Guanfacine

Zamkati

• Asanatenge guanfacine,
• Guanfacine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE OGWIRA NTCHITO ndizovuta kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Mapiritsi a Guanfacine (Tenex) amagwiritsidwa ntchito paokha kapena kuphatikiza ndi mankhwala ena ochizira kuthamanga kwa magazi. Mapiritsi otulutsidwa a Guanfacine (a nthawi yayitali) (Intuniv) amagwiritsidwa ntchito ngati gawo la pulogalamu yothandizira kuthana ndi vuto lakuchepa kwa vuto la kuchepa kwa mphamvu (ADHD; zovuta kwambiri kuyang'ana, kuwongolera zochita, ndi kukhala chete kapena chete kuposa anthu ena omwe ali zaka zomwezo) mwa ana. Guanfacine ali mgulu la mankhwala omwe amatchedwa alpha wapakati_2A-adrenergic receptor agonists. Guanfacine amachiza kuthamanga kwa magazi pochepetsa kugunda kwa mtima ndikutsitsimutsa mitsempha yamagazi kuti magazi azitha kuyenda mosavuta mthupi. Mapiritsi otulutsidwa a Guanfacine amatha kuthana ndi ADHD mwa kukhudza gawo laubongo lomwe limayang'anira chidwi ndi chidwi.

Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.

Guanfacine amabwera ngati piritsi komanso ngati piritsi lotulutsira kuti atenge pakamwa. Mapiritsiwa amatengedwa kamodzi patsiku asanagone. Piritsi lotulutsira nthawi zambiri limatengedwa kamodzi patsiku ndipo sayenera kumwa ndi mafuta ambiri. Tengani guanfacine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani guanfacine ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi otulutsidwa otalikiratu ndi madzi pang'ono kapena madzi ena; osanyema, kutafuna, kapena kuwaphwanya.

Dokotala wanu mwina angakuyambitseni ndi mlingo wochepa wa guanfacine ndipo pang'onopang'ono akhoza kuwonjezera mlingo wanu, osati kangapo kamodzi pa sabata ngati mukumwa mapiritsi otulutsidwa, osatinso kangapo kamodzi pamasabata 3-4 ngati muli kumwa mapiritsi.

Guanfacine amatha kuwongolera matenda anu, koma sangachiritse. Zitha kutenga milungu iwiri musanapindule ndi mapiritsi otulutsidwa a guanfacine. Pitirizani kumwa guanfacine ngakhale mukumva bwino. Osasiya kumwa guanfacine osalankhula ndi dokotala. Mukasiya mwadzidzidzi kumwa guanfacine, kuthamanga kwa magazi kwanu kumatha kukula ndipo mumatha kukhala ndi nkhawa kapena kuda nkhawa. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Asanatenge guanfacine,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la guanfacine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a guanfacine kapena mapiritsi otulutsidwa. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• muyenera kudziwa kuti guanfacine ndi chinthu chogwiritsira ntchito mapiritsi a guanfacine ndi mapiritsi otulutsira guanfacine. Musatenge zinthu zonsezi nthawi imodzi.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: mankhwala; barbiturates monga phenobarbital (Luminal); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); clarithromycin (Biaxin, mu PrevPac); indinavir (Crixivan); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); mankhwala a nkhawa, kuthamanga kwa magazi, matenda amisala, nseru, kapena khunyu; nefazodone; nelfinavir (Viracept); phenytoin (Dilantin, Phenytek); pioglitazone (Actos, mu Actoplus Met, ku Duetact, ku Oseni); rifabutin (Mycobutin); rifampin (Rifadin, ku Rifamate, ku Rifater, Rimactane); ritonavir (Norvir, ku Kaletra); mankhwala ogonetsa; mapiritsi ogona; zotetezera; ndi valproic acid (Depakene). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati munakomoka, kapena ngati mwangodwala kumene mtima; ndipo ngati mwadwalapo stroke kapena mwakhalapo; kuthamanga kwa magazi; kugunda kwa mtima pang'ono; bipolar disorder (manic depression disorder; matenda omwe amayambitsa magawo a kukhumudwa, magawo a mania, ndi zina zosakhala bwino); kapena matenda a mtima, impso kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga guanfacine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa guanfacine.
• muyenera kudziwa kuti guanfacine imatha kukupangitsani kugona kapena chizungulire. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa guanfacine. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku guanfacine kukulirakulira.
• Muyenera kudziwa kuti guanfacine imatha kuyambitsa chizungulire, kupepuka mutu, komanso kukomoka mukadzuka msanga kuchokera pomwe mwakhala mukugona. Izi ndizofala kwambiri mukayamba kumwa guanfacine. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti mutha kukomoka mukakhala ndi madzi owirira kapena kutentha kwambiri mukamalandira mankhwala a guanfacine. Onetsetsani kuti mumamwa zakumwa zambiri ndikukhala ozizira mukamamwa mankhwalawa.
• muyenera kudziwa kuti guanfacine iyenera kugwiritsidwa ntchito ngati gawo la pulogalamu yonse ya chithandizo cha ADHD, yomwe ingaphatikizepo upangiri ndi maphunziro apadera. Onetsetsani kuti mukutsatira malangizo onse a dokotala komanso / kapena othandizira.
• lankhulani ndi dokotala wanu za kuopsa ndi phindu lakumwa guanfacine ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa guanfacine chifukwa siotetezeka kapena yothandiza ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya. Ngati mukumwa mapiritsi otulutsidwa a guanfacine, ndikuphonya mankhwala awiri kapena kupitilira apo, itanani dokotala wanu.

Guanfacine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi kapena zomwe zalembedwa mu gawo la MAWONEKEDWE OGWIRA NTCHITO ndizovuta kapena sizichoka:

• pakamwa pouma
• kutopa
• kufooka
• mutu
• kupsa mtima
• amachepetsa kuthekera kwakugonana
• kuchepa kudya
• kupweteka m'mimba
• nseru
• kusanza
• kudzimbidwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kukomoka
• kusawona bwino
• zidzolo
• kugunda kwa mtima pang'ono

Guanfacine ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• Kusinza
• kusowa mphamvu
• kugunda kwa mtima pang'ono
• kukomoka
• chizungulire
• kusawona bwino
• ana ang'onoang'ono (mabwalo akuda pakati pa maso)

Sungani maimidwe onse ndi dokotala wanu. Magazi anu ndi kugunda kwa mtima kwanu kuyenera kuyang'aniridwa pafupipafupi kuti mudziwe momwe mungayankhire guanfacine.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Chidziwitso^®
• Tenex^®