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

Lamotrigine ni umuti wandikirwa na muganga ufasha gutuza imikorere y'amashanyarazi mu bwonko bwawe. Ikoreshwa cyane mu kuvura indwara ya epilepsi na bipolar disorder mu kurwanya ibibazo byo gufatwa n'ibibazo by'ubwonko. Uyu muti ukora nk'uburyo bwo guhagarika buhoro buhoro ku ngingo z'ubwonko zikora cyane, zikazifasha kuvugana neza kandi zigabanya imikorere y'amashanyarazi idasanzwe ishobora gutera ibibazo.

Lamotrigine ni iki?

Lamotrigine ni umwe mu itsinda ry'imiti yitwa anticonvulsants cyangwa mood stabilizers. Yabanje gukorwa kugira ngo ivure epilepsi ariko abaganga bavumbuye ko ifasha no gucunga bipolar disorder neza. Uyu muti uza mu buryo bw'ibinini, ibinini bishobora kumizwa, n'ibinini bishonga mu kanwa.

Uyu muti ufatwa nk'umuti wizewe, wizeho cyane wafashije abantu babarirwa muri za miliyoni gucunga indwara zabo neza. Uvugwaho imyaka irenga makumyabiri, bituma abaganga bagira uburambe bwinshi ku buryo ukora n'icyo bakwiriye kwitega.

Lamotrigine ikoreshwa mu kuvura iki?

Lamotrigine ivura indwara ebyiri zikomeye: epilepsi na bipolar disorder. Muri epilepsi, irinda ubwoko butandukanye bwo gufatwa. Muri bipolar disorder, ifasha kwirinda ibibazo byo kwiheba kandi igabanya kenshi impinduka z'ubwonko.

Muganga wawe ashobora kukwandikira lamotrigine niba ufite ibibazo byo gufatwa, gufatwa muri rusange, cyangwa indwara ya Lennox-Gastaut (ubwoko bukomeye bwa epilepsi yo mu bwana). Muri bipolar disorder, ifasha cyane mu kurwanya ibibazo byo kwiheba by'ubwonko, nubwo itagira akamaro kanini ku bibazo byo gushyushywa.

Rimwe na rimwe abaganga bandikira lamotrigine ku zindi ndwara nk'ubwoko bumwe na bumwe bw'ububabare bw'imitsi cyangwa nk'umuti wongerwa iyo indi miti itagikora neza. Ibi byitwa

Lamotrigine ikora ite?

Lamotrigine ikora ibyo ikingira imiyoboro ya sodium mu turandaryi twawe two mu bwonko, ibyo bikaba bifasha kugenzura ibimenyetso by'amashanyarazi. Bitekereze nk'uko uhindura ijwi ku byuma by'ubwonko bikabije bishobora kuba birimo birasa cyane cyangwa bitunguranye.

Uyu muti ufatwa nk'uburyo bwo kuvura bufite imbaraga ziringaniye. Ntabwo ukomeye nk'indi miti imwe yo kuvura ibibazo byo gufatwa, ariko akenshi uba woroshye ku mubiri wawe ufite ingaruka nke. Ibi bituma uba uburyo bwiza ku bantu bakeneye kuvurwa igihe kirekire cyangwa bafite ibibazo byatewe n'indi miti.

Uyu muti wiyongera buhoro buhoro mu mubiri wawe mu byumweru byinshi. Iyi myiyongere itinda ni ingirakamaro kuko igabanya ibyago byo kugira ingaruka zikomeye kandi ifasha umubiri wawe kumenyera neza ubuvuzi.

Nkwiriye gufata Lamotrigine nte?

Fata lamotrigine nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi. Urashobora kuyifata hamwe n'ibiryo cyangwa utabifite, ariko kuyifata hamwe n'ibiryo bishobora gufasha kugabanya umujinya wo mu gifu niba ubyumva.

Mimina ibinini bisanzwe byose hamwe n'amazi. Niba ufite ibinini bishobora kurumwa, urashobora kubiruma byose cyangwa ukabimira byose. Ku binini bisenyuka mu kanwa, ubishyire ku rurimi rwawe ubireke bishire - nta mazi akenewe.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugira ngo ugumane urwego ruzigama mu mubiri wawe. Iyi myifatire ifasha umuti gukora neza kandi igabanya amahirwe yo gufatwa cyangwa ibihe by'amarangamutima.

Umuganga wawe ashobora gutangira akoresha urugero ruto buhoro buhoro akarwongera mu byumweru byinshi. Iyi myiyongere itinda ni ingenzi ku mutekano wawe, bityo ntukirengagize imiti cyangwa ugerageze kwihutisha inzira ku giti cyawe.

Nkwiriye gufata Lamotrigine igihe kingana iki?

Abantu benshi bafata lamotrigine mu mezi menshi cyangwa imyaka, bitewe n'uburwayi bwabo. Ku bana bafite igicuri, birashoboka ko ukeneye kuyifata igihe kirekire kugira ngo wirinde ko ibimenyetso by'igicuri byagaruka. Ku bantu bafite indwara ya bipolar, akenshi ikoreshwa nk'uburyo bwo kubungabunga ubuzima kugira ngo birinde ibihe by'amarangamutima mu gihe kizaza.

Muganga wawe azajya areba buri gihe uko umuti ukora neza niba ukimukeneye. Abantu bamwe bafite igicuri bashobora kureka kuwufata nyuma yo kumara imyaka myinshi batagira ibimenyetso by'igicuri, ariko iki cyemezo gisaba kugenzurwa na muganga witonze.

Ntuzigere uhagarika gufata lamotrigine mu buryo butunguranye, kuko ibi bishobora gutera ibimenyetso by'igicuri cyangwa ibihe by'amarangamutima. Niba ukeneye guhagarika, muganga wawe azagutegurira gahunda yo kugabanya buhoro buhoro urugero rwawe mu byumweru byinshi cyangwa amezi menshi.

Ni izihe ngaruka ziterwa na Lamotrigine?

Abantu benshi bafata lamotrigine neza, ariko nk'imiti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi zoroheje kandi akenshi zikagenda zikemuka uko umubiri wawe umenyera umuti.

Dore ingaruka zisanzwe ushobora guhura nazo, zikurikira uko zikunda kugaragara:

• Kuribwa umutwe cyangwa kumva utameze neza
• Umutwe
• Isesemi cyangwa kuribwa mu nda
• Gusinzira cyane cyangwa kunanirwa
• Kureba ibintu bibiri cyangwa guhumirwa
• Uruhu rurashya (akenshi rworoshye)
• Kugorwa no gusinzira
• Kuzunguzwa cyangwa guhinda umushyitsi

Izi ngaruka zisanzwe akenshi zigabanuka uko umubiri wawe umenyera umuti. Niba zikomeje cyangwa zikugora cyane, ganira na muganga wawe ku bijyanye no guhindura urugero rwawe cyangwa igihe cyo kuwufata.

Hariho ingaruka zimwe zitagaragara cyane ariko zikomeye zisaba ubufasha bwihuse bwa muganga. Nubwo ibi bidakunze kubaho, ni ngombwa kumenya icyo ugomba kwitaho:

• Uruhu rurwaye cyane rufite umuriro, imitsi yabyimbye, cyangwa ibisebe mu kanwa
• Guhinda amaraso cyangwa gukomereka bidasanzwe
• Impinduka zikomeye mu myumvire cyangwa ibitekerezo byo kwigirira nabi
• Ibimenyetso by’ibibazo by’umwijima (uruhu cyangwa amaso y’umuhondo, inkari z’umukara, kuribwa cyane mu nda)
• Kuribwa cyane umutwe cyangwa kugwa igihumure
• Umugongo w'ijosi ugoye hamwe n'umuriro

Ikintu gikomeye cyane kijyanye na lamotrigine ni uruhu rurwaye cyane rwitwa syndrome ya Stevens-Johnson, ibaho ku bantu nka 1 kuri 1,000. Ibi bikunda kubaho mu byumweru 8 bya mbere by’imiti kandi bishoboka cyane niba utangiriye ku doze nyinshi cyangwa ufata izindi miti runaka.

Ni bande batagomba gufata Lamotrigine?

Lamotrigine ntabwo ikwiriye kuri buri wese. Muganga wawe azasuzuma neza amateka yawe y’ubuzima mbere yo kuyandika. Ntugomba gufata uyu muti niba waragize allergie ikomeye kuri wo mbere.

Abantu bafite ibibazo runaka bakeneye kwitonda cyane cyangwa bashobora kwirinda lamotrigine rwose. Ibi birimo abantu bafite indwara ikomeye y’umwijima, ubwoko runaka bw’ibibazo by’umutima, cyangwa amateka y’uruhu rurwaye cyane kubera izindi miti.

Niba utwite cyangwa uteganya gutwita, biganireho neza na muganga wawe. Lamotrigine irashobora gukoreshwa mugihe cyo gutwita iyo inyungu ziruta ibyago, ariko bisaba gukurikiranwa neza no guhindura doze.

Abana bari munsi y’imyaka 2 ntibakunze guhabwa lamotrigine uretse mu bihe bidasanzwe cyane, kuko bafite ibyago byinshi byo kurwara uruhu rukomeye. Abantu bakuze bashobora gukenera doze ntoya kuko imibiri yabo itunganya imiti gahoro.

Amazina ya Lamotrigine

Lamotrigine iboneka munsi y’amazina menshi y’ubwoko, aho Lamictal ariyo izwi cyane. Andi mazina y’ubwoko arimo Lamictal XR (verisiyo irekura gahoro), Lamictal ODT (ibipimo bishonga mu kanwa), na Lamictal CD (ibipimo bishobora kumanyagurika).

Ubundi bwoko bwa lamotrigine buraboneka cyane kandi bukora neza nk'ubwoko bw'izina ry'ubucuruzi. Farumasi yawe ishobora gusimbuza ubwoko rusange keretse muganga wawe asabye by'umwihariko izina ry'ubucuruzi.

Niba uhindura hagati y'abakora lamotrigine batandukanye, bimenyeshe muganga wawe. Mugihe bagomba gukora kimwe, abantu bamwe babona itandukaniro rito mumyumvire yabo, kandi muganga wawe ashobora kwifuza kugukurikiranira hafi mugihe cy'ihinduka.

Izindi nzira za Lamotrigine

Imiti myinshi irashobora kuvura indwara ya epilepsi na bipolar niba lamotrigine itagukwiriye. Kubijyanye na epilepsi, izindi nzira zirimo levetiracetam (Keppra), carbamazepine (Tegretol), na aside ya valproic (Depakote).

Kubijyanye na bipolar, izindi miti igabanya imyumvire irimo lithium, aside ya valproic, na imiti imwe ya antipsychotic nka quetiapine (Seroquel) cyangwa aripiprazole (Abilify). Buri imwe ifite inyungu zayo n'ingaruka zayo.

Muganga wawe azatekereza ibintu nk'ubwoko bwihariye bw'ibibazo byawe cyangwa ibimenyetso bya bipolar, indi miti ufata, imyaka yawe, n'imibereho yawe mugihe uhitamo inzira nziza. Rimwe na rimwe guhuza imiti bikora neza kuruta umuti umwe gusa.

Ese Lamotrigine iruta Carbamazepine?

Lamotrigine na carbamazepine byombi ni imiti ikora neza ivura ibibazo byo gufatwa, ariko bikora muburyo butandukanye kandi bifite inyungu zitandukanye. Lamotrigine ikunda gutera ingaruka nke kandi akenshi yihanganirwa neza, cyane cyane mugihe gikoreshwa igihe kirekire.

Carbamazepine irashobora gukora neza kubwoko bumwe bwibibazo byo gufatwa, cyane cyane ibibazo bya focal, ariko ifitanye isano n'indi miti myinshi kandi bisaba ibizamini by'amaraso bya buri gihe kugirango igenzure imikorere y'umwijima n'imibare y'amaraso. Lamotrigine ntisaba ubusanzwe gukurikiranwa amaraso.

Ku bijyanye n'indwara ya bipolar, lamotrigine ikunze gukoreshwa cyane kuko ifasha cyane mu gukumira ibihe by'agahinda kandi ikagira ingaruka nke. Carbamazepine ishobora gufasha mu kugumisha imitekerereze ihagaze neza ariko akenshi ifatwa nk'uburyo bwa kabiri.

“Uburyo bwiza” bushingiye rwose ku miterere yawe bwite, harimo ubwoko bw'ibihungabana byawe, izindi ndwara, imiti ufata, n'uko witwara ku buvuzi. Muganga wawe azagufasha gupima ibi bintu.

Ibibazo Bikunze Kubazwa Kuri Lamotrigine

Ese Lamotrigine iratekanye ku ndwara z'impyiko?

Lamotrigine muri rusange iratekanye ku bantu barwaye indwara z'impyiko kuko impyiko zawe ntizikoresha cyane uyu muti. Umwijima wawe ukora akazi kenshi ko gusenya lamotrigine, bityo ibibazo by'impyiko akenshi ntibisaba guhindura urugero rw'umuti.

Ariko, niba ufite indwara zikomeye z'impyiko, muganga wawe ashobora kwifuza kugukurikiranira hafi. Abantu bamwe bafite ibibazo by'impyiko kandi bafite izindi ndwara zishobora kugira ingaruka ku buryo lamotrigine ikora mu mubiri wawe.

Nkwiriye gukora iki niba nanyweye lamotrigine nyinshi bitunguranye?

Niba utekereza ko wanyweye lamotrigine nyinshi, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, kabone n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ibimenyetso bikomeye nk'izunguzungu rikomeye, ibibazo byo guhuza ibice by'umubiri, cyangwa ndetse n'ibihungabana.

Ntugerageze kwivugisha umuriro keretse niba ubisabwe na muganga. Niba hari umuntu utazi ibiri kuba cyangwa afite ibibazo byo guhumeka, hamagara serivisi zihutirwa ako kanya.

Nkwiriye gukora iki niba nciweho urugero rwa lamotrigine?

Niba wibagiwe urugero, rinywe ako kanya wibuka, keretse igihe cyo gufata urugero rukurikira kigeze. Muri icyo gihe, reka urugero wibagiwe rugende ukomeze gahunda yawe isanzwe.

Ntuzigere ufata urugero rurenze rumwe icyarimwe kugira ngo wuzuze urugero wibagiwe. Ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone cyangwa gukoresha umuteguro w'imiti.

Nshobora Kureka Gufata Lamotrigine ryari?

Reka gufata lamotrigine gusa uyobowe na muganga wawe. Ku ndwara y'igicuri, ushobora kureka nyuma yo kumara imyaka myinshi utagira ibimenyetso, ariko iki cyemezo gisaba isuzuma ryitondewe ry'ibintu bigushyira mu kaga.

Ku ndwara ya bipolar, lamotrigine akenshi ikoreshwa nk'ubuvuzi burambye. Guhagarika ako kanya birashobora gutera ibibazo by'amarangamutima, bityo impinduka zose kuri gahunda yawe y'ubuvuzi zigomba kuganirwaho neza na muganga wawe mbere.

Nshobora Kunywa Alcool niba Ndafata Lamotrigine?

Uduce duto twa alcool muri rusange turakwiriye kubantu benshi bafata lamotrigine, ariko alcool irashobora kongera gusinzira no kuribwa umutwe. Irashobora kandi gutera ibimenyetso by'igicuri kubantu barwaye igicuri no gukomeza ibimenyetso by'amarangamutima kuri bipolar.

Ganira na muganga wawe kubyerekeye ibikwiriye kubuzima bwawe bwihariye. Bashobora kugusaba kwirinda alcool rwose cyangwa kuyigabanya ku gice gito cyane, bitewe n'uburwayi bwawe n'uburyo ibimenyetso byawe bigenzurwa neza.