Anticonvulsants "Topamax": Cov lus qhia rau kev siv

Kev npaj "Topamax" qhia hais txog ib tug pab pawg neeg ntawm anticonvulsant tshuaj, uas txiav txim yog raws kev coj kom thaiv cov hlab receptors sodium, tshem tawm chua thiab tshem tawm ntawm cov hlab excitation. Lub hauv paus ntawm cov tshuaj no yog nce ua si ntawm γ-aminobutyric acid thiab carbonic anhydrase inhibition ua si ntawm lub isoenzymes. Tsis tas li ntawd, ib tug neeg sawv cev antiepileptic "Topamax" (neeg siv taug kev nyob rau hauv lub teeb, nws yuav qhia) tso cai rau tes taws los piav ntawm cov GABAA receptor rhiab heev hom. Nyob rau hauv qhov kev siv ntawm cov tshuaj no rau tus neeg mob yog ntaus cim anti-inflammatory, analgesic thiab antispasmodic nyhuv.

Qhov tshuaj "Topamax" (neeg siv hais txog qhov no kuj qhia) nyob rau hauv daim ntawv ntawm gelatin tsiav tshuaj, uas muaj raws li lub ntsiab tivthaiv nyob rau hauv tus nqi ntawm cov topiramate nees nkaum-tsib los yog tsib caug milligrams. Koom haum pab khoom xyaw yog cellulose acetate, lub qab zib thiab povidone granules. Muaj pes tsawg leeg ntawm lub tshuaj ntsiav plhaub muaj xws li cov ntaub ntawv xws li sodium lauryl sulfate, gelatin, sorbitan monolaureat, dej, titanium dioxide thiab number case.

Muab anticonvulsant "Topamax" phau ntawv qhia tswv yim feem ntau rau cov kev kho mob ntawm cov neeg mob nrog ib tug mob ntawm "qaug dab peg" los yog "lub npe ntawm Lennox-Gastaut syndrome." Nyob rau hauv tas li ntawd, tus kws kho mob koom muab qhov no tshuaj rau cov neeg uas raug kev txom nyem los ntawm yastes yastaw, tonic-clonic, ib nrab los yog myoclonic qaug dab peg. Nyob rau hauv tas li ntawd, nws yog ib qho antiepileptic tshuaj copes nrog qhaj ntawv thiab tau nyob rau hauv ib tug luv luv lub sij hawm los mus tshem tawm cov nqaij chua.

Noj tsiav tshuaj "Topamax" qhia yog nruj me ntsis tsis pub cov neeg uas muaj hypersensitivity rau topiramate los yog ib tug tsis haum cov tshuaj tiv thaiv rau lwm yam khoom xyaw muaj nyob rau hauv lub muaj pes tsawg leeg. Tsis tas li ntawd tsis pom zoo yog ib qho anticonvulsant rau cov poj niam los ua tim ib tug me nyuam. Daim ntawv teev cov contraindications muaj xws li mob heev thiab lactation lub sij hawm, thiab lub hnub nyoog ntawm ob lub xyoos. Nrog huab ceev faj yuav tsum tau noj cov tshuaj neeg nefrourolitiazom, hepatic los yog lub raum insufficiency.

Refrain los ntawm tau txais cov antiepileptic tshuaj yuav tsum cov neeg mob uas hypercalciuria.

Nrog hais txog ua tau phiv tshua provoked los ntawm kev siv cov tshuaj "Topamax", ntawm no nyob rau hauv thawj qhov chaw, xws xeev yuav tsum muab sau ua ke li kiv taub hau, impaired xim, paraesthesia, nkees, qaug zog, irritability thiab nkees nkees. Nyob rau hauv tas li ntawd, tej zaum nws yuav tshwm sim tsis qab los noj mov, nkees, peev xwm puas, gipoesteziya, dysarthria, co, tsis meej pem, thiab lub siab lub ntsws lability. Tsis xis nyob rau hauv lub plab, gastritis, qhov ncauj qhuav, los ntshav cov pos hniav, glossodiniya thiab cem quav kuj tshwm sim nyob rau hauv cov neeg noj tsiav tshuaj "Topamax". cov tshuaj yuav los ua ib tug ua ntawm nqaij tu-sauv, myalgia los yog arthralgia txoj kev loj hlob, ua npaws thiab ua pa nyuaj.