Mankhwala osokoneza bongo

Zamkati

• Musanatenge cannabidiol,
• Cannabidiol ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Cannabidiol imagwiritsidwa ntchito poletsa kugwa kwa achikulire ndi ana azaka 1 zakubadwa kapena kupitilira ndi matenda a Lennox-Gastaut (matenda omwe amayamba adakali ana ndipo amayamba kugwa, kuchepa kwachitukuko, ndimakhalidwe), Dravet syndrome (matenda omwe amayamba koyambirira ubwana ndipo zimayambitsa kugwa ndipo pambuyo pake zimatha kubweretsa kuchedwa kwachitukuko ndikusintha pakudya, kuyerekeza, komanso kuyenda), kapena matenda a tuberous sclerosis (TSC; chibadwa chomwe chimayambitsa zotupa kukula m'matumba ambiri). Cannabidiol ali mgulu la mankhwala otchedwa cannabinoids. Sizikudziwika momwe cannabidiol imagwirira ntchito popewa kulanda.

Cannabidiol imabwera ngati yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kawiri patsiku. Mutha kutenga cannabidiol mwina ndi chakudya kapena opanda, koma onetsetsani kuti mumadya momwemo nthawi iliyonse. Tengani cannabidiol mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani cannabidiol ndendende monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Gwiritsani ntchito syringe yapakamwa yomwe idabwera ndi mankhwalawa poyesa yankho. Chitani ayi Gwiritsani ntchito supuni ya banja kuti muyese mlingo wanu.

Gwiritsani ntchito syringe pakamwa nthawi iliyonse yomwe mumamwa mankhwalawo. Yankho lake limasintha ngati madzi alowa mu botolo la mankhwala kapena ali mkati mwa jekeseni, koma izi sizisintha chitetezo kapena momwe mankhwala amagwirira ntchito.

Yankho lakamwa lingaperekedwe kudzera mu chubu chodyetsera. Ngati muli ndi chubu chodyetsera, funsani adotolo momwe mungamwe mankhwalawo. Tsatirani malangizowa mosamala.

Dokotala wanu akuyambitsani pamlingo wochepa wa cannabidiol ndipo pang'onopang'ono muwonjezere mlingo wanu, nthawi zambiri osapitilira kamodzi sabata iliyonse.

Cannabidiol imathandizira kuwongolera matenda anu, koma sachiza. Pitirizani kumwa cannabidiol ngakhale mukumva bwino. Osasiya kumwa cannabidiol osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kugwiritsa ntchito cannabidiol, mutha kukhala ndi zizindikilo zobwerera m'mbuyo monga kugwa kwatsopano kapena koipiraipira. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

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

Musanatenge cannabidiol,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi cannabidiol, mankhwala ena aliwonse, nthangala za nthangala za sesame, kapena zina mwazosakaniza za cannabidiol. 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: mankhwala a nkhawa; bupropion (Aplenzin, Zyban); khofi; carbamazepine (Carbatrol, Equetro, Tegretol, Teril); cimetidine (Tagamet); clarithromycin (mu Biaxin); clobazam (Onfi); diazepam (Diastat, Valium); zovuta; diltiazem (Cardizem, Cartia, Taztia, ena); efavirenz (Sustiva); erythromycin (EES, Eryped, Ery-tab); esomeprazole (Nexium); felbamate (Felbatol); fenofibrate (Antara); fluoxetine (Prozac); fluvoxamine (Luvox); gemfibrozil (Lopid); indinavir (Crixivan); isoniazid (Laniazid, mu Rifater); itraconazole (Onmel, Sporanox); ketoconazole; lamotrigine (Lamictal); lansoprazole (Prevacid); lorazepam (Ativan); mankhwala a matenda amisala; morphine (Astramorph, Kadian); nefazodone; nelfinavir (Viracept); nevirapine (Viramune); omeprazole (Prilosec); kulera pakamwa; pantoprazole (Protonix); phenobarbital; phenytoin (Dilantin, Phenytek); rifabutin (Mycobutin); rifampin (Rifadin, mu Rifamate, ku Rifater); ritonavir (Norvir, ku Kaletra); mankhwala ogonetsa; mapiritsi ogona; mankhwala a khunyu; theophylline (Elixophyllin, Theo-24); ticlopidine; zotetezera; valproate (Depacon); verapamil (Verelan); ndi voriconazole (Vfend). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi cannabidiol, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka St. John's Wort.
• uzani dokotala wanu ngati mumamwa kapena mumamwa mowa wambiri kapena munagwiritsapo ntchito mankhwala osokoneza bongo kapena mankhwala osokoneza bongo. Muuzeni dokotala ngati mwakhalapo ndi vuto lakukhumudwa, mavuto amisala, malingaliro ofuna kudzipha kapena machitidwe, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga cannabidiol, itanani dokotala wanu.
• muyenera kudziwa kuti cannabidiol imatha kukupangitsani kuti mugone kapena musakhale ndi chidwi. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa cannabidiol. Mowa umatha kupangitsa mavuto ena kuchokera ku cannabidiol.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa cannabidiol. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants kuti athetse zovuta zosiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amalandira chithandizo. Pali chiopsezo kuti mutha kusintha thanzi lanu lam'mutu mukamamwa mankhwala a anticonvulsant monga cannabidiol, koma pakhoza kukhala pachiwopsezo kuti musinthe 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; 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.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

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.

Cannabidiol ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutsegula m'mimba
• kutopa
• kuvuta kugona kapena kugona
• kusowa chilakolako
• kuonda
• kupweteka m'mimba kapena kusapeza bwino
• kukhetsa kapena malovu opyola muyeso
• mavuto poyenda

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

• zidzolo
• ming'oma
• kufiira
• kusowa chilakolako; nseru; kusanza; chikopa chachikaso kapena maso; kuyabwa; mdima wodabwitsa wa mkodzo; kapena kupweteka kwa m'mimba chapamwamba kapena kusapeza bwino
• malungo, chifuwa, kapena zizindikiro zina za matenda

Cannabidiol ikhoza kuyambitsa 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 kapena kuyimitsa njirayo. Tayani yankho lililonse lomwe simunagwiritse ntchito lomwe latsala milungu 12 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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu lingayankhire cannabidiol.

Musanapite kukayezetsa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa cannabidiol.

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.

• Epidiolex^®