Perampanel

Zamkati
- Musanatenge perampanel,
- Perampanel imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa mgawo LOFUNIKA KUCHENJEZA NDI KUSANGALALA, siyani kumwa perampanel ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo izi:
Anthu omwe atenga perampanel asintha kwambiri kapena zowopseza moyo wawo wamaganizidwe ndi machitidwe, makamaka chidani kapenaukali kwa ena. Uzani dokotala wanu ngati mwakhalapo kapena mukudwala matenda amisala kapena nkhanza. Komabe, muyenera kudziwa kuti ndizotheka kukulitsa kusintha kwaumoyo wamaganizidwe ndi machitidwe mukamamwa perampanel ngakhale simunakhalepo ndi vuto lamaganizidwe kapena machitidwe m'mbuyomu. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo ngati mungasinthe momwe mumamvera, machitidwe, kapena umunthu mukamachiza ndi perampanel kapena kwa mwezi umodzi mutasiya mankhwala anu. Dokotala wanu amayang'anitsitsa thanzi lanu lamaganizidwe mukamamwa mankhwala ndi perampanel, makamaka mukayamba kumwa mankhwalawa komanso nthawi iliyonse yomwe mankhwala anu asinthidwa. Ngati mukumane ndi izi, itanani dokotala wanu mwachangu: mwankhanza, chidani, mkwiyo, nkhawa, kukwiya, machitidwe okayikira kapena osakhulupirika, chisokonezo, zovuta zokumbukira, ndikuganiza zovulaza kapena kupha ena kapena kuwopseza kapena kuyesa kutero. Dokotala wanu akhoza kuchepetsa mlingo wanu kapena kusiya mankhwala anu.
Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi perampanel ndipo nthawi iliyonse mukamadzaza 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 perampanel.
Perampanel imagwiritsidwa ntchito pochiza mitundu ina yakanthawi kochepa (khunyu kamene kamangokhala gawo limodzi laubongo) mwa akulu ndi ana azaka 4 kapena kupitirira. Amagwiritsidwanso ntchito limodzi ndi mankhwala ena kuti athetse mitundu ina yamatenda amtundu wa tonic-clonic (omwe kale amadziwika kuti kugwidwa kwakukulu; kulanda komwe kumakhudza thupi lonse) mwa akulu ndi ana azaka 12 kapena kupitilira apo. Perampanel ali mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pochepetsa magwiridwe antchito amagetsi muubongo.
Perampanel imabwera ngati piritsi komanso kuyimitsa (madzi) kutenga pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku asanagone. Tengani perampanel mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani perampanel chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Sambani kuyimitsidwa bwino musanagwiritse ntchito kusakaniza mankhwala mofanana.
Nthawi zonse gwiritsani ntchito sirinji ya pakamwa (pakamwa) yomwe imabwera ndi kuyimitsidwa kwa perampanel kukonzekera ndi kuyeza mlingo wanu. Musagwiritse ntchito supuni ya banja kuti muyese mlingo wanu.
Dokotala wanu mwina angakuyambitseni pa perampanel yocheperako ndipo pang'onopang'ono muwonjezere mlingo wanu, osapitilira kamodzi sabata iliyonse.
Perampanel ikhoza kukhala chizolowezi chopanga. Musatenge mlingo wokulirapo, tengani nthawi zambiri, kapena tengani nthawi yayitali kuposa momwe adalangizire dokotala.
Perampanel itha kuthandizira kuwongolera matenda anu koma sachiza. Osasiya kumwa perampanel osalankhula ndi dokotala. Mukasiya mwadzidzidzi kugwiritsa ntchito perampanel, kugwa kwanu kumatha kukulirakulira. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge perampanel,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la perampanel, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a perampanel kapena kuyimitsidwa pakamwa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
- Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: barbiturates monga phenobarbital ndi secobarbital (Seconal); mankhwala a chifuwa, nkhawa, chifuwa ndi kuzizira, matenda amisala, ndi ululu; mankhwala a khunyu monga carbamazepine (Carbatrol, Tegretol, Equetro), oxcarbazepine (Trileptal, Oxtellar), phenytoin (Dilantin, Phenytek), primidone (Mysoline), ndi topiramate (Topamax); mfuti (Rifadin); mankhwala ogonetsa; mapiritsi ogona; ndi zotontholetsa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi perampanel, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- muyenera kudziwa kuti perampanel imachepetsa kugwira ntchito kwa njira zolerera za mahomoni (mapiritsi oletsa kubereka, zigamba, mphete, kapena ma implants) omwe ali ndi levonorgestrel. Gwiritsani ntchito njira ina yolerera mukamamwa perampanel komanso mwezi umodzi mutatha kumwa mankhwala. Funsani dokotala wanu kapena wamankhwala ngati simukudziwa ngati njira yanu yolerera ili ndi levonorgestrel.
- uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
- uzani dokotala ngati mumamwa kapena mumamwa mowa wambiri, ngati mumamwa kapena munagwiritsapo ntchito mankhwala osokoneza bongo, kapena ngati mumagwiritsa ntchito mankhwala osokoneza bongo. Uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga perampanel, itanani dokotala wanu.
- Muyenera kudziwa kuti perampanel imatha kubweretsa chizungulire, kugona, komanso mavuto chifukwa chogwirizana komanso kusamala. Izi zitha kuwonjezera ngozi zakugwa zomwe zitha kuvulaza kwambiri, makamaka ngati ndinu okalamba. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita nawo zinthu zomwe zimafunikira kukhala tcheru kapena kulumikizana mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa perampanel. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku perampanel kukulirakulira.
- muyenera kudziwa kuti thanzi lanu lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa perampanel. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants ngati perampanel kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amalandira chithandizo. 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 perampanel, 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); kuyankhula kapena kuganiza zofuna 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.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Pitani muyezo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya. Ngati mwaphonya mlingo umodzi, funsani dokotala wanu.
Perampanel imatha kubweretsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- chizungulire kapena mphamvu yozungulira
- Kusinza
- kudzimbidwa
- nseru
- kusanza
- mutu
- kutopa
- kunenepa
- kupsa mtima
- kufooka
- mavuto ndi mgwirizano
- kupweteka kwa minofu, kumbuyo, kapena molumikizana
- kuchepa kwa kukhudza kapena kumva
- kusawona bwino kapena masomphenya awiri
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi chimodzi mwazizindikirozi kapena zomwe zalembedwa mgawo LOFUNIKA KUCHENJEZA NDI KUSANGALALA, siyani kumwa perampanel ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
- zidzolo; ming'oma; malungo kapena zotupa zotupa; kutupa kwa nkhope kapena miyendo yanu; kupuma movutikira; chikasu cha khungu kapena maso; kapena mkodzo wakuda
Perampanel 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). Osazizira kuyimitsidwa. Chotsani kuyimitsidwa kulikonse komwe sikugwiritsidwe ntchito patatha masiku 90 mutatsegula botolo.
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
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.
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:
- chizungulire
- kusintha kosazolowereka pamakhalidwe kapena malingaliro
- kubvutika
- nkhanza
Sungani maimidwe onse ndi dokotala wanu.
Musalole kuti aliyense azimwa mankhwala anu. Perampanel ndi chinthu cholamulidwa. 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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