I-Vigabatrin

-Delile

• Ngaphambi kokuthatha i-vigabatrin,
• IVigabatrin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

I-Vigabatrin ingadala ukulimala okungapheli kombono, kufaka phakathi ukulahleka kombono wangaphandle kanye nokubona okufiphele. Yize ukulahleka kombono kungenzeka nganoma yisiphi isibalo se-vigabatrin, ubungozi bakho bungaba bukhulu nge-vigabatrin eyengeziwe oyithatha nsuku zonke futhi uma uyithatha isikhathi eside. Ukulahleka kombono kungenzeka nganoma yisiphi isikhathi ngenkathi welashwa nge-vigabatrin. Ukulahleka kombono kungenzeka kungabonwa ngaphambi kokuba kube nzima. Tshela udokotela wakho uma ngabe uke waba nezinkinga zombono noma wake waba nazo. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: cabanga ukuthi awuboni futhi ngaphambi kokuthatha i-vigabatrin; qala ukukhubeka, ushayise ezintweni, noma ube budlabha kunokujwayelekile; umangazwa ngabantu noma izinto eza phambi kwakho ezibonakala zivela ndawo; ukungaboni kahle; ukubona kabili; ukunyakaza kwamehlo ongeke ukwazi ukukulawula; ubuhlungu beso; nekhanda.

Ngenxa yengozi yokulahleka kombono unomphela ngalo muthi, i-vigabatrin itholakala kuphela ngohlelo olukhethekile olubizwa ngeSabril REMS^®. Wena, udokotela wakho, kanye nosokhemisi wakho kumele nibhalise kulolu hlelo ngaphambi kokuthola i-vigabatrin. Bonke abantu abanikezwe i-vigabatrin kumele babe nemithi ye-vigabatrin evela kudokotela obhaliswe ne-Sabril REMS^® futhi ugcwaliswe ngudokotela ekhemisi elibhaliswe ne-Sabril REMS^® ukuze uthole lo muthi. Buza udokotela wakho ukuthola eminye imininingwane ngalolu hlelo nokuthi uzoyithola kanjani imithi yakho.

Udokotela wamehlo uzohlola umbono wakho kungakapheli amasonto amane uqale i-vigabatrin, okungenani njalo ezinyangeni ezintathu ngenkathi welashwa, nezinyanga ezi-3-6 ngemuva kokuyeka ukwelashwa. Ukuhlolwa kombono kunzima ezinganeni futhi kungenzeka kungakutholi ukulahleka kombono ngaphambi kokuba kubenzima. Qiniseka ukuthi ushayela udokotela wakho ngokushesha uma ucabanga ukuthi ingane yakho ayiboni futhi ngaphambi kokuthatha i-vigabatrin noma yenza ngokwehlukile kunokujwayelekile. Ukuhlolwa kombono akukwazi ukuvimbela ukulimala kombono kepha kubalulekile ukunciphisa umonakalo owengeziwe ongenzeki ngokumisa i-vigabatrin uma kutholakala ushintsho lombono. Uma sekutholakele, ukulahleka kombono akubuyiselwa emuva. Kungenzeka ukuthi omunye umonakalo ungenzeka ngemuva kokumisa i-vigabatrin.

Udokotela wakho uzohlola impendulo yakho nokuqhubeka kwesidingo se-vigabatrin. Lokhu kwenziwa kungakapheli amasonto ama-2-4 aqale ukwelashwa ezinganeni nasezinganeni, ezinyangeni ezintathu zokuqala ukwelashwa kubantu abadala, bese kwenziwa njalo njengoba kudingeka kuzo zonke iziguli. Uma udokotela wakho enquma ukuthi i-vigabatrin ayikusebenzeli, ukwelashwa kwakho kufanele kumiswe.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-vigabatrin futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) noma iwebhusayithi yomkhiqizi ukuthola i-Medication Guide.

Khuluma nodokotela wakho ngezingozi zokuthatha i-vigabatrin.

Amaphilisi eVigabatrin asetshenziswa ngokuhlangana neminye imishanguzo ukulawula izinhlobo ezithile zokubanjwa kwabantu abadala nezingane ezineminyaka engu-10 noma ngaphezulu ezinokuquleka okungalawulwa ngeminye imithi eminingi. I-Vigabatrin powder isetshenziselwa ukulawula ama-infantas spasms (uhlobo lokubanjwa izingane nezingane ezingaba nalo) ezinganeni inyanga e-1 kuye eminyakeni emibili ubudala. IVigabatrin isekilasini lemithi ebizwa ngama-anticonvulsants. Isebenza ngokunciphisa umsebenzi kagesi ongajwayelekile ebuchosheni.

IVigabatrin iza njengempuphu ezohlanganiswa namanzi nanjengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kabili ngosuku noma ngaphandle kokudla. Thatha i-vigabatrin ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-vigabatrin njengoba nje iyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho kungenzeka akuqale ngomthamo ophansi we-vigabatrin futhi akhuphule kancane umthamo wakho, hhayi kaningi ngaphezu kwesisodwa njalo ezinsukwini ezi-3 ezinganeni ezithola impuphu exutshwe namanzi kanye kanye ngesonto kubantu abadala abaphuza amaphilisi.

IVigabatrin ingasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka nokuthatha i-vigabatrin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-vigabatrin ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-vigabatrin, ukuquleka kwakho kungenzeka kaningi. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane, hhayi kaningi ngaphezu kwesisodwa njalo ezinsukwini ezingama-3-4 ezinganeni ezithola impuphu exutshwe namanzi kanye kanye ngesonto kubantu abadala abaphuza amaphilisi. Tshela udokotela wakho ngokushesha uma ukuquleka kwakho kwenzeka kaningi ngenkathi umisa i-vigabatrin.

Uma uthatha impuphu, kufanele uyixube namanzi abandayo noma asezingeni lokushisa ekamelweni ngaphambi kokuyiphuza. Ungahlanganisi impuphu nokunye uketshezi noma ukudla. Udokotela uzokutshela ukuthi mangaki amaphakethe we-vigabatrin powder ongayisebenzisa nokuthi mangaki amanzi okuyihlanganisa nawo. Udokotela uzokutshela nokuthi ingakanani ingxube okufanele uyithathe kumthamo ngamunye. Ungasebenzisi isipuni sasekhaya ukukala umthamo wakho. Sebenzisa isirinji yomlomo eze nomuthi. Funda ngokucophelela imiyalelo yomkhiqizi echaza ukuthi ungaxuba kanjani futhi uthathe umthamo we-vigabatrin. Qiniseka ukuthi ubuza usokhemisi noma udokotela wakho uma unanoma yimiphi imibuzo mayelana nokuthi ungawuhlanganisa kanjani noma uwuthathe kanjani lo muthi.

Khuluma nodokotela ngalokho okufanele ukwenze uma ingane yakho ihlanza, ikhafula, noma ithatha kuphela ingxenye yesilinganiso se-vigabatrin.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-vigabatrin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-vigabatrin, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi we-vigabatrin noma i-powder. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho okukodwa kokulandelayo: clonazepam (Klonopin) noma phenytoin (Dilantin, Phenytek). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-vigabatrin, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali lapha.
• Tshela udokotela wakho uma uke waba nesifo sezinso noma wake waba naso.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-vigabatrin, shayela udokotela wakho.
• kufanele wazi ukuthi i-vigabatrin ingakwenza ukozele noma ukhathele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani. Uma umbono wakho ulinyazwe yi-vigabatrin, khuluma nodokotela wakho mayelana nokuthi ungakwazi yini ukushayela ngokuphepha noma cha.
• kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabange ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukwenza kanjalo) ngenkathi uthatha i-vigabatrin. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants afana ne-vigabatrin ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba nokuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulele imicabango yokuzibulala nokuziphatha kusasele isonto eli-1 ngemuva kokuqala ukuphuza umuthi. Kunobungozi bokuthi ungathola ushintsho empilweni yakho yengqondo uma uthatha umuthi we-anticonvulsant ofana ne-vigabatrin, kodwa futhi kungaba khona nengozi yokuthi uzohlangabezana nezinguquko empilweni yakho yengqondo uma isimo sakho singelashwa. Wena nodokotela wakho nizonquma ukuthi izingozi zokuthatha umuthi we-anticonvulsant zinkulu yini kunezingozi zokungawuthathi umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukwethuka; ukuphazamiseka noma ukungahlaliseki; ukucasuka okusha noma okuya kuba kubi, ukukhathazeka, noma ukucindezeleka; ukwenza izinkanuko eziyingozi; ubunzima bokulala noma ukulala; ulaka, intukuthelo, noma ukuziphatha okunodlame; i-mania (i-frenzied, imood ejabule ngokungavamile); ukucabanga noma ukuzama ukuzilimaza noma ukuqeda impilo yakho; noma olunye uguquko olungajwayelekile ekuziphatheni noma emoyeni. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.
• kufanele wazi ukuthi kwezinye izingane ezithathe i-vigabatrin kube nezinguquko ezithombeni zobuchopho ezithathwe yi-magnetic resonance imaging (MRI). Lezi zinguquko azibonwanga ezinganeni ezindala noma kubantu abadala. Imvamisa lezi zinguquko zazihamba lapho ukwelashwa kumiswa. Akwaziwa ukuthi lezi zinguquko ziyingozi yini.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

IVigabatrin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubuthongo
• isiyezi
• ukuzamazama okungalawuleki kwengxenye yomzimba
• ubuthakathaka
• ubuhlungu obuhlangene noma besisipha
• izinkinga zokuhamba noma ukuzizwa ungahlelekile
• izinkinga zememori nokungacabangi kahle
• ukuzuza kwesisindo
• ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi
• ubuhlungu, ukushisa, noma ukuncinza ezandleni noma ezinyaweni
• imfiva
• ukucasuka
• isifo sohudo
• isicanucanu
• ukuhlanza
• ukuqunjelwa
• ubuhlungu besisu
• isilungulela
• amajaqamba abuhlungu kakhulu ngesikhathi sokuya esikhathini

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu noma lezo ezibalwe ezigabeni EZIBALULEKILE ZESEXWAYISO noma ZOKUQapha, shayela udokotela wakho ngokushesha:

• ukudideka
• ukukhathala
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo
• ukuphefumula kanzima
• isifuba
• ukulunywa

IVigabatrin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina amaphilisi e-vigabatrin ne-vigabatrin powder esitsheni abafike ngaso, kuvalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Zigcine ekamelweni lokushisa kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ukozela
• ukulahlekelwa ukwazi

Gcina wonke ama-aphoyintimenti nodokotela wakho nodokotela wamehlo.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-vigabatrin.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Sabril^®