Umbhali: Clyde Lopez
Umhla Wokudalwa: 22 Eyekhala 2021
Hlaziya Umhla: 24 Eyokwindla 2025
Anonim
Kathryn Davis, MD, MSTR: Off-Label Clobazam Use in Refractory Epilepsy
Ividiyo: Kathryn Davis, MD, MSTR: Off-Label Clobazam Use in Refractory Epilepsy

Umxholo

I-Clobazam inokunyusa umngcipheko weengxaki ezinzulu okanye ezisongela ubomi zokuphefumla, i-sedation, okanye i-coma xa isetyenziswe kunye namanye amayeza. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha: i-anti-depressants; amayeza oxinzelelo, ukugula ngengqondo, kunye nokuxhuzula; ukuthomalalisa; iipilisi zokulala; iiopioid ezinjenge codeine, fentanyl (Duragesic, Subsys), morphine (Astramorph, Kadian), okanye i-oxycodone (ePercocet, eRoxicet, ezinye); okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba uthatha i-clobazam ngalo naliphi na kula mayeza kwaye uhlakulela naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olukhawulezileyo kwangoko: isiyezi esingaqhelekanga, ubukhaphukhaphu, ukulala kakhulu, ukuphefumla kancinci okanye ukuphefumla okunzima, okanye ukungaphenduli. Qiniseka ukuba umnakekeli wakho okanye amalungu osapho ayazi ukuba zeziphi iimpawu ezinokubanzima ukuze babize ugqirha okanye ukhathalelo lonyango olungxamisekileyo ukuba awukwazi ukuzifunela unyango wedwa.


I-Clobazam inokuba ngumkhwa wokwenza. Musa ukuthatha idosi enkulu, yithathe rhoqo, okanye ixesha elide kunokuba ekuxelele ugqirha. Xelela ugqirha wakho ukuba ukhe wasela utywala kakhulu, ukuba usebenzisa iziyobisi esitratweni, okanye usebenzise amayeza kagqirha. Musa ukusela utywala okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho. Ukusela utywala okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lokunyanga kwakho i-clobazam kukonyusa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Xelela ugqirha wakho ukuba ukhe wanalo okanye wakha wanokudakumba okanye esinye isifo sengqondo.

I-Clobazam inokubangela ukuxhomekeka komzimba (imeko apho iimpawu ezingathandekiyo zomzimba zenzeka xa iyeza limiswa ngesiquphe okanye lithathwa ngeedosi ezincinci), ngakumbi ukuba ulithatha iintsuku ezininzi ukuya kwiiveki ezininzi. Sukuyeka ukuthatha la mayeza okanye uthathe amanani ambalwa ngaphandle kokuthetha nogqirha wakho. Ukuyekisa i-clobazam ngequbuliso kungoyenza mandundu imeko yakho kwaye kubangele iimpawu zokurhoxa ezinokuhlala iiveki ezininzi ngaphezulu kweenyanga ezili-12. Ugqirha wakho mhlawumbi uya kunciphisa i-clobazam dose yakho ngokuthe ngcembe. Fowunela ugqirha wakho okanye ufumane unyango olukhawulezileyo ukuba ufumana naziphi na kwezi mpawu zilandelayo: iintshukumo ezingaqhelekanga; ukukhala ezindlebeni zakho; ixhala; iingxaki zememori; ubunzima bokugxila; iingxaki zokulala; ukuxhuzula; ukungcangcazela; ukuxubana kwezihlunu; utshintsho kwimpilo yengqondo; ukudakumba; Ukutshisa okanye ukujija ukuva ezandleni, iingalo, imilenze okanye iinyawo; ukubona okanye ukuva izinto abanye abangaziboniyo okanye abazivayo; iingcinga zokuzenzakalisa okanye ukuzibulala okanye ukubulala abanye; ukugqithisa; okanye ukuphulukana nokunxibelelana nenyani.


I-Clobazam isetyenziselwa namanye amayeza ukulawula ukubanjwa kwabantu abadala kunye nabantwana abaneminyaka emi-2 ubudala nangaphezulu abane-Lennox-Gastaut syndrome (ingxaki ebangela ukuxhuzula kwaye ihlala ibangela ukulibaziseka kophuhliso). I-Clobazam ikudidi lwamayeza abizwa ngokuba yi-benzodiazepines. Isebenza ngokunciphisa izinto ezingaqhelekanga zombane kwingqondo.

I-Clobazam iza njengethebhulethi kunye nokumiswa (ulwelo) ukuthatha ngomlomo, kwaye njengefilimu ukufaka ulwimi. Ihlala ithathwa kanye okanye kabini ngemini, kunye okanye ngaphandle kokutya. Thatha i-clobazam ngokujikeleza ixesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo.

Ukuba awukwazi ukuginya iipilisi zizonke, ungazophula kwisiqingatha kumanqaku amanqaku okanye uzityumze uze uzixube ngesixa esincinci seapilesauce.

Umbane uza neadaptha kunye neesirinji zomthamo womlomo. Sebenzisa isirinji yomlomo enye kuphela ukulinganisa idosi yakho kunye nokugcina isirinji yesibini. Ukuba isirinji yokuqala yomlomo yonakele okanye ilahlekile, isirinji yesibini enikezelweyo inokusetyenziselwa ukubuyisela.


Ukuthatha ulwelo, landela la manyathelo:

  1. Ngaphambi kokusetyenziswa kokuqala, cofa ibhotile kwaye ufake iadaptha ngokuqinileyo entanyeni yebhotile ide ibe iadaptha ephezulu ingaphezulu kwebhotile. Sukususa iadaptha ngeli xesha usebenzisa le bhotile.
  2. Hlanganisa ulwelo kakuhle ngaphambi kokuba usebenzise nganye ukuxuba amayeza ngokulinganayo.
  3. Ukulinganisa idosi yakho, tyhala iplanti yesirinji yonke indlela ezantsi kwaye ufake isirinji kwiadaptha yebhotile emileyo. Emva koko jika ibhotile ujonge phantsi kwaye ucothise iplunger umva de kube umsesane omnyama uhambelana nethamo lakho elimiselweyo.
  4. Susa isirinji kwi-adaptha yebhotile kwaye ucothise kancinci ulwelo kwisirinji uye kwikona yomlomo wakho.
  5. Beka ikepusi yebhotile phezu kweadaptha emva kokusetyenziswa ngakunye.
  6. Hlamba isirinji yomlomo emva komsebenzi ngamnye. Ukuhlamba isirinji, susa iplanja ngokupheleleyo, hlamba umphanda kunye nesepha ngesepha namanzi, hlamba, kwaye vumela ukuba wome. Musa ukubeka iisirinji kwindawo yokuhlambela izitya.

Ukuthatha ifilimu, landela la manyathelo:

  1. Vula isingxobo se-foil kwaye ususe ifilimu. Qiniseka ukuba izandla zakho zomile kwaye zicocekile.
  2. Beka ifilimu ngaphezulu kolwimi lwakho.
  3. Vala umlomo wakho kwaye uginye amathe wakho ngesiqhelo. Musa ukuhlafuna, ukutshica, okanye ukuthetha ngelixa ifilimu inyibilika. Musa ukuthatha kunye nolwelo.
  4. Hlamba izandla zakho.

Ukuba ugqirha wakho ukuxelele ukuba uthathe ngaphezulu kwefilimu nganye ngedosi, linda de ifilimu yokuqala ichithe ngokupheleleyo ngaphambi kokufaka ifilimu yesibini.

Ugqirha wakho uya kukuqala ngedosi esezantsi ye-clobazam kwaye ngokuthe ngcembe andise idosi yakho, hayi ngaphezulu kwe kanye ngeveki.

Abanye abantu banokuphendula ngokwahlukileyo kwi-clobazam ngokusekwe kwimfuza okanye kwimfuza. Ugqirha wakho unokuyalela uvavanyo lwegazi ukukunceda ufumane idosi ye-clobazam ekulungeleyo.

I-Clobazam inokukunceda ukulawula imeko yakho kodwa ayizukuyinyanga. Qhubeka uthathe i-clobazam nokuba uziva uphilile. Sukuyeka ukuthatha i-clobazam ngaphandle kokuthetha nogqirha wakho.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-clobazam kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-clobazam,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba u-aleji kwi-clobazam, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-clobazam, ukumiswa, okanye ifilimu. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nezinye izinto ezilandelayo: dextromethorphan (Delsym, kwiNuedexta, kwiRobitussin DM); i-fluconazole (iDiflucan); i-fluvoxamine (iLuvox); omeprazole (Prilosec, eZegerid); okanye i-ticlopidine. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-clobazam, ke qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
  • xelela ugqirha wakho ukuba ukhe wakha uneengcinga ngokuzenzakalisa okanye ukuzibulala, okanye ucwangcisa okanye uzama ukwenza njalo okanye umphunga, izintso, okanye isifo sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uthatha i-clobazam rhoqo kwiinyanga ezimbalwa ezidlulileyo zokukhulelwa kwakho, umntwana wakho unokufumana iimpawu zokurhoxa emva kokuzalwa. Xelela ugqirha wosana lwakho ngoko nangoko ukuba umntwana wakho unazo naziphi na kwezi mpawu zilandelayo: ukuba nochuku, ukuxhalaba, ukulala ngendlela engaqhelekanga, ukukhala okuphezulu, ukungcangcazela okungalawulekiyo kwilungu lomzimba, ukugabha okanye ukuhambisa. Ukuba ukhulelwa ngelixa uthatha i-clobazam, biza ugqirha wakho.
  • Ukuba usebenzisa izinto zokucwangcisa i-hormonal (iipilisi zokulawula ukuzalwa, ii-patches, iiringi, izixhobo zokufakelwa, ii-injection, okanye izixhobo ze-intrauterine), kufuneka wazi ukuba olu hlobo lolawulo lokuzalwa alunakusebenza kakuhle xa lusetyenziswa ne-clobazam. Izicwangcisi zeHormonal akufuneki zisetyenziswe njengeyona ndlela yakho yolawulo lokuzalwa ngelixa uthatha i-clobazam kunye neentsuku ezingama-28 emva kwedosi yakho yokugqibela. Thetha nogqirha wakho malunga neendlela zolawulo lokuzalwa ezingezizo ezokusebenzela.
  • xelela ugqirha wakho ukuba uncelisa. Ukuba uncelisa ngelixa uthatha i-clobazam, xela ugqirha wakho ukuba umntwana wakho akondli kakuhle okanye ulele kakhulu.
  • thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha la mayeza ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala kufuneka bafumane iidosi ezisezantsi ze-clobazam kuba iidosi eziphezulu zinokungasebenzi ngcono kwaye zinokubangela iziphumo ebezingalindelekanga ezibi.
  • Kuya kufuneka uyazi ukuba i-clobazam inokukwenza wozele kwaye ichaphazele ukucinga kwakho, amandla okwenza izigqibo kunye nokulungelelanisa. Sukuqhuba imoto, sebenzisa oomatshini, okanye wenze ezinye izinto eziyingozi de ube uyazi indlela ekuchaphazela ngayo la mayeza.
  • Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga kwaye ungazibulala (ucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo) ngelixa uthatha i-clobazam. Inani elincinci labantu abadala kunye nabantwana abaneminyaka emi-5 ubudala nangaphezulu (malunga ne-1 kubantu abangama-500) abathathe i-anticonvulsants, njenge-clobazam, ukunyanga iimeko ezahlukeneyo ngexesha lezifundo zeklinikhi bazibulala ngexesha lonyango lwabo. Abanye baba bantu bakhulise iingcinga zokuzibulala kunye nokuziphatha kwiveki nje enye emva kokuba beqalisile ukuthatha amayeza. Wena kunye nogqirha wakho niya kuthatha isigqibo sokuba ngaba ingozi yokuthatha iyeza le-anticonvulsant inkulu kuneengozi zokungawasebenzisi amayeza. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: uloyiko; ukuphazamiseka okanye ukungazinzi; okutsha okanye ukuhla kokucaphuka, uxinzelelo, okanye uxinzelelo; ukwenza izinto eziyingozi; ubunzima bokuwa okanye ukulala; ndlongondlongo, umsindo okanye ubundlobongela; i-mania (i-frenzied, i-mood engaqhelekanga) ukucinga ngokuzenzakalisa okanye ukuzibulala, okanye ukucwangcisa okanye ukuzama ukwenza njalo; okanye naluphi na olunye utshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwimood. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Clobazam inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • ukudinwa
  • iingxaki ngokulungelelanisa
  • kunzima ukuthetha okanye ukuginya
  • ukuvuza amathe
  • ukutshintsha ukutya
  • ukugabha
  • ukuqhina
  • ukukhohlela
  • intlungu edibeneyo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe KUMANQAKU ATHILE, OKANYE AMANQAKU ESILUMKISO ESIBALULEKILEYO, tsalela ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

  • kunzima, kubuhlungu, okanye ukuchama rhoqo
  • ukukhwehlela, ukuphefumla nzima, umkhuhlane
  • izilonda emlonyeni wakho, irhashalala, umngxunya, ukuxobuka okanye isikhumba esidumbileyo
  • ifiva

I-Clobazam inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Sukuyivula isingxobo se-foil kwifilimu kude kube sekunene ngaphambi kokuba ulungele ukuyisebenzisa. Gcina i-clobazam kwindawo ekhuselekileyo ukuze kungabikho namnye onokuyithatha ngengozi okanye ngenjongo. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Gcina ukumiswa kwe-clobazam (ulwelo) kwindawo emileyo. Sukusebenzisa nayiphi na into engamanzi engaphezulu kweentsuku ezingama-90 emva kokuvula ibhotile kuqala.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • ukozela
  • ukudideka
  • ukunqongophala kwamandla
  • iingxaki ngokulungelelanisa
  • ucothayo, uphefumla nzulu
  • kunciphise umnqweno wokuphefumla
  • isiqaqa
  • ukungaboni kakuhle

Gcina lonke ixesha lokudibana nogqirha wakho.

Musa ukuvumela nabani na ukuba athathe amayeza akho. I-Clobazam yinto elawulwayo. Imigqaliselo inokugcwaliswa kuphela linani eliqingqiweyo lamaxesha; buza usokhemesti wakho ukuba unayo nayiphi na imibuzo.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Onfi®
  • Sympazan®
Ukuhlaziywa kokugqibela-05/15/2021

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