Ake sifunde ngomuthi i-Divalproex Sodium? Uyasiza ekulawuleni ukulingana!

Abantu ngezinye izikhathi abanesifo sokuwa noma abanenkinga yokuwa kungenzeka ukuthi bake bezwa ngalo muthi. Empeleni umuthi othulisa imizwa ebuchosheni futhi usize ekulawuleni lokho kuphazamiseka okungavamile. Ake sixoxe kabanzi ngalo muthi obizwa ngokuthi i-Divalproex Sodium, kulungile?

Uhlobo luni lomuthi i-Divalproex Sodium?

Kalula nje, i-Divalproex Sodium umuthi osetshenziselwa ukuvimbela nokulawula ukuxhuzula, noma ukuxhuzula, ezimweni ezifana nesifo sokuwa. Ukuxhuzula kwenzeka lapho imizwa ebuchosheni bethu isebenza ngokweqile. Ngakho-ke, lokho okwenziwa yilo muthi ukuzola leyo mizwa esebenza ngokweqile.

Ungawuthola lo muthi ngaphansi kwamagama emikhiqizo afana ne-`(Depakote)`. Futhi, ngezinye izikhathi odokotela bangase bawunikeze ezinye izimo zezokwelapha. Ungabuza udokotela wakho noma usokhemisi ngalokhu.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Leli iphuzu elibaluleke kakhulu . Ngaphambi kokuthi uqale ukuthatha lo muthi, kubalulekile ukutshela ithimba lakho lezokwelapha (okungukuthi udokotela, usokhemisi) okulandelayo:

• Uma uphuza utshwala njalo: Lo muthi ungase uhlangane notshwala, ngakho-ke kubalulekile ukusho lokhu.
• Uma unesifo sezinso: Izinso ziyindlela yomzimba yokukhipha imfucuza. Ngakho-ke uma unezinkinga zezinso, umuthi unganqwabelana emzimbeni wakho.
• Uma unesifo sesibindi: Lo muthi ucutshungulwa yisibindi. Uma isibindi sibuthakathaka, kungavela izinkinga ezinkulu.
• Uma unenani eliphansi lama-platelet: Lokhu kungandisa ingozi yokopha.
• Uma unesifo se-mitochondrial: Lesi yisimo sofuzo futhi singase sibangele izinkinga ngalo muthi.
• Uma wena noma othile emndenini wakho eke waba nemicabango, amacebo, noma imizamo yokuzibulala: Lokhu kubalulekile ukukusho ngoba lo muthi ungathinta isimo sengqondo sabanye abantu.
• Uma unesifo somjikelezo we-urea (UCD): Lesi futhi yisimo sofuzo futhi singaba nemiphumela emibi kakhulu ngalo muthi.
• Uma uke waba nokusabela okungavamile noma okungezwani komzimba ne-Divalproex Sodium, i-Sodium Valproate, i-Valproic Acid, noma eminye imithi, ukudla, udayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa: Lokhu kubaluleke kakhulu . Lo muthi ungalimaza ingane ngesikhathi sokukhulelwa.
• Uma ungumama oncelisayo (`oncelisayo`): Izingxenye zomuthi zingadlulela enganeni ngobisi lwebele.

Ukutshela udokotela wakho ngalezi zinto kuzokusiza ukuthi uthole ukwelashwa ngokuphephile. Ngakho ungafihli lutho, kulungile?

Ngingawusebenzisa kanjani lo muthi?

Lo muthi kufanele uphuzwe ngomlomo. Ufika ngama-capsule.

• Lawa ma-capsule angagwinywa aphelele ngamanzi.
• Uma kungenjalo, vula i-capsule ngokucophelela bese ufafaza izingcezu ezincane zemithi, ezifana nembewu phezu kwethisipuni ye-applesauce noma i-pudding, bese uzigwinya ngokushesha ngaphandle kokuzixuba .
• Lomuthi akufanele neze uphulwe, uchotshozwe, noma uhlafunwe.
• Ungayithatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma unesisu esibuhlungu, kungcono ukuyithatha nokudla.
• Sebenzisa imithi udokotela wakho ayinike yona njengoba nje kuqondiswe kwilebula kadokotela.
• Thatha umuthi ngesikhathi esifanele, ngenani elifanele . Ungathathi okungaphezu kwalokho udokotela akutshele khona.
• Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Ukwenza kanjalo kungandisa ukuvama kokuquleka.

Uma ikhemisi likunikeza lo muthi, lizokunikeza nencwajana yolwazi ekhethekile (ngezinye izikhathi ebizwa ngokuthi i-'MedGuide'). Qiniseka ukuthi ufunda lokhu ngokucophelela njalo uma uthola ukugcwalisa noma ukugcwalisa. Kuqukethe ulwazi oluningi olubalulekile kuwe.

Ingabe lo muthi kufanele unikezwe izingane?

Nakuba lo muthi unganikezwa izingane ezineminyaka eyi-10 ubudala ngenxa yezimo ezithile ezikhethiwe, kunezinye izinto ezikhethekile okufanele zicatshangelwe. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo ngokucophelela bese uchaza konke.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, kufanele ushayele ucingo ngokushesha esibhedlela esiseduze negumbi lezimo eziphuthumayo noma esikhungweni sokulawula ubuthi. Ungazami ukwenza lutho wena ngokwakho.

Into ebaluleke kakhulu ukuthi lo muthi ungowakho wedwa. Ungawuniki omunye umuntu , noma ngabe unezimpawu ezifanayo nezakho!

Kuthiwani uma ngiphuthelwa imithi yami?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (okungukuthi phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Ukwenza kanjalo kungabangela imiphumela emibi.

Yikuphi okunye ukusebenzisana okungenzeka nalomuthi?

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Eminye imithi nezinye izinto ozithathayo zingasebenzisana nalo muthi we-divalproex sodium, okusho ukuthi ungangqubuzana. Khona-ke umuthi ngeke usebenze kahle, noma imiphumela emibi inganda.

Izinto okungafanele uzithathe ngalo muthi:

• I-Sodium phenylbutyrate

Eminye imithi nezinto ezingase zihlangane nalo muthi:

• I-aspirini
• Ezinye izinhlobo zama-antibiotic, isibonelo, i-ertapenem, i-imipenem, kanye ne-meropenem.
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo.
• Eminye imithi enikezwayo yokuxhuzula: Isibonelo, `(carbamazepine)`, `(clonazepam)`, `(diazepam)`, `(ethosuximide)`, `(felbamate)`, `(lamotrigine)`, `(phenobarbital)`, `(phenytoin)`, `(primidone)`, `(rufinamide)`, `(topiramate)`.
• Imithi evimbela noma elapha ukujiya kwegazi, isibonelo i-warfarin.
• I-Cholestyramine
• Ama-hormone e-estrogen ne-progestin.
• I-Propofol (`Propofol`)
• I-Rifampin
• I-Ritonavir
• I-Tolbutamide
• I-Zidovudine

Lolu hlu aluphelele. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho noma oyithengile ekhemisi), amakhambi, amavithamini, kanye nezithasiselo zokudla, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa ezingekho emthethweni. Kulapho-ke kuphela lapho ezokwazi ukukutshela khona ngokuqinisekile ukuthi lo muthi uphephile yini kuwe.

Yini okufanele ngiyiqaphele lapho ngithatha lo muthi?

• Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Lomuthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba . Lokhu kungase kwenzeke emavikini noma ezinyangeni ngemuva kokuqala ukuthatha umuthi. Tshela udokotela wakho ngokushesha uma une-rash enomkhuhlane. Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala futhi kuqhekeke. Noma ungase ube ne-rash ebomvu ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni, kanye nama-lymph node avuvukele. Uma ubona noma yiziphi zalezi zimpawu, kufanele ufune usizo lwezokwelapha ngokushesha.
• Kungumqondo omuhle ukuphatha isongo noma iketanga noma ikhadi elichaza ukuthi unalesi simo futhi eliqukethe imininingwane mayelana nomuthi owuthathayo kanye nomthamo wawo.
• Lomuthi ungakwenza uzizwe ulele, unesizungu, noma ube nokungaboni kahle . Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza eminye imisebenzi edinga ukugxila uze wazi ukuthi lomuthi uthinta kanjani wena. Ukuze unciphise isizungu kanye nokungabi nangqondo, ungasukumi endaweni yokuhlala noma ume endaweni yokuhlala ngokuzumayo, ikakhulukazi uma usukhulile. Ukuphuza utshwala kungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema utshwala.
• Uma uthatha lo muthi,Isikhumba singase sibe nomuzwa omkhulu elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo zokuzivikela futhi usebenzise isivikelo selanga. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Lokhu kubaluleke kakhulu futhi: Iziguli nemindeni yazo kufanele ziqashwe ngokucophelela ukuze kutholakale ukuqala okusha kokucindezeleka, imicabango yokuzibulala, noma izimpawu eziya ziba zimbi kakhulu. Futhi, qaphela izinguquko ezisheshayo zemizwa (isib. ukukhathazeka, ukucasuka, ukucasuka, ulaka, ukungahlaliseki, ukucasuka ngokweqile, ukuqwasha). Uma lokhu kwenzeka, ikakhulukazi ekuqaleni kokwelashwa noma ngemuva kokushintsha umthamo wemithi, khuluma nodokotela wakho ngokushesha.
• Ikakhulukazi kwabesifazane: Uma uhlela ukukhulelwa, noma ucabanga ukuthi ungase ukhulelwe, kufanele utshele udokotela wakho ngokushesha. Lokhu kungenxa yokuthi kungabangela imiphumela emibi kakhulu enganeni yakho engakazalwa. Buza udokotela wakho noma usokhemisi ukuthola ulwazi olwengeziwe. (E-United States, kukhona uhlelo olubizwa ngokuthi i-North American Antiepileptic Drug Pregnancy Registry oluqopha ukusetshenziswa kwale mithi ngesikhathi sokukhulelwa, oluqoqa ulwazi mayelana nokuphepha kwale mithi. Nakuba kungekho hlelo olunjalo eSri Lanka, kubalulekile ukukhuluma nodokotela wakho.)
• Lo muthi unganciphisa amazinga e-folic acid kanye ne-vitamin D emzimbeni. Ngakho-ke, kufanele uqiniseke ukuthi uthola amavithamini anele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla namavithamini owathathayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi, kodwa akuwona wonke umuntu oyitholayo.

Imiphumela emibi edinga usizo lwezokwelapha ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka, ukulunywa, ukuvuvukala kwezindebe, ulimi, ubuso kanye nomphimbo.
• Izinga eliphezulu le-ammonia egazini: Ukuzizwa ukhathele ngendlela engajwayelekile, udidekile, ukuphelelwa yisifiso sokudla, isicanucanu, ukuhlanza, kanye nokuquleka.
• Ukulimala kwesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ukukhathala okungavamile.
• Ukwehla kwezinga lokushisa komzimba, ukozela, ukudideka.
• I-Pancreatitis: Ubuhlungu obukhulu besisu (busakazekela emhlane, bubi kakhulu ngemva kokudla noma uma buthintwa), umkhuhlane, isicanucanu, nokuhlanza.
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Imicabango noma imizamo yokuzibulala, isimo sengqondo esibi kakhulu, imizwa yokucindezeleka.
• Ukuphuka noma ukuphuma kwegazi okungavamile.

Izimpawu ezivame ukungadingi iseluleko sezokwelapha (kodwa tshela udokotela wakho uma ziqhubeka noma zikhathaza):

• Izinguquko zombono
• 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, tshela udokotela wakho ngazo.

Ngingawugcina kanjani lo muthi?

• Yigcine kude nezingane nezilwane ezifuywayo .
• Gcina ekamelweni lokushisa, ngaphansi kwama-degree Celsius angu-25 (77 degrees Fahrenheit).
• Gcina ibhodlela/iphakethe lemithi livaliwe kahle.
• Ungasebenzisi imithi ephelelwe yisikhathi. Yilahle.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu ngalo muthi we-Divalproex Sodium, akunjalo? Ngamafuphi, nazi izinto eziyinhloko okudingeka uzikhumbule:

• Njalo thatha imithi yakho njengoba udokotela wakho ekutshelile. Landela umthamo nesikhathi ngqo.
• Uma unezinye izifo noma uthatha eminye imithi, tshela udokotela wakho ngakho konke lokhu.
• Ungayeki ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
• Uma uthola noma yimiphi imiphumela emibi emisha, noma uma izimpawu zakho ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Uma ukhulelwe, uhlela ukukhulelwa, noma ungumama oncelisayo, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala lo muthi.
• Gcina umuthi ngendlela efanele futhi ephephile.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma unemibuzo, ungangabazi ukubuza udokotela wakho noma usokhemisi. Bakhona ukuzokusiza.

I- Divalproex Sodium, Isifo Sokuxhuzula, Ukuquleka, Imiphumela Engemihle, Imithi, I-Depakote