I-Topiramate Ewusizo Ukudla Ukulala, Ukuhluleka, Nokulahlekelwa Isisindo
I-Topamax imithi yokwelashwa edayiswa ngaphansi kwegama elivamile eliphezulu. Nakuba ngokuvamile kuvunyelwe ukuphatha ukugwinya nokuvimbela ikhanda le- migraine , libuye lisetshenziselwe ukwelashwa kokulala . Kubonakala sengathi kusiza ngokulahlekelwa isisindo. I-Topamax isebenza kanjani futhi yimuphi umphumela ovamile kakhulu?
Ukusetshenziswa
I-Topamax ingabekwa ukuba iphathe ukugula okuhlobene nokulala (SRED).
Kungasiza ekunciphiseni iziqephu zokudla ezicindezelayo ezivela ebuthongweni. Kuvame ukusetshenziselwa ukwelapha izigameko ezenzeka njengengxenye yokuphuza. Kuye kwafunyanwa ukuthi kuphumelela ukuvimbela ikhanda lekhanda lokuphumula eliphindaphindiwe futhi lingathathwa njenge-prophylaxis. Njengoba ngokuvamile kubangela ukulahleka kwesisindo njengomphumela ohlangothini, kusetshenziselwe le njongo.
I-Topamax isebenza kanjani
Indlela ecacile yesenzo echaza ukuthi i-Topamax isebenza kanjani. Ivimbela iziteshi ze-sodium emzimbeni ovula futhi ovale ekuphenduleni amazinga athile amakhemikhali aphikisiwe. Ibuye ikhulise umsebenzi wezithunywa zamakhemikhali, noma i-neurotransmitter, ebizwa ngokuthi i-GABA. Ngaphezu kwalokho, liphazamisa ama-receptors kuma-cell for a chemical called glutamate. Ivimbela futhi i-enzyme ebizwa ngokuthi i-anhydrase carbonic.
Ubani Okungafanele Asebenzise i-Topamax?
I-Topamax akufanele isetshenziswe uma ukhulelwe. Ukuqapha kunconywa uma uncelisa.
Kungase kungabi yimithi emihle kakhulu ongayisebenzisa uma unezinkinga zesibindi, izinso noma amaphaphu. Akufanele isetshenziswe ngotshwala noma eminye imithi ecindezela uhlelo lwesimiso esiphakathi (ikakhulukazi labo abangathinta ubuchopho). Abantu abazalwa ngezifo ezithile zokuzalwa komzimba akufanele basebenzise i-Topamax.
Uma unomlando wokucindezeleka, ikakhulukazi ngemicabango yokuzibulala, noma umlando wezinso zezinso (okuthiwa i-nephrolithiasis), kufanele isetshenziswe ngokuqapha. Ukuqapha kukwaziswa uma unamazinga aphansi e-potassium egazini (i-hypokalemia) noma i-acidosis ye-acidosis, ikakhulukazi njengengxenye yokuhuda noma ukuphelelwa amandla kwamanzi endaweni eshisayo.
Imithi ingase ingabi efanele kulabo abanesifo sokuphuza abaphathwa ngokudla okune-ketogenic nasesimo se-epilepticus. Ukuqapha okunye kukwaziswa ekusetshenzisweni kokuhlinzwa.
Imiphumela Ejwayelekile Ejwayelekile
Njengoba kungenzeka nge ukusetshenziswa kwanoma iyiphi imithi kadokotela, kukhona ingozi engaba khona emibikweni lapho usebenzisa i-Topamax. Nakuba abantu abaningi bengaboni kakhulu noma kunoma yimiphi imiphumela emibi, ezinye ezingase zenzeke zihlanganisa:
- Ukucabanga okuphansi (okuholela esitelekeni esithi "Dope-a-max")
- Ukukhathala noma ukulala
- Ukungalali
- Imodi iyashintsha (ukucindezeleka, ukwesaba, noma ukukhathazeka)
- Ukuzondwa noma ukungaqiniseki (ataxia)
- Izinguquko zombono (kufaka phakathi i-nystagmus nombono ophindwe kabili)
- Ukulahlekelwa isisindo, ukushintsha ukunambitheka, noma ukulahlekelwa ukudla (i-anorexia)
- Ukulahleka kwezinwele (alopecia)
- I-nausea, isisu esithukuthele, ubuhlungu besisu, noma isifo sohudo
- Ukuzwa okunqatshiwe noma okushintshiwe noma ukulinganisa (paresthesia)
- Ukwesaba
- Ukungabi namandla
- Fever
- Ukutheleleka okufana nokutheleleka kwe-urinary tract (UTI) noma i-sinusitis
- I-metabolic acidosis
Ukusabela Okubalulekile Okungenzeka
Kukhona nemiphumela emibi engase ibe yingozi engase ivele ngokusetshenziswa kwe-Topamax. Lezi zindlela ezingathí sina zisabela ngokungajwayelekile. Ngokusetshenziswa kwe-Topamax, eminye yemiphumela emibi engase ibe yilezi zihlanganisa:
- I-metabolic acidosis enamandla kakhulu
- Amatshe ezinso (nephrolithiasis)
- Ubukhulu be-Bone bushintsha (i-osteomalacia noma i-osteoporosis)
- Ukunciphisa ukujuluka (i-oligohidrosis)
- Ukushisa komzimba okuphakeme (i-hyperthermia)
- Amazinga aphansi e-potassium (hypokalemia)
- Ukuphefumula kwe-hyperammonemic (kubonakala njengokudideka)
- Psychosis noma ukuzibulala
- Ama-cell cell count changes (i-leukopenia noma i-anemia)
- Izinkinga zombono kubandakanya i-glaucoma, i-myopia ephawulekayo, noma i-maculopathy
- Ukusabela kakhudlwana kwesikhumba njengoStevens-Johnson syndrome, i-necrolysis ye-epidermal eyingozi, ne-erythema multiform
- Ukunciphisa ukukhula (ezinganeni)
- Umlomo we-neonatal ocacile noma i-palate (uma kusetshenziswa abesifazane abakhulelwe ku-trimester yokuqala)
- Ukukhishwa kokukhishwa ngokuyeka ngokungazelelwe
Ukuphepha nokuqapha
Njengoba kuchaziwe ngemininingwane engenhla, kunabantu abathile abangeke basebenzise i-Topamax noma okufanele bayisebenzise ngokuqapha kuphela. I-Topamax idinga ukuhlolwa kwegazi, i-creatinine ne-bicarbonate ihlolwe esisekelo futhi ngezikhathi ezithile.
Imithi ingase ihlanganyele nezinye izidakamizwa, futhi yonke imithi yakho kufanele ibuyekezwe ngokucophelela ngudokotela wakho kanye nomakhemikhali ukuze ugweme izinkinga ezingase zibe khona. Ngaphezu kwalokho, kubalulekile ukubona ukucindezeleka, izinguquko zokuziphatha, kanye nanoma yimiphi imibono yokuzibulala njengoba lokhu kungase kudingeke ukuba kutholakale imithi.
Ngenxa yobungozi bokuthunjwa, imithi akumele ivalwe ngaphandle kokubonisana nodokotela wakho.
Uma uhlangabezana nanoma yikuphi ubunzima ngokusetshenziswa kwe-Topamax, kufanele uxhumane eduze nomhlinzeki wakho wokunakekelwa kwezempilo oyinhloko.
Umthombo:
"I-Topamax." I-Epocrates Rx Pro . Inguqulo 16.10, 2016. Epocrates, Inc. I-San Mateo, California.