Tiyeni tiphunzire za mapiritsi a Divalproex Sodium. Kodi mwapatsidwa mankhwala awa?

Kodi nthawi zina mumakhala ndi matenda otupa ziwalo, zomwe zikutanthauza kuti muli ndi vuto lotchedwa `Epilepsy`? Kapena nthawi zambiri mumakhala ndi mutu wopweteka mutu wosapiririka? Kapena muli ndi vuto lotchedwa `Bipolar Disorder`, lomwe ndi vuto lomwe limakhala lovuta komanso kusintha kwakukulu kwa malingaliro? Limodzi mwa mankhwala omwe madokotala amapereka kuti athetse matenda otere ndi `Divalproex Sodium`. Izi zimagwira ntchito pochepetsa ntchito yosafunikira ya mitsempha ya thupi lathu. Tiyeni tikambirane zambiri za mankhwalawa lero, chabwino?

Kodi mankhwalawa amagwiritsidwa ntchito pa chiyani kwenikweni?

Mwachidule, mankhwala awa otchedwa Divalproex Sodium amagwiritsidwa ntchito makamaka pa:

• Lamulirani zizindikiro za matendawa ndikuletsa khunyu mwa anthu omwe ali ndi khunyu.
• Amagwiritsidwanso ntchito popewa mutu wa mutu wa mutu waching'alang'ala.
• Izi zimathandizanso kuchepetsa kusintha kwa maganizo kwa anthu omwe ali ndi vuto la bipolar.

Mankhwalawa nthawi zina angakupatseni madokotala chifukwa cha matenda ena, choncho ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala. Muthanso kudziwa mankhwalawa ndi mayina a `Depakote` kapena `Depakote ER`.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala musanamwe mankhwala awa?

Izi ndizofunikira kwambiri. Musanayambe kugwiritsa ntchito mankhwalawa, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa izi:

• Ngati mumamwa mowa nthawi zonse.
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati mwapezeka ndi ma platelet ochepa .
• Ngati muli ndi matenda a mitochondrial .
• Ngati inu kapena wina m'banja mwanu munaganizapo zodzipha, kukonza mapulani, kapena kuyesa kudzipha .
• Ngati muli ndi vuto la urea cycle (UCD).
• Ngati muli ndi vuto lachilendo la ziwengo (allergy) ku mankhwala a divalproex sodium, sodium valproate, valproic acid, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba (izi ndizofunikira kwambiri).
• Ngati ndinu mayi woyamwitsa .

Mwa kuuza dokotala wanu zinthu izi, iye angasankhe ngati mankhwala awa ndi oyenera kwa inu kapena ngati muyenera kuganizira njira ina.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa amabwera ngati mapiritsi. Ayenera kumwedwa ndi kapu ya madzi. Muyenera kutsatira malangizo omwe dokotala wanu kapena malo ogulitsira mankhwala akupatsani monga momwe zalembedwera .

Chofunika: Musamathyole, kuphwanya, kapena kutafuna mapiritsi awa. Mezani onse.

Mutha kumwa mankhwalawa muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa mankhwalawa pamodzi ndi chakudya. Ndikofunikanso kumwa mankhwalawo panthawi yoyenera komanso muyeso woyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera, kapena mobwerezabwereza kuposa momwe muyenera kukhalira. Komanso, musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala . Kuchita izi kungapangitse kuti zizindikiro zanu ziwonjezeke.

Mukalandira mankhwala awa kuchokera ku pharmacy, mudzalandira kabuku kapadera kodziwitsa anthu za mankhwala kakuti ``MedGuide```. Musaiwale kuwawerenga mosamala ndi mlingo uliwonse komanso mukalandira mankhwala atsopano.

Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wanu za izi. Ngakhale kuti mankhwalawa angaperekedwe kwa ana azaka 10 pa matenda enaake, pali njira zapadera zodzitetezera.

Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi chachipatala nthawi yomweyo.

Dziwani: Mankhwalawa ndi a inu nokha. Musagawane mankhwalawa ndi wina aliyense.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.

Ndi zinthu zina ziti zomwe zingachitike ndi mankhwalawa?

Pali mankhwala ena omwe angayambitse mavuto akamwedwa pamodzi ndi Divalproex Sodium. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya.

Musamwe izi pamodzi ndi mankhwala otsatirawa:

• Sodium phenylbutyrate

Kuphatikiza apo, mankhwala otsatirawa akhoza kuyanjana ndi izi:

• Aspirin
• Maantibayotiki ena (monga ertapenem, imipenem, meropenem)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga carbamazepine, clonazepam, diazepam, ethosuximide, felbamate, lamotrigine, phenobarbital, phenytoin, primidone, rufinamide, topiramate)
• Mankhwala ena omwe amaletsa kapena kuchiza magazi kuundana (monga warfarin)
• Cholestyramine
• Mahomoni a Estrogen kapena progestin
• Propofol `(Propofol)`
• Rifampin
• Ritonavir (Ritonavir)`
• Tolbutamide `(Tolbutamide)`
• Zidovudine

Mndandandawu sunathe. Choncho uzani dokotala wanu zonse zomwe mumagwiritsa ntchito (kuphatikizapo ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo). Zinthu zina zingasokoneze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Ngati zizindikiro zanu sizikuchepa, kapena zikuipiraipira, uzani dokotala wanu nthawi yomweyo.

Matenda aakulu a pakhungu omwe angathe kuchitika

Mankhwalawa nthawi zina angayambitse mavuto aakulu pakhungu . Izi zingachitike milungu ingapo kapena miyezi mutayamba kumwa mankhwala. Ngati muli ndi malungo, zizindikiro zofanana ndi chimfine, komanso ziphuphu, pitani kwa dokotala nthawi yomweyo. Ziphuphu izi zitha kukhala zofiira kapena zofiirira, ndipo pambuyo pake zimatha kutuluka ziphuphu. Kapena mungakhale ndi kutupa kwa nkhope, milomo, kapena ma lymph nodes otupa m'khosi kapena m'khwapa, zomwe zingayambitse ziphuphu zofiira. Ngati muwona chilichonse chonga ichi, muyenera kufunsa upangiri kwa dokotala.

Kuvala chiphaso cha zachipatala

Ndikofunikira kwambiri kuvala chibangili cha dokotala kapena unyolo ndikukhala ndi khadi lomwe limafotokoza za matenda anu, mankhwala omwe mukumwa, ndi mlingo wake.

Kugona ndi kusamala

Mankhwalawa angakupangitseni kumva tulo, chizungulire, kapena kusawona bwino . Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita china chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kuti mupewe chizungulire kapena kukomoka, musadzuke mwadzidzidzi mutangokhala kapena kuyimirira, makamaka ngati ndinu okalamba. Kumwa mowa kungakupangitseni kumva tulo komanso chizungulire kwambiri. Choncho, pewani mowa.

Kuzindikira kuwala kwa dzuwa

Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa (photosensitivity). Choncho, pewani kukhudzidwa ndi dzuwa momwe mungathere. Ngati izi sizingatheke, valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.

Kusintha kwa thanzi la maganizo

Odwala ndi mabanja awo ayenera kukhala tcheru ndi kuvutika maganizo kwatsopano kapena koipiraipira kapena maganizo ofuna kudzipha. Komanso, dziwani kusintha kwadzidzidzi kwa malingaliro, monga kusokonezeka maganizo, kusakhazikika, mantha, kukwiya, ukali, kuchita zinthu mopupuluma mwadzidzidzi, kusakhazikika maganizo kwambiri, kusangalala kwambiri ndi kuchita zinthu mopitirira muyeso, kapena kusowa tulo.Ngati izi zitachitika, makamaka kumayambiriro kwa chithandizo kapena mutasintha mlingo, lankhulani ndi dokotala wanu nthawi yomweyo.

Mimba ndi kuyamwitsa

Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, muyenera kuuza dokotala wanu. Izi zili choncho chifukwa zingayambitse mavuto aakulu kwa mwana wosabadwa. Mutha kufunsa dokotala wanu kapena wamankhwala kuti mudziwe zambiri. Azimayi omwe amatenga pakati akumwa mankhwalawa akhoza kulowa nawo ku North American Antiepileptic Drug Pregnancy Registry. Kaundulayu amasonkhanitsa zambiri zokhudza chitetezo cha mankhwala oletsa khunyu panthawi ya mimba.

Zofunikira pa Vitamini

Mankhwalawa angachepetse kuchuluka kwa folic acid ndi vitamini D m'thupi lanu. Choncho onetsetsani kuti mwalandira mavitamini okwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya ndi mavitamini omwe muyenera kumwa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena mwa iwo si oopsa, koma ena ayenera kuuzidwa kwa dokotala nthawi yomweyo.

Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kuchuluka kwa ammonia m'magazi: kufooka kapena kutopa kosazolowereka, chisokonezo, kusowa chilakolako cha chakudya, nseru, kusanza, kugwidwa ndi khunyu.
• Kuwonongeka kwa chiwindi: kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, kufooka kapena kutopa kosazolowereka.
• Kutentha thupi kochepa, kugona tulo, kusokonezeka maganizo.
• Pancreatitis: Ululu waukulu wa m'mimba womwe umafalikira kumsana kapena umakula kwambiri mutatha kudya kapena mukakhudza, kutentha thupi, nseru, ndi kusanza.
• Matuza pakhungu, malungo, ndi kutupa kwa ma lymph nodes.
• Maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo.
• Kutupa kapena kutuluka magazi kosazolowereka.

Ngati muwona zizindikiro zilizonsezi, pitani kwa dokotala nthawi yomweyo.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kusintha kwa masomphenya
• Chizungulire
• Kugona tulo
• Kutaya tsitsi
• Mutu (kupweteka mutu)
• Kusanza
• Kunjenjemera kapena kugwedezeka
• Kulemera

Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zina zachilendo, chonde uzani dokotala wanu za izo.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Mankhwalawa ayenera kusungidwa pamalo omwe ana ndi ziweto sangafikire.

Sungani mu chidebe chotsekedwa bwino kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, madigiri 59 ndi 86 Fahrenheit). Musagwiritse ntchito mankhwala otha ntchito; atayeni.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

Chabwino, takambirana zambiri za mankhwala otchedwa Divalproex Sodium. Ndi mankhwala ofunikira kwambiri, makamaka polimbana ndi matenda monga khunyu, mutu waching'alang'ala, ndi matenda a bipolar.

Kumbukirani, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu mukamamwa mankhwalawa, kuuza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena omwe mukumwa, komanso kudziwa zotsatirapo zake.

Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu kapena wamankhwala. Adzakuthandizani. Khalani ndi thanzi labwino!

Divalproex Sodium, Khunyu, Migraine, Bipolar, Matenda a Bipolar, Depakote