Uyichonga njani iRash ebangelwa nguLamictal

Umxholo

• Zithini iimpawu zokukhawuleza okuvela eLamictal?
• Yintoni ebangela irhashalala kuLamictal?
• Uphethwe njani umgqakhwe ovela kuLamictal?
• Ndingakuthintela njani ukukhawuleza kuLamictal?
• Imbonakalo

Ushwankathelo

I-Lamotrigine (i-Lamictal) liyeza elisetyenziselwa ukunyanga isifo sokuwa, ukuphazamiseka kwengqondo, iintlungu ze-neuropathic, kunye noxinzelelo. Abanye abantu bahlakulela irhashalala ngelixa belithatha.

Ukuphononongwa ngo-2014 kwezifundo ezikhoyo kwafumanisa ukuba iipesenti ezili-10 zabantu kwizilingo ezilawulwayo babenempendulo kuLamictal, eyababeka emngciphekweni wokukhawuleza. Ngelixa irhashalala ebangelwa nguLamictal ihlala ingenabungozi, ngamanye amaxesha inokubusongela ubomi. I-FDA ibeke isilumkiso sebhokisi emnyama kwileyibhile yeLamictal ukulumkisa abantu ngalo mngcipheko.

Qiniseka ukuba uyazi imiqondiso yokuqunjelwa okukhulu okubangelwa nguLamictal ukuze ufumane unyango ngokukhawuleza ukuba kuyenzeka.

Zithini iimpawu zokukhawuleza okuvela eLamictal?

Kubalulekile ukuqaphela umahluko phakathi kokukhawuleza kunye nokufuna unyango olungxamisekileyo. Iimpawu zokukhawuleza okuncinci okubangelwa nguLamictal zi:

• urhwebo
• ukurhawuzelela
• ukudumba

Ngelixa ukungxamiseka kwezi mpawu kusenokwenzeka ukuba akunabungozi, xelela ugqirha wakho ukuze bakwazi ukujonga naziphi na ezinye iziphumo ebezingalindelekanga.

Umngcipheko wokufumana i-rash enkulu eLamictal usezantsi. Ngokwe-Epilepsy Foundation, ulingo lweklinikhi lubonise ukuba umngcipheko yiipesenti ezi-0.3 kuphela kubantu abadala kunye nepesenti enye kubantwana abangaphantsi kweminyaka eli-16 ubudala. Kusabalulekile ukuzazi iimpawu kuba irhashalala elinzima elivela eLamictal linokubulala.

Ezi zimpawu ezinzima zinokubandakanya:

• ifiva
• intlungu edibeneyo
• iintlungu zemisipha
• ukungakhululeki ngokubanzi
• ukudumba kwamalungu nkovu entanyeni
• ubalo oluphezulu lweeosinophil (uhlobo lweseli yomzimba yokuzikhusela) egazini

Kwiimeko ezinqabileyo kakhulu, unokuhlakulela i-Stevens-Johnson syndrome okanye i-necrolysis enetyhefu ngelixa uthatha uLamictal. Iimpawu zale miqathango zezi:

• uyaxobuka
• amadyungudyungu
• ispsis
• ukusilela kwamalungu amaninzi

Ukuba uhlakulela naluphi na uhlobo lokukhawuleza ngelixa uthatha uLamictal, qhagamshelana nogqirha wakho ngokukhawuleza. Ukuba unempawu zokukhawuleza okukhulu, fumana unyango olungxamisekileyo ngokukhawuleza.

Yintoni ebangela irhashalala kuLamictal?

Ukukhawuleza kweLamictal kubangelwa kukusabela gwenxa kweziyobisi kwiLamictal. Impendulo ye-hypersensitivity iyenzeka xa amajoni akho omzimba egqitha kwikhompawundi okanye kwichiza. Ezi mpendulo zinokubonisa kungekudala emva kokuthatha iyeza okanye iiyure ezininzi okanye iintsuku kamva.

Zininzi izinto ezinokunyusa umngcipheko wokuphuhlisa ukungxama ngelixa uthatha uLamictal:

• Ubudala: Abantwana banamathuba okuphendula kuLamictal.
• Co-amayeza: Abantu abathatha i-valproate, iyeza elisetyenziselwa ukunyanga isifo sokuwa, isifo se-bipolar, kunye nentloko ebuhlungu ye-migraine, nakweyiphi na indlela kunye neLamictal kunokwenzeka ukuba baphendule.
• Ukuqala kwedosi: Abantu abaqala iLamictal ngedosi ephezulu kunokwenzeka ukuba baphendule.
• Ukunyuka kwedosi ngokukhawuleza: Impendulo inokwenzeka ukuba ikhule xa ukonyusa ngokukhawuleza idosi yakho yeLamictal.
• Ukuphendula kwangaphambili: Ukuba uye wasabela ngokuqatha kwelinye ichiza lokulwa nesathuthwane, kunokwenzeka ukuba ube nempendulo kuLamictal.
• Izinto zofuzo: Iimpawu ezichongiweyo ezithile zomzimba ezinokuphakamisa umngcipheko wakho wokuphendula kuLamictal.

Uphethwe njani umgqakhwe ovela kuLamictal?

Ngaphandle kokuba uqinisekile ukuba ukukhawuleza akuhambelani nayo, kufuneka uyeke ukuthatha uLamictal ngokukhawuleza kwaye uqhagamshelane nodokotela wakho. Akukho ndlela yokuxelela ukuba irhashalala elithozamisayo liya kujika libe yinto enzulu ngakumbi. Ngokuxhomekeke ekuphenduleni kwakho, ugqirha wakho unokunciphisa umthamo wakho okanye akususe ngokupheleleyo kunyango.

Ugqirha wakho unokukunika i-corticosteroids yomlomo okanye ii-antihistamines ukunceda ukulawula ukuphendula kunye nokwenza uvavanyo ukuze ubone ukuba kukho nawaphi na amalungu akho achaphazelekayo.

Ndingakuthintela njani ukukhawuleza kuLamictal?

Kubaluleke kakhulu ukuba uxelele ugqirha wakho malunga nawaphi na amanye amayeza owathathayo ngaphambi kokuba uqale ukuthatha iLamictal. Ukuba uthatha i-valproate, kuyakufuneka uqalwe kwidosi esezantsi yeLamictal. Ukuba ukhe waziphendulela kwamanye amayeza alwa nesathuthwane, qiniseka ukuba uxelele ugqirha wakho.

Kuba ukonyusa ngokukhawuleza idosi yakho ngumngcipheko wokuba uphendule kuLamictal, kuya kufuneka ulandele idosi emiselwe ngugqirha wakho ngononophelo olukhulu. Ungaqali ukuthatha idosi ephezulu yeLamictal ngaphandle kokuthetha nogqirha wakho kuqala. Xa uqala ukuthatha uLamictal, qiniseka ukuba uyaqonda ukuba ungakanani kwaye uthathe nini.

Imbonakalo

Ngelixa uninzi lweerhashithi ezenzeka ngelixa uthatha uLamictal zingenabungozi, kubalulekile ukuba ujonge iimpawu zakho ukuze uqiniseke ukuba aziyongozi. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na imeko yomngcipheko wokuphendula kuLamictal.

Ukuphendula ngamandla kuLamictal kunokuba yingozi, ngoko kubalulekile ukuba ufumane unyango ngokukhawuleza xa uqala ukuba neempawu.