tha lo a nih chuan, a zual deuh chuan doctor hnenah hrilh rawh.
• Serious Skin Reactions: Hei hi a pawimawh hle. He damdawi hian a chang chuan vun natna nasa tak a thlen thei bawk. Hengte hi damdawi i ei tan atanga kar emaw thla emaw hnuah a thleng thei a ni. Khawsik nei emaw, khawsik nei emaw i neih chuan doctor pan nghal tur a ni. He rash hi a sen emaw, a sen emaw a lo ni thei a, chutah chuan blister leh peel a ni thei. A nih loh leh, i hmai, i hmui, i kawr, emaw, i kawrfual emaw-ah lymph node hring hring (red rash) i nei thei bawk. Hetiang thil i hmuh chuan tihkhawtlai suh.
• Medical ID: A theih chuan i damdawi lam dinhmun, damdawi ei tur, a hman dan tur leh a hun hman dan tur ziakna medical ID bracelet emaw chain emaw bun la, a nih loh leh engtik lai pawhin card i keng reng ang. Hei hian emergency-ah a \angkai hle thei a ni.
• Mutthilh leh luak chhuak: He damdawi hian mutthilh, luak chhuak, mit a ti fiah lo thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma chuan lirthei khalh suh la, machine rit tak tak hmang suh la, ngaihtuahna seng ngai thil engmah ti suh. Luak chhuak leh luak chhuak tihziaawm nan thut atanga tho emaw, thut atanga tho thut emaw, a bik takin kum upa lam i nih chuan ding chhuak suh. Zu in hian mutthilh leh luak chhuak a tizual thei a ni. Chuvangin zu in loh hi a tha ber.
• Ni sensitivity: He damdawi hian i vun chu ni lakah tlem a ti sensitive thei a ni. Chuvangin a theih ang angin ni êng direct atanga hla takah awm rawh. Ni chhuahnaah i chhuah a ngai a nih chuan lukhum, kawr sei, leh sunscreen tha tak ha la. Sun lamp emaw tanning bed/booth emaw hmang suh.
• Mood swings leh mahni intihhlum duhna: Hei pawh hi fimkhur tur thil a ni. Damlo leh an chhungte chu lungngaihna thar lo awm leh mahni intihhlum tumna tur ngaihtuah reng tur a ni. Tin, mood inthlak danglam nghal mai tur pawh en bawk ang che. Entirnan, lungkham, buai, hlauthawng, thinrim, hmêlma, tharum thawh, rilru hah, rilru hah lutuk, phur lutuk leh tih lutuk, emaw, mut harsatna nei emaw. Chutiang a nih chuan, a bik takin damdawi ei tan tirh emaw, a hman dan thlak hnuah emaw, doctor nen inbia nghal rawh.
• Naupai lai:Hetiang hian kan sawi tawh a, mahse kan sawi nawn leh ang. Hmeichhia naupai tum emaw, naupai pawh ni thei tura ngaihte chuan he thil hi an doctor hnenah an hrilh ngei ang. He damdawi hian nausen piang lai chungah side effect na tak a nei thei a ni. I doctor emaw pharmacist emaw hnenah thu belhchian dawl zawk zawt rawh.
• Vitamin tlakchhamna: He damdawi hian taksaa folic acid leh vitamin D level a tihniam thei a ni. Chuvangin he damdawi hi i ei lai hian vitamin i dawng tlem em tih i hriat chian a ngai a ni. I ei leh in leh vitamin i ei chungchang doctor nen sawiho rawh.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin valproic acid hian mi thenkhatah side effect a nei thei a ni. Mahse hengte hi mi zawng zawngah a thleng lo a ni lawm ni? Mi thenkhat tan chauh. Mahse, anmahni fimkhur a pawimawh. Heng side effects te hi chi hnih ah then ila.

I doctor hnena i hrilh nghal tur side effects:

Heng symptoms zinga pakhat tal i neih chuan doctor hnenah i hrilh nghal vat tur a ni.

• Allergic reactions: Vun natna, vun hring, hives, hmai, hmui leh lei hring.
• Mit hmuh dan inthlak danglamna: Mit hmuh fiah lo, mit hmuh pahnih, etc.
• Rash, khawsik, leh lymph node hring: Hei hi DRESS syndrome ang chi natna khirh zawk chhinchhiahna a ni thei.
• Vun natna khirh tak tak: vun a sen, a hring, a hring emaw a hring emaw, ka chhung pawh a huam tel.
• Liver injury chhinchhiahna leh chhinchhiahna: Hengte hi i fimkhur hle tur a ni. Dark yellow emaw brown emaw zun; Lethargic emaw feverish emaw tih hriatna; Pale stools a awm a; Chaw ei chakna hloh; Luhai; Pum dinglam chunglam natna; Thil danglam tak anga rilru hah emaw, chau emaw anga inhria; Mit emaw vun emaw a sen (yellowing) thin. Chung zinga pakhat tal i hriat chuan doctor pan nghal rawh.
• Mahni intihhlum duhna emaw rilru put hmang danglamna dang emaw .
• Thisen chhuak emaw, hliam emaw danglam tak ( e.g. hnar thisen chhuak, hmui thisen chhuak, hliam tenau atanga rawn sen chhuah).

Side effects, damdawi lam pan ngai lo, mahse a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni:

Hengte hi ni engemaw zat chhungin a reh tlangpui a, mahse a awm reng emaw, a tibuai nasa emaw a nih chuan doctor hnenah hrilh rawh.

• Ek khal
• Kawthalo
• Luak chhuak thei
• Sam tlakchham (hei hi mi thenkhat tan chuan a lungchhiatthlak deuh thei) .
• Lu na
• Chaw ei chakna hloh
• Weight gain (hei pawh hi thenkhat tan chuan harsatna a ni) .

He list-a side effect zawng zawng hi a awm vek lo thei. Heng bakah hian thil danglam tak i hmuh chuan chu chu i doctor nen pawh sawipui rawh.

He damdawi hi engtin nge ka dahkhawm ang?

Damdawi dah that hian a quality vawng reng thei bawk.

• Naupangte hmuh theih lohna hmunah dah rawh.
• Room temperature (15 leh 30 degree Celsius inkar, emaw 59 leh 86 degree Fahrenheit inkar) ah dah tur a ni. Hmun lum leh vawt tak, inbualna hmunah dah loh tur.
• Damdawi bottle emaw packet emaw hmui chu khar tlat tur a ni .
• Damdawi expiry date pel tawh kha hmang suh, paih mai rawh.

A tawp berah chuan thil hriat reng tur

Okay, he damdawi valproic acid an tih hi kan sawi nasa hle. He damdawi hi i hman a ngai a nih chuan hengte hi hre reng ang che:

• Hei hi damdawi chak tak a ni a, doctor thurawn anga hman tur a ni. Chuvang chuan Doctor-in a sawi ang chiah chiah, a sawi zat leh a sawi hun takah la rawh.
• Doctor thurawn tel lo chuan hetiang hi ei nghal vat ngai suh.
• Be aware of possible side effects , a bik takin vun natna nasa tak, liver effects, leh mood changes te. Chung zinga pakhat tal i hriat chuan doctor hnenah hrilh nghal rawh.
• Damdawi dang i ei zawng zawng leh natna dang i neih apiang i doctor hnenah hrilh rawh.
• Naupai, naupai tum emaw, nau hnute i pe emaw a nih chuan he damdawi hi i ei hmain doctor hnenah hrilh hmasa phawt ang che.
• He damdawi chungchanga zawhna leh ngaihtuahna dang i neih chuan i doctor, pharmacist emaw, healthcare provider dang emaw zawt hreh suh.

Hriselna tha neih duhsakna kan hlan e!

` Valproic acid, divalproex sodium, fits, epilepsy, bipolar, migraine, side effects te a awm thei