Madokotala Nthawi Zina Amapereka Anticonvulsants Kuti Akumva Chisoni
Ngati mwakhala mukuvutika ndi mtundu wina wa ululu wosatha , mungadabwe kumva kuti mankhwala oletsa kupweteka angathandize kuthetsa ululu wanu.
Mankhwala a antiticonvulsants, kapena anti-seizure, amagwira ntchito monga analgesics adjuvant . Izi zikutanthauza kuti akhoza kuthana ndi mitundu yowawa yamtundu uliwonse ngakhale kuti siidapangidwire cholinga chimenecho.
Ngakhale kugwiritsa ntchito kwakukulu kwa mankhwala osokoneza bongo ndiko kuteteza kugwidwa, antiticvulsants amaoneka ngati othandiza pochiza mtundu wina wa ululu wosatha.
Izi zikuphatikizapo kupweteka kwa ubongo , monga kupweteka kwa m'mimba, ndi kupweteka kwa mutu , monga migraines.
Kodi Mankhwala Opanda Madzi Athandiza Mavuto Osautsa?
Zofukufuku zikuchitidwa pazothandiza mankhwala oletsa kupweteka chifukwa cha ululu wosatha.
Kafukufuku wina wasonyeza kuti njira zina zoyenera kupatsirana mankhwala opweteka ziyenera kufufuzidwa asanayambe kumwa mankhwala opatsirana pogwiritsa ntchito mankhwala opweteka , pamene ena amati antiticulants ndi mankhwala opatsirana kwambiri ndipo amakhala ndi zotsatira zochepa za nthawi yaitali.
Mankhwala ochepa omwe amatsutsana ndi matendawa ndi FDA omwe amavomereza kupweteka kosalekeza, kuphatikizapo carbamazepine ( trigeminal neuralgia ) ndi gabapentin (chifukwa cha kupweteka kwa neuralgia , kapena kupweteka kwa shingles).
Kugwiritsidwa ntchito kwa mankhwala osokoneza bongo kwa mitundu ina ya ululu wosatha kumatengedwa ngati "kugwiritsa ntchito mankhwala osagwiritsidwa ntchito," monga momwe pakhala pali kafukufuku ochepa kuti afufuze momwe iwo akugwiritsira ntchito nthawi yayitali.
Mankhwala Omwe Amagwiritsidwa Ntchito Kawirikawiri Omwe Amachiza Katemera Wopweteka
Nazi zina mwa mankhwala oletsa kupweteka omwe amagwiritsidwa ntchito nthawi zambiri kuti asamalire kupweteka:
Gabapentin (Neurontin) . Gabapentin amavomerezedwa kuti azitha kulandira chithandizo chamtundu wa postherpic neuralgia. Zimathandizanso pochiza matenda a shuga.
Carbamazepine (Tegretol) .
Carbamazepine nthawi zambiri anali mankhwala opatsirana kwambiri okhudza kupweteka kwa ubongo, makamaka pa matenda a trigeminal neuralgia (omwe FDA imavomereza). Zimathandizanso pa ululu wa matenda a shuga ndi postherpic neuralgia.
Pregabalin (Lyrica) . Pregabalin ndi mankhwala atsopano oletsa kupweteka omwe amagwiritsidwa ntchito pa ululu wopweteka, makamaka ululu wopangidwa ndi postherpic neuralgia ndi matenda a shuga.
Tiagabine (Gabitril) . Tiagabine ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito mu ululu wa ubongo wokhudzana ndi mitsempha ya mitsempha, monga ululu wopweteka m'mimba .
Topiramate (Topomax) . Topiramate ndi mankhwala osokoneza bongo amene amagwiritsidwa ntchito ngati mankhwala a prophylactic migraine. Prophylactics amatengedwa kuti athetse ululu mmalo moyendetsa iyo ikayamba.
Valproic Acid (Depakote) . Valproic acid ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pa ululu wa migraine ndipo angakhale othandiza pochiza mitundu ina ya ululu wa mitsempha.
Lamotrigene (Lamictal) . Lamotrigene ingagwiritsidwe ntchito pofuna kupweteka kwambiri ndi trigeminal neuralgia komanso ululu wa syndromes, kapena ululu wokhudzana ndi kupweteka kwa stroke.
Mankhwala ena Oletsa Kuchulukitsa ndi Kupweteka Kwambiri
Chifukwa cha momwe amagwiritsira ntchito dongosolo la mitsempha, mankhwala otsatirawa okhudzana ndi kupweteka angathandizenso kuchiza kupweteka kosatha.
Kuwathandiza kwawo mukumva kupweteka kosatha, komabe, sikunaphunzire mokwanira:
- Phenytoin
- Phenobarbitol
- Clonazepam
- Oxcarbazepine
- Zonisamide
- Levetiracetam
Zochitika Zowopsa
Mankhwala osokoneza bongo ali ndi zotsatira zochepa poyerekeza ndi mankhwala ena opweteka kwa nthawi yaitali, ngakhale ochepa omwe ayenera kutchulidwa.
Zotsatira zoyipa zikuphatikizapo:
- kugona
- chizungulire
- kutopa
Mankhwala osokoneza bongo angayambitsenso zotsatira zotsatirazi:
- kudzimbidwa
- kunyoza
- chisokonezo kapena vuto lalikulu
- Kusamvana kapena vuto ndi kugwirizana
- masomphenya awiri
- mawu osokoneza
- mphutsi
- kusowa kwa njala
- Mlomo wouma
Kumbukirani: Mankhwala amakhudza aliyense mosiyana. Zochitika zanu zidzakhala zosiyana. Ngati muli ndi nkhawa zokhudzana ndi mankhwala opatsirana pogwiritsa ntchito mankhwala opweteka, lankhulani ndi wothandizira zaumoyo mwamsanga mwamsanga.
Zotsatira:
American Chronic Pain Association. Mankhwala a APCA ndi Zowawa: Supplement 2007 .
Tremont-Lukats, IW, Megeff, C., ndi Backonja, MM Anticonvulsants for Syndromes Pafupipafupi Opaleshoni: Njira za Ntchito ndi Malo Opaleshoni. Mankhwala. 2000 Nov; 60 (5): 1029-52.
Wiffen, PJ, Collins, S., McQuay, HJ, et al. Mankhwala Osakaniza Mankhwala Osokoneza Bongo Chifukwa Chomvetsa Chisoni. Cochrane Mndandanda wa Zosintha Zowonongeka 2005, Nkhani 2.