Felbatol
IFelbamate isetshenziswa yodwa noma kanye nezinye izidakamizwa ukulawula ukuhlwitha okungenaphezulu (ukubamba) ekwelapheni kwe-epilepsy, ngemva kokwehluleka kwezinye izindlela zokwelapha noma zingafaneleki isiguli. Isetshenziswa futhi kubantwana ukulawula ukuhlwitha okungenaphezulu nokuhlwitha okubanzi okubangelwa yi-Lennox-Gastaut syndrome. I-Felbamate iyingxenye yeqembu lemithi ebizwa ngokuthi yi-anticonvulsants. Isebenza ebuchosheni ukuvimbela ukuhlwitha. Kodwa-ke, le mithi ayikwazi ukwelapha i-epilepsy futhi izosebenza kuphela ukulawula ukuhlwitha uma uqhubeka uyithatha. Lolu lwemi iyatholakala kuphela ngomyalo wezokwelapha. Lo mkhiqizo uyatholakala ngezindlela zokulinganisela ezilandelayo:
Uma ukhetha ukusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Ngale mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-felbamate yokwelapha ukubamba okungaphezu kwe-Lennox-Gastaut syndrome kubantwana. Ukuphepha nokuphumelela akukaqiniswa. Nakuba izifundo ezifanele ebuhlotsheni bobudala nemiphumela ye-felbamate azikwenzelwanga kubantu abadala, azikho izinkinga ezikhethekile zabantu abadala ezibhalwe kuze kube manje. Noma kunjalo, abantu abadala banesikhathi esiningi sokuhlupheka ngezinkinga zenhliziyo, izinso, noma isibindi ezihlobene nobudala, okungase kudinge ukunakekela nokulungiswa komthamo kubantu abamukela i-felbamate. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izimithi kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izindlela zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlu lwezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izimithi ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngezimithi ezithile kungabangela futhi ukuhlangana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Leli leyehluleka ukuba yilona kuqala ukwelapha isimo sakho. Kuhloswe ukuba lisetshenziswe kuphela ngemva kokuba uzama amanye amayeza angazange asebenze noma abangele imiphumela emibi. Thatha leliyeza njengoba nje kunqunyiwe ngudokotela wakho, ukuze uzuze isimo sakho ngangokunokwenzeka. Ungathathi okuningi, ungathathi kaningi, futhi ungathathi isikhathi eside kunalokho okunqunyiwe ngudokotela wakho. Kubalulekile kakhulu ukuthi uqonde izingozi nezinzuzo zefelbamate ngaphambi kokuyisebenzisa. Ungacelwa futhi ukuba usayine ifomu lokubuyisana komguli / udokotela bese ufunda i-Medication Guide ukuqinisekisa ukuthi uyaqonda ulwazi ngaleliyeza. Qiniseka ukuthi ubuza udokotela wakho nganoma yini ongayiqondi. Kubaguli abathambisayo uhlobo lwe-oral liquid laleliyeza: Ukuze unciphise ukuphazamiseka kwesisu, i-felbamate ingathintwa nokudla, ngaphandle uma udokotela wakho ekutshelile ukuthi uyithathe isisu esingenalutho. Leliyeza lingasetshenziswa namanye amayeza okuhlukunyezwa. Qhubeka usebenzisa wonke amayeza akho okuhlukunyezwa ngaphandle uma udokotela wakho ekutshela ukuthi uyeke. Umthamo waleliyeza uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela imithamo yaleliyeza. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle uma udokotela wakho ekutshela ukuthi wenze njalo. Inani leyeza olithathayo lixhomeke emandleni leyeza. Futhi, inani lemithamo oyithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi olithatha leliyeza kuyahlukahluka ngokuya ngesimo sezokwelapha olikusebenzisela lona. Uma uphuthelwa umthamo waleliyeza, uthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, suka umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola umthamo ojwayelekile. Ungawandisi imithamo. Gcina leliyeza esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungawagqabi. Gcina ungafinyeleleki kubantwana. Ungagcini leyeza eliphelile noma leyeza elingasasetshenziswa. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi iyeza ongelisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.