Iipilisi ze-Oxcarbazepine zokulawula ukuxhuzula – masithethe ngale nto ngokweenkcukacha!

Ngamanye amaxesha ngequbuliso siba nesifo sokuxhuzula, esibizwa ngokuba yi - seizures . I-Oxcarbazepine liyeza elinikwa abantu abanesifo sokuxhuzula ukuze basilawule. Ngamafutshane, eli yeza lisebenza ngokuthomalalisa imithambo-luvo emizimbeni yethu ebaleka ngokukhawuleza kakhulu. Oku kunceda ekumiseni nasekulawuleni isifo sokuxhuzula .

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

Ngaphambi kokuba uqale ukusebenzisa i-Oxcarbazepine, kubalulekile ukuxelela ugqirha wakho okanye ingcali yezemithi ngezi zinto. Oku kungenxa yokuba abanye abantu basenokungafaneleki kweli yeza, okanye kukho iimeko apho kufuneka ulumke ngakumbi.

• Ukuba ungowomthonyama waseAsia: Ezinye izifundo zibonise ukuba abantu baseAsia banamathuba amaninzi okufumana iziphumo ebezingalindelekanga ezivela kweli yeza, ingakumbi ukusabela okuqatha kwesikhumba. Ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngale nto.
• Ukuba unesifo sezintso : Izintso zethu zezona zihluza uninzi lwamayeza emzimbeni. Ngoko ke ukuba kukho ingxaki ngezintso, ugqirha wakho unokufuna ukutshintsha umthamo wamayeza akho okanye acinge ngenye into.
• Ukuba unesifo sesibindi : Ukuba unesifo okanye ubuthathaka esibindini sakho, kufuneka ukhankanye oko.
• Ukuba wena okanye umntu kusapho lwakho ukhe wacinga ngokuzibulala, waceba into efana nale, okanye wazama into efana nale: Eli yeza ngamanye amaxesha linokuchaphazela indlela umntu avakalelwa ngayo, ngoko ke kubaluleke kakhulu ukwazisa ugqirha wakho ukuba unalo olu hlobo lwembali.
• Ukuba ukhe waba ne-allergy kwi-Oxcarbazepine, okanye kwi-Carbamazepine, okanye nakweyiphi na enye imithi, ukutya, iidayi zokwenziwa, okanye izithinteli: Qiniseka ukuba uxelele ugqirha wakho ukuba ukhe waba ne-allergy ngaphambili, nokuba yinto encinci .
• Ukuba ukhulelwe okanye uzama ukukhulelwa:Ayizizo zonke amayeza akhuselekileyo ngexesha lokukhulelwa. Amanye amayeza anokuchaphazela umntwana. Ngoko ke, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho ngale nto.
• Ukuba ungumama oncancisayo (Uncancisa): Amanye amayeza anokudluliselwa kumntwana wakho ngobisi lwebele. Ngoko ke, ukuba uncancisa, kubalulekile ukufuna iingcebiso zonyango malunga noku.

Ndingayisebenzisa njani kanye kanye le yeza?

Oku kudla ngokufumaneka njengethebhulethi. Khumbula ezi zinto xa uyisebenzisa:

• Yisele neglasi yamanzi: Sebenzisa iglasi yamanzi ukunceda ukuginya ipilisi.
• Sela amayeza akho kanye njengoko ugqirha wakho ekuxelela: Sela amayeza akho kanye njengoko ugqirha wakho ekuxelela kwileyibhile kagqirha, ngexesha nangobungakanani akuxelela bona. Musa ukutsiba iidosi okanye ukonyusa okanye ukunciphisa idosi.
• Ingathathwa kunye nokutya okanye ngaphandle kokutya: Akukho ngxaki yokuthatha eli yeza ngaphambi, emva kokutya, okanye ngaphandle kokutya. Nangona kunjalo, kungcono ukuba uziqhelise ukulithatha ngendlela efanayo yonke imihla.
• Thatha umlinganiselo omiselweyo ngexesha elimiselweyo: Ugqirha wakho uza kukuxelela ukuba kangaphi ngosuku kwaye uthabathe malini ngexesha. Yithathe ngaloo ndlela.
• Musa ukuyeka ngequbuliso: Nokuba uzive ungcono ngoku, musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokunyusa umngcipheko wakho wokuxhuzula. Ukuba uyeka, yeka kancinci kancinci, njengoko ugqirha wakho ekuxelele.
• Imiyalelo Ekhethekileyo (`MedGuide`): Uza kufumana incwadana yemiyalelo ekhethekileyo (`MedGuide`) ngalo lonke ixesha ufumana eli yeza kwikhemesti, nokuba liyeza elitsha okanye lizaliswa kwakhona. Lifunde ngononophelo rhoqo. Liqulethe ulwazi olubalulekileyo kunye nezilumkiso ekufuneka uzazi.
• Ukuba inikwa abantwana: Oogqirha bacebisa eli yeza kubantwana abaneminyaka emi-2 ubudala kwiimeko ezithile ezikhethekileyo. Nangona kunjalo, kufuneka uthethe nogqirha wakho ngalo ngononophelo kwaye ulandele imiyalelo yakhe. Kukho amanyathelo akhethekileyo okhuseleko ekufuneka athathwe xa ulinika abantwana, njengoko idosi ingahluka.
• Okufanele ukwenze xa usela kakhulu (ukugqithisa): Ukuba ucinga ukuba usele amayeza amaninzi kakhulu, okanye ukuba umntu othile ekhaya, ingakumbi umntwana omncinci, ngempazamo uthathe amayeza amaninzi kakhulu, fowunela iziko lokulawula ityhefu ngokukhawuleza, okanye uye kwigumbi likaxakeka lesibhedlele elikufutshane. Kubalulekile ukwenza ngokukhawuleza kwaye ungoyiki kwimeko enjalo.

Le yinto ekufuneka uyikhumbule ngokuqinisekileyo: Eli yeza limiselwe wena ngugqirha wakho. Musa ukwabelana ngamayeza akho nabanye, nokuba baneempawu ezifanayo nezakho. Amayeza ahlukeneyo asebenza kubantu abahlukeneyo.

Wenza ntoni ukuba uphoswe yi-aphoyintimenti yakho yamayeza?

Owu, kukho amaxesha anje, akunjalo? Ngamanye amaxesha, ungalibala ukuthatha amayeza akho ngenxa yomsebenzi. Ukuba uphoswe yidosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo xa ukhumbula (oko kukuthi, ukuba kufuneka ufike emva kweeyure ezimbalwa), yeka umthamo ophoswe ngawo uze uthathe umthamo olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe umthamo ophindwe kabini ukuze ubuyisele umthamo ophoswe ngawo. Ukwenza njalo kunokunyusa umngcipheko wokuthatha amayeza amaninzi kakhulu kwaye kubangele iziphumo ebezingalindelekanga.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Oku kubaluleke kakhulu. Ukuba uthatha amanye amayeza, iivithamini, amayeza angaqhelekanga, amayeza angagunyaziswanga ngugqirha, okanye izongezo zokutya ngelixa usebenzisa i-Oxcarbazepine, kufuneka uxelele ugqirha wakho ngazo zonke. Ezinye izinto zinokusebenzisana nale mayeza. Oku kuthetha ukuba ukuwathatha kunye kunokutshintsha indlela esebenza ngayo iyeza okanye konyuse iziphumo ebezingalindelekanga.

Kucetyiswa ukuba ungazisebenzisi ezi zinto kunye namayeza:

• Iyeza elibizwa ngokuba yi-'Carbamazepine' (eli likwaliyeza elinikwa abantu abanesifo sokuwa).

La mayeza anokusebenzisana ne-Oxcarbazepine. Ngoko ke, ukuba uwasebenzisa la mayeza, kufuneka uxelele ugqirha wakho:

• Amanye amayeza anikwa abantu abanesifo sokuwa aquka i-phenobarbital, i-phenytoin, kunye ne-valproic acid.
• Amanye amayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, njenge-felodipine, i-diltiazem, kunye ne-verapamil.
• Iyeza elibizwa ngokuba yi-cyclosporine (eli lidla ngokunikezelwa ukulawula amajoni omzimba emva kwezinto ezifana nokufakelwa amalungu omzimba).
• Iihormones ezibizwa ngokuba yi-estrogen okanye i-progestin (ezi zihlala zifumaneka kwiipilisi zokulawula ukuzala okanye unyango lweehormones).

Olu luhlu alukho kuzo zonke iindlela osebenzisana ngazo. Kusenokubakho nezinye. Ke ngoko, kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza emifuno, kunye nezongezo zesondlo, kunye nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela kakhulu indlela eli yeza elisebenza ngayo.

Yintoni endifanele ndiyilumkele ngakumbi xa ndisebenzisa eli yeza?

Xa usebenzisa eli yeza, kufuneka unikele ingqalelo ekhethekileyo kwezinye izinto, kuba ngamanye amaxesha kunokuvela iingxaki esingaziqondiyo.

• Bona ugqirha rhoqo:Buza ugqirha wakho rhoqo ukuze ubone ukuba uqhuba njani, ukuba amayeza asebenza kakuhle na, kwaye ukuba kukho naziphi na iziphumo ebezingalindelekanga. Qiniseka ukuba uya rhoqo xa ekuxelela ukuba wenze njalo.
• Musa ukuyeka ngequbuliso: Nditshilo ngaphambili, kodwa ndiza kuphinda nditsho. Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo akunakunyusa nje umngcipheko wakho wokuxhuzula, kodwa kunokwenza ukuxhuzula kube nzima ngakumbi.
• Nxiba into omawuyazi xa kukho imeko engxamisekileyo: Ukuba unako, nxiba isongo okanye umgexo we-'Medical Alert'. Okanye, soloko ugcina ikhadi lokuzazisa ebhegini yakho okanye kufutshane elichaza imeko yakho yempilo, amayeza owaselayo, kunye neenkcukacha zikagqirha wakho. Kwimeko engxamisekileyo, le inokuba yindlela entle yokuba abanye bakuncede ukuba awukwazi ukunxibelelana.

Lumka kakhulu malunga neempembelelo ezinzulu zesikhumba!

Le yinto ekufuneka uyilumkele kakhulu. I-Oxcarbazepine ngamanye amaxesha inokubangela ukusabela okukhulu kwesikhumba. Oku kunokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqalise amayeza.

Ukuba unerhashalala eneempawu ezifana nomkhuhlane kunye nomkhuhlane, musa ukucinga ukuba yinto eqhelekileyo. Xelela ugqirha wakho ngoko nangoko. Ezi rhashalala zinokuba bomvu okanye zibe mfusa, emva koko zibe ngamadyungudyungu kwaye ulusu lunokuqala ukuxobuka. Okanye, unokuba nerhashalala ebomvu enokuvuvukala kobuso okanye imilebe, okanye ii-lymph nodes ezivuvukileyo entanyeni okanye emakhwapheni.

Amaxesha amaninzi, eli yeza linokubangela ukusabela okunzulu kwesikhumba okusongela ubomi (njengeStevens-Johnson syndrome okanye iToxic Epidermal Necrolysis). Ukuba uvela nokurhawuzelela kwesikhumba, ukuba bomvu, ukurhawuzelela, ukuxobuka kwesikhumba emlonyeni wakho, ukudumba kwamadlala, okanye umkhuhlane ngelixa usebenzisa eli yeza, tsalela umnxeba ugqirha wakho ngokukhawuleza. Musa ukukuthatha lula oku.

Ezinye izinto ezibalulekileyo

• Ukozela okanye isiyezi: Eli yeza linokukwenza uzive ulele, unesiyezi, kwaye ngamanye amaxesha ungazinzile xa uhamba. Ngoko ke, musa ukuqhuba, usebenze kwiindawo eziphakamileyo, usebenzise oomatshini, okanye wenze nantoni na efuna ukuphaphama ude wazi ukuba eli yeza likuchaphazela njani. Ingakumbi ukuba umdala, musa ukuvuka ebhedini, esitulweni, okanye kwindawo ohleli kuyo ngequbuliso. Yenza oku kancinci. Oku kuya kunciphisa umngcipheko wokuba nesiyezi nokuwa.
• Ziphephe utywala: Ukuba usela utywala, ukozela kunye nesiyezi ezibangelwa yile mayeza zinokwanda. Kungoko ke, kungcono ukungayisebenzisi ngokupheleleyo isiselo xa usebenzisa le mayeza.
• Lumka malunga nokuthintela ukukhulelwa: Oku kubaluleke kakhulu kubasetyhini. Ukuba uthatha iipilisi zokulawula ukukhulelwa eziqulethe i-estrogen kunye/okanye i-progestin, i-oxcarbazepine ingenza ukuba zingasebenzi kakuhle. Oku kuthetha ukuba iipilisi zisenokungasebenzi kakuhle ekuthinteleni ukukhulelwa. Ke ngoko, ukuba uthatha eli yeza lokuthintela ukukhulelwa, thetha nogqirha wakho malunga nohlobo lwesibini lokuthintela ukukhulelwa. Ukusebenzisa isithintelo sokuthintela ukukhulelwa, njengekhondom okanye i-diaphragm, kudla ngokucetyiswa.
• Lumka kwiingcinga zokuzibulala: Oku kunokuvakala kusoyikisa, kodwa kubalulekile ukwazi. Amanye amayeza esifo sokuwa, afana nala, anokunyusa umngcipheko weengcinga zokuzibulala okanye izenzo kubantu abambalwa. Ngoko ke, ukuba unotshintsho olukhulu kwimo yakho, uzive ulusizi ngakumbi, unomsindo, ungenathemba, uneengcinga zokuzibulala, uzive ngathi ufuna ukufa, okanye ukuba amalungu osapho lwakho aqaphela naluphi na utshintsho olungaqhelekanga kwindlela oziphatha ngayo, xelela ugqirha wakho ngoko nangoko. Oku kubaluleke kakhulu.
• Ukuba ukhulelwe: Ukuba ukhulelwe ngelixa usela eli yeza, ungajoyina iNorth American Antiepileptic Drug Pregnancy Registry. Inombolo yokufowunela yi-1-888-233-2334. Le rejistri iqokelela ulwazi malunga nokhuseleko lwamayeza antiepileptic ngexesha lokukhulelwa kunye nemiphumo enokubakho kumntwana.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-Oxcarbazepine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi ezo zinokwenzeka ukuze ukuba kukho into eyenzekayo, ukwazi ukujongana nayo ngaphandle kokukhathazeka.

Iziphumo ebezingalindelekanga ezinzulu ekufuneka uzixelele ugqirha wakho ngoko nangoko ziquka:

Ukuba ufumana naziphi na kwezi mpawu, musa ukulibazisa kwaye utsalele umnxeba ugqirha wakho ngoko nangoko, okanye uye kwisibhedlele esikufutshane.

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela okunganyamezelekiyo, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala, kunye nobunzima bokuphefumla.
• Iimpawu zosulelo: umkhuhlane, ukubanda, ukukhohlela okungapheliyo okanye umphimbo obuhlungu, iintlungu zomzimba.
• Iimpawu zezinga eliphantsi le-sodium egazini: Ubuthathaka bemisipha, ukudinwa, isiyezi, intloko ebuhlungu kakhulu, ukudideka, ukulahlekelwa yinkumbulo, ukuhlanza, mhlawumbi nokuxhuzula.
• Ukuqhambuka kwesikhumba, umkhuhlane, kunye nokudumba kwe-lymph nodes (oku sele kukhankanyiwe ngaphambili, kodwa kufanelekile ukukhankanywa kwakhona kuba kunokuba luphawu lwesifo esibi kakhulu njenge-DRESS syndrome).
• Ububomvu, ukudumba, ukuxobuka, okanye ukukhululeka kolusu, kuquka ngaphakathi emlonyeni (kwaye ngamanye amaxesha amehlo, impumlo, kunye nendawo yangasese).
• Ukuxhuzula: Nangona eli yeza lisetyenziselwa ukulawula ukuxhuzula, ngamanye amaxesha linokubangela utshintsho ekuxhuzuleni njengesiphumo esingesihle.
• Iingcinga zokuzibulala okanye ukuzenzakalisa, imeko yeemvakalelo esiya isiba mandundu, okanye iimvakalelo zokudakumba.

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

Ezi zinto zihlala ziphela emva kweentsuku ezimbalwa njengoko umzimba wakho uqhelana namayeza. Nangona kunjalo, ukuba ziyaqhubeka, okanye ziyakukhathaza kangangokuba zingakuvumeli ukuba wenze imisebenzi yakho yemihla ngemihla, xelela ugqirha wakho.

• Ubunzima bokunikel’ ingqalelo, ukukhumbula, okanye ukuthetha.
• Isiyezi.
• Ukozela.
• Ukubona kabini okanye ukubona okufipheleyo.
• Intloko ebuhlungu.
• Ukulahlekelwa yibhalansi okanye ulungelelwano - ukuziva ngathi awukwazi ukuhamba.
• Isicaphucaphu okanye ukuhlanza.
• Iintshukumo zomzimba ezicothayo okanye ezicothayo.

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga ezinokubakho. Ukuba ubona nantoni na engaqhelekanga okanye engaqhelekanga, thetha nogqirha wakho. Ungaxela neziphumo ebezingalindelekanga kwi-FDA (Food and Drug Administration) ngokufowunela ku-1-800-FDA-1088.

Uligcina njani eli yeza?

Ukugcina amayeza ngokufanelekileyo kubaluleke kakhulu ukugcina umgangatho wawo nokuthintela iingozi.

• Gcina kude nabantwana nezilwanyana zasekhaya: Gcina eli yeza kude nabantwana abancinci nezilwanyana zasekhaya ezifana nezinja neekati. Ligcine kwindawo ekhuselekileyo, njengekhabhathi, kuba linokuba yityhefu kubo.
• Gcina kubushushu begumbi: Kungcono ukugcina eli yeza kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, okanye i-59 kunye ne-86 degrees Fahrenheit). Musa ukuligcina kwiindawo ezishushu kakhulu (umz., kufutshane nesitovu, kwifestile enelanga) okanye ezibandayo kakhulu (umz., efrijini). Akulunganga nokuligcina kwiindawo ezifumileyo kakhulu, njengegumbi lokuhlambela.
• Gcina ibhotile/ipakethi ivaliwe kakuhle:Gcina ibhotile okanye ipakethe yamayeza ivaliwe kakuhle emva kokusetyenziswa. Oku kuya kuyikhusela ekufumeni nasekukhanyeni.
• Lahla amayeza aphelelwe lixesha: Onke amayeza anomhla wokuphelelwa. Musa ukusebenzisa amayeza aphelelwe lixesha. Ukusebenza kwawo kunokuncipha kwaye kusenokuba yingozi. Lahla amayeza aphelelwe lixesha ngokufanelekileyo (kude nabantwana).

Nceda uqaphele: Eli nqaku linika isishwankathelo se-Oxcarbazepine kuphela. Lisenokungabi neenkcukacha ezipheleleyo. Ukuba unemibuzo okanye iinkxalabo malunga nale yeza, nceda ubuze ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo.

Ngoko ke, zeziphi izinto ekufuneka uzikhumbule? (Umyalezo Wokubuyela Ekhaya)

Kulungile, makhe siphinde sixoxe ngezinto ezibalulekileyo malunga neziyobisi i-Oxcarbazepine esithethe ngazo kwakhona, akunjalo? Kuya kuba luncedo kakhulu kuwe ukukhumbula oku.

• Eli liyeza elinikwa abantu abanesifo sokuxhuzula, oko kukuthi, isifo sokuxhuzula, ukulawula imeko.
• Sela idosi emiselweyo kanye njengoko ugqirha ekuxelela, ngexesha elimiselweyo. Musa ukunciphisa, ukwandisa, okanye ukuyeka idosi nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
• Qiniseka ukuba uxelela ugqirha wakho malunga nezinye iindlela ozisebenzisayo (ezithengiswa ngaphandle kwemvume kagqirha, ezemveli, iivithamini), kunye nezinye izifo onazo (ingakumbi isifo sezintso, isifo sesibindi, kunye nee-allergies).
• Qaphela kakhulu iimpawu zesifo sesikhumba (umkhuhlane, ukurhawuzelela, amadyungudyungu, ukuxobuka kwesikhumba), iingcinga zokuzibulala, kunye nezinye iziphumo ebezingalindelekanga. Ukuba ufumana nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
• Eli yeza linokubangela ukozela kunye nesiyezi, ngoko ke lumka xa uqhuba okanye usenza eminye imisebenzi efuna ukulumka. Musa ukusela utywala.
• Ukuba ungumfazi othatha iipilisi zokulawula ukukhulelwa, eli yeza lingenza ukuba zingasebenzi kakuhle. Ngoko ke thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lokulawula ukukhulelwa.
• Gcina amayeza kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya. Musa ukusebenzisa amayeza aphelelwe lixesha.

Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungoyiki ukubuza ugqirha wakho. Nguwe omele wazi ngcono ngempilo yakho, kwaye nguwe omele uxanduva lwayo. Ngamana sonke singaba sempilweni kwaye sonwabe!

I- Oxcarbazepine, i-oxcarbazepine, ukuqina komzimba, ukuxhuzula, isifo sokuwa, iziphumo ebezingalindelekanga, amayeza