Felbamate ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Felbamate ni umuti wandikirwa n'abaganga ugabanya ibibazo byo gufatwa n'indwara y'igicuri ifasha kugenzura ibitero by'igicuri iyo izindi miti zitagikora neza. Uyu muti ubarirwa mu cyiciro cyihariye cy'imiti ivura igicuri abaganga bakoresha mu bihe byihariye kubera akamaro kayo kadasanzwe n'ingaruka zikomeye.

Nubwo felbamate ishobora kugira akamaro kanini ku bwoko bumwe bw'ibitero by'igicuri, bisaba gukurikiranwa neza kubera ingaruka zishobora guteza ibibazo bikomeye. Muganga wawe azandika uyu muti gusa iyo akamaro kayo karusha kure ingaruka ku buzima bwawe.

Felbamate ikoreshwa mu kuvura iki?

Felbamate ivura ubwoko bwihariye bw'indwara y'igicuri idasubiza neza ku yindi miti. Abaganga bayandika cyane cyane ku bibazo bibiri bikomeye: indwara ya Lennox-Gastaut mu bana no gufatwa n'igicuri mu bantu bakuru.

Indwara ya Lennox-Gastaut ni uburyo bukomeye bw'indwara y'igicuri mu bana itera ubwoko bwinshi bw'ibitero by'igicuri no gutinda mu mikurire. Ku bana nk'abo, felbamate ishobora kugabanya cyane ubukana bw'ibitero by'igicuri iyo izindi miti zananiranye.

Mu bantu bakuru, felbamate ifasha kugenzura ibitero by'igicuri bitangirira ahantu hamwe mu bwonko. Ibi bitero bishobora gutera urujijo rw'igihe gito, kumva ibintu bidasanzwe, cyangwa imitsi idakora neza mu bice by'umubiri.

Muganga wawe azatekereza gukoresha felbamate gusa niba wagerageje indi miti igabanya ibitero by'igicuri ntigire icyo igeraho. Uyu muti ukoreshwa nk'igikoresho cyihariye ku bibazo by'indwara y'igicuri bigoye kuvura.

Felbamate ikora ite?

Felbamate ikora ituza ibimenyetso by'amashanyarazi akabije mu bwonko bitera ibitero by'igicuri. Ikomanga inzira zimwe na zimwe zemerera ubutumwa bw'amashanyarazi kunyura hagati y'uturemangingo tw'ubwonko, bigabanya amahirwe yo gufatwa n'igicuri.

Uyu muti ufatwa nk'umuti ukomeye urwanya ibibazo byo mu bwonko kuko ugira ingaruka ku nzira nyinshi zo mu bwonko. Bitandukanye n'imiti imwe yo kuvura igituntu igamije gukora ku buryo bumwe gusa, felbamate itanga uburyo bwagutse bwo kugenzura ibibazo byo mu bwonko.

Uyu muti mubisanzwe bifata ibyumweru byinshi kugira ngo ugere ku mikorere yawo yuzuye mu mubiri wawe. Muri iki gihe, muganga wawe azagenda yongera urugero rw'umuti kugira ngo abone urugero rukwiye rw'ibyo ukeneye.

Nkwiriye gufata felbamate nte?

Fata felbamate nk'uko muganga wawe abikwandikiye, mubisanzwe inshuro ebyiri kugeza kuri enye ku munsi hamwe n'ibiryo cyangwa utabifite. Urashobora kuyifata hamwe n'amata cyangwa amazi, icyo cyose cyumvikana neza mu gifu cyawe.

Mimina ibinini byose hamwe n'ikirahure cyuzuye cy'amazi. Niba ugira ikibazo cyo kumira ibinini, baza muganga wawe kubyerekeye ubundi buryo cyangwa uburyo.

Urashobora gufata felbamate hamwe n'ibiryo niba byakubabaza mu gifu, nubwo ibiryo bitagira ingaruka zigaragara ku buryo umubiri wawe wunguka umuti. Hitamo igihe cyose gikora neza kuri gahunda yawe ya buri munsi kandi ikagufasha kwibuka kuwufata buri gihe.

Ntuzigere uhagarika gufata felbamate ako kanya, kabone n'iyo wumva umeze neza. Guhagarika imiti irwanya ibibazo byo mu bwonko ako kanya birashobora gutera ibibazo byo mu bwonko byangiza ubuzima.

Nkwiriye gufata felbamate igihe kingana iki?

Abantu benshi bafata felbamate amezi menshi kugeza ku myaka, bitewe n'uburyo bigenzura neza ibibazo byabo byo mu bwonko n'uburyo bakira umuti. Muganga wawe azagenzura buri gihe niba ugikeneye ubu buvuzi.

Muri amezi yawe ya mbere kuri felbamate, uzakenera ibizamini byinshi by'amaraso kugira ngo ukurikirane ingaruka zikomeye. Ibi bizamini bigenzura imikorere y'umwijima wawe n'imibare y'uturemangingo tw'amaraso kugira ngo wemeze ko umuti utera impinduka zangiza.

Abantu bamwe bashobora gukomereza ku yindi miti irwanya ibibazo byo mu bwonko niba ubuzima bwabo burushaho kumera neza cyangwa niba imiti mishya ibonetse. Ariko, impinduka zose kuri gahunda yawe y'imiti zigomba kubaho buhoro buhoro hakurikijwe ubugenzuzi bwa muganga.

Muganga wawe azakorana nawe kugira ngo abone uburyo bwo kuvura bwiza kandi bugufi mu gihe agifite uburyo bwo kugenzura neza ibyago byo gufatwa. Intego ni ukugereranya igihe cyo kwirinda gufatwa no kugabanya ibyago byo gufata imiti igihe kirekire.

Ni izihe ngaruka ziterwa na Felbamate?

Felbamate ishobora gutera ingaruka zisanzwe abantu benshi bahura nazo ndetse n'ingaruka zikomeye zisaba ubufasha bwihuse bwa muganga. Kubisobanukirwa bifasha kumenya icyo witegura n'igihe cyo gushaka ubufasha.

Ingaruka zisanzwe ushobora kubona zirimo umunaniro, isereri, kubabara umutwe, no kuruka. Ibi bikunze gukira umubiri wawe umaze kumenyera umuti mu byumweru bike bya mbere.

Ingaruka zisanzwe

Abantu benshi bafata felbamate bahura n'ingaruka zimwe na zimwe zoroheje kugeza ku ziciriritse, cyane cyane iyo batangira gufata umuti. Izi ngaruka akenshi zigabanuka uko umubiri wawe wimenyereza ubuvuzi.

• Gusinzira no kunanirwa bishobora kugira ingaruka ku bikorwa bya buri munsi
• Isereri cyangwa kumva utameze neza, cyane cyane iyo uhagurutse
• Kubabara umutwe kuva ku gukabije kugeza ku giciriritse
• Kuruka cyangwa kutumva neza mu gifu, cyane cyane nyuma yo gufata imiti
• Kubura ubushake bwo kurya bituma umuntu atakaza ibiro
• Kugorana gusinzira cyangwa guhinduka kw'ibitotsi
• Kureba ibintu bibiri cyangwa guhumiriza
• Kugorana kwitonda cyangwa kumva umutwe wawe utameze neza

Izi ngaruka zikunze gukira mu byumweru bike umubiri wawe umaze kumenyera. Niba zikomeje cyangwa zikaba zikubangamiye, ganira na muganga wawe ku bisubizo bishoboka.

Ingaruka zikomeye

Felbamate ifite ibyago byo gutera indwara ebyiri zishobora kwica zikeneye ubufasha bwihuse bwa muganga niba zibayeho. Nubwo izi ngaruka zikomeye zitaragera, niyo mpamvu abaganga bakurikirana abakoresha felbamate cyane.

• Ubukomere bukomeye bw’umwijima bushobora gutera umubiri guhinduka umuhondo cyangwa amaso, inkari zikaba umukara, cyangwa umunaniro ukabije
• Igabanuka rikomeye ry’umubare w’uturemangingo tw’amaraso ritera kwiyongera kw’indwara, gukomereka byoroshye, cyangwa kuva amaraso bidasanzwe
• Urugero rukabije rw’uburwayi bwo mu mubiri burangwa n’ibibara, kubyimba, cyangwa guhumeka bigoranye
• Ibimenyetso by’indwara z’amaraso nk’umuriro udashira, kubabara mu muhogo, cyangwa intege nke zidasanzwe
• Ibimenyetso by’ibibazo by’umwijima harimo kubura ubushake bwo kurya, kuribwa mu nda, cyangwa kwituma ibitaka

Vugana n’umuganga wawe ako kanya niba ubonye kimwe muri ibi bimenyetso bikomeye. Kumenya no kuvura hakiri kare izi ngorane birinda ibibazo by’ubuzima bikomeye.

Ninde utagomba gufata Felbamate?

Abantu bamwe ntibagomba gufata felbamate kubera ibyago byiyongera by’ingorane zikomeye. Umuganga wawe azasuzuma neza amateka yawe y’ubuzima mbere yo kugushyiriraho uyu muti.

Abantu bafite indwara y’umwijima cyangwa indwara z’amaraso ntibagomba gufata felbamate kuko bishobora gutuma izi ndwara zirushaho. Uyu muti ushobora gutera umwijima gukomereka cyane cyangwa igabanuka rikomeye ry’uturemangingo tw’amaraso.

Niba waragize uburwayi bwo mu mubiri kubera felbamate cyangwa imiti isa nayo mu gihe gishize, ugomba kwirinda ubu buvuzi. Uburwayi bwo mu mubiri bushobora kuba bukomeye kandi bushobora gushyira ubuzima mu kaga.

Abagore batwite muri rusange bagomba kwirinda felbamate keretse inyungu zirusha ingaruka. Uyu muti ushobora kugira ingaruka ku mikurire y’umwana kandi ushobora gutera ingorane mu gihe cyo gutwita.

Abantu bafite indwara ikomeye y’impyiko bashobora gukenera imiti itandukanye kuko felbamate ishobora kugora impyiko zangiritse kuyikoresha neza.

Amazina y’ubwoko bwa Felbamate

Felbamate iboneka ku izina ry’ubwoko rya Felbatol muri Leta Zunze Ubumwe z’Amerika. Iyi ni yo miti ikoreshwa cyane.

Imiti ya felbamate ishobora kuboneka, nubwo irimo ibintu bikora kimwe n'izina ry'ubwoko. Muganga wawe cyangwa umufarumasiti ashobora kugufasha gusobanukirwa ubwoko bukugirira akamaro.

Amwe mu mategeko y'ubwishingizi ashobora gukunda imiti rusange kubera impamvu z'ikiguzi, mugihe abandi bashobora gusaba izina ry'ubwoko kugirango bagire ubumwe. Itsinda ryawe ryo kwita ku buzima rishobora gukorana n'ubwishingizi bwawe kugirango bamenye uburyo bwiza.

Izindi miti isimbura Felbamate

Imiti myinshi ikoreshwa mu kurwanya ibibazo byo gufatwa n'indwara ishobora gusimbura felbamate, bitewe n'ubwoko bwawe bwihariye bwa epilepsi n'amateka yawe y'ubuvuzi. Muganga wawe azatekereza izi nzira bitewe n'ibyo ukeneye.

Kubera indwara ya Lennox-Gastaut, ibindi bisimbura birimo lamotrigine, topiramate, na rufinamide. Iyi miti ishobora kugira ingaruka zitandukanye kandi zikagira akamaro ku buryo bwihariye bw'uburwayi bwawe.

Kubera gufatwa n'indwara, ibisubizo birimo carbamazepine, phenytoin, levetiracetam, n'imiti myinshi mishya yo kurwanya gufatwa n'indwara. Buri kimwe gifite inyungu zidasanzwe n'ibibazo byo kwitondera muganga wawe azagereranya n'uko ubuzima bwawe bumeze.

Guhitamo ibindi bisimbura biterwa n'ibintu nk'izindi ndwara zawe, imikoranire y'imiti ishobora kubaho, n'uburyo wabyitwayemo neza ku miti yakoreshejwe mbere. Muganga wawe azagufasha kubona uburyo bwiza kandi bufite akamaro.

Ese Felbamate iruta izindi miti ikoreshwa mu kurwanya gufatwa n'indwara?

Felbamate ntabwo ari ngombwa ko iruta izindi miti ikoreshwa mu kurwanya gufatwa n'indwara kubantu benshi, ariko irashobora kugira akamaro kuruta izindi mitsi yihariye yo kurwanya epilepsi. Umuti

Ariko, ingaruka zikomeye za felbamate zivuze ko abaganga bakunda kubanza kugerageza izindi miti. Imiti mishya irwanya ibihungabana akenshi itanga uburyo bwiza bwo kugenzura ibihungabana hamwe n'ibibazo bike by'umutekano.

Muganga wawe azatekereza felbamate iyo izindi miti zitagize icyo zikora bihagije kandi iyo inyungu zo kugenzura ibihungabana zirenze ingaruka zikomeye. Ni igikoresho cyihariye kuruta uburyo bwo kuvura bwa mbere.

Ibikunze Kubazwa Kuri Felbamate

Ese Felbamate irakwiriye abantu barwaye indwara z'umutima?

Felbamate irashobora gukoreshwa ku bantu barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza. Uyu muti ntugira ingaruka ku mikorere y'umutima, ariko zimwe mu ngaruka zirimo isereri zirashobora kongera ibyago byo kugwa.

Muganga wawe azasuzuma uko umutima wawe umeze n'indi miti kugirango arebe ko felbamate itazabangamira imiti yawe y'umutima. Gukurikiranwa buri gihe bifasha kumenya ibibazo byose bishobora kuvuka hakiri kare.

Nkwiriye gukora iki niba mfashe felbamate nyinshi ku buryo butunguranye?

Niba ufata felbamate nyinshi ku buryo butunguranye, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya. Gufata doze zinyongera birashobora kongera ibyago byawe byo kugira ingaruka zikomeye no guhumana.

Ibimenyetso byo kurenza urugero rwa felbamate birashobora kuba birimo gusinzira cyane, urujijo, guhumeka nabi, cyangwa gutakaza ubwenge. Ibi bisaba ubufasha bwihutirwa bw'ubuvuzi.

Bika urutonde rw'imiti yawe n'ingano byoroshye kubona mu gihe cy'ubutabazi. Iyi makuru ifasha abaganga gutanga ubuvuzi bwiza bushoboka.

Nkwiriye gukora iki niba ntasize doze ya felbamate?

Niba usize doze ya felbamate, yifate ako kanya wibuka, keretse igihe cyegereye doze yawe iteganyijwe. Ntukigere ufata doze ebyiri icyarimwe kugirango usimbure iyo wasize.

Niba igihe cyo gufata urundi rugero rwawe rwegereye, reka urugero rwakubise rukomeze gahunda yawe isanzwe. Gufata imiti yongereyeho byongera ibyago byo kugira ingaruka mbi utagize inyungu zinyongera.

Shyiraho alarme kuri terefone cyangwa ukoreshe ibikoresho bifasha kwibuka imiti yawe. Igihe gihamye gifasha kubungabunga urwego rwa imiti mu mubiri wawe kugira ngo urwanye neza ibyago byo gufatwa.

Ni ryari nshobora kureka gufata Felbamate?

Ushobora kureka gufata felbamate gusa ukurikiza ubuyobozi n'ubujyanama bw'umuganga wawe. Guhagarika imiti irwanya ibyago byo gufatwa mu buryo butunguranye bishobora gutera ibyago byo gufatwa bikomeye bishobora gutera akaga mu buzima.

Umuganga wawe azagabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi menshi niba guhagarika bikwiye. Ubu buryo butinda bufasha kwirinda ibyago byo gufatwa mu gihe cyo gukuramo imiti mugihe ukurikirana uko ubuzima bwawe bumeze.

Impamvu zo gutekereza kureka zirimo ingaruka mbi zikomeye, kurwanya neza ibyago byo gufatwa hamwe n'indi miti, cyangwa iterambere rikomeye mu buzima bwawe. Umuganga wawe azatekereza kuri ibi bintu byose yitonze.

Nshobora gutwara imodoka nkanwa Felbamate?

Gutwara imodoka mugihe ufata felbamate biterwa n'uko imiti ikugiraho ingaruka n'uko ibyago byo gufatwa byawe bigenzurwa neza. Abantu benshi bagira ibitotsi cyangwa isereri bishobora kubuza ubushobozi bwo gutwara.

Ibihugu byinshi bifite amategeko yihariye yerekeye gutwara indwara y'igicuri asaba ibihe bitagira ibyago byo gufatwa mbere yo gutwara mu buryo bwemewe n'amategeko. Umuganga wawe n'ishami ry'imodoka ryaho rishobora gutanga ubuyobozi bwihariye kubijyanye n'ubuzima bwawe.

Ntuzigere utwara niba wumva ufite ibitotsi, isereri, cyangwa ufite ibibazo byo kureba biturutse kuri felbamate. Izi ngaruka zishobora gutuma gutwara bigira akaga kuri wowe no ku bandi bari mu muhanda.