Ni iki Tiagabine: Ibikoresho, Uburyo bwo Gukoresha, Ingaruka ziterwa n'ibindi

Tiagabine ni umuti wandikirwa ugamije kuvura indwara y'igicuri, cyane cyane ibyuririzi bititabiriye neza izindi nshuti. Ikora igihe igira ingaruka ku bimera bimwe byo mu bwonko bigenzura imikorere y'amashanyarazi, bigafasha kugabanya ubukana n'uburemere bw'ibyuririzi ku bantu bakeneye ubufasha bw'inyongera mu kugenzura ibyuririzi.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa anticonvulsants cyangwa imiti irwanya igicuri. Nubwo ifatwa nk'uburyo bwihariye bwo kuvura, gusobanukirwa uko ikora n'icyo wakwitega bishobora kugufasha kumva ufite icyizere cyinshi ku gahunda yawe yo kuvurwa.

Ni iki Tiagabine?

Tiagabine ni umuti urwanya igicuri ufasha kugenzura ibyuririzi mu kugenzura imikorere y'ubwonko. Yagenewe by'umwihariko abantu ibyuririzi byabo bitagenzurwa neza n'imiti yabo ya none, ikora nk'uburyo bwo kuvura bw'inyongera aho kuba uburyo bwo kuvura bwa mbere.

Uyu muti uza mu buryo bw'ibinini kandi ufata mu kanwa. Ni icyo abaganga bita

Muganga wawe ashobora kugusaba gufata tiagabine niba umaze gufata imiti ivura ibibazo byo gufatwa n'indwara ariko ukaba ugifite ibibazo byo gufatwa. Bifasha cyane abantu bafite ibibazo byo gufatwa byoroshye cyangwa ibibazo byoroshye byo gufatwa bitashoboye gukira neza n'ubundi buvuzi.

Uyu muti ukoreshwa buri gihe hamwe n'indi miti ivura ibibazo byo gufatwa, ntabwo ukoreshwa wenyine. Ubu buryo bufasha kongera kugenzura ibibazo byo gufatwa n'indwara mu gihe bishobora kugabanya ingaruka zishobora guterwa n'imiti myinshi.

Tiagabine ikora ite?

Tiagabine ikora ibuza umubiri gufata imisemburo yo mu bwonko yitwa GABA (gamma-aminobutyric acid). GABA ni umusemburo w'ingenzi mu bwonko "utuma umuntu atuje", ufasha kugabanya imikorere y'amashanyarazi y'umurengera ishobora gutera ibibazo byo gufatwa.

Iyo tiagabine ibuza GABA gufatwa, uyu musemburo utuma umuntu atuza ukomeza gukora mu bwonko bwawe. Ibi bifasha kugumisha imikorere y'amashanyarazi ihagaze neza, bigatuma ibibazo byo gufatwa bitabaho. Ni nko kugira sisitemu y'imbaraga ikora neza mu bwonko bwawe.

Uyu muti ufatwa nk'ukomeye ku rugero ruciriritse mu miti ivura ibibazo byo gufatwa. Ntabwo ukomeye nk'indi miti mishya, ariko urakora bihagije kugira ngo ugabanye ibibazo byo gufatwa neza iyo ukoreshejwe neza nk'igice cy'ubuvuzi bwuzuye.

Nkwiriye gufata tiagabine nte?

Fata tiagabine nk'uko byategetswe na muganga wawe, akenshi inshuro 2-4 ku munsi hamwe n'ibiryo. Kuyifata hamwe n'ibiryo bifasha kugabanya ibibazo byo mu gifu kandi bigatuma umubiri wawe uyifata neza.

Mimina ibinini byose hamwe n'amazi - ntukabice, ntukayisye, cyangwa ngo uyimenagure. Muganga wawe azagusaba gutangira doze ntoya hanyuma akagenda ayongera buhoro buhoro mu byumweru byinshi. Iyi mikorere itinda ifasha umubiri wawe kumenyera kandi igabanya ibyago byo kugira ingaruka.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo urinde urugero ruzigama mu mubiri wawe. Niba uyifata kabiri ku munsi, shyira intera hagati y'imiti hafi amasaha 12. Ku gipimo gikunze gukoreshwa, kurikiza gahunda yihariye ya muganga wawe.

Mbere yo gufata tiagabine, rya ikintu cyoroheje niba utararya vuba aha. Ibintu nk'imigati, toast, cyangwa yogati bikora neza. Irinde kuyifata ku gifu cyuzuye, kuko ibi bishobora kongera amahirwe yo kuribwa umutwe cyangwa isesemi.

Mbonye Tiagabine Mvuga Kangahe?

Tiagabine mubisanzwe ni uburyo bwo kuvura indwara y'igicuri igihe kirekire, akenshi ifatwa imyaka cyangwa ndetse itagira iherezo. Igihe biterwa n'uburyo urinda ibitero, uburyo wihanganira umuti, n'intego zawe zose zo kuvura.

Abantu benshi bakeneye gufata tiagabine buri gihe kugira ngo bakomeze kurinda ibitero. Guhagarara mu buryo butunguranye bishobora gutera ibitero bishya cyangwa ndetse na status epilepticus, uburwayi bukomeye aho ibitero bitahagarara byonyine. Muganga wawe azagenzura iterambere ryawe buri gihe kugira ngo yemeze ko umuti ukomeza gukora neza.

Niba wowe na muganga wawe mwafata icyemezo cyo guhagarika tiagabine, uzakenera kugabanya buhoro buhoro mu gihe cy'ibyumweru byinshi cyangwa amezi. Iyi ngabanyirizwa itinda ifasha kwirinda ibitero byo gukurwaho kandi ikemerera ubwonko bwawe guhuza n'impinduka mu rwego rw'imiti.

Ni Ibihe Bikorwa Bigaragara Bya Tiagabine?

Kimwe n'imiti yose, tiagabine irashobora gutera ibikorwa bigaragara, nubwo atari buri wese ubigeraho. Ibikorwa bigaragara byinshi ni bike kugeza hagati kandi akenshi birakosoka uko umubiri wawe uhuza n'umuti.

Dore ibikorwa bigaragara bisanzwe ushobora guhura nabyo mugihe utangiye tiagabine:

• Kuribwa umutwe cyangwa kumva umutwe
• Kunanirwa cyangwa gusinzira
• Isememi cyangwa kuribwa munda
• Ubwoba cyangwa guhangayika
• Gutegera cyangwa guhinda umushyitsi
• Kugorana kwibanda
• Kunanuka cyangwa kunanirwa

Ibi bimenyetso bikunze kugaragara mu byumweru bya mbere byo kuvurwa kandi akenshi bigabanuka uko umubiri wawe umenyera umuti.

Abantu bamwe bashobora kugira ingaruka ziteye inkeke zisaba ubufasha bwihuse bw'abaganga. Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya:

• Urujijo rukabije cyangwa kutamenya aho uri
• Kurota cyangwa kubona ibintu bitabaho
• Impinduka zikabije z'amarangamutima cyangwa agahinda gakabije
• Kutekereza kwikomeretsa
• Uruhu rurwaye cyane cyangwa ibimenyetso bya allergie
• Udukorwa tw'ubwonko twongera kuba twinshi cyangwa tukaba rukarishye

Vugana n'umuganga wawe ako kanya niba ubonye izi ngaruka zikomeye. Bashobora kugufasha guhindura gahunda yawe yo kuvurwa kugira ngo ijyane neza n'ibyo ukeneye.

Ninde utagomba gufata Tiagabine?

Tiagabine ntikwiriye kuri buri wese, kandi ibintu bimwe na bimwe cyangwa ibihe bishobora gutuma bidatekanye ko ufata uyu muti. Umuganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuwandikira.

Ntabwo ugomba gufata tiagabine niba ufite allergie kuri wo cyangwa kuri kimwe mu bigize wo. Abantu bafite ubwoko bumwe na bumwe bw'udukorwa tw'ubwonko, cyane cyane udakorwa tw'ubwonko rusange, bagomba kwirinda uyu muti kuko ushobora gutuma ubwoko bumwe na bumwe bw'udukorwa tw'ubwonko burushaho kuba bubi.

Ubushishozi bwihariye bukenewe niba ufite ibibazo by'umwijima, kuko tiagabine ikorwa n'umwijima. Umuganga wawe ashobora gukenera guhindura urugero rwawe cyangwa akagukurikiranira hafi niba ufite indwara y'umwijima. Abantu bafite amateka ya status epilepticus (udukorwa tw'ubwonko tumara igihe kirekire) bashobora kandi gukenera gukurikiranwa neza.

Abagore batwite bagomba kuganira ku byago n'inyungu n'umuganga wabo, kuko tiagabine ishobora kugira ingaruka ku mikurire y'uruhinja. Niba uteganya gutwita cyangwa umaze gutwita, umuganga wawe azagufasha gupima inyungu zo kugenzura udakorwa tw'ubwonko n'ibishobora kuba byago.

Amazina y'ubwoko bwa Tiagabine

Tiagabine iboneka ku izina rya Gabitril muri Leta Zunze Ubumwe z'Amerika. Iyi ni yo fomu yandikwa cyane y'uyu muti kandi ikorwa na Cephalon, ubu ni igice cya Teva Pharmaceuticals.

Ubwoko bwa tiagabine butagira izina ry'uruganda buraboneka kandi, bukaba burimo ibintu bikora kimwe ariko bishobora kuba bihendutse. Farumasi yawe irashobora kugufasha gusobanukirwa niba hari ubwoko butagira izina ry'uruganda buboneka kandi bukaba burimo muri assurance yawe.

Uko waba ufata Gabitril y'izina ry'uruganda cyangwa tiagabine itagira izina ry'uruganda, umuti ukora kimwe. Abantu bamwe bakunda gukoresha uruganda rumwe kugirango bagire ubwizerwe, mu gihe abandi bishimira guhinduranya hagati y'ubwoko butagira izina ry'uruganda n'ubwoko bw'izina ry'uruganda.

Uburyo bwa Tiagabine bwakoreshwa

Imiti myinshi isimbura irashobora gukoreshwa niba tiagabine itagukwiriye cyangwa itatanga uburyo buhagije bwo kugenzura ibyuririzi. Iyi miti isimbura ikora hakoreshejwe uburyo butandukanye ariko ikora ibintu bisa mugufasha kuvura indwara ya epilepsi.

Uburyo busanzwe busimbura burimo levetiracetam (Keppra), akenshi yihanganirwa neza kandi ikora neza kubantu bafite ibyuririzi bya gice. Lamotrigine (Lamictal) ni ubundi buryo bushobora gukoreshwa kubwoko butandukanye bw'ibyuririzi kandi ifite ingaruka nziza kubantu benshi.

Uburyo bundi busimbura burimo topiramate (Topamax), gabapentin (Neurontin), na pregabalin (Lyrica). Buri kimwe gifite inyungu zacyo n'ingaruka zishobora guterwa, bityo muganga wawe azagufasha kubona uburyo bwiza bushingiye kubyo ukeneye byihariye n'amateka yawe y'ubuzima.

Gu hitamo uburyo busimbura biterwa n'ibintu nk'ubwoko bw'ibyuririzi byawe, indi miti urimo gufata, imyaka yawe, n'izindi ndwara ufite. Muganga wawe azakorana nawe kugirango abone uburyo bukora neza kandi bwihanganirwa.

Ese Tiagabine iruta Carbamazepine?

Tiagabine na carbamazepine (Tegretol) bikora mu buryo butandukanye kandi bifite uruhare rutandukanye mu kuvura indwara y'igicuri. Carbamazepine akenshi ikoreshwa nk'umuti wa mbere wo kuvura ibimenyetso by'igicuri, naho tiagabine ikoreshwa iyo imiti ya mbere itagize icyo igeraho.

Carbamazepine imaze igihe kinini ikoreshwa kandi ifite ubushakashatsi bwinshi buyishyigikira nk'umuti w'ibanze. Ariko, tiagabine ifitiye abantu bamwe akamaro, cyane cyane abagira ingaruka ziterwa na carbamazepine cyangwa bakeneye ubufasha bwiyongera mu kugenzura ibimenyetso by'igicuri.

Icyemezo cyiza giterwa n'uko ubuzima bwawe bumeze. Carbamazepine ishobora gukundwa niba uherutse kumenyekana ko urwaye kandi ugitangira kuvurwa, naho tiagabine ishobora kuba nziza niba ukeneye ubufasha bwiyongera mu kugenzura ibimenyetso by'igicuri cyangwa wigeze kugira ibibazo n'indi miti.

Muganga wawe azatekereza ku bintu nk'ubwoko bw'ibimenyetso by'igicuri ufite, indi miti ufata, ingaruka zishobora guterwa n'imiti, n'amateka y'ubuzima bwawe bwite mu gihe afata icyemezo hagati y'izi mpuzamiti. Abantu benshi bafata imiti yombi icyarimwe kugira ngo bagere ku kugenzura neza ibimenyetso by'igicuri.

Ibibazo Bikunze Kubazwa Kuri Tiagabine

Q1. Ese Tiagabine irakwiriye ku barwayi b'indwara y'impyiko?

Tiagabine muri rusange ifatwa nk'umuti ukwiriye ku bantu barwaye indwara y'impyiko kuko ikorwa cyane cyane mu mwijima aho gukorwa mu mpyiko. Impyiko zawe ntizigomba gukora cyane kugira ngo zikure uyu muti mu mubiri wawe.

Ariko, niba urwaye indwara y'impyiko ikomeye, muganga wawe ashobora kwifuza kugukurikiranira hafi igihe utangira gufata tiagabine. Ibi biterwa n'uko indwara y'impyiko rimwe na rimwe ishobora kugira ingaruka ku buryo umubiri wawe witwara ku miti, ndetse n'iyo itakorwa mu mpyiko.

Q2. Nkwiriye gukora iki niba nanyoye tiagabine nyinshi ku buryo butunguranye?

Niba unyoye tiagabine nyinshi ku buryo butunguranye, vugana na muganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya, kabone n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera ingaruka zikomeye nk'ibitotsi bikabije, urujijo, cyangwa ndetse no guta ubwenge.

Ntugategereze ko ibimenyetso bigaragara mbere yo gushaka ubufasha. Bika urupapuro rw'imiti hamwe nawe kugirango ubwire abaganga neza icyo wafashe n'ingano yacyo. Niba umuntu atazi ibyo arimo cyangwa afite ikibazo cyo guhumeka, hamagara serivisi zihutirwa ako kanya.

Q3. Nzakora iki niba nciwe urugero rwa Tiagabine?

Niba wibagiwe urugero rwa tiagabine, urufate uko wibuka, ariko gusa niba bitari hafi y'urugero rwawe ruteganyijwe. Niba igihe cyo gufata urugero rukurikira kigeze, reka urugero wibagiwe ukomeze gahunda yawe isanzwe.

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

Q4. Nshobora guhagarika ryari gufata Tiagabine?

Ugomba guhagarika gufata tiagabine gusa ukurikije ubuyobozi bw'umuganga wawe. Guhagarika ako kanya bishobora gutera ibibazo byo gufatwa cyangwa gufatwa kubera gukurwaho imiti, bishobora kuba byateza akaga kandi bishobora gushyira ubuzima mu kaga.

Muganga wawe akenshi azagabanya urugero rwawe buhoro buhoro mu byumweru byinshi cyangwa amezi niba ukeneye guhagarika imiti. Ubu buryo bwo kugabanya buhoro buhoro bufasha kwirinda gufatwa kubera gukurwaho imiti kandi butuma ubwonko bwawe bumenyera impinduka mu rwego rw'imiti.

Q5. Nshobora gutwara imodoka nkanwa Tiagabine?

Gutwara imodoka nkanwa tiagabine biterwa n'uko imiti ikugiraho ingaruka n'uburyo ugenzura gufatwa kwawe. Imiti ishobora gutera isereri, gusinzira cyane, cyangwa ibibazo byo kwibanda, cyane cyane iyo utangiye kuyifata.

Icya mbere, ugomba gukurikiza amategeko yaho yerekeye gutwara imodoka yerekeye indwara yo gufatwa, akenshi asaba ko utagira ibibazo byo gufatwa mu gihe runaka mbere yo gutwara. Ganira n'umuganga wawe igihe bishobora kuba byiza kuri wewe gutwara, ukurikije uko ugenzura gufatwa kwawe n'ingaruka zose ziterwa na tiagabine.