Zamgululi

Zamkati

• Musanamwe tiagabine,
• Tiagabine imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo:

Tiagabine imagwiritsidwa ntchito limodzi ndi mankhwala ena kuti athetse khunyu pang'ono (mtundu wa khunyu). Tiagabine ali mgulu la mankhwala otchedwa anticonvulsants. Sizikudziwika momwe tiagabine imagwirira ntchito, koma imakulitsa kuchuluka kwa mankhwala achilengedwe muubongo omwe amaletsa kugwidwa.

Tiagabine imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kawiri kapena kanayi patsiku. Komabe, kwa sabata yoyamba yamankhwala mumangomwa tiagabine kamodzi patsiku. Dokotala wanu adzawonjezera pang'onopang'ono mlingo wanu (osati kangapo kamodzi pa sabata) mpaka mutadzafika pa tiagabine yomwe muyenera kumwa pafupipafupi. Kukuthandizani kukumbukira kukumbukira kumwa tiagabine, imwani nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani tiagabine ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Pitirizani kumwa tiagabine ngakhale mukumva bwino. Osasiya kumwa tiagabine osalankhula ndi dokotala, ngakhale mutakhala ndi zovuta zina monga kusintha kwachilendo pamakhalidwe kapena malingaliro. Kuyimitsa mwadzidzidzi mankhwalawa kumatha kupweteketsa. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Tiagabine sayenera kupatsidwa ntchito zina. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe tiagabine,

• uzani dokotala wanu komanso wamankhwala ngati mukugwirizana ndi tiagabine kapena mankhwala ena aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone, Pacerone); ma anticonvulsants monga carbamazepine (Tegretol), ethosuximide (Zarontin), gabapentin (Neurontin), lamotrigine (Lamictal), phenobarbital (Luminal, Solfoton), phenytoin (Dilantin, Dilantin Phenytek), primidone (Mysoline), ndi valproic acid (Depakene, Depakote); anticholinesterases monga neostigmine (Prostigmin), physostigmine (Antilirium), ndi pyridostigmine (Mestinon, Regonol); mankhwala opatsirana pogonana; antifungals monga fluconazole (Diflucan), itraconazole (Sporanox), ndi ketoconazole (Nizoral); chloroquine sulphate (Aralen); clarithromycin (Biaxin, mu Prevpac); mitundu yosiyanitsa yomwe imagwiritsidwa ntchito pochita ma radiology (ma CAT scan, X-ray); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron, Dexpak); diazepam (Valium); dicloxacillin; diltiazem (Cardizem, Dilacor, Tiazac, ena); erythromycin (EES, E-Mycin, Erythrocin); furosemide (Lasix); griseofulvin (Fulvicin-U / F, Grifulvin V, Gris-Msomali); isoniazid (INH, Laniazid, Nydrazid); imipenem-cilastatin (Primaxin); lovastatin (Altocor, Mevacor, mu Advicor); Mankhwala ochizira kachilombo ka HIV kuphatikizapo delavirdine (Rescriptor), efavirenz (Sustiva), nevirapine (Viramune), ndi ritonavir (Norvir, ku Kaletra); mankhwala omwe angakupangitseni kugona monga chifuwa, kuzizira, ndi zina zotero, mankhwala a nkhawa, zopumitsa minofu, mankhwala opweteka, mankhwala ogonetsa, mapiritsi ogona, kapena zotontholetsa; mankhwala a matenda amisala; methocarbamol (Robaxin); mycophenolate mofetil (CellCept); penicillin; phenylbutazone (sichikupezeka ku US); propranolol (Inderal, Inderide); quinidine (Quinidex); quinolones monga cinoxacin (Cinobac) (sakupezekanso ku US), ciprofloxacin (Cipro), enoxacin (Penetrex) (sakupezekanso ku US), gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxequin), nalidi acid (NegGram) (sichikupezeka ku US), norfloxacin (Noroxin), ofloxacin (Floxin), sparfloxacin (Zagam) ndi trovafloxacin / alatrofloxacin kuphatikiza (Trovan) (sikupezeka ku US); rifabutin (Mycobutin); rifampin (Rifadin, Rifamate, Rimactane, ena); ogalamutsa monga mankhwala a tiyi kapena khofi ndi mankhwala opangira mankhwala opangira mankhwala; tacrolimus (Prograf); katatu (Halcion); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); warfarin (Coumadin); kapena zafirlukast (Wokwanira).
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• auzeni dokotala ngati mwakhalapo kapena mwakhalapo ndi ziphuphu zoopsa chifukwa chakumwa mankhwala; matenda a khunyu (kugwa motsatizana popanda kupuma); kapena matenda amaso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga tiagabine, itanani dokotala wanu mwachangu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa tiagabine.
• muyenera kudziwa kuti tiagabine itha kukupangitsani kuti mukhale osinza ndipo ingakhudze luso lanu loganiza bwino. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa angakukhudzireni.
• kumbukirani kuti mowa ungawonjezere ku tulo chifukwa cha mankhwalawa. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa tiagabine.
• muyenera kudziwa kuti khunyu, kuphatikiza udindo wa khunyu, zachitika mwa anthu opanda khunyu omwe amatenga tiagabine. Kugwidwa kumeneku nthawi zambiri kumachitika atangoyamba kumene kulandira mankhwala ndi tiagabine kapena pafupi ndi nthawi yowonjezeka ya mlingo, komanso zimachitikanso nthawi zina mukamalandira chithandizo.
• muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa tiagabine 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 tiagabine kuti athetse mavuto osiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amalandira chithandizo. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha kusintha kwaumoyo wanu ngati mutamwa mankhwala a anticonvulsant monga tiagabine, koma pakhoza kukhala pachiwopsezo kuti musinthe kusintha kwa thanzi lanu 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 kumwa zakumwa zamadzimadzi 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. Ngati mwaphonya mlingo wopitilira umodzi, itanani dokotala wanu kuti akuuzeni malangizo oyambiranso mankhwala anu.

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

• chizungulire kapena mutu wopepuka
• Kusinza
• kusowa mphamvu kapena kufooka
• kugwedezeka, kusakhazikika, kapena kusakhazikika komwe kumapangitsa kuyenda kuyenda kovuta
• kukhumudwa
• udani kapena mkwiyo
• kupsa mtima
• chisokonezo
• kuvuta kuyang'ana kapena kutchera khutu
• kuganiza kopanda tanthauzo
• mavuto olankhula kapena chinenero
• kuchuluka kudya
• nseru
• kupweteka m'mimba
• manjenje
• kuvuta kugona kapena kugona
• kuyabwa
• kuvulaza
• kupweteka kapena kukodza pafupipafupi

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:

• zidzolo
• zilonda zamkati mkamwa mwako, mphuno, maso kapena mmero
• zizindikiro ngati chimfine
• kusintha kwa masomphenya
• kufooka kwakukulu
• kugwirana chanza simungathe kulamulira
• dzanzi, kupweteka, kuwotcha, kapena kumva kupweteka m'manja kapena m'mapazi
• kugwidwa, kuphatikizapo udindo wa khunyu

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).

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:

• kutopa
• kufooka
• kugwedezeka, kusakhazikika, kapena kusakhazikika komwe kumapangitsa kuyenda kuyenda kovuta
• kugwirana chanza simungathe kulamulira
• chisokonezo
• mavuto olankhula kapena chinenero
• kubvutika
• kupsa mtima kapena udani
• kukhumudwa
• kusanza
• kutaya chidziwitso
• minyewa yosalimba, yosalamulirika
• Kulephera kwakanthawi kusuntha (ziwalo)
• kugwidwa, kuphatikizapo udindo wa khunyu

Sungani maimidwe onse ndi dokotala wanu ndi labotale.

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.

• Gabitril^®