Ingabe ngezinye izikhathi unesithuthwane, okusho ukuthi unesifo esibizwa ngokuthi 'i-Epilepsy'? Noma uvame ukuba nekhanda elibuhlungu elingabekezeleleki? Noma unesifo esibizwa ngokuthi 'i-Bipolar Disorder', okuyisimo esinzima esinokuguquguquka okukhulu engqondweni? Omunye wemithi odokotela abayinikeza ukulawula izifo ezinjalo yi-'Divalproex Sodium'. Lokhu kusebenza ngokuthulisa umsebenzi ongafuneki wesimiso sezinzwa somzimba wethu. Ake sixoxe kabanzi ngalo muthi namuhla, kulungile?
Usetshenziselwani ngempela lo muthi?
Kalula nje, lo muthi obizwa ngokuthi i-Divalproex Sodium usetshenziselwa kakhulu:
- Lawula izimpawu futhi uvimbele ukuxhuzula kubantu abanesifo sokuxhuzula.
- Iphinde isetshenziswe ukuvimbela ikhanda elibuhlungu le-migraine.
- Lokhu kusiza futhi ukulawula ukushintshashintsha kwemizwa okungavamile kwabantu abanesifo sokuphazamiseka kwengqondo okuguquguqukayo.
Lo muthi ngezinye izikhathi unganikezwa odokotela ngenxa yezinye izimo, ngakho-ke uma unemibuzo ngalokhu, kungcono ukubuza udokotela wakho noma usokhemisi. Ungase futhi uwazi lo muthi ngamagama omkhiqizo athi `Depakote` noma `Depakote ER`.
Yiziphi izinto okudingeka uzitshele udokotela ngaphambi kokuthatha lo muthi?
Lokhu kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa lo muthi, kufanele utshele udokotela wakho uma unezinye zezimo ezilandelayo:
- Uma uphuza njalo.
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma utholakale une -platelet count ephansi .
- Uma unesifo se-mitochondrial .
- Uma wena noma othile emndenini wakho eke waba nemicabango, amacebo, noma imizamo yokuzibulala .
- Uma unesifo somjikelezo we-urea (UCD).
- Uma une-allergy engavamile (ukungezwani komzimba) nemithi, i-divalproex sodium, i-sodium valproate, i-valproic acid, eminye imithi, ukudla, amadayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa (lokhu kubaluleke kakhulu).
- Uma ungumama oncelisayo .
Ngokutshela udokotela wakho lezi zinto, anganquma ukuthi lo muthi ukulungele yini noma kufanele ucabangele enye indlela.
Ngingawusebenzisa kanjani lo muthi?
Lo muthi uza ngesimo samaphilisi. Kufanele uphuzwe ngomlomo nengilazi yamanzi. Kufanele ulandele imiyalelo enikezwe udokotela wakho noma ikhemisi eliselebula lomuthi ngqo .
Okubalulekile: Ungawaphuli, ungawachobozi, noma ungawahlafuni la maphilisi. Wagwinye wonke.
Ungawuthatha lo muthi nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuwuthatha nokudla. Kubalulekile futhi ukuthatha umuthi ngesikhathi esifanele nangenani elifanele. Ungathathi okungaphezu kwalokho udokotela wakho akutshele kona, noma kaningi kunalokho okufanele ukuthathe. Futhi, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho . Ukwenza kanjalo kungenza izimpawu zakho zibe zimbi kakhulu.
Uma uthola lo muthi ekhemisi, uzothola incwajana yolwazi ekhethekile ethi ``MedGuide`` nayo. Ungakhohlwa ukuyifunda ngokucophelela ngomthamo ngamunye kanye nalapho uthola umuthi omusha.
Uma unikeza izingane lo muthi, khuluma nodokotela wakho ngawo. Nakuba lo muthi unganikezwa izingane ezineminyaka eyi-10 ubudala ngenxa yezimo ezithile ezikhethiwe, kunezinyathelo ezikhethekile zokuqapha.
Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi esiseduze noma igumbi lezimo eziphuthumayo esibhedlela ngokushesha.
Sicela uqaphele: Lo muthi ungowakho kuphela. Ungabelani ngalo muthi nanoma ubani omunye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Yikuphi okunye ukusebenzisana okungenzeka nalomuthi?
Kunemithi ethile engabangela izinkinga uma ithathwa kanye ne-Divalproex Sodium. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nezithasiselo zokudla.
Ungasebenzisi lokhu kanye nemithi elandelayo:
- I-Sodium phenylbutyrate
Ngaphezu kwalokho, imithi elandelayo ingasebenzisana nalokhu:
- I-aspirini
- Amanye ama-antibiotic (isib. i-ertapenem, i-imipenem, i-meropenem)
- Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
- Eminye imithi esetshenziselwa ukuxhuzula (isib. i-carbamazepine, i-clonazepam, i-diazepam, i-ethosuximide, i-felbamate, i-lamotrigine, i-phenobarbital, i-phenytoin, i-primidone, i-rufinamide, i-topiramate)
- Eminye imithi evimbela noma elapha amahlule egazi (isib. i-warfarin)
- I-Cholestyramine
- Ama-hormone e-estrogen noma i-progestin
- I-Propofol `(Propofol)`
- I-Rifampin
- I-Ritonavir
- I-Tolbutamide `(Tolbutamide)`
- I-Zidovudine
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngakho konke okusebenzisayo (kufaka phakathi uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni). Ezinye izinto zingathintana nemithi yakho.
Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?
Uma izimpawu zakho zingathuthuki, noma ziba zimbi nakakhulu, tshela udokotela wakho ngokushesha.
Ukusabela okukhulu kwesikhumba okungenzeka
Lomuthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba . Lokhu kungase kwenzeke emavikini noma ezinyangeni ngemuva kokuqala umuthi. Uma unomkhuhlane, izimpawu ezifana nomkhuhlane, kanye nokuqubuka, bona udokotela ngokushesha. Lokhu kuqubuka kungaba bomvu noma kube nsomi, futhi kamuva kungase kube namaqhubu futhi kuqhekeke. Noma ungase ube nokuvuvukala kobuso, izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni, okungaholela ekuqubukeni okubomvu. Uma ubona into efana nale, kufanele nakanjani ufune iseluleko sezokwelapha.
Ukugqoka ikhadi le-ID yezokwelapha
Kubaluleke kakhulu ukugqoka isongo noma iketanga le-ID yezokwelapha bese ugcina ikhadi elichaza isimo sakho sezokwelapha, imithi oyiphuzayo kanye nemithamo.
Ukulala nokunaka
Lomuthi ungakwenza uzizwe ulele, unesizungu, noma ube nombono ofiphele . Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqaphelisisa kwengqondo uze wazi ukuthi lomuthi uthinta kanjani wena. Ukuze ugweme isizungu noma ukuquleka, ungavuki endaweni yokuhlala noma yokuma ngokuzumayo, ikakhulukazi uma usukhulile. Ukuphuza utshwala kungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema utshwala.
Ukuzwela elangeni
Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni (photosensitivity). Ngakho-ke, gwema ukuchayeka elangeni ngangokunokwenzeka. Uma lokhu kungenzeki, gqoka izingubo zokuzivikela bese usebenzisa i-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwesikhumba.
Izinguquko zempilo yengqondo
Iziguli nemindeni yazo kufanele ziqaphele ukucindezeleka okusha noma okubi kakhulu noma imicabango yokuzibulala. Futhi, qaphela izinguquko ezisheshayo zemizwa, njengokukhungatheka, ukungahlaliseki, ukwesaba, ukucasuka, ulaka, ukuphazama okungazelelwe, ukungahlaliseki okukhulu, ukujabula ngokweqile kanye nokusebenza ngokweqile, noma ukungakwazi ukulala.Uma lokhu kwenzeka, ikakhulukazi ekuqaleni kokwelashwa noma ngemva kokushintsha umthamo, khuluma nodokotela wakho ngokushesha.
Ukukhulelwa nokuncelisa
Uma uhlela ukukhulelwa noma ucabanga ukuthi ukhulelwe, kufanele utshele udokotela wakho. Lokhu kungenxa yokuthi kungabangela imiphumela emibi kakhulu enganeni engakazalwa. Ungabuza udokotela wakho noma usokhemisi ukuthola ulwazi olwengeziwe. Abesifazane abakhulelwa ngenkathi bethatha lo muthi bangajoyina i-North American Antiepileptic Drug Pregnancy Registry. Le registry iqoqa ulwazi mayelana nokuphepha kwemithi yokulwa nesifo sokuwa ngesikhathi sokukhulelwa.
Izidingo zamavithamini
Lo muthi ungase wehlise amazinga akho e-folic acid kanye ne-vitamin D. Ngakho-ke qiniseka ukuthi uthola amavithamini anele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla namavithamini okufanele uwathathe.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njengayo yonke imithi, lokhu kungabangela imiphumela emibi kwabanye abantu. Eminye yayo ayibi kakhulu, kodwa eminye yayo kufanele ibikwe kudokotela wakho ngokushesha.
Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Amazinga aphezulu e-ammonia egazini: ubuthakathaka noma ukukhathala okungavamile, ukudideka, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, ukuxhuzula.
- Ukulimala kwesibindi: ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
- Ukushisa komzimba okuphansi, ukozela, ukudideka.
- I-Pancreatitis: Ubuhlungu obukhulu besisu obusakazekela emhlane noma bube bubi kakhulu ngemva kokudla noma lapho kuthintwa, umkhuhlane, isicanucanu, nokuhlanza.
- Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
- Imicabango yokuzibulala noma yokuzilimaza, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka.
- Ukuphuka noma ukuphuma kwegazi okungavamile.
Uma ubona noma yiziphi zalezi zimpawu, bona udokotela ngokushesha.
Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):
- Izinguquko ekuboneni
- Isiyezi
- Ukozela
- Ukulahlekelwa izinwele
- Ikhanda elibuhlungu (ikhanda elibuhlungu)
- Isicanucanu
- Ukuthuthumela noma ukuthuthumela
- Ukwanda kwesisindo
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, sicela utshele udokotela wakho ngazo.
Ngingawugcina kanjani lo muthi?
Lomuthi kufanele ugcinwe kude nezingane nezilwane ezifuywayo.
Gcina esitsheni esivalwe kahle endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15 no-30, ama-degree Fahrenheit angu-59 no-86). Ungayisebenzisi imithi ephelelwe yisikhathi; yilahle.
Izinto ezibaluleke kakhulu okudingeka uzikhumbule
Kulungile, ngakho-ke sesikhulume kakhulu ngalo muthi obizwa ngokuthi i-Divalproex Sodium. Ungumuthi obaluleke kakhulu, ikakhulukazi ekulawuleni izimo ezifana nokuquleka, i-migraines, kanye ne-bipolar disorder.
Khumbula, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi, ukutshela udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye neminye imithi oyiphuzayo, kanye nokuqaphela imiphumela emibi.
Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho noma usokhemisi. Bazokusiza. Hlala uphilile!
I- Divalproex Sodium, i-Epilepsy, i-Migraine, i-Bipolar, i-Bipolar Disorder, i-Depakote











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