Lamotrigine (inzira yo mu kanwa)
Amoko ahari
LaMICtal, LaMICtal CD, LaMICtal ODT, LaMICtal XR, lamoTRIgine, lamoTRIgine-100, lamoTRIgine-150, lamoTRIgine-25, Mylan-lamoTRIgine, Teva-lamoTRIgine
Ibyerekeye uyu muti
Lamotrigine ikoreshwa yonyine cyangwa hamwe n'imiti indi mu gufasha kugenzura ubwoko bumwe bw'igicuri (urugero, igicuri gito, igicuri gikomeye, cyangwa indwara ya Lennox-Gastaut) mu kuvura indwara y'igicuri. Iyi miti ntishobora gukiza indwara y'igicuri kandi izakora gusa mu kugenzura igicuri mu gihe ukomeje kuyinywa. Ishobora kandi gukoreshwa mu kuvura indwara ya bipolar (indwara yo kwiheba cyane) mu bantu bakuru. Iyi miti iboneka gusa uhawe impapuro z'umuganga. Iyi miti iboneka mu buryo bukurikira bwo kuyipima:
Mbere yo gukoresha uyu muti
Mu gihe cyemeza gukoresha imiti, ibyago byo gufata imiti bigomba kupimirwa ugereranyije n'icyiza izakora. Iki ni icyemezo wowe na muganga wawe muzafatanya. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uruhare rutaboneka cyangwa allergie kuri iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'allergie, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku kimenyetso. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwerekanye ibibazo byihariye by'abana byabuza ikoreshwa ry'amasafuriya ya lamotrigine, amasafuriya asenyuka, amasafuriya yo gufata, cyangwa amasafuriya mu bana bafite ubwoko bumwe bw'indwara zifata abana bafite imyaka ibiri n'irenga. Ariko kandi, umutekano n'ingaruka ntabwo byarangiye mu bana bari munsi y'imyaka ibiri. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano y'imyaka ku ngaruka za lamotrigine extended-release tablets mu bana bafite indwara zifata igice cy'ubwonko bari munsi y'imyaka 13. Umutekano n'ingaruka ntabwo byarangiye. Ubushakashatsi bukwiye ntabwo bwakozwe ku isano y'imyaka ku ngaruka za lamotrigine chewable tablets, amasafuriya asenyuka, amasafuriya yo gufata, cyangwa amasafuriya mu bana bafite indwara ya bipolar. Umutekano n'ingaruka ntabwo byarangiye. Nubwo ubushakashatsi bukwiye ku isano y'imyaka ku ngaruka za lamotrigine ntabwo bwakozwe mu itsinda ry'abakuze, ibibazo byihariye by'abakuze ntibiteganijwe ko bizabuza ikoreshwa rya lamotrigine mu bakuze. Ariko kandi, abarwayi bakuze bafite ibyago byinshi byo kugira ibibazo by'umwijima, impyiko, cyangwa umutima bifitanye isano n'imyaka, bishobora gusaba ko igipimo gihindurwa ku barwayi bafata lamotrigine. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha iyi miti mu gihe cyo konsa. Pima inyungu zishoboka ugereranyije n'ibyago bishoboka mbere yo gufata iyi miti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho isano ishobora kubaho. Muri iyi mimerere, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufata iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufata imiti iri hasi. Isano ikurikira yatoranijwe hashingiwe ku kamaro kayo kandi si ngombwa ko ari yo yose. Gukoresha iyi miti hamwe n'imiti ikurikira ntibisanzwe bisabwa, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti ikurikira bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wowe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya ubwoko bumwe bw'ibiribwa kuko isano ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe na yo bishobora gutera isano kubaho. Muganire n'umuhanga mu by'ubuzima ku ikoreshwa ry'imiti yawe hamwe n'ibiribwa, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane:
Uburyo bwo gukoresha uyu muti
Fata iyi miti gusa nkuko muganga wawe yabikuyeho kugira ngo ufashe uburwayi bwawe uko bishoboka kose kandi kugira ngo ugabanye ibyago byo kugira ingaruka zitari nziza. Ntugafate ibinini byinshi, ntuyifate kenshi, kandi ntuyifate igihe kirekire kurusha igihe muganga wawe yategetse. Iyi miti igomba kuza hamwe n'amabwiriza y'imiti. Soma kandi ukurebere neza aya mabwiriza. Baza muganga wawe niba ufite ikibazo icyo ari cyo cyose. Lamotrigine ishobora gufatwa ifatanye n'ibiribwa cyangwa idafite ibiryo cyangwa ku gifu cyuzuye cyangwa ku gifu kimwe. Ariko rero, niba muganga wawe akubwiye ko ugomba gufata imiti mu buryo runaka, uyifate neza nkuko yabitegetse. Niba ufashe inyunyu y'imiti ishobora gusesagurika cyangwa itabogamye, ishobora kumirwa yose, ikamwa, ikamirwa, cyangwa ikasesagurirwa mu kintu gito cy'amazi ikamirwa. Niba inyunyu zikamwe, zigomba gukurikirwa n'amazi make cyangwa umutobe w'imbuto wanywanyije kugira ngo bifashe kwimira. Kugira ngo uhindure izi nyunyu, ziyongere mu mazi ahagije cyangwa umutobe w'imbuto wanywanyije kugira ngo upfuke inyunyu (hafi ikiyiko kimwe). Tegereza kugeza inyunyu zisesaguye neza (hafi iminota 1), hanyuma ukubite hanyuma uyinywe ako kanya. Niba ufashe inyunyu ishobora gusesagurika, komeza intoki zawe zikazima mbere yo gufata inyunyu. Ntukingure agasanduku k'inyunyu karimo inyunyu kugeza ugiye kuyifata. Kuraho inyunyu mu gasanduku k'inyunyu ugatandukanya umupira, hanyuma ukureho inyunyu. Ntukande inyunyu mu mupira. Shyira inyunyu mu rurimi rwawe hanyuma uyigendereze mu kanwa kawe. Igomba gusesagurika vuba. Nyuma y'uko inyunyu isesaguye, imira cyangwa nywa amazi make. Imire inyunyu zifite igihe kirekire cyo gukora. Ntuzimenagure, ntuzizimanganye, kandi ntuzikame. Koresha gusa ubwoko bw'iyi miti muganga wawe yagutegetse. Ubwoko butandukanye n'uburyo bwo gutanga imiti bishobora kudakora kimwe. Iyi miti ishobora gukoreshwa n'izindi miti y'indwara zifata ubwonko. Komeza gukoresha imiti yawe yose y'indwara zifata ubwonko keretse muganga wawe akubwiye ko ugomba kuyireka. Igipimo cy'iyi miti kizaba kitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'umuganga wawe cyangwa amabwiriza ari ku gipfunyika. Amakuru akurikira harimo gusa ibipimo by'iyi miti. Niba igipimo cyawe kitandukanye, ntukiguhindura keretse muganga wawe akubwiye ko ugomba kubikora. Ingano y'imiti ufata iterwa n'imbaraga z'imiti. Nanone, umubare w'ibipimo ufata buri munsi, igihe cyemererwa hagati y'ibipimo, n'igihe ufata imiti biterwa n'uburwayi ukoresha imiti. Niba ubuze igipimo cy'iyi miti, gifate vuba bishoboka. Ariko rero, niba hafi igihe cyo gufata igipimo cyawe gikurikira, sipa igipimo wabuze hanyuma usubire ku gahunda yawe isanzwe yo gufata imiti. Ntugafate inyunyu ebyiri rimwe. Kubika imiti mu kibindi gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'izuba ry'umwanya. Kwirinda gukonjesha. Kwirinda abana. Ntukubike imiti ishaje cyangwa imiti utakikeneye. Baza umwuga wita ku buzima uburyo wakwirukana imiti ukoresha.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.