I-Tegretol, igama eliqhelekileyo le-carbamazepine, li-anticonvulsant edlalwa ngamanye amaxesha njengento yokuzinza kwimeko yokukhubazeka kwe-bipolar. Ukongezelela ekubanjweni kwegazi kunye nengxaki yokuguquguquka kwengqondo, kunikwa kwakhona ukukhululeka kweentlungu kwi-neuralgia ye-trigeminal.
Uninzi lweziphumo eziqhelekileyo zeTegretol
Iziphumo eziqhelekileyo ezichaphazelekayo zenzeka ngelixa uthatha iTegretol, ingakumbi xa umntu eqalayo, utyhefu, ukulala, ukungaqiniseki, ukunqunyulwa, kunye nokuhlanza.
Thetha nogqirha wakho ukuba ezi ziphumo zecala ziqhubeka okanye ziphazamisa. Kwakhona, ukuba ulala, kubalulekile ukuxoxa ngokuhamba kunye nodokotela wakho okanye neminye imisebenzi enokuba yingozi xa ungaqapheli ngokupheleleyo.
Ubunokwenzeka ukuba ube ne-Skin Rash eqhelekileyo kunye neTegretol
Esinye isiphumo esingaqhelekanga seTegretol sisifo esichukumisayo kunye nesifo esinokubulala esibizwa ngokuba yi-Stevens-Johnson syndrome kunye / okanye i-epidermal necrolysis. Ukugqithisa kancinci kolukhuni kubakho kwiinyanga ezimbalwa zokuqala zokuthatha iTegretol. Abantu baseAsia abaphethe i-gene ebizwa ngokuba yi-HLA-B * 1502 allele inokuba yingozi enkulu ekuphuhliseni le ngozi. Yingakho ngaphambi kokuba uthathe iTegretol, izigulane ezithile (abo abanezindlu zoomama apho i-gene ingaba khona) kuya kufuneka ukuba ihlolwe i-genetic test test.
Oko kushiwo, ukungabi khona kwe-gene akuthethi umntu akanako ukuhlakulela ukukhawuleza okukhulu.
Ngokufanayo, ukuba nomzimba akuthethi ukuba umntu uya kuhlakulela ngokukhawuleza. Yingakho kubalulekile umntu eTegretol ukuba alandele rhoqo kunye nogqirha wabo ukuze ahlolwe ngesikhumba.
Ubunokwenzeka kwi-Bone Marrow Iingxaki ngeTegretol
Eminye imiphumo emibili engabonakaliyo kodwa embi kakhulu yeTegretol i-aplastic anemia kunye ne-agranulocytosis.
Ezi mpendulo ziquka ukudandatheka komnxeba womntu, apho iiseli zokulwa nosulelo (amangqamuzana egazi ezimhlophe), amaseli ezenza igazi (amangqamuzana egazi obomvu) kunye neeseli-clotting cells (platelet) ziveliswa. Ezinye iimpawu zesifo sokudakumba komnxeba ukubukela ziquka ukululaza, ukukhupha i-lymph nodes, nokuba khona kwamacotshi amancinci (petechiae) emzimbeni wakho - uphawu lokuba uphuma ekhumbeni lakho. Ukubeka iliso kwiingxaki zomnatha weethambo, ugqirha uya kuhlola iinkcukacha zeeseli zegazi ngaphambi nangesikhathi sokunyanga neTegretol.
Ezinye iinkxalabo zeMpilo kunye neTegretol
Ubunzima bentsholongwane buya kwenzeka kwiTegretol, ngoko uvavanyo lwegazi lwesibindi sakho luya kutsalwa ngaphambi kokuba uqale iTegretol kunye nexesha eliqhelekileyo. Izibonakaliso zentsholongwane yesibindi ukuba umntu ongoTegretol umele ajonge ukuquka ukuphuka kwesikhumba, isicupunu okanye ukuhlanza, okanye ukulahleka kwesidlo. Iingxaki zeengso ziyakwenzeka kunye neTegretol. Ngoko kufana nesibindi sakho, umchamo wakho kunye nokuhlolwa kwegazi kweengso kuya kuhlolwa. Iingxaki zeentliziyo, ingakumbi ibhloko yeentliziyo, yinto enokuthi iphendule kakhulu - kubalulekile ukuxelela ugqirha ukuba ngaba unakho u-electrocardiogram ongaqhelekanga, okanye i-ECG. Ekugqibeleni, utshintsho lwamehlo lunokwenzeka ngeTegretol, ngoko ukuhlolwa kwamehlo kuqinisekisiwe ngaphambi kokuba uqale iTegretol kunye nexesha apho.
Ukongezelela, njengezinye i-anticonvulsants, iTegretol inokunyusa ingozi yomntu wokuzibulala nokuziphatha okuzibulala. Qinisekisa ukuba ufuna unyango olusakhulayo xa wena okanye umntu omthandayo okanye uziphatha uya kutshintsha kwaye ngokubhekisele kwixesha leTegretol.
Yintoni endifanele ndiyixelele uGqirha wam ukuba Ufuna ukunginika iTegretol?
Qiniseka kwaye uxelele ugqirha wakho zonke iingxaki zakho zonyango, njengoko abanye bathetha ukuba awukwazi ukuthatha iTegretol okanye kufuneka uhlolwe ngakumbi xa uthabatha. Ukongezelela, kubalulekile ukubonelela ugqirha lwakho uluhlu lwawo onke amayeza akho - oku kuquka imimiselo, iyeza-anti-counter, amayeza, iivithamini kunye naziphi na izongezo.
Abanye banokusebenzisana neTegretol baze bafune ukuba i-dogretol yakho iyancipha okanye yanda.
Kukwabulumko ukuba uxelele ugqirha wakho ukuba uphuze utshwala uze uqiniseke ngokumalunga nexabiso kunye nexesha. Uya kufuneka uqikelele ngakumbi malunga nokusela utywala ngelixa uthabatha iTegretol kwaye ungadinga ukunqumla.
Okukwintsusa
Ukongezelela ekuthinjeni kunye ne-trigeminal neuralgia, iTegretol ngamanye amaxesha imiselwe abantu abane-bipolar, nokuba bodwa okanye badibene namanye amayeza. Nangona kukho iingozi kunye nemiphumo emibi ukuze uqaphele xa uthatha iTegretol, iindaba ezilungileyo kukuba iifundo zibonisa ukuba le mayeza asebenza kakuhle kwaye ngokuqhelekileyo ayanyamezela kubantu abaneengxaki zokuphazamiseka kwengqondo. Ngoko ukuba unikwe iTegretol, sele usenza into efanelekileyo ngokukwaziswa. Hlala ulwela ukhuseleko lwezempilo.
Imithombo:
Chen CH & Lin SK. I-Carbamazepine unyango lwe-bipolar disorder: ukuvavanya ngokutsha kweziphumo zexesha elide. BMC Psychiatry. 2012: 12: 47.
Novartis (2009). Tegretol .
Weisler RH. I-Carbamazepine i-capsules ekhutshwe ngokukhawuleza kwi-bipolar disorder. Neuropsychiatr Dis Treat . 2006 Mar; 2 (1): 3-11.