Ezogabine

Zamkati

• Musanatenge ezogabine,
• Ezogabine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Ezogabine sichikupezeka ku United States pambuyo pa June 30, 2017. Ngati mukumwa ezogabine, muyenera kuyimbira dokotala kuti akambirane zosinthira kuchipatala china.

Ezogabine imatha kusintha kusintha kwa diso (zosanjikiza za minofu yomwe ili kumbuyo kwa diso) zomwe zingayambitse kuwonongeka kwa masomphenya. Masinthidwe awa atha kukhala osatha. Uzani dokotala wanu nthawi yomweyo mukawona masomphenya akusintha mukamamwa mankhwalawa.

Dokotala wanu amalamula kuti muyesedwe diso musanalandire chithandizo komanso miyezi isanu ndi umodzi iliyonse mukamamwa ezogabine. Sungani maimidwe onse ndi dokotala komanso dokotala wanu wamaso.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi ezogabine 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 ezogabine.

Ezogabine imagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse khunyu pang'ono (khunyu kamene kamangokhala ndi gawo limodzi laubongo) mwa akuluakulu. Ezogabine ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa magwiridwe antchito amagetsi muubongo.

Ezogabine imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa wopanda chakudya katatu patsiku. Tengani ezogabine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa.

Kumeza mapiritsi lonse; osagawanika, kutafuna, kusungunula, kapena kuwaphwanya.

Dokotala wanu angakuyambitseni pamlingo wochepa wa ezogabine ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi sabata iliyonse.

Tengani ezogabine ndendende monga mwalamulidwa. Ezogabine itha kukhala chizolowezi chopanga. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala.

Ezogabine itha kuthandizira kuwongolera matenda anu koma sangachiritse. Zitha kutenga milungu ingapo kapena kupitilira apo kuti mumve kupindula ndi ezogabine. Pitilizani kumwa ezogabine ngakhale mukumva bwino. Osasiya kumwa ma ezogabine osalankhula ndi dokotala, ngakhale mutakhala ndi zovuta zina monga kusintha kwachilendo pamachitidwe kapena malingaliro. Mukasiya mwadzidzidzi kumwa ezogabine, khunyu lanu limatha kuchitika pafupipafupi. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono pamasabata atatu.

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

Musanatenge ezogabine,

• uzani dokotala wanu komanso wazamankhwala ngati muli ndi vuto la ezogabine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a ezogabine. 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: amiodarone (Cordarone, Pacerone); maantibayotiki ena monga azithromycin (Zithromax), clarithromycin (Biaxin), erythromycin (EES, Erythrocin), kapena moxifloxacin (Avelox); chloroquine (Aralen); mankhwala; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), chlorpromazine; citalopram (Celexa); digoxin (Cardoxin, Digitek, Lanoxicaps, Lanoxin); disopyramide (Norpace); dofetilide (Tikosyn); mankhwala osokoneza bongo (Inapsine); zachilengedwe (Tambocor); haloperidol (Haldol); ipratropium (Atrovent); mankhwala a matenda opunduka, matumbo, matenda a Parkinson, zilonda, kapena mavuto amikodzo; mesoridazine (Serentil); methadone (Dolophine); pentamidine (NebuPent, Pentam); phenytoin (Dilantin, Phenytek); pimozide (Orap); procainamide (Kutchulidwa); quinidine (mu Nuedexta); sotalol (Betapace); thioridazine; ndi vandetanib (Caprelsa). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mumamwa kapena mumamwa mowa wambiri komanso ngati mwakhalapo ndi benign prostatic hyperplasia (BPH; kukulitsa prostate) kapena vuto lina lililonse lomwe limayambitsa kukodza, kukanika kwa mtima kapena mavuto ena amtima, QT yayitali nthawi (vuto la mtima lomwe lingayambitse kugunda kwa mtima, kukomoka, kapena kufa mwadzidzidzi), potaziyamu kapena magnesium wambiri m'magazi anu, kapena matenda a impso kapena chiwindi.

• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ezogabine, itanani dokotala wanu.

  
  
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa ezogabine.
• muyenera kudziwa kuti ezogabine imatha kukupangitsani kukhala ozunguzika, osinza, osokonezeka, kapena osatha kuyika chidwi. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa ezogabine. Mowa umatha kupangitsa chizungulire komanso kuwodzera komwe kumayambitsidwa ndi ezogabine.
• 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 ezogabine pochiza khunyu kapena matenda ena. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi munthu m'modzi mwa anthu 500) omwe adatenga ma anticonvulsants monga ezogabine kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amawalandira. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga ezogabine, koma pakhoza kukhalanso pachiwopsezo kuti musinthe kusintha kwaumoyo wanu 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; kuvuta kugona kapena kugona; aukali, aukali, kapena achiwawa; mania (kukwiya, kusangalala modabwitsa); kuyankhula kapena kuganiza zofuna kudzipweteka kapena kudzipha; kudzipatula kwa abwenzi ndi abale; kutanganidwa ndi imfa ndi kufa; kupereka zinthu zamtengo wapatali; 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.

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.

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

• mavuto ndi mgwirizano, kulimbitsa thupi, kapena kuyenda
• mavuto okumbukira
• chizungulire
• Kusinza, kusokonezeka, kapena kuvuta kuyang'ana
• kutopa
• kufooka
• kuvuta kapena kulephera kulankhula kapena kumvetsetsa zolankhula kapena chilankhulo
• kumva dzanzi, kumva kulasalasa, kumenyedwa, kutentha, kapena kukwawa pakhungu
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• mkodzo mtundu
• nseru
• kudzimbidwa
• kunenepa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kulephera kuyamba kukodza
• kusintha kwa mtundu (wabuluu) wakhungu, milomo, kapena zikhadabo
• kupweteka pokodza
• mkodzo wofooka
• kuvuta kutulutsa chikhodzodzo
• magazi mkodzo
• kuvuta kuganiza bwino, kumvetsetsa zenizeni, kapena kuganiza bwino
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)

Ezogabine 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).

Sungani ezogabine pamalo otetezeka kuti wina aliyense asazitengere mwangozi kapena mwadala. Onetsetsani kuti ndi mapiritsi angati omwe atsala kuti mudziwe ngati pali ena omwe akusowa.

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:

• kupsa mtima
• nkhanza
• kubvutika
• kugunda kwamtima kosasintha

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

Musalole kuti aliyense azimwa mankhwala anu. Ezogabine ndi chinthu chowongoleredwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.

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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