Momwe Mungadziwire Zotupa Zoyambitsa Lamictal

Zamkati

• Kodi zizindikiro zakutuluka kuchokera kwa Lamictal ndi ziti?
• Nchiyani chimayambitsa kuphulika kwa Lamictal?
• Kodi kuphulika kochokera kwa Lamictal kumachitidwa bwanji?
• Kodi ndingapewe bwanji kutuluka kwa Lamictal?
• Chiwonetsero

Chidule

Lamotrigine (Lamictal) ndi mankhwala omwe amagwiritsidwa ntchito pochiza khunyu, matenda amisala, kupweteka kwa m'mitsempha, komanso kukhumudwa. Anthu ena amakhala ndi zotupa akamazitenga.

Kuwunikanso kwa 2014 kwamaphunziro omwe adalipo kale kudapeza kuti 10% ya anthu omwe amayesedwa moyenera adayankha Lamictal, zomwe zimawaika pachiwopsezo chotenga rash. Ngakhale ziphuphu zoyambitsidwa ndi Lamictal nthawi zambiri zimakhala zopanda vuto, nthawi zina zimakhala zowopsa. A FDA adayika chenjezo lakuda pabokosi la Lamictal kuti achenjeze anthu za chiopsezo ichi.

Onetsetsani kuti mukudziwa zizindikiro za zotupa zazikulu zomwe zimachitika chifukwa cha Lamictal kuti muthe kulandira chithandizo mwachangu ngati zingachitike.

Kodi zizindikiro zakutuluka kuchokera kwa Lamictal ndi ziti?

Ndikofunika kuzindikira kusiyana pakati pa kuphulika pang'ono ndi komwe kumafuna chithandizo chadzidzidzi. Zizindikiro zakucheperako pang'ono komwe kumayambitsa Lamictal ndi:

• ming'oma
• kuyabwa
• kutupa

Ngakhale kuti kuthamanga ndi zizindikirozi sikungakhale koopsa, uzani dokotala wanu kuti athe kukuyang'anirani za zovuta zina zilizonse.

Chiwopsezo chofulumira kuchokera ku Lamictal ndichochepa. Malinga ndi Epilepsy Foundation, mayesero azachipatala adawonetsa kuti chiwopsezo ndi 0.3 peresenti yokha kwa akulu ndi 1% mwa ana ochepera zaka 16. Ndikofunikabe kudziwa zizindikirazo chifukwa kuphulika kwakukulu kochokera ku Lamictal kumatha kupha.

Zizindikiro zowopsa izi zitha kuphatikiza:

• malungo
• kupweteka pamodzi
• kupweteka kwa minofu
• kusapeza kwakukulu
• kutupa kwa ma lymph nodes mozungulira khosi
• kuchuluka kwama eosinophil (mtundu wa chitetezo chamthupi) m'magazi

Nthawi zosowa kwambiri, mutha kukhala ndi matenda a Stevens-Johnson kapena poizoni epidermal necrolysis mukamamwa Lamictal. Zizindikiro za izi ndi izi:

• khungu
• matuza
• sepsis
• angapo kulephera kwa ziwalo

Ngati mukukhala ndi vuto lililonse mukamamwa Lamictal, funsani dokotala nthawi yomweyo. Ngati muli ndi zizindikiro zowopsa kwambiri, pitani kuchipatala mwachangu.

Nchiyani chimayambitsa kuphulika kwa Lamictal?

Kuthamanga kwa Lamictal kumayambitsidwa ndi hypersensitivity reaction pa mankhwala Lamictal. Hypersensitivity reaction zimachitika pamene chitetezo chamthupi chanu chimapitilira pachipangizo kapena mankhwala. Izi zitha kuwonekera posachedwa mutamwa mankhwala kapena maola angapo kapena masiku angapo pambuyo pake.

Zinthu zingapo zingakulitse chiopsezo chanu chokhala ndi ziphuphu mukamamwa Lamictal:

• Zaka: Ana nthawi zambiri amakhala ndi chidwi ndi Lamictal.
• Co-mankhwala: Anthu omwe amatenga valproate, mankhwala omwe amagwiritsidwa ntchito pochiza khunyu, matenda a bipolar, ndi mutu waching'alang'ala, amtundu uliwonse pamodzi ndi Lamictal atha kuchitapo kanthu.
• Kuyambira mlingo: Anthu omwe amayamba Lamictal pamlingo wambiri amatha kuchita.
• Kukula kwakanthawi kofulumira: Zomwe mungachite mukamachulukitsa mlingo wa Lamictal.
• Zisanachitike: Ngati mwakhala mukuvutika kwambiri ndi mankhwala ena a khunyu, mumakhala ndi vuto la Lamictal.
• Zinthu zobadwa nazo: Chizindikiro cha chitetezo cha mthupi chomwe chingapangitse chiopsezo chanu choyankha Lamictal.

Kodi kuphulika kochokera kwa Lamictal kumachitidwa bwanji?

Pokhapokha mutatsimikiza kuti kuthamanga sikukugwirizana nako, muyenera kusiya kumwa Lamictal nthawi yomweyo ndikumalankhulana ndi dokotala wanu. Palibe njira yodziwira ngati zotupa zochepa zidzasandulika china chachikulu. Malingana ndi momwe mungachitire, dokotala wanu akhoza kuchepetsa mlingo wanu kapena kukuchotsani kuchipatala kwathunthu.

Dokotala wanu amathanso kukupatsirani ma corticosteroids kapena antihistamines kuti muthandizire kuyankha ndikuchita mayeso kuti muwone ngati pali ziwalo zina zomwe zakhudzidwa.

Kodi ndingapewe bwanji kutuluka kwa Lamictal?

Ndikofunika kwambiri kuti muuze dokotala za mankhwala ena aliwonse omwe mumamwa musanayambe kumwa Lamictal. Ngati mutenga valproate, muyenera kuyambitsidwa pamlingo wotsika wa Lamictal. Ngati mwakhala mukukumana ndi zovuta zina ndi mankhwala ena a khunyu, onetsetsani kuti mwauza dokotala wanu.

Popeza kuwonjezera msanga mlingo wanu ndi chiopsezo chotsatira Lamictal, muyenera kutsatira mlingo woyenera dokotala wanu mosamala kwambiri. Musayambe kumwa mlingo waukulu wa Lamictal osalankhula ndi dokotala poyamba. Mukayamba kumwa Lamictal, onetsetsani kuti mukumvetsetsa momwe mungatengere komanso nthawi yomwe mungatenge.

Chiwonetsero

Ngakhale ziphuphu zambiri zomwe zimachitika mukamamwa Lamictal zilibe vuto lililonse, ndikofunikira kuwunika zizindikilo zanu kuti zisawonongeke. Onetsetsani kuti muuze dokotala ngati muli ndi zoopsa zilizonse zomwe mungachite ndi Lamictal.

Zomwe zimachitika kwa Lamictal zitha kupha, chifukwa chake ndikofunikira kupeza chithandizo mukangoyamba kukhala ndi zizindikilo.