Ungayibona Kanjani iRash Ebangelwa yiLamictal

-Delile

• Ziyini izimpawu zokuqubuka okuvela kuLamictal?
• Yini ebangela ukuqubuka kuLamictal?
• Kuphathwa kanjani ukuqubuka okuvela kuLamictal?
• Ngingakuvimbela kanjani ukuqubuka kuLamictal?
• Umbono

Ukubuka konke

ILamotrigine (Lamictal) umuthi osetshenziselwa ukwelapha isithuthwane, ukuphazamiseka kwengqondo okuguquguqukayo, ubuhlungu be-neuropathic, kanye nokudangala. Abanye abantu bahlakulela ukuqubuka ngenkathi bekuthatha.

Ukubuyekezwa kwezifundo ezikhona ngonyaka ka-2014 kwathola ukuthi amaphesenti ayi-10 abantu abasezilingweni ezilawulwayo babenokuphendula kuLamictal, okwababeka engcupheni yokuqubuka. Ngenkathi ukuqubuka okubangelwa uLamictal kaningi kungenangozi, kwesinye isikhathi kungabeka impilo. I-FDA ifake isexwayiso sebhokisi elimnyama kulebula leLamictal ukuxwayisa abantu ngale ngozi.

Qiniseka ukuthi uyazazi izimpawu zokuqubuka okukhulu okubangelwa nguLamictal ukuze uthole ukwelashwa ngokushesha uma kwenzeka.

Ziyini izimpawu zokuqubuka okuvela kuLamictal?

Kubalulekile ukuqaphela umehluko phakathi kokuqubuka okuncane nalokho okudinga ukwelashwa okuphuthumayo. Izimpawu zokuqubuka okuncane okubangelwa uLamictal yilezi:

• isifuba
• ukulunywa
• ukuvuvukala

Ngenkathi ukuqhuma kwalezi zimpawu kungenzeka kungeyona ingozi, noma kunjalo tshela udokotela wakho ukuze bakwazi ukukuqapha nganoma yimiphi eminye imiphumela emibi.

Ingozi yokuthola ukuqhuma okukhulu kusuka kuLamictal iphansi. Ngokwe-Epilepsy Foundation, izivivinyo zokwelashwa zikhombisile ukuthi ubungozi bungamaphesenti ayi-0.3 kuphela kubantu abadala no-1% ezinganeni ezingaphansi kweminyaka engu-16 ubudala. Kusabalulekile ukwazi izimpawu ngoba ukuqubuka okungathi sína okuvela kuLamictal kungabulala.

Lezi zimpawu ezinzima kakhulu zingabandakanya:

• imfiva
• ubuhlungu obuhlangene
• ubuhlungu bemisipha
• ukungakhululeki okuvamile
• ukuvuvukala kwama-lymph node entanyeni
• ukubalwa okuphezulu kwama-eosinophil (uhlobo lweseli lomzimba) egazini

Ezimweni ezingavamile kakhulu, ungahlakulela i-Stevens-Johnson syndrome noma i-necrolysis enobuthi ngenkathi uthatha uLamictal. Izimpawu zalezi zimo yilezi:

• uyaxebuka
• amabhamuza
• sepsis
• ukwehluleka komzimba okuningi

Uma uhlakulela noma yiluphi uhlobo lokuqubuka ngenkathi uthatha uLamictal, xhumana nodokotela wakho ngokushesha. Uma unezimpawu zokuqubuka okukhulu kakhulu, thola ukwelashwa okuphuthumayo ngokushesha okukhulu.

Yini ebangela ukuqubuka kuLamictal?

Ukuqhuma kweLamictal kubangelwa ukusabela kwe-hypersensitivity kumuthi weLamictal. Ukusabela kwe-hypersensitivity kwenzeka lapho amasosha akho omzimba ehlasela ngokweqile ikhompiyutha noma isidakamizwa. Lokhu kusabela kungabonakala ngemuva nje kokuthatha umuthi noma amahora ambalwa noma izinsuku kamuva.

Izici eziningana zingakhuphula ubungozi bokuthuthukisa ukuqubuka ngenkathi uthatha uLamictal:

• Ubudala: Izingane zinamathuba amaningi okuthi ziphendule kuLamictal.
• Imithi yokwelapha: Abantu abathatha i-valproate, umuthi osetshenziselwa ukwelapha isithuthwane, i-bipolar disorder, kanye ne-migraine ikhanda, nganoma yiluphi uhlobo lwayo kanye noLamictal maningi amathuba okuthi baphendule.
• Isilinganiso sokuqala: Abantu abaqala uLamictal ngomthamo omkhulu kungenzeka babe nokusabela.
• Ukukhuphuka kwesilinganiso esisheshayo: Ukusabela kungenzeka kakhulu ukuthi kukhule lapho ukhulisa ngokushesha umthamo wakho weLamictal.
• Ukusabela kwangaphambilini: Uma uke waba nokusabela okunzima komunye umuthi olwa nesifo sokuwa, kungenzeka ukuthi ube nokusabela kuLamictal.
• Izici zofuzo: Izimpawu ezithile zomzimba zokuzivikela ezingakhuphula ubungozi bakho bokuphendula kuLamictal.

Kuphathwa kanjani ukuqubuka okuvela kuLamictal?

Ngaphandle kokuthi uqinisekile ukuthi ukuqubuka akuhlobene nakho, kufanele uyeke ukuthatha uLamictal ngokushesha bese uthinta udokotela wakho. Ayikho indlela yokutshela ukuthi ukuqubuka okuncane kuzophenduka okuthile okungathi sína ngokwengeziwe. Ngokuya ngempendulo yakho, udokotela wakho anganciphisa umthamo wakho noma akususe ngokuphelele emithini.

Udokotela wakho angakunika futhi ama-corticosteroids omlomo noma ama-antihistamine ukusiza ukulawula ukusabela nokwenza izivivinyo ukubona ukuthi ngabe kukhona yini ezithweni zakho ezithintekile.

Ngingakuvimbela kanjani ukuqubuka kuLamictal?

Kubaluleke kakhulu ukuthi utshele udokotela wakho nganoma imiphi eminye imithi oyiphuzayo ngaphambi kokuba uqale ukuthatha uLamictal. Uma uthatha i-valproate, kuzodingeka uqalwe kumthamo ophansi weLamictal. Uma ngabe uke waba nokusabela kweminye imithi elwa nesifo sokuwa, qiniseka ukuthi utshela udokotela wakho.

Njengoba ukukhuphula umthamo wakho ngokushesha kuyingozi yokuthola impendulo kuLamictal, kufanele ulandele umthamo obekwe ngudokotela wakho ngokucophelela. Ungaqali ukuthatha umthamo ophakeme weLamictal ngaphandle kokukhuluma nodokotela wakho kuqala. Uma uqala ukuthatha uLamictal, qiniseka ukuthi uqonda kahle ukuthi kufanele uthathe malini nokuthi uzowathatha nini.

Umbono

Yize ukuqubuka okuningi okwenzeka ngenkathi uthatha uLamictal kungenangozi, kubalulekile ukuqapha izimpawu zakho ukuze uqiniseke ukuthi azibi yingozi. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezinto eziyingozi zokuphendula kuLamictal.

Ukusabela okunamandla kuLamictal kungabulala, ngakho-ke kubalulekile ukuthola ukwelashwa ngokushesha nje lapho uqala ukuba nezimpawu.