Reka twige ku muti uzagufasha kugira ubuzima bwiza n'amarangamutima? (Aside Valproic / Divalproex Sodium)

Ese rimwe na rimwe wumva umeze nk'uri mu gihirahiro? Cyangwa se amarangamutima yawe ahita azamuka, rimwe na rimwe agahinduka mu buryo utatekereza? Abandi bafite ububabare bw'umutwe budashobora kwihanganira, twita migraine, kandi bushobora gutuma ubuzima bwabo buba bubi. Uyu munsi tugiye kuvuga ku muti w'ingenzi abaganga bakoresha mu kugenzura bene ibyo bibazo. Uyu witwa aside valproic. Ushobora kuba warigeze kumva ko ari 'Divalproex Sodium'.

Uyu muti ni iki? Ukoreshwa iki?

Muri make, aside Valproic ni umuti ufasha mu kugenzura indwara nyinshi binyuze mu guhindura imikorere y’ibintu bimwe na bimwe mu bwonko bwacu, byitwa neurotransmitters. Divalproex Sodium nayo ifitanye isano n’ibi kandi yakozwe nk'umuti ugabanya igihe cyo kurekura.

Noneho reka turebe icyo ibi bikoreshwa cyane cyane:

• Guhagarara kw'imitsi: Hari abantu bagira igicuri bitewe n'igicuri. Ibi bikoreshwa mu kugenzura uko guhagarara kw'imitsi.
• Ku ndwara ya bipolar mania: Abantu bafite indwara ya bipolar rimwe na rimwe bagira ibihe byo kwishima cyane, birangwa no kugira ibyishimo byinshi, gukora cyane no guhubuka. Uyu muti unakoreshwa mu kugenzura indwara ya bipolar mania.
• Irinde migraine: Hari abantu barwara migraine kenshi kandi ikabije. Uyu muti unakoreshwa mu kuwurinda.

Ibi ni byo bintu by'ingenzi. Ariko rimwe na rimwe abaganga bashobora kukwandikira uyu muti no ku zindi ndwara. Ushobora kandi kuwusanga ku izina ry'ikirango nka `(Stavzor)`. Niba rero utazi neza icyo uyu muti ukoreshwa, ni byiza kubaza muganga wawe cyangwa umufarumasiye wawe amakuru arambuye.

Ni ibihe bintu by'ingenzi ngomba kubwira muganga mbere yo gufata uyu muti?

Noneho, ibi ni ingenzi cyane . Mbere yuko umuganga wawe aguha uyu muti, agomba kumenya ibintu bimwe na bimwe ku buzima bwawe. Kuko ayo makuru ari yo azagena niba uyu muti ukubereye cyangwa utagukwiriye, n'ingano yawo. Niba hari kimwe muri ibi bikurikira kikureba, ugomba kubibwira umuganga wawe :

• Niba ukunda kunywa inzoga buri gihe .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima (ibi ni ingenzi cyane).
• Niba ufite umubare muto wa platelet.
• Niba ufite indwara ya mitochondrial yitwa indwara ya gene.
• Niba wumva ushaka kwiyangiza, uteganya kubikora, cyangwa se wagerageje kubikora mbere, cyangwa niba hari umuntu wo mu muryango wawe wigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura. Ibi nabyo ni ingenzi cyane.
• Niba ufite indwara nk'indwara ya Urea Cycle Disorder (UCD) (iyi nayo ni indwara y’uturemangingo).
• Niba ufite ikibazo cy'ubwivumbure ku miti `divalproex sodium`, `sodium valproate`, `valproic aside`, cyangwa indi miti iyo ari yo yose, ibiryo, irangi ry'ibiribwa, cyangwa imiti irinda ubushyuhe .
• Niba utwite cyangwa ugerageza gusama, ibi nabyo ni ingenzi cyane, kuko uyu muti ushobora kugira ingaruka ku mwana.
• Niba uri umubyeyi wonsa .

Ni ingenzi cyane ku mutekano wawe kubwira muganga ibi bintu utamuhishe, urabyumva?

Ni gute neza neza nkoresha uyu muti?

Mu gihe ufata umuti, ni ingenzi cyane kumenya uburyo bwo kuwukoresha neza. Kuwufata nabi bishobora kugabanya imikorere yawo no kongera ingaruka mbi.

• Uyu muti (ukunze kuza mu tubyimba) ugomba kunyobwa . Uwunywe n'ikirahure cyuzuye cy'amazi.
• Kurikiza amabwiriza ari ku rupapuro rwa muganga wahawe na muganga wawe.
• Ntukamenagure, ntukabijanjagure cyangwa ngo ubihekenye. Uramire byose.
• Ibi bishobora gufatwa uri kumwe n'ibiryo cyangwa utabifashe . Ariko, niba wumva igifu kikurya nabi, ni byiza kubifata uri kumwe n'ibiryo.
• Ugomba gufata imiti yawe mu gihe gikwiye, mu gihe gikwiye . Ntugafate imiti irenze iyo muganga akubwira.
• Ni ngombwa cyane kudahagarika gufata uyu muti mu buryo butunguranye utabanje kugirwa inama na muganga. Kubikora bishobora gutuma indwara yawe irushaho kuba mbi.
• Farumasi izaguha agatabo kihariye kitwa `MedGuide` karimo uyu muti. Soma witonze igihe cyose ubonye umuti mushya, ndetse no mu gihe ubonye undi mushya. Karimo amakuru menshi y'ingenzi kuri uyu muti.

Ibintu ugomba kuzirikana mu gihe uha abana uyu muti

Niba umuganga wawe yafashe icyemezo cyo guha umwana wawe uyu muti, ugomba kubiganiraho n'umuganga w'abana . Ku ndwara zimwe na zimwe, ushobora guhabwa abana bafite imyaka 10. Ariko, hari ingamba zo kwirinda, bivuze ko hari ibintu ugomba kwitondera. Rero tega amatwi witonze icyo umuganga wawe akubwira.

Wakora iki iyo ufashe imiti myinshi cyane wibeshye?

Twese dukora amakosa. Niba rero utekereza ko ushobora kuba warafashe uyu muti ku makosa cyangwa warenze urugero, hamagara ikigo gishinzwe kurwanya uburozi kiri hafi yawe cyangwa icyumba cy’ubutabazi bw’ibanze cy’ibitaro ako kanya, cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze.

Wibuke ko uyu muti ari uwawe gusa. Nubwo inshuti cyangwa umuntu wo mu muryango wawe yaba afite indwara nk'iyawe, ntukamuhe umuti wawe. Ushobora kuba ufite akaga.

Wakora iki iyo usibye gahunda yo gufata imiti?

Hari igihe ushobora kubura imiti yawe. Niba ibyo bibaye, ntugahangayike.

• Shyiraho igihe cyabuze ukimara kucyibuka .
• Ariko, niba hafi cyane y'umuti wawe ukurikiraho iyo wibutse, jya usimbuka umuti wabuze hanyuma ufate umuti ukurikiraho ku gihe cyagenwe .
• Ntukigere ufata dose ebyiri cyangwa ngo ufate imiti y'inyongera. Kubikora bishobora gutuma ukoresha dose irenze urugero.

Indi miti idahuye n'uyu muti (Interactions)

Ibi nabyo ni ingenzi cyane. Iyo ufashe iyi aside valproic, hari indi miti idahuye neza n'iyi. Ni ukuvuga ko iyo ufashe iyo miti hamwe, ishobora kugira ingaruka kuri buri umwe, cyangwa ingaruka zishobora kwiyongera. Reka tubiganireho gato.

• Umuti umwe utagomba gufatwa n'uyu muti ni 'sodium phenylbutyrate'.

Byongeye kandi, imiti ikurikira ishobora kugira ingaruka kuri aside valproic:

• Asipirine
• Amwe mu matibayotike (urugero: ertapenem, imipenem, meropenem)
• Imiti imwe n'imwe ivura ihungabana, imihangayiko, cyangwa izindi ndwara zo mu mutwe
• Indi miti ivura indwara zo mu mutwe (urugero: carbamazepine, lamotrigine, phenobarbital, phenytoin, topiramate)
• Imiti imwe n'imwe ibuza amaraso kuzura (urugero: warfarin)
• `cholestyramine` (umuti ukoreshwa mu kugabanya cholesterol)
• Imisemburo y'abagore (urugero: imiti irimo imisemburo ya estrogen, ibinini byo kuboneza urubyaro, uduce duto, impeta)
• `propofol` (umuti ukoreshwa mu gusinziriza)
• `rifampine` (umuti uvura indwara y'igituntu)
• `ritonavir` (umuti uvura ubwandu bwa virusi itera SIDA)
• `tolbutamide` (umuti uvura diyabete)
• `zidovudine` (undi muti uvura ubwandu bwa virusi itera SIDA)

Uru rutonde rushobora kuba rutuzuye. Bwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti y’ibimera, imiti idasaba muganga, n’inyongeramusaruro. Ni ngombwa kandi kubwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n’amategeko. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ibindi bintu ugomba kumenya mugihe ufata uyu muti

Hari ibintu bike ugomba kwitondera cyane kugira ngo ugire umutekano mu gihe ukoresha uyu muti.

• IbyaweNiba ibimenyetso byawe bitagenze neza, cyangwa birushijeho kuba bibi, bwira muganga wawe.
• Ingaruka zikomeye ku ruhu: Ibi ni ingenzi cyane. Uyu muti rimwe na rimwe ushobora gutera ingaruka zikomeye ku ruhu. Ibi bishobora kubaho ibyumweru cyangwa amezi nyuma yo gutangira gufata umuti. Niba ufite ibibyimba birimo umuriro cyangwa ukumva ufite umuriro, jya kwa muganga wawe ako kanya. Ibi bibyimba bishobora guhinduka umutuku cyangwa umuhengeri, hanyuma bikavamo udusebe. Cyangwa ushobora kugira ibibyimba bitukura bifite uduce twa lymph two mu maso, ku minwa, mu ijosi, cyangwa mu kwaha. Niba ubonye ikintu nk'iki, ntutinde.
• Indangamuntu yo kwa muganga: Niba bishoboka, ambara umukufi cyangwa umukufi w'indangamuntu yo kwa muganga ugaragaza indwara yawe, imiti, ingano, n'igihe ukwiriye kwivuza, cyangwa ugire ikarita igihe cyose. Ibi bishobora kugufasha cyane mu gihe cy'impanuka.
• Gusinzira no kuzungera: Uyu muti ushobora gutuma uhugira mu bitotsi, kuzungera, cyangwa kutabona neza. Kubwibyo, kugeza igihe uzaba umenye neza uko uyu muti ukugiraho ingaruka, ntugatware imodoka, ntugakoreshe imashini ziremereye, cyangwa ngo ukore ikintu cyose gisaba kwibanda. Kugira ngo ugabanye kuzungera no kuzungera, ntugahaguruke wicaye cyangwa ngo uhaguruke wicaye mu buryo butunguranye, cyane cyane niba ugeze mu za bukuru. Kunywa inzoga bishobora gutuma gusinzira no kuzungera birushaho kwiyongera. Kubwibyo, ni byiza kwirinda kunywa inzoga.
• Kumva izuba riva: Uyu muti ushobora gutuma uruhu rwawe rworohera izuba. Rero irinde imirasire y'izuba uko bishoboka kose. Niba ugomba kujya hanze ku zuba, ambara ingofero, imyenda miremire, n'amavuta meza yo kwisiga ku zuba. Ntugakoreshe amatara y'izuba cyangwa utubati/utubati two gusiga ibara ry'izuba.
• Guhindagurika kw'amarangamutima n'ibitekerezo byo kwiyahura: Ibi nabyo ni ibintu byo kwitondera. Abarwayi n'imiryango yabo bagomba kwitondera ihungabana rishya no gutekereza ku kwiyahura. Nanone, wirinde impinduka zitunguranye mu byiyumvo. Urugero, kumva uhangayitse, uhangayitse, ufite ubwoba, urakaye, ufite inzika, urakaye, uhubuka, udatuje cyane, ufite akanyamuneza kenshi kandi ukora cyane, cyangwa ufite ingorane zo gusinzira. Ibi nibibaho, cyane cyane iyo utangiye imiti cyangwa nyuma yo guhindura urugero, vugana na muganga wawe vuba.
• Gutwita:Twabivuze mbere, ariko tuzabivuga nanone. Abagore bagerageza gutwita, cyangwa abatekereza ko batwite, bagomba rwose kubimenyesha muganga wabo. Uyu muti ushobora kugira ingaruka mbi zikomeye ku mwana uri mu nda. Baza muganga wawe cyangwa umufarumasiye wawe amakuru arambuye.
• Kubura Vitamine: Uyu muti ushobora gutuma urugero rwa aside folike na vitamine D mu mubiri rugabanuka. Kubwibyo, ugomba kumenya neza ko ubona vitamine zihagije mu gihe ufata uyu muti. Vugana na muganga wawe ku byo urya n'ibinini ufata.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Nk’uko bimeze ku muti uwo ari wo wose, aside valproic ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Ariko ibi ntibibaho kuri bose, sibyo? Kuri bamwe gusa. Ariko ni ngombwa kubimenya. Reka tugabanye izi ngaruka mbi mu byiciro bibiri.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, ugomba kubimenyesha muganga wawe vuba.

• Indwara zo kugira ubwivumbure: Kurwara uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa no ku rurimi.
• Impinduka mu kureba: Kureba nabi, kureba kabiri, nibindi.
• Ibisebe, umuriro, n'uturemangingo tw'imitsi tubyimba: Ibi bishobora kuba ikimenyetso cy'indwara ikomeye cyane nka DRESS syndrome.
• Indwara zikomeye z'uruhu: gutukura, kubyimba uduheri, gukurura cyangwa kurekura uruhu, ndetse no mu kanwa.
• Ibimenyetso n'ibimenyetso by'indwara y'umwijima: Ibi ni ibimenyetso ugomba kwitondera cyane. Inkari z'umuhondo wijimye cyangwa umukara; Kumva ufite ubunebwe cyangwa umuriro; Imyanda yera; Kubura ubushake bwo kurya; Isesemi; Kubabara mu nda yo hejuru iburyo; Kumva ufite ubunebwe cyangwa umunaniro udasanzwe; Kubona amaso cyangwa uruhu bihinduka umuhondo. Niba ubonye kimwe muri ibi, jya kwa muganga vuba.
• Ibitekerezo byo kwiyahura cyangwa izindi mpinduka mu byiyumvo .
• Kuva amaraso cyangwa gukomereka bidasanzwe ( urugero: kuva amaraso mu mazuru, kuva amaraso mu ishinya, guhinduka ubururu bitewe n'igisebe gito).

Ingaruka mbi zidakunze gukenera ubuvuzi, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

Ibi bikunze kugabanuka mu minsi mike, ariko niba bikomeje cyangwa bikakubangamira cyane, bwira muganga wawe.

• Impatwe
• Impiswi
• Kuzungera
• Gutakaza umusatsi (ibi bishobora kubabaza abantu bamwe)
• Umutwe
• Kubura ubushake bwo kurya
• Kongera ibiro (iki nacyo ni ikibazo kuri bamwe)

Ingaruka mbi zose kuri uru rutonde zishobora kubaho. Niba ubonye ikintu kidasanzwe uretse ibi, vugana na muganga wawe kuri ibyo.

Uyu muti nawubika nte?

Kubika imiti neza nabyo bifasha kugumana ubuziranenge bwayo.

• Bishyire ahantu abana batagera.
• Bika ahantu hashyushye cyane cyangwa hakonje cyane, nko mu bwiherero.
• Bika umunwa w'icupa ry'umuti cyangwa agapaki k'umuti ufunze neza .
• Ntugakoreshe imiti yarengeje igihe cyo kuyikoresha, uyijugunye.

Amaherezo, ibintu byo kwibuka

Sawa, twavuze byinshi kuri uyu muti witwa aside valproic. Niba ugomba gukoresha uyu muti, zirikana ibi bikurikira:

• Uyu ni umuti ukomeye ugomba gukoreshwa ubanje kugirwa inama na muganga. Kubwibyo, fata neza nk'uko muganga abivuze, mu gipimo avuga, no mu gihe avuga.
• Ntukareke gufata ibi mu buryo butunguranye utabanje kugisha inama muganga wawe.
• Menya ingaruka mbi zishobora kubaho , cyane cyane ingaruka zikomeye ku ruhu, ingaruka z'umwijima, n'impinduka mu byiyumvo. Nubona kimwe muri ibi, bwira muganga wawe ako kanya.
• Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite.
• Niba utwite, ugerageza gutwita, cyangwa wonsa, banza ubibwire muganga wawe mbere yo gufata uyu muti.
• Niba ufite ibindi bibazo cyangwa impungenge kuri uyu muti, nyamuneka ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuvuzi.

Mbifurije ubuzima bwiza!

Aside ya Valproic, divalproex sodium, gucika intege, igicuri, bipolar, migraine, ingaruka mbi