Masifunde ngesitofu sokugonya seFosphenytoin. Ngaba oku kuya kusinceda xa sixhuzula?

Ngaba wena okanye umntu omaziyo unesifo sokuxhuzula, imeko efana nesifo sokuxhuzula? Okanye ngaba ufuna uncedo lokuyeka ukuxhuzula emva kotyando lobuchopho, okanye ukulawula ukuxhuzula okwenzeka ngelo xesha? I -Fosphenytoin yinaliti ekhethekileyo esetyenziswa ngoogqirha kwiimeko ezinjalo. Oku kulawula ukuxhuzula ngokuzolisa iiseli zemithambo-luvo emzimbeni wethu ezidubula ngokukhawuleza. Ngamafutshane, ingqondo yethu ngamanye amaxesha ithumela imiyalezo ye-elektroniki engeyomfuneko, njengokuba uphawu lwefowuni luphazamiseka kwaye umnxeba awuhambi kakuhle. Eli yeza linceda ukulawula oko.

Yintoni kanye kanye le chiza ebizwa ngokuba yiFosphenytoin?

Ngamafutshane, iFosphenytoin liyeza elisetyenziselwa ukuthintela nokulawula ukuxhuzula. Oku kubaluleke kakhulu kubantu abanesifo sokuxhuzula . Likwasetyenziselwa ukuthintela ukuxhuzula ngexesha nasemva kotyando lobuchopho. Umsebenzi ophambili wale chiza kukuthomalalisa ukusebenza ngokugqithisileyo kwenkqubo yethu yemithambo-luvo. Lisebenza njengokuzolisa umntwana onengxaki yokuxhuzula.

Eli yeza ngamanye amaxesha linokumiselwa ngoogqirha kwezinye iimeko, ngoko ke ukuba unemibuzo malunga neli yeza, kungcono ubuze ugqirha wakho okanye ingcali yezemithi. Elinye lamagama eli yeza yiCerebyx .

Ndimele ndixelele iqela lezonyango ntoni ngaphambi kokuba ndisebenzise eli yeza?

Ngaphambi kokuba unikwe inaliti yeFosphenytoin, kukho izinto ezimbalwa ekufuneka iqela lakho lezonyango lizazi. Ezi zibalulekile kukhuseleko lwakho.

• Ngaba ukhotyokiswe butywala? (Ingxaki yokusebenzisa utywala)
• Ingaba ungowomnombo waseAsia? - Kuba imvelaphi yethu yemfuza inokuchaphazela ukusebenza kakuhle kwamayeza athile.
• Ngaba unayo nayiphi na ingxaki yegazi okanye izifo?
• Ngaba unesifo sentliziyo? (Isifo sentliziyo)
• Ngaba unesifo sezintso?
• Ngaba unesifo sesibindi?
• Ingaba igazi eliphantsi?
• Ngaba wena okanye nabani na kusapho lwakho ukhe wacinga, waceba, okanye wazama ukuzibulala?
• Ngaba wakha waba ne-allergy engaqhelekanga kwi -Phenytoin , kwamanye amayeza, ukutya, iidayi, okanye izithinteli?
• Ukhulelwe? Okanye uzama ukukhulelwa? (Ukhulelwe okanye uzama ukukhulelwa)
• Ingaba ungumama oncancisayo? (Uyancancisa)

Ukuba kukho nayiphi na kwezi zinto ezikukhathazayo, kubaluleke kakhulu ukuxelela iqela lakho lezonyango ukuze bakwazi ukukunyanga ngeyona ndlela ifanelekileyo.

Ulisebenzisa njani eli yeza?

Eli yeza, elibizwa ngokuba yiFosphenytoin, linikwa njengenaliti . Linikwa ngqo emthanjeni (inaliti emthanjeni okanye inaliti emthanjeni), okanye ngamanye amaxesha emthanjeni (inaliti emthanjeni). Eli liyeza elinikwa phantsi kweliso likagqirha esibhedlele okanye eklinikhi . Asiloyeza onokulithatha uye nalo ekhaya.

Ngaba eli yeza linokunikwa abantwana?

Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linokunikwa neentsana ezisandul’ ukuzalwa. Kodwa kufuneka kulandelwe amanyathelo akhethekileyo okhuseleko. Ngoko ke ukuba unika umntwana wakho eli yeza, thetha neqela lakho lezonyango ngalo ngononophelo uze ufumane iinkcukacha.

Kwenzeka ntoni ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza. Ekubeni eli linikwa esibhedlele, abasebenzi bezonyango badla ngokulijongana nalo.

Eli yeza lelakho kuphela!

Oku kubaluleke kakhulu. Eli yeza lelakho wedwa. Ungaze wabelane ngeli yeza nabanye abantu.

Kuthekani ukuba ndiphoswa yidosi?

Ekubeni eli yeza linikwa esibhedlele, akusoloko kuyimfuneko ukuphosa idosi. Abasebenzi bezonyango baza kujongana nalo mba.

Amanye amayeza anokusebenzisana nalo mayeza (Intsebenziswano)

Le yinxalenye ebaluleke kakhulu. Ukuba usela amanye amayeza, amanye awo anokusebenzisana neFosphenytoin. Oku kuthetha ukuba ukuthatha la mayeza mabini kunye kunokutshintsha indlela esebenza ngayo okanye konyuse iziphumo ebezingalindelekanga.

Kukho amayeza amaninzi angafanele athathwe kunye nale mithi:

• Amanye amayeza asetyenziswa ukunyanga usulelo lwe-HIV okanye i-AIDS, xa esetyenziswa kunye ne -cobicistat .
• I-Delavirdine
• I-Ibrutinib
• I-Ranolazine

Ukongeza koku, kukho amanye amayeza anokusebenzisana neFosphenytoin:

Khawucinge ukuba usebenzisa amayeza kwenye into. Mhlawumbi liyeza lomkhuhlane, okanye liyeza le-cholesterol, okanye liyeza loxinzelelo lwegazi. Naliphi na kula mayeza, nokuba uwathenga kwikhemesti okanye kugqirha, anokusebenzisana ne-fosphenytoin. Yiyo loo nto kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kwaneevithamini. Ngezantsi kukho imizekelo embalwa:

• I-Albendazole
• Utywala
• I-aspirin kunye namayeza afana ne-aspirin
• Amanye amayeza oxinzelelo lwegazi, umzekelo i-nifedipine, i-nimodipine, kunye ne-verapamil
• Amayeza athile omhlaza
• Amanye amayeza asetyenziselwa ukunciphisa i-cholesterol, umzekelo i-atorvastatin, i-simvastatin, kunye ne-fluvastatin
• Amayeza athile okudakumba, ukuxhalaba, okanye ukuphazamiseka kwengqondo
• Amanye amayeza osulelo lwefungus, umzekelo i-ketoconazole kunye ne-itraconazole
• Amanye amayeza okunceda ukubetha kwentliziyo ngendlela engacwangciswanga, umzekelo i-amiodarone kunye ne-quinidine
• Amanye amayeza okuxhuzula, anjenge-carbamazepine, i-phenobarbital, kunye ne-topiramate
• Amanye amayeza eengxaki zesisu, umzekelo i-cimetidine kunye ne-omeprazole
• I-Chloramphenicol
• I-Cyclosporine
• I-Diazoxide
• I-Digoxin
• I-Disulfiram
• I-Doxycycline ( i-Doxycycline )
• Iihomoni ze-estrogen okanye ze-progestin
• I-Furosemide
• IHalothane
• I-Isoniazid
• Amayeza aphumza izihlunu zotyando
• Amayeza asetyenziselwa ukosuleleka yi-HIV okanye i-AIDS
• I-Methylphenidate
• Amayeza entlungu e-opioid
• IiPhenothiazines, umzekelo i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine
• IPraziquantel
• I-Reserpine
• I-Rifampin
• I-St. John's Wort (le yimifuno)
• Amayeza e-steroid, anjenge-prednisone okanye i-cortisone
• IiSulfonamides, ezifana ne-sulfamethoxazole okanye i-sulfasalazine
• Izondlo ezongezelelweyo ezifana ne -folic acid okanye i-vitamin D
• I-Theophylline
• I-Ticlopidine
• I-Tolbutamide
• I-Warfarin

Olu luhlu alubandakanyi onke amayeza. Kungoko ke, kubalulekile ukudwelisa onke amayeza owasebenzisayo, kuquka amayeza esintu, amayeza athengiswa ngaphandle kwemvume kagqirha, kunye nezongezo.Xelela ugqirha wakho ngamayeza akho. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezi zinto zinokudibana namayeza akho.

Zeziphi ezinye izinto ekufuneka sizilumkele ngakumbi xa sithatha eli yeza?

Xa unikwa iFosphenytoin, iqela lakho lezonyango liza kujonga impilo yakho rhoqo.

• Ukuhlolwa rhoqo kwezonyango: Ugqirha wakho uza kukujonga rhoqo ukuze ajonge ukuba uphilile kangakanani na aze aqinisekise ukuba iyeza lisebenza kakuhle. Kusenokufuneka benze izinto ezifana novavanyo lwegazi . Oku kungenxa yokuba kufuneka ujongwe ngononophelo xa usebenzisa eli yeza.
• Musa ukuyeka ukuthatha amayeza ngequbuliso: Musa ukuyeka ukuthatha la mayeza ngequbuliso ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokunyusa umngcipheko wokuxhuzula.
• Ikhadi lokuzazisa: Kungumbono olungileyo ukunxiba ikhadi lokuzazisa, umgexo, okanye isongo esineenkcukacha malunga nemeko yakho yempilo kunye namayeza owasebenzisayo, kuba anokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
• Iimpendulo ezinzulu zesikhumba: Iimpendulo ezinzulu zesikhumba zinokwenzeka kwiiveki okanye kwiinyanga ezimbalwa emva kokuba uqalise eli yeza. Xelela iqela lakho lezempilo ngoko nangoko ukuba uqalisa ukuba nerhashalala yesikhumba eneempawu ezifana nomkhuhlane okanye ukubanda. Irhashalala isenokuba bomvu okanye mfusa, kwaye kamva inokuba namaqhubu kwaye iqhekeze. Okanye ungabona irhashalala ebomvu ebusweni bakho, emilebeni, entanyeni, okanye phantsi kwamakhwapha kunye ne-lymph nodes ezidumbileyo. Ukuba ubona into efana nale , funa ingcebiso kagqirha ngoko nangoko .
• Ukudinwa nokulala: Usenokuziva unesizungu okanye ulele. Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama ude wazi ukuba eli yeza likuchaphazela njani. Ukuze unciphise umngcipheko wokuba nesizungu okanye uphelelwe ngamandla, musa ukuhlala okanye ume ngequbuliso. Oku kubaluleke kakhulu ukuba umdala. Ukusela utywala kunokukwenza uzive unesizungu, urhawuzelelwe, kwaye ubetha ngokukhawuleza. Ngoko ke kuphephe ukusela utywala.
• Isifo seentsini: Eli yeza linokubangela ukukhula okungaqhelekanga kwezicubu zeentsini. Ngoko ke, bonana nogqirha wamazinyo rhoqo. Ukuba ufuna unyango lwamazinyo, lumka ungalimazi iintsini zakho xa uhlamba amazinyo akho yonke imihla.
• Iingcinga zokuzibulala: Eli yeza linokunyusa umngcipheko weengcinga okanye izenzo zokuzibulala. Ngoko ke, nikela ingqalelo ekhethekileyo kwimeko yakho yengqondo ngelixa usebenzisa eli yeza. Ukuba imeko yakho yeemvakalelo iba mandundu, uzive ngathi uza kufa, okanye uneengcinga zokuzibulala , xelela iqela lakho lezempilo ngoko nangoko .
• Ukunqongophala kwe-folic acid:Eli yeza linokuthoba amanqanaba akho e-folic acid. Ngoko ke kufuneka uqiniseke ukuba ufumana i-folic acid eyaneleyo ngelixa usebenzisa eli yeza. Thetha neqela lakho lezempilo malunga nokutya kunye neevithamini ozisebenzisayo.

Iziphumo ebezingalindelekanga ezinokwenzeka ngeli yeza

Njengazo zonke iziyobisi, iFosphenytoin inokubangela iziphumo ebezingalindelekanga. Ezinye zizinto ekufuneka uzixelele ugqirha wakho ngoko nangoko, ngelixa ezinye zihlala zingengobungozi kodwa kufuneka zixelwe ukuba ziyaqhubeka.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko:

• Iimpendulo ze-allergy okanye i-angioedema: ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, amehlo, imilebe, ulwimi, izandla okanye iinyawo, ubunzima bokuginya okanye ukuphefumla.
• Utshintsho lwesingqi sentliziyo: Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla.
• Amanqanaba aphezulu eswekile egazini (iHyperglycemia): Ukoma kakhulu okanye ukuchama rhoqo, ubuthathaka obungaqhelekanga okanye ukudinwa, ukubona izinto ezingacacanga.
• Usulelo: Umkhuhlane, ukubanda, ukukhohlela, okanye umphimbo obuhlungu.
• Ukulimala kwesibindi: Intlungu esiswini esingaphezulu ngasekunene, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle enombala okhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kolusu okanye amehlo, ubuthathaka okanye ukudinwa okungaqhelekanga.
• Intlungu, ukudumba, umbala oluhlaza okwesibhakabhaka okanye omfusa kwindawo yokutofa.
• Ubuthi bePhenytoin: Iintshukumo zamehlo ezingalawulekiyo, ukulahleka kolungelelwano okanye ukulungelelana, ubunzima bokuthetha, ubuthathaka okanye ukudinwa okungaqhelekanga, isicaphucaphu, ukuhlanza.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwama-lymph nodes.
• Ubomvu, ukudumba, ukuxobuka, okanye ukukhululeka kolusu (kuquka nomlomo).
• Ukubetha kwentliziyo okucothayo: isiyezi, ukuquleka, ukudideka, ubunzima bokuphefumla, ubuthathaka obungaqhelekanga okanye ukudinwa.
• Ii-lymph nodes ezidumbileyo entanyeni, emqolo, esifubeni, okanye emakhwapheni.
• Ukukruquka okanye ukopha okungaqhelekanga.

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ezifanele zixelwe kugqirha ukuba ziyaqhubeka:

• Ukutsha okanye ukurhawuzelela ezandleni okanye ezinyaweni.
• Ubunzima bokugxila, ukukhumbula, okanye ukuthetha.
• Isiyezi.
• Ukozela.
• Intloko ebuhlungu.

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana ezinye iziphumo ebezingalindelekanga, thetha nogqirha wakho ukuze ufumane ingcebiso yezonyango. Ukuba unqwenela, ungaxela iziphumo ebezingalindelekanga kwi -FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Ndingaligcina njani iyeza?

Eli yeza, elibizwa ngokuba yiFosphenytoin, linikwa esibhedlele okanye ekliniki. Ngoko ke akufuneki ulithathe uliyise ekhaya uligcine. Abasebenzi bezonyango baza kulinyamekela.

Okokugqibela, yintoni ekufuneka uyikhumbule

Kulungile, ngoku ndiyathemba ukuba uyiqonda ngcono le injection ebizwa ngokuba yiFosphenytoin. Khumbula, eli liyeza elibalulekileyo elisetyenziselwa ukulawula ukuxhuzula. Kodwa kukwakho nezinto ezimbalwa ekufuneka uzilumkele xa ulisebenzisa.

Eyona nto ibalulekileyo kukumamela oko kuthethwa ngugqirha wakho uze ukulandele ngokuchanekileyo. Ukuba unemibuzo okanye amathandabuzo, musa ukuwagcina kuwe, kodwa buza ugqirha wakho, umongikazi, okanye ikhemisti. Bakho ukukunceda.

Eli phepha lolwazi lisisishwankathelo nje kuphela. Lisenokungabi nazo zonke iinkcukacha. Ngoko ke ukuba unemibuzo engaphezulu malunga nale yeza, thetha nogqirha wakho, usokhemesti, okanye umboneleli wezempilo.

I- Fosphenytoin, ukuxhuzula, isifo sokuwa, ugonyo, iziphumo ebezingalindelekanga, utyando lobuchopho, inkqubo yemithambo-luvo