Antiepileptic zvinodhaka mishonga inokwanisa kukonesa kukura kwekugumburwa kana kuderedza kusuruvara kwavo kune varwere vane chirwere chekufa . Vanoita nekudzvinyirira muuropi zvakanyanya kukurumidza uye nekukurumidzira kweveuroni muuropi, apo kurwisa kunotanga.
Ko antiepileptic zvinoshanda sei?
Izwi rinoshandiswa remishonga inoshandiswa mukutsvaira ndekukurumidza kuderedza muhuwandu hwehutachiona hunokonzera. Asi nzira dzose dzeboka iri dzinoratidzira kusarudzwa kwebasa rezvechirwere chetachiona. Iyi dzimba yemishonga yakadai iri pasi pesarudzo ye antiepileptic zvinodhaka. Vanogona:
- kusimbisa basa rekudzivirira neuroni;
- inhibit the excitatory receptors of neurons;
- kunokanganisa zvakananga maitiro emagetsi emagetsi.
Zvizhinji zvinokanganisa zvinowanikwa mushure mekutora antiepileptic zvinodhaka hazvina basa. Inogona kuva kuneta, kuwedzera kuwanda kana chizivo. Asi mune dzimwe nguva, kurapwa kwechirwere kunokonzera kukura kwepfungwa kana kuora mwoyo. Ndicho chikonzero, kana munhu achangotanga kutora mushonga mutsva wekufa, chiyero chinotungamirirwa kuitira kuti mukana wakachengeteka uye unoshanda wemishonga unobudirira muropa. Sezvo mutemo, muchitanga chekutanga cherapi, maitiro akaderera kupfuura mamwe ose emishonga anorayirwa, ayo anotsanangurwa nehafu yeupenyu hwechirwere.
Ndeapi antiepileptic drugs inorayirwa?
Pari zvino, vazhinji vemazuva ano zvinodhaka zvekare zvinogamuchirwa kuitira kurapa kwekufa. Chiremba anogara achikurudzira mushonga wacho, zvichibva pane zvimwe zvinhu:
- Rudzi rwekukuvara uye zvirwere. Zvimwe zvinopesana nemaperembudzi ekare kana kuti chizvarwa chitsva zvinoshanda mukugadzirisa kukanganisa kwakanyanya (semuenzaniso, Ethosuximide), asi vamwe vanorayirwa kune avo vakaramba vachigumburwa
(Rufinamide kana Diazepam). - Zera uye nhoroondo yezvechiremba yemurwere. Varwere vane chirwere chepachifu chinenge chachangobva kuongororwa kana kuti kuchikoro vanowanzopiwa carbamazepine, phenytoin kana valproate, uye avo vave vachirwisana nechirwere ichi vanowanzopa mishonga inorwisa antiepileptic (Trileptal kana Topamax).
- Mikana yekuita pamuviri. Kune boka rezvinodhaka zvakanyatsogadzirirwa vakadzi vanogona kutora pamuviri. Izvo zvakachengeteka kumucheche anowedzera (Carba-mazepine, Lamotrigine naValproate).