Ngaba wena okanye umntu omaziyo unikwe iyeza elibizwa ngokuba yiCarbamazepine (কা-ব-ম-স-পীন) ngugqirha wakho? Mhlawumbi kukulawula ukuxhuzula okukhoyo, okanye ukulawula iintlungu zemithambo-luvo ezinzima. Usenokuba uqhelene nalo mayeza abizwa ngokuba yiTegretol. Liza ngohlobo lwesiraphu (i-suspension) kwaye lihlala linikwa abantwana kunye nabantu abadala. Ngoko ke, namhlanje siza kuthetha ngokufutshane ngeli yeza, indlela elisebenza ngayo, kunye noko kufuneka ukwazi.
Yintoni iCarbamazepine?
Ngamafutshane, iCarbamazepine liyeza elithomalalisa imithambo-luvo esebenza kakhulu emzimbeni wethu, ingakumbi engqondweni. Xa imithambo-luvo yethu ivuseleleke kakhulu, sifumana iimeko ezifana nokuxhuzula. Ngoko ke eli yeza lilawula olo vuselelo lugqithisileyo kwaye lithomalalisa inkqubo yemithambo-luvo. Likwalawula iintlungu kwezinye iintlungu zemithambo-luvo ezinzima (umzekelo, iTrigeminal Neuralgia).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka azi imbali yakho epheleleyo yezonyango. Eli yeza lisenokungahambelani nezinye iimeko zonyango. Ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho .
| Imeko ekufuneka ixhalatyelwe | Inkcazo |
|---|---|
| Iimeko zempilo ezazikho ngaphambili | Isifo sentliziyo, isifo sesibindi, isifo sezintso, uxinzelelo lwamehlo oluphezulu (i-glaucoma), isifo somongo wamathambo, kunye nesifo segazi esibizwa ngokuba yi-porphyria. |
| Iingxaki zegazi | Iimeko ezinje ngokuncipha kweeseli ezimhlophe zegazi, iiseli ezibomvu zegazi, okanye iiplatelets egazini. |
| Impilo Yengqondo | Ukuba ukhe wacinga ngaphambili, waceba okanye wazama ukuzibulala, okanye ukuba unesifo sengqondo. |
| Ii-aleji | Ukuba une-aleji kwi-carbamazepine okanye amanye amayeza afana ne-tricyclic antidepressants, i-phenytoin, i-phenobarbital, ukutya, okanye izithinteli. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
| Izinyanya | Ukuba ungowomnombo waseAsia, kubalulekile ukuxelela ugqirha wakho kuba usemngciphekweni omkhulu wokuba ne-allergies enzulu yolusu. |
Ndingayisebenzisa njani le yeza?
Ekubeni eli liyeza elingamanzi (i-suspension), kufuneka uhlale ushukumisa ibhotile kakuhle ngaphambi kokuba usebenzise iyeza . Oku kuya kunceda izithako zonyango ezikweli yeza zixubane kakuhle.
- Umlinganiselo ochanekileyo: Linganisa umthamo ochanekileyo ochazwe ngugqirha wakho, usebenzisa indebe yokulinganisa okanye isirinji enikiweyo. Musa ukulinganisa ngeetisipuni zasekhaya okanye iipunipuni, kuba azichanekanga.
- Ngexesha elifanelekileyo: Sela umlinganiselo omiselweyo, ngexesha elimiselweyo. Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenjenjalo. Ingakumbi ukuba usela amayeza ngenxa yesifo sokuwa, ukuyeka ngequbuliso kunokwenza imeko yakho ibe mandundu.
- Ukuba uphoswe yidosi: Ukuba ulibele ukusela idosi, yisele kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
- I-Overdose: Ukuba ucinga ukuba usele i-overdose, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Okubaluleke kakhulu: Eli yeza lelakho kuphela. Musa ukunika omnye umntu eli yeza kuba nje eneempawu ezifanayo nezakho.
Amanye amayeza anokusebenzisana ne-carbamazepine (iindlela ezisetyenziswa ngayo amayeza)
Eli yeza lisenokudibana namanye amayeza, ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
| Ungaze uthathe iCarbamazepine kunye nale yeza! | |
|---|---|
| Ii-MAOI (uhlobo lwamayeza asetyenziselwa ukunyanga ukudakumba) | I-Delavirdine, i-Nefazodone, i-Oxcarbazepine |
| Amanye amayeza e-HIV/AIDS | Amayeza anikwa ngeCobicistat |
| Ezi zinto zinokubangela iingxaki - buza ugqirha wakho | |
| Ijusi yegrapefruit | I-Acetaminophen (iParacetamol), iWarfarin (into enciphisa igazi) |
| Iipilisi zokulawula ukuzalwa, ezinye iintlobo zeehomoni | Amayeza okugula ngengqondo, uxinzelelo lwegazi oluphezulu, kunye nomhlaza |
| Amanye amayeza okubulala iintsholongwane kunye ne-antifungal | Iipilisi zokulala, ii-steroids, amayeza e-thyroid hormone |
*Olu luhlu aluphelelanga. Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.*
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Iimpendulo Ezinzima Zesikhumba
Oku kubaluleke kakhulu. Abanye abantu banokuba nokusabela okukhulu kwesikhumba kwiiveki emva kokuba beqalile eli yeza. Ukuba uvela irhashalala ebomvu okanye emfusa eluswini lwakho kunye nomkhuhlane kunye neentlungu zomzimba,Ukuba kuvela amadyungudyungu emlonyeni wakho okanye emilebeni yakho, okanye ukuba ulusu lwakho luqhekeka ngokungathi lutshile, yeka ukuthatha iyeza ngoko nangoko uze ubone ugqirha . Kwakhona, ukuba unedyungudyungu kunye nokudumba kobuso, imilebe, okanye amadyungudyungu amancinci entanyeni okanye emakhwapheni, oko kukwaluphawu oluyingozi.
Ukozela kunye nesiyezi
Xa uqala ukusela eli yeza, unokuba nobuthongo, isiyezi, kunye nokungaboni kakuhle. Ngoko ke , kuphephe ukuqhuba okanye ukusebenzisa oomatshini abafuna ukuphaphama de umzimba wakho uqhele eli yeza. Ukusela utywala kunokwenza obu buthongo bube mandundu. Ngoko ke, kungcono ukubuphepha ngokupheleleyo utywala ngelixa usela eli yeza.
Amanye amanqaku abalulekileyo
- Ulawulo lokuzala: Iipilisi zokulawula ukuzala zisenokungasebenzi kakuhle xa usebenzisa la mayeza, ngoko ke thetha nogqirha wakho malunga nokusebenzisa olunye uhlobo lolawulo lokuzala.
- Ukukhuselwa lilanga: Eli yeza lingenza ulusu lwakho lube buthathaka elangeni (photosensitivity). Ngoko ke ukuba uza kuba selangeni, sebenzisa isithambisi sokukhusela ilanga kwaye unxibe impahla egquma umzimba wakho.
- Utshintsho lweemvakalelo: Amaxesha amaninzi, eli yeza linokubangela utshintsho lweemvakalelo, kuquka neengcinga zokuzibulala. Ukuba uziva uxhalabile ngakumbi, udandathekile, okanye uneengcinga ezimbi ngobomi, xelela usapho lwakho kunye nogqirha wakho ngoko nangoko.
Iziphumo ebezingalindelekanga zeyeza
| Ezi ziimpawu ezinzulu - xelela ugqirha wakho ngoko nangoko! | |
|---|---|
| Ukunganyamezelani kakuhle komzimba | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso/imilebe/ulwimi, ubunzima bokuphefumla. |
| Iimpendulo eziqatha zesikhumba | Ukurhawuzelela okuhamba nomkhuhlane, ukuba bomvu kwesikhumba, ukudumba, kunye nokuxobuka kwesikhumba (nangaphakathi emlonyeni). |
| Iziphumo kwisibindi | Intlungu esiswini esingaphezulu ngasekunene, ukuphelelwa ngumdla wokutya, ukutyheli kolusu okanye amehlo, kunye nomchamo omnyama. |
| Iziphumo egazini (i-Aplastic Anemia) | Ukudinwa okungaqhelekanga, ukopha rhoqo okanye ukukrweleka, usulelo oluqhelekileyo (umkhuhlane, umphimbo obuhlungu). |
| Ezinye iimpawu ezinzulu | Ukubetha kwentliziyo okungaqhelekanga, utshintsho embonweni, ukudakumba, okanye iingcinga zokuzibulala. |
| Ezi ziziphumo ebezingalindelekanga eziqhelekileyo - xelela ugqirha wakho ukuba ziyaqhubeka. | |
| Ukudinwa, ukozela | Isicaphucaphu, ukuhlanza |
| Ukulahlekelwa yibhalansi xa uhamba | |
Umyalezo Wokuya Ekhaya
- I-Carbamazepine liyeza elibalulekileyo elilawula ukuxhuzula kunye neentlungu ezithile zemithambo-luvo. Lisebenzise kanye njengoko ugqirha wakho ecebisa.
- Xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo kunye nazo zonke iimeko zempilo onazo.
- Ukuba uvela irhashalala eluswini kunye nomkhuhlane ngelixa usebenzisa iyeza, funa ingcebiso kagqirha ngoko nangoko.
- Kuphephe ukuqhuba imoto kunye neminye imisebenzi efuna ukulumka ngelixa usebenzisa eli yeza, njengoko kusenokubakho ukozela kunye nesiyezi. Kuphephe ngokupheleleyo utywala.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kokubonisana nogqirha wakho.
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