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Pharmacology - Seizures (Epilepsy) drugs for nursing RN PN NCLEX
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Ana amfani da Phenytoin don sarrafa wasu nau'ikan kamuwa da cuta, da kuma magancewa da hana kamuwa da cututtukan da ka iya farawa yayin aiki ko bayan tiyata zuwa kwakwalwa ko tsarin juyayi. Phenytoin yana cikin rukunin magungunan da ake kira anticonvulsants. Yana aiki ne ta hanyar rage aikin lantarki mara kyau a cikin kwakwalwa.

Phenytoin ya zo a matsayin ƙaramin fitarwa (aiki mai dogon lokaci), ƙaramin kwamfutar hannu, da dakatarwa (ruwa) don ɗauka ta baki. Ana ɗaukar kwamfutar hannu da ake ɗorawa da dakatarwa sau biyu ko sau uku a rana. Ana ɗaukar capsules mai tsawo-sau ɗaya zuwa sau hudu a rana. Phenauki phenytoin a kusan lokaci guda (s) kowace rana. Bi umarnin kan lakabin takardar sayan ku a hankali, kuma ku tambayi likitan ku ko likitan magunguna su bayyana duk wani ɓangaren da ba ku fahimta ba. Phenauki phenytoin daidai yadda aka umurta. Kar ka ɗauki ƙari ko ƙasa da shi ko ka sha shi sau da yawa fiye da yadda likitanka ya tsara.

Kwararka zai fara maka a kan ƙananan ƙwayar phenytoin kuma a hankali ya ƙara yawan ku, ba sau da yawa fiye da sau ɗaya kowace 7 zuwa 10 kwanakin.


Abubuwa daban-daban na phenytoin jiki yana karɓar su ta hanyoyi daban-daban kuma baza a iya maye gurbin junan su ba. Idan kana buƙatar canzawa daga samfurin phenytoin zuwa wani, likitanka na iya buƙatar daidaita sashinka. Duk lokacin da kuka karɓi magungunanku, duba don tabbatar cewa kun karɓi samfurin phenytoin da aka tsara muku. Tambayi likitan ku idan baku da tabbacin cewa kun sami maganin da ya dace.

Girgiza ruwan sosai kafin kowane amfani don haɗa magungunan daidai.Yi amfani da madaidaicin na'urar auna don tabbatar ka karɓi adadin magani daidai. Tambayi likitan ku ko likitan magunguna idan kuna da wasu tambayoyi game da yadda za ku auna adadin ku.

Haɗa kawunnin da aka faɗaɗa gaba ɗaya; kada ku rarraba, ku tauna, ko murkushe su. Kar a ɗauki kawunansu da suke canza launi.

Kuna iya tauna allunan da ake taunawa sosai kafin haɗiye su, ko kuma ku ci su duka ba tare da tauna ba.

Idan kuna karɓar tsari ko kari ta bututun ciyarwa, yi magana da likitanku game da lokacin da yakamata ku ɗauki phenytoin. Kuna buƙatar ba da ɗan lokaci tsakanin karɓar abincinku da shan phenytoin.


Phenytoin na iya taimakawa wajen sarrafa yanayin ka amma ba zai warkar da shi ba. Ci gaba da ɗaukar phenytoin koda kuna jin daɗi. Kada ka daina shan phenytoin ba tare da ka yi magana da likitanka ba, ko da kuwa kun fuskanci lahani kamar sauye-sauye na ɗabi'a ko yanayi. Idan ba zato ba tsammani ka daina shan phenytoin, cututtukan ka na iya tsananta. Kila likitanku zai iya rage yawan ku a hankali.

Phenytoin ana amfani dashi don sarrafa bugun zuciya mara izini. Yi magana da likitanka game da haɗarin amfani da wannan magani don yanayin ku.

Wannan magani za a iya wajabta shi don sauran amfani; nemi likita ko likitan magunguna don ƙarin bayani.

Kafin shan phenytoin,

  • gaya wa likitan ka da likitan ka idan kana rashin lafiyan cutar ta phenytoin, sauran magungunan hydantoin kamar su ethotoin (Peganone) ko fosphenytoin (Cerebyx), duk wasu magunguna, ko kuma wani sinadarin da ke cikin phenytoin. Tambayi likitan ku kan jerin kayan hadin.
  • gaya wa likitanka idan kana shan delavirdine (Rescriptor). Kila likitanku zai gaya muku kar ku ɗauki phenytoin idan kuna shan wannan magani.
  • gaya wa likitanka da likitan kantin ku irin magunguna da magunguna marasa magani, bitamin, kayan abinci mai gina jiki, da kayan ganyen da kuke sha ko shirin sha. Tabbatar da ambaci kowane ɗayan masu zuwa: albendazole (Albenza); amiodarone (Nexterone, Pacerone); maganin hana yaduwar jini (‘masu kara jini)’ kamar warfarin (Coumadin, Jantoven); magungunan antifungal kamar su fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Onmel, Sporanox, Tolsura), miconazole (Oravig), posaconazole (Noxafil), da voriconazole (Vfend); wasu kwayoyin cutar kamar su efavirenz (Sustiva, a Atripla), indinavir (Crixivan), lopinavir (a Kaletra), nelfinavir (Viracept), ritonavir (Norvir, a Kaletra), da saquinavir (Invirase); bleomycin; capecitabine (Xeloda); karboplatin; chloramphenicol; chlordiazepoxide (Librium, a cikin Librax); magungunan cholesterol irin su atorvastatin (Lipitor, in Caduet), fluvastatin (Lescol), da simvastatin (Zocor, in Vytorin); cisplatin; clozapine (Fazaclo, Versacloz); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); diazoxide (Proglycem); digoxin (Lanoxin); pyarfafawa (Norpace); disulfiram (Antabuse); doxorubicin (Doxil); doxycycline (Acticlate, Doryx, Monodox, Oracea, Vibramycin); fluorouracil; fluoxetine (Prozac, Sarafem, a cikin Symbyax, wasu); fluvoxamine (Luvox); folic acid; fosamprenavir (Lexiva); furosemide (Lasix); H2 masu adawa kamar cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), da ranitidine (Zantac); maganin hana daukar ciki na hormonal (kwayoyin hana haihuwa, faci, zobba, ko allura); maganin maye gurbin hormone (HRT); irinotecan (Camptosar); isoniazid (Laniazid, a cikin Rifamate, a cikin Rifater); magunguna don tabin hankali da tashin zuciya; wasu magunguna don kamuwa kamar su carbamazepine (Carbatrol, Equetro, Tegretol, wasu), ethosuximide (Zarontin), felbamate (Felbatol), lamotrigine (Lamictal), methsuximide (Celontin), oxcarbazepine (Trilepta, Oxtellar XR, phen) ), da kuma valproic acid (Depakene); methadone (Dolophine, Methadose); methotrexate (Otrexup, Rasuvo, Trexall, Xatmep); methylphenidate (Daytrana, Concerta, Metadate, Ritalin); mexiletine; nifedipine (Adalat, Procardia), nimodipine (Nymalize), nisoldipine (Sular); omeprazole (Prilosec); maganin baka kamar dexamethasone, methylprednisolone (Medrol), prednisolone, da prednisone (Rayos); paclitaxel (Abraxane, Taxol); paroxetine (Paxil, Pexeva); praziquantel (Biltricide); quetiapine (Seroquel); quinidine (a cikin Nuedexta); wurin ajiye ruwa; rifampin (Rifadin, Rimactane, a cikin Rifamate, a cikin Rifater); masu maganin ciwon salicylate kamar su asfirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, wasu), da salsalate; sertraline (Zoloft); sucralfate (Carafate); maganin sulfa na sulfa; teniposide; theophylline (Elixophyllin, Theo-24, Theochron); ticlopidine; tolbutamide; trazodone; verapamil (Calan, Verelan, a cikin Tarka); vigabatrin (Sabril); da bitamin D. Likitanku na iya buƙatar canza ƙwanan magungunan ku ko sa ido a kanku don abubuwan illa.
  • gaya wa likitanka idan kana shan maganin kashe kwayoyin cuta wadanda suka hada da sinadarin calcium, magnesium, ko aluminum (Maalox, Mylanta, Tums, da sauransu). Likitanku na iya gaya muku ku bari ɗan lokaci ya wuce tsakanin shan maganin da kuma shan maganin phenytoin.
  • gaya wa likitanka irin kayan ganyen da kake sha, musamman St. John’s wort.
  • gaya wa likitanka idan har ka taba samun matsalar hanta yayin shan phenytoin. Kila likitanku zai gaya muku kada ku sake shan phenytoin.
  • gaya wa likitanka idan ka sha ko ka sha giya mai yawa. Faɗa wa likitanka idan kun yi gwajin gwaji wanda ya ba da rahoton cewa kuna da haɗarin haɗari wanda ya sa ya fi dacewa cewa za ku iya samun mummunan fata game da phenytoin. Har ila yau, gaya wa likitanka idan kana da ko ka taɓa yin ciwon sukari; porphyria (yanayin da wasu abubuwa na halitta ke taruwa a jiki kuma yana iya haifar da ciwon ciki, canje-canje a cikin tunani ko ɗabi'a, ko wasu alamomi); osteopenia, osteomalacia, ko osteoporosis (yanayin da kasusuwa ke da taushi ko karaji kuma yana iya karyewa cikin sauki); ƙananan matakan albumin a cikin jinin ku; ko zuciya, koda ko cutar hanta.
  • gaya wa likitanka idan kana da juna biyu, ka shirya yin ciki, ko kuma kana shayarwa. Bai kamata ku yi ciki ba yayin shan phenytoin. Yi magana da likitanka game da ingantattun hanyoyin kula da haihuwa waɗanda zaku iya amfani dasu yayin maganinku. Idan kun kasance ciki yayin shan phenytoin, kira likitan ku. Phenytoin na iya cutar da ɗan tayi.
  • idan kuna yin tiyata, gami da tiyatar hakori, gaya wa likita ko likitan hakori cewa shan phenytoin kuke yi.
  • ya kamata ku sani cewa wannan magani na iya haifar da dizziness, bacci, da matsaloli tare da daidaito. Kada ku tuƙa mota ko kuyi aiki da injina har sai kun san yadda wannan magani yake shafar ku.
  • yi magana da likitanka game da amintaccen amfani da giya yayin shan wannan magani.
  • ya kamata ku sani cewa lafiyar hankalinku na iya canzawa ta hanyoyin da ba zato ba tsammani kuma kuna iya zama kunar bakin wake (tunani game da cutar ko kashe kanku ko shirin ko ƙoƙarin yin hakan) yayin shan phenytoin. Numberaramin adadi na manya da yara masu shekaru 5 zuwa sama (kusan 1 a cikin mutane 500) waɗanda suka ɗauki ƙwayoyin cuta irin su phenytoin don magance yanayi daban-daban yayin karatun asibiti sun zama masu kashe kansu yayin jiyyarsu. Wasu daga cikin waɗannan mutane sun haɓaka tunani da halaye na kisan kai tun farkon mako ɗaya bayan sun fara shan magani. Akwai haɗarin da za ku iya fuskantar canje-canje a cikin lafiyar hankalinku idan kuka sha magani mai rikitarwa irin su phenytoin, amma kuma akwai yiwuwar ku fuskanci canje-canje a cikin lafiyar hankalinku idan ba a kula da yanayinku ba. Kai da likitanku za ku yanke shawara ko haɗarin shan magani mai hana cin hanci ya fi haɗarin rashin shan shan magani. Ku, danginku, ko mai kula da ku ya kamata ku kira likitanku nan da nan idan kun sami ɗayan waɗannan alamun bayyanar: hare-haren tsoro; tashin hankali ko rashin nutsuwa; sabo ko damuwa da damuwa, damuwa, ko damuwa; yin aiki a kan haɗari masu haɗari; wahalar faduwa ko bacci; m, fushi, ko tashin hankali; mania (frenzied, yanayi mai ban sha'awa); magana ko tunani game da son cutar da kanku ko kawo ƙarshen rayuwar ku; janyewa daga abokai da dangi; shagaltarwa da mutuwa da mutuwa; bayar da abubuwa masu tamani; ko wani canje-canje na daban na ɗabi'a ko yanayi. Tabbatar cewa danginku ko mai ba da kulawa sun san ko wane irin alamun cutar na iya zama mai tsanani saboda haka za su iya kiran likita idan ba za ku iya neman magani da kanku ba.
  • yi magana da likitanka game da hanya mafi kyau don kula da haƙoranku, gumis, da bakinku yayin jiyya tare da phenytoin. Yana da matukar mahimmanci ku kula da bakinku yadda yakamata don rage haɗarin lalacewar ɗanko da cutar ta phenytoin ta haifar.

Sai dai idan likitanku ya gaya muku in ba haka ba, ci gaba da abincinku na yau da kullun.


Doseauki kashi da aka rasa da zarar kun tuna shi. Koyaya, idan ya kusan zuwa lokaci na gaba, tsallake kashi da aka rasa kuma ci gaba da tsarin jadawalin ku na yau da kullun. Kar a sha kashi biyu domin biyan wanda aka rasa.

Phenytoin na iya haifar da ƙaruwa a cikin jini. Yi magana da likitanka game da alamun cutar hawan jini da abin da za ka yi idan ka gamu da waɗannan alamun.

Phenytoin na iya haifar da sakamako masu illa. Faɗa wa likitanka idan ɗayan waɗannan alamun sun yi tsanani ko kuma ba su tafi:

  • wahalar bacci ko bacci
  • motsin ido wanda ba'a iya sarrafashi
  • motsin jiki mara kyau
  • asarar daidaituwa
  • rikicewa
  • slurred magana
  • ciwon kai
  • canje-canje a cikin yanayin dandano
  • maƙarƙashiya
  • girma gashi maras so
  • nauyin fuska
  • fadada lebe
  • yawaitar gumis
  • zafi ko lankwasawar azzakari

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun sami ɗayan waɗannan alamun bayyanar ko waɗanda aka lissafa a cikin Sashin kulawa na musamman, kira likitan ku nan da nan :.

  • kumburin gland
  • kumfa
  • tashin zuciya
  • amai
  • rawaya fata ko idanu
  • zafi a ɓangaren dama na ciki
  • yawan gajiya
  • ƙwanƙwasawa ko jini
  • kananan ja ko launuka masu launin shuɗi akan fata
  • rasa ci
  • cututtuka masu kama da mura
  • zazzabi, ciwon wuya, kurji, ulcerar baki, ko saurin rauni, ko kumburin fuska
  • jiri, kasala, bugun zuciya mara kyau, ko ciwon kirji
  • karancin numfashi
  • amya

Wasu sakamako masu illa na iya zama mai tsanani. Idan kun ji daya daga cikin wadannan alamun, ku daina shan phenytoin kuma ku kira likitan ku:

  • kumburin fuska, idanu, maƙogwaro, harshe, ko leɓɓa
  • wahalar haɗiye ko numfashi

Phenytoin na iya haifar da wasu sakamako masu illa. Kira likitan ku idan kuna da wasu matsaloli na ban mamaki yayin da kuke shan wannan magani.

Idan kun fuskanci mummunan sakamako, ku ko likitanku na iya aika rahoto ga shirin Abinci da Magunguna na Hukumar Kula da Abinci da Magunguna (FDA) na kan layi (http://www.fda.gov/Safety/MedWatch) ko ta waya ( 1-800-332-1088).

Shan shan phenytoin na iya kara kasadar da za ka iya kamuwa da cutar osteopenia, osteoporosis, ko osteomalacia da kuma matsaloli tare da narkakkun lymph din ka wadanda suka hada da cutar Hodgkin (cutar sankara da ke farawa a tsarin lymph). Yi magana da likitanka game da haɗarin amfani da wannan magani don magance yanayinku.

Ajiye wannan maganin a cikin akwatin da ya shigo, a rufe sosai, kuma daga inda yara zasu isa. Ajiye shi a zafin jiki na ɗaki, nesa da haske da yawan zafi da danshi (ba cikin banɗaki ba). Kada a daskare ruwan.

Yana da mahimmanci a kiyaye dukkan magunguna ba tare da gani ba kuma yara su isa kamar yadda kwantena da yawa (kamar masu ba da maganin kwaya na mako-mako da waɗanda suke don maganin ido, creams, faci, da kuma inhalers) ba sa jure yara kuma yara ƙanana na iya buɗe su cikin sauƙi. Don kare ƙananan yara daga guba, koyaushe kulle maɓallan aminci kuma nan da nan sanya magani a cikin amintaccen wuri - wanda ke sama da nesa kuma daga ganinsu kuma ya isa. http://www.upandaway.org

Ya kamata a zubar da magunguna marasa magani ta hanyoyi na musamman don tabbatar da cewa dabbobin gida, yara, da sauran mutane ba za su iya cinye su ba. Koyaya, yakamata ku zubar da wannan maganin ta bayan gida. Madadin haka, hanya mafi kyau don zubar da maganinku shine ta hanyar shirin dawo da magani. Yi magana da likitan ka ko ka tuntuɓi sashen shara / sake amfani da datti na gida don koyon shirye-shiryen dawo da martabar ku a yankin ku. Dubi gidan yanar gizo na FDA mai lafiya na zubar da Magunguna (http://goo.gl/c4Rm4p) don ƙarin bayani idan ba ku da damar zuwa shirin karɓar kuɗi.

Idan ya wuce gona da iri, kira layin taimakon guba a 1-800-222-1222. Hakanan ana samun bayanai akan layi akan https://www.poisonhelp.org/help. Idan wanda aka azabtar ya faɗi, ya kamu, fama da numfashi, ko ba za a iya farkawa ba, nan da nan kira sabis na gaggawa a 911.

Kwayar cututtukan ƙwayar ƙwayar cuta na iya haɗawa da masu zuwa:

  • motsin ido wanda ba'a iya sarrafashi
  • asarar daidaituwa
  • jinkirin magana ko slurred
  • hangen nesa
  • gajiya
  • girgizawar wani sashi na jiki
  • tashin zuciya
  • amai
  • suma (asarar hankali na wani lokaci)
  • jiri, kasala, bugun zuciya mara kyau, ko ciwon kirji
  • karancin numfashi

Kiyaye duk alƙawarin tare da likitanku da dakin gwaje-gwaje. Kwararka na iya yin oda wasu gwaje-gwajen gwaje-gwaje don bincika amsarka ga phenytoin.

Kafin yin gwajin gwaji, gaya wa likitanku da ma'aikatan dakin gwaje-gwaje cewa kuna shan phenytoin.

Kar ka bari wani ya sha maganin ka. Tambayi likitan ku duk wata tambaya da kuke da ita game da sake shigar da takardar sayan ku.

Yana da mahimmanci a gare ku da ku kiyaye jerin rubutattun dukkanin rubutattun magunguna da kuma wadanda ba a rubuta su ba (kan-kan-kan-kan) magungunan da kuke sha, har ma da wasu kayayyaki kamar su bitamin, ma'adanai, ko wasu kayan abincin da ake ci. Ya kamata ku kawo wannan jeren tare da ku duk lokacin da kuka ziyarci likita ko kuma idan an shigar da ku a asibiti. Hakanan mahimman bayanai ne don ɗauka tare da yanayin gaggawa.

  • Dilantin®
  • Phenytek®
Arshen Bita - 12/15/2019

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