Divalproex Sodium, Piritsi Yamlomo

Zamkati

• Machenjezo ofunikira
• Machenjezo ena
• Kodi divalproex sodium ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira zoyipa za Divalproex sodium
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Divalproex sodium imatha kulumikizana ndi mankhwala ena
• Mankhwala oletsa ululu
• Mankhwala osokoneza bongo
• Mankhwala osokoneza bongo komanso migraine
• Asipilini
• Mankhwala ochepetsa magazi
• Mankhwala a Carbapenem
• Mankhwala a HIV
• Mahomoni oletsa kubereka omwe ali ndi estrogen
• Matenda amisala komanso mankhwala osokoneza bongo
• Mankhwala a chifuwa chachikulu
• Machenjezo a Divalproex sodium
• Chenjezo la ziwengo
• Chenjezo logwirizana ndi zakumwa zoledzeretsa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Momwe mungatenge divalproex sodium
• Mitundu ya mankhwala ndi mphamvu
• Mlingo wa khunyu
• Mlingo wa matenda ochititsa munthu kusinthasintha zochitika
• Mlingo wopewa migraine
• Maganizo apadera
• Tengani monga mwalamulidwa
• Zofunikira pakumwa divalproex sodium
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Kodi pali njira zina?

Mfundo zazikulu za divalproex sodium

1. Divalproex piritsi yamlomo ya sodium imapezeka ngati mankhwala osokoneza bongo komanso ngati mankhwala wamba. Mayina a Brand: Depakote, Depakote ER.
2. Divalproex sodium imabwera m'njira zitatu: mapiritsi otulutsidwa pakamwa, mapiritsi otulutsidwa pakamwa, ndi pakamwa mochedwa-kutulutsa makapisozi.
3. Divalproex piritsi yamlomo ya sodium imagwiritsidwa ntchito pochiza mitundu ina ya khunyu, kuchiza manic of bipolar disorder, komanso kupewa mutu wa migraine.

Machenjezo ofunikira

Machenjezo ena

• Malingaliro odzipha amachenjeza: Divalproex sodium itha kubweretsa malingaliro ofuna kudzipha mwa anthu ochepa, pafupifupi 1 mwa 500. Chiwopsezo chanu chitha kukhala chachikulu ngati muli ndi vuto lamatenda, monga kukhumudwa kapena kuda nkhawa. Itanani dokotala wanu nthawi yomweyo ngati muli ndi izi, makamaka ngati zatsopano kapena zoyipa, kapena ngati akukudetsani nkhawa:
  • malingaliro okhudza kudzipha kapena kufa
  • akufuna kudzipha
  • kuvutika kwatsopano kapena kukulira
  • nkhawa yatsopano kapena yowonjezereka
  • kumva kukhumudwa kapena kusakhazikika
  • mantha
  • kuvuta kugona
  • kukwiya kwatsopano kapena kukulira
  • kuchita ndewu kapena nkhanza kapena kukwiya
  • kuchita zofuna zawo zowopsa
  • kuwonjezeka kwakukulu kwa ntchito ndikuyankhula (mania)
  • kusintha kwina kwachilendo pamakhalidwe kapena malingaliro
• Matupi awo sagwirizana: Mankhwalawa amatha kuyambitsa vuto lalikulu (hypersensitivity). Itanani dokotala wanu ngati muli ndi zizindikiro zotsatirazi. Ngati matenda anu ali ovuta kapena owopseza moyo, itanani 911 kapena malo azadzidzidzi kwanuko kapena pitani kuchipinda chadzidzidzi chapafupi. Zizindikirozi zitha kuphatikiza:
  • malungo
  • vuto kumeza kapena kupuma
  • kutupa kwa pakhosi, lilime, maso, kapena milomo
  • ming'oma kapena zotupa pakhungu
  • zilonda mkamwa mwako
  • kuphulika ndi khungu lanu
  • kutupa kwa ma lymph node anu

Itanani dokotala wanu ngati mutamwa mankhwalawa ndikusintha mwadzidzidzi mumikhalidwe, machitidwe, malingaliro, kapena malingaliro omwe angayambitse malingaliro ofuna kudzipha.

Kodi divalproex sodium ndi chiyani?

Divalproex sodium ndi mankhwala omwe mumalandira. Zimabwera m'njira zitatu: mapiritsi otulutsidwa pakamwa, mapiritsi otulutsidwa pakamwa, ndi makapisozi akumwa pakamwa.

Divalproex piritsi yamlomo ya sodium imapezeka ngati mankhwala omwe amadziwika ndi dzina Depakote (kuchedwa kumasulidwa) ndi Depakote ER (kutulutsidwa kwina). Ikupezekanso mu mawonekedwe achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mankhwala omwe amadziwika ndi dzina.

Divalproex sodium itha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Divalproex sodium piritsi imagwiritsidwa ntchito yokha kapena ndi mankhwala ena ku:

• Chitani kugwidwa. Izi zikuphatikiza:
  • kugwidwa kwapadera kochepa komwe kumachitika mwaokha kapena mogwirizana ndi mitundu ina yakugwa.
  • kugwidwa kosavuta komanso kovuta.
  • mitundu ingapo yolanda yomwe imaphatikizaponso kulanda.
• Chitani gawo lamankhwala la matenda ochititsa munthu kusinthasintha zochitika. Gawo lanyengo ndi nthawi yomwe kusinthasintha kwanu kumakhala kwamphamvu kwambiri. Izi zitha kuphatikizira kukwezedwa kapena kukwiya.
• Pewani mutu waching'alang'ala kupweteka mutu. Palibe umboni kuti zimathandiza kuthana ndi mutu waching'alang'ala mukakhala nawo kale.

Momwe imagwirira ntchito

Divalproex sodium piritsi ndi ya gulu la mankhwala otchedwa anti-epileptics. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Mankhwalawa amagwira ntchito powonjezera kuchuluka kwa ubongo wa mankhwala enaake, GABA, omwe amachepetsa chisangalalo chamanjenje anu. Izi zimathandizira kuchiza khunyu ndi magawo a manic ndikupewa mutu waching'alang'ala.

Zotsatira zoyipa za Divalproex sodium

Divalproex sodium piritsi ingayambitse kugona ndi chizungulire. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita zina zomwe zimafunikira kukhala tcheru mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Mankhwalawa amathanso kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi divalproex sodium ndi monga:

• nseru
• mutu
• kugona
• kusanza
• kufooka
• kunjenjemera
• chizungulire
• kupweteka m'mimba
• kusawona bwino kapena masomphenya awiri
• kutsegula m'mimba
• kuchuluka kwa njala kapena kusowa kwa njala
• kunenepa
• kuonda
• kutayika tsitsi
• mavuto ndi kuyenda kapena kulumikizana

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Imbani 911 kapena malo azadzidzidzi kwanuko kapena pitani kuchipinda chadzidzidzi chapafupi ngati zizindikilo zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukudwala mwadzidzidzi. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Mavuto okhetsa magazi. Zizindikiro zimatha kuphatikiza:
  • zofiira kapena zofiirira pakhungu lanu
  • kuvulaza mosavuta kuposa zachilendo
  • Kutuluka magazi mkamwa kapena mphuno
• Mulingo wa ammonia wambiri m'magazi anu. Zizindikiro zimatha kuphatikiza:
  • kumva kutopa
  • kusanza
  • chisokonezo
• Kutentha kwa thupi (hypothermia). Zizindikiro zimatha kuphatikiza:
  • kutsika kwa thupi lanu kutsika mpaka 95 ° F (35 ° C)
  • kutopa
  • chisokonezo
  • chikomokere
  • wodekha, kupuma pang'ono
  • kugunda kofooka
  • mawu osalankhula
• Matupi awo sagwirizana (hypersensitivity), kuphatikiza mitundu yambiri yazovuta zamagulu. Zizindikiro zimatha kuphatikiza:
  • malungo
  • zotupa pakhungu
  • ming'oma
  • zilonda mkamwa mwako
  • kuphulika ndi khungu lanu
  • kutupa kwa ma lymph node anu
  • kutupa kwa nkhope yanu, maso, milomo, lilime, kapena mmero
  • vuto kumeza kapena kupuma
  • zotupa zam'mimba zotupa
  • kupweteka ndi kutupa mozungulira ziwalo zazikulu, monga chiwindi, impso, mtima, kapena minofu
• Kugona kapena kugona, makamaka okalamba
• Kuwonongeka kwa chiwindi. Zizindikiro zimatha kuphatikiza:
  • kufooka
  • kutupa nkhope
  • kusowa njala
  • kusanza
• Pancreatitis. Zizindikiro zimatha kuphatikiza:
  • nseru
  • kusanza
  • kupweteka kwambiri m'mimba
  • kusowa chilakolako

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Divalproex sodium imatha kulumikizana ndi mankhwala ena

Divalproex piritsi yamlomo ya sodium imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kulumikizana ndi divalproex sodium alembedwa pansipa.

Mankhwala oletsa ululu

Kutenga Zolemba ndi sodium divalproex imatha kukulitsa kuchuluka kwa propofol mthupi lanu. Ngati mukufuna kumwa mankhwalawa palimodzi, dokotala wanu amachepetsa kuchuluka kwanu kwa propofol.

Mankhwala osokoneza bongo

Kutenga felbamate ndi sodium ya divalproex imatha kukulitsa gawo la sodium divalproex mthupi lanu ndikuwonjezera chiopsezo chanu chazovuta. Ngati mutenga felbamate ndi divalproex sodium, dokotala wanu akhoza kusintha mlingo wanu wa divalproex sodium.

Mankhwala osokoneza bongo komanso migraine

Kutenga topiramate ndi sodium ya divalproex imatha kukulitsa chiopsezo cha kuchuluka kwa ammonia m'magazi anu, kapena kutentha thupi (hypothermia). Ngati mukumwa mankhwalawa pamodzi, dokotala wanu ayenera kuyang'anitsitsa kuchuluka kwa ammonia ndi kutentha kwanu.

Asipilini

Kutenga aspirin ndi sodium ya divalproex imatha kukulitsa gawo la sodium divalproex mthupi lanu ndikuwonjezera chiopsezo chanu chazovuta. Ngati mutenga aspirin ndi divalproex sodium, dokotala wanu akhoza kusintha mlingo wanu wa divalproex sodium.

Mankhwala ochepetsa magazi

Kutenga warfarin ndi sodium divalproex imatha kukulitsa milingo ya warfarin mthupi lanu. Dokotala wanu amatha kuyang'anira INR yanu pafupipafupi ngati mukufuna kumwa divalproex sodium pamodzi ndi warfarin.

Mankhwala a Carbapenem

Kutenga mankhwalawa ndi divalproex sodium kumachepetsa mulingo wa divalproex sodium mthupi lanu. Izi zikutanthauza kuti mwina sizingagwire bwino ntchito pochiza matenda anu. Ngati mukuyenera kumwa mankhwala a carbapenem mukamamwa mankhwala a divalproex, dokotala wanu amayang'anira magazi anu mosamala kwambiri. Zitsanzo za maantibayotiki ndi awa:

• alireza
• imipenem
• meropenem

Mankhwala a HIV

Kutenga zidovudine ndi sodium ya divalproex imatha kukulitsa zidovudine mthupi lanu. Dokotala wanu akhoza kukuyang'anirani kwambiri za zotsatirapo zake.

Mahomoni oletsa kubereka omwe ali ndi estrogen

Kutenga mankhwala oletsa kubeleka ndi divalproex sodium kumatha kutsitsa kuchuluka kwa divalproex sodium mthupi lanu, kupangitsa kuti isamagwire bwino ntchito. Ngati mukufuna kugwiritsa ntchito njira yolerera ya mahomoni, monga mapiritsi, dokotala wanu atha kuyang'anira kuchuluka kwa divalproex sodium mthupi lanu.

Matenda amisala komanso mankhwala osokoneza bongo

Kutenga vuto linalake lamankhwala osokoneza bongo ndi divalproex sodium kumatha kukulitsa kuchuluka kwa mankhwalawa m'thupi lanu. Dokotala wanu akhoza kusintha mlingo wa mankhwalawa kapena kukuyang'anirani kwambiri za zotsatira zake. Zitsanzo za mankhwalawa ndi monga:

• amitriptyline / nortriptyline
• diazepam
• zamakhalidwe
• lamotrigine
• anayankha
• muthoni
• Primidone
• rufinamide

Kutenga matenda ena amisala ndi mankhwala olanda ndi divalproex sodium kumachepetsa mulingo wa divalproex sodium m'thupi lanu. Izi zikutanthauza kuti mwina sizingagwire bwino ntchito pochiza matenda anu. Dokotala wanu akhoza kusintha mlingo wanu wa divalproex sodium. Zitsanzo za mankhwalawa ndi monga:

• carbamazepine
• anayankha
• muthoni
• Primidone

Mankhwala a chifuwa chachikulu

Kutenga rifampin ndi divalproex sodium ikhoza kutsika mulingo wa divalproex sodium mthupi lanu. Izi zikutanthauza kuti mwina sizingagwire bwino ntchito pochiza matenda anu. Mukatenga mankhwalawa palimodzi, dokotala wanu akhoza kusintha mlingo wanu wa divalproex sodium.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Divalproex sodium

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Mankhwalawa amatha kuyambitsa vuto lalikulu (hypersensitivity). Zizindikiro zimaphatikizapo:

• malungo
• vuto kumeza kapena kupuma
• kutupa kwa pakhosi, lilime, maso, kapena milomo
• ming'oma kapena zotupa pakhungu
• zilonda mkamwa mwako
• kuphulika ndi khungu lanu
• kutupa kwa ma lymph node anu

Mukakhala ndi zizindikilozi, itanani 911 kapena malo azadzidzidzi kwanuko kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Chenjezo logwirizana ndi zakumwa zoledzeretsa

Divalproex sodium imatha kuyambitsa kugona ndi chizungulire. Musamwe mowa mukamamwa mankhwalawa chifukwa amatha kuonjezera ziwopsezo zakuchedwa kuganiza, kuganiza molakwika, komanso kugona tulo.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi matenda a chiwindi: Ngati muli ndi mbiri ya matenda a chiwindi, mutha kukhala ndi chiopsezo chachikulu cholephera chiwindi m'miyezi isanu ndi umodzi yoyambirira yamankhwalawa. Dokotala wanu adzakuyang'anirani ngati pali zizindikiro za kuwonongeka kwa chiwindi.

Kwa anthu omwe ali ndi matenda a mitochondrial: Ngati muli ndi Alpers-Huttenlocher syndrome kapena muli ndi mbiri yabanja yokhudzana ndi kagayidwe kachakudya, mutha kukhala ndi chiopsezo chachikulu cholephera chiwindi mukamamwa sodium ya divalproex.

Kwa anthu omwe ali ndi vuto la kuzungulira kwa urea: Ngati muli ndi vuto la urea, simuyenera kumwa mankhwalawa. Itha kukulitsa chiopsezo cha hyperammonemia (kuchuluka kwa ammonia m'magazi anu). Vutoli limatha kupha.

Machenjezo kwa magulu ena

Kwa amayi apakati: Mankhwalawa akhoza kuvulaza kwambiri mimba yanu. Ngati mumamwa mankhwalawa mukakhala ndi pakati, mwana wanu ali pachiwopsezo chokhala ndi vuto lalikulu lobadwa. Izi ndizophatikizira kupunduka komwe kumakhudza ubongo, msana, mtima, mutu, mikono, miyendo, ndi kutsegula komwe mkodzo umatulukira. Zolakwika izi zimatha kuchitika m'mwezi woyamba wamimba, musanadziwe kuti muli ndi pakati. Mankhwalawa amathanso kuyambitsa kuchepa kwa IQ ndikuganiza, kuphunzira, komanso zovuta zam'mwana wanu.

Malinga ndi malipoti omwe adasindikizidwa, kulephera kwa chiwindi komwe kwafa kwawonedwanso mwa ana a azimayi omwe amagwiritsa ntchito mankhwalawa ali ndi pakati.

Mukakhala ndi pakati mukamamwa mankhwalawa, lankhulani ndi adokotala za kulembetsa ku North American Antiepileptic Drug Pregnancy Registry. Cholinga cha kaundula kameneka ndikutola zidziwitso zachitetezo cha mankhwala omwe amagwiritsidwa ntchito pochiza khunyu nthawi yapakati.

Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo. Osasiya kumwa mankhwala pokhapokha atalangizidwa ndi dokotala.

• Kuchiza khunyu ndi manic episodar matenda a amayi apakati: Kafukufuku akuwonetsa chiopsezo chotsatirapo cha mwana wosabadwa pamene mayi atenga divalproex sodium. Ubwino wakumwa mankhwalawa mukakhala ndi pakati ungapitirire zoopsa zomwe zingakhalepo nthawi zina.

Uzani dokotala wanu ngati muli ndi pakati. Divalproex sodium iyenera kugwiritsidwa ntchito panthawi yapakati ndi azimayi omwe ali ndi khunyu kapena magawo a manic omwe matenda awo sangathe kuwongoleredwa ndi mankhwala ena.

• Pofuna kupewa mutu waching'alang'ala m'mimba mwa amayi apakati: Divalproex sodium sayenera kugwiritsidwa ntchito panthawi yapakati kwa amayi omwe ali ndi mutu waching'alang'ala.

Kwa amayi omwe akuyamwitsa: Mankhwalawa amadutsa mkaka wa m'mawere ndipo amatha kuyambitsa zovuta zoyamwitsa mwana. Lankhulani ndi dokotala wanu za kuopsa ndi phindu la kuyamwitsa mukamamwa divalproex.

Kwa amayi osayembekezera a msinkhu wobereka: Ngati mukukonzekera kutenga pakati ndipo muli ndi khunyu kapena kusinthasintha zochitika, musagwiritse ntchito mankhwalawa pokhapokha ngati zidziwitso zanu sizingayang'aniridwe ndi mankhwala ena.

Ngati muli ndi mutu waching'alang'ala, musagwiritse ntchito mankhwalawa pokhapokha ngati matenda anu sangathe kuwongoleredwa ndi mankhwala ena ndipo mukugwiritsanso ntchito njira yolerera yolera.

Lankhulani ndi dokotala wanu kuti mudziwe zomwe zingakuthandizeni.

Kwa okalamba: Thupi lanu limapanga divalproex sodium pang'onopang'ono. Muthanso kukhala ndi vuto lakumwa mankhwalawa. Kusinza kungakupangitseni kudya kapena kumwa pang'ono kuposa momwe mumakhalira. Uzani dokotala wanu ngati izi zitachitika.

Dokotala wanu amayang'anira kuchuluka kwa zomwe mumadya ndi kumwa ndikukuyang'anirani ngati muli ndi vuto lakutaya madzi m'thupi, kugona, chizungulire, ndi zovuta zina. Atha kusiya kukupatsani mankhwalawa ngati simukudya kapena kumwa mokwanira kapena ngati muli ndi tulo tofa nato.

Kwa ana: Ana ochepera zaka 2 amakhala ndi chiopsezo chowonjezeka cha chiwindi akamamwa mankhwalawa, makamaka ngati atenganso mankhwala ena kuti athane ndi khunyu.

Momwe mungatenge divalproex sodium

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe anu, komanso kuti mumatenga kangati zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe thupi lanu limachitira ndi mankhwalawa

Mitundu ya mankhwala ndi mphamvu

Zowonjezera: Divalproex ndi sodium

• Mawonekedwe: piritsi yamlomo yachedwa
• Mphamvu: 125 mg, 250 mg, 500 mg

• Mawonekedwe: piritsi yamlomo yotulutsidwa
• Mphamvu: 250 mg, 500 mg

Mtundu: Depakote

• Mawonekedwe: piritsi yamlomo yachedwa
• Mphamvu: 125 mg, 250 mg, 500 mg

Mtundu: Depakote ER

• Mawonekedwe: piritsi yamlomo yotulutsidwa
• Mphamvu: 250 mg, 500 mg

Mlingo wa khunyu

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

• Kugwidwa kovuta:
  • Mlingo woyambirira: 10-15 mg / kg omwe amatengedwa pakamwa kamodzi patsiku ngati mukumwa mapiritsi otulutsidwa. Kwa mapiritsi otulutsidwa mochedwa, mlingowo umakhala kawiri kapena katatu patsiku.
  • Mlingo wamba umawonjezeka: Dokotala wanu akhoza kukulitsa mlingo wanu pakadutsa sabata limodzi mwa 5-10 mg / kg pa tsiku.
  • Zolemba malire mlingo: 60 mg / kg pa tsiku.
• Kulandidwa:
  • Mlingo woyambirira: 15 mg / kg yotengedwa pakamwa kamodzi patsiku ngati mukumwa mapiritsi otulutsidwa. Kwa mapiritsi otulutsidwa mochedwa, mlingowo umakhala kawiri kapena katatu patsiku.
  • Mlingo wamba umawonjezeka: Dokotala wanu akhoza kukulitsa mlingo wanu pakadutsa sabata limodzi mwa 5-10 mg / kg pa tsiku.
  • Zolemba malire mlingo: 60 mg / kg pa tsiku.

Mlingo wa ana (zaka 10 mpaka 17 zaka)

• Kugwidwa kovuta:
  • Mlingo woyambirira: 10-15 mg / kg omwe amatengedwa pakamwa kamodzi patsiku ngati mwana wanu amamwa mapiritsi otulutsidwa. Kwa mapiritsi otulutsidwa mochedwa, mlingowo umakhala kawiri kapena katatu patsiku.
  • Mlingo wamba umawonjezeka: Dokotala wanu adzawonjezera mlingo wa mwana wanu pamasabata 1 mpaka 5-10 mg / kg patsiku.
  • Zolemba malire mlingo: 60 mg / kg pa tsiku.
• Kulandidwa:
  • Mlingo woyambirira: 15 mg / kg yotengedwa pakamwa kamodzi patsiku ngati mwana wanu amamwa mapiritsi otulutsidwa. Kwa mapiritsi otulutsidwa mochedwa, mlingowo umakhala kawiri kapena katatu patsiku.
  • Mlingo wamba umawonjezeka: Dokotala wanu adzawonjezera mlingo wa mwana wanu pamasabata 1 mpaka 5-10 mg / kg patsiku.
  • Zolemba malire mlingo: 60 mg / kg pa tsiku.

Mlingo wa ana (zaka 0 mpaka 9 zaka)

Mankhwalawa sanaphunzirepo kwa ana ochepera zaka 10. Sayenera kugwiritsidwa ntchito kwa ana am'badwo uno.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Thupi lanu limatha kugwiritsa ntchito mankhwalawa pang'onopang'ono ndipo mutha kukhala ndi mphamvu zambiri zokhalitsa. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika ndikuwonjezera pang'onopang'ono kuti mankhwala ochulukirapo asamangokhala mthupi lanu. Kuchuluka kwa mankhwala m'thupi lanu kumatha kubweretsa zovuta.

Mwambiri, dokotala wanu amakusungani inu pamlingo wotsika kwambiri womwe mumatha kulekerera popanda zovuta zina.

Mlingo wa matenda ochititsa munthu kusinthasintha zochitika

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

• Mlingo woyambirira: Pamapiritsi otulutsidwa mochedwa, ndi 375 mg omwe amatengedwa pakamwa kawiri patsiku, kapena 250 mg katatu patsiku. Kwa mapiritsi otulutsidwa, ndi 25 mg / kg yomwe imamwa pakamwa kamodzi patsiku.
• Mlingo wamba umawonjezeka: Dokotala wanu akhoza kukulitsa mlingo wanu mwachangu mpaka mankhwalawo atakhala othandiza kapena mpaka mulingo wofuna magazi ufike.
• Zolemba malire mlingo: 60 mg / kg pa tsiku.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanawonetse kuchita bwino kwa ana pamavuto. Sayenera kugwiritsidwa ntchito kwa anthu omwe ali ndi mania omwe ali ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Thupi lanu limatha kugwiritsa ntchito mankhwalawa pang'onopang'ono ndipo mutha kukhala ndi mphamvu zambiri zokhalitsa. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika ndikuwonjezera pang'onopang'ono kuti mankhwala ochulukirapo asamangokhala mthupi lanu. Kuchuluka kwa mankhwala m'thupi lanu kumatha kubweretsa zovuta.

Mwambiri, dokotala wanu amakusungani inu pamlingo wotsika kwambiri womwe mumatha kulekerera popanda zovuta zina.

Mlingo wochenjeza

Palibe umboni kuti divalproex ndiyothandiza kuti mugwiritse ntchito nthawi yayitali mu mania (yopitilira milungu itatu). Ngati dokotala angafune kuti mutenge mankhwalawa kwa nthawi yayitali, awunika ngati mukufunikirabe mankhwalawo pafupipafupi.

Mlingo wopewa migraine

Mlingo wa akulu (zaka 18 mpaka 64 zaka)

• Mlingo woyambirira: Pamapiritsi otulutsidwa mochedwa, ndi 250 mg yomwe imamwedwa kawiri patsiku. Kwa mapiritsi otulutsidwa, amatengedwa 500 mg kamodzi patsiku.
• Mlingo wamba umawonjezeka: Dokotala wanu akhoza kuwonjezera mlingo wanu ngati mukufunikira.
• Zolemba malire mlingo: 1,000 mg patsiku.

Mlingo wa ana (zaka 0 mpaka 17 zaka)

Mankhwalawa sanawonetse mphamvu kwa ana popewa migraine. Sayenera kugwiritsidwa ntchito kwa anthu omwe ali ndi mutu waching'alang'ala omwe ali ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Thupi lanu limatha kugwiritsa ntchito mankhwalawa pang'onopang'ono ndipo mutha kukhala ndi mphamvu zambiri zokhalitsa. Dokotala wanu akhoza kukuyambitsani pamlingo wotsika ndikuwonjezera pang'onopang'ono kuti mankhwala ochulukirapo asamangokhala mthupi lanu. Kuchuluka kwa mankhwala m'thupi lanu kumatha kubweretsa zovuta.

Mwambiri, dokotala wanu amakusungani inu pamlingo wotsika kwambiri womwe mumatha kulekerera popanda zovuta zina.

Maganizo apadera

Kwa anthu omwe ali ndi matenda a chiwindi: Ngati muli ndi matenda a chiwindi, simungathe kugwiritsanso ntchito mankhwalawa moyenera. Muyenera kupewa kutenga divalproex sodium ngati muli ndi vuto lalikulu la chiwindi.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Divalproex sodium piritsi imagwiritsidwa ntchito pochiza mankhwala kwa nthawi yayitali. Pazigawenga za manic za matenda ochititsa munthu kusinthasintha zochitika, dokotala wanu angaganize ngati mankhwalawa ndi achidule kapena a nthawi yayitali.

Mankhwalawa amabwera ndi zoopsa zazikulu ngati simutenga monga mwauzidwa.

Ngati simutenga konse kapena kuphonya mlingo: Ngati simumamwa mankhwalawa pafupipafupi, mumasowa Mlingo, kapena mumasiya kumwa mosayembekezereka, pakhoza kukhala zoopsa zazikulu. Chikhalidwe chomwe mukuyesera kuchiza sichingakhale bwino. Muthanso kukhala ndi zovuta zina kuchokera ku mankhwalawa mukangomaliza ndi kuzimitsa.

Mukaleka kuzitenga mwadzidzidzi: Ngati mukumwa mankhwalawa kuti muchepetse khunyu, kuimitsa mwadzidzidzi kumatha kuyambitsa matenda omwe sangayime (status epilepticus).

Ngati mutenga zochuluka kwambiri: Kutenga mankhwalawa kwambiri kumatha kubweretsa zovuta, monga:

• kutopa kwambiri
• kugunda kwa mtima kosasinthasintha komanso nyimbo
• mchere wambiri m'magazi anu
• chikomokere chakuya
• imfa

Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena malo azadzidzidzi kwanuko kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Mukaiwala kumwa mankhwala anu, imwani mukamakumbukira. Ngati kwangotsala maola ochepa kuti nthawi ya mlingo wanu wotsatira ifike, dikirani ndikumwa kamodzi kokha panthawiyo.

Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kuyambitsa zovuta zina.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito:Kuchiza khunyu: Muyenera kugwidwa kochepa.

Chithandizo cha magawo a manic a matenda ochititsa munthu kusinthasintha zochitika: Muyenera kuwona kuchepa kwa zizindikilo zomwe zimayambitsidwa ndi gawo la manic la matenda osokoneza bongo. Maganizo anu ayenera kuyang'aniridwa bwino.

Pofuna kupewa mutu waching'alang'ala: Muyenera kukhala ndi mutu wochepa wa migraine.

Zofunikira pakumwa divalproex sodium

Kumbukirani izi ngati dokotala akukupatsani divalproex sodium.

Zonse

• Ngati mankhwalawa akukwiyitsani m'mimba, tengani chakudya.
• Osaphwanya kapena kutafuna mapiritsi.

Yosungirako

• Sungani mapiritsi otulutsidwa omwe achepetsedwa pansipa 86 ° F (30 ° C).
• Sungani mapiritsi otulutsidwa otentha kutentha pakati pa 59 ° F mpaka 86 ° F (15 ° C mpaka 30 ° C).
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kuwunika kuchipatala

Asanayambe komanso akamamwa mankhwalawa, dokotala angawone ngati:

• magulu a plasma (dokotala wanu akhoza kuyesa kuchuluka kwa mankhwala m'thupi lanu ngati mukukumana ndi zovuta zina kapena ngati mungafune kusintha kwa mlingo)
• chiwindi chimagwira
• kutentha kwa thupi
• mulingo wa ammonia

Dokotala wanu amathanso kukuyang'anirani ngati muli ndi zizindikiro za kapamba kapena malingaliro ofuna kudzipha kapena zochita.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa.Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.