Created at:1/13/2025
I-Felbamate iyimithi elawula ukuquleka okubhalwe ngudokotela esiza ukulawula ukuquleka kwe-epileptic lapho ezinye izindlela zokwelapha zingasebenzi kahle ngokwanele. Le mithi ingeyodwa ekilasini elikhethekile lezidakamizwa ze-epilepsy odokotela abazigcinela izimo ezithile ngenxa yezinzuzo zayo eziyingqayile kanye nezingozi ezingathi sína.
Ngenkathi i-felbamate ingasebenza kahle kakhulu ezinhlotsheni ezithile zokuquleka, idinga ukuqashwa ngokucophelela ngenxa yemiphumela emibi engase ibe khona. Udokotela wakho uzomisa le mithi kuphela uma izinzuzo zicacile ukwedlula izingozi zesimo sakho esithile.
I-Felbamate iphatha izinhlobo ezithile ze-epilepsy ezingasabeli kahle eminye imithi. Odokotela bayithatha ikakhulukazi ngezimo ezimbili eziyinhloko: i-Lennox-Gastaut syndrome ezinganeni nokuquleka okuyingxenye kubantu abadala.
I-Lennox-Gastaut syndrome iyindlela eqinile ye-epilepsy yobuntwana ebangela izinhlobo eziningi zokuquleka nokubambezeleka kokuthuthuka. Kulezi zingane, i-felbamate inganciphisa kakhulu imvamisa yokuquleka lapho ezinye izindlela zokwelapha ziye zahluleka.
Kubantu abadala, i-felbamate isiza ukulawula ukuquleka okuyingxenye okuqala endaweni eyodwa yobuchopho. Lokhu kuquleka kungase kubangele ukudideka okwesikhashana, imizwa engajwayelekile, noma ukunyakaza okungazithandeli ezingxenyeni zomzimba.
Udokotela wakho uzocabangela i-felbamate kuphela uma uzamile eminye imithi elwa nokuquleka ngaphandle kwempumelelo. Le mithi isebenza njethuluzi elikhethekile lezimo ze-epilepsy ezinzima ukuzelapha.
I-Felbamate isebenza ngokuthulisa amasignali kagesi asebenzayo ebuchosheni bakho abangela ukuquleka. Ivimba iziteshi ezithile ezivumela imiyalezo kagesi ukuthi idlule phakathi kwamaseli obuchopho, inciphisa amathuba omsebenzi wokuquleka.
Lo muthi ubhekwa njengomuthi oqinile wokulwa nokuhlasela ngoba uthinta izindlela eziningi ebuchosheni. Ngokungafani neminye imithi yesithuthwane eqondise indlela eyodwa kuphela, i-felbamate inikeza ukulawulwa okubanzi kokuhlasela.
Umuthi ngokuvamile uthatha amasonto amaningana ukufinyelela ukusebenza kwawo okuphelele emzimbeni wakho. Ngesikhathi lesi, udokotela wakho uzokwandisa kancane kancane umthamo wakho ukuze athole inani elifanele lezidingo zakho ezithile.
Thatha i-felbamate ngendlela udokotela wakho ayala ngayo, ngokuvamile izikhathi ezimbili kuya kwezine ngosuku ngaphandle noma ngaphandle kokudla. Ungayithatha ngobisi noma ngamanzi, noma yini ezizwa ikhululekile esiswini sakho.
Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Uma unenkinga yokugwinya amaphilisi, buza udokotela wakho ngezindlela noma izindlela ezingezinye.
Ungathatha i-felbamate nokudla uma ikucasula isisu, nakuba ukudla kungathinti ngokuphawulekayo indlela umzimba wakho ogwinya ngayo umuthi. Khetha noma yisiphi isikhathi esisebenzela kangcono umsebenzi wakho wansuku zonke futhi esikusiza ukuthi ukhumbule ukuyithatha njalo.
Ungayeki ukuthatha i-felbamate ngokuzumayo, ngisho noma uzizwa ungcono. Ukuyeka imithi yokulwa nokuhlasela ngokuphazima kweso kungabangela ukuhlasela okuyingozi okungase kube yingozi empilweni.
Abantu abaningi bathatha i-felbamate izinyanga kuya eminyakeni, kuye ngokuthi ilawula kahle kangakanani ukuhlasela kwabo nokuthi bayawuthatha kanjani umuthi. Udokotela wakho uzohlola njalo ukuthi usawudinga yini lo muthi.
Ngezinyanga zakho zokuqala ezimbalwa ku-felbamate, uzodinga ukuhlolwa kwegazi njalo ukuze uqaphele imiphumela emibi engathí sina. Lokhu kuhlolwa kuhlolwa ukusebenza kwesibindi sakho kanye nokubalwa kwamaseli egazi ukuze kuqinisekiswe ukuthi umuthi awubangeli izinguquko eziyingozi.
Abanye abantu bangase bagcine bedlulela kweminye imithi yokuhlasela uma isimo sabo sithuthuka noma uma imithi emisha itholakala. Kodwa-ke, noma yiziphi izinguquko ekuhlelweni kwemithi yakho kumele zenzeke kancane kancane ngaphansi kokuqondiswa kwezokwelapha.
Udktela wakho uzosebenza nawe ukuthola isikhathi esifushane sokwelashwa esisebenzayo ngenkathi kugcinwa ukulawulwa okuhle kokuhlaselwa yisithuthwane. Umgomo uhlala ukulinganisa ukuvimbela ukuhlaselwa yisithuthwane nokunciphisa izingozi zemithi yesikhathi eside.
I-Felbamate ingabangela kokubili imiphumela ejwayelekile eceleni abantu abaningi abayizwayo kanye nemiphumela emibi eceleni edinga ukunakekelwa kwezokwelapha ngokushesha. Ukuqonda lokhu kukusiza ukwazi okulindelekile nokuthi nini okufanele ufune usizo.
Imiphumela ejwayelekile eceleni ongase uyibone ihlanganisa ukukhathala, isiyezi, ikhanda, nesicanucanu. Lokhu kuvame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.
Abantu abaningi abathatha i-felbamate bathola eminye imiphumela emincane kuya kwemaphakathi eceleni, ikakhulukazi lapho beqala umuthi. Le miphumela ivame ukungabonakali njengoba umzimba wakho ujwayela ukwelashwa.
Le miphumela eceleni ivame ukuthuthuka emasontweni ambalwa njengoba umzimba wakho ujwayela. Uma ziqhubeka noma ziba yisicefe, khuluma nodokotela wakho ngezixazululo ezingenzeka.
I-Felbamate ithwala izingozi zezimo ezimbili ezingase zibe yingozi ekuphileni ezidinga ukunakekelwa kwezokwelapha ngokushesha uma zenzeka. Ngenkathi le miphumela emibi ingavamile, yisizathu sokuthi odokotela baqaphe abasebenzisi be-felbamate eduze kangaka.
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi lezi zimpawu ezinzima. Ukutholwa kwangaphambi kwesikhathi nokwelashwa kwalezi zinkinga kungavimbela izinkinga zempilo ezingathi sína.
Abantu abathile akufanele basebenzise i-felbamate ngenxa yengozi eyengeziwe yezinkinga ezingathi sína. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.
Abantu abanezifo zesibindi ezikhona noma izifo zegazi akufanele basebenzise i-felbamate ngoba ingenza lezi zimo zibe zimbi. Umuthi ungabangela umonakalo omkhulu wesibindi noma ukwehla okuyingozi ekubalweni kwamaseli egazi.
Uma uke waba nokuphendula komzimba ku-felbamate noma imithi efanayo esikhathini esidlule, kufanele ugweme lokhu kwelashwa. Ukuphendula komzimba kungaba kubi futhi kungase kube yingozi empilweni.
Abesifazane abakhulelwe ngokuvamile kufanele bagweme i-felbamate ngaphandle kwalapho izinzuzo zicacile ukuthi zidlula izingozi. Umuthi ungathinta ukukhula kombungu futhi ungase ubangele izinkinga ngesikhathi sokukhulelwa.
Abantu abanezifo ezinzima zezinso bangase badinge imithi ehlukene ngoba i-felbamate ingaba nzima ezinso ezilimele ukuthi zizicubungule ngokuphepha.
I-Felbamate itholakala ngaphansi kwegama lomkhiqizo elithi Felbatol e-United States. Le yindlela evame kakhulu yokuyalelwa yomuthi.
Izinhlobo ezivamile ze-felbamate zingase zitholakale, nakuba ziqukethe isithako esifanayo esisebenzayo njengohlobo lomkhiqizo. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde ukuthi yiluphi uhlobo olukulungele.
Ezinye izinhlelo zomshuwalense zingase zikhethe izinhlobo ezivamile ngenxa yezindleko, kanti ezinye zingase zidinge uhlobo lomkhiqizo ukuze ziqinisekise ukungaguquguquki. Ithimba lakho lokunakekelwa kwezempilo lingasebenza nomshuwalense wakho ukunquma inketho engcono kakhulu.
Eminye imithi eminingi yokulwa nokuthuthumela ingasebenza njengezinye izindlela ze-felbamate, kuye ngohlobo lwakho oluthile lwesithuthwane kanye nomlando wakho wezokwelapha. Udokotela wakho uzocabangela lezi zinketho ngokusekelwe ezidingweni zakho.
Nge-Lennox-Gastaut syndrome, ezinye izindlela zihlanganisa i-lamotrigine, i-topiramate, kanye ne-rufinamide. Le mithi ingase ibe nemiphumela ehlukene kanye namazinga okusebenza ngempumelelo esimweni sakho esithile.
Ngezithuthwane ezingaphelele, izinketho zihlanganisa i-carbamazepine, i-phenytoin, i-levetiracetam, kanye nemithi eminingi emisha yokulwa nokuthuthumela. Ngayinye inezinzuzo eziyingqayizivele kanye nezingozi okufanele udokotela wakho azilinganise nesimo sakho.
Ukukhetha enye indlela kuncike ezintweni ezifana nezinye izimo zakho zezokwelapha, ukusebenzisana okungenzeka kwemithi, nokuthi uqhubeke kanjani kahle ekwelashweni kwangaphambilini. Udokotela wakho uzokusiza ukuthi uthole inketho ephephe kakhulu nephumelelayo.
I-Felbamate akudingeki ukuthi ingcono kunezinye izidakamizwa zokuthuthumela kubantu abaningi, kodwa ingasebenza kangcono ezinhlotsheni ezithile zesithuthwane ezinzima ukuzelapha. Umuthi
Noma kunjalo, izingozi ezinkulu zemiphumela emibi ye-felbamate zisho ukuthi odokotela bavame ukuzama eminye imithi kuqala. Imithi emisha yokulwa nokuthuthumela ngokuvamile inikeza ukulawulwa okuhle kokuthuthumela ngezinkinga ezimbalwa zokuphepha.
Udokotela wakho uzocabangela i-felbamate uma ezinye izindlela zokwelapha zingasebenzi kahle ngokwanele futhi uma izinzuzo zokulawulwa kokuthuthumela zidlula izingozi zemiphumela emibi emikhulu. Kuyithuluzi elikhethekile kunokuba kube ukwelashwa okukhethwa kuqala.
I-Felbamate ingasetshenziswa kubantu abanezifo zenhliziyo, kodwa idinga ukuqapha ngokucophelela. Umuthi awuthinti ngokuqondile ukusebenza kwenhliziyo, kodwa eminye imiphumela emibi efana nesiyezi ingakhuphula ingozi yokuwa.
Udokotela wakho uzohlola isimo sakho senhliziyo esithile neminye imithi ukuze aqinisekise ukuthi i-felbamate ngeke iphazamise ukwelashwa kwakho kwenhliziyo. Ukuqapha njalo kusiza ukubamba noma yiziphi izinkinga ezingaba khona ekuqaleni.
Uma ngengozi uthatha i-felbamate eningi kakhulu, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha imithamo eyengeziwe kungakhuphula ingozi yakho yemiphumela emibi emikhulu nobuthi.
Izimpawu ze-felbamate overdose zingabandakanya ukozela okukhulu, ukudideka, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi. Lokhu kudinga ukunakekelwa kwezimo eziphuthumayo ngokushesha.
Gcina uhlu lwemithi yakho nemithamo elula ukuyifinyelela ezimweni eziphuthumayo. Lolu lwazi lusiza ochwepheshe bezokwelapha ukuthi banikeze ukunakekelwa okungcono kakhulu.
Uma uphuthelwa umthamo we-felbamate, yithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise okungathathiwe.
Uma sekuseduze nesikhathi somthamo wakho olandelayo, weqa umthamo owuphuthelwe uqhubeke neshejuli yakho ejwayelekile. Ukuthatha imithi eyengeziwe kwandisa ingozi yakho yemiphumela engemihle ngaphandle kokuhlinzeka ngezinzuzo ezengeziwe.
Setha ama-alamu ocingo noma usebenzise izihleli zamaphilisi ukusiza ukukhumbula imithamo yakho. Isikhathi esiqhubekayo sisiza ukugcina amazinga emithi aqinile ohlelweni lwakho ukuze kulawulwe kangcono ukuquleka.
Ungayeka kuphela ukuthatha i-felbamate ngaphansi kokuqondiswa ngqo nodokotela wakho. Ukuyeka imithi elwa nokuquleka kungazelelwe kungabangela ukuquleka okuyingozi okungase kube yingozi ekuphileni.
Udokotela wakho uzokwehlisa kancane kancane umthamo wakho emasontweni amaningana noma izinyanga uma ukuyeka kufanelekile. Le nqubo ehamba kancane isiza ukuvimbela ukuquleka kokuhoxiswa ngenkathi kuqashwa isimo sakho.
Izizathu zokucabangela ukuyeka zingabandakanya imiphumela emibi kakhulu, ukulawulwa okungcono kokuquleka ngeminye imithi, noma ukuthuthuka okukhulu esimweni sakho. Udokotela wakho uzokuhlola konke lokhu ngokucophelela.
Ukushayela ngenkathi uthatha i-felbamate kuncike ekutheni imithi ikuthinta kanjani nokuthi ukuquleka kwakho kulawulwa kahle kangakanani. Abantu abaningi bazwa ukozela noma isiyezi okungase kuphazamise ikhono lokushayela.
Izifundazwe eziningi zinomthetho othile mayelana nokushayela ngesithuthwane odinga izikhathi ezingenakuquleka ngaphambi kokuthi ushayele ngokusemthethweni. Udokotela wakho nomnyango wezimoto wangakini bangakunikeza isiqondiso esithile ngesimo sakho.
Ungalokothi ushayele uma uzwa ukozela, isiyezi, noma unezinkinga zokubona ezivela ku-felbamate. Le miphumela emibi ingenza ukushayela kube yingozi kuwe nakwabanye emgwaqeni.