Yini iClobazam: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Clobazam iyimithi kadokotela okufanele ibe semndenini wemithi ebizwa ngokuthi ama-benzodiazepines. Isebenza ngokuthulisa izimpawu zikagesi ezingaphezu kwamandla ebuchosheni bakho, okwenza kube usizo ikakhulukazi kubantu ababhekene nokuhlaselwa yisithuthwane noma ukukhathazeka okukhulu. Cabanga ngayo njengesistimu yamabhuleki emnene yezinzwa zakho uma izinto ziba nzima kakhulu.

Le mithi isineminyaka eminingi ikhona futhi isize izigidi zabantu ukuthi zibhekane nezimo zazo ngokuphepha. Ngenkathi kuyinto elawulwayo edinga ukuqashwa ngokucophelela, ingaba yithuluzi eliphumelela ngendlela emangalisayo uma lisetshenziswa ngendlela efanele ngaphansi kokuqashwa kwezokwelapha.

Yini iClobazam Esetshenziselwa Yona?

I-Clobazam ikakhulukazi inikezwa ukuthi ivimbele ukuhlaselwa yisithuthwane, ikakhulukazi kubantu abanesithuthwane. Isebenza kahle ikakhulukazi ngohlobo oluqinile lwesithuthwane sasebuntwaneni olubizwa ngokuthi i-Lennox-Gastaut syndrome, lapho eminye imithi ingase ingasebenzi kahle.

Ngaphandle kokulawulwa kokuhlaselwa yisithuthwane, odokotela ngezinye izikhathi banikeza i-clobazam ngezifo zokukhathazeka ezinzima lapho ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele. Ingasetshenziswa futhi ngesikhathi esifushane ukusiza ngokuqina kwemisipha noma njengengxenye yokwelashwa kokuhoxiswa kotshwala ezindaweni zasemtholampilo.

Abanye abantu futhi bathola i-clobazam njengemithi eyengeziwe lapho imithi yabo yamanje yokuhlaselwa yisithuthwane idinga ukwesekwa okwengeziwe. Udokotela wakho uzonquma ukuthi ilungile yini isimo sakho esithile ngokusekelwe emlandweni wakho wezokwelapha kanye nezimpawu zamanje.

Isebenza Kanjani iClobazam?

I-Clobazam isebenza ngokuthuthukisa imiphumela yekhemikhali yemvelo ebuchosheni bakho ebizwa ngokuthi i-GABA (gamma-aminobutyric acid). I-GABA isebenza njengophawu lwakho lwemvelo lobuchopho lokuthi "thula", okusiza ukwehlisa amaseli ezinzwa aseqine kakhulu.

Uma ukuquleka kwenzeka, kuvame ukuba ngenxa yokuthi amasignali kagesi ebuchosheni bakho ashisa ngokushesha kakhulu noma ngendlela engahlelekile. Ngokuqinisa imiphumela yokuthulisa ye-GABA, i-clobazam isiza ukubuyisela indawo kagesi elinganiselwe ebuchosheni bakho. Lokhu kwenza ukuthi ukuquleka kungenzeki futhi kunganciphisa ubukhulu bawo uma kwenzeka.

Uma kuqhathaniswa neminye imithi yokuquleka, i-clobazam ithathwa njengenketho enamandla ngokulinganisela. Inamandla ngokwanele ukulawula izifo ezinzima zokuquleka kodwa ngokuvamile ibangela imiphumela emincane kuneminye imithi enamandla. Lokhu kulinganisela kuyenza ibe yinketho ebalulekile ekwelashweni kwesikhathi eside.

Kufanele Ngiyithathe Kanjani I-Clobazam?

Thatha i-clobazam njengoba udokotela wakho ekunqumele ngayo, ngokuvamile kanye noma kabili ngosuku. Ungayithatha nokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla okulula noma ukudla okulula kungasiza ekuvikeleni isisu esibuhlungu kwabanye abantu.

Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Uma uthatha uhlobo oluwuketshezi, sebenzisa idivayisi yokulinganisa ehambisana nomuthi wakho ukuze uqinisekise ukuthi uthola umthamo ofanele. Izipuni zasendlini eziqhelekileyo azinembile ngokwanele emithini ewuketshezi.

Zama ukuthatha imithamo yakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Uma uyithatha kabili ngosuku, hlukanisa imithamo ngamahora angaba ngu-12. Ukusetha izikhumbuzi zocingo kungakusiza ukuthi uhlale uvumelana neshejuli yakho.

Gwema utshwala ngenkathi uthatha i-clobazam, njengoba ingakhuphula ukozela kanye nemiphumela engase ibe yingozi. Futhi, ungayeki ngokuzumayo ukuthatha lo muthi ngaphandle kokukhuluma nodokotela wakho kuqala, njengoba lokhu kungabangela izimpawu zokuhoxisa noma ukuquleka okusha.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Clobazam?

Ubude bokwelashwa nge-clobazam buhluka kakhulu kuye ngesimo sakho nokuthi usabela kahle kangakanani emuthini. Nge-epilepsy, abantu abaningi bayayithatha iminyaka eminingi noma ngisho unomphela njengengxenye yohlelo lwabo lokuphatha ukuquleka.

Uma uthatha i-clobazam ngenxa yokukhathazeka, udokotela wakho cishe uzoyinika isikhathi esifushane, ngokuvamile amasonto ambalwa kuya ezinyangeni ezimbalwa. Ukusetshenziswa kwesikhathi eside sokukhathazeka kuvame ukugwenywa ngenxa yengozi yokuncika.

Udokotela wakho uzobuyekeza njalo ukwelashwa kwakho ukuze aqiniseke ukuthi i-clobazam iseyona inketho engcono kuwe. Bazocabangela izinto ezinjengokuthi izimpawu zakho zilawulwa kahle kangakanani, noma yimaphi imiphumela emibi oyitholayo, nokuthi ngabe ezinye izindlela zokwelapha zingase zifaneleke kakhulu.

Ungalokothi unqume ukuyeka ukuthatha i-clobazam ngokwakho, ngisho noma uzizwa ungcono. Ukuyeka kungazelelwe kungaba yingozi futhi kungase kubangele izimpawu zokuhoxisa noma ukubuyela esimweni sakho sokuqala. Udokotela wakho uzokusiza ukuthi unciphise kancane kancane uma sekuyisikhathi sokuyeka.

Yini Imiphumela Emibi ye-Clobazam?

Njengayo yonke imithi, i-clobazam ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Nawa amanye imiphumela emibi evame kakhulu ongase uyibone njengoba umzimba wakho ujwayela i-clobazam:

• Ukozela noma ukuzizwa ulele emini
• Isiyezi noma ukuzizwa ungazinzile emilenzeni yakho
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ubunzima bokugxilisa ingqondo noma izinkinga zenkumbulo
• Isicanucanu noma isisu esibuhlungu
• Ushintsho ekudleni
• Ushintsho lwemizwa noma ukuzizwa ucasukile

Le miphumela evamile ivame ukuba ngaphansi kokuphazamisa njengoba umzimba wakho uzivumelanisa, kodwa yazisa udokotela wakho uma ziqhubeka noma ziphazamisa imisebenzi yakho yansuku zonke.

Abanye abantu bangase babe nemiphumela emibi engathi sína edinga ukunakekelwa kwezempilo ngokushesha, nakuba lokhu kungavamile:

• Ukusabela okukhulu komzimba ngokuqubuka, ukuvuvukala, noma ubunzima bokuphefumula
• Ushintsho olungavamile emizweni noma ekuziphatheni, okuhlanganisa imicabango yokuzilimaza
• Isiyezi esikhulu noma ukuquleka
• Ukudideka noma ukulahlekelwa yithemba
• Ubunzima bokukhuluma noma ukukhuluma ngendlela engacacile
• Ukuphuma kwegazi okungavamile noma ukuqina
• Izimpawu zezinkinga zesibindi njengokuphuzi kwesikhumba noma amehlo

Uma uqaphela noma yiziphi zalezi zimpawu ezingathi sína, xhumana nomhlinzeki wakho wezempilo ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo.

Ubani Ongafanele Athole i-Clobazam?

I-Clobazam ayiphephile kuwo wonke umuntu, futhi kunezimo eziningana lapho udokotela wakho engase akhethe omunye umuthi kuwe. Abantu abanezimo ezithile zezokwelapha noma labo abathatha imithi ethile bangase badinge ukugwema i-clobazam ngokuphelele.

Akufanele uthathe i-clobazam uma wazi ukuthi unokungezwani nezinto ezithile ze-benzodiazepines noma uma unezinkinga ezinkulu zokuphefumula njenge-sleep apnea noma isifo esingamahlalakhona sokuvimbela amaphaphu (COPD). Umuthi ungenza ukuphefumula kwakho kuhambe kancane, okungaba yingozi.

Abantu abanesifo sesibindi esibi, izinhlobo ezithile ze-glaucoma, noma umlando wokulutheka kwezidakamizwa noma utshwala kungenzeka bangabi ngabantu abafanelekayo be-clobazam. Ngaphezu kwalokho, uma ukhulelwe noma uncelisa, udokotela wakho uzodinga ukukala ngokucophelela izinzuzo ngokumelene nezingozi ezingaba khona kumntwana wakho.

Abantu abadala bangase bazwe kalula imiphumela ye-clobazam futhi bangase badinge imithamo ephansi noma ukuqapha kaningi. Uma uneminyaka engaphezu kwengama-65, udokotela wakho cishe uzoqala ngomthamo omncane futhi awulungise kancane kancane ngokuya ngendlela ozosabela ngayo.

Amagama Omkhiqizo we-Clobazam

I-Clobazam iyatholakala ngaphansi kwamagama amaningana omkhiqizo, i-Onfi iyona engajwayelekile ukunqunywa e-United States. Amanye amagama omkhiqizo afaka i-Frisium, etholakala kwamanye amazwe.

Izinhlobo ezivamile ze-clobazam nazo ziyatholakala futhi ziqukethe isithako esifanayo esisebenzayo njengezinhlobo ezinamagama omkhiqizo. Ikhemisi lakho lingashintsha ngokuzenzakalelayo uhlobo olujwayelekile ngaphandle uma udokotela wakho ecela ngokuqondile igama lomkhiqizo.

Noma ngabe uthola i-clobazam enegama lomkhiqizo noma ejwayelekile, umuthi kufanele usebenze ngendlela efanayo. Uma uqaphela noma yikuphi ukungafani ekusebenzeni noma imiphumela emibi lapho ushintsha phakathi kwezinhlobo, yazisa udokotela wakho ukuze bakwazi ukulungisa ukwelashwa kwakho uma kudingeka.

Ezinye izindlela ze-Clobazam

Uma i-clobazam ingakulungele, kunezindlela eziningana zemithi ehlukile udokotela wakho angazicabangela. Ukuze kulawulwe ukuquleka, ezinye izinketho zihlanganisa i-levetiracetam (Keppra), i-lamotrigine (Lamictal), noma i-valproic acid (Depakote).

Ukwelashwa kokukhathazeka, ezinye izindlela zingabandakanya ezinye izidakamizwa ze-benzodiazepines njenge-lorazepam (Ativan) noma i-clonazepam (Klonopin), noma izinketho ezingezona ze-benzodiazepine njenge-buspirone noma ezinye izidambisi zokucindezeleka.

Enye indlela engcono kakhulu incike esimweni sakho esithile, umlando wezokwelapha, nokuthi usabele kanjani kwezinye izindlela zokwelapha. Udokotela wakho uzosebenza nawe ukuthola inketho esebenza kahle kakhulu enemiphumela emibi embalwa esimweni sakho.

Ingabe i-Clobazam ingcono kune-Clonazepam?

Kokubili i-clobazam ne-clonazepam ziyizidakamizwa ze-benzodiazepines ezisetshenziselwa ukulawula ukuquleka, kodwa zinezinye izinto ezibalulekile ezingafani. I-Clobazam ivame ukukhethwa ukuze kulawulwe ukuquleka isikhathi eside ngoba ivame ukubangela ukuthula okuncane kanye nokukhubazeka kwengqondo kune-clonazepam.

I-Clonazepam isebenza ngokushesha futhi ingase ibe ngcono ekulawuleni ukuquleka ngokushesha, kuyilapho i-clobazam inikeza ukuvikelwa okuqinile, kwesikhathi eside okungenzeka kube nemiphumela emibi embalwa. I-Clobazam nayo inempilo ende, okusho ukuthi ihlala esimisweni sakho isikhathi eside futhi ingase idinge imithamo embalwa yansuku zonke.

Ukukhetha phakathi kwale mithi kuncike ohlotsheni lwakho oluthile lokuquleka, izici zokuphila, nokuthi usabela kanjani emithini ngayinye. Udokotela wakho uzocabangela izidingo zakho ngazinye ukuze anqume ukuthi iyiphi inketho efaneleka kakhulu kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Clobazam

Ingabe i-Clobazam iphephile Ukusetshenziswa Isikhathi Eside?

Yebo, i-clobazam ingasetshenziswa ngokuphepha isikhathi eside uma iqashwe kahle ngumhlinzeki wakho wezempilo. Abantu abaningi abanesithuthwane bayayithatha iminyaka ngaphandle kwezinkinga ezinkulu. Kodwa-ke, ukusetshenziswa isikhathi eside kudinga ukuhlolwa njalo ukuqapha imiphumela engemihle engaba khona nokuqinisekisa ukuthi umuthi usasebenza ngempumelelo.

Udokotela wakho uzobuyekeza njalo ukusebenza kwesibindi sakho, ukubalwa kwegazi, nempilo yonke ukuze abambe noma yiziphi izinkinga zisasekuqaleni. Bazohlola futhi ukuthi usathola yini inzuzo enkulu emuthini futhi balungise uhlelo lwakho lokwelashwa njengoba kudingeka.

Ngingenzani uma ngiphuzile i-Clobazam eningi ngengozi?

Uma ngengozi uphuze i-clobazam eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukuphuza okuningi kungabangela ukozela okuyingozi, ukudideka, noma izinkinga zokuphefumula.

Ungazami ukuzenza uhlanze ngaphandle uma utshelwe ngqo ukuthi wenze kanjalo uchwepheshe wezempilo. Uma umuntu ethatha umthamo omkhulu futhi engazi lutho noma enenkinga yokuphefumula, shayela izinsiza eziphuthumayo ngokushesha.

Gcina umkhondo wokuthi uphuze nini futhi kangakanani ukuze ukwazi ukunikeza lolu lwazi kubahlinzeki bezempilo. Ukuba nebhodlela lomuthi nawe kungabasiza futhi ukuthi banikeze ukunakekelwa okungcono kakhulu.

Ngingenzani uma ngiphuthelwe umthamo we-Clobazam?

Uma uphuthelwe umthamo we-clobazam, uyithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Esimweni esinjalo, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho lokulinganisa olujwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo owuphuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha ama-alamu ocingweni noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni.

Uma uphuthelwa imithamo njalo noma unemibuzo mayelana nokuthi wenzeni uma uphuthelwe umthamo, khuluma nodokotela wakho noma usokhemisi. Bangakunikeza isiqondiso esiqondene nawe ngokusekelwe esimweni sakho esithile kanye nohlelo lokulinganisa.

Ngingayeka nini ukuthatha i-Clobazam?

Kufanele uyeke kuphela ukuthatha i-clobazam ngaphansi kokuqondisa nodokotela wakho. Ukuyeka kungazelelwe kungabangela izimpawu zokuhoxisa njengokwanda kokuhlaselwa, ukukhathazeka, ukuqwasha, noma ngisho nezinkinga ezisongela impilo kwezinye izimo.

Lapho sekuyisikhathi sokuyeka i-clobazam, udokotela wakho uzokwenza uhlelo lokunciphisa kancane kancane olunciphisa kancane umthamo wakho emasontweni amaningana noma izinyanga. Lokhu kunika umzimba wakho isikhathi sokuzivumelanisa futhi kunciphisa ingozi yezimpawu zokuhoxisa.

Noma ngabe uzizwa ungcono ngokuphelele, ungayeki ukuthatha i-clobazam ngaphandle kwemvume yezokwelapha. Udokotela wakho udinga ukuhlola ukuthi kuphephile yini ukuyeka umuthi futhi aqinisekise ukuthi unezinye izindlela zokwelapha uma kudingeka.

Ngingashayela ngenkathi ngithatha i-Clobazam?

I-Clobazam ingathinta ikhono lakho lokushayela ngokuphepha, ikakhulukazi uma uqala ukuyithatha noma uma umthamo wakho ulungiswa. Umuthi ungabangela ukozela, isiyezi, nezikhathi zokuphendula ezihamba kancane, konke okungalimaza ikhono lakho lokushayela.

Linda ukubona ukuthi i-clobazam ikuthinta kanjani ngaphambi kokushayela noma ukusebenzisa imishini. Abanye abantu bazivumelanisa ngokushesha nomuthi futhi bangashayela ngokuphepha, kanti abanye bangase badinge ukugwema ukushayela ngokuphelele ngenkathi bewuthatha.

Khuluma nodokotela wakho mayelana nokuphepha kokushayela futhi ulandele imithetho yakho yendawo mayelana nokushayela ngenkathi uthatha imithi kadokotela. Ukuphepha kwakho nokuphepha kwabanye emgwaqweni kufanele kube yinto eza kuqala ngaso sonke isikhathi.