Qoraa: Virginia Floyd
Taariikhda Abuurista: 8 Ogost 2021
Taariikhda Cusboonaysiinta: 14 Noofeembar 2024
Anonim
Anti epileptic Drugs  / Anticonvulsants : Carbamazepine & Oxcarbamazepine : CNS Pharmacology
Dareemoleyad: Anti epileptic Drugs / Anticonvulsants : Carbamazepine & Oxcarbamazepine : CNS Pharmacology

Qanacsan

Carbamazepine wuxuu sababi karaa falcelin xasaasiyadeed oo nafta halis gelisa oo loo yaqaan Stevens-Johnson syndrome (SJS) ama sunta epidermal necrolysis (TEN). Dareen-celintaan xasaasiyadda waxay u horseedi karaan dhaawac daran maqaarka iyo xubnaha gudaha. Khatarta SJS ama TEN ayaa ugu badan dadka asalkoodu ka soo jeedo Aasiya ee leh halista hidde (hiddo). Haddii aad Aasiya tahay, dhakhtarkaaga ayaa sida caadiga ah amri doona baaritaan si loo hubiyo haddii aad leedahay cilladda halista hidda-socodka ka hor intaadan kuu qorin carbamazepine. Haddii aadan haysan cunsurkan halista ah, dhakhtarkaaga ayaa kuu qori kara carbamazepine, laakiin weli waxaa jira khatar yar oo ah inaad ku dhacdo SJS ama TEN. Wac dhakhtarkaaga isla markiiba haddii aad isku aragto finan daran, finan yaryar, maqaarka oo barara ama diirma, nabarro fudud, nabarro afka ah, ama qandho inta lagu jiro daweyntaada carbamazepine. Cudurka 'Stevens-Johnson syndrome' ama epidermal necrolysis-ka sunta ah wuxuu badanaa dhacaa inta lagu jiro bilaha ugu horreeya ee daaweynta carbamazepine.

Carbamazepine waxay yareyn kartaa tirada unugyada dhiiga ee jirkaaga soo saaro. Marar dhif ah, tirada unugyada dhiigu way yaraan kartaa si ay u keento dhibaatooyin caafimaad oo halis ah ama naf-gooya ah. U sheeg dhakhtarkaaga haddii aad waligaa isku aragtay niyad jab dhuuxa lafta (tirada unugyada dhiigga oo yaraaday) ama xanuunno kale oo dhiig ah, gaar ahaan haddii ay ka dhalatay daawo kale. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: dhuun xanuun, qandho, dhaxan, ama calaamado kale oo infekshan ah oo yimaada ama taga ama aan tagin; neefta oo ku qabata; daal; dhiig-bax aan caadi ahayn ama nabar sida dhiig-baxa caadada oo culus, dhiigga sanka, ama ciridka oo dhiig baxa; dhibco casaan ah ama guduud ah ama dhibco maqaarka ku yaal; ama nabar afka ka soo baxa ..


Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood kahor iyo inta daaweyntaadu socoto si loo hubiyo jawaabta jirkaaga ee carbamazepine.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo-saaraha (Hagaha Daawada) markaad bilaabeysid daaweynta carbamazepine iyo waqti kasta oo aad dib u buuxiso daawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs) ama websaydhka soosaaraha si aad u hesho Hagaha Daawada.

Carbamazepine waxaa loo isticmaalaa kaligiis ama lagu daraa daawooyin kale si loo xakameeyo noocyada qallalka qaarkood ee dadka qaba suuxdinta. Waxaa sidoo kale loo isticmaalaa in lagu daaweeyo trigeminal neuralgia (xaalad sababa xanuun dareemayaasha wajiga). Kaabsoolka la sii dheereeyey ee Carbamazepine (Magaca kaliya ee loo yaqaan 'Equetro brand') ayaa sidoo kale loo isticmaalaa in lagu daaweeyo dhacdooyinka waallida (frenzied, si aan caadi aheyn u faraxsanaanta ama dabeecad xanaaq leh) ama dhacdooyin isku dhafan (astaamaha mania iyo niyad jab isku mar dhaca) bukaanada qaba laba-cirifoodka cilladda ( cudurka manic-depressive disorder; cudur sababa dhacdooyinka niyadjabka, dhacdooyinka waallida, iyo dabeecadaha kale ee aan caadiga ahayn). Carbamazepine waxay ku jirtaa nooc dawooyin ah oo loo yaqaan 'anticonvulsants'. Waxay ku shaqeysaa yareynta dhaqdhaqaaqa korantada ee aan caadiga ahayn ee maskaxda.


Carbamazepine wuxuu u yimaadaa sida kaniiniga, kaniiniga la calaliyo, kaniinka la sii daayay (muddada dheer wax ku sita), kaabsolka la sii daayay, iyo sida ganaax (dareere) ah oo afka lagu qaato. Kiniiniga caadiga ah, kaniiniga la calaliyo, iyo ka joojinta ayaa badanaa la qaataa laba ilaa afar jeer maalintii iyadoo la cunayo. Kiniinka la sii-daayay (Tegretol XR) waxaa caadi ahaan la qaataa laba jeer maalintii iyadoo la cunayo. Kaabsol-sii-fidinta-dheer (Carbatrol, Equetro) ayaa sida caadiga ah la qaataa laba jeer maalintii iyada oo aan la cunin ama la cunin. Si lagaaga caawiyo inaad xasuusato inaad qaadato carbamazepine, qaado qiyaastii isla waqtiyadii maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U qaado carbamazepine sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Kiniiniyada sii-daynta sii wada liq; ha kala qaybin, calalin, ama burburin. Kaabsulka-sii-daaya-sii-fidinta waa la furi karaa oo kuullada ku dhex rusheeya cuntada, sida shaaha oo ah tufaax ama cunto la mid ah. Ha burburin ama calalin kaabsoolaha sii-dheereeya ama kuulalka ku dhex jira.


Si fiican u rux joojinta ka hor isticmaal kasta si aad ugu qaso daawada si siman.

Dhakhtarkaaga ayaa kugu bilaabi doona qadar yar oo ah carbamazepine wuxuuna si tartiib tartiib ah u kordhin doonaa qiyaastaada.

Carbamazepine ayaa laga yaabaa inay kaa caawiso xakameynta xaaladaada laakiin ma daaweyn doonto. Waxay qaadan kartaa dhowr toddobaad ama ka badan intaadan dareemin faa'iidada buuxda ee carbamazepine. Sii wad inaad qaadato carbamazepine xitaa haddii aad fiicnaan dareento. Ha u joojin qaadashada carbamazepine adigoon la hadlin dhakhtarkaaga, xitaa haddii aad la kulanto waxyeelo sida isbeddellada aan caadiga ahayn ee dhaqanka ama niyadda. Haddii aad qabto cillad qalal oo aad si lama filaan ah u joojiso qaadashada carbamazepine, suuxdintaadu way ka sii dari kartaa. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada.

Carbamazepine sidoo kale mararka qaar waxaa loo isticmaalaa in lagu daaweeyo cudurada maskaxda, niyadjabka, jahwareerka daba socda, daroogada iyo ka bixitaanka aalkolada, cilladaha lugaha ee aan nasashada laheyn, cudurka sonkorowga ee 'insipidus', xanuunada qaarkood ee xanuunka, iyo cudur ku dhaca carruurta loo yaqaan 'chorea'. Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee u isticmaalka daawadan xaaladdaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada carbamazepine,

  • u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad leedahay (finan, xiiq, cuncun, dhib liqitaan ama neefsasho, barar wejigaaga, indhahaaga, indhaha, bushimaha, ama carrabka) carbamazepine, amitriptyline (Elavil), amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), oxcarbazepine (Trileptal), protriptyline (Vivactil), dawooyinka kale ee qalal sida phenobarbital, phenytoin (Dilantin, Pheny) Mysoline), daawooyin kale, ama wax kasta oo ka mid ah waxyaabaha ku jira u diyaargarowga carbamazepine. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
  • u sheeg dhakhtarkaaga haddii aad qaadanaysid nefazadone ama qaar ka mid ah kuwa aan ahayn 'nucleoside reverse transcriptase inhibitors (NNRTIs)' sida delavirdine (Rescriptor). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan ku qaadan carbamazepine daawooyinkan. Sidoo kale, u sheeg dhakhtarkaaga haddii aad qaadanaysid monoamine oxidase (MAO) inhibitor sida isocarboxazid (Marplan), Linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate) , ama haddii aad joojisay qaadashada MAO inhibitor 14-kii maalmood ee la soo dhaafay. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan carbamazepine. Haddii aad joojiso qaadashada carbamazepine, waa inaad sugtaa ugu yaraan 14 maalmood ka hor intaadan bilaabin inaad qaadato MAO inhibitor.
  • u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinada, iyo nafaqada nafaqada aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: acetaminophen (Tylenol); acetazolamide (Diamox); albendazole (Albenza); alprazolam (Panax); aminophylline; daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban (Xarelto), iyo warfarin (Coumadin, Jantoven); dawooyinka lidka diiqadda sida amitriptyline (Elavil), bupropion (Wellbutrin, Zyban), buspirone (BuSpar), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), fluoxetine (Prozac, Sarafem), fluvoxamineta (Luvox) ), nortriptyline (Pamelor); antifungals sida fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole, iyo voriconazole (Vfend); danaysane (Emend); aripiprazole (Abilify); buprenorphine (Butrans, Sublocade); bupropion (Aplenzin, Wellbutrin, Zyban); cimetidine (Tagamet); ciprofloxacin; cisplatin (Platinol); corticosteroids sida dexamethasone iyo prednisolone (Prelone); clarithromycin (Biaxin, gudaha Prevpac); clonazepam (Klonopin); clozapine (Clozaril); cyclophosphamide; cyclosporine (Gengraf, Neoral, Sandimmune); dalfopristin iyo quinupristin (Synercid); danazol (Danocrine); dantrolene (Dantrium); diltiazem (Cardizem, Diltzac, Tiazac, kuwa kale); durayaasha (kaniiniyada biyaha); doxorubicin (Adriamycin, Rubex); doxycycline (Vibramycin); erythromycin (E.E.S, E-Mycin, Erythrocin); eslicarbazepine (Aptiom); everolimus (Afinitor, Zortress); felodipine (Plendil); haloperidol (Haldol); Kahortagayaasha 'protease inhibitors' oo ay ka mid yihiin atazanavir (Reyataz), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), iyo saquinavir (Fortovase, Invirase); ibuprofen (Advil); imatinib (Gleevec); isoniazid (INH, Laniazid, oo ku taal Rifater); levothyroxine (Levoxyl, Synthroid); lithium (Lithobid); loratadine (Claritin); lorazepam (Ativan); loxapine (Adasuve); dawooyinka qaarkood ee lagu daaweeyo duumada sida chloroquine (Aralen) iyo mefloquine; daawooyinka walwalka ama cudurada maskaxda; daawooyinka kale ee qalalaasaha sida ethosuximide (Zarontin), felbamate (Felbatol), fosphenytoin (Cerebyx); lamotrigine (Lamictal), methsuximide (Celontin), oxcarbazepine (Trileptal), phenobarbital, phensuximide (Milontin) (oo aan laga helin Mareykanka), phenytoin (Dilantin, Phenytek), primidone (Mysoline), tiagabine (Gabitrilama) , iyo valproic acid (Depakene, Depakote); lapatinib; methadone (Dolophine, Methadose); midazolam; niacinamide (nicotinamide, Vitamin B3); olanzapine; omeprazole; oxybutynin; propoxyphene (Darvon); praziquantel (Biltricide); quetiapine; quinine; rifampin (Rifadin, Rimactane); risperidone; dajiya; sertraline (Zoloft); sirolimus; kaniiniyada hurdada; tacrolimus (Prograf); tadalafil (Adcirca, Cialis); temsirolimus (Torisel); terfenadine (Seldane) (oo aan laga heli karin Mareykanka); theophylline (Theo-24, Theochron, kuwa kale); ticlopidine; tramadol (Ultram); dejiyeyaasha; trazodone; troleandomycin (TAO); verapamil (Calan, Verelan); zileuton (Zyflo); ziprasidone (Geodon), iyo zonisamide (Zonegran). Daawooyin kale oo badan ayaa sidoo kale la macaamili kara carbamazepine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
  • haddii aad qaadanaysid dawooyin kale oo dareere ah, ha u qaadan isla waqtigaas ganaaxa carbamazepine.
  • u sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa qabtid glaucoma (xaalad ah in cadaadiska indhaha oo kordha uu u horseedi karo tartiib tartiib ah aragga); ama wadnaha, kilyaha, tayroodhka, ama cudurka beerka.
  • waa inaad ogaataa in carbamazepine ay yareyn karto waxtarka uur-qaadidda ee hormoonnada (kaniiniyada ka hortagga uurka, balastarro, faraantiyo, irbado, implants, ama aaladda intrauterine). Isticmaal qaab kale oo ah ka hortagga uurka inta aad qaadanaysid carbamazepine. U sheeg dhakhtarkaaga haddii aad qabto dhiig bax siilka ah oo lama filaan ah ama aad u malaynayso inaad uur leedahay inta aad qaadanaysid carbamazepine.
  • u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Carbamazepine waxay waxyeelayn kartaa uurjiifka. Haddii aad uur yeelato inta aad qaadanaysid dawada loo yaqaan 'carbamazepine', isla markiiba wac dhakhtarkaaga.
  • haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadanayso carbamazepine.
  • waa inaad ogaataa in carbamazepine ay kaa dhigi karto mid hurdo badan. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
  • Xusuusnow in aalkoladu ku dari karto dawada ay keento dawada.
  • waa inaad ogaataa in caafimaadkaaga maskaxda laga yaabo inuu isku badalo qaabab lama filaan ah waxaadna noqon kartaa isdilid (inaad ka fikirto inaad wax yeeleyso ama aad isdileyso ama aad qorsheyneyso ama aad isku dayeyso inaad sidaas sameyso) inta aad u qaadaneyso carbamazepine daaweynta suuxdinta, cudurka maskaxda, ama xaalado kale. Tiro yar oo qaangaar ah iyo carruur 5 sano jir ah iyo wixii ka weyn (qiyaastii 1 in 500 qof) oo qaata daawada lidka ku ah sida carbamazepine si loogu daweeyo xaalado kala duwan inta lagu gudajiro daraasadaha bukaan socodka waxay noqdeen ismiidaamin intii lagu jiray daweyntooda. Qaar ka mid ah dadkani waxay sameeyeen fikrado is-dil ah iyo dabeecad ugu horreyn hal toddobaad ka dib markay bilaabeen qaadashada daawada. Waxaa jirta khatar ah inaad la kulanto isbeddelo caafimaadkaaga maskaxda ah haddii aad qaadato daawada xinjirowga lidka ku ah sida carbamazepine, laakiin waxaa sidoo kale jiri kara halista ah inaad la kulanto isbeddello ku dhaca caafimaadkaaga maskaxda haddii aan xaaladdaada wax laga qaban. Adiga iyo dhakhtarkaaga ayaa go'aansan doona haddii halista qaadashada daawada xinjirowga lidka ku ah ay ka weyn tahay halista qaadashada daawada. Adiga, qoyskaaga, ama daryeel bixiyahaagu waa inaad wacdaa dhakhtarkaaga isla markiiba haddii aad isku aragto mid ka mid ah astaamaha soo socda: weerarada argagaxa; kacsan ama degganaansho la’aan; xanaaq, walaac, ama niyad jab cusub ama ka sii daraya; ku-dhaqmidda dardaaranka khatarta ah; dhib ku ah inuu dhaco ama seexdo; dabeecad dagaal, xanaaq, ama rabshad; mania (frenzied, xaalad aan caadi ahayn oo ku faraxsan); kahadalka ama ka fikirka inaad rabto inaad naftaada dhaawacdo ama noloshaada joojiso; ka noqoshada asxaabta iyo qoyska; mashquulka dhimashada iyo dhimashada; bixinta alaab qaali ah; ama wixii isbeddel ah ee aan caadi ahayn ee dabeecadda ama niyadda. Hubso in qoyskaaga ama xannaaneeyahaagu ogyahay astaamaha halista ah si ay ugu yeeraan dhakhtarka haddii aadan awoodin inaad keligaa daaweyn raadsato.
  • haddii aad leedahay dulqaad la'aan fructose (xaalad la iska dhaxlo oo jidhku ka maqan yahay borotiinkii looga baahnaa inuu ku burburiyo fructose [miro sonkor ah oo laga helo macaaneeyeyaasha qaarkood sida sorbitol]), waa inaad ogaataa in joojinta afka laga macaan yahay sorbitol. U sheeg dhakhtarkaaga haddii aad leedahay dulqaad la'aan fructose.

Kala hadal dhakhtarkaaga wax ku saabsan cunitaanka canab-gacmeedka ama cabitaanka casiir canab ah adoo qaadanaya dawadan.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Carbamazepine waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

  • dawakhaad
  • feker aan caadi ahayn
  • hadalka oo adkaada
  • gariir aan la koontarooli karin qayb ka mid ah jirka
  • calool istaag
  • afka qalalan

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybaha digniinta muhiimka ah iyo taxadarka gaarka ah, wac dhakhtarkaaga isla markiiba:

  • jahwareer
  • finan
  • dhakhso, gaabis, ama garaaca wadnaha garaacis
  • hurdi maqaarka ama indhaha
  • kaadi madow
  • xanuun dhinaca midig ee aagga calooshaada
  • cunto xumo
  • lallabbo
  • matagid
  • aragtida isbeddelay
  • daal
  • bararka wajigaaga, indhahaaga, indhaha daboolka, bushimaha, ama carrabka
  • dhib liqidda ama neefsashada
  • madax xanuun, suuxdin cusub ama kordhay, feejignaan la'aan, wareer, daciifnimo, ama degganaansho la'aan
  • finan daran oo leh mid ama inbadan oo ka mid ah kuwan soo socda: qandho, murqo ama kalagoysyo xanuun, indho casaan ama bararsan, finno ama maqaarka oo fiiqma, nabarro afka ah, ama barar wejigaaga ama qoorta ah

Carbamazepine waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka, ka fog iftiinka, kuleylka badan iyo qoyaanka (ha ku jirin musqusha).

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

  • miyir daboolnaan
  • qalal
  • degganaansho la'aan
  • muruqyada oo la rogrogo
  • dhaqdhaqaaq aan caadi ahayn
  • ruxista qayb ka mid ah jirkaaga oo aadan xakamayn karin
  • fadhiidnimo
  • lulmid
  • dawakhaad
  • aragtida isbeddelay
  • neefsasho aan caadi ahayn ama gaabis ah
  • garaaca wadnaha oo degdeg ah ama garaaca
  • lallabbo
  • matagid
  • kaadida oo ku adkaata

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadanayso carbamazepine.

Carbamazepine waxay faragalin kartaa natiijooyinka baaritaanka uurka guriga. La hadal dhakhtarkaaga haddii aad u maleyneyso inaad uur leedahay inta aad qaadaneyso carbamazepine. Ha isku dayin inaad gurigaaga ku tijaabiso uur.

Kiniiniga sii-daaya ee dheereeya ma ku milmo caloosha ka dib markuu wax liqo. Waxay si tartiib tartiib ah u sii dayneysaa dawada markay marayso habka dheef-shiidkaaga. Waxaad dareemi kartaa dahaadhka kiniinka ee saxaradaada.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

  • Carbatrol®
  • Epitol®
  • Equetro®
  • Tegretol®
  • Tegretol®-XR
Markii ugu dambeysay ee dib loo eegay - 05/15/2020

Qayb

Xanuunka xasaasiyadda: waa maxay, astaamaha iyo dhibcaha ugu fiican ee isha

Xanuunka xasaasiyadda: waa maxay, astaamaha iyo dhibcaha ugu fiican ee isha

Xanuun xa aa iyadeed ayaa ah barar ku dhaca i ha oo oo baxa marka aad la kulanto walax xa aa iyad leh, ida manka, boodhka ama timaha xayawaanka, tu aale ahaan, oo keena a taamo ida ca aan, cuncun, bar...
8 faa iidooyinka jimicsiga jirka ee waayeelka

8 faa iidooyinka jimicsiga jirka ee waayeelka

Dhaqdhaqaaqa jirka ee waayeelka waa mid aad muhiim ugu ah kor u qaadida dareenka ladnaanta, xoojinta lafaha, hagaajinta nidaamka difaaca jirka iyo xoojinta murqaha, ka caawinta inaad i fiican u ocoto ...