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合理換藥穩(wěn)控癲癇

五馬社區(qū)中心 中醫(yī)館

<p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; text-indent: 2em; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">到目前為止,藥物治療是癲癇最主要的治療方法之一,與常用的手術(shù)治療方法相比,更多的患者更容易接受的是藥物治療。</span><span style="max-width: 100%; font-size: 17px; color: rgb(255, 76, 0); word-wrap: break-word !important;">但由于受患者病發(fā)類型及個(gè)人體質(zhì)因素影響,需根據(jù)病癥的發(fā)作對癲癇患者換藥情況進(jìn)行及時(shí)調(diào)整,以利于病癥的治愈</span><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">。那么,癲癇患者如何合理更換藥物呢?</span></h3> <p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; text-indent: 2em; word-wrap: break-word !important;"><span style="font-size: 17px;">癲癇患者做到合理更換藥物,對治療疾病起到事半功倍的效果</span><br></h3><p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">  1、當(dāng)患者所用的藥物療效不是很好的時(shí)候,比方說:首選藥用量的血藥濃度超過了患者治療范圍的上限、出現(xiàn)明顯副作用但是仍沒有達(dá)到滿意效果等等,這時(shí)候醫(yī)生就需要根據(jù)患者病癥發(fā)作類型,換用其他藥物進(jìn)行治療,而患者不可自行更換藥物。</span></h3><p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">  2、癲癇患者在選擇藥物治療的時(shí)候,切忌不可隨便停藥。有些患者稍見病情好轉(zhuǎn)便決定停藥,這其實(shí)很容易造成反彈,加重病情。再吃藥,效果便不明顯,有時(shí)候反而會加重病情。一般癲癇發(fā)作完全控制2-3年后,且腦電圖正常,方可逐漸減量停藥。</span></h3><p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">  3、患者在進(jìn)行換藥時(shí),應(yīng)聽從醫(yī)囑,并且要做到緩慢增加新用藥物劑量,逐漸減少首選藥劑量,血濃度穩(wěn)定后再停用首選藥物。同時(shí),家人也要隨時(shí)關(guān)注癲癇患者換藥情況,避免出現(xiàn)突然換藥導(dǎo)致病癥發(fā)作加劇的情況。</span></h3><p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">  4、有些患者有嚴(yán)重的藥物過敏現(xiàn)象,倘若患者在用藥過程中出現(xiàn)過敏癥狀,就要盡快停止使用該類藥物,以免造成病癥反復(fù)發(fā)作,導(dǎo)致病情加重。</span></h3><p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;">  5、患者在首選藥物停用時(shí),可加用次選藥物進(jìn)行治療,次選藥物未達(dá)到血濃度穩(wěn)定前,再加用第三種選藥,避免在換藥期間病癥的發(fā)作。</span></h3><p style="text-align: center; white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; -webkit-text-size-adjust: 118%; font-size: 14px; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 17px; word-wrap: break-word !important;"><font face="Arial">  6、藥物劑量從常用量低限開始,逐漸增至發(fā)作控制理想而又無嚴(yán)重毒副作用為宜。并定期監(jiān)測血清藥物濃度并適時(shí)調(diào)整藥量</font><font face="-apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif">。</font></span></h3> <p style="white-space: normal; margin-top: 5px; margin-bottom: 10px; max-width: 100%; clear: both; min-height: 1em; caret-color: rgb(51, 51, 51); color: rgb(51, 51, 51); letter-spacing: 0.6419199705123901px; text-align: justify; -webkit-text-size-adjust: 118%; font-family: Arial; font-size: 14px; text-indent: 2em; word-wrap: break-word !important;"><span style="font-size: 17px;">選擇藥物治療癲癇的患者比較多,效果也比較好。但是藥物治療癲癇講究也多,這個(gè)不同于感冒吃藥醫(yī)院一樣,是有講究的,只有遵循醫(yī)囑,做到以上六點(diǎn),才能真正受益于藥物治療。</span></h3> <h3>  劉醫(yī)生溫馨提示:得病切莫亂投醫(yī)。癲癇病人不可隨意輕易換藥、減藥、突然停藥!一定要在專業(yè)醫(yī)生指導(dǎo)下科學(xué)逐步換藥,穩(wěn)控癲癇發(fā)作!</h3>