He aha te Tiagabine: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Tiagabine he rongoā whakahau e whakamahia ana hei rongoā i te mate roro, ina koa ko ngā pūhihi wāhanga kāore i pai te urupare ki ētahi atu rongoā. E mahi ana mā te pānga ki ētahi matū roro e whakahaere ana i te mahi hiko, e āwhina ana ki te whakaiti i te auau me te kaha o ngā pūhihi i roto i ngā tāngata e hiahia ana ki te whakahaere pūhihi atu.

No te kāwai rongoā tēnei rongoā e kīia ana ko te anticonvulsants, ko te rongoā antiepileptic rānei. Ahakoa e kiia ana he kōwhiringa rongoā motuhake, mā te māramatanga ki te pēhea te mahi me te aha e tūmanakohia ana ka āwhina koe ki te whai i te māia ake mō tō mahere rongoā.

He aha te Tiagabine?

Ko te Tiagabine he rongoā antiepileptic e āwhina ana ki te whakahaere i ngā pūhihi mā te whakahaere i te mahi roro. I hangaia motuhake mō ngā tāngata kāore i te tino whakahaerehia ngā pūhihi e ā rātou rongoā o nāianei, e mahi ana hei kōwhiringa rongoā atu, kaua hei rongoā tuatahi.

Ka tae mai te rongoā i roto i te ahua papa, ka tangohia mā te waha. Koinei te mea e kīia ana e ngā tākuta he rongoā "tāpiri", "adjunctive" rānei, ko te tikanga e mahi ana i te taha o ētahi atu rongoā pūhihi hei whakarato i te whakahaere pūhihi pai ake. Whakaarohia he paparanga whakamarumaru atu mō te pūnaha hiko o tō roro.

E āwhina ana te Tiagabine i ngā tāngata ki te whakahaere i tō rātou mate roro mō te rua tekau tau neke atu. He rongoā kua akona pai e tuku ana i te tūmanako mō te hunga kāore anō i kitea te whakahaere pūhihi katoa me ētahi atu rongoā anake.

He aha te Tiagabine e whakamahia ana?

Kua whakaaetia motuhake te Tiagabine hei rongoā i ngā pūhihi wāhanga i roto i ngā pakeke me ngā tamariki neke atu i te 12 tau. Ko ngā pūhihi wāhanga he pūhihi e tīmata ana i tētahi wāhi o te roro, ā, ka horapa pea ki ētahi atu wāhi.

Ka tūtohu pea tō tākuta i te tiagabine mēnā kei te tango kē koe i ētahi atu rongoā mō te hopu, engari kei te pā tonu koe i ngā hopu e puta ana. He tino whai hua mō te hunga e pā ana ki ngā hopu wāhanga uaua, ki ngā hopu wāhanga māmā rānei kāore i pai te urupare ki ētahi atu rongoā.

Ka whakamahia tonu te rongoā i te taha o ētahi atu rongoā anti-epileptic, kāore rawa i te rongoā motuhake. Mā tēnei huarahi e āwhina te whakanui i te whakahaere hopu i te wā e whakaiti ana i ngā pānga taha ka puta pea me ngā horopeta teitei o te rongoā kotahi.

Me pēhea te mahi a te Tiagabine?

Ka mahi te Tiagabine mā te aukati i te tango anō o te matū roro e kīia nei ko GABA (waikawa gamma-aminobutyric). Ko GABA te neurotransmitter "whakamārie" matua o tō roro, e āwhina ana ki te whakaiti i te mahi hiko nui rawa atu ka puta he hopu.

Inā aukati te tiagabine i te tango anō o te GABA, ka noho kaha ake te matū whakamārie i tō roro. Mā tēnei e āwhina te pupuri i tētahi taiao hiko tūpono ake, e iti ake ai te tūponotanga o ngā hopu. He rite ki te whai pūnaha braking whai hua ake mō te mahi hiko o tō roro.

E kiia ana he kaha ngāwari tēnei rongoā i waenga i ngā rongoā anti-epileptic. Kāore i te kaha pērā i ētahi rongoā hou, engari he whai hua ki te whakarato i te whakaiti hopu whai kiko ina whakamahia tika ana hei wāhanga o te mahere rongoā whānui.

Me pēhea taku tango i te Tiagabine?

Tangohia te tiagabine i te mea i whakaritea e tō tākuta, te tikanga 2-4 wā ia rā me te kai. Mā te tango me ngā kai e āwhina ana ki te whakaiti i te pōhara o te puku me te whakapai ake i te pai o te uru o tō tinana i te rongoā.

Horomia ngā papa katoa me te wai - kaua e kuru, e ngaungau, e whati rānei. Ko te tikanga ka tīmata tō tākuta i a koe i runga i te horopeta iti, ka piki haere i roto i ngā wiki maha. Mā tēnei pikinga puhoi e āwhina tō tinana ki te urutau me te whakaiti i te tūponotanga o ngā pānga taha.

Whakamātauria te tango i ō horopeta i ngā wā rite tonu i ia rā kia mau tonu ai ngā taumata i roto i tō pūnaha. Mēnā e tango ana koe i te rā e rua, wehea ngā horopeta kia 12 hāora te tawhiti. Mō te horopeta auau ake, whai i te hōtaka motuhake a tō tākuta.

I mua i te tango i te tiagabine, kai i tētahi mea māmā mēnā kāore anō koe i kai i tētahi kai i ngā wā tata nei. He pai ngā kai pēnei i te pihikete, te tōhi, te miraka pē rānei. Kaua e tango i runga i te puku kau tonu, nā te mea ka piki ake te tūponotanga o te whanoke, te whakapairuaki rānei.

Kia Pēhea te Roa e Tango Ai au i te Tiagabine?

Ko te tikanga he rongoā wā roa te tiagabine mō te mate pāpā, he maha ngā wā e tangohia ana mō ngā tau, ā, mō ake tonu atu rānei. Kei runga i te mana whakahaere o ō pāpā, te pai o tō whakawātea i te rongoā, me ō whāinga maimoatanga whānui te roa.

He maha ngā tāngata e hiahia ana ki te tango i te tiagabine i ngā wā katoa kia mau tonu ai te mana whakahaere o te pāpā. Ko te whakamutu ohorere ka pā te pāpā i te wā, te status epilepticus rānei, he āhuatanga mōrearea e kore ai e mutu ngā pāpā i a rātou anō. Ka aroturukihia e tō tākuta tō ahunga whakamua i ngā wā katoa kia mōhio ai kei te whai hua tonu te rongoā.

Mēnā ka whakatau koe me tō tākuta ki te whakamutu i te tiagabine, me whakaiti haere koe i roto i ngā wiki, i ngā marama rānei. Mā tēnei whakaiti haere e ārai ngā pāpā whakamutu, ā, ka taea e tō roro te whakatika ki te huringa o ngā taumata rongoā.

He Aha ngā Pānga taha o te Tiagabine?

Pērā i ngā rongoā katoa, ka pā ngā pānga taha o te tiagabine, ahakoa kāore katoa e pā ana. Ko te nuinga o ngā pānga taha he ngawari ki te āhua, ā, he maha ngā wā ka pai ake i te wā e whakatika ana tō tinana ki te rongoā.

Koinei ngā pānga taha tino noa ka pā ki a koe i te tīmatanga o te tiagabine:

• Whanoke, te māmā rānei o te upoko
• Ngenge, te moe rānei
• Whakapairuaki, te pōraruraru rānei o te puku
• Māharahara, te āwangawanga rānei
• Rū, te wiri rānei
• Te uaua ki te arotahi
• Te ngoikore, te ngenge rānei

Ko ēnei pānga ka puta i ngā wiki tuatahi o te rongoā, ā, he maha ngā wā ka iti haere i te wā e urutau ana tō tinana ki te rongoā.

Ka pā pea ētahi tāngata i ngā pānga taha e mōrearea ana, e hiahia ana kia tere te āwhina hauora. Ahakoa he iti noa iho ēnei, he mea nui kia mōhio koe ki a rātou:

• Te raruraru nui, te ngaro rānei o te whakaaro
• Ngā tūponotanga, te kite rānei i ngā mea kāore i reira
• Ngā huringa nui o te ngākau, te pōuri rānei
• Ngā whakaaro mō te whara i a koe anō
• Te pūhihi kiri nui, ngā tauhohenga pāwera rānei
• Ngā pākia e nui haere ana, e kaha ake ana rānei

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā koe i ētahi o ēnei pānga taha nui ake. Ka taea e rātou te āwhina ki te whakatika i tō mahere rongoā kia pai ake ai te whakatutuki i ō hiahia.

Ko wai kāore e tika kia tango Tiagabine?

Kāore te Tiagabine e tika mō te katoa, ā, ko ētahi āhuatanga, ko ētahi wā rānei ka kore e haumaru ki a koe te tango i tēnei rongoā. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau.

Kāore koe e tango i te tiagabine mēnā he pāwera koe ki a ia, ki ētahi o ōna kai rānei. Ko ngā tāngata e pā ana ki ētahi momo pākia, ina koa ko ngā pākia whānui, me karo i tēnei rongoā nā te mea ka kino ake pea ētahi momo pākia.

He mea nui te tūpato mēnā he raruraru ate tō, nā te mea ka tukatukahia te tiagabine e te ate. Ka hiahia pea tō tākuta ki te whakatika i tō inenga, ki te aroturuki rānei i a koe i te wā e mate ate ana koe. Ko ngā tāngata he hītori o te tūnga epilepticus (ngā pākia roa) ka hiahia pea ki te aroturuki āta.

Me kōrero ngā wāhine hapū i ngā tūponotanga me ngā painga ki tō rātou tākuta, nā te mea ka pā pea te tiagabine ki te whanaketanga o te pēpi. Mēnā kei te whakamahere koe ki te hapū, kei te hapū rānei koe, ka āwhina tō tākuta i a koe ki te whakatau i ngā painga o te whakahaere pākia ki ngā tūponotanga pea.

Ngā Ingoa Waitohu Tiagabine

Kei te wātea te Tiagabine i raro i te ingoa waitohu Gabitril i Amerika. Koinei te momo rongoā e tino tohua ana, ā, nā Cephalon i hanga, he wāhanga nā Teva Pharmaceuticals.

Kei te wātea hoki ngā momo tiagabine whānui, kei roto i a rātou te whakauru kaha kotahi engari he iti ake te utu. Ka taea e tō whare rongoā te āwhina i a koe ki te mārama mēnā kei te wātea ngā kōwhiringa whānui, ā, e hipokina ana e tō inihua.

Ahakoa ka tango koe i te waitohu Gabitril, i te tiagabine whānui rānei, he rite tonu te mahi o te rongoā. He pai ki ētahi tāngata te piri ki tētahi kaihanga kia mōhio ai he rite tonu, i te wā e pai ana ētahi ki te huri i waenga i ngā momo whānui me ngā momo waitohu.

Ngā Kōwhiringa kē mō te Tiagabine

He maha ngā rongoā kē atu ka taea te whakamahi mēnā kāore te tiagabine i te tika mōu, kāore rānei e whai hua ana ki te whakahaere i ngā pākia. E mahi ana ēnei kōwhiringa kē mā ngā momo tikanga rerekē engari he rite tonu te kaupapa i roto i te rongoā mō te mate pāpā.

Ngā kōwhiringa kē e mōhiotia ana ko te levetiracetam (Keppra), he mea e pai ana te nuinga o te tāngata, ā, he whai hua mō ngā pākia wāhanga. Ko te Lamotrigine (Lamictal) tētahi atu kōwhiringa ka taea te whakamahi mō ngā momo pākia rerekē, ā, he pai te pānga o te taha mō te nuinga o te tāngata.

Ko ētahi atu kōwhiringa kē ko te topiramate (Topamax), te gabapentin (Neurontin), me te pregabalin (Lyrica). He pai ō rātou ake me ngā pānga taha pea, nō reira ka āwhina tō tākuta i a koe ki te kimi i te kōwhiringa pai rawa atu i runga i ō hiahia me tō hītori hauora.

Ko te kōwhiringa o te kōwhiringa kē e whakawhirinaki ana ki ngā āhuatanga pēnei i tō momo pākia, ētahi atu rongoā e tango ana koe, tō tau, me ētahi atu āhuatanga hauora kei a koe. Ka mahi tō tākuta me koe ki te kimi i te kōwhiringa whai hua me te pai.

He pai ake te Tiagabine i te Carbamazepine?

He rerekē te mahi a te tiagabine me te carbamazepine (Tegretol), ā, he rerekē ngā tūranga e mahia ana i roto i te maimoatanga o te mate pāpā. Ko te carbamazepine te nuinga e whakamahia ana hei maimoatanga tuatahi mō ngā pūhihi wāhanga, ā, ko te tiagabine te nuinga e tāpirihia ana i te wā e kore ai e tino whai hua ngā maimoatanga tuatahi.

He roa ake te whakamahinga o te carbamazepine, ā, he nui ake ngā rangahau e tautoko ana i tōna whakamahinga hei maimoatanga tuatahi. Heoi anō, he painga te tiagabine mō ētahi tāngata, otirā mō te hunga e pā ana ki ngā pānga taha mai i te carbamazepine, e hiahia ana rānei ki te whakahaere pūhihi atu.

E whakawhirinaki ana te kōwhiringa "pai ake" ki tō āhuatanga takitahi. Ka pai pea te carbamazepine mēnā he mea hou te tātaritanga me te tīmatanga o te maimoatanga, ā, ka pai ake pea te tiagabine mēnā e hiahia ana koe ki te whakahaere pūhihi atu, kua raru rānei koe i ētahi atu rongoā.

Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i tō momo pūhihi, ētahi atu rongoā, ngā pānga rongoā ka puta, me tō hītori hauora whaiaro i te wā e whakatau ana i waenga i ēnei kōwhiringa. He maha ngā tāngata e tango ana i ngā rongoā e rua ngātahi mō te whakahaere pūhihi pai.

Ngā Pātai e Pātai pinepine ana mō Tiagabine

Q1. He Haumaru te Tiagabine mō te Mate Whatukuhu?

E whakaarohia ana he haumaru te tiagabine mō te hunga e mate whatukuhu ana nā te mea ko te ate te nuinga e tukatuka ana, kaua ko ngā whatukuhu. Kāore ngā whatukuhu e mahi kaha ana ki te whakakore i tēnei rongoā i tō tinana.

Heoi anō, mēnā he mate whatukuhu nui tō, ka hiahia pea tō tākuta ki te aroturuki i a koe i te wā e tīmata ana koe ki te tango tiagabine. Ko tēnei nā te mea ka pā te mate whatukuhu ki te āhua o te urupare a tō tinana ki ngā rongoā, ahakoa ngā mea kāore i te tukatukahia e ngā whatukuhu.

Q2. Me Pēhea Taku Mahi Mēnā Ka Whakamahia E Au te Tiagabine Nui Rawa?

Mēnā ka tango koe i te tiagabine nui rawa, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei, inā rānei e pai ana koe. Ko te tango nui rawa ka puta he pānga taha nui pēnei i te moe nui, te rangirua, te kōma rānei.

Kaua e tatari kia puta mai ngā tohu i mua i te rapu awhina. Puritia te pounamu rongoā ki a koe kia taea e koe te kōrero ki ngā tākuta he aha tonu te nui i tangohia e koe. Mēnā kei te kore mātau te tangata, kei te uaua rānei te manawa, waea atu ki ngā ratonga ohorere tonu.

Q3. Me Pēhea Taku Mahi Mēnā Kua Ngaro Taku Inenga Tiagabine?

Mēnā kua ngaro i a koe tētahi inenga tiagabine, tangohia i te wā e mahara ana koe, engari mēnā kāore i te tata ki tō inenga e whai ake nei. Mēnā kua tata te wā mō tō inenga e whai ake nei, waiho te inenga i ngaro, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango e rua ngā inenga i te wā kotahi hei utu mō tētahi inenga i ngaro, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha. Mēnā he maha ngā wā e wareware ana koe ki ngā inenga, whakaarohia te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i a koe kia noho i runga i te ara.

Q4. Āhea Ānei Ka Taea e Au te Kati te Tango Tiagabine?

Me kati anake e koe te tango tiagabine i raro i te tirotiro a tō tākuta. Ko te whakamutu ohorere ka taea te whakaoho i ngā hopu roro, i ngā hopu roro rānei, he mea mōrearea, he mea e mate ai te ora.

Ka whakaheke haere tō tākuta i tō inenga i roto i ngā wiki, i ngā marama rānei mēnā e hiahia ana koe ki te whakamutu i te rongoā. Ko tēnei tukanga whakaheke haere ka āwhina i te aukati i ngā hopu roro, ka āhei hoki tō roro ki te whakatika ki te huringa o ngā taumata rongoā.

Q5. Ka Taea e Au te Taraiwa i te Wā e Tango Ana i te Tiagabine?

Ko te taraiwa i te wā e tango ana i te tiagabine kei runga i te pānga o te rongoā ki a koe me tō whakahaere hopu roro. Ka taea e te rongoā te pā ki te whanoke, te moe, te raruraru rānei o te arotahi, ina koa i te wā tuatahi ka tīmata koe ki te tango.

Ko te mea nui, me whai koe i ō ture taraiwa ā-rohe e pā ana ki te mate roro, e hiahia ana koe kia kore koe e hopu roro mō tētahi wā i mua i te taraiwa. Kōrero ki tō tākuta mō te wā ka noho haumaru ai koe ki te taraiwa, me te whakaaro ki tō whakahaere hopu roro me ngā pānga taha mai i te tiagabine.