Tiyeni tiphunzire za mankhwala omwe angakuthandizeni kukhala ndi thanzi labwino komanso momwe mukumvera? (Valproic Acid / Divalproex Sodium)

Kodi nthawi zina mumamva ngati mukuvutika ndi chifuwa? Kapena kodi maganizo anu amakwera ndi kutsika mwadzidzidzi, nthawi zina amasintha m'njira zomwe simungaganizire? Ena ali ndi mutu wosapiririka, womwe timautcha kuti mutu waching'alang'ala, ndipo ukhoza kupangitsa miyoyo yawo kukhala yosasangalatsa. Lero tikambirana za mankhwala ofunikira omwe madokotala amagwiritsa ntchito poletsa matenda otere. Mankhwalawa amatchedwa valproic acid. Mwina munamvapo za mankhwala awa kuti 'Divalproex Sodium'.

Kodi mankhwalawa ndi chiyani? Amagwiritsidwa ntchito chiyani?

Mwachidule, Valproic Acid ndi mankhwala omwe amathandiza kulamulira matenda angapo mwa kusintha momwe mankhwala ena amagwirira ntchito muubongo mwathu, otchedwa neurotransmitters. Divalproex Sodium imagwirizananso ndi izi ndipo idapangidwa ngati mankhwala ochepetsa kutulutsidwa kwa mankhwala.

Tsopano tiyeni tiwone zomwe izi zimagwiritsidwa ntchito makamaka:

• Kusiya kukomoka: Anthu ena amadwala khunyu. Izi zimagwiritsidwa ntchito poletsa kukomoka kotere.
• Kwa anthu omwe ali ndi vuto la bipolar mania: Anthu omwe ali ndi vuto la bipolar nthawi zina amakhala ndi nthawi yosangalala kwambiri, kuchita zinthu mopitirira muyeso, komanso kuchita zinthu mopupuluma. Mankhwalawa amagwiritsidwanso ntchito poletsa vuto la bipolar mania.
• Pewani mutu waching'alang'ala: Anthu ena amavutika ndi mutu waching'alang'ala pafupipafupi komanso woopsa. Mankhwalawa amagwiritsidwanso ntchito popewa mutu waching'alang'ala.

Izi ndi zinthu zazikulu. Koma nthawi zina madokotala amatha kukupatsani mankhwala awa pa matenda ena. Muthanso kupeza mankhwala awa pansi pa dzina lodziwika bwino monga `(Stavzor)`. Chifukwa chake ngati simukudziwa kuti mankhwalawa ndi a chiyani, ndi bwino kufunsa dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Kodi ndi zinthu ziti zofunika zomwe ndiyenera kuuza dokotala ndisanayambe kumwa mankhwalawa?

Chabwino, tsopano izi ndizofunikira kwambiri . Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa zina zokhudza thanzi lanu. Chifukwa chidziwitso chimenecho ndicho chidzatsimikizira ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso kuchuluka kwa omwe angakupatseni. Ngati chilichonse mwa izi chikukugwirani ntchito, muyenera kuuza dokotala wanu :

• Ngati mumamwa mowa nthawi zonse .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi (izi ndizofunikira kwambiri).
• Ngati muli ndi ma platelet ochepa .
• Ngati muli ndi vuto la majini lotchedwa matenda a mitochondrial .
• Ngati mukufuna kudzivulaza, mukukonzekera kutero, kapena munayesapo kale kutero, kapena ngati wina m'banja mwanu wakhala ndi maganizo, mapulani, kapena kuyesa kudzipha. Izi ndizofunikira kwambiri.
• Ngati muli ndi vuto monga Urea Cycle Disorder (UCD) (ilinso ndi vuto la majini).
• Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala a `divalproex sodium`, `sodium valproate`, `valproic acid`, kapena mankhwala ena aliwonse, chakudya, utoto wa chakudya, kapena zotetezera .
• Ngati muli ndi pakati kapena mukufuna kutenga mimba, izi ndizofunikira kwambiri, chifukwa mankhwalawa angakhudze mwana.
• Ngati ndinu mayi woyamwitsa .

Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala zinthu izi popanda kuzibisa, kodi mukumvetsa?

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Mukamamwa mankhwala, ndikofunikira kwambiri kudziwa momwe mungagwiritsire ntchito bwino. Kumwa mankhwala molakwika kungachepetse mphamvu yake ndikuwonjezera zotsatirapo zake.

• Mankhwalawa (omwe nthawi zambiri amapezeka m'ma capsules) ayenera kumwedwa ndi madzi . Mezani ndi galasi lonse la madzi.
• Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani.
• Musaswe, kuphwanya, kapena kutafuna makapisozi awa. Mezani onse.
• Izi zitha kumwedwa ndi chakudya kapena ayi . Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa ndi chakudya.
• Muyenera kumwa mankhwala anu panthawi yoyenera, nthawi yoyenera . Musamwe mankhwala ochulukirapo kapena ochepera kuposa momwe dokotala wanu wanenera.
• Ndikofunikira kwambiri kuti musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala wanu. Kuchita zimenezi kungapangitse kuti vuto lanu likhale loipa kwambiri.
• Malo ogulitsa mankhwala adzakupatsani kabuku kapadera kotchedwa `MedGuide` kokhala ndi mankhwala awa. Werengani mosamala nthawi iliyonse mukalandira mankhwala atsopano, ngakhale mutalandira atsopano. Kali ndi zambiri zofunika zokhudza mankhwala awa.

Zinthu zofunika kuzikumbukira mukamapatsa ana mankhwalawa

Ngati dokotala wanu wasankha kupatsa mwana wanu mankhwala awa, muyenera kukambirana ndi dokotala wa ana . Pa matenda ena osankhidwa, angaperekedwe kwa ana azaka 10. Komabe, pali njira zodzitetezera zomwe ziyenera kutengedwa, zomwe zikutanthauza kuti pali zinthu zomwe muyenera kusamala nazo. Choncho mvetserani mosamala zomwe dokotala wanu akunena.

Kodi mumatani ngati mwamwa mankhwala ochulukirapo mwangozi?

Tonsefe timalakwitsa. Choncho ngati mukuganiza kuti mwamwa mankhwalawo molakwika kapena mwamwa mopitirira muyeso, imbani malo olamulira poizoni kapena chipatala chapafupi nanu nthawi yomweyo, kapena pitani ku chipinda chadzidzidzi.

Kumbukirani kuti mankhwalawa ndi a inu nokha. Ngakhale mnzanu kapena wachibale wanu ali ndi matenda ofanana ndi anu, musawapatse mankhwala anu. Akhoza kukhala oopsa.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

Nthawi zina mungaphonye mankhwala anu. Ngati zimenezo zitachitika, musadandaule.

• Konzani nthawi yomwe mwasowa nthawi yomweyo mukakumbukira .
• Komabe, ngati mlingo wanu wotsatira uli pafupi kwambiri ndi womwe mwalandira mukakumbukira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza .
• Musamwe mankhwala owirikiza kawiri kapena kumwa mankhwala owonjezera. Kuchita zimenezi kungayambitse kumwa mankhwala opitirira muyeso.

Mankhwala ena omwe sagwirizana ndi mankhwalawa (Interactions)

Tsopano izi ndizofunikira kwambiri. Mukatenga valproic acid iyi, pali mankhwala ena omwe sagwirizana bwino ndi awa. Izi zikutanthauza kuti, mukatenga mankhwalawa pamodzi, amatha kukhudzana, kapena zotsatira zake zitha kukulirakulira. Tiyeni tikambirane pang'ono za izi.

• Mankhwala amodzi omwe sayenera kumwedwa ndi mankhwalawa ndi `sodium phenylbutyrate`.

Kuphatikiza apo, mankhwala otsatirawa amatha kuyanjana ndi valproic acid:

• Aspirin
• Maantibayotiki ena (monga ertapenem, imipenem, meropenem)
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
• Mankhwala ena a khunyu (monga carbamazepine, lamotrigine, phenobarbital, phenytoin, topiramate)
• Mankhwala ena omwe amaletsa magazi kuundana (monga warfarin)
• `cholestyramine` (mankhwala ogwiritsidwa ntchito kuchepetsa cholesterol)
• Mahomoni achikazi (monga mankhwala okhala ndi ma estrogens, mapiritsi oletsa kubereka, ma patches, mphete)
• `propofol` (mankhwala ogwiritsidwa ntchito pochiza ululu)
• `rifampin` (mankhwala opha tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu)
• `ritonavir` (mankhwala ochizira matenda a HIV)
• `tolbutamide` (mankhwala a matenda a shuga)
• `zidovudine` (mankhwala ena ochizira matenda a HIV)

Mndandanda uwu mwina sungakhale wokwanira. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ochokera ku zitsamba, mankhwala osalembedwa ndi dokotala, ndi zowonjezera zakudya. Ndikofunikanso kuuza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala anu.

Zinthu zina zofunika kuzidziwa mukamamwa mankhwalawa

Pali zinthu zingapo zomwe muyenera kusamala nazo kuti mukhale otetezeka mukamagwiritsa ntchito mankhwalawa.

• YanuNgati zizindikiro zanu sizikusintha, kapena ngati zikuipiraipira, uzani dokotala wanu.
• Matenda Oopsa Pakhungu: Izi ndizofunikira kwambiri. Mankhwalawa nthawi zina angayambitse matenda aakulu pakhungu. Izi zitha kuchitika milungu ingapo kapena miyezi mutayamba kumwa mankhwalawo. Ngati muli ndi ziphuphu chifukwa cha kutentha thupi kapena kutentha thupi, pitani kwa dokotala nthawi yomweyo. Matendawa amatha kukhala ofiira kapena ofiirira, kenako matuza ndi khungu. Kapena mungakhale ndi ziphuphu zofiira zomwe zimakhala ndi ma lymph nodes otupa pankhope panu, pamilomo, pakhosi, kapena m'khwapa. Ngati muwona chinthu chonga ichi, musazengereze.
• ID ya Zachipatala: Ngati n'kotheka, valani chibangili cha ID ya zachipatala kapena unyolo womwe umalemba matenda anu, mankhwala, mlingo, ndi nthawi, kapena khalani ndi khadi nthawi zonse. Izi zingathandize kwambiri pakagwa ngozi.
• Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona, chizungulire, kapena kuona pang'ono. Choncho, mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani, musayendetse galimoto, kugwiritsa ntchito makina olemera, kapena kuchita chilichonse chomwe chimafuna kusamala. Kuti muchepetse chizungulire ndi kufooka mutu, musadzuke pamalo omwe mumakhala kapena kuimirira pamalo omwe mumakhala mwadzidzidzi, makamaka ngati ndinu okalamba. Kumwa mowa kungapangitse kuti kugona ndi chizungulire zikhale zovuta kwambiri. Chifukwa chake, ndi bwino kupewa kumwa mowa.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kumva ku dzuwa. Choncho pewani kuwala kwa dzuwa kwambiri momwe mungathere. Ngati muyenera kutuluka padzuwa, valani chipewa, zovala zazitali, ndi mafuta abwino oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.
• Kusintha kwa maganizo ndi malingaliro ofuna kudzipha: Ichi ndi chinthu choyeneranso kusamala nacho. Odwala ndi mabanja awo ayenera kuyang'anitsitsa kuyambika kwatsopano kwa kuvutika maganizo ndi malingaliro odzivulaza. Komanso, samalani ndi kusintha kwadzidzidzi kwa malingaliro. Mwachitsanzo, kumva nkhawa, kukwiya, mantha, kukwiya, udani, nkhanza, kusakhazikika, kusangalala kwambiri, kusangalala kwambiri komanso kuchita zinthu mopitirira muyeso, kapena kukhala ndi vuto logona. Ngati izi zitachitika, makamaka mukayamba kumwa mankhwala kapena mutasintha mlingo, lankhulani ndi dokotala nthawi yomweyo.
• Mimba:Tanena kale izi, koma tidzanenanso. Azimayi omwe akuyesera kutenga mimba, kapena omwe akuganiza kuti ali ndi pakati, ayenera kuuza dokotala wawo za izi. Mankhwalawa akhoza kukhala ndi zotsatirapo zoyipa kwambiri pa mwana wosabadwa. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
• Kusowa kwa Vitamini: Mankhwalawa angayambitse kuchepa kwa folic acid ndi vitamini D m'thupi. Chifukwa chake, muyenera kuonetsetsa kuti mukupeza mavitamini okwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya zomwe mumadya komanso mavitamini omwe mumamwa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, valproic acid ingayambitse zotsatirapo zoyipa mwa anthu ena. Koma izi sizichitika kwa aliyense, eti? Kwa ena okha. Koma ndikofunikira kudziwa za izi. Tiyeni tigawane zotsatirapo zoyipazi m'magulu awiri.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, muyenera kuuza dokotala wanu mwamsanga.

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, ndi lilime.
• Kusintha kwa masomphenya: Kuona zinthu molakwika, kuona zinthu ziwiri, ndi zina zotero.
• Ziphuphu, malungo, ndi kutupa kwa ma lymph nodes: Izi zitha kukhala chizindikiro cha matenda oopsa kwambiri monga DRESS syndrome.
• Matenda aakulu a pakhungu: kufiira, kutupa, kutsekeka kapena kumasuka kwa khungu, kuphatikizapo mkati mwa pakamwa.
• Zizindikiro za kuvulala kwa chiwindi: Izi ndi zizindikiro zomwe muyenera kusamala nazo kwambiri. Mkodzo wakuda wachikasu kapena bulauni; Kumva kutopa kapena kutentha thupi; Chimbudzi choyera; Kusowa chilakolako cha chakudya; Kusefukira kwa njala; Kupweteka m'mimba yakumanja; Kumva kutopa kwambiri kapena kutopa; Maso kapena khungu kukhala lachikasu. Ngati muwona chilichonse mwa izi, pitani kwa dokotala nthawi yomweyo.
• Maganizo ofuna kudzipha kapena kusintha kwina kwa maganizo .
• Kutuluka magazi kapena kuvulala kosazolowereka ( monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa, kusandulika buluu chifukwa cha kuvulala pang'ono).

Zotsatirapo zomwe nthawi zambiri sizimafuna chithandizo chamankhwala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

Izi nthawi zambiri zimatha patatha masiku ochepa, koma ngati zikupitirira kapena zikukuvutitsani kwambiri, uzani dokotala wanu.

• Kudzimbidwa
• Kutsegula m'mimba
• Chizungulire
• Kutaya tsitsi (izi zingakhale zokhumudwitsa pang'ono kwa anthu ena)
• Mutu
• Kutaya chilakolako
• Kulemera (izi ndi vuto kwa ena)

Si zotsatirapo zonse zomwe zili pamndandandawu zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi.

Kodi ndiyenera kusunga bwanji mankhwalawa?

Kusunga mankhwala moyenera kumathandizanso kuti akhalebe abwino.

• Sungani pamalo omwe ana sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, kapena madigiri 59 ndi 86 Fahrenheit). Musasunge m'malo otentha kwambiri kapena onyowa, monga m'bafa.
• Tsekani pakamwa pa botolo la mankhwala kapena paketi .
• Musagwiritse ntchito mankhwala omwe atha ntchito, atayeni.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, takambirana zambiri za mankhwala otchedwa valproic acid. Ngati muyenera kugwiritsa ntchito mankhwalawa, kumbukirani izi:

• Mankhwala awa ndi amphamvu omwe ayenera kugwiritsidwa ntchito motsogozedwa ndi dokotala. Chifukwa chake, imwani monga momwe dokotala wanenera, kuchuluka kwa mankhwala omwe wanena, komanso nthawi yomwe wanena.
• Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
• Dziwani zotsatirapo zake , makamaka zotsatirapo zoopsa pakhungu, zotsatirapo za chiwindi, komanso kusintha kwa malingaliro. Ngati muwona chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo.
• Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanamwe mankhwalawa.
• Ngati muli ndi mafunso ena kapena nkhawa zokhudzana ndi mankhwalawa, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Ndikukufunirani thanzi labwino!

Valproic acid, divalproex sodium, matenda a khunyu, bipolar, mutu waching'alang'ala, zotsatirapo zake