I-Trileptal (igama eliqhelekileyo: i-oxcarbazepine) iyeza-anticonbulsant esebenzisa ukunyanga, kodwa i-Trileptal inikwe kwakhona -ilebula yokuphatha ingxaki ye-bipolar.
I-Trileptal ibamba imvume ye-US Yokutya kunye neDrug ukuphathwa ngokukhawuleza kwabantu abadala kunye nabantwana. Inxulumene kakhulu ne-carbamazepine, enegama elininzi lwegama, kuquka iTegretol.
I-Carbamazepine isetyenziswe njengesimo sokuzinza kwesimo se-bipolar disorder.
Nangona abanye abagula ngengqondo bathi i-Trileptal yonyango i-bipolar disorder, uphando alubonakali ngokucacileyo ukuba lusebenza.
Ukuphononongwa kweencwadi zonyango ezenziwa ngo-2011 kugqiba ukuba le nkunkuma ayizange isebenze kakuhle ekuphatheni ukukhubazeka kwe-bipolar kubantwana nakwishumi elivisayo, kwaye yasebenza malunga nezinye izifo zengqondo yokukhubazeka kwabantu abadala. Ababhali bathi izifundo ezingcono zifunekayo ukuqinisekisa ukuba i-Trileptal iphumelela ngokwenene kwi-bipolar disorder.
Izilumkiso kunye neempembelelo zecala
I-Trileptal inokunciphisa ukusebenza kweemithi zonyango lokuzalwa kwe-hormonal. Ukongezelela, qaphela utywala kunye nemithi yokwazisa, ekubeni i-Trileptal inokuba nempembelelo. Musa ukuqhuba okanye usebenzise umatshini ogqithiseleyo de uze ulandele impendulo yakho kule chiza.
Iziphumo eziqhelekileyo ziquka:
- ukungcola
- kulala
- Umbono obini (diplopia)
- ukukhathala
- isicupunu kunye nokuhlanza
- ukungaqiniseki kwiinyawo zakho (ataxia)
- umbono ongavamile
- intlungu zesisu
- ukuthuthumela
- i-acid reflux (dyspepsia)
- umvuzo ongaqhelekanga
Impembelelo yecala engavumelekanga yayingu-hyponatremia (i-low blood sodium). Iimpawu zeli meko ziquka ukungadluli umchamo omkhulu, intloko, ukudideka, ukhathala kwaye, ukuba unzima kakhulu, ukuxinwa kunye ne-coma, ngoko xhapha ugqirha wakho ukuba uyakrokrela ukuba oku kuqale.
Phantse kwi-25% ukuya kwi-30% yezigulane ezinomdla owaziwayo kwi-carbamazepine inokufumana ukuxhomekeka kwe-Trileptal. Ezi zi gulane maziyeke ukukhawuleza zisebenzisa i-Trileptal. I-Trileptal inokusebenzisana namanye amachiza afana ne-felodipine (i-Plendil) kunye ne-verapamil (iCovera, i-Calan, i-Isoptil, i-Verelan). Ukulinda ezi ntlobo zentsebenziswano, soloko uqinisekisa ukuba ugqirha uyazi zonke iyeza ozithathayo.
Ukunyusa inzuzo kunye ne-Trileptal akuqhelekanga - kuvele kuphela kwi-1% ukuya kwi-2% yezigulane.
I-Trileptal kunye neengozi yokuzibulala
Ukwelashwa kwe-Oxcarbazepine inomngcipheko wokuzibulala, owandisa ukuzibulala, kunye nokuzama ukuzibulala.
Malunga neyonke kubantu abangama-500 - bobabini nabantwana - abaye baphathwa nge-Trileptal kwiimeko ezahlukahlukeneyo, kuquka ukuhluthwa kunye nokuphazamiseka kwengqondo, ngexesha leengcali ezahlukeneyo zecilisi zazibulala ngenxa yonyango. Abanye abantu bahlakulele iingcinga zokuzibulala nokuziphatha ngokukhawuleza ngexesha lokunyanga - ngeveki enye yokuqala imithi.
Kubalulekile ukuba wena kunye nentsapho yakho nibone le mngcipheko wonyango nge-Trileptal ngaphambi kokuqala unyango, kwaye ubukele nayiphi na impawu kuyo ngexesha lonyango.
Xhagamshelana nogqirha wakho ngokukhawuleza (kwaye ucele intsapho yakho ukuba ikole ugqirha wakho ngokukhawuleza) ukuba unayo nayiphi na yale mpawu:
- u ku hlaselwa
- ukuphazamiseka okanye ukungazinzi
- ukutshabalalisa, ukuxhalaba okanye ukudandatheka
- ukwenza izinto eziyingozi
- kulala
- ubugwenxa, obushushu okanye obundlobongela
- mania
- ukucinga okanye ukuthetha ngokuzilimaza okanye ukuzibulala
- ukuhoxisa kubahlobo kunye nosapho
- ukukhathalela ukufa nokufa
- kunika izinto ezixabisekileyo
- nayiphi na enye inguqu engaqhelekanga ekuziphatheni okanye kwimimoya
Imithombo:
Ghaemi, SN, et al. I-Oxcarbazepine unyango lwe-bipolar disorder. Umbhalo we-Clinical Psychiatry 64 (8) ngo-Agasti 2003 934-5.
Wagner, KD, et al. Iilingo ze-oxcarbazepine eziphathekayo ezingabonakaliyo, ezingenangqiqo, ezilawulwa yi-placebo ekwenzeni ukukhubazeka kwe-bipolar kubantwana nakwishumi elivisayo. I-American Journal ye-Psychiatry 163 (7) ngoJulayi 2006 1179-86.
ILayibrari yeSizwe ka-US yamayeza. Iphepha le-Oxcarbazepine.
RxList. Iimpembelelo zecala leTrileptal kunye ne-Drug Interactions. 2006.
Vasudev A et al. I-Oxcarbazepine yezigulane ezinamandla eziphazamisayo kwi-bipolar disorder. I-Cochrane Database yeeNkqubo eziPhononongo. NgoDisemba ka-2011; (12): CD004857.