Mavitamini a Valproic

Zamkati

• Musanayambe kumwa valproic acid,
• Valproic acid imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Divalproex sodium, valproate sodium, ndi valproic acid, onse ndi mankhwala ofanana omwe amagwiritsidwa ntchito ndi thupi ngati valproic acid. Chifukwa chake, akuti asidi wa valproic zidzagwiritsidwa ntchito kuyimira mankhwala onsewa pazokambirana izi.

Valproic acid imatha kuwononga chiwindi kapena kuwononga moyo pachiwindi chomwe chitha kuchitika mkati mwa miyezi 6 yoyambirira ya mankhwala. Chiwopsezo chokhala ndi chiwindi chowopsa chimakhala chachikulu kwa ana omwe sanakwanitse zaka ziwiri komanso akumamwa mankhwala opitilira umodzi kuti asatengeke, ali ndi matenda ena obadwa nawo omwe angalepheretse thupi kusintha chakudya kukhala champhamvu, kapena vuto lililonse zimakhudza kuganiza, kuphunzira, ndi kumvetsetsa. Uzani dokotala wanu ngati muli ndi vuto linalake lomwe limakhudza ubongo, minofu, misempha, ndi chiwindi (Alpers Huttenlocher Syndrome), urea cycle disorder (mkhalidwe wobadwa nawo womwe umakhudza kutulutsa mapuloteni), kapena matenda a chiwindi. Dokotala wanu angakuuzeni kuti musamwe asidi ya valproic. Mukawona kuti kugwidwa kwanu kuli kovuta kwambiri kapena kumachitika pafupipafupi kapena ngati mukukumana ndi zina mwazizindikiro izi, pitani kuchipatala nthawi yomweyo: kutopa kwambiri, kusowa mphamvu, kufooka, kupweteka kumanja kwa m'mimba, kusowa kwa njala, nseru, kusanza ,, mkodzo wamdima, khungu lanu loyera kapena kuyera kwa maso anu, kapena kutupa kwa nkhope.

Valproic acid imatha kubweretsa zovuta zakubadwa (zovuta zomwe zimakhalapo pobadwa), makamaka zomwe zimakhudza ubongo ndi msana komanso zimatha kupangitsanso nzeru ndi mavuto poyenda komanso kulumikizana, kuphunzira, kulumikizana, momwe akumvera, komanso machitidwe a ana omwe ali ndi vuto la valproic asidi asanabadwe. Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Amayi omwe ali ndi pakati kapena omwe angathe kutenga pakati ndipo sakugwiritsa ntchito njira yolerera sayenera kumwa valproic acid kuti ateteze mutu waching'alang'ala. Azimayi omwe ali ndi pakati ayenera kungotenga valproic acid kuti athetse matenda kapena kupuma kwamankhwala (manic-depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zina zosafunikira) ngati mankhwala ena sanathe kuyendetsa bwino matendawa kapena sangakhale ntchito. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito valproic acid panthawi yapakati. Ngati ndinu mayi wazaka zobereka, kuphatikiza atsikana kuyambira kutha msinkhu, lankhulani ndi adokotala za kugwiritsa ntchito mankhwala ena m'malo mwa valproic acid. Ngati chisankho chapangidwa kuti mugwiritse ntchito valproic acid, muyenera kugwiritsa ntchito njira yoletsa pochiza. Lankhulani ndi dokotala wanu za njira zolerera zomwe zingakuthandizeni. Mukakhala ndi pakati mukatenga valproic acid, itanani dokotala wanu mwachangu. Valproic acid ikhoza kuvulaza mwana wosabadwayo.

Valproic acid imatha kuwononga kapamba. Izi zitha kuchitika nthawi iliyonse mukamalandira chithandizo. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kupweteka komwe kumayambira m'mimba koma kumafalikira kunsana, kusanza, kapena kusowa kwa njala.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuyankha kwanu ku valproic acid.

Lankhulani ndi dokotala wanu za kuopsa kotenga valproic acid kapena kupereka valproic acid kwa mwana wanu.

Dokotala wanu kapena wamankhwala amakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi valproic acid 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.

Valproic acid imagwiritsidwa ntchito payekha kapena ndi mankhwala ena kuti athetse matenda ena. Valproic acid imagwiritsidwanso ntchito kuthana ndi mania (magawo okhumudwa, osangalala modabwitsa) mwa anthu omwe ali ndi vuto la kusinthasintha zochitika (manic-depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zina zosakhala bwino). Amagwiritsidwanso ntchito popewera mutu waching'alang'ala koma osapulumutsa mutu womwe wayamba kale. Valproic acid ili mgulu la mankhwala otchedwa anticonvulsants. Zimagwira ntchito pakuwonjezera kuchuluka kwa zinthu zina zachilengedwe muubongo.

Valproic acid imabwera ngati kapisozi, piritsi lokhalitsa (lotenga nthawi yayitali), kutulutsa kochedwa (kutulutsa mankhwala m'matumbo kupewa kuwonongeka kwa m'mimba) piritsi, kapisozi wowaza (kapisozi yemwe ali ndi mikanda yaying'ono ya mankhwala omwe akhoza kukonkhedwa pa chakudya), ndi madzi (madzi) oti atenge pakamwa. Madzi otsekemera, makapisozi, mapiritsi otulutsidwa mochedwa, ndi makapisozi owaza nthawi zambiri amatengedwa kawiri kapena kupitilira tsiku. Mapiritsi otulutsira nthawi zambiri amatengedwa kamodzi patsiku. Tengani valproic acid mozungulira nthawi yofanana tsiku lililonse. Tengani valproic acid ndi chakudya kuti muteteze mankhwalawo kuti asakhumudwitse m'mimba mwanu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani valproic acid monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi anthawi zonse, kapisozi wochedwa, komanso mapiritsi otalikirapo; osagawana, kutafuna, kapena kuwaphwanya.

Mutha kumeza makapisozi athunthu, kapena mutha kutsegula makapisozi ndikuwaza mikanda yomwe ili ndi supuni ya tiyi ya tiyi, monga maapulosi kapena pudding. Kumeza chisakanizo cha mikanda ya chakudya ndi mankhwala mukangokonzekera. Samalani kuti musatafune mikanda. Osasunga zosakaniza zosagwiritsidwa ntchito za mankhwala ndi mankhwala.

Osasakaniza madziwo ndi chakumwa chilichonse cha kaboni.

Divalproex sodium, valproate sodium, ndi valproic acid zimayikidwa ndi thupi m'njira zosiyanasiyana ndipo sizingasinthane. Ngati mukufuna kusintha kuchokera pachinthu china, dokotala wanu angafunikire kusintha mlingo wanu. Nthawi iliyonse yomwe mumalandira mankhwala anu, onetsetsani kuti mwalandira mankhwala omwe adakulamulirani. Funsani wamankhwala wanu ngati simukudziwa kuti mwalandira mankhwala oyenera.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa valproic acid ndikuwonjezera mlingo wanu pang'onopang'ono.

Valproic acid itha kuthandizira kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa valproic acid ngakhale mukumva bwino. Osasiya kumwa mankhwala a valproic acid osalankhula ndi dokotala, ngakhale mutakumana ndi zovuta zina monga kusintha kwachilendo pamakhalidwe kapena malingaliro kapena ngati mwazindikira kuti muli ndi pakati. Ngati mwasiya mwadzidzidzi kumwa valproic acid, mutha kukumana ndi vuto lalikulu, lokhalitsa komanso mwina lowopseza moyo. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Valproic acid imagwiritsidwanso ntchito kuthana ndi kupsa mtima kwa ana omwe ali ndi vuto la kuchepa kwa matenda (ADHD; zovuta kwambiri kuyang'anitsitsa kapena kukhala chete kapena chete kuposa anthu ena amisinkhu yofanana). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Nthawi zina mankhwalawa amaperekedwa kuti agwiritsidwe ntchito. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanayambe kumwa valproic acid,

• auzeni dokotala ndi wazamankhwala ngati muli ndi vuto la valproic acid, mankhwala ena aliwonse, kapena zosakaniza zilizonse zamtundu wa valproic acid womwe wakupatsani. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• 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: acyclovir (Zovirax), maanticoagulants ('oponda magazi') monga warfarin (Coumadin), amitriptyline, aspirin, carbamazepine (Tegretol), cholestyramine (Prevalite), clonazepam (Klonopin), diazepam (Valium ), doripenem (Doribax), ertapenem (Invanz), ethosuximide (Zarontin), felbamate (Felbatol), njira zina zakulera za mahomoni (mapiritsi oletsa kubereka, mphete, zigamba, zopangira, jakisoni, ndi zida za intrauterine), imipenem ndi cilastatin (Primaxin), lamotrigine (Lamictal), mankhwala a nkhawa kapena matenda amisala, meropenem (Merrem), nortriptyline (Pamelor), phenobarbital, phenytoin (Dilantin), primidone (Mysoline), rifampin (Rifadin), rufinamide (Banzel), sedatives, mapiritsi ogona, tolbutamide , topiramate (Topamax), zotontholetsa, ndi zidovudine (Retrovir). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati mwakhala mukusokonezekanapo kapena simunathe kulingalira ndikumvetsetsa, makamaka panthawi yapakati kapena yobereka; chikomokere (kutaya chidziwitso kwakanthawi); zovuta kukonza kayendedwe kanu; kachilombo ka HIV (HIV); kapena cytomegalovirus (CMV; kachilombo kamene kangayambitse zizindikiro mwa anthu omwe ali ndi chitetezo cha mthupi chofooka).
• Uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa asidi ya valproic.
• muyenera kudziwa kuti valproic acid imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.
• muyenera kudziwa kuti valproic acid imatha kuyambitsa tulo tomwe timakupangitsani kudya kapena kumwa pang'ono kuposa momwe mumakhalira, makamaka ngati ndinu okalamba. Uzani dokotala wanu ngati simungathe kudya kapena kumwa monga mumachitira.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha kapena kukonzekera kapena kuyesa kutero) mukamamwa mankhwala a valproic acid pochiza khunyu, matenda amisala, kapena zina . Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi 1 mwa anthu 500) omwe adatenga ma anticonvulsants monga valproic acid kuti athetse zovuta zosiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amathandizidwa. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga valproic acid, 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.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

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

Valproic acid imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kusinza
• chizungulire
• mutu
• kutsegula m'mimba
• kudzimbidwa
• kusintha kwa njala
• kulemera kumasintha
• kupweteka kwa msana
• kubvutika
• kusinthasintha
• kuganiza kopanda tanthauzo
• kugwedezeka kosalamulirika kwa gawo lina la thupi
• mavuto ndi kuyenda kapena kulumikizana
• mayendedwe osalamulirika amaso
• kusawona bwino kapena masomphenya awiri
• kulira m'makutu
• kutayika tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOKHUDZA, itanani dokotala wanu mwachangu:

• kuvulaza kapena kutuluka mwachilendo
• timadontho tofiirira kapena tofiira pakhungu
• malungo
• zidzolo
• kuvulaza
• ming'oma
• kuvuta kupuma kapena kumeza
• zotupa zotupa
• kutupa kwa nkhope, maso, milomo, lilime, kapena pakhosi
• khungu losenda kapena lotupa
• chisokonezo
• kutopa
• kusanza
• kutsika kwa kutentha kwa thupi
• kufooka kapena kutupa m'malo olumikizirana mafupa

Valproic acid ingayambitse 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. Zisunge kutentha, 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:

• kugona
• kugunda kwamtima kosasintha
• chikomokere (kutaya chidziwitso kwakanthawi)

Ngati mukumwa makapisozi owaza, mungaone mikanda ya mankhwala mu mpando wanu. Izi ndi zachilendo ndipo sizitanthauza kuti simunalandire mankhwala okwanira.

Ngati muli ndi matenda ashuga ndipo adakuwuzani kuti muyese mkodzo wanu ngati muli ndi ketoni, uzani adotolo kuti mukumwa asidi ya valproic. Valproic acid imatha kubweretsa zotsatira zabodza pakuyesa mkodzo kwa ketoni.

Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa asidi wa valproic.

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.

• Depakene^®
• Depakote^®
• Depakote^® ER
• Depakote^® Fukani

• Divalproex ndi sodium
• Valproate sodium