Yini i-Lacosamide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Lacosamide iyimithi elwa nokuthuthumela odokotela abayinikeza nge-IV (intravenous) line ngqo egazini lakho. Le mithi isiza ukulawula ukuthuthumela lapho ungakwazi ukuthatha amaphilisi ngomlomo, njengangesikhathi sokulaliswa esibhedlela noma esimweni esiphuthumayo sezokwelapha.

Ifomu le-IV lisebenza ngokushesha ukuthola imithi ohlelweni lwakho lapho ukulawulwa kokuthuthumela ngokushesha kudingeka. Ithimba lakho lezempilo lizokuqapha eduze ngenkathi uthola lokhu kwelashwa ukuze kuqinisekiswe ukuthi lisebenza ngokuphepha nangempumelelo.

Yini i-Lacosamide?

I-Lacosamide iyidrug elwa nesithuthwane (AED) elingelakilasini elisha lemithi yokuthuthumela. Isebenza ngendlela ehlukile kunemithi endala elwa nokuthuthumela ngokugxila emiseleni ethile ye-sodium ezingqamuzaneni zakho zobuchopho.

Ifomu le-intravenous liqukethe isithako esifanayo esisebenzayo njengamaphilisi omlomo, kodwa lenzelwe ngokukhethekile ukuthi linikezwe ngqo egazini lakho. Lokhu kuvumela imithi ukuthi ifinyelele ebuchosheni bakho ngokushesha kunamaphilisi, okubaluleke kakhulu ngesikhathi sezimo eziphuthumayo zokuthuthumela.

Odokotela ngokuvamile basebenzisa i-IV lacosamide uma usesibhedlela futhi udinga ukulawulwa kokuthuthumela ngokushesha. Ithathwa njengemithi elwa nokuthuthumela enamandla ngokulinganisela engasebenza kahle kakhulu ezinhlotsheni ezithile zokuthuthumela.

Isetshenziselwani i-Lacosamide?

I-IV lacosamide isetshenziswa ikakhulukazi ukwelapha ukuthuthumela okuthuthukayo (okubuye kubizwe ngokuthi ukuthuthumela okugxilwe kukho) kubantu abadala kanye nezingane ezineminyaka engu-17 nangaphezulu. Lokhu kuthuthumela kuqala endaweni ethile yobuchopho bakho futhi kungase kusabalale noma kungasabalali kwezinye izingxenye.

Udokotela wakho angase akhethe ifomu le-IV lapho ungakwazi ukugwinya amaphilisi ngenxa yokugula, ukuhlinzwa, noma ukuthuthumela okuqhubekayo. Isetshenziswa futhi uma udinga ukushintsha emithini yomlomo uye ekwelashweni kwe-IV ngenkathi ugcina amazinga aqhubekayo omuthi ohlelweni lwakho.

Ngesinye isikhathi odokotela basebenzisa i-IV lacosamide njengokwelashwa okwengeziwe kanye neminye imithi yokulwa nokuthuthumela uma umuthi owodwa ungazilawuli kahle izithuthumela zakho. Le ndlela yokuhlanganisa ingasiza ekufezeni ukulawulwa okungcono kwezithuthumela ngenkathi kunciphisa imiphumela emibi.

Isebenza Kanjani I-Lacosamide?

I-Lacosamide isebenza ngokuthinta iziteshi ze-sodium emangqamuzeni akho obuchopho, okuyizicabha ezincane ezilawula umsebenzi kagesi. Uma lezi ziteshi zingasebenzi kahle, zingabangela izithuthumela.

Umuthi usiza ukuzinzisa lezi ziteshi, okwenza kube nzima ukuthi umsebenzi kagesi ongajwayelekile usakazeke ebuchosheni bakho. Cabanga ngakho njengokusiza ukuthulisa amangqamuzana obuchopho aseqine ngokweqile angase abangele isithuthumela.

Lona umuthi oqinile wokulwa nokuthuthumela ovame ukusebenza phakathi kwemizuzu engama-30 kuya emahoreni amabili uma unikezwa nge-intravenously. Ifomu le-IV liqinisekisa amazinga egazi aqhubekayo, okubalulekile ekuvikeleni izithuthumela eziphukayo.

Kufanele Ngiyithathe Kanjani I-Lacosamide?

Ngeke 'uthathwe' i-IV lacosamide ngokwakho - ithimba lakho lezempilo lizoyiphatha ngomugqa we-IV engalweni yakho noma esandleni sakho. Umuthi unikezwa njengokufakwa okuhamba kancane phakathi kwemizuzu engama-30 kuya kwengama-60.

Umnakekeli wakho uzokuqapha eduze ngesikhathi sokufakwa nangamahora amaningana ngemva kwalokho. Bazobheka noma yiziphi izimpawu zemiphumela emibi noma ukusabela okungalungile, futhi bahlole isigqi senhliziyo yakho njengoba i-lacosamide ingathinta ukusebenza kwenhliziyo.

Akudingeki ukhathazeke ngokusebenzisana kokudla nefomu le-IV njengoba lingena ngqo emgudwini wakho wegazi. Kodwa-ke, yazisa ithimba lakho lezempilo nganoma yimiphi imithi noma izithasiselo ozithathayo, njengoba lezi zingasebenzisana ne-lacosamide.

Izinga lokufakwa kanye nomthamo ophelele kuzobalwa ngokucophelela ngokusekelwe esisindweni sakho, isimo sezokwelapha, kanye nokuphendula ekwelashweni. Ungalokothi uzame ukulungisa izinga le-IV drip ngokwakho - ngaso sonke isikhathi buza umnakekeli wakho uma unezinkinga.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Lacosamide?

Ubude bokwelashwa nge-IV lacosamide kuncike esimweni sakho esithile sezokwelapha nokuthi usabela kanjani emuthini. Abanye abantu bawuthola izinsuku ezimbalwa nje, kanti abanye bangase bawudinge amasonto amaningana.

Udkt wakho ngokuvamile uzokushintshela emaphilisi e-lacosamide yomlomo uma usukwazi ukugwinya amaphilisi futhi. Lokhu kusiza ukugcina amazinga emithi aqhubekayo ohlelweni lwakho ngaphandle kokuphazamiseka.

Ukuze kulawulwe ukuhlaselwa isikhathi eside, ungaqhubeka nokuthatha i-lacosamide ngesimo samaphilisi izinyanga noma iminyaka. Udkt wakho uzobuyekeza njalo uhlelo lwakho lokwelashwa futhi angase alungise imithi yakho ngokusekelwe ekutheni ukuhlaselwa kwakho kulawulwa kahle kangakanani kanye nanoma yimaphi imiphumela emibi oyitholayo.

Ungayeki ukuthatha i-lacosamide ngokuzumayo, kungakhathaliseki ukuthi i-IV noma yomlomo, ngoba lokhu kungabangela ukuhlaselwa okuyingozi. Udkt wakho uzokwenza isimiso sokunciphisa kancane kancane uma udinga ukuyeka imithi.

Yini Imiphumela Eceleni ye-Lacosamide?

Njengayo yonke imithi, i-IV lacosamide ingabangela imiphumela emibi, nakuba kungathi akubona bonke abantu abayitholayo. Imiphumela emibi evame kakhulu ivamise ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi.

Nawa imiphumela emibi ebikwa kaningi ongase uyithole:

• Isiyezi noma ukuzizwa ungaqinile
• Ikhanda
• Isicanucanu noma ukuhlanza
• Ukubona okukabili noma umbono ongacacile
• Ukukhathala noma ukozela
• Izinkinga zokuxhumana
• Ukuthuthumela noma ukuzamazama

Le miphumela emibi evamile ngokuvamile yenzeka ezinsukwini ezimbalwa zokuqala zokwelashwa futhi ivame ukuncipha njengoba umzimba wakho ujwayela imithi. Ithimba lakho lokunakekelwa kwezempilo lizokuqapha eduze futhi lingalungisa ukwelashwa kwakho uma kudingeka.

Kukhona nemiphumela emibi embalwa engavamile kodwa engathi sína edinga ukunakekelwa kwezempilo ngokushesha:

• Ushintsho lwesigqi senhliziyo (ukushaya kwenhliziyo okungajwayelekile)
• Ukuphendula okukhulu komzimba (ukuqubuka, ukuvuvukala, ubunzima bokuphefumula)
• Ushintsho lwemizwa noma imicabango yokuzilimaza
• Isiyezi esikhulu noma ukuquleka
• Ukuphuma kwegazi okungajwayelekile noma ukulimala
• Izimpawu zezinkinga zesibindi (ukuphuzi kwesikhumba noma amehlo)

Ithimba lakho lezokwelapha lizoqhubeka nokubheka isigqi senhliziyo yakho nezinye izimpawu ezibalulekile ngenkathi wamukela i-IV lacosamide. Uma uqaphela noma yiziphi izimpawu ezikhathazayo, unganqikazi ukushayela umhlengikazi wakho ngokushesha.

Ubani Ongafanele Athathwe I-Lacosamide?

Abantu abathile akufanele bathole i-IV lacosamide ngenxa yengozi eyengeziwe yezinkinga ezinzima. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthole i-lacosamide uma wazi ukuthi unokungezwani komzimba kulo muthi noma yiziphi izithako zawo. Izimpawu zokuphendula komzimba zihlanganisa ukuqubuka, ukuvuvukala, ubunzima bokuphefumula, noma isiyezi esikhulu.

Abantu abanezimo ezithile zenhliziyo badinga ukucatshangelwa okukhethekile, njengoba i-lacosamide ingathinta isigqi senhliziyo. Udokotela wakho uzoba nokuqapha okukhethekile uma une:

• Ukuphazamiseka kwesigqi senhliziyo (arrhythmias)
• Ukuvinjelwa kwenhliziyo noma ezinye izinkinga zokuqhuba
• Isifo senhliziyo esibi kakhulu
• Umlando wokuquleka

Ithimba lakho lezempilo lizokwenza i-electrocardiogram (EKG) ngaphambi kokuqala ukwelashwa futhi libheke isigqi senhliziyo yakho kuyo yonke i-infusion. Lokhu kusiza ukuqinisekisa ukuthi inhliziyo yakho iyawuvumela umuthi ngokuphepha.

Ukuqapha okukhethekile kuyadingeka futhi kubantu abanezinkinga zezinso noma zesibindi, njengoba lezi zitho zisiza ukucubungula umuthi. Udokotela wakho angase adinge ukulungisa umthamo wakho noma akuqaphele eduze uma unezimo ezinjalo.

Amagama Omkhiqizo we-Lacosamide

Igama lomkhiqizo le-lacosamide yi-Vimpat, etholakala ngesimo se-IV nesomlomo. Lolu wuhlobo oluvame kakhulu ukuyalelwa e-United States nakwamanye amazwe amaningi.

Izinhlobo ezijwayelekile ze-lacosamide nazo ziyatholakala futhi ziqukethe isithako esifanayo esisebenzayo njengohlobo lwegama lomkhiqizo. Udokotela wakho noma usokhemisi angakusiza uqonde ukuthi yiliphi uhlobo olutholayo.

Noma ngabe uthola igama lomkhiqizo noma i-lacosamide ejwayelekile, umuthi usebenza ngendlela efanayo futhi unokuphumelela okufanayo. Ukukhetha kuvame ukuncika ekuhlinzekweni komshwalense wakho kanye nezintandokazi ze-formulary yesibhedlela.

Ezinye izindlela ze-Lacosamide

Eminye imithi eminingi yokulwa nokuthuthumela ye-IV iyatholakala uma i-lacosamide ingakulungele. Udokotela wakho uzokhetha enye indlela engcono kakhulu ngokususelwa ohlotsheni lwakho oluthile lokuthuthumela kanye nesimo sezempilo.

Ezinye izindlela ezivamile ze-IV zifaka i-phenytoin (Dilantin), i-levetiracetam (Keppra), kanye ne-valproic acid (Depacon). Ngamunye wale mithi usebenza ngendlela ehlukile futhi unohlu lwawo lwenzuzo kanye nemiphumela engaba khona.

Kwabanye abantu, inhlanganisela yemithi isebenza kangcono kunomuthi owodwa. Udokotela wakho angase ancome ukwengeza noma ukushintshela komunye umuthi uma ukuthuthumela kwakho kungalawulwa kahle nge-lacosamide yodwa.

Ukukhetha enye indlela kuncike ezintweni ezinjengobudala bakho, ezinye izimo zezokwelapha, ukusebenzisana okungaba khona kwemithi, nokuthi uqhubeke kanjani kahle emithini yokuthuthumela ngaphambili.

Ingabe i-Lacosamide ingcono kune-Levetiracetam?

Kokubili i-lacosamide ne-levetiracetam (Keppra) yimithi ephumelelayo yokulwa nokuthuthumela, kodwa isebenza ngezindlela ezihlukene futhi ingase ilungele abantu abahlukene. Akukho noyedwa ongu-

Udktela wakho uzocabangela uhlobo lwakho oluthile lokuhlaselwa yisithuthwane, umlando wakho wezokwelapha, eminye imithi, nemiphumela engase ibe khona uma ekhetha phakathi kwalezi zinketho. Okusebenza kahle kakhulu kungahluka kakhulu kumuntu nomuntu.

Imibuzo Evame Ukubuzwa Mayelana ne-Lacosamide

Umbuzo 1. Ingabe i-Lacosamide iphephile ezigulini zenhliziyo?

I-Lacosamide idinga ukuqapha okukhethekile kubantu abanezifo zenhliziyo ngoba ingathinta ukushaya kwenhliziyo. Udokotela wakho uzoqhuba i-EKG ngaphambi kokuqala ukwelashwa futhi aqaphe inhliziyo yakho ngokucophelela ngesikhathi sokufakwa.

Uma unesifo senhliziyo esingesibi kangako, ungase ukwazi ukuthola i-lacosamide ngokuqapha ngokucophelela. Kodwa-ke, abantu abanezifo ezinzima zokushaya kwenhliziyo noma ukuvinjelwa kwenhliziyo bangase badinge eminye imithi.

Ithimba lakho lezempilo lizoqhubeka liqaphe ukushaya kwenhliziyo yakho nomfutho wegazi ngenkathi uthola i-lacosamide ye-IV. Bazoyeka ukufakwa ngokushesha uma kwenzeka izinguquko ezithile zokushaya kwenhliziyo.

Umbuzo 2. Kufanele ngenzeni uma ngithola i-Lacosamide eningi ngengozi?

Njengoba i-lacosamide ye-IV inikezwa ochwepheshe bezempilo, ukweqisa ngengozi akunakwenzeka. Ithimba lakho lezokwelapha libala ngokucophelela futhi liqaphe yonke imithamo oyitholayo.

Uma ukweqisa kwenzeka, izimpawu zingabandakanya isiyezi esikhulu, izinkinga zokuxhumana, noma izinguquko zokushaya kwenhliziyo. Ithimba lakho lezempilo lizoyeka ngokushesha ukufakwa futhi linikeze ukunakekelwa okusekelayo.

Akukho umuthi oqondile wokweqisa i-lacosamide, kodwa ithimba lakho lezokwelapha lingelapha izimpawu futhi lisekele imisebenzi yomzimba wakho kuze kube yilapho imithi isuswa ohlelweni lwakho.

Umbuzo 3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Lacosamide?

Njengoba i-lacosamide ye-IV inikezwa esibhedlela ngabasebenzi bezempilo, ngeke uphuthelwe imithamo ngomqondo wendabuko. Ithimba lakho lezokwelapha lilandela isimiso esiqinile ukuze liqinisekise ukuthi uthola imithi yakho ngezikhathi ezifanele.

Uma kukhona ukubambezeleka emthini wakho ohleliwe ngenxa yezinqubo zezokwelapha noma ezinye izindlela zokwelapha, ithimba lakho lezempilo lizolungisa isikhathi ngendlela efanele. Bazoqinisekisa ukuthi ugcina amazinga afanele emithi ukuvimbela ukuquleka.

Uma ushintshela ku-lacosamide yomlomo ekhaya, udokotela wakho uzokunikeza imiyalelo ethile yokuthi wenzeni uma uphuthelwa umthamo wepilisi.

Q4. Ngingayeka nini ukuthatha i-Lacosamide?

Isinqumo sokuyeka i-lacosamide kufanele senziwe ngaso sonke isikhathi ngesiqondiso sikadokotela wakho. Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo, ngoba lokhu kungabangela ukuquleka okuyingozi, ngisho noma ubengekho ekuqulekeni izinyanga eziningi.

Udokotela wakho ngokuvamile uzolinda kuze kube yilapho ungenayo imisipha okungenani iminyaka emibili ngaphambi kokucabangela ukuyeka umuthi kancane kancane. Le nqubo ihlanganisa ukunciphisa kancane kancane umthamo wakho emasontweni amaningana noma izinyanga.

Abanye abantu badinga ukuthatha imithi yokulwa nokuquleka impilo yabo yonke ukuvimbela ukuquleka ukuthi kubuye. Udokotela wakho uzokusiza ukuthi uqonde isimo sakho ngasinye kanye nohlelo olungcono kakhulu lwesikhathi eside lokulawula ukuquleka kwakho.

Q5. Ngingashayela ngesikhathi ngithatha i-Lacosamide?

Imikhawulo yokushayela incike ekulawuleni kwakho ukuquleka kanye nemithetho yendawo, hhayi nje ekuthathweni kwe-lacosamide. Izifundazwe eziningi zinezidingo ezithile mayelana nokuthi kufanele ungabi nawo ukuquleka isikhathi esingakanani ngaphambi kokushayela.

I-Lacosamide ingabangela isiyezi nezinkinga zokuxhumana, ikakhulukazi uma uqala ukuyithatha. Le miphumela emibi ingathinta ikhono lakho lokushayela ngokuphepha, ngisho noma ungenayo imisipha.

Xoxa ngokuphepha kokushayela nodokotela wakho, ongakusiza ukuthi uqonde ukuthi kuphephile nini ukushayela ngokusekelwe ekulawuleni kwakho ukuquleka, imiphumela emibi yemithi, kanye nemithetho yendawo. Ukuphepha kwakho kanye nokuphepha kwabanye emgwaqweni kufanele kube yinto eza kuqala ngaso sonke isikhathi.