Created at:1/13/2025
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Lamotrigine mushonga unopiwa nachiremba unobatsira kugadzirisa mabasa emagetsi muuropi hwako. Inowanzo shandiswa kurapa chirwere chepfari uye bipolar disorder nekudzivirira kubatwa nepfari uye zviitiko zvemafungiro. Mushonga uyu unoshanda semabhureki akapfava emasero ehuropi akawandisa, achivabatsira kuti vataurirane zvakanaka uye kuderedza kuparara kwemagetsi kunogona kukonzera matambudziko.
Lamotrigine ndeyeboka remishonga inonzi anticonvulsants kana mood stabilizers. Yakagadzirwa pakutanga kurapa chirwere chepfari asi vanachiremba vakawana kuti inobatsirawo kubata bipolar disorder zvinobudirira. Mushonga uyu unouya semapiritsi, mapiritsi anotsengwa, uye mapiritsi anonyungudika mumuromo anonyungudika parurimi rwako.
Mushonga uyu unoonekwa seyakavimbika, yakadzidzwa zvakanaka sarudzo iyo yakabatsira mamiriyoni evanhu kubata mamiriro avo zvakachengeteka. Yave iripo kwemakore anopfuura makumi maviri, ichipa vanachiremba ruzivo rwakawanda rwekuti inoshanda sei uye zvekutarisira.
Lamotrigine inorapa mamiriro maviri makuru: chirwere chepfari uye bipolar disorder. Ye epilepsy, inodzivirira mhando dzakasiyana dzekubatwa nepfari kuti dzirege kuitika. Ye bipolar disorder, inobatsira kudzivirira zviitiko zvekuora mwoyo uye inogona kuderedza kuwanda kwekuchinja kwemafungiro.
Chiremba wako angakupa lamotrigine kana uine focal seizures, generalized seizures, kana Lennox-Gastaut syndrome (chimiro chakakomba chepfari yevana). Mu bipolar disorder, inonyanya kubudirira pakudzivirira chikamu chekuora mwoyo chezviitiko zvemafungiro, kunyangwe isingabatsiri zvakanyanya kune manic episodes.
Dzimwe nguva vanachiremba vanopa lamotrigine kune mamwe mamiriro senge mhando dzakasiyana dzekurwadziwa kwetsinga kana sekuwedzera kurapwa kana mamwe mishonga asingashande zvakanaka. Izvi zvinonzi
Lamotrigine inoshanda nekudzivisa nzira dze sodium mumaseru ako ehuropi, izvo zvinobatsira kudzora zviratidzo zvemagetsi. Fungidzira sekugadzirisa vhoriyamu pamaseketi ehuropi akanyanyisa anogona kunge achipfura nekukurumidza kana zvisingatarisirwi.
Mishonga iyi inoonekwa seimwe nzira yekurapa ine simba repakati. Haina kusimba semamwe mishonga yekurapa kubatwa, asi kazhinji inononoka pamuviri wako iine mashoma mativi. Izvi zvinoita kuti ive sarudzo yakanaka kune vanhu vanoda kurapwa kwenguva refu kana vakambove nematambudziko nemamwe mishonga.
Mishonga inovaka zvishoma nezvishoma mumuviri wako kwemavhiki akati wandei. Kuvaka uku kunononoka kunobatsira nekuti kunoderedza njodzi yemigumisiro yakakomba uye kunobatsira muviri wako kuti ujairane zvakanaka nekurapa.
Tora lamotrigine sezvakanyorwa nachiremba wako, kazhinji kamwe kana kaviri pazuva. Unogona kuitora uine kana usina chikafu, asi kuitora nechikafu kunogona kubatsira kuderedza dumbu kana uchinzwa.
Medza mahwendefa enguva dzose ese nemvura. Kana uine mahwendefa anotsengwa, unogona kuatsenga zvakakwana kana kuamedza ese. Kune mahwendefa anonyungudika nemuromo, aise parurimi rwako uye uvaregedze kunyungudika - hapana mvura inodiwa.
Edza kutora mushonga wako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana mumuviri wako. Kugadzikana uku kunobatsira mushonga kushanda zvakanyanya uye kunoderedza mukana wekubatwa kana zvikamu zvemafungiro.
Chiremba wako anogona kukutanga padosi yakaderera uye zvishoma nezvishoma kuwedzera kwemavhiki akati wandei. Kuwedzera uku kunononoka kwakakosha kuchengeteka kwako, saka usapfuure madosi kana kuyedza kumhanyisa maitiro wega.
Vanhu vazhinji vanotora lamotrigine kwemwedzi kusvika kumakore, zvichienderana nemamiriro avo. Kune chirwere chepfari, unogona kuida kwenguva refu kudzivirira kuti mapfari adzoke. Kune bipolar disorder, inowanzo shandiswa sekurapa kwekuchengetedza kudzivirira zvikamu zvemafungiro mune ramangwana.
Chiremba wako achatarisa nguva dzose kuti mushonga uri kushanda sei uye kana uchiri kuudiwa. Vamwe vanhu vane pfari vanogona kukwanisa kurega kuutora mushure mekusava nemapfari kwemakore akati wandei, asi chisarudzo ichi chinoda kutariswa kwechiremba kwakanyatso.
Usambofa wakarega kutora lamotrigine kamwe kamwe, sezvo izvi zvinogona kukonzera mapfari kana zvikamu zvemafungiro. Kana uchida kumira, chiremba wako achagadzira chirongwa chekuderedza zvishoma nezvishoma muyero wako kwemavhiki akati wandei kana mwedzi.
Vanhu vazhinji vanotsungirira lamotrigine zvakanaka, asi semishonga yese, inogona kukonzera mhedzisiro. Mashoko akanaka ndeokuti mhedzisiro yakawanda yakapfava uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.
Heano mhedzisiro yakajairika yaungasangana nayo, inenge yakarongeka kubva kune yakanyanya kuenda kune isingawanzoitiki:
Izvi zvinowanzoitika zvinowanzoita nani sezvo muviri wako uchijaira mushonga. Kana vakaenderera mberi kana kukukanganisa zvakanyanya, taura nachiremba wako nezvekugadzirisa muyero wako kana nguva.
Pane zvimwe zvisingawanzoitiki asi zvakakomba mhedzisiro zvinoda kutariswa kwechiremba nekukasira. Kunyange izvi zvisingawanzoitiki, zvakakosha kuziva zvekutarisa:
Kunetsekana kukuru ne lamotrigine ndiko kuita kweganda kwakanyanya kunonzi Stevens-Johnson syndrome, izvo zvinoitika kune vanhu vanenge 1 kubva pa1,000. Izvi zvinowanzoitika mumavhiki masere ekutanga ekurapa uye zvinonyanya kuitika kana iwe ukatanga nedosi yakanyanya kana kutora mamwe mishonga.
Lamotrigine haisi yemunhu wese. Chiremba wako achanyatso funga nezve nhoroondo yako yekurapa asati akuraira. Hau faniri kutora mushonga uyu kana wakambove nekuita kwakanyanya kwemuviri kwauri.
Vanhu vane mamiriro akati wandei vanoda kungwarira zvakanyanya kana vangada kudzivisa lamotrigine zvachose. Izvi zvinosanganisira vanhu vane chirwere chechiropa chakanyanya, mamwe marudzi ematambudziko emoyo, kana nhoroondo yekuita kweganda kwakanyanya kune mamwe mishonga.
Kana iwe uri nepamuviri kana kuronga kuva nepamuviri, kurukura izvi zvakadzama nachiremba wako. Lamotrigine inogona kushandiswa panguva yekuzvitakura kana mabhenefiti achipfuura njodzi, asi inoda kunyatso tarisa uye kugadzirisa dosi.
Vana vari pasi pemakore maviri vanowanzo sangani lamotrigine kunze kwemamiriro akakosha, sezvo vaine njodzi yakakura yekuita kweganda kwakanyanya. Vanhu vakuru vangangoda madhizi akaderera nekuti miviri yavo inogadzirisa mushonga zvishoma nezvishoma.
Lamotrigine inowanikwa pasi pemazita akati wandei emhando, neLamictal ndiyo inonyanya kuzivikanwa. Mamwe mazita emhando anosanganisira Lamictal XR (yakawedzerwa-kuburitswa vhezheni), Lamictal ODT (mapiritsi anoparara nemuromo), uye Lamictal CD (mapiritsi anotsenga anopararira).
Mhando dzakajairika dzelamotrigine dzinowanikwa zvakanyanya uye dzinobata zvakanyatsoita semhando dzemhando. Mushonga wako ungatsiva mhando yakajairika kunze kwekunge chiremba wako achikumbira zita remhando.
Kana uri kuchinja pakati pevagadziri vakasiyana ve lamotrigine, zivisa chiremba wako. Kunyangwe vachifanira kushanda nenzira imwechete, vamwe vanhu vanocherechedza misiyano midiki mukuona kwavanonzwa, uye chiremba wako angada kukutarisa zvakanyanya panguva yekuchinja.
Mishonga yakati wandei inogona kurapa chirwere chepfari uye bipolar disorder kana lamotrigine isiri iyo yakakunakira. Kune chirwere chepfari, dzimwe nzira dzinosanganisira levetiracetam (Keppra), carbamazepine (Tegretol), uye valproic acid (Depakote).
Kune bipolar disorder, mamwe ma mood stabilizers anosanganisira lithium, valproic acid, uye mamwe ma antipsychotic mishonga senge quetiapine (Seroquel) kana aripiprazole (Abilify). Imwe neimwe ine mabhenefiti ayo uye side effect profile.
Chiremba wako achafunga nezvezvinhu zvakaita serudzi rwako rwekurwisa kana bipolar zviratidzo, mamwe mishonga yaunotora, zera rako, uye mararamiro ako paunenge uchisarudza imwe nzira yakanakisa. Dzimwe nguva musanganiswa wemishonga unoshanda zvirinani pane chero mushonga mumwe chete.
Lamotrigine uye carbamazepine zvese zvinoshanda mishonga yekurwisa, asi zvinoshanda zvakasiyana uye zvine zvakasiyana-siyana. Lamotrigine inowanzoita kuti pave nemhedzisiro shoma uye inowanzo shivirirwa zviri nani, kunyanya kushandiswa kwenguva refu.
Carbamazepine inogona kushanda zvakanyanya kune mamwe marudzi ekurwisa, kunyanya focal seizures, asi inosangana nemishonga yakawanda uye inoda nguva dzose bvunzo dzeropa kuti iongorore basa rechiropa uye kuverenga ropa. Lamotrigine haidi nguva dzose kuongorora ropa.
Pamusoro pechirwere chebipolar, lamotrigine inowanzofarirwa nekuti yakanaka zvikuru pakudzivirira zvikamu zvekuora mwoyo nemigumisiro mishoma. Carbamazepine inogona kubatsira kugadzikana kwemafungiro asi inowanzofungwa seimwe sarudzo.
Sarudzo "yakanaka" inoenderana zvachose nemamiriro ako, kusanganisira rudzi rwako rwekubatwa, mamwe mamiriro ezvinhu ekurapa, mishonga yaunotora, uye maitiro ako ekurapa. Chiremba wako achakubatsira kuyera izvi zvinhu.
Lamotrigine inowanzova yakachengeteka kune vanhu vane chirwere cheitsvo nekuti itsvo dzako hadzishandi zvakanyanya mushonga uyu. Chiropa chako chinoita basa guru rekuparadza lamotrigine, saka matambudziko eitsvo anowanzoita kuti pasave nekugadzirisa dose.
Zvisinei, kana uine chirwere cheitsvo chakakomba, chiremba wako anogona kuda kukutarisa zvakanyanya. Vamwe vanhu vane matambudziko eitsvo vanewo mamwe mamiriro ehutano anogona kukanganisa mashandiro anoita lamotrigine mumuviri wako.
Kana iwe uchifunga kuti wakatora lamotrigine yakawandisa, taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira, kunyangwe ukanzwa zvakanaka. Kutora zvakanyanya kunogona kukonzera zviratidzo zvakakomba zvakaita sedzungu guru, matambudziko ekubatana, kana kunyange kubatwa.
Usaedze kuzviita kuti urutse kunze kwekunge wataurirwa zvakananga kuti uite saizvozvo nemupi wehutano. Kana mumwe munhu asina kuziva kana aine matambudziko ekufema, fonera masevhisi ekukurumidzira nekukasira.
Kana ukakanganwa dose, itore paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Muchiitiko ichocho, siya dose yakakanganwa uye uenderere mberi nehurongwa hwako hwenguva dzose.
Usambofa wakatora zvikamu zviviri panguva imwe chete kuti ugadzirise dose yakakanganwa. Izvi zvinogona kuwedzera njodzi yako yemigumisiro. Kana iwe uchikanganwa zvikamu kazhinji, funga kumisa zviyeuchidzo zvefoni kana kushandisa murongi wepiritsi.
Mira kutora lamotrigine chete pasi pekutariswa nachiremba wako. Kune chirwere chepfari, unogona kumira mushure mekusava nezvirwere kwemakore akati wandei, asi sarudzo iyi inoda kuongororwa kwakanyatsoitwa kwezvikonzero zvako zvega.
Kune bipolar disorder, lamotrigine inowanzo shandiswa sekurapa kwenguva refu. Kumira kamwe kamwe kunogona kukonzera zviitiko zvemafungiro, saka chero shanduko kuronga kwako kurapwa kunofanira kukurukurwa zvakadzama nachiremba wako kutanga.
Mavhoriyamu madiki edoro anowanzoita zvakanaka kune vanhu vazhinji vanotora lamotrigine, asi doro rinogona kuwedzera kurara uye dzungu. Zvinogona zvakare kukonzera zvirwere muvanhu vane chirwere chepfari uye kuwedzera zviratidzo zvemafungiro mu bipolar disorder.
Taura nachiremba wako nezve zvakachengeteka kune mamiriro ako chaiwo. Vanogona kukurudzira kudzivisa doro zvachose kana kurigumira kumavhoriyamu madiki kwazvo, zvichienderana nemamiriro ako uye kuti zviratidzo zvako zvakadzorwa sei.