Rufinamide

Zamkati

• Musanatenge rufinamide,
• Rufinamide imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Rufinamide imagwiritsidwa ntchito ndi mankhwala ena kuti athetse kugwidwa kwa anthu omwe ali ndi matenda a Lennox-Gastaut (matenda oopsa a khunyu omwe amayamba ali mwana ndipo amayambitsa mitundu ingapo ya kugwidwa, kusokonezeka kwamakhalidwe, komanso kuchedwa kwachitukuko). Rufinamide ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa chisangalalo chachilendo muubongo.

Rufinamide amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kawiri patsiku. Tengani rufinamide mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani rufinamide monga momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mapiritsi a Rufinamide amatha kumezedwa kwathunthu, kuthyoledwa pakati pamapepala, kapena kuphwanyidwa. Lankhulani ndi dokotala kapena wamankhwala za njira yabwino kwambiri yomwe mungatengere rufinamide.

Dokotala wanu mwina angakuyambitseni pa mlingo wochepa wa rufinamide ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi tsiku lililonse.

Rufinamide itha kuthandizira kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa rufinamide ngakhale mukumva bwino. Osasiya kumwa rufinamide osalankhula ndi dokotala. Mukasiya kumwa rufinamide mwadzidzidzi, khunyu lanu limatha kukulirakulira. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi rufinamide ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge rufinamide,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi rufinamide kapena mankhwala aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: carbamazepine (Carbatrol, Equetro, Tegretol), phenobarbital, phenytoin, primidone (Mysoline), triazolam (Halcion), ndi valproic acid (Depakene, Depakote, Stavzor). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mudakhalapo ndi matenda amtundu wa QT (chibadwa chomwe chimayambitsa kugunda kwamtima, chizungulire, kukomoka, kapena kufa mwadzidzidzi). Dokotala wanu angakuuzeni kuti musatenge rufinamide.
• uzani dokotala wanu ngati mukukuthandizani ndi dialysis (mankhwala ochotsera zinyalala m'magazi impso sizikugwira ntchito bwino) komanso ngati mwakhalapo ndi matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga rufinamide, itanani dokotala wanu.
• muyenera kudziwa kuti rufinamide imatha kuchepetsa mphamvu yolerera yapa mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, ndi jakisoni). Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni mukamamwa rufinamide.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa rufinamide.
• muyenera kudziwa kuti rufinamide imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa rufinamide. Mowa umatha kukulitsa mavuto obwera chifukwa cha rufinamide.
• muyenera kudziwa kuti thanzi lanu lingasinthe m'njira zosayembekezereka, ndipo mutha kudzipha (ganizirani zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa rufinamide. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira omwe adatenga ma anticonvulsants monga rufinamide panthawi yamaphunziro azachipatala amapezeka kuti ali ndi mwayi wambiri kudzipha kuposa anthu omwe sanamwe mankhwalawo. Kuwonjezeka kwa chiopsezo chofuna kudzipha kunawonedwa sabata limodzi atangoyamba kumwa mankhwala. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: Kulephera kugona kapena kugona, kuchita zinthu mopupuluma komanso moopsa, mantha, nkhawa, kukwiya, nkhanza, mania (openga, osangalala modabwitsa kusangalala), kulankhula kapena kuganiza zakufuna kudzipweteka kapena kudzipha, kudzipatula kwa anzako ndi abale, kupsinjika kwatsopano kapena kukulira, kutanganidwa ndi imfa ndi kufa, kapena kupereka zinthu zamtengo wapatali. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Rufinamide imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kugona
• mutu
• kutayika kwa mgwirizano
• kuyenda movutikira
• kuyenda kwambiri kapena zochitika
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• mayendedwe osalamulirika amaso
• kuvuta kutchera khutu
• chizungulire
• kusowa chilakolako
• nseru
• kusanza
• kupweteka kwa msana
• kupweteka m'mimba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• malungo
• zidzolo
• ming'oma
• kuyabwa
• kutupa kwa nkhope
• kuchepa kutha kuyankha kwa ena
• kugwidwa
• kusawona bwino kapena masomphenya awiri
• chikasu cha khungu kapena maso
• mkodzo wamtundu wakuda
• chopondapo chowala

Rufinamide imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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