Munyori: Clyde Lopez
Zuva Rekusika: 22 Chikunguru 2021
Gadziridza Zuva: 21 Gunyana 2024
Anonim
Kathryn Davis, MD, MSTR: Off-Label Clobazam Use in Refractory Epilepsy
Vhidhiyo: Kathryn Davis, MD, MSTR: Off-Label Clobazam Use in Refractory Epilepsy

Zvemukati

Clobazam inogona kuwedzera njodzi yezvinetso zvakakomba kana zvinotyisa kufema, sedation, kana coma kana ikashandiswa pamwe chete nemimwe mishonga. Udza chiremba wako kana uri kutora kana kuronga kutora: mishonga yekudzvinyirira; mishonga yekushushikana, chirwere chepfungwa, uye kubatwa; kunyaradza; mapiritsi ekurara; maopioid akadai se codeine, fentanyl (Duragesic, Subsys), morphine (Astramorph, Kadian), kana oxycodone (muPercocet, muRoxicet, mamwe); kana zvinodzivirira. Chiremba wako angangoda kuchinja madosi emishonga yako uye anozokutarisa nemazvo. Kana iwe ukatora clobazam nechero ipi yemishonga iyi uye iwe ukagadzira chero cheanotevera zviratidzo, fonera chiremba wako nekukasira kana kutsvaga kurapwa kwekukurumidzira nekukurumidza: dzungu risina kujairika, huremu husina musoro, kurara zvakanyanya, kunonoka kana kuoma kufema, kana kusapindura. Ive neshuwa kuti uyo anokuchengeta kana nhengo dzemhuri vanoziva zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana kurapwa kwekukurumidzira kana iwe usingakwanise kutsvaga kurapwa wega.


Clobazam inogona kunge iri tsika yekuumba. Usatore dosi yakakura, tora kakawanda, kana kwenguva yakareba kupfuura izvo chiremba wako anokuudza iwe. Udza chiremba wako kana wakambonwa doro rakawanda, kana ukashandisa kana kuti wakamboshandisa zvinodhaka zvemumugwagwa, kana kunyanyisa kushandisa mishonga yekunwa. Usanwa doro kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako. Kunwa doro kana kushandisa zvinodhaka zvemumugwagwa panguva yekurapwa kwako neclobazam kunowedzerawo njodzi yekuti uchaona izvi zvakakomba, zvinotyisidzira hupenyu. Uyezve udza chiremba wako kana iwe kana wakambove nekuora mwoyo kana chimwe chirwere chepfungwa.

Clobazam inogona kukonzera kutsamira panyama (mamiriro mune zviratidzo zvisingafadzi zvemuviri kana mushonga ukangoerekana wamiswa kana kutorwa mune zvidiki zvidiki), kunyanya kana ukautora kwemazuva akati wandei kusvika kumavhiki akati wandei. Usarega kutora mushonga uyu kana kutora mashoma masero pasina kutaura nachiremba wako. Kumisa clobazam kamwe kamwe kunogona kukuvadza mamiriro ako uye kukonzeresa kubvisa zviratidzo izvo zvinogona kugara kwemavhiki akati wandei kweinopfuura mwedzi gumi nembiri. Chiremba wako angangodaro achaderedza yako clobazam dose zvishoma nezvishoma. Fonera chiremba wako kana kurapwa nekukurumidzira kurapwa kana iwe ukawana chero yeanotevera eanotevera zviratidzo: kujairika kufamba; kurira munzeve dzako; kushushikana; matambudziko ekurangarira; kunetseka kuisa pfungwa; matambudziko ekurara; pfari; kubvunda; mhasuru kubvunda; shanduko muhutano hwepfungwa; kushushikana; kupisa kana kupuruzira kunzwa mumaoko, maoko, makumbo kana tsoka; kuona kana kunzwa zvinhu izvo vamwe vasingaone kana kunzwa; pfungwa dzekukuvadza kana kuzviuraya iwe kana vamwe; overexcitement; kana kurasikirwa nekubata neichoicho.


Clobazam inoshandiswa nemimwe mishonga (s) yekudzora kubatwa muvakuru nevana makore maviri ekuberekwa nevakura vane Lennox-Gastaut syndrome (chirwere chinokonzera kugwinha uye chinowanzo kukonzera kusimudzira kunonoka). Clobazam iri mukirasi yemishonga inonzi benzodiazepines. Inoshanda nekuderedza zvisingaite zvemagetsi zviitiko muuropi.

Clobazam inouya sehwendefa uye kumiswa (mvura) kutora nemuromo, uye sefirimu yekushandisa parurimi. Inowanzo kutorwa kamwe chete kana kaviri pazuva, uine kana usina chikafu. Tora clobazam panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

Kana iwe usingakwanise kumedza iwo mahwendefa akazara, unogona kuatyora nepakati pane mamaki echiratidzo kana kupwanya uye kuasanganisa iwo nekashoma kemapurosiuce.

Iyo mvura inouya adapta uye maviri emumuromo dosing majekiseni. Shandisa imwe chete yemasirinji maviri emuromo ekuyera muyero wako uye chengetedza sirinji yechipiri. Kana sirinji yekutanga yemuromo ikakuvara kana kurasikirwa, yechipiri sirinji inopihwa inogona kushandiswa sekutsiva.


Kuti utore mvura yacho, tevera nhanho idzi:

  1. Usati washandisa kwekutanga, sunungura bhodhoro uye nyatsoisa iyo adapta mumutsipa webhodhoro kusvikira kumusoro kweadapter iko kunyange neiyo yepamusoro bhodhoro. Usabvise adapta panguva yaunenge uchishandisa iri bhodhoro.
  2. Zunza mvura zvakanaka musati mese mushandisa kusanganisa mishonga zvakaenzana.
  3. Kuyera muyero wako, pusha iyo plunger yesirinji kwese kuzasi woisa iyo sirinji muadhaputa yebhodhoro rakamira. Wobva wadzosera bhodhoro rakatarisa pasi uye zvishoma nezvishoma uchidhonza plunger kudzoka kudzamara ringi dema richienderana neyako yakatemwa dosi.
  4. Bvisa sirinji kubva mudhaputa yemabhodhoro uye zvishoma nezvishoma uchikwenya iyo mvura kubva mujekiseni kuenda kukona yemuromo wako.
  5. Isa chigubhu chehombodo pamusoro peadapter mushure mekushandisa kwese.
  6. Shamba sirinji yemuromo mushure mekushandisa kwega kwega. Kugeza jekiseni, bvisa plunger zvachose, geza dhiramu uye sipo nemvura, sukurudza, uye rega kuome. Usaise sirinji zvikamu mudhishi rekuwachira ndiro.

Kuti utore iyo firimu, tevera nhanho idzi:

  1. Vhura homwe yemapepa uye bvisa iyo firimu. Iva nechokwadi chekuti maoko ako akaoma uye akachena.
  2. Isa firimu pamusoro perurimi rwako.
  3. Vhara muromo wako uye kumedza mate ako zvakajairika. Usatsenga, kupfira mate, kana kutaura apo firimu rinonyungudika. Usatora nezvinwiwa.
  4. Geza maoko.

Kana chiremba wako akakuudza kuti utore kanopfuura kamwe chete bhaisikopo paadhi, mirira kusvikira iyo yekutanga firimu yaparara zvachose usati washandisa yechipiri firimu.

Chiremba wako angangotanga iwe pane yakaderera dosi yeclobazam uye zvishoma nezvishoma kuwedzera yako dosi, kwete kupfuura kamwe chete pasvondo

Vamwe vanhu vanogona kupindura zvakasiyana neclobazam zvichibva pahunhu hwavo kana magene ekuumbwa. Chiremba wako anogona kuraira kuongororwa kweropa kuti ubatsire kuwana iyo clobazam yakakunakira iwe.

Clobazam inogona kubatsira kudzora mamiriro ako asi haizorape. Ramba uchitora clobazam kunyangwe iwe uchinzwa zvakanaka. Usarega kutora clobazam usina kutaura nachiremba wako.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Gwaro Rekurapa) paunotanga kurapwa neclobazam uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora clobazam,

  • udza chiremba wako uye wemishonga kana uri weergoria kune clobazam, chero mimwe mishonga, kana chero chinhu chinogadzirwa mumapiritsi e clobazam, kumiswa, kana firimu. Kumbira wemishonga wako kana tarisa Gwaro Rekurapa kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero eanotevera: antihistamines; dextromethorphan (Delsym, muNuedexta, muRobitussin DM); fluconazole (Diflucan); fluvoxamine (Luvox); omeprazole (Prilosec, muZegerid); kana ticlopidine. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana neclobazam, saka ive shuwa yekuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa
  • udza chiremba wako kana iwe wakambove nekufunga nezvekuzvikuvadza kana kuzviuraya, kana kuronga kana kuyedza kuzviita kana mapapu, itsvo, kana chirwere chechiropa.
  • udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana iwe ukatora clobazam nguva dzose mukati memwedzi mishoma yekupedzisira yenhumbu yako, mwana wako anogona kuona zviratidzo zvekudzoka mushure mekuzvarwa. Udza chiremba wemwana wako ipapo ipapo kana mwana wako akasangana nechimwe chezviratidzo zvinotevera: kushatirwa, kusagadzikana, kurara zvisina kujairika, kuchema kwakanyanya, kuzunza kusingadzoreki kwechikamu chemuviri, kurutsa, kana manyoka. Kana iwe ukava nepamuviri uchitora clobazam, danaidza chiremba wako.
  • kana iwe uri kushandisa mahormone ekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka, zvigamba, mhete, mapiritsi, majekiseni, kana zvigadzirwa zvemukati), iwe unofanirwa kuziva kuti urwu rudzi rwekudzivirira kubereka harungashande zvakanaka kana ruchishandiswa neclobazam. Mahormone ekudzivirira kubata pamuviri haafanire kushandiswa senzira yako chete yekudzivirira kuberekwa paunenge uchitora clobazam uye kwemazuva makumi maviri nemasere mushure mekupedzisira kwedosi. Taura nachiremba wako nezvenzira dzisina kudzorwa dzekuzvarwa dzinokushandira.
  • udza chiremba wako kana iwe uchiyamwisa. Kana iwe uri kuyamwisa paunenge uchitora clobazam, udza chiremba wako kana mwana wako asiri kudya zvakanaka kana achikotsira zvakanyanya.
  • taura nachiremba wako nezve njodzi uye bhenefiti yekutora mushonga uyu kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru vanofanirwa kugamuchira yakaderera doses yeclobazam nekuti mizinga yepamusoro inogona kusashanda zvirinani uye inogona kukonzera zvakakomba mhedzisiro.
  • iwe unofanirwa kuziva kuti clobazam inogona kukuita iwe kukotsira uye kukanganisa mafungiro ako, kugona kuita sarudzo, nekubatana. Usafambisa mota, shandisa michina, kana kuita zvimwe zvinhu zvine njodzi kusvikira iwe waziva kuti mushonga uyu unokubata sei.
  • iwe unofanirwa kuziva kuti hutano hwako hwepfungwa hunogona kuchinja nenzira dzisingatarisirwi uye unogona kuzviuraya (kufunga nezvekuzvikuvadza kana kuzviuraya kana kuronga kana kuyedza kuzviita) paunenge uchitora clobazam. Chiverengero chidiki chevakuru nevana vane makore mashanu ekuberekwa uye kupfuura (vangangoita 1 muvanhu mazana mashanu) vakatora anticonvulsants, senge clobazam, kurapa akasiyana mamiriro panguva yekiriniki yekudzidzira kuzviuraya panguva yekurapwa kwavo. Vamwe vevanhu ava vakaita pfungwa dzekuzviuraya pamwe nehunhu pakutanga kwevhiki rimwe chete vatanga kutora mushonga. Iwe nachiremba wako muchasarudza kana njodzi dzekutora mushonga weanticonvulsant dzakakura kudarika njodzi dzekusatora mushonga. Iwe, mhuri yako, kana mutarisiri wako unofanirwa kufonera chiremba wako ipapo kana iwe ukawana chero cheanotevera zviratidzo: kuvhunduka kwekutya; kusagadzikana kana kusagadzikana; kutsva kana kuwedzera kutsamwa, kushushikana, kana kushushikana; kuita zvishuvo zvine ngozi; kunetseka kudonha kana kuramba wakarara; hasha, hasha, kana kuita zvechisimba; mania (kupenga, kusanzwisisika zvisingaite); kufunga nezvekukuvadza kana kuzviuraya iwe, kana kuronga kana kuyedza kuzviita; kana chero imwe shanduko isina kujairika mumaitiro kana manzwiro. Iva nechokwadi chekuti mhuri yako kana muchengeti anoziva kuti ndezvipi zviratidzo zvingave zvakakomba saka vanogona kufonera chiremba kana iwe usingakwanise kutsvaga kurapwa iwe wega.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Clobazam inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kuneta
  • matambudziko nekubatana
  • kunetseka kutaura kana kumedza
  • kumedza mate
  • chinja mukuda kudya
  • kurutsa
  • kuvimbiswa
  • kukosora
  • kurwadza kwemajoini

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinzwa.

  • zvakaoma, zvinorwadza, kana kugara uchiita weti
  • kukosora, kunetseka kufema, kupisa
  • maronda mumuromo mako, mapundu, mikoko, peeling kana kubvarura ganda
  • kupindwa nechando

Clobazam inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Usavhure homwe yekudhirowa yemufirimu kusvika kurudyi usati wagadzirira kuishandisa. Chengetedza clobazam munzvimbo yakachengeteka kuitira kuti pasave neanogona kuitora netsaona kana nechinangwa. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Chengetedza clobazam kuturika (mvura) munzvimbo yakatwasuka. Usashandise chero mvura yasara kupfuura mazuva makumi mapfumbamwe mushure mekutanga kuvhura bhodhoro.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • kutsimwaira
  • kuvhiringidzika
  • kushaya simba
  • matambudziko nekubatana
  • kunonoka, kufema zvishoma
  • kuderera kwekuda kufema
  • kufenda
  • kusaona zvakanaka

Chengetedza zvese zvakagadzwa nachiremba wako.

Usarega mumwe munhu achitora mushonga wako. Clobazam chinhu chinodzorwa. Zvinyorwa zvinogona kuzadzikiswa chete akaganhurirwa nhamba yenguva; bvunza wako wemishonga kana iwe uine chero mibvunzo.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

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