Ake sifunde ngomuthi ozothuthukisa ukuqina komzimba wakho kanye nesimo sakho sengqondo? (I-Valproic Acid / I-Divalproex Sodium)

Ingabe ngezinye izikhathi uzizwa sengathi unesifo sokuwa? Noma ingabe isimo sakho sengqondo siyakhuphuka futhi sehle ngokuzumayo, ngezinye izikhathi sishintsha ngezindlela ongenakukwazi ngisho nokuzicabanga? Abanye baphathwa yikhanda elingabekezeleleki, esilibiza ngokuthi i-migraines, futhi lingenza izimpilo zabo zibe nzima. Namuhla sizokhuluma ngomuthi obalulekile osetshenziswa odokotela ukulawula izimo ezinjalo. Lokhu kubizwa ngokuthi i-valproic acid. Kungenzeka ukuthi uke wezwa ngawo ngokuthi 'i-Divalproex Sodium'.

Uyini lomuthi? Usetshenziselwani?

Kalula nje, i-Valproic Acid iyisidakamizwa esisiza ukulawula izifo eziningana ngokushintsha umsebenzi wamakhemikhali athile ebuchosheni bethu, abizwa ngokuthi ama-neurotransmitters. I-Divalproex Sodium nayo ihlobene nalokhu futhi yenzelwe njengomuthi wokukhulula okubambezelekile.

Manje ake sibone ukuthi lokhu kusetshenziselwa ini ikakhulukazi:

• Ukuma kokuquleka: Abanye abantu baquleka ngenxa yesifo sokuwa. Lokhu kusetshenziselwa ukulawula ukuquleka okunjalo.
• Nge-bipolar mania: Abantu abanesifo se-bipolar ngezinye izikhathi babhekana nezikhathi ze-mania, ezibonakala ngenjabulo enkulu, ukusebenza ngokweqile, kanye nokushesha. Lo muthi usetshenziselwa futhi ukulawula i-mania.
• Vimbela i-migraines: Abanye abantu bahlushwa yikhanda elibuhlungu elivame futhi elinzima. Lo muthi usetshenziselwa futhi ukuvimbela ukuthi lingenzeki.

Lezi yizinto eziyinhloko. Kodwa ngezinye izikhathi odokotela bangase bakunike lo muthi nakwezinye izimo. Ungase uwuthole lo muthi ngaphansi kwegama lomkhiqizo elifana ne-`(Stavzor)`. Ngakho-ke uma ungaqiniseki ukuthi lo muthi ungowani, kungcono ubuze udokotela wakho noma usokhemisi ukuze uthole ulwazi olwengeziwe.

Yiziphi izinto ezibalulekile okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Kulungile, lokhu kubaluleke kakhulu manje. Ngaphambi kokuba udokotela wakho akunike lo muthi, udinga ukwazi izinto ezithile ngempilo yakho. Ngoba lolo lwazi yilona oluzonquma ukuthi lo muthi ukulungele yini noma cha, nokuthi angakunika malini. Uma kukhona okulandelayo okusebenzayo kuwe, kufanele utshele udokotela wakho ngokuqinisekile :

• Uma uphuza njalo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi (lokhu kubaluleke kakhulu).
• Uma unezibalo eziphansi zama-platelet.
• Uma unesifo sofuzo esibizwa ngokuthi isifo se-mitochondrial .
• Uma uzizwa sengathi ufuna ukuzilimaza, uhlela ukwenza kanjalo, noma uke wazama ukwenza kanjalo ngaphambilini, noma uma othile emndenini wakho eye waba nemicabango, amacebo, noma imizamo yokuzibulala. Lokhu kubaluleke kakhulu futhi.
• Uma unesifo esifana ne-Urea Cycle Disorder (UCD) (lokhu futhi kuyisimo sofuzo).
• Uma une-allergy emithini ethi `divalproex sodium`, `sodium valproate`, `valproic acid`, noma yimuphi omunye umuthi, ukudla, udayi wokudla, noma izithasiselo .
• Uma ukhulelwe noma uzama ukukhulelwa, lokhu kubaluleke kakhulu, njengoba lo muthi ungathinta ingane.
• Uma ungumama oncelisayo .

Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lezi zinto ngaphandle kokuzifihla, uyaqonda?

Ngiyisebenzisa kanjani ngempela le mithi?

Uma uthatha umuthi, kubaluleke kakhulu ukwazi ukuthi uwusebenzisa kanjani ngendlela efanele. Ukuwuthatha ngendlela engafanele kunganciphisa ukusebenza kwawo futhi kwandise imiphumela emibi.

• Lomuthi (ovame ukutholakala ngama-capsule) kufanele uphuzwe ngomlomo . Ugwinye nengilazi egcwele yamanzi.
• Landela imiyalelo eselebula likadokotela oyinikezwe udokotela wakho.
• Ungawaphuli, uwachoboze, noma uwahlafune la ma-capsule. Wagwinye wonke.
• Lokhu kungathathwa nokudla noma ngaphandle kokudla . Kodwa-ke, uma uzizwa unesisu esibuhlungu, kungcono ukukuthatha nokudla.
• Kufanele uphuze imithi yakho ngesikhathi esifanele, ngezikhathi ezifanele . Ungathathi okungaphezu noma okungaphansi kwalokho udokotela wakho akutshele khona.
• Kubaluleke kakhulu ukungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho.
• Ikhemisi izokunikeza incwajana ekhethekile ebizwa ngokuthi i-'MedGuide' ngalo muthi. Yifunde ngokucophelela njalo uma uthola umuthi omusha, ngisho noma uthola omusha. Iqukethe ulwazi oluningi olubalulekile ngalo muthi.

Izinto okufanele uzikhumbule lapho unikeza izingane lo muthi

Uma udokotela wakho enqume ukunika ingane yakho lo muthi, kufanele uxoxe ngawo nodokotela wezingane . Kwezinye izimo ezikhethiwe, unganikezwa izingane ezineminyaka eyi-10 ubudala. Kodwa-ke, kunezinyathelo zokuphepha okudingeka zithathwe, okusho ukuthi kunezinto okufanele uziqaphele. Ngakho lalela ngokucophelela lokho okushiwo udokotela wakho.

Wenzani uma uphuza umuthi omningi ngephutha?

Sonke siyawenza amaphutha. Ngakho-ke uma ucabanga ukuthi kungenzeka ukuthi uphuze lo muthi ngephutha noma uphuze ngokweqile, shayela isikhungo sokulawula ubuthi esiseduze nawe noma igumbi lezimo eziphuthumayo esibhedlela ngokushesha, noma uye egumbini lezimo eziphuthumayo.

Khumbula, lo muthi ungowakho kuphela. Ngisho noma umngane noma ilungu lomndeni linesifo esifana nesakho, ungabaniki umuthi wakho. Ungaba yingozi.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Ngezinye izikhathi ungase uphuthelwe imithi yakho. Uma lokho kwenzeka, ungakhathazeki.

• Lungisa isikhathi osiphuthelwe ngokushesha nje lapho ukhumbula .
• Kodwa-ke, uma kuseduze kakhulu nomthamo wakho olandelayo uma ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe .
• Ungalokothi uthathe umthamo ophindwe kabili noma uthathe imithi eyengeziwe. Ukwenza kanjalo kungabangela ukudlula ngokweqile.

Eminye imithi engahambisani nalo muthi (Ukusebenzisana)

Manje lokhu kubaluleke kakhulu. Uma uthatha le valproic acid, kuneminye imithi engahambisani kahle nalena. Okusho ukuthi, uma uthatha leyo mithi ndawonye, ​​ingaba nomthelela komunye nomunye, noma imiphumela emibi inganda. Ngakho ake sixoxe ngalokhu kancane.

• Umuthi owodwa okungafanele uthathwe nalomuthi yi-'sodium phenylbutyrate'.

Ngaphezu kwalokho, imithi elandelayo ingasebenzisana ne-valproic acid:

• I-aspirini
• Amanye ama-antibiotic (isib. i-ertapenem, i-imipenem, i-meropenem)
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izinkinga zengqondo
• Eminye imithi yokwelapha ukuxhuzula (isib. i-carbamazepine, i-lamotrigine, i-phenobarbital, i-phenytoin, i-topiramate)
• Eminye imithi evimbela ukujiya kwegazi (isib. i-warfarin)
• `cholestyramine` (umuthi osetshenziselwa ukwehlisa i-cholesterol)
• Ama-hormone abesifazane (isib. imithi equkethe ama-estrogen, amaphilisi okulawula ukuzalwa, ama-patches, ama-ring)
• `i-propofol` (umuthi osetshenziselwa ukubulala izinzwa)
• `rifampin` (i-antibiotic esetshenziselwa ukwelapha isifo sofuba)
• `ritonavir` (umuthi wokutheleleka nge-HIV)
• `tolbutamide` (umuthi wesifo sikashukela)
• `zidovudine` (omunye umuthi wokutheleleka nge-HIV)

Lolu hlu lungase lungaphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi yamakhambi, imithi engabhalwanga ngudokotela, kanye nezithasiselo zokudla. Kubalulekile futhi ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.

Ezinye izinto okufanele uziqaphele lapho uthatha lo muthi

Kunezinto ezimbalwa okudingeka uziqaphele kakhudlwana ukuze uphephe ngenkathi usebenzisa lo muthi.

• EyakhoUma izimpawu zakho zingathuthuki, noma ziba zimbi kakhulu, tshela udokotela wakho.
• Ukusabela Okubi Kwesikhumba: Lokhu kubaluleke kakhulu. Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba. Lokhu kungenzeka emavikini noma ezinyangeni ngemuva kokuqala ukuthatha umuthi. Uma une-rash ehambisana nomkhuhlane noma umuzwa womkhuhlane, bona udokotela wakho ngokushesha. Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala bese kukhishwa. Noma ungase ube ne-rash ebomvu ene-lymph node evuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni. Uma ubona into efana nale, ungalibali.
• Umazisi Wezokwelapha: Uma kungenzeka, gqoka isongo noma iketanga le-ID yezokwelapha elibonisa isimo sakho sezokwelapha, imithi, izilinganiso, kanye nezikhathi, noma ugcine ikhadi nawe ngaso sonke isikhathi. Lokhu kungaba usizo kakhulu esimweni esiphuthumayo.
• Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele, unesiyezi, noma ubona izinto zingacacile. Ngakho-ke, uze wazi kahle ukuthi lo muthi ukuthinta kanjani, ungashayeli, usebenzise imishini esindayo, noma wenze noma yini edinga ukugxilisa ingqondo. Ukuze unciphise isiyezi kanye nekhanda elithambile, ungasukumi endaweni yokuhlala noma ume endaweni yokuhlala ngokuzumayo, ikakhulukazi uma usukhulile. Ukuphuza utshwala kungenza ukozela kanye nesiyezi kube kubi kakhulu. Ngakho-ke, kungcono ukugwema ukuphuza utshwala.
• Ukuzwela kwelanga: Lo muthi ungenza isikhumba sakho sizwele kancane elangeni. Ngakho-ke gwema ukukhanya kwelanga okuqondile ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka isigqoko, izingubo ezinemikhono emide, kanye ne-sunscreen enhle. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Ukushintshashintsha kwemizwa kanye nemicabango yokuzibulala: Lokhu kuyinto okufanele uyiqaphele. Iziguli kanye nemindeni yazo kufanele ziqaphele ukuqala okusha kokucindezeleka kanye nemicabango yokuzilimaza. Futhi, qaphela izinguquko ezisheshayo zemizwa. Isibonelo, ukuzizwa ukhathazekile, ukhathazekile, ukhathazekile, ucasukile, unolaka, ulaka, ungenangqondo, ungenaso isifiso sokuphumula, ujabule kakhulu futhi usebenza ngokweqile, noma unenkinga yokulala. Uma lokhu kwenzeka, ikakhulukazi lapho uqala umuthi noma ngemuva kokushintsha umthamo, khuluma nodokotela wakho ngokushesha.
• Ukukhulelwa:Sesikushilo lokhu ngaphambili, kodwa sizophinda sikusho. Abesifazane abazama ukukhulelwa, noma abacabanga ukuthi bakhulelwe, kufanele nakanjani batshele udokotela wabo ngalokhu. Lo muthi ungaba nemiphumela emibi kakhulu enganeni engakazalwa. Buza udokotela wakho noma usokhemisi ukuze uthole ulwazi olwengeziwe.
• Ukuntuleka Kwamavithamini: Lo muthi ungabangela ukwehla kwamazinga e-folic acid kanye ne-vitamin D emzimbeni. Ngakho-ke, kufanele uqiniseke ukuthi uthola amavithamini anele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla okudlayo kanye namavithamini owathathayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-valproic acid ingabangela imiphumela emibi kwabanye abantu. Kodwa lokhu akwenzeki kuwo wonke umuntu, akunjalo? Kwabanye kuphela. Kodwa kubalulekile ukuqaphela. Ake sihlukanise le miphumela emibi ibe yizigaba ezimbili.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho ngokushesha.

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe nolimi.
• Izinguquko embonweni: Ukubona okufiphele, ukubona okuphindwe kabili, njll.
• Ukuqubuka, umkhuhlane, kanye nokuvuvukala kwama-lymph node: Lokhu kungaba uphawu lwesimo esibi kakhulu njenge-DRESS syndrome.
• Ukusabela okukhulu kwesikhumba: ukubomvu, ukuqubuka, ukuxebuka noma ukukhululeka kwesikhumba, kufaka phakathi nangaphakathi komlomo.
• Izimpawu zokulimala kwesibindi: Lezi yizimpawu okufanele uziqaphele kakhulu. Umchamo ophuzi omnyama noma onsundu; Ukuzizwa ukhathele noma unomkhuhlane; Indle ephaphathekile; Ukulahlekelwa yisifiso sokudla; ​​Isicanucanu; Ubuhlungu esiswini esingaphezulu kwesokudla; ​​Ukuzizwa ukhathele noma ukhathele ngendlela engavamile; Ukuphuzi kwamehlo noma isikhumba. Uma ubona noma yikuphi kwalokhu, bona udokotela ngokushesha.
• Imicabango yokuzibulala noma ezinye izinguquko zesimo sengqondo .
• Ukopha noma ukuklwebheka okungajwayelekile ( isib. ukopha ekhaleni, ukopha kwezinsini, ukuba luhlaza okwesibhakabhaka ngenxa yokulimala okuncane).

Imiphumela emibi engavamile ukudinga ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka noma kukukhathaza kakhulu, tshela udokotela wakho.

• Ukuqunjelwa
• Uhudo
• Isiyezi
• Ukulahlekelwa izinwele (lokhu kungaba yinto ecasulayo kwabanye abantu)
• Ikhanda elibuhlungu
• Ukulahlekelwa yisifiso sokudla
• Ukukhuluphala (lokhu kuyinkinga nakwabanye)

Akuzona zonke imiphumela emibi kulolu hlu engenzeka. Uma ubona noma yini engavamile ngaphezu kwalokhu, khuluma nodokotela wakho ngalokho futhi.

Ngingawugcina kanjani lo muthi?

Ukugcina imithi kahle nakho kuyasiza ekugcineni ikhwalithi yayo.

• Yigcine kude nezingane.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, noma ama-degree Fahrenheit angu-59 no-86). Ungagcini ezindaweni ezishisa kakhulu noma ezinomswakama, njengasezindlini zangasese.
• Gcina umlomo webhodlela lomuthi noma iphakethe uvaliwe kahle .
• Ungasebenzisi imithi esiphelelwe yisikhathi, yilahle.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, sesikhulume kakhulu ngalo muthi obizwa ngokuthi i-valproic acid. Uma kufanele usebenzise lo muthi, khumbula lezi zinto:

• Lona umuthi onamandla okufanele usetshenziswe ngaphansi kweseluleko sikadokotela. Ngakho-ke, thatha njengoba nje udokotela esho, ngenani alishoyo, nangesikhathi alishoyo.
• Ungalokothi uyeke ukuthatha lokhu ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
• Qaphela imiphumela emibi engaba khona , ikakhulukazi ukusabela okukhulu kwesikhumba, imiphumela yesibindi, kanye nokushintsha kwemizwa. Uma ubona noma yikuphi kwalokhu, tshela udokotela wakho ngokushesha.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
• Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuthatha lo muthi.
• Uma uneminye imibuzo noma ukukhathazeka ngalo muthi, sicela ungangabazi ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Ngikufisela impilo enhle!

I- Valproic acid, i-divalproex sodium, ukuquleka, isifo sokuwa, i-bipolar, i-migraine, imiphumela emibi