Topamax yekudzikira uremu: Ona chengetedzo uye kushanda info

Zvinodhaka Info

Topamax ndiro zita remushonga wemageneral unonzi topiramate . Iine hunyanzvi hwakarongedzwa seanticonvulsant iyo inoshandiswa kurapa mamiriro senge pfari, asi inoshandiswawo mukutungamira kwemamwe mamiriro akadai migraine uye bipolar kusagadzikana. Topamax yakanaka pakurapa mamiriro akaita seizvi, asi vanhu vazhinji vanoitora vanozoona kuora kurasikirwa senge huru divi mhedzisiro. Ngatitorei zvakadzama kutarisa pamusoro pekuti Topamax yakachengeteka uye inoshanda sei uye inoenderana sei nekudzikira uremu.

Topamax kurasikirwa uremu

Topamax inogamuchirwa neKudya neDrug Administration (FDA) yekurapa pfari uye kudzivirira migraine , asi mushonga wekunyorerwa unonyatso kuzivikanwa nekukonzera kuonda. Kunyangwe hazvo kuonda kungave iko kubatsirwa kwakanaka kwekutora Topamax, iyo FDA haina kuibvumidza iyo yekuremerwa uremu chete.

Topamax inokonzera kuonda nekuti inobata chishuwo. Vanhu vanozvitora uye vane yakadzikira chishuwo vanogona kunzwa nzara kushoma uye kudya zvishoma nekuda kweizvi. Zvidzidzo vakaratidza kuti Topamax inogona zvakare kumhanyisa metabolism, zvinoreva kuti muviri unopisa macalorie nekukurumidza.

Kliniki miedzo yakaratidza izvo nezve 6% -17% yevanhu vanotora Topamax vanozoona kuonda, uye nepo vanhu vazhinji vanogona kuona ichi sebhenefiti yakawedzerwa, kurasikirwa uremu hwakawandisa hachisi chinhu chakanaka. Vanhu vazhinji vanozoona kuonda zvine mwero kubva kuTopamax, anodaro Kuldeep Singh, MD, chiremba wekudzikisa uremu munzvimbo yeBaltimore uye director weMaryland Bariatric Center paMercy Medical Center. Kuderedza uremu nekukurumidza kunogona kuve husina hutano-inogona kunge iri nguva yekuona chiremba kana iwe uri kutora Topamax uye izvi zvinoitika kwauri. Kuchengeta huremu hune hutano kwakakosha, uye nzira yakanakisa yekuziva kuti ndezvipi zvinorema zvakakunakira iwe kubvunza mupi wako wezvehutano. Kudonha pazasi pehuremu hwako hwemuviri nekuda kweTopamax chingave chimwe chiratidzo chekuti inguva yekutaura nemupi wako.

Zvakachengeteka here kutora Topamax yekudzikira uremu?

Dzimwe nguva Topamax inogona kupihwa off-label kubatsira mumwe munhu kurasikirwa uremu. Off-label kunyorera kunoitika kana chiremba achinyora mumwe munhu mushonga wemushonga unobvumidzwa neDFA kurapa mamiriro akasiyana neane murwere wavo. Izvi zviri pamutemo uye zvinoitika kazhinji muindasitiri yezvokurapa, ine fungidziro 1 mu5 zvinyorwa zviri kunyorwa zvisiri-chitaridzi.

Chiremba anogona kusarudza kunyorera mumwe munhu mushonga weTopamax kuti ubatsire nehuremu hwavo kana kurapa kusagadzikana kwekudya senge kubheja uye kuchenesa kunotungamira mukurema. Sekureva kwaDr.Singh, mumwe munhu anofanirwa kuve nemuviri mass index (BMI) iri makumi matatu kana kupfuura kuitira kuti anyore chero huremu hwekurasikirwa nemishonga, kusanganisira Topamax.

Zvidzidzo zvakaratidza kuti vanhu vanotora Topamax yekuderedza uremu vanorasikirwa nezve 11 mapaundi tichienzanisa nemapoka e placebo kana vakatora mushonga kweinenge mwedzi mina, uye kuti huremu hwekurasikirwa neTopamax inowedzera neese maviri nguva yekurapa uye kuyerwa. Zvidzidzo zvakare zvakaratidza kuti topiramate kurapwa kunogona kuwedzera mukana wehuwandu hwehuwandu hwekuremerwa uremu neanopfuura katanhatu .

Kunyangwe hazvo Topamax inogona kushanda zvakanyanya pakurasikirwa nehuremu, haina kuchengetedzeka kune wese munhu. Aya mapoka anotevera evanhu anofanira kutaura nachiremba wavo vasati vatora Topamax nekuti vanogona kuva nenjodzi yakawedzera yekusangana nezviitiko zvakakomba zvakashata kana vakazvitora:

• Vanhu vane chirwere cheitsvo
• Vanhu vane chirwere chemapapu kana matambudziko ekufema
• Vanhu vane chirwere chechiropa
• Vanhu vane matambudziko eziso senge glaucoma
• Vanhu vane kushushikana
• Vanhu vane pfungwa dzekuzviuraya kana maitiro
• Vanhu vane osteoporosis
• Vanhu vane metabolic ketoacidosis

Zvinogona kuve zvakachengeteka kune vakadzi vane nhumbu kutora Topamax kana mabhenefiti ekutora mishonga akakunda njodzi dzayo. Hazvigoneki kuti Topamax yaizove kana inofanirwa kunyorerwa mukuzvitakura kuitira chinangwa chekureruka. Topamax inogona kukonzera kukuvara kwechibereko uye kutadza kubereka kwemukanwa kana ikatorwa nemadzimai akazvitakura, ndosaka yakatemwa nehungwaru uye chete kana zvichidikanwa pakurapwa. Inobudiswazve mumukaka wevanhu, asi hazvizivikanwe kuti ingakanganisa here kuyamwisa vacheche. Topamax inogona kuita kuti mapiritsi ekudzivirira kubereka asanyanya kushanda, saka zvakakosha kuti utaure nachiremba wako nezve kushandisa isiri-mahormone nzira dzekudzivirira kuberekwa kana iwe usingade kuve nepamuviri uchitora Topamax.

Vanhu vasina nhumbu uye vasina chero ehutano mamiriro ataurwa pamusoro apa vanogona kutora zvakachengeteka Topamax, asi vanogona vachiri kusangana nemhedzisiro kubva kuitora. Heano mamwe eakajairika mhedzisiro mhedzisiro yeTopamax parutivi kubva kuonda.

• Dzungu
• Kuneta
• Unhu
• Manyoka
• Kupererwa nechido
• Kurasikirwa kwekubatana
• Paresthesia (kupisa sensations)

Kunyangwe zvisingawanzoitika, Topamax inogona kukonzeresa zvakakomba mhedzisiro inogona kuda kurapwa sekuvhiringidzika, matambudziko ekurangarira, kunetseka kuisa pfungwa, uye kunetseka kutaura. Vamwe vanhu vanozoonawo hutano hwepfungwa mhedzisiro senge kushushikana, kuvhunduka, kushanduka kwemanzwiro, uye pfungwa dzekuzviuraya kana maitiro. Kana uine chimwe chezviratidzo izvi unofanirwa kutsvaga mazano ekurapa nekukurumidza sezvazvinogona.

Iyo imwe isingawanzo mhedzisiro mhedzisiro yeTopamax matambudziko eziso ayo anogona kutungamira kuchiono shanduko uye hupofu, ndosaka zvichikosha kwazvo kufonera chiremba wako kana chiono chako chikatanga kuchinja. Iyi rondedzero yemhedzisiro haina kukwana; kana iwe uchida rondedzero yakakwana yeTopamax mhedzisiro bvunza chiremba wako kana wemishonga gwara remushonga.

Kana Topamax iri kukonzera yakawandisa mhedzisiro, ziva kuti une zvimwe sarudzo. Chinhu chinoshanda muTopamax, topiramate, zvakare ndicho chinhu chikuru mukurasikirwa nemushonga Qsymia , inova mubatanidzwa une phentermine. Sekureva kwaDr.Singh, Qsymia ndeimwe yemishonga yakanakisa yekushandisa yakareba-musanganiswa pamwe nedhayeti uye mararamiro ehupenyu kushanduka kwekudzikira, kunyanya kune vakafuta zvakanyanya vane kirasi 1 kana kirasi 2 kufutisa. Saka kana usiri kukwanisa kutora Topamax nekuda kwedambudziko rehutano kana kuti uri kusangana nemhedzisiro yakawandisa, unogona kuedza kubvunza nyanzvi yako yehutano nezve Qsymia kana dzimwe nzira dzekudzikisa huremu.

Maitiro ekutora Topamax kuderedza uremu

Topamax inogona kutorwa kukurudzira kuonda uye kubatsira kudzora binging uye kuchenesa, asi zvakakosha kuyeuka kuti haisi kutsiva kuenda kwachiremba nekugadzira chirongwa chakatenderedza uremu. Kana iwe uchifarira kutora Topamax zviri nani kuronga musangano nachiremba wako kuti uone kana zvakakunakira iwe. Chiremba wako achaita bvunzo yakakwana yemuviri uye obvunza nezve nhoroondo yako yekurapa. Kana iwe nachiremba wako mukasarudza kuti Topamax inogona kubatsira zvakachengeteka kuti uremerwe huremu, ipapo unogona kugamuchira mushonga wayo.

Kana iwe ukatambira mushonga kubva kuna chiremba wako, zvakakosha kuti uzive kuti ungatora sei Topamax kuti uwane mhinduro dzakanakisa. Iyo yekutanga dhizaini yeTopamax yekuderedza uremu idosi yakaderera ye 25 mg pazuva, asi iri dosi simba rinogona kuwedzerwa pane kesi-ne-kesi hwaro zvichibva pane nhoroondo yemunhu wega yekurapa uye huremu hwakawanda hwavanofanira kurasikirwa nahwo.

Mune chidzidzo chakaitwa ne Zvinyorwa zveKiriniki Psychiatry , bipolar uye schizophrenic varwere vakapihwa avhareji muyero we195 mg yetopiramate pazuva rakarasika ingangoita mapaundi makumi maviri nemaviri nekufamba kwenguva. Izvi zvinoratidza kuti huwandu hweTopamax dosages hunogona kusiyana kubva pasi kusvika kumusoro, uye kuti vanachiremba vanogona kuwedzera kana kudzikisa huwandu hweTopamax mumwe munhu anotora zvichibva pane zvawo mhedzisiro nekufamba kwenguva.

Zvinogona kutora nguva kuti uone mibairo yekurasikirwa nekutora Topamax. Vamwe vanhu vanogona kusacherekedza musiyano kudzamara vatora mushonga kweinenge mwedzi mina , nepo vamwe vanhu vangatanga kurasikirwa nehuremu mumwedzi wavo wekutanga wekuutora. Kurema kwehuremu mhedzisiro kubva topiramate ndeye proven kuwedzera nekufamba kwenguva.

Topamax inogona kutorwa pamwe kana pasina chikafu uye inowanzo kutorwa panguva imwe chete zuva rega rega. Iyo haifanire kutorwa panguva imwechete seimwe mimwe mishonga nekuda kwekugona kwekudyidzana kwezvinodhaka. Heino runyorwa rwemishonga Topamax haifanire kutorwa ne:

• Antiepileptic zvinodhaka
• Carbonic anhydrase inhibitors
• CNS kuora mwoyo
• Mishonga yekudzivirira
• Hydrochlorothiazide (HCTZ)
• Pioglitazone
• Lithium
• Amitriptyline

Pamusoro pemishonga iyi, Topamax haifanire kutorwa nedoro nekuti izvi zvinogona kukonzera kurara, kuwedzera mukana wekuwana itsvo matombo, uye kukonzera metabolic acidosis . Metabolic acidosis mamiriro ezvinhu apo iacid yakawanda inovakwa mumuviri wemvura, uye inogona kutyisidzira hupenyu kana ikasarapwa. Kana iwe ukatanga kuona kufema nekukurumidza, kuvhiringidzika, kuneta zvakanyanya, uye kuwanda kwemoyo paunenge uchitora Topamax, unofanirwa kutsvaga kurapwa nekukurumidza nekuti izvi zviratidzo zvekuti unogona kunge uine metabolic acidosis.

Kurera huremu mushure meTopamax

Kana mumwe munhu akamira kutora Topamax, zvinokwanisika kuti vanogona kuve nekuwedzera uremu nekufamba kwenguva, kunyanya kana vasina kunge vachibatanidza Topamax nehupenyu hwakanaka shanduko. Mune chidzidzo chekucherechedza chakaitwa ne National Raibhurari yeMishonga , kurega kweTopamax kwemwedzi mitanhatu kwakaratidza maitiro ekudzokera kune yekutanga uremu. Saka vanhu vanogona kuva nemikana yekudzoka pane zvavairema vasati vatanga kutora Topamax, asi izvi zvinogona kutora nguva.

Uku kudzoka kune huremu hwepakutanga kunogona kuitika nekuti muviri hausisiri kuona kuderedzwa kwekuda kudya uye nekukurumidza metabolism. Nzira yakanakisa yekuve nechokwadi chekuti iwe unokwanisa kudzikisira huremu mushure mekumisa Topamax kutora mararamiro ane hutano anozokutsigira parwendo rwako rwekurema.

5 dzakachengeteka nzira dzekudzikisa huremu

Topamax inogona kubatsira parwendo rwako rwekudzikira uremu kana chiremba wako akazvibvuma, asi haisiyo chete nzira yekudzikisa huremu. Maitiro ehupenyu anokwanisa kukubatsira kuti uremerwe uremu uye uzvichengetedze kure kuitira kuti ugone kunakirwa nezvakanaka zvekudzora uremu pasina kutora Topamax, uchiri kuitora, kana mushure mekutora. Hedzino dzimwe dzenzira dzakachengeteka dzekudzora huremu.

1. Kuvandudza tsika dzako pakudya

Kudya zvine hutano ndiyo imwe yenzira dzakachengeteka uye dzakanakisa dzekudzikisa huremu. Kuva nehanya nezve chii uye zvakadii zvauri kudya kunogona kubatsira iwe kuonda kana uchizviita nemazvo. Zano rakanakisa pane zvaunodya kuti uderedze huremu iwe unofanirwa kutaura nachiremba wako, asi kuita shanduko diki senge kudya michero nemiriwo inogona kunge iri nzira yakanaka yekutanga.

Zvigadzirwa zvakagadziriswa, akagadziridzwa makabhohaidhiretsi, shuga, uye doro zvese mienzaniso yezvikafu zvinogona kukonzera huremu. Michero mitsva, miriwo, uye mapuroteni epamusoro-soro akaita salmoni, bhinzi, nemazai iyi mienzaniso mikuru yezvikafu izvo muviri unogona kugadzirisa nekuwana zvinovaka muviri kubva.

2. Rovedza muviri nguva dzose

Maererano neCentre for Disease Control and Prevention ( CDC ), kurovedza muviri hakungobatsira chete kudzora huremu, asi kunoderedza kukwira kweropa, kunoderedza njodzi yeType 2 chirwere cheshuga, uye kunogona kana kudzikisira zviratidzo zvekushushikana uye kusagadzikana. Vanhu vanosiyana mukuwanda kwekurovedza muviri kwavanoda kuti varasikirwe nehuremu, saka ipfungwa yakanaka kutaura nachiremba wako nezve kangani kaunofanirwa kunge uchirovedza muviri. Kumwe kurovedza kukuru kwekudzikira uremu kunosanganisira kufamba, kuchovha bhasikoro, kushambira, uye kurema kudzidzisa.

3. Deredza kunetseka

Kushungurudzika kwakabatana nematambudziko mazhinji ehutano senge kushushikana uye kushushikana. Kunzwa kushushikana kunogona kutungamira mukudya kwemanzwiro, izvo zvinogona kutungamira mukuwedzera uremu nekufamba kwenguva. Kutsvaga nzira dzekudzora kushushikana kunogona kukubatsira kuonda. Unogona kuedza kufungisisa, iyo yoga, kuenda kunofamba, kana kufonera shamwari kana nhengo yemhuri. Iwe unogona zvakare kubvunza chiremba wako kana chipangamazano nzira dzakaratidzirwa dzokuderedza kushushikana kunoenderana nehupenyu hwako.

4. Wana nguva yakakwana yokurara

Zvinoenderana ne Kurara Nheyo , kushayikwa kwekurara kunogona kuwedzera chishuwo uye kunotungamira kumatambudziko emagetsi. Kuwana kurara kwakaringana kunogona kubatsira muviri wako kushanda nemazvo uye kukupa simba rakawanda rekuita zvinhu zvakaita sekurovedza muviri, izvo zvinokubatsira kuti uderedze huremu. Kuwana kurara kwakaringana kunogona zvakare kudzikisa kushushikana kwako, izvo zvinokubatsira iwe kudzora chero kurudziro iwe yaunogona kuwana yekudya zvakanyanya.

5. Kuedza kudya kwakachengeteka mapiritsi & zvinowedzera

Kune akawanda mapiritsi edhayeti uye zvinowedzerwa pamusika izvo zvinoti zvinokonzeresa kuonda, senge Hydroxycut uye glucomannan, asi havafanirwe kushanda sechinotsiva shanduko yemararamiro ane hutano. Kana vanhu vaenda kunorerutsa mishonga, vazhinji vacho vanozviita nekuti zviri nyore kuita, Dr. Singh anodaro. Kana mumwe munhu akachinja zvakanyanya mararamiro avo uye tsika dzekudya kutanga, ivo vanozoona chaiyo kuvandudzwa kwakasimba neTopamax kana imwe yekuremerwa kurasikirwa nemishonga. Pfungwa ndicho chinhu chakanyanya kukosha. Mishonga haigone kushanda seinotsiva kudya kwakakodzera uye tsika dzekudzidzira.