Vigabatrin

Zamkati

• Musanatenge vigabatrin,
• Vigabatrin imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Vigabatrin imatha kuyambitsa kuwonongeka kwa masomphenya kwamuyaya, kuphatikiza kutayika kwa masomphenya ndi kuwona kwamaso. Ngakhale kutayika kwa masomphenya ndikotheka ndi kuchuluka kwa vigabatrin, chiopsezo chanu chimatha kukhala chachikulu ndikulandila kwa vigabatrin tsiku lililonse komanso nthawi yayitali. Kutaya masomphenya kumatha kuchitika nthawi iliyonse mukamamwa mankhwala ndi vigabatrin. Kutayika kwa masomphenya sikuyenera kuzindikirika kusanachitike. Uzani dokotala wanu ngati mwakhala mukukumana ndi mavuto amaso. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: ganizirani kuti simukuwonanso komanso musanatenge vigabatrin; kuyamba kukhumudwa, kugundana ndi zinthu, kapena kuchita zinthu mopupuluma kuposa masiku onse; mumadabwitsidwa ndi anthu kapena zinthu zomwe zikubwera patsogolo panu zomwe zimawoneka ngati sizingachitike; kusawona bwino; masomphenya awiri; kusuntha kwa diso komwe simungathe kulamulira; kupweteka kwa diso; ndi mutu.

Chifukwa cha kuwonongeka kwakanthawi kochepa ndi mankhwalawa, vigabatrin imapezeka pokhapokha pulogalamu yapadera yotchedwa Sabril REMS^®. Inu, dokotala wanu, komanso wamankhwala anu muyenera kulembetsa nawo pulogalamuyi musanalandire vigabatrin. Anthu onse omwe amapatsidwa vigabatrin ayenera kukhala ndi mankhwala ochokera ku dokotala yemwe adalembetsa ku Sabril REMS^® ndikudzazidwa ndi mankhwala ku pharmacy yomwe imalembetsedwa ndi Sabril REMS^® kuti mulandire mankhwalawa. Funsani dokotala wanu kuti mumve zambiri za pulogalamuyi komanso momwe mungalandire mankhwala anu.

Dokotala wamaso adzayesa masomphenya anu pasanathe milungu inayi mutayamba vigabatrin, osachepera miyezi itatu iliyonse mukamalandira chithandizo, komanso miyezi 3-6 mutasiya mankhwala. Kuyesedwa kwa masomphenya kumakhala kovuta kwa makanda ndipo mwina sangapeze kutayika kwamaso asanafike povuta. Onetsetsani kuti mwamuyimbira foni nthawi yomweyo ngati mukuganiza kuti mwana wanu sakuwonanso komanso asanatenge vigabatrin kapena akuchita mosiyana ndi masiku onse. Kuyesedwa kwa masomphenya sikungalepheretse kuwonongeka kwa masomphenya koma ndikofunikira kuti muchepetse kuwonongeka kwina chifukwa choimitsa vigabatrin ngati masomphenya asintha. Mukazindikira, kutayika kwa masomphenya sikungasinthe. Ndizotheka kuti kuwonongeka kwina kumatha kuchitika mutayimitsa vigabatrin.

Dokotala wanu adzayesa yankho lanu ndikupitiliza kufunika kwa vigabatrin. Izi zimachitika pasanathe milungu iwiri kuchokera pamene ayamba kulandira chithandizo kwa makanda ndi ana, mkati mwa miyezi itatu kuchokera pomwe ayamba kulandira chithandizo kwa akulu, kenako pafupipafupi monga amafunikira odwala onse. Ngati dokotala akuwona kuti vigabatrin sikukuthandizani, ndiye kuti chithandizo chanu chiyenera kuyimitsidwa.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Chithandizo cha Mankhwala) mukayamba mankhwala ndi vigabatrin 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/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito vigabatrin.

Mapiritsi a Vigabatrin amagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athane ndi mitundu ina ya khunyu mwa akulu ndi ana azaka 10 kapena kupitilira apo omwe kugwidwa kwawo sikunayendetsedwe ndi mankhwala ena angapo. Vigabatrin ufa amagwiritsidwa ntchito poletsa ma infasms a ana (mtundu wa kulanda komwe ana ndi ana amatha kukhala nawo) m'makanda mwezi umodzi mpaka zaka ziwiri. Vigabatrin ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa magwiridwe antchito amagetsi muubongo.

Vigabatrin imabwera ngati ufa wosakanizidwa ndi madzi komanso ngati piritsi loti ukamwe. Nthawi zambiri amatengedwa kawiri patsiku kapena wopanda chakudya. Tengani vigabatrin mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani vigabatrin ndendende monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu mwina angakuyambitseni pa vigabatrin wocheperako pang'ono ndi pang'ono ndikuwonjezerani mlingo wanu, osati kangapo kamodzi masiku atatu kwa ana omwe alandila ufa wosakanizidwa ndi madzi ndipo kamodzi pa sabata kwa akulu omwe amamwa mapiritsi.

Vigabatrin itha kuthandizira kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa vigabatrin ngakhale mukumva bwino. Osasiya kumwa vigabatrin osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kutenga vigabatrin, kukomoka kwanu kumatha kuchitika pafupipafupi. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono, osati kangapo kamodzi pa masiku 3-4 kwa ana omwe alandila ufa wosakanizidwa ndi madzi ndipo kamodzi pa sabata kwa akulu omwe amamwa mapiritsi. Uzani dokotala wanu nthawi yomweyo ngati khunyu lanu limachitika kawirikawiri mukamayimitsa vigabatrin.

Ngati mukumwa ufa, muyenera kusakaniza ndi madzi ozizira kapena otentha nthawi yomweyo musanamwe. Osasakaniza ufa ndi madzi kapena chakudya china. Adotolo angakuwuzeni mapaketi angati a vigabatrin ufa woti mugwiritse ntchito komanso kuchuluka kwa madzi osakanikirana nawo. Dotolo adzakuuzaninso kuchuluka kwakusakaniza komwe mungatenge pamlingo uliwonse. Musagwiritse ntchito supuni ya banja kuti muyese mlingo wanu. Gwiritsani ntchito sirinji yamlomo yomwe idabwera ndi mankhwalawa. Werengani mosamala malangizo a opanga omwe amafotokoza momwe angasakanizire ndi kumwa mankhwala a vigabatrin. Onetsetsani kuti mufunse wamankhwala kapena dokotala wanu ngati muli ndi mafunso okhudza momwe mungasakanizire kapena kumwa mankhwalawa.

Lankhulani ndi dokotala zomwe muyenera kuchita ngati mwana wanu akusanza, kulavulira, kapena kungotenga gawo la vigabatrin.

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

Musanatenge vigabatrin,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la vigabatrin, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a vigabatrin kapena ufa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: clonazepam (Klonopin) kapena phenytoin (Dilantin, Phenytek). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi vigabatrin, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sawoneka pano.
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga vigabatrin, itanani dokotala wanu.
• muyenera kudziwa kuti vigabatrin imatha kukupangitsani kugona kapena kutopa. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Ngati masomphenya anu awonongeka ndi vigabatrin, kambiranani ndi dokotala wanu ngati mungathe kuyendetsa bwino kapena ayi.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) pomwe mukumwa vigabatrin. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi munthu m'modzi mwa anthu 500) omwe adatenga ma anticonvulsants ngati vigabatrin kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amawalandira. Ena mwa anthuwa adayamba kudzipha pakangotha ​​sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga vigabatrin, koma pakhoza kukhala pachiwopsezo kuti mungasinthe thanzi lanu lam'mutu ngati matenda anu sakuchiritsidwa. Inu ndi dokotala wanu muwona ngati kuopsa kokumwa mankhwala a anticonvulsant ndiokulirapo kuposa kuopsa kosamwa mankhwalawo. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: mantha; kusakhazikika kapena kusakhazikika; kukwiya kwatsopano kapena kukulira, nkhawa, kapena kukhumudwa; kuchita zofuna zawo; zovuta kugona kapena kugona; aukali, aukali, kapena achiwawa; mania (kukwiya, kusangalala modabwitsa); kuganizira kapena kuyesa kudzipweteka kapena kudzipha; kapena kusintha kwina kulikonse pamakhalidwe kapena malingaliro. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.
• muyenera kudziwa kuti mwa ana ena omwe adatenga vigabatrin panali zosintha pazithunzi zaubongo zomwe zidatengedwa ndi kujambula kwa maginito (MRI). Kusintha kumeneku sikunawoneke kwa ana okulirapo kapena akulu. Kawirikawiri kusintha kumeneku kumatha akapatsidwa mankhwala. Sizikudziwika ngati zosinthazi ndizovulaza.

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.

Vigabatrin imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kugona
• chizungulire
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• kufooka
• kulumikizana kapena kupweteka kwa minofu
• mavuto kuyenda kapena kumva kuti sizikugwirizana
• mavuto okumbukira komanso kusaganiza bwino
• kunenepa
• kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
• kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi
• malungo
• kupsa mtima
• kutsegula m'mimba
• nseru
• kusanza
• kudzimbidwa
• kupweteka m'mimba
• kutentha pa chifuwa
• kukokana kowawa kwambiri msambo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi kapena zomwe zalembedwa mgulu la CHENJEZO CHENJEZO kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu:

• chisokonezo
• kutopa
• khungu lotumbululuka
• kugunda kwamtima mwachangu
• kuvuta kupuma
• ming'oma
• kuyabwa

Vigabatrin 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 mapiritsi a vigabatrin ndi ufa wa vigabatrin mu chidebe chomwe adalowamo, chatsekedwa mwamphamvu, komanso kuti ana asafikire. 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.

Zizindikiro za bongo zingaphatikizepo izi:

• Kusinza
• kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wanu komanso dotolo wamaso.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa vigabatrin.

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.

• Sabril^®