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Levetiracetam

I-Levetiracetam, isidakamizwa esinamandla se-anticonvulsant, senze umthelela omkhulu ekwelashweni kwesithuthwane. Lo muthi, otholakala njengamaphilisi e-levetiracetam, usuphenduke inketho kubantu abaningi ababhekene nenkinga yokuquleka. I-Levetiracetam yaziwa ngokusebenza kwayo ekulawuleni izinhlobo ezahlukene ze ukuhlukunyezwa, okwenza kube ithuluzi elibalulekile ekulweni isithuthwane.

Ake sihlole ukuthi i-levetiracetam isebenza kanjani nokuthi yini ongayilindela uma uyithatha. Kulesi sihloko, sizodiliza ukusetshenziswa kwe-levetiracetam, okuhlanganisa amaphilisi e-levetiracetam 500 mg. Sizophinde sibheke indlela yokusebenzisa amaphilisi e-levetiracetam, imiphumela emibi engenzeka, kanye nezinyathelo zokuphepha ezidingekayo okufanele uzikhumbule. 

Iyini iLevetiracetam?

I-Levetiracetam imithi ethandwayo ye-anticonvulsant esetshenziselwa ukwelapha isithuthwane. Kungokwesigaba sezidakamizwa ezaziwa ngokuthi ama-anticonvulsants futhi isebenza ngokunciphisa ukujabula okungavamile ebuchosheni. I-Levetiracetam itholakala njenge-suspension yomlomo kanye namaphilisi.

Ungasebenzisa i-levetiracetam yedwa noma neminye imithi ukulawula izinhlobo ezahlukene zokuquleka. I-Levetiracetam inendlela eyingqayizivele yokusebenza uma iqhathaniswa nezinye izidakamizwa ezilwa nesifo sokuwa. Ibophezela kuphrotheni ethile ebuchosheni, okuyisihluthulelo ekusebenzeni kwayo ekwehliseni ukuquleka.

Ukusetshenziswa kwethebhulethi yeLevetiracetam

I-Tab levetiracetam isetshenziselwa ukwelapha izinhlobo ezahlukene zokuquleka, njenge: 

  • Uyedwa noma neminye imithi yokulawula ukuquleka okuyingxenye yabantu abayinyanga eyodwa nangaphezulu.
  • Kuleyo minyaka engu-12 nangaphezulu ene-juvenile myoclonic epilepsy, i-levetiracetam iyasiza njengokwelashwa okungeziwe kwe-myoclonic seizures. 
  • Isebenza kahle futhi ekuhlanganisweni neminye imithi ye-primary generalized generalized tonic-clonic seizures ezigulini ezineminyaka eyisithupha nangaphezulu ezine-idiopathic generalized sepilepsy.

Amaphilisi eLevetiracetam kwesinye isikhathi asetshenziswa ngaphandle kwelebula kwezinye izinjongo, njengalezi: 

  • Ukuvimbela ukuthunjwa ezimweni ze-subarachnoid ukulimaza, ukulimala kobuchopho okubuhlungu, futhi ngemva kokuqinisekile izinhlobo zokuhlinzwa kobuchopho 
  • Abanye odokotela baphinde banikeze i-levetiracetam yokuphathwa kokuthunjwa kuzilungiselelo zokunakekelwa kwe-palliative.

Indlela Yokusebenzisa I-Levetiracetam Ithebhulethi

  • Abantu kufanele baphuze amaphilisi e-levetiracetam njengoba nje kunqunywe udokotela wabo. Umthamo ojwayelekile uphindwe kabili ngosuku, kanye ekuseni nakanye ebusuku, ngokudla noma ngaphandle kokudla. 
  • Kubalulekile ukuphuza imithi cishe ngesikhathi esifanayo usuku ngalunye ukuze ugcine amazinga angashintshi emzimbeni wakho.
  • Uma usebenzisa amaphilisi e-levetiracetam, wagwinye wonke ngokuphuza amanzi. Ungawahlukanisi, uwahlafune, noma uwachoboze amaphilisi. 
  • Uma uthatha ithebhulethi ukuthi imiswe okwesikhashana, yibeke olimini lwakho bese uyiyeka incibilike ngaphambi kokuyigwinya. Ungakwazi futhi ukukuncibilikisa ngenani elincane loketshezi uma uthanda.
  • Udokotela wakho angase akuqale ngedosi ephansi futhi kancane kancane andise ngokuhamba kwesikhathi. Ungashintshi umthamo wakho ngaphandle kokubonisana nodokotela wakho kuqala. 
  • Qhubeka uthatha amaphilisi e-levetiracetam ngisho noma uzizwa uphilile, njengoba ukuyeka ngokuzumayo kungase kubhebhethekise ukuquleka. Uma udinga ukuyeka, udokotela wakho cishe uzokwehlisa umthamo wakho kancane kancane.
  • Uma uthatha i-levetiracetam yokumiswa ngomlomo, yilinganise kahle ngenkomishi yokumaka noma idropha yomuthi.

Imiphumela Emibi ye-Levetiracetam Tablets

Njengayo yonke imithi, i-levetiracetam ingabangela imiphumela emibi, nakuba kungeyena wonke umuntu ohlangabezana nayo. Imiphumela emibi evamile yethebhu ye-levetiracetam ihlanganisa: 

  • Ukozela, ukozela, noma isiyezi 
  • Ukuphathwa yikhanda
  • I-nausea nokuhlanza
  • Ukuphelelwa amanzi emzimbeni
  • Abanye abantu bangase bazizwe becasukile noma becasukile
  • Umphimbo olumayo nokuhoshoza
  • Izinguquko embonweni
  • Ukushaya kwenhliziyo okungavamile
  • Ikhala eligcwele noma eligijimayo

Ezimweni ezingavamile, kungase kube nemiphumela emibi kakhulu, njenge: 

  • Ukuquleka okubi kakhulu
  • Izinkinga zezinso
  • Izinguquko zengqondo

Ukuqapha

Lapho uthatha i-levetiracetam, udinga ukuqaphela izinyathelo ezimbalwa ezibalulekile, njenge:

  • Umlando Wesistimu: Tshela udokotela wakho mayelana nanoma yikuphi ukungezwani komzimba nezinto ezithile kanye nomlando wemithi eqhubekayo. Tshela udokotela wakho mayelana nokuthi unanoma yisiphi isifo sesistimu, ikakhulukazi isifo sezinso noma izinkinga zempilo yengqondo. 
  • Isexwayiso Sokozela: I-Levetiracetam ingakwenza uzizwe uwozela noma unesiyezi, ngakho gwema ukushayela imoto noma ukusebenzisa imishini uze wazi ukuthi ikuthinta kanjani. 
  • Ukukhulelwa Nokuncelisa: Kuyisibopho ukwazisa udokotela wakho uma ukhulelwe noma ibele, njengoba umuthi ungadlulela kuwo ubisi lwebele
  • Ukuqapha: Ukuhlolwa okuvamile kubalulekile ukuze kuqashwe ukuqhubeka kwakho futhi kulungiswe umthamo uma kudingeka, ikakhulukazi ezinyangeni ezimbalwa zokuqala zokwelashwa. 
  • Ukuqapha Kwemithi: Ungayeki ukuthatha i-levetiracetam ngokuzumayo ngaphandle kokubonisana nodokotela wakho, njengoba lokhu kungabangela ukuthunjwa kubuye noma kubi nakakhulu. Qaphela noma yiziphi izinguquko zesimo sengqondo noma ukuziphatha, futhi ubike lokhu kudokotela wakho ngokushesha.

Isebenza kanjani Ithebhulethi yeLevetiracetam

Amaphilisi e-Levetiracetam asebenza ngendlela eyingqayizivele uma kuqhathaniswa nezinye izidakamizwa ezilwa nesifo sokuwa. Isenzo esiyinhloko se-levetiracetam siwukubophezela kwayo kuphrotheni-synaptic vesicle protein 2A (SV2A) ebuchosheni. Le phrotheni idlala indima ekukhipheni ama-neurotransmitters, okungamakhemikhali ahlose ukusiza amangqamuzana ezinzwa ukuthi axhumane.

Uma uthatha i-levetiracetam, inamathisela ku-SV2A futhi ishintshe indlela esebenza ngayo. Lolu shintsho lubonakala lwenzeka kuphela uma kunomsebenzi wobuchopho ongavamile, njengalapho ubanjwa. Ayithinti ukusebenza kobuchopho okuvamile. I-Levetiracetam nayo inomthelela eziteshini ze-calcium kumaseli ezinzwa, angasiza ekulawuleni ukuquleka.

Indlela ngqo i-levetiracetam eyeka ngayo ukuquleka ayiqondwa ngokugcwele. Kodwa kucatshangwa ukuthi kuvimbela ukudubula ngokweqile kwamangqamuzana ezinzwa okuholela ekubanjweni ngaphandle kokuphazamisa ukusebenza kobuchopho okuvamile.

Ngingakwazi ukuthatha i-levetiracetam neminye imithi?

I-Levetiracetam ingaxhumana neminye imithi, njenge: 

  • I-Acetazolamide
  • I-Acetophenazine
  • Ama-antidepressants afana ne-amitriptyline
  • Izidakamizwa ezilwa nesithuthwane
  • Ama-Antihistamine
  • Utshwala
  • insangu
  • I-Carbamazepine
  • Edoxaban
  • I-Methotrexate
  • I-Orlistat

Ulwazi Lomthamo

Umthamo wamaphilisi e-levetiracetam uyahlukahluka futhi uncike ohlotsheni lokuquleka kanye neminyaka yesiguli. 

Kubantu abadala kanye nezingane ezineminyaka engu-16 nangaphezulu ngokuquleka okuncane, umthamo wokuqala ojwayelekile ngu-500 mg kabili ngosuku. Udokotela wakho angakwandisa lokhu ngo-500 mg njalo emavikini amabili, kuze kufike ku-3000 mg nsuku zonke. 

Umthamo ususelwa esisindweni somzimba wezingane ezineminyaka emi-4 kuye kweyi-15, kusukela ku-10 mg ngekhilogremu kabili ngosuku. Umthamo ungalungiswa ufike ku-60 mg ngekhilogremu ngayinye ngosuku. Umthamo uphansi ezinganeni ezincane futhi kufanele unqunywe udokotela. 

Kudingeka ukuthatha i-levetiracetam ngokuqondile njengoba kunqunyiwe futhi ungashintshi umthamo wakho ngaphandle kokubonisana nodokotela wakho kuqala.

Isiphetho

Amaphilisi e-Levetiracetam afakazele ukuthi ashintsha umdlalo ekulawuleni izinhlobo ezahlukene zokuquleka. Asebenza ngendlela ehlukile, eqondise amaprotheni athile obuchopho ukuze anciphise ukusebenza kobuchopho okungavamile ngaphandle kokudlelana nemisebenzi evamile. Lo muthi ukhombise ukubaluleka kwawo ekwelapheni iminyaka ehlukene, kusukela ezinganeni ezincane kuya kubantu abadala, okuwenza ube yithuluzi elisebenza ngezindlela eziningi ekulweni nesifo sokuwa.

Nakuba i-levetiracetam ingaba usizo, kuyadingeka ukuyisebenzisa njengoba nje nodokotela wakho esho. Khumbula ukuthi kungase kubangele imiphumela engemihle, futhi kuwumqondo omuhle njalo ukuxoxa nodokotela wakho nganoma yikuphi okukukhathazayo. Khumbula, ukuphatha isithuthwane kuwumzamo weqembu phakathi kwakho nodokotela wakho, futhi i-levetiracetam ingaba ngumdlali obalulekile ekusizeni uphile impilo egcwele ngokuquleka okumbalwa.

Imibuzo Evame Ukubuzwa

1. Ingabe ukusetshenziswa kwe-levetiracetam kungabangela ukozela?

Yebo, i-levetiracetam ingabangela ukozela. Kungomunye wemiphumela emibi evame kakhulu, kanye nomuzwa wozela noma isiyezi. Le miphumela ivamise ukuphela njengoba umzimba wakho ujwayela umuthi. Uma uzizwa ulele kakhulu, khuluma nodokotela wakho mayelana nokushintsha umthamo wakho.

2. Ingabe i-levetiracetam iyingozi ezinso?

Ngokuvamile, i-levetiracetam ayibhekwa njengeyingozi ezinso. Nokho, ikhishwa ngezinso, ngakho uma unenkinga yezinso, udokotela wakho angase adinge ukulungisa umthamo wakho. Ezimweni ezingavamile, imithamo ephezulu ye-levetiracetam ingase ibangele izinkinga zezinso. Ukuhlolwa njalo kungasiza ukuqapha ukusebenza kwezinso zakho.

3. Ingabe ukusetshenziswa kwe-levetiracetam kuzoba nomthelela ekuvundeni kwami?

Ezinye izifundo ziphakamisa ukuthi i-levetiracetam ingase ithinte imingcele yesidoda emadodeni, engase ibe nomthelela ukuzala. Kodwa-ke, akubonakali kushintsha amazinga e-hormone ocansi. Uma ukhathazekile ngokuzala, xoxa ngalokhu nodokotela wakho. Bangakusiza ukale izinzuzo zokulawula ukubanjwa ngokumelene nezingozi ezingaba khona.

4. Yini okufanele ngiyenze uma ngiphuthelwe umthamo we-levetiracetam?

Uma uphuthelwa umthamo, yithathe ngokushesha nje lapho ukhumbula khona ngaphandle uma kuseduze nomthamo wakho olandelayo ohleliwe. Thatha umthamo ogejiwe wedosi kanye ngosuku uma kungaphezu kwamahora ayi-12 ngaphambi komthamo wakho olandelayo. Ukuze uthole umthamo kabili ngosuku, thatha uma kungaphezu kwamahora angu-8 ngaphambi komthamo wakho olandelayo. 

5. I-levetiracetam ithatha isikhathi esingakanani ukukhombisa umphumela wayo?

I-Levetiracetam ivamise ukuqala ukusebenza ngokushesha, kodwa kungathatha amasonto ambalwa ukubona umphumela ogcwele. Ukwelashwa kuqala ngomthamo ophansi, bese udokotela kancane kancane ekhulisa umthamo ukuze athole ibhalansi efanele phakathi kokulawula ukubanjwa kanye nemiphumela emibi.

6. Ngidinga isikhathi esingakanani ukuthatha i-levetiracetam?

Uma uthatha i-levetiracetam yesithuthwane, cishe uzodinga ukuqhubeka nokuyithatha iminyaka eminingi, ngisho nangemva kokuba ukuquleka kwakho sekulawulwa. Ungalokothi uyeke ukuthatha i-levetiracetam ngokuzumayo ngaphandle kokubonisana nodokotela wakho, njengoba lokhu kungabangela ukuquleka. Uma udinga ukuyeka, udokotela wakho uzokuqondisa ekunciphiseni kancane kancane ezinyangeni ezimbalwa.