Video: Cov kev phiv ntawm Keppra hauv dev yog dab tsi?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Tej yam tshwm sim
Feem ntau cov dev thiab miv zoo li zam rau levetiracetam zoo heev. Hauv cov dev, cov kev mob tshwm sim uas tuaj yeem pom yog tsaug zog , hloov tus cwj pwm, thiab plab hnyuv cov tsos mob xws li ntuav los yog raws plab . Hauv miv, qhov txo qis hauv qab los noj mov tuaj yeem tshwm sim.
Tom qab ntawd, Ntev npaum li cas Keppra nyob hauv tus dev lub cev?
Levetiracetam ( Kev ®) yog tus cwj pwm los ntawm ib nrab-lub neej ntawm 2 mus rau 4 teev nyob rau hauv dev (tsis tu ncua) thiab 4 mus rau 7 teev hauv miv; kev hloov pauv ntawm cov tsiaj muaj feem yuav ua cim. Rau ncua kev tso tawm, ib nrab-nyob yuav ua 1-2 teev ntev dua.
Ib sab saum toj no, dab tsi yog qhov cuam tshuam ntev ntawm kev noj Keppra? Kev mob tshwm sim Lwm yam uas tsis yog kev xav tsis zoo uas feem ntau ua rau tsis muaj kev kho TPM yog kev puas siab puas ntsws (27.8%) thiab dysphasia (15.0%). Lwm yam cov kev mob tshwm sim uas nquag tshaj tawm yog kev tsis txaus siab ntawm plab hnyuv, paresthesia, qab los noj mov, kev tsis txaus siab ntawm daim tawv nqaij, poob phaus, mob taub hau thiab kiv taub hau.
Kuj paub yog, Keppra ntau npaum li cas kuv tuaj yeem muab kuv tus dev?
| DRUG | DOSE | HLOOV TSHUAJ XYUAS/DYSFUNCTION |
|---|---|---|
| *Pom zoo tshuaj xyuas tshuaj pom zoo | ||
| Levetiracetam * | 20-50 mg/kg PO Q 8 H (lossis Q 12 H rau ncua kev tso tawm) | Tsis muaj |
| Zonisamide* | 5-10 mg/kg PO Q 12 H | cuam tshuam rau daim siab thiab lub raum Ua rau urinary calculi |
| Gabapentin | 10–30 mg/kg PO Q 8 H | Tsis muaj |
Cov kev phiv tshuaj ntawm qaug dab peg hauv dev yog dab tsi?
Phenobarbital yog ib qho ntawm cov tshuaj feem ntau siv los kho mob qaug dab peg thiab lwm yam qaug dab peg teeb meem hauv dev.
Nov yog qee qhov kev phiv tshwm sim:
- Lub cev tsis muaj zog.
- Sedation.
- Kev txhawj xeeb.
- Nyob tsis tswm.
- Poob ntawm kev sib koom tes.
- Ua kom nqhis dej ntau ntxiv lossis qab los noj mov.
- Qhov hnyav nce.
- Ua kom tso zis ntau ntxiv.
Pom zoo:
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Cov teebmeem. Mob taub hau, kiv taub hau, nkees nkees, xeev siab, thiab yaug tawm tuaj yeem tshwm sim thaum koj lub cev hloov kho cov tshuaj no. Yog tias ib qho ntawm cov teebmeem no tseem nyob lossis ua tsis zoo, qhia rau koj tus kws kho mob lossis kws muag tshuaj tam sim. Mob taub hau feem ntau yog ib qho qhia tias cov tshuaj no ua haujlwm