Ese muganga wawe yakwandikiye umuti mushya wo kurwanya indwara zo mu mutwe? Ese uwo muti witwa Valproic Acid? Noneho ushobora kuba ufite ibibazo byinshi kuri uyu muti, icyo ukora, n'icyo ugomba kwitondera mu gihe uwukoresha. Ibyo ni ibisanzwe cyane. None rero uyu munsi, reka tuganire kuri uyu muti witwa Valproic Acid mu buryo bworoshye ushobora kumva.
Mu magambo make, aside Valproic ni iki?
Aside Valproic ni umuti ukoreshwa mu gukumira no kugenzura indwara zo mu bwonko nko mu gihe cy'igicuri. Mu magambo make, hari igihe imitsi yo mu bwonko bwacu iguruka vuba cyane kandi bitari ngombwa. Ni bwo habayeho icyorezo. Uyu muti ukora mu gutuza iyo mitsi ikora cyane.
Uyu muti rimwe na rimwe ushobora kwandikirwa n'abaganga ku zindi ndwara, bityo niba ufite ikibazo ku mpamvu wandikiwe uyu muti, ni byiza kubibwira muganga wawe.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo gutangira gukoresha aside Valproic, ni ngombwa cyane guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Menya neza ko umubwiye kimwe muri ibi bikurikira, cyane cyane niba ufite:
| Uko umeze | Kuki kumenyesha ari ingenzi? |
|---|---|
| Niba unywa inzoga buri gihe | Kubera ko uyu muti ushobora kugira ingaruka ku mwijima, inzoga zishobora kongera ibyo byago. |
| Indwara y'impyiko cyangwa umwijima | Kubera ko izi ngingo zigira uruhare mu gukuraho aside Valproic mu mubiri, indwara zazo zishobora kugira ingaruka ku mikorere y'umuti. |
| Umubare muto wa platelet | Uyu muti ushobora kongera ibyago byo kuva amaraso, bityo ni ngombwa gutanga raporo kuri iyi ndwara. |
| Indwara z’uturemangingo nk’indwara ya mitochondrial cyangwa indwara ya urea cycle (UCD) | Abantu bafite izi ndwara zidasanzwe bashobora kugira ingaruka mbi zikomeye zikomoka kuri aside Valproic. |
| Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura | Umuganga agomba kumenya uyu muti, kuko ushobora kugira ingaruka ku mitekerereze ya bamwe. |
| Niba urimo kugerageza gutwita, utwite, cyangwa uri umubyeyi wonsa | (Icy'ingenzi cyane) Aside Valproic ishobora guteza ingaruka zikomeye ku mwana uri mu nda. Kubwibyo, ni ngombwa kuganira na muganga ku buryo bweruye kuri ibi. |
| Niba ufite aleriji ku yindi miti, ibiryo, cyangwa ibindi bintu | Ibi ni ingenzi kumenya niba ufite ubwivumbure kuri aside Valproic cyangwa ikindi kintu kirimo. |
Ni gute neza neza nkoresha uyu muti?
Kugira ngo umuti wungukire neza, ni ngombwa cyane kuwukoresha neza.
- Mirira ikinini/kapsule yose hamwe n'ikirahure cy'amazi.
- Icy'ingenzi cyane: Ntukavune, ntukajanjagure, cyangwa ngo uhekenye uyu muti. Kubikora bishobora guhindura uburyo ukora neza.
- Niba urwaye igifu cyangwa ukagira isesemi mugihe ufata uyu muti, fata hamwe n'ibiryo. Cyangwa ushobora kuwufata utarinze kurya.
- Fata ingano yatanzwe na muganga wawe nk'uko yabigutegetse. Niba bagutegetse kuyifata kabiri ku munsi, gerageza kuyifata icyarimwe, amasaha 12 atandukanye.
- Nubwo waba wumva umeze neza, ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma indwara yo mu mutwe isubira kumera neza.
- Nubwo uyu muti uhabwa abana barengeje imyaka 10, hari ibintu byihariye ugomba kwitaho. Kubwibyo, niba uha umwana wawe uyu muti, ganira na muganga wawe witonze.
Icyitonderwa: Niba ufite amakenga make ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Wakora iki niba wabuze dose y'umuti?
Ntugahangayike. Fata dose yabuze ukimara kwibuka. Ariko, niba igihe cyo gufata dose ikurikiraho kigeze hafi (urugero, mu masaha make), rekeraho dose yabuze hanyuma ufate dose ikurikiraho ku gihe cyagenwe. Ntugafate dose ebyiri icyarimwe kubera impamvu iyo ari yo yose.
Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)
Indi miti ufata ishobora kugira ingaruka kuri aside Valproic, bityo rero bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
| Ntuzigere ufata aside Valproic hamwe n'uyu muti. | |
|---|---|
| Sodium phenylbutyrate | |
| Menya neza ko wabibwiye muganga wawe niba ufata iyi miti. | |
| Imiti igabanya ububabare n'imiti igabanya ubukana | Aspirin, ertapenem, imipenem, meropenem |
| Imiti yo kuvura indwara z'ibindi bikomere | Imiti nka carbamazepine, clonazepam, diazepam, ethosuximide, lamotrigine, phenobarbital, phenytoin, topiramate |
| Imiti ivura indwara zo mu mutwe | Imiti imwe n'imwe ivura ihungabana cyangwa imihangayiko |
| Indi miti | Warfarin, Cholestyramine, Propofol, Rifampin, Ritonavir, Zidovudine, hamwe n'imisemburo (estrogen na progestin) nk'ibinini byo kuboneza urubyaro, bikoreshwa mu gukumira kubyimba kw'amaraso |
Ibintu byihariye ugomba kumenya mugihe ufata umuti
Indwara zikomeye zishobora guterwa n'uruhu
Hari abantu bashobora kugira ikibazo gikomeye cy'uruhu nyuma y'ibyumweru bike cyangwa amezi make batangira uyu muti. Niba ubonye ibimenyetso nk'umuriro, ububabare bw'umubiri, uduheri dutukura cyangwa tw'umuhengeri ku ruhu rwawe, uduheri, cyangwa uduheri duto, hamagara muganga wawe ako kanya. Nanone, niba ubonye uduheri ku ruhu rwawe hamwe no kubyimba mu maso, ku minwa, cyangwa kubyimba kw'uturemangingo tw'imitsi mu ijosi/kwaha, iki nacyo gishobora kuba ikimenyetso gikomeye.
Gusinzira no kwita ku bintu
Ushobora kumva usinziriye, uzungera, cyangwa utabona neza mu gihe ufata aside Valproic. Irinde gutwara imodoka, gukoresha imashini, cyangwa gukora indi mirimo isaba kuba maso kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Kugira ngo ugabanye urujijo, cyane cyane niba ugeze mu zabukuru, irinde guhaguruka utunguranye uvuye mu mwanya wawe wicaye. Kunywa inzoga bishobora gutuma uru ruzingo rurushaho kwiyongera, bityo irinde kunywa inzoga burundu.
Umuburo wihariye ku bijyanye no gutwita
Niba uri umugore, iki gice ni ingenzi cyane. Niba uteganya gutwita, cyangwa utekereza ko ushobora gutwita, bwira muganga wawe ako kanya. Aside Valproic ishobora gutera ibibazo bikomeye mu gihe cyo kubyara, cyane cyane mu mitsi. Kubwibyo, niba utekereza kubyara umwana, ni ngombwa kubiganiraho na muganga wawe mbere yo gutwita no kuganira ku buryo bwizewe.
Wite ku buzima bwawe bwo mu mutwe.
Wowe n'umuryango wawe mugomba kumenya impinduka mu miterere y'imitekerereze yanyu, cyane cyane iyo mutangiye gufata imiti bwa mbere cyangwa iyo igipimo cyayo cyahinduwe.
- Ihungabana rishya cyangwa rikomeje kwiyongera
- Ibitekerezo byo kwiyahura
- Kumva ufite impungenge, unaniwe, kandi urakaye
- Gusinzira nabi
Niba ubonye ibimenyetso nk'ibi:
Ingaruka mbi z'umuti
Kimwe n'indi miti yose, aside Valproic ishobora kugira ingaruka mbi.
| Ubonye ibi bimenyetso, bimenyeshe muganga wawe ako kanya. | |
|---|---|
| Ibimenyetso by'indwara y'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye cyangwa umukara, amaso cyangwa uruhu bihinduka umuhondo, ndetse n'umunaniro ukabije. |
| Pancreatite | Ububabare bukomeye buva hagati mu nda bujya mu mugongo, ububabare bwiyongera iyo urya cyangwa ukoze ku nda, umuriro, isesemi, kuruka. |
| Allergie ikomeye | Uruhu rushyushye, kuribwa, kubyimba mu maso/iminwa/ururimi, guhumeka bigoranye. |
| Ibindi bimenyetso bikomeye | Kutuza no gutekereza kwiyahura, gukomereka cyangwa kuva amaraso mu buryo butari bwo, gusinzira cyane, no kwitiranya ibintu. |
| Ubusanzwe ntabwo ari ikibazo gikomeye, ariko bwira muganga wawe niba bikubangamiye. | |
| Ingaruka mbi nto | Kuribwa umutwe, kuzungera, gusinzira, isesemi, gutakaza umusatsi, guhindagura amaboko, kwiyongera ibiro, impinduka mu maso. |
Ubutumwa bwo kujyana mu rugo
- Ntuzigere uvunagura, ujanjagura, cyangwa uhekenya ibinini/udupira twa aside ya Valproic. Uramira byose.
- Nubwo waba wumva umeze neza, irinde guhagarika imiti utabanje kugirwa inama na muganga.
- Shaka abaganga vuba niba ugize uduheri twinshi ku ruhu, ububabare bukabije mu gifu, cyangwa impinduka zikomeye mu byiyumvo byawe (cyane cyane ibitekerezo byo kwiyahura).
- Niba uri umugore kandi utegereje umwana, ni ngombwa cyane kubibwira muganga wawe mbere yuko utwita .
- Ha muganga wawe ibisobanuro byuzuye ku yindi miti yose, vitamine, n'inyongeramusaruro ufata.
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