Ethotoin ni iki: Ibikoresho, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Ethotoin ni umuti uvura ibibazo byo gufatwa n'indwara yo gufatwa n'imitsi, ukaba ubarizwa mu itsinda ry'imiti yitwa hydantoins. Ukora mu gufasha imikorere y'amashanyarazi mu bwonko bwawe kugira ngo wirinde gufatwa n'indwara yo gufatwa n'imitsi.

Uyu muti umaze imyaka myinshi ukoreshwa mu gufasha abantu kurwanya indwara ya epilepsi n'izindi ndwara zifitanye isano no gufatwa n'imitsi. Nubwo uyu muti utandikirwa cyane ugereranije n'indi miti mishya, ethotoin iracyari uburyo bw'ingenzi bwo kuvura abarwayi bamwe na bamwe bakeneye uburyo bwiza bwo kurwanya gufatwa n'imitsi.

Ethotoin ni iki?

Ethotoin ni umuti uvura ibibazo byo gufatwa n'imitsi ufasha kurwanya gufatwa n'imitsi mu kugira ingaruka ku buryo ibimenyetso by'imitsi bigenda mu bwonko bwawe. Ni kimwe mu itsinda ry'imiti ya hydantoin, irimo na phenytoin.

Uyu muti uza mu buryo bw'ibinini kandi ufashwe unywa. Akenshi wandikirwa iyo indi miti ivura gufatwa n'imitsi itagize icyo ikora cyangwa iyo ukeneye uburyo bwihariye bwo kurwanya gufatwa n'imitsi ethotoin ishobora gutanga.

Muganga wawe ashobora guhitamo ethotoin kuko akenshi itera ingaruka nke ugereranije n'indi miti ivura gufatwa n'imitsi. Ibi bishobora kuba by'ingenzi cyane mu kuvura igihe kirekire.

Ethotoin ikoreshwa mu kuvura iki?

Ethotoin ikoreshwa cyane cyane mu kuvura gufatwa n'imitsi ya tonic-clonic, yahoze yitwa gufatwa n'imitsi ya grand mal. Ubu ni bwo bwoko bwo gufatwa n'imitsi burimo gutakaza ubwenge no gukomera kw'imitsi bikurikirwa no kunyeganyega.

Ifasha kandi kuvura gufatwa n'imitsi ya complex partial, aho ushobora guhura no guhinduka kw'ubwenge, ibyiyumvo bidasanzwe, cyangwa imyitwarire idasanzwe. Abaganga bamwe bayandikira no gufatwa n'imitsi ya simple partial.

Mu bihe bidasanzwe, ethotoin ishobora gukoreshwa nk'igice cyo kuvura hamwe iyo imiti myinshi ikenewe kugira ngo irwanye gufatwa n'imitsi bigoye kuvura. Umuganga wawe w'inzobere mu by'imitsi azemeza niba ubu buryo bukwiye kuri wowe.

Ethotoin ikora ite?

Ethotoin ikora ibyo yitambika inzira za sodium mu turandaryi twawe two mu bwonko, ibyo bikaba bifasha guhagarika imikorere y'amashanyarazi ishobora gutera ibibazo byo gufatwa. Bitekereze nk'ifasha guhagarika "imiyaga" y'amashanyarazi itera gufatwa.

Uyu muti ufatwa nk'ukomeye ku rugero rwo hagati ugereranije n'indi miti ivura gufatwa. Ntabwo ukomeye nk'indi miti mishya, ariko urusha imiti y'ibanze imbaraga nka vitamine zimwe na zimwe cyangwa ibyongerera imbaraga umubiri.

Uyu muti ufata igihe kugira ngo wubake mu mubiri wawe, niyo mpamvu uzaba ukeneye kuwufata buri munsi. Bisaba ibyumweru byinshi kugira ngo ugere ku mbaraga zawo zose mu gukumira gufatwa.

Nagomba Kufata Uyu Muti Nte?

Fata ethotoin nk'uko muganga wawe abikwandikiye, akenshi inshuro 2-3 ku munsi hamwe n'ibiryo. Kuwufata hamwe n'ibiryo bifasha kugabanya ibibazo byo mu nda kandi bigatuma umubiri wawe wumva neza uwo muti.

Ushobora gufata ethotoin hamwe n'amazi, amata, cyangwa umutobe. Kuwufata hamwe n'akantu gato cyangwa ifunguro ni bwo buryo bwiza. Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo ugumane urwego rwo hejuru mu maraso yawe.

Ntugasenye, urume, cyangwa umene ibinini keretse muganga wawe abikubwiye. Ubimire byose hamwe n'amazi menshi kugira ngo wemeze ko bigera mu nda yawe neza.

Niba ugira ibibazo byo kumira ibinini, ganira na muganga wawe ku bindi byashoboka. Ntukareke gufata ethotoin ako kanya, kuko ibyo bishobora gutera gufatwa gukomeye.

Nagomba Kufata Ethotoin Igihe Kingana Gite?

Abantu benshi bakeneye gufata ethotoin amezi cyangwa imyaka kugira ngo bagumane uburyo bwo kugenzura gufatwa. Igihe nyacyo giterwa n'uburwayi bwawe bwihariye, uburyo witwara ku miti, niba ugira ibibazo by'ingaruka.

Muganga wawe azagenzura buri gihe uko urimo uritwara kandi ashobora guhindura gahunda yawe yo kuvurwa uko igihe kigenda. Abantu bamwe bashobora gukora igihe gito bagabanya urugero rw'imiti yabo cyangwa bakimukira ku yindi miti, mu gihe abandi bashobora gukenera gukomeza gufata ethotoin igihe kirekire.

Ntugasize gufata ethotoin utabihuje n'abaganga, n'iyo waba umaze igihe utagira ibibazo byo gufatwa. Guhagarika umuti mu buryo butunguranye bishobora gutera ibibazo byo gufatwa bishobora kuba bikomeye kurusha ibibazo byawe by'umwimerere.

Ni Ibihe Bikorwa Bigaragara Byatewe na Ethotoin?

Ingaruka zisanzwe zigaragara za ethotoin akenshi ziba zoroshye kandi zikagenda zikira uko umubiri wawe wimenyereza umuti. Kumenya ibyo witegura bishobora kugufasha kumva witeguye kandi ufite icyizere ku buvuzi bwawe.

Ingaruka zikunze kugaragara zirimo:

• Gusinzira cyane cyangwa kunanirwa, cyane cyane igihe utangiye kuvurwa
• Kuribwa umutwe cyangwa kumva udashikamye ku birenge byawe
• Isesemi cyangwa kutamererwa neza mu gifu
• Kuribwa umutwe bikunze kuba byoroshye
• Kugorana kwibanda cyangwa kumva umutwe wawe utameze neza

Izi ngaruka zisanzwe akenshi zigenda zigabanuka nyuma y'ibyumweru bike uko umubiri wawe wimenyereza umuti.

Ingaruka zikomeye ntizikunze kugaragara ariko zisaba ubufasha bwihuse bw'abaganga. Izi zirimo ibimenyetso byo kwibasirwa n'umubiri, impinduka zikomeye mu myumvire, cyangwa kuva amaraso cyangwa gukomereka bidasanzwe.

Ibikorwa bidasanzwe ariko bishobora kuba bikomeye birimo:

• Uruhu rurakara cyane cyangwa gukururuka
• Umuhondo w'uruhu cyangwa amaso, bishobora kwerekana ibibazo by'umwijima
• Kubabara umuhogo cyangwa umuriro bihoraho
• Gukomereka cyangwa kuva amaraso bidasanzwe
• Impinduka zikomeye mu myumvire cyangwa gutekereza kwigirira nabi

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n'umuganga wawe ako kanya. Abantu benshi bafata ethotoin neza, ariko kuguma maso ku mpinduka bifasha kumenyereza ubuvuzi bwizewe.

Ni Bande Batagomba Gufata Ethotoin?

Ethotoin ntabwo ikwiriye kuri buri wese, kandi ibibazo by'ubuzima runaka cyangwa ibihe bituma bitagendwa neza. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kwandika uyu muti.

Ntabwo wagakwiye gufata ethotoin niba ufite allergie ku miti ya hydantoin cyangwa wigeze kugira ibibazo bikomeye byatewe n'imiti isa nayo. Abantu bafite ibibazo by'umutima bishobora no gukenera imiti itandukanye.

Ukeneye kwitonda cyane niba ufite:

• Indwara y'umwijima cyangwa amateka y'ibibazo by'umwijima
• Indwara y'impyiko cyangwa imikorere y'impyiko yagabanutse
• Indwara y'umutima cyangwa umutima utera nabi
• Indwara z'amaraso cyangwa ibibazo byo gupfuka kw'amaraso
• Amateka yo kwiheba cyangwa izindi ndwara zo mu mutwe

Izi ndwara ntizibuza gufata ethotoin, ariko zisaba gukurikiranwa cyane kandi birashoboka ko urugero rw'imiti rugomba guhindurwa.

Kugira icyo utwite no konsa bisaba kwitonderwa byihariye. Nubwo kugenzura ibibazo by'ubwonko ari ngombwa mu gihe cyo gutwita, ethotoin ishobora kugira ingaruka ku mikurire y'umwana. Muganga wawe azagufasha gupima ibyago n'inyungu ku miterere yawe yihariye.

Amazina y'ubwoko bwa Ethotoin

Ethotoin iboneka munsi y'izina ry'ubwoko rya Peganone, ryo rikaba ari ryo rikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Ubu bwoko bumaze imyaka myinshi kandi bufite umutekano wemejwe.

Ubwoko bwa generic bwa ethotoin buraboneka kandi, bukaba burimo ibintu bimwe bikora ariko bishobora kuba bihendutse. Farumasi yawe irashobora kugufasha gusobanukirwa ubwoko bwiza bwisungura ryawe.

Ufata izina ry'ubwoko cyangwa ubwoko bwa generic, umuti ukora kimwe. Abantu bamwe bakunda gukoresha uruganda rumwe kugirango bagire uburyo bumwe bwo kuvurwa.

Uburyo bwa Ethotoin

Imiti myinshi irwanya ibibazo by'ubwonko ishobora gukoreshwa nk'ubundi buryo bwa ethotoin, bitewe n'ibyo ukeneye n'uburyo wihanganira imiti itandukanye. Muganga wawe azatekereza ibintu nk'ubwoko bw'ibibazo byawe by'ubwonko, izindi ndwara, n'imikoranire y'imiti.

Izindi nzira zikunze gukoreshwa zirimo phenytoin, ifitanye isano rya hafi na ethotoin ariko ishobora kugira ingaruka zitandukanye. Carbamazepine ni indi nzira ikora neza ku bwoko bw'ibibazo bisa.

Imiti mishya nka lamotrigine, levetiracetam, cyangwa oxcarbazepine ishobora gutekerezwa niba ukeneye ingaruka zitandukanye cyangwa kugenzura neza ibibazo. Iyi miti akenshi ntigira imikoranire myinshi n'indi miti.

Guhitamo izindi nzira biterwa n'uburyo umubiri wawe wakiriye imiti n'uko muganga wawe abona ibishobora kugukorera neza.

Ese Ethotoin iruta Phenytoin?

Ethotoin na phenytoin zombi ni imiti ikora neza mu kurwanya ibibazo, ikomoka mu muryango umwe w'imiti, ariko ifite itandukaniro rikomeye. Nta n'imwe iruta iyindi, kuko guhitamo neza biterwa n'ibyo ukeneye n'uko umubiri wawe wakiriye imiti.

Ethotoin ikunze gutera ingaruka nke zigaragara ku mubiri nk'uko imyotsi y'ishinya yiyongera n'imihindagurikire y'imisatsi yo mu maso bishobora kubaho kuri phenytoin. Ibi bituma ihitamo ryiza ku bantu bamwe, cyane cyane abahangayikishijwe n'imihindagurikire y'imboni y'igihe kirekire.

Ariko, phenytoin akenshi ifatwa nk'ikomeye kandi ishobora gutanga uburyo bwo kugenzura neza ibibazo ku bantu bamwe. Yanigishijwe cyane kandi ifite amabwiriza menshi yo gupima.

Muganga wawe azatekereza ibintu nk'ubwoko bw'ikibazo ufite, indi miti ufata, n'ibyo ukunda mu guhitamo hagati y'izi nzira. Imiti yombi isaba gukurikiranwa buri gihe ku rwego rw'amaraso kugira ngo hatangwe uburyo bwo kuvura bwizewe kandi bukora neza.

Ibikunze Kubazwa Kuri Ethotoin

Ese Ethotoin irakwiriye ku bantu barwaye diyabete?

Ethotoin irashobora gukoreshwa neza ku bantu barwaye diyabete, ariko ishobora kugira ingaruka ku rugero rw'isukari mu maraso ku bantu bamwe. Urumva imiti ubwayo ntigira impinduka zikomeye ku rugero rw'isukari, ariko ibibazo n'umunaniro wo gukemura ikibazo bishobora kugira ingaruka ku kugenzura diyabete.

Umuganga wawe azashaka gukurikirana uko urwaye ibihungabanyo ndetse n'isukari yo mu maraso yawe igihe utangiye gufata ethotoin. Wibuke gupima isukari yo mu maraso yawe buri gihe kandi ubwire ikipe yawe y'ubuzima ibintu byose bidasanzwe.

Nkwiriye gukora iki niba nanyweye ethotoin nyinshi bitunguranye?

Niba unyweye ethotoin nyinshi bitunguranye kuruta uko byategetswe, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya. Kunywa nyinshi bishobora gutera ingaruka zikomeye zirimo gusinzira cyane, urujijo, guhumeka nabi, cyangwa ibibazo by'umutima.

Ntugategereze ngo urebe niba ibimenyetso bigaragara, kuko kunywa ethotoin nyinshi bishobora guteza akaga. Niba hari umuntu utazi ibiri kuba cyangwa ufite ibibazo byo guhumeka, hamagara serivisi zihutirwa ako kanya. Bika icupa ry'imiti hamwe nawe kugirango wereke abaganga icyo wanyoye.

Nkwiriye gukora iki niba nciweho urugero rwa ethotoin?

Niba waciweho urugero rwa ethotoin, rinywe ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri urwo rubanza, reka urugero waciweho ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero ebyiri icyarimwe kugirango usimbuze urugero waciweho, kuko ibi bishobora kongera ibyago byo kugira ingaruka. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa ukoreshe umuteguro w'imiti kugirango ugufashe kuguma ku murongo.

Nshobora kureka kunywa ethotoin ryari?

Wagombye kureka kunywa ethotoin gusa ukurikije ubuyobozi bw'abaganga, akenshi nyuma yo kumara imyaka myinshi udafite ibihungabanyo. Umuganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru cyangwa amezi kugirango wirinde ibihungabanyo byo gukurwaho.

Umutuzo wo guhagarika biterwa n'ibintu nk'igihe umaze udafite ibihungabanyo, icyateye ibihungabanyo byawe mbere, n'ibisubizo byawe bya EEG. Abantu bamwe bashobora guhagarika neza imiti irwanya ibihungabanyo, mugihe abandi bakeneye kuvurwa ubuzima bwabo bwose.

Nshobora kunywa inzoga niba mfata ethotoin?

Ubusinzi bushobora kongera ingaruka zo gutuza z'ethotoin kandi bushobora gutuma ibibazo byo gufatwa n'indwara y'igicuri byiyongera. Ni byiza kwirinda inzoga rwose cyangwa kuzigabanya cyane mugihe ufata uyu muti.

N'ubwo inzoga ari nkeya zishobora kugira ingaruka ku buryo ethotoin ikora mu mubiri wawe kandi ishobora kongera ingaruka zirimo gusinzira cyane no kuribwa umutwe. Ganira na muganga wawe ku rwego rwo kunywa inzoga, niba hari urwo arwo, rushobora kuba rwiza kuri wowe.