Masifunde ngesiyobisi iDivalproex Sodium? Sinceda ekulawuleni ukulingana!

Abantu ngamanye amaxesha abanesifo sokuxhuzula ngesiquphe okanye abanengxaki yokuxhuzula basenokuba bevile ngeli yeza. Liyeza elithomalalisa imithambo-luvo engqondweni kwaye linceda ukulawula eso sifo singaqhelekanga. Makhe sithethe ngakumbi ngeli yeza libizwa ngokuba yiDivalproex Sodium, kulungile?

Luhlobo luni lonyango oluyiDivalproex Sodium?

Ngamafutshane, iDivalproex Sodium liyeza elisetyenziselwa ukuthintela nokulawula ukuxhuzula, okanye ukuxhuzula, kwiimeko ezifana nokuxhuzula. Ukuxhuzula kwenzeka xa imithambo-luvo esebuchotsheni bethu isebenza kakhulu. Ngoko ke, eli yeza liyenza ukuzola loo mithambo-luvo isebenza kakhulu.

Ungafumana eli yeza phantsi kwamagama eempawu ezifana ne-`(Depakote)`. Kwakhona, ngamanye amaxesha oogqirha banokulinika ezinye iimeko zonyango. Ungabuza ugqirha wakho okanye ikhemisti ngale nto.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Eli linqaku elibaluleke kakhulu . Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubalulekile ukuxelela iqela lakho lezonyango (umz. ugqirha, ikhemisti) oku kulandelayo:

• Ukuba usela utywala rhoqo: Eli yeza lisenokudibana notywala, ngoko ke kubalulekile ukukhankanya oku.
• Ukuba unesifo sezintso: Izintso yindlela yomzimba yokukhupha inkunkuma. Ngoko ke ukuba unengxaki yezintso, iyeza linokuqokelelwa emzimbeni wakho.
• Ukuba unesifo sesibindi: Eli yeza licutshungulwa sisibindi. Ukuba isibindi sibuthathaka, kunokubakho iingxaki ezinkulu.
• Ukuba une-platelet counts ephantsi: Oku kunokunyusa umngcipheko wokopha.
• Ukuba unesifo se-mitochondrial: Esi sisifo semfuza kwaye sinokubangela iingxaki ngale mithi.
• Ukuba wena okanye umntu kusapho lwakho ukhe wacinga, waceba, okanye wazama ukuzibulala: Kubalulekile ukukhankanya oku kuba eli yeza linokuchaphazela imeko yengqondo yabanye abantu.
• Ukuba unesifo sokujikeleza kwe-urea (UCD): Esi sisifo esibangelwa lufuzo kwaye sinokuba nemiphumo emibi kakhulu ngeli yeza.
• Ukuba ngaphambili ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwi-Divalproex Sodium, i-Sodium Valproate, i-Valproic Acid, okanye amanye amayeza, ukutya, iidayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa: Oku kubaluleke kakhulu . Eli yeza linokulimaza umntwana ngexesha lokukhulelwa.
• Ukuba ungumama oncancisayo (`oncancisayo`): Iinxalenye zamayeza zinokudluliselwa ebantwaneni ngobisi lwebele.

Ukuxelela ugqirha wakho ngezi zinto kuya kukunceda ufumane unyango ngokukhuselekileyo. Ngoko ke musa ukufihla nantoni na, kulungile?

Ndingayisebenzisa njani le yeza?

Eli yeza lifanele lithathwe ngomlomo. Liza ngeekhaphu.

• Ezi capsules zingaginywa ziphelele ngamanzi.
• Kungenjalo, vula i-capsule ngononophelo uze ufafaze iziqwenga ezincinci, ezifana nembewu yeyeza phezu kwetisipuni ye-applesauce okanye i-pudding, uze uziginye ngoko nangoko ngaphandle kokuzixuba .
• Eli yeza akufuneki liphulwe, lityunyuzwe, okanye lihlafunwe.
• Ungayithatha le nto nokuba utya okanye ungenalo. Nangona kunjalo, ukuba unesisu esibuhlungu, kungcono ukuyithatha nokuba utya.
• Sebenzisa amayeza ugqirha wakho awabhalele wona kanye njengoko eyalelwe kwileyibhile kagqirha.
• Sela amayeza ngexesha elifanelekileyo, ngomlinganiselo ofanelekileyo . Musa ukuthatha ngaphezu koko ugqirha akuxelele kona.
• Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokunyusa ukuxhuzula rhoqo.

Xa ikhemesti ikunika eli yeza, iya kukunika nencwadana yolwazi ekhethekileyo (ngamanye amaxesha ibizwa ngokuba yi-'MedGuide'). Qiniseka ukuba uyifunda ngononophelo le nto ngalo lonke ixesha ufumana ukugcwalisa okanye ukugcwalisa. Iqulethe ulwazi oluninzi olubalulekileyo kuwe.

Ngaba eli yeza lifanele linikwe abantwana?

Nangona eli yeza linokunikwa abantwana abaneminyaka eli-10 ubudala kwiimeko ezithile ezikhethiweyo, kukho izinto ezithile ekufuneka ziqwalaselwe. Ke ngoko, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngalo ngononophelo kwaye umchazele yonke into.

Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba ucinga ukuba usele kakhulu eli yeza, kufuneka utsalele umnxeba ngokukhawuleza kwigumbi likaxakeka lesibhedlele elikufutshane okanye kwiziko lokulawula ityhefu. Musa ukuzama ukwenza nantoni na ngokwakho.

Eyona nto ibalulekileyo kukuba eli yeza lelakho wedwa. Musa ukulinika omnye umntu , nokuba uneempawu ezifana nezakho!

Kuthekani ukuba ndiphoswa ngamayeza am?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo (oko kukuthi, kwiiyure ezimbalwa), yeka umthamo ophoswe ngawo uze uthathe umthamo olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga.

Ziziphi ezinye iindlela ezinokwenzeka xa usebenzisana nale mithi?

Oku kukwayinto ekufuneka uyilumkele kakhulu. Amanye amayeza nezinye izinto ozisebenzisayo zinokudibana nale divalproex sodium medicine, oko kuthetha ukuba zinokungqubana. Emva koko iyeza aliyi kusebenza kakuhle, okanye iziphumo ebezingalindelekanga zinokwanda.

Izinto ongafanele uzithathe nali yeza:

• I-Sodium phenylbutyrate

Amanye amayeza kunye nezinto ezinokusebenzisana nale mithi:

• I-aspirin
• Ezinye iintlobo zee-antibiotics, umzekelo, i-ertapenem, i-imipenem, kunye ne-meropenem.
• Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo.
• Amanye amayeza anikwayo xa kuxhuzula: Umzekelo, `(carbamazepine)`, `(clonazepam)`, `(diazepam)`, `(ethosuximide)`, `(felbamate)`, `(lamotrigine)`, `(phenobarbital)`, `(phenytoin)`, `(primidone)`, `(rufinamide)`, `(topiramate)`.
• Amayeza athintela okanye anyanga ukujiya kwegazi, umzekelo i-warfarin.
• I-Cholestyramine
• Iihomoni ze-estrogen kunye ne-progestin.
• I-Propofol (`Propofol`)
• I-Rifampin
• I-Ritonavir
• I-Tolbutamide
• I-Zidovudine

Olu luhlu aluphelelanga. Ngoko ke, kufuneka uxelele ugqirha wakho ngawo onke amayeza owathathayo (amiselwe ngugqirha wakho okanye athengwe kwikhemesti), amayeza aqholiweyo, iivithamini, kunye nezongezo zokutya, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Kulapho kuphela apho aya kukwazi ukukuxelela ngokuqinisekileyo ukuba la mayeza akhuselekile na kuwe.

Yintoni endifanele ndiyilumkele xa ndisebenzisa eli yeza?

• Ukuba iimpawu zakho aziphucuki, okanye ukuba zibonakala zisiba mandundu, xelela ugqirha wakho ngoko nangoko.
• Eli yeza ngamanye amaxesha linokubangela ukusabela okukhulu kwesikhumba . Oku kungenzeka kwiiveki okanye kwiinyanga emva kokuba uqale ukusela iyeza. Xelela ugqirha wakho ngoko nangoko ukuba unerhashalala enomkhuhlane. La marhashalala anokuba bomvu okanye abe mfusa, aze abe namaqhubu aze aqhekeke. Okanye unokuba namarhashalala abomvu ebusweni, emilebeni, entanyeni, okanye emakhwapheni, kunye nama-lymph nodes avuvukileyo. Ukuba ubona naziphi na kwezi mpawu, kufuneka ufune uncedo lwezonyango ngokukhawuleza.
• Kungumbono olungileyo ukuphatha i-medical ID bracelet okanye itsheyini okanye ikhadi elichaza ukuba unale meko kwaye liqulethe iinkcukacha malunga namayeza owasebenzisayo kunye nomlinganiselo wawo.
• Eli yeza lingakwenza uzive ulele, unesiyezi, okanye ungaboni kakuhle . Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza eminye imisebenzi efuna ukugxila ude wazi ukuba eli yeza likuchaphazela njani . Ukuze unciphise isiyezi kunye nokuba buhlungu, musa ukuphakama kwindawo yokuhlala okanye ume kwindawo yokuhlala ngequbuliso, ingakumbi ukuba umdala. Ukusela utywala kunokukwenza uzive ulele kwaye unesiyezi. Ngoko ke, kuphephe utywala.
• Xa usela eli yeza,Ulusu lusenokuba buthathaka ngakumbi elangeni. Ngoko ke, nciphisa ukuvezwa kwakho elangeni kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba impahla yokuzikhusela kwaye usebenzise i-sunscreen. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.
• Oku kubaluleke kakhulu: Izigulana kunye neentsapho zazo kufuneka zijongwe ngokusondeleyo ukuqala kokudandatheka, iingcinga zokuzibulala, okanye iimpawu eziya zisiba mbi. Kwakhona, qaphela utshintsho olukhawulezileyo kwimo yengqondo (umz., ixhala, ukucaphuka, ukurhawuzelelwa, ubundlobongela, ukungazinzi, ukuxhalaba okugqithisileyo, ukungalali). Ukuba oku kuyenzeka, ingakumbi ekuqaleni konyango okanye emva kokutshintsha umthamo wamayeza, thetha nogqirha wakho ngoko nangoko.
• Ingakumbi kwabasetyhini: Ukuba uceba ukukhulelwa, okanye ucinga ukuba ukhulelwe, kufuneka uxelele ugqirha wakho ngoko nangoko. Oku kungenxa yokuba kunokubangela iziphumo ebezingalindelekanga ezibi kakhulu kusana lwakho olungekazalwa. Buza ugqirha wakho okanye ikhemisti ngolwazi oluthe kratya. (E-United States, kukho inkqubo ebizwa ngokuba yiNorth American Antiepileptic Drug Pregnancy Registry erekhoda ukusetyenziswa kwala mayeza ngexesha lokukhulelwa, eqokelela ulwazi malunga nokhuseleko lwala mayeza. Nangona kungekho nkqubo injalo eSri Lanka, kubalulekile ukuthetha nogqirha wakho.)
• Eli yeza linokunciphisa amanqanaba e-folic acid kunye ne-vitamin D emzimbeni. Ngoko ke, kufuneka uqiniseke ukuba ufumana iivithamini ezaneleyo ngelixa usebenzisa eli yeza. Thetha nogqirha wakho malunga nokutya kunye neevithamini ozisebenzisayo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi, kodwa ayinguye wonke umntu oyifumanayo.

Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo:

• Iimpendulo ze-allergy: ukurhawuzelela, ukurhawuzelela, ukudumba kwemilebe, ulwimi, ubuso nomqala.
• Inqanaba eliphezulu le-ammonia egazini: Ukuziva udiniwe ngendlela engaqhelekanga, udidekile, ukungabi namdla wokutya, isicaphucaphu, ukuhlanza, kunye nokuxhuzula.
• Ukulimala kwesibindi: Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kolusu okanye amehlo, ukudinwa okungaqhelekanga.
• Ukwehla kobushushu bomzimba, ukozela, ukudideka.
• I-Pancreatitis: Intlungu ebuhlungu esiswini (esasazeka emqolo, iba mandundu emva kokutya okanye xa ichukunyiswa), umkhuhlane, isicaphucaphu, ukuhlanza.
• Ukuqhambuka kwesikhumba, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Iingcinga okanye imizamo yokuzibulala, imeko yengqondo eba mandundu, iimvakalelo zokudakumba.
• Ukukruquka okanye ukopha okungaqhelekanga.

Ngokwesiqhelo akudingi ngcebiso kagqirha (kodwa xelela ugqirha wakho ukuba uyaqhubeka okanye uyakhathaza):

• Utshintsho lombono
• Isiyezi
• Ukozela
• Ukulahleka kweenwele
• Intloko ebuhlungu (intloko ebuhlungu)
• Isicaphucaphu
• Ukungcangcazela okanye ukungcangcazela
• Ukutyeba kwakho

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga, xelela ugqirha wakho ngazo.

Ndingaligcina njani eli yeza?

• Yigcine kude nabantwana kunye nezilwanyana zasekhaya .
• Gcina kubushushu begumbi, ngaphantsi kwama-25 degrees Celsius (77 degrees Fahrenheit).
• Gcina ibhotile/ipakethi yamayeza ivaliwe kakuhle.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Walahle.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngale Divalproex Sodium drug, akunjalo? Ngamafutshane, nazi izinto eziphambili ekufuneka uzikhumbule:

• Soloko usela amayeza akho kanye njengoko ugqirha wakho ekuxelele. Landela idosi kunye nexesha ngokuchanekileyo.
• Ukuba unezinye izifo okanye usela amanye amayeza, xelela ugqirha wakho ngazo zonke ezi zinto.
• Musa ukuyeka ukuthatha amayeza okanye ukutshintsha idosi ngaphandle kwengcebiso kagqirha wakho.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezintsha, okanye ukuba iimpawu zakho ziya zisiba mandundu, xelela ugqirha wakho ngoko nangoko.
• Ukuba ukhulelwe, uceba ukukhulelwa, okanye ungumama oncancisayo, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba uqale eli yeza.
• Gcina amayeza ngokufanelekileyo nangokukhuselekileyo.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unemibuzo, ungathandabuzi ukubuza ugqirha wakho okanye ingcali yezemithi. Bakho ukukunceda.

I- Divalproex Sodium, i-Epilepsy, i-Dyuizures, iziphumo ebezingalindelekanga, amayeza, i-Depakote