Ngaba ufuna ukwazi ngeepilisi zeLamotrigine ezisetyenziswa ixesha elide ukulawula ukuxhuzula kwakho?

Ukuba unesifo sokuxhuzula okanye isifo sokuwa, kusenokwenzeka ukuba ukhe weva ngeli yeza. Libizwa ngokuba yiLamotrigine. Namhlanje siza kuthetha ngeepilisi ezikhutshwa ixesha elide zale yeza. Eli yeza lisebenza ngokuthomalalisa umsebenzi ogqithisileyo wenkqubo yakho yemithambo-luvo.

Le yeza liyintoni?

Ngamafutshane, iLamotrigine liyeza elisetyenziselwa ukunqanda nokulawula ukuxhuzula kubantu abanesifo sokuxhuzula . Ngokuchanekileyo, iiseli zemithambo-luvo engqondweni yethu ngamanye amaxesha ziyavuseleleka kakhulu. Kulapho ke kwenzeka ukuxhuzula. Eli yeza lisebenza ngokuthomalalisa loo msebenzi wemithambo-luvo ugqithisileyo.

Eli yeza linokunikwa oogqirha kwezinye iimeko. Ukuba unemibuzo ngalo, kungcono ubuze ugqirha wakho okanye ikhemisti. Igama eliqhelekileyo leli yeza yi-`(Lamictal XR)`.

Yintoni omele uyixelele iqela lakho lezonyango ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iLamotrigine, kubalulekile ukuxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zilandelayo. Oku kubaluleke kakhulu kuba kulapho kuphela apho ugqirha wakho anokugqiba khona ukuba eli yeza likulungele okanye alikufanele, okanye ukuba angakunika njani.

• Ukuba unesifo sentliziyo .
• Ukuba ukhe waba nentliziyo engaqhelekanga ngaphambili.
• Ukuba uneengxaki ngenkqubo yakho yomzimba yokuzikhusela .
• Ukuba unesifo sezintso .
• Ukuba unesifo sesibindi .
• Ukuba amanqanaba e-folic acid egazini lakho aphantsi .
• Ukuba une -lupus .
• Ukuba unesifo sengqondo .
• Ukuba ukhe wacinga, waceba, okanye wazama ukuzibulala kwixesha elidlulileyo, okanye ukuba kukho umntu kusapho lwakho okhe wacinga ngokuzibulala.
• Ukuba ukhe waba ne-allergy engaqhelekanga kwi-lamotrigine, amanye amayeza okuxhuzula, naluphi na olunye unyango, ukutya, idayi, okanye isithinteli .
• Ukuba ukhulelwe okanye uzama ukukhulelwa .
• Ukuba uncancisa .

Kubaluleke kakhulu ukuze ukhuseleke ukutsho ezi zinto ngaphandle kokuzifihla.

Ulisebenzisa njani kanye kanye eli yeza?

Ufanele usele eli yeza neglasi yamanzi. Ufanele ulandele imiyalelo ekwileyibhile kagqirha ngokuchanekileyo.

Eyona nto ibalulekileyo kukuginya ezi pilisi ziphelele. Ungaze uzihlafune, uzityumze, okanye uziqhekeze.

Ekubeni le yipilisi ekhutshwa ixesha elide, ukwenza njalo kunokuchaphazela ukusebenza kakuhle kwale pilisi.

Usenokuziva uphazamisekile esiswini xa usebenzisa eli yeza. Ukuba oku kuyenzeka, thatha eli yeza kunye nokutya okanye ubisi oluncinci. Kubaluleke kakhulu nokuthatha eli yeza ngamaxesha afanelekileyo. Musa ukuthatha amayeza angaphezu kwalawo ugqirha wakho akuxelele wona.

Xa ufumana eli yeza kwikhemesti, uza kunikwa incwadana yemiyalelo ekhethekileyo (iMedGuide) kunye neyeza lakho elitsha kwaye ngalo lonke ixesha ufumana irejistri. Hlala ukhumbula ukulifunda ngononophelo. Liqulethe ulwazi oluninzi olubalulekileyo kuwe.

Thetha neqela lakho lezonyango malunga nokunika abantwana eli yeza. Nangona ngamanye amaxesha linokunikwa abantwana abaneminyaka eli-13 ubudala, kukho izinto ezithile ezibalulekileyo ekufuneka uziqaphele.

Ukugqithisa amayeza: Ukuba ucinga ukuba uwasele kakhulu la mayeza, fowunela iZiko loLawulo lweTyhefu okanye igumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko.

Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukunika omnye umntu eli yeza, nokuba baneempawu ezifanayo nezakho.

Ndingenza ntoni ukuba ndiphoswe lidosi leyeza?

Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini. Ukwenza njalo kunokunyusa inani lamayeza owathathayo.

Ziziphi ezinye izinto ezinokusebenzisana nale mithi?

Kukho amayeza athile anokubangela iingxaki xa esetyenziswa nge-lamotrigine. Ngoko ke, ukuba usebenzisa naliphi na kula mayeza adweliswe ngezantsi, xelela ugqirha wakho ngaloo nto.

• `Atazanavir`
• Iipilisi zokulawula inzala
• Amanye amayeza okuthintela iingxaki zesingqisho sentliziyo
• Amanye amayeza anikwayo xa umntu enesifo sokuxhuzula, umzekelo: `Carbamazepine`, `Phenobarbital`, `Phenytoin`, `Primidone`, `Valproic acid`
• `I-Lopinavir`
• `I-Rifampin`
• `I-Ritonavir`

Olu luhlu alubandakanyi zonke iindlela zokunxibelelana ezinokwenzeka. Ngoko ke, nika ugqirha wakho uluhlu olupheleleyo lwamayeza owathathayo (abhalwe ngugqirha nathengiswa ngaphandle kwemvume kagqirha), amayeza esintu, iivithamini, kunye nezongezo zokutya. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.

Yintoni endifanele ndiyiqaphele xa ndisebenzisa eli yeza?

Bona ugqirha wakho rhoqo ukuze akuhlole rhoqo ukuze ujonge ukuba impilo yakho injani ngelixa usebenzisa eli yeza.Ukuba kunokwenzeka, phatha ikhadi lokuzazisa elineenkcukacha malunga nemeko yakho yempilo, amayeza owasebenzisayo, kunye neqela lakho lezonyango, okanye unxibe isongo okanye umgexo we-"Medical Alert". Oku kunokuba luncedo kakhulu xa kukho imeko kaxakeka.

Kubaluleke kakhulu ukusela eli yeza kanye njengoko ugqirha wakho ekuxelela, ngedosi elungileyo nangexesha elifanelekileyo. Xa uqala ukusela eli yeza, idosi yakho iya kunyuka kancinci kancinci. Kungathatha iiveki, okanye iinyanga, ukufumana idosi elungileyo kuwe. Ukuba unesifo sokuxhuzula okanye uhlobo olutsha lokuxhuzula, xelela iqela lakho lezempilo ngoko nangoko.

Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokunyusa ukuxhuzula kwakho rhoqo okanye kukwenze kube nzima ngakumbi.

Lumka kwiimpendulo eziqatha zesikhumba!

Eli yeza linokubangela ukusabela okunzulu kwesikhumba . Oku kungenzeka kwiiveki okanye kwiinyanga emva kokuba uqale ukusela iyeza. Ukuba uvela irhashalala enomkhuhlane okanye iimpawu ezifana nomkhuhlane , bona ugqirha wakho ngoko nangoko. La marhashalala anokuba bomvu okanye abe mfusa, kwaye kamva anokuba namaqhuqhuva okanye aqhekeke. Kwakhona, xelela ugqirha wakho ngoko nangoko ukuba uvela irhashalala ebomvu enokuvuvukala kobuso okanye imilebe, okanye ii-lymph nodes ezivuvukileyo entanyeni okanye emakhwapheni .

Amanye amanqaku abalulekileyo

• Usenokuba nobuthongo, isiyezi, okanye umbono ofipheleyo ngelixa usebenzisa eli yeza. Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama kwengqondo ude wazi ukuba eli yeza likuchaphazela njani. Ukuze unciphise umngcipheko wokuba nesiyezi okanye ukuphelelwa ngamandla, musa ukuphakama kwindawo ohleli kuyo okanye omi kuyo ngequbuliso, ingakumbi ukuba sele ukhulile. Ukusela utywala kunokwenza ukozela kunye nesiyezi kube kubi ngakumbi. Ngoko ke kuphephe ukusela utywala.

• Eli yeza linokunyusa kancinci umngcipheko weengcinga okanye izenzo zokuzibulala. Ngoko ke, nikela ingqalelo ekhethekileyo kwimo yakho yeemvakalelo ngelixa usela eli yeza. Ukuba uvakalelwa kukuba imeko yakho yeemvakalelo iya isiba mandundu okanye ukuba uneengcinga zokuzibulala, xelela iqela lakho lezempilo ngoko nangoko.

• Usenokuba nomlomo owomileyo . Ukuhlafuna itshungama engenaswekile, ukufunxa iilekese ezingenaswekile, kunye nokusela amanzi amaninzi kunokunceda ekulawuleni oku. Ukuba le ngxaki iyaqhubeka okanye iba mandundu, xelela ugqirha wakho.

• Abafazi abakhulelweyo ngelixa besebenzisa eli yeza kufuneka batsalele umnxeba ku-1-888-233-2334.Ungabhalisa kwiNorth American Antiepileptic Drug Pregnancy Registry, eqokelela ulwazi malunga nokhuseleko lwamayeza antiepileptic ngexesha lokukhulelwa.

• Eli yeza lisenokunciphisa amanqanaba akho e-folic acid. Ke ngoko, kufuneka uqiniseke ukuba ufumana i-folic acid eyaneleyo ngelixa usebenzisa eli yeza. Thetha neqela lakho lezempilo malunga nokutya kunye neevithamini ozisebenzisayo.

Zeziphi iziphumo ebezingalindelekanga endinokuzifumana kweli yeza?

Njengazo zonke iziyobisi, iLamotrigine inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zinokuba yingozi, ngelixa ezinye zingeyongozi kangako.

Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo:

Ukuba ufumana uphawu olunye okanye ezingaphezulu kwezi zilandelayo, xelela iqela lakho lezonyango ngokukhawuleza:

• Iimpendulo ze-allergy — ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Utshintsho kwimbono.
• Umkhuhlane, iintlungu zentamo okanye ukuqina, ukuva ukukhanya, intloko ebuhlungu, isicaphucaphu, ukuhlanza, ukudideka — ezi zinokuba ziimpawu zesifo esifana ne-meningitis.
• Utshintsho lwesingqi sentliziyo — ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla.
• Usulelo — umkhuhlane, ukubanda, ukukhwehlela, okanye umphimbo obuhlungu.
• Ukulimala kwesibindi — intlungu esiswini esingaphezulu ngasekunene, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, ukutyheli kolusu okanye amehlo, ukudinwa okanye ukudinwa okungaqhelekanga.
• Inani eliphantsi leeseli ezibomvu zegazi — Ukudinwa okanye ukudinwa okungaqhelekanga, isiyezi, intloko ebuhlungu, ukuphelelwa ngumphefumlo.
• Iimpendulo eziqatha zesikhumba ezikhankanyiweyo apha ngasentla - ukurhawuzelela, umkhuhlane, kunye nokudumba kwama-lymph nodes; ukubomvu kwesikhumba, ukudumba, ukuxobuka (kunokwenzeka nangaphakathi emlonyeni).
• Iingcinga zokuzibulala okanye ukuzenzakalisa, imeko yeemvakalelo esiya isiba mandundu, okanye iimvakalelo zokudakumba.
• Ukukruquka okanye ukopha okungaqhelekanga.

Iziphumo ebezingalindelekanga ezingadingi nyango, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza:

Ezi zifo zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho.

• Urhudo
• Isiyezi
• Ukozela
• Intloko ebuhlungu
• Isicaphucaphu
• Intlungu yesisu
• Ukungcangcazela okanye ukungcangcazela

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, nceda ubuze ugqirha wakho ngayo.

Ndingawagcina phi amayeza am?

Gcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .

Gcina kubushushu begumbi, malunga nama-25 degrees Celsius (77 degrees Fahrenheit) . Musa ukusebenzisa naliphi na iyeza eliphelelwe lixesha; lilahle.

Uzilahla njani amayeza angasetyenziswanga naphelelwe lixesha?

Akuyongcinga ilungileyo ukulahla amayeza kwinkunkuma okanye ukuwalahla endlwini yangasese. Ke ngoko:

• Ukuba kunokwenzeka, dlulisela amayeza kwinkqubo yokubuyisela amayeza. Ungacela ikhemesti yakho okanye amapolisa ukuba abone ukuba banawo na.
• Ukuba oku akunakwenzeka, jonga ipakethi yamayeza okanye incwadana eza nayo ukuze ufumane imiyalelo yokuba ulilahle na iyeza enkunkuma okanye ulikhuphele ethoyilethi. Ukuba awuqinisekanga, buza iqela lakho lezonyango.
• Ukuba ithi kukhuselekile ukuyibeka enkunkumani, khupha iyeza kwiphakheji, ulixube nento efana nenkunkuma yekati, umhlaba, okanye ikofu esetyenzisiweyo, faka umxube ebhegini okanye kwisikhongozeli, uvale, uze ulifake enkunkumani.

Eyona nto ibalulekileyo ekufuneka uyikhumbule!

Eli nqaku lisisishwankathelo kuphela. Lisenokungabi nalo lonke ulwazi. Ukuba unemibuzo engaphezulu malunga nale yeza, thetha nogqirha wakho, usokhemesti, okanye omnye umboneleli wezempilo. Ngabo abanokunika icebiso elichanekileyo. Hlala usempilweni!

I- Lamotrigine, isifo sokuwa, ukuqina komzimba, amayeza, iziphumo ebezingalindelekanga, izifo zemithambo-luvo, impilo