Masifunde ngeyeza eliza kuphucula impilo yakho kunye neemvakalelo zakho? (I-Valproic Acid / I-Divalproex Sodium)

Ngaba ngamanye amaxesha ukhe uzive ngathi unesifo sokuxhuzula? Okanye ngaba imeko yakho itshintsha ngequbuliso, ngamanye amaxesha utshintshe ngeendlela ongenakukwazi nokuzicinga? Abanye banentloko ebuhlungu enganyamezelekiyo, esiyibiza ngokuba yimigraines, kwaye inokwenza ubomi babo bube nzima. Namhlanje siza kuthetha ngamayeza abalulekileyo asetyenziswa ngoogqirha ukulawula ezo meko. Oku kubizwa ngokuba yi-valproic acid. Usenokuba ukhe weva ngayo njenge-'Divalproex Sodium'.

Lithini eli yeza? Lisetyenziselwa ntoni?

Ngamafutshane, iValproic Acid liyeza elinceda ukulawula izifo ezininzi ngokutshintsha umsebenzi weekhemikhali ezithile engqondweni yethu, ezibizwa ngokuba zii-neurotransmitters. I-Divalproex Sodium nayo inxulumene noku kwaye yenzelwe njengeyeza elikhutshwayo.

Ngoku makhe sibone ukuba oku kusetyenziselwa ntoni ikakhulu:

• Ukuma komzimba: Abanye abantu banesifo sokuwa. Oku kusetyenziswa ukulawula eso sifo.
• Kwi-bipolar mania: Abantu abanesifo se-bipolar maxa wambi bafumana amaxesha e-mania, abonakala ngolonwabo olukhulu, ukusebenza ngokugqithisileyo, kunye nokungxama. Eli yeza likwasetyenziselwa ukulawula i-mania.
• Ukuthintela iintloko ezibuhlungu: Abanye abantu baphathwa ziintloko ezibuhlungu ezihlala zihleli nezibuhlungu. Eli yeza likwasetyenziselwa ukuthintela ukuba zingabikho.

Ezi zezona zinto ziphambili. Kodwa ngamanye amaxesha oogqirha banokukunika eli yeza nakwezinye iimeko. Ungalifumana eli yeza phantsi kwegama lophawu olufana ne-`(Stavzor)`. Ngoko ke ukuba awuqinisekanga ukuba le yeza lenzelwe ntoni, kungcono ubuze ugqirha wakho okanye ikhemisti ukuze ufumane ulwazi oluthe kratya.

Zeziphi izinto ezibalulekileyo ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Kulungile, oku kubaluleke kakhulu . Ngaphambi kokuba ugqirha wakho akunike eli yeza, kufuneka azi izinto ezithile malunga nempilo yakho. Kuba olo lwazi luza kugqiba ukuba eli yeza likulungele na okanye alikulungele, kwaye lingakanani na ekufuneka likunike lona. Ukuba kukho nakuphi na okulandelayo okusebenzayo kuwe, ngokuqinisekileyo kufuneka uxelele ugqirha wakho :

• Ukuba usela rhoqo .
• Ukuba unesifo sezintso .
• Ukuba unesifo sesibindi (oku kubaluleke kakhulu).
• Ukuba une-platelet counts ephantsi .
• Ukuba unesifo semfuza esibizwa ngokuba sisifo se-mitochondrial .
• Ukuba uziva ufuna ukuzenzakalisa, uceba ukwenza njalo, okanye ukhe wazama ukwenza njalo ngaphambili, okanye ukuba kukho umntu kusapho lwakho oye wacinga, waceba, okanye wazama ukuzibulala. Oku kubaluleke kakhulu.
• Ukuba unesifo esifana ne-Urea Cycle Disorder (UCD) (esi sisifo esibangelwa yimfuza).
• Ukuba une-allergy kumayeza athi `divalproex sodium`, `sodium valproate`, `valproic acid`, okanye naliphi na elinye iyeza, ukutya, iidayi zokutya, okanye izithinteli .
• Ukuba ukhulelwe okanye uzama ukukhulelwa, oku kubaluleke kakhulu, njengoko eli yeza linokumchaphazela umntwana.
• Ukuba ungumama oncancisayo .

Kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla, uyaqonda?

Ndingayisebenzisa njani kanye kanye le yeza?

Xa usela amayeza, kubaluleke kakhulu ukwazi indlela yokuwasebenzisa ngokuchanekileyo. Ukuwasela ngendlela engafanelekanga kunokunciphisa ukusebenza kwawo kwaye konyuse iziphumo ebezingalindelekanga.

• Eli yeza (elihlala liza kwiikhaphu) lifanele lithathwe ngomlomo . Liginye ngeglasi epheleleyo yamanzi.
• Landela imiyalelo ekwileyibhile kagqirha oyinikwe ngugqirha wakho.
• Musa ukuphula, ukutyumza, okanye ukuhlafuna ezi kapsuli. Ziginye ziphelele.
• Oku kungasetyenziswa nokutya okanye ngaphandle kokutya . Nangona kunjalo, ukuba uziva isisu sibuhlungu, kungcono ukukuthatha kunye nokutya.
• Ufanele uthathe amayeza akho ngexesha elifanelekileyo, ngamaxesha afanelekileyo . Musa ukuthatha ngaphezulu okanye ngaphantsi koko ugqirha wakho akuxelele kona.
• Kubaluleke kakhulu ukuba ungayeki ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokuyenza mandundu imeko yakho.
• Ikhemesti iza kukunika incwadana ekhethekileyo ebizwa ngokuba yi-'MedGuide' enale yeza. Yifunde ngononophelo ngalo lonke ixesha ufumana iyeza elitsha, nokuba ufumana elitsha. Iqulethe ulwazi oluninzi olubalulekileyo malunga nale yeza.

Izinto ekufuneka uzikhumbule xa unika abantwana eli yeza

Ukuba ugqirha wakho ugqibe ekubeni anike umntwana wakho eli yeza, kufuneka uxoxe ngalo nogqirha wakho wezingane . Kwezinye iimeko ezithile, linokunikwa abantwana abaneminyaka eli-10 ubudala. Nangona kunjalo, kukho amanyathelo okhuseleko ekufuneka athathwe, oko kuthetha ukuba kukho izinto ekufuneka ziqwalaselwe. Ngoko ke mamela ngononophelo oko kuthethwa ngugqirha wakho.

Wenza ntoni ukuba usela amayeza amaninzi ngempazamo?

Sonke siyazenza iimpazamo. Ngoko ke ukuba ucinga ukuba usenokuba ulithathe eli yeza ngempazamo okanye ulisebenzise ngokugqithisileyo, fowunela iziko lolawulo lwetyhefu elikufutshane nawe okanye igumbi likaxakeka esibhedlele ngoko nangoko, okanye uye kwigumbi likaxakeka.

Khumbula, eli yeza lelakho kuphela. Nokuba umhlobo okanye ilungu losapho linesifo esifana nesakho, musa ukumnika iyeza lakho. Linokuba yingozi.

Wenza ntoni ukuba uphoswe yintlanganiso yamayeza?

Ngamanye amaxesha ungaphoswa liyeza lakho. Ukuba oko kuyenzeka, ungakhathazeki.

• Lihlawule ixesha oliphosileyo ngokukhawuleza xa ukhumbula .
• Nangona kunjalo, ukuba isondele kakhulu kwidosi yakho elandelayo xa ukhumbula, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo .
• Ungaze uthathe idosi ephindwe kabini okanye uthathe amayeza angaphezulu. Ukwenza njalo kunokubangela ukuba uyisebenzise ngokugqithisileyo.

Amanye amayeza angahambelaniyo nalo mayeza (Ukusebenzisana)

Ngoku oku kubaluleke kakhulu. Xa uthatha le valproic acid, kukho amanye amayeza angahambelani kakuhle nale. Oko kukuthi, xa uwathatha kunye la mayeza, anokuba nefuthe elinye kwelinye, okanye iziphumo ebezingalindelekanga zinganda. Ngoko masithethe ngale nto kancinci.

• Elinye iyeza elingafanele lisetyenziswe kunye neli yeza yi-'sodium phenylbutyrate'.

Ukongeza, la mayeza alandelayo anokusebenzisana ne-valproic acid:

• I-aspirin
• Amanye amayeza okubulala iintsholongwane (umz. i-ertapenem, imipenem, i-meropenem)
• Amanye amayeza okudakumba, ixhala, okanye ezinye iingxaki zengqondo
• Amanye amayeza okuxhuzula (umz. i-carbamazepine, i-lamotrigine, i-phenobarbital, i-phenytoin, i-topiramate)
• Amanye amayeza athintela ukujiya kwegazi (umz. i-warfarin)
• `cholestyramine` (iyeza elisetyenziselwa ukwehlisa i-cholesterol)
• Iihomoni zabasetyhini (umz., amayeza aqulethe ii-estrogens, iipilisi zokulawula ukuzalwa, iipatches, iiringi)
• `ipropofol` (iyeza elisetyenziselwa i-anesthesia)
• `rifampin` (i-antibiotic esetyenziselwa ukunyanga isifo sephepha)
• `ritonavir` (iyeza losulelo lwe-HIV)
• `tolbutamide` (iyeza lesifo seswekile)
• `i-zidovudine` (elinye iyeza losulelo lwe-HIV)

Olu luhlu lusenokungaphelelanga. Ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza esintu, amayeza angagunyaziswanga, kunye nezongezo zokutya. Kubalulekile nokuxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Ezinye izinto ekufuneka uziqaphele xa usebenzisa eli yeza

Kukho izinto ezimbalwa ekufuneka uziqaphele ngakumbi ukuze ukhuseleke xa usebenzisa eli yeza.

• EyakhoUkuba iimpawu zakho aziphucuki, okanye ukuba ziya zisiba mandundu, xelela ugqirha wakho.
• Iimpendulo Ezinzima Zesikhumba: Oku kubaluleke kakhulu. Eli yeza ngamanye amaxesha linokubangela iimpendulo ezinzulu zesikhumba. Oku kunokwenzeka kwiiveki okanye kwiinyanga emva kokuba uqale ukusebenzisa iyeza. Ukuba unerhashalala enomkhuhlane okanye uzive ngathi unomkhuhlane, bona ugqirha wakho ngoko nangoko. Olu rhashalala lunokuba bomvu okanye lube mfusa, emva koko lube namaqhubu kwaye luqhekeke. Okanye unokuba nerhashalala ebomvu ene-lymph nodes ezidumbileyo ebusweni bakho, emilebeni, entanyeni, okanye emakhwapheni. Ukuba ubona into efana nale, musa ukulibazisa.
• Isazisi sezonyango: Ukuba kunokwenzeka, nxiba isongo sesazisi sezonyango okanye itsheyini echaza imeko yakho yempilo, amayeza, imilinganiselo, kunye namaxesha okugula, okanye uhlale unekhadi ngamaxesha onke. Oku kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
• Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele, unesiyezi, okanye ubona izinto ezingaqondakaliyo kancinci. Ngoko ke, de wazi kakuhle indlela eli yeza elikuchaphazela ngayo, musa ukuqhuba, usebenzise oomatshini abanzima, okanye wenze nantoni na efuna ukuqwalaselo. Ukuze unciphise isiyezi kunye nokuba nentloko ekhaphukhaphu, musa ukuphakama kwindawo ohleli kuyo okanye ume kwindawo ohleli kuyo ngequbuliso, ingakumbi ukuba sele ukhulile. Ukusela utywala kunokwenza ukozela kunye nesiyezi zibe zimbi ngakumbi. Ke ngoko, kungcono ukuphepha ukusela utywala.
• Uvakalelo lwelanga: Eli yeza lingenza ulusu lwakho lube novakalelo ngakumbi elangeni. Ngoko ke hlala kude nelanga ngokuthe ngqo kangangoko unako. Ukuba kufuneka uphume elangeni, nxiba umnqwazi, impahla enemikhono emide, kunye ne-sunscreen elungileyo. Musa ukusebenzisa izibane zelanga okanye iibhedi/ii-booths zelanga.
• Ukutshintshatshintsha kweemvakalelo kunye neengcinga zokuzibulala: Oku kukwayinto ekufuneka uyilumkele. Izigulane kunye neentsapho zazo kufuneka ziqaphele ukuqala okutsha koxinzelelo kunye neengcinga zokuzilimaza. Kwakhona, lumka utshintsho olukhawulezileyo kwimvakalelo. Umzekelo, ukuziva uxhalabile, uphazamisekile, uxhalabile, unomsindo, unomsindo, unomsindo, ungenamdla, ungazinzi kakhulu, uvuyile kakhulu kwaye usebenza kakhulu, okanye unengxaki yokulala. Ukuba oku kuyenzeka, ingakumbi xa uqala amayeza okanye emva kokutshintsha umthamo, thetha nogqirha wakho ngoko nangoko.
• Ukukhulelwa:Sele sikutshilo oku ngaphambili, kodwa siza kuphinda sikuthethe. Abafazi abazama ukukhulelwa, okanye abacinga ukuba bakhulelwe, ngokuqinisekileyo kufuneka baxelele ugqirha wabo ngale nto. Eli yeza linokuba nemiphumo emibi kakhulu kumntwana ongekazalwa. Buza ugqirha wakho okanye ikhemisti ukuze ufumane ulwazi oluthe kratya.
• Ukunqongophala kweeVithamini: Eli yeza linokubangela ukwehla kwamanqanaba 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 okutyayo kunye neevithamini ozithathayo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-valproic acid inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Kodwa ezi azenzeki kubo bonke abantu, akunjalo? Kwabanye kuphela. Kodwa kubalulekile ukuba uzazi. Masizihlukanise ezi ziphumo zibe ziindidi ezimbini.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho ngokukhawuleza.

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe nolwimi.
• Utshintsho embonweni: Umbono ofipheleyo, umbono ophindwe kabini, njl.
• Urhawuzelelo, umkhuhlane, kunye nokudumba kwee-lymph nodes: Oku kungaba luphawu lwemeko embi kakhulu efana ne-DRESS syndrome.
• Iimpendulo eziqatha zesikhumba: ukubomvu, ukudumba, ukuxobuka okanye ukukhululeka kwesikhumba, kuquka nangaphakathi emlonyeni.
• Iimpawu kunye neempawu zokulimala kwesibindi: Ezi ziimpawu ekufuneka uzilumkele kakhulu. Umchamo otyheli okanye omdaka; Ukuziva udiniwe okanye unomkhuhlane; Indle ephaphathekileyo; Ukulahlekelwa ngumdla wokutya; Isicaphucaphu; Intlungu esiswini esingaphezulu ngasekunene; Ukuziva udiniwe okanye udiniwe ngendlela engaqhelekanga; Ukutyheli kwamehlo okanye ulusu. Ukuba ubona nayiphi na kwezi, bona ugqirha ngokukhawuleza.
• Iingcinga zokuzibulala okanye ezinye iinguqu zemood .
• Ukopha okanye ukukrwela okungaqhelekanga ( umz. ukopha empumlweni, ukopha kweentsini, ukujika kube luhlaza okwesibhakabhaka ngenxa yokukrwela okuncinci).

Iziphumo ebezingalindelekanga ezingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho.

• Ukuqhinwa
• Urhudo
• Isiyezi
• Ukulahlekelwa ziinwele (oku kunokubacaphukisa abanye abantu)
• Intloko ebuhlungu
• Ukulahlekelwa ngumdla wokutya
• Ukwanda kobunzima (oku kukwayingxaki kwabanye)

Ayizizo zonke iziphumo ebezingalindelekanga kolu luhlu ezinokwenzeka. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo.

Ndingaligcina njani eli yeza?

Ukugcina amayeza ngokufanelekileyo kunceda ukugcina umgangatho wawo uphezulu.

• Yigcine kwindawo ekude nabantwana.
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, okanye i-59 kunye ne-86 degrees Fahrenheit). Musa ukugcina kwindawo ezishushu kakhulu okanye ezifumileyo, njengakwiigumbi zokuhlambela.
• Gcina umlomo webhotile yamayeza okanye ipakethe ivaliwe kakuhle .
• Musa ukusebenzisa amayeza aphelelwe lixesha, walahle.

Okokugqibela, izinto ekufuneka uzikhumbule

Kulungile, sithethe kakhulu ngale chiza libizwa ngokuba yi-valproic acid. Ukuba kufuneka usebenzise eli chiza, khumbula ezi zinto zilandelayo:

• Eli liyeza elinamandla elifanele lisetyenziswe phantsi kwengcebiso kagqirha. Ngoko ke, lithathe kanye njengoko ugqirha etshilo, ngokwesixa asitshiloyo, nangexesha alitshiloyo.
• Ungaze uyeke ukuthatha oku ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
• Lumka ngemiphumo emibi enokubakho , ingakumbi ukusabela okuqatha kwesikhumba, imiphumo yesibindi, kunye notshintsho kwimo yeemvakalelo. Ukuba ubona nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na ezinye izifo onazo.
• Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
• Ukuba uneminye imibuzo okanye iinkxalabo malunga nale yeza, nceda ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo.

Ndikunqwenelela impilo entle!

I- Valproic acid, i-divalproex sodium, ukuqunjelwa, isifo sokuwa, i-bipolar, i-migraine, iziphumo ebezingalindelekanga