Uhlu Lwemithi Yesithuthwane Nokuquleka

-Delile

• Ama-AED amancane
• ICarbamazepine (Carbatrol, Tegretol, Epitol, Equetro)
• I-Clobazam (Onfi)
• I-Diazepam (Valium, Diastat)
• I-Divalproex (Depakote)
• I-eslicarbazepine acetate (i-Aptiom)
• Ama-AED abanzi
• I-Clonazepam (Klonopin)
• IClorazepate (iTranxene-T)
• I-Ezogabine (Potiga)
• I-Felbamate (Felbatol)
• I-Lamotrigine (Lamictal)
• I-Levetiracetam (Keppra, Spritam)
• I-Lorazepam (Ativan)
• I-Primidone (Mysoline)
• I-Topiramate (Topamax, Qudexy XR, Trokendi XR)
• I-Valproic acid (iDepacon, iDepakene, iDepakote, iStavzor)
• I-Zonisamide (Zonegran)
• Khuluma nodokotela wakho

Isingeniso

Isithuthwane senza ukuthi ubuchopho bakho buthumele izimpawu ezingavamile. Lo msebenzi ungaholela ekubanjweni. Ukuquleka kungenzeka ngezizathu eziningi, njengokulimala noma ukugula. Isifo sokuwa yisimo esidala ukuquleka okuphindelela. Kunezinhlobo eziningana zokuquleka kwesithuthwane. Eziningi zazo zingelashwa ngemishanguzo yokuthithibalisa.

Izidakamizwa ezisetshenziselwa ukwelapha ukuquleka zibizwa ngokuthi yimithi yokulwa nesifo sokuwa (AEDs). Ngokusho kweNational Institute of Neurological Disorders and Stroke, kunama-AED angaphezu kuka-20 asetshenziswayo. Izinketho zakho zincike ebudaleni bakho, indlela ophila ngayo, uhlobo lokuquleka onakho, nokuthi unesifo sokuwa kangaki. Uma ungowesifazane, nabo bathembele ethubeni lakho lokukhulelwa.

Kunezinhlobo ezimbili zezidakamizwa zokubamba: ama-AED amancane kanye nama-AED abanzi. Abanye abantu bangadinga ukuthatha imithi engaphezu kweyodwa ukuvimbela ukuquleka.

Ama-AED amancane

Ama-AED amancane we-spectrum enzelwe izinhlobo ezithile zokubanjwa. Le mithi isetshenziswa uma ukuquleka kwakho kwenzeka engxenyeni ethile yobuchopho bakho njalo. Nawa ama-AED amancane, abhalwe ngama-alfabhethi:

ICarbamazepine (Carbatrol, Tegretol, Epitol, Equetro)

ICarbamazepine isetshenziselwa ukwelapha ukuquleka okwenzeka ku-lobe yesikhashana. Lesi sidakamizwa singasiza ekwelapheni ukuquleka kwesibili, okuyingxenye, nokuphikisayo. Ixhumana nezinye izidakamizwa eziningi. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo.

I-Clobazam (Onfi)

I-Clobazam isiza ukuvimbela ukungabikho, ukubanjwa kwesibili, nokuncane. Kungokwesigaba semithi esibizwa nge-benzodiazepines. Le mithi ijwayele ukusetshenziselwa ukuthambisa, ukulala nokukhathazeka. Ngokusho kwe-Epilepsy Foundation, lo muthi ungasetshenziswa ezinganeni ezineminyaka yobudala eyi-2. Ezimweni ezingavamile, lesi sidakamizwa singadala ukusabela okungathi sína kwesikhumba.

I-Diazepam (Valium, Diastat)

IDiazepam isetshenziselwa ukwelapha ukuquleka okuhlangene nokuhlala isikhathi eside. Lesi sidakamizwa siyi-benzodiazepine.

I-Divalproex (Depakote)

I-Divalproex (Depakote) isetshenziselwa ukuphatha ukungabikho, okuyingxenye, okuyingxenye eyinkimbinkimbi, kanye nokuquleka okuningi. Kwandisa ukutholakala kwe-gamma-aminobutyric acid (GABA). I-GABA iyi-neurotransmitter engavimbeli. Lokho kusho ukuthi inciphisa izijikelezo zezinzwa. Lo mphumela usiza ukulawula ukuquleka.

I-eslicarbazepine acetate (i-Aptiom)

Lesi sidakamizwa sisetshenziselwa ukwelapha ukuquleka okungakaqali. Kucatshangwa ukuthi kusebenza ngokuvimba iziteshi ze-sodium. Ukwenza lokhu kubambezela ukulandelana kokudubula kwezinzwa ekubanjweni.

Ama-AED abanzi

Uma unezinhlobo ezingaphezu kweyodwa zokubamba, i-AED ebanzi ingaba yindlela yakho yokwelashwa engcono kakhulu. Le mithi yenzelwe ukuvikela ukuquleka ezingxenyeni ezingaphezu kweyodwa zobuchopho. Khumbula ukuthi ama-AED anemikhawulo emincane asebenza kuphela engxenyeni ethile yobuchopho. Lawa ma-AED abanzi abhalwe ohlwini lwama-alfabhethi ngamagama awo ejwayelekile.

I-Clonazepam (Klonopin)

IClonazepam iyi-benzodiazepine esebenza isikhathi eside. Isetshenziselwa ukwelapha izinhlobo eziningi zokubanjwa. Lokhu kufaka phakathi ukubanjwa kwe-myoclonic, i-akinetic, nokungabikho.

IClorazepate (iTranxene-T)

IClorazepate iyi-benzodiazepine. Isetshenziswa njengokwelashwa okwengeziwe kokuquleka okuyingxenye.

I-Ezogabine (Potiga)

Le AED isetshenziswa njengokwelashwa okwengeziwe. Isetshenziselwa ukuquleka okuyingxenye evamile, eyenqaba, neyinkimbinkimbi. Akuqondakali ngokuphelele ukuthi kusebenza kanjani. Yenza kusebenze iziteshi ze-potassium. Lo mphumela uzinzisa ukudubula kwakho kwe-neuron.

Lesi sidakamizwa singathinta i-retina yeso lakho futhi silimaze umbono wakho. Ngenxa yalomphumela, lo muthi usetshenziswa kuphela ngemuva kokuthi ungaphenduli kweminye imithi. Uma udokotela wakho ekunikeza lo muthi, uzodinga ukuhlolwa kwamehlo njalo ezinyangeni eziyisithupha. Uma lo muthi ungakusebenzeli esilinganisweni esiphezulu, udokotela wakho uzoyeka ukwelashwa kwakho ngawo. Lokhu ukuvimbela izingqinamba zamehlo.

I-Felbamate (Felbatol)

I-Felbamate isetshenziselwa ukwelapha cishe zonke izinhlobo zokubanjwa kwabantu abangaphenduli kolunye ukwelashwa. Ingasetshenziswa njengokwelashwa okukodwa noma ngokuhlanganiswa nezinye izidakamizwa. Isetshenziswa lapho ezinye izidakamizwa zehlulekile. Imiphumela emibi ibandakanya ukwehluleka kwegazi nokuhluleka kwesibindi.

I-Lamotrigine (Lamictal)

I-Lamotrigine (i-Lamictal) ingaphatha izinhlobo eziningi zokuquleka kwesithuthwane. Abantu abathatha lo muthi kumele babheke isimo sesikhumba esingajwayelekile futhi esibi esibizwa ngeStevens-Johnson syndrome. Izimpawu zingafaka ukuchitheka kwesikhumba sakho.

I-Levetiracetam (Keppra, Spritam)

I-Levetiracetam iyindlela yokwelashwa komugqa wokuqala kokujwayelekile, okuyingxenye, okungajwayelekile, ukungabikho, nezinye izinhlobo zokubanjwa. Ngokusho kwalokhu, lesi sidakamizwa singelapha isithuthwane esigxile, esijwayelekile, esiyi-idiopathic, noma esinezimpawu kubantu bayo yonke iminyaka. Lesi sidakamizwa singadala imiphumela emibi embalwa kunezinye izidakamizwa ezisetshenziselwa isithuthwane.

I-Lorazepam (Ativan)

I-Lorazepam (i-Ativan) isetshenziselwa ukwelapha isimo se-epilepticus (ukuthatha isikhathi eside, ukubamba okubucayi). Luhlobo lwe-benzodiazepine.

I-Primidone (Mysoline)

I-Primidone isetshenziselwa ukwelapha i-myoclonic, tonic-clonic, kanye nokugxila okugxile. Ibuye isetshenziselwe ukwelapha isifo sokuwa sentsha i-myoclonic.

I-Topiramate (Topamax, Qudexy XR, Trokendi XR)

I-Topiramate isetshenziswa njengokwelashwa okukodwa noma kokuhlanganiswa. Isetshenziselwa ukwelapha zonke izinhlobo zokubanjwa kwabantu abadala nezingane.

I-Valproic acid (iDepacon, iDepakene, iDepakote, iStavzor)

I-Valproic acid iyi-AED ejwayelekile ebanzi. Kuvunyelwe ukwelapha ukuquleka okuningi. Ingasetshenziswa yodwa noma ekwelashweni okuhlanganisiwe. I-Valproic acid inyusa ukutholakala kwe-GABA. I-GABA eningi isiza ukuzola okungahleliwe kwe-nerve firings ekubanjweni.

I-Zonisamide (Zonegran)

I-Zonisamide (i-Zonegran) isetshenziselwa ukwelapha ukuquleka okuncane kanye nezinye izinhlobo zesifo sokuwa. Noma kunjalo, kungadala imiphumela emibi kakhulu. Lokhu kufaka phakathi izinkinga zokuqonda, ukunciphisa umzimba, namatshe ezinso.

Khuluma nodokotela wakho

Ngaphambi kokuthatha i-AED, khuluma nodokotela wakho ukuthi yimiphi imiphumela emibi engabanga. Amanye ama-AED angenza ukuqubuka kube kubi kakhulu kwabanye abantu. Sebenzisa le ndatshana njengendawo yokweqa ukubuza udokotela wakho imininingwane engaphezulu. Ukusebenza nodokotela wakho kungakusiza nobabili ukhethe umuthi wokuquleka okungcono kakhulu kuwe.