Heano nhau dzakanaka kana iwe uine hanya nemigumisiro yemishonga yemagamisi Lamictal (lamotrigine): Chirwere ichi pamwe hachizokanganisa uremu hwako zvakanyanya zvachose. Kana pane chimwe chinhu, iwe unowanzokwanisa kuderedza uremu nekuda kweMamictal pane kuwedzera uremu, asi nenzira imwe neimwe, kuchinja kuchave kwakanaka.
Mhedzisiro yeLamictal pamusoro wekurema yakadzidziswa zvishoma nezvishoma uye zvipatara zvakasiyana-siyana zvinowanikwa zvakakosha pakukura.
Kutaura zvazviri, vamwe vatsvakurudzi vakatotarisa pamushonga uyu semukana wekurapa kwekuneta uye sekurapa kwezvokudya zvinodhaka . Iyi nhoroondo inofanira kuva inosimudzira kuvanhu vane bipolar disorder sezvo mishonga yakawanda inoshandiswa kurapa mamiriro ezvinhu inogona kuwedzera kuwedzera.
Lamictal uye Weight Kuwana kana Kurasikirwa
Lamictal iyi inonzi anticonvulsant mishonga inogona kushandiswa kugadzirisa zvinetso zvekutengesa, zvakadai sekufa. Inoshandiswawo sechimiro chetsika mu bipolar disorder.
Mumakiriniki ekutanga anosangana nemishonga, 5 muzana yevanhu vakuru vane hosha yakarashika uremu pavanotora Lamictal, asi pakati pe1 ne5 muzana yevarwere vane bipolar I disorder vakawana kuwanda pavanenge vari pamishonga. Vatsvakurudzi havana kuratidza kuwanda kwehuwandu hwevarwere vakawana kana vakarasika.
Munguva iyi, kuongorora kwakaitwa muna 2006 kuenzanisa migumisiro pamusoro pekurema kweLamictal, lithium, uye placebo yakawana kuti vamwe varwere vaigamuchira Lamictal vakawana uremu, vamwe vakaremerwa, uye vazhinji vakaramba vaine chiyero chakafanana.
Kuchinja kunorema kazhinji kwaisaita kuti vakawanda vape mapeji. Vose vanorwara vachitora Lamictal vakarasikirwa nehuwandu hwemaundi mapaundi, asi uremu husingaregi varwere vakaramba vachifanana.
Kurema Kunowanikwa Neimwe Bipolar Mishonga
Kuwedzera kwehuwandu hwezvinodhaka zvinoshandiswa mukurapa chirwere cheBipolar chinosuruvarisa chakanaka.
Zvimwe zvinogadzirisa mafungiro zvinowanzoshandiswa mu bipolar disorder-kunyanya, lithium uye Depakote (valproate)-inotakura dambudziko guru rekuwedzera kuwanda.
Mukuwedzera, mishonga inorwisa antipsychotic Clozaril (clozapine) uye Zyprexa (olanzapine) inowanzokonzera kuwedzera kuwanda kwevanhu mukutora. Pakupedzisira, vamwe vanodzvinyirira-kunyanya, Paxil (paroxetine) uye Remeron (mirtazapine) -kubatanidzwa nehupfumi.
Saka, kana iwe uchangopfuura kuwedzeresa, iwe uye mupfungwa yako yepfungwa ungada kufunga nezvekukwanisa kuwedzera kuwedzerwa uremu mukugadzira mishonga yako yemishonga ye bipolar disorder yako. Pachikonzero ichi chete, Lamictal inogona kuva sarudzo yakanaka.
Lamictal Sekugona Kurapa Kwekuwedzera
Lamictal zvakare yakave yakadzidziswa seyakwanisika kurapwa kwekuninipisa kune vanhu vasina chirwere chekufa kana bipolar disorder.
Mune chirongwa chiduku chechipatoriki chinosanganisira vanhu makumi mana vakaitwa muna 2006, vatsvakurudzi vakapa vaiti vatori vechikamu kuti vagamuchire kana Lamictal kana placebo kwemavhiki makumi maviri nemasere. Munhu wese anobatanidzwa muchidzidzo aive nemuviri weumutsetse (BMI) wepakati pe30 ne40, iyo yakavaisa muhupfu hwakanyanya kusvika kune zvakanyanya. Vaya vanotora Lamictal vakarashika, pamwero wega, zvishoma pamapiramu gumi.
Vaya vanotora nzvimbo iyo, panguva iyo, vakarasikirwa makirogiramu manomwe, saka nepo avo vanotora Lamictal vakarashika kuwedzera, havana kurasikirwa nezvose zvakadaro.
Chimwe chidzidzo, ichi muna 2009, chakafunga kuti Lamictal sechirwere chekudya zvakanyanya-kudya. Icho chidzidzo chaisanganisira vanhu 51 vane chirwere-26 vavo vakagamuchira Lamictal, asi 25 vakagamuchira placebo.
Vaya vanotora Lamictal vakawana huwandu huwandu kune avo vari panzvimbobo (anenge mapaundi 2,5 zvichienderana nechetatu chepaundi), uye vakave nekuvandudzika kukuru muropa ravo rega shuga uye chelesterol yemuedzo mhinduro. Zvisinei, maRamictal haana kuita seanovhiringidza zvimwe zvikamu zvehutano hwavo hwekuita binge-kudya kana tichienzaniswa ne placebo.
Sources:
Bowden C et al. Migumisiro yeRamotrigine neLithium paUkurema muVese uye VeNobobese Varwere NeBipolar I Disorder. American Journal of Psychiatry . 163.7 (2006): 1199-1201.
Guerdijikova AI et al. Lamotrigine mukurapa kunetseka kwepabonde-kudya nekuninipisa: inonzi randomized, placebo-controlled controlled monotherapy trial. International Clinical Psychopharmacology. 2009 May; 24 (3): 150-8.
Hasnain M et al. Kuwedzera kwehutano mu psychotropic zvinoronga zvinodhaka uye kuchinja. Postgraduate Medicine. 2013 Sep; 125 (5): 117-29.
Meredith, CH. A single-center, double-blind, placebo-controlled control of lamotrigine mukurapa kuneta kwevanhu vakuru. Nhamba yeCliniki Psychiatry (kuburikidza nePublicMed) 67.2 (2006): 258-62.
Pickrell WO uye al. Kurema kweshanduko kunobatanidza ne antiepileptic zvinodhaka. Nyaya yeNeurology, Neurosurgery, uye Psychiatry. 2013 Jul; 84 (7): 796-9.