I-Topiramate Inceda Ukutya Ukulala, Ukuxhatshazwa, kunye Nokulahlekelwa Kwisisindo
I-Topamax yonyango lonyango elithengiswa phantsi kwegama eliphezulu eliphezulu. Nangona ixhaphake ngokuqhelekileyo ukunyanga ukuxhatshazwa kunye nokuthintela imithwaba ye- migraine , isetyenziselwa unyango lokulala . Kwakhona kubonakala kunceda ekulahlekeni kwesisindo. I-Topamax isebenze njani kwaye yintoni eyona miphumo echaphazelekayo?
Ukusetyenziswa
I-Topamax inokumiselwa ukuphatha ingxaki yokutya yokulala (SRED).
Inokukunceda ukunciphisa ukutya okubangela ukunyanzela okuvela ngaphandle kokulala. Ngokuqhelekileyo kusetyenziselwa ukunyanga ukuxhatshazwa okwenzeka njengenxalenye yokuhluthwa. Kuye kwafunyaniswa ukuba isebenze ukukhusela i-migraine intloko evela rhoqo kwaye ingathathwa njengeprolaxlaxis. Njengoko kubangelwa ukulahleka kwesisindo njengomphumo wecala, sele kuqeshwe ngale njongo.
I-Topamax isebenza njani
Indlela echanekileyo yesenzo esichazela indlela i-Topamax engasebenzi ngayo. Ivimba izitishi ze-sodium emzimbeni ovulekileyo kwaye uvale ekuphenduleni kumanqanaba athile ahlawulwe ngamachiza. Ikwaphucula nomsebenzi womthunywa weekhemikhali, okanye i-neurotransmitter, ebizwa ngeGABA. Ukongezelela, iphazamisa ama-receptors kwiiseli zeekhemikhali ezibizwa ngokuba yi-glutamate. Kwakhona kuvimbela i-enzyme ebizwa ngokuba yi-anhydrase kabhonic.
Ngubani ongafanele asebenzise i-Topamax?
I-Topamax ayifanele isetyenziswe xa ukhulelwe. Isilumkiso sinconywa ukuba uncelisa.
Akunakuba yipilisi engcono kakhulu ukuyisebenzisa xa unengxaki yesibindi, iimpso, okanye imiphunga. Akufanele isetyenziswe ngotywala okanye kwenye imithi ephazamisa inkqubo ye-nervous central (ingakumbi ezo ezinokuchaphazela ingqondo). Abantu abazalelwe ngeengxaki ezithile zokuzalwa kwesifo se-metabolism akufanele basebenzise i-Topamax.
Ukuba unembali yokudakumba, ingakumbi ngeengcinga zokuzibulala, okanye imbali yeentso zamathambo (ebizwa nge-nephrolithiasis), kufuneka isetyenziswe ngokuqaphela. Isiluleko sinconywa ukuba unamazinga aphantsi e-potassium egazini (i-hypokalemia) okanye i-acidosis ye-acidosis, ngokuyinxalenye njengenxalenye yesifo sohudo okanye ukungcola kwendalo.
Amachiza angenakufaneleka kulabo abanesifo sokuhluthwa abaphathwa ngokutya kunye ne-status epilepticus. Ukulumkisa ngokucetyiswayo kwimeko yokuhlinzwa.
Iziphumo eziPhakathi
Njengoko kunokwenzeka ngokusetyenziswa kwanoma yiyiphi imichiza yonyango, kukho umngcipheko weemiphumo ezichaphazelekayo xa usebenzisa i-Topamax. Nangona uninzi lwabantu alukwazi ukufumana uninzi okanye oluphi na lwezi ziphumo zecala, ezinye ezenzekayo ziquka:
- Ukucima ukucinga (okukhokelela kwisiza lomdlalo "I-Dope-max-max")
- Ukukhathala okanye ukulala
- Ukungabikho
- Umoya utshintsho (ukudandatheka, ukwethuka, okanye uxhalaba)
- Utywala okanye ukungaqiniseki (ataxia)
- Umbono utshintsha (kuquka i-nystagmus kunye nemibono kabini)
- Ukulahlekelwa kwesisindo, ukutshintsha ingqalelo, okanye ukulahleka kwesidlo (anorexia)
- Ukulahleka kweenwele (alopecia)
- Isisindo, isisu esicasulayo, intlungu yesisu, okanye urhudo
- Ukuvuthwa okanye ukuguquka okanye ukuguqulwa (paresthesia)
- Ukugubha
- Ubuthathaka
- Fever
- Usulelo olufana nokusuleleka kwe-urinary tract (UTI) okanye i-sinusitis
- I-acidosis
Ingxaki Ebonakalayo
Kukho nemiphumo emibi enokuthi ingenzeka ngokusetyenziswa kwe-Topamax. Ezi mpendulo ezinzulu zenzeka ngokungaqhelekanga. Ngokusetyenziswa kwe-Topamax, ezinye zeziphumo ezibi kakhulu ziquka:
- I-acidosis enamandla
- Amatye eentso (nephrolithiasis)
- Uxinzelelo lwe-Bone (i-osteomalacia okanye i-osteoporosis)
- Ukunciphisa ukujuluka (oligohidrosis)
- Ukushisa komzimba ophezulu (hyperthermia)
- Amanqanaba aphantsi e-potassium (hypokalemia)
- Ukuxhamla kwe-Hyperammonemic (ukubonakalisa njengokudideka)
- Psychosis okanye ukuzibulala
- Ukuguquka kweeseli zegazi (i-leukopenia okanye i-anemia)
- Iingxaki zembono ziquka i-glaucoma, i-myopia ephawulekayo, okanye i-maculopathy
- Ukunyameka koluhlaza olunjenge-Stevens-Johnson syndrome, inetyhefu ye-epidermal necrolysis, kunye ne-erythema multiform
- Ukunyuswa kokukhula (kubantwana)
- Umlomo ococekileyo we-Neonatal okanye i-palate (xa isetyenziswe ngabafazi abakhulelweyo kwi-trimester yokuqala)
- Ukuthintela ukutshatyalaliswa ngokuyeka ngokukhawuleza
Ukhuseleko kunye nokubeka iliso
Njengoko kuchazwe ngcaciso engentla, kukho abantu abathile abamele bangasebenzisi i-Topamax okanye ngubani omele asebenzise kuphela ngokuqapha. I-Topamax idinga ukuhlolwa kwegazi, kunye ne-creinine kunye ne-bicarbonate ihlolisise kwisiseko kwaye emva kwexesha.
Amachiza angakwazi ukusebenzisana namanye amachiza, kwaye onke amayeza akho kufuneka ahlaziywe ngenyameko ngugqirha wakho kunye nekhemistri ukuphepha iingxaki ezikhoyo. Ukongezelela, kubalulekile ukuchonga uxinezelo, ukuguquka kokuziphatha, kunye naziphi na iingcamango zokuzibulala njengoko ezi zifuna ukucinywa kweyeza.
Ngenxa yomngcipheko wokubamba, iyeza kufuneka lingavunyelwanga ngaphandle kokubonisana nodokotela wakho.
Ukuba ufumana ubunzima bokusetyenziswa kwe-Topamax, kufuneka ube nobudlelwane obusondeleyo kunye nomboneleli wakho wezempilo.
Umthombo:
"Topamax." Epocrates Rx Pro . I-Version 16.10, 2016. Epocrates, Inc. I-San Mateo, eCalifornia.