Clonidine, Piritsi Yamlomo

Zamkati

• Machenjezo ofunikira
• Clonidine ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Clonidine
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Clonidine amatha kulumikizana ndi mankhwala ena
• Mankhwala omwe amachulukitsa kusinza
• Tricyclic antidepressants (TCA)
• Mankhwala amtima
• Mankhwala oletsa antipsychotic
• Mankhwala osokoneza bongo
• Machenjezo a Clonidine
• Nthendayi
• Kuyanjana ndi mowa
• Machenjezo kwa magulu ena
• Momwe mungatengere clonidine
• Fomu ndi mphamvu
• Mlingo wa kuchepa kwa chidwi cha kuchepa kwa matenda (ADHD)
• Tengani monga mwalamulidwa
• Zofunikira pakumwa clonidine
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Inshuwalansi
• Kodi pali njira zina?

Mfundo zazikuluzikulu za clonidine

1. Clonidine amapezeka ngati mankhwala achibadwa komanso mayina. Maina a mayina: Kapvay.
2. Mapiritsi otulutsidwa a Clonidine amagwiritsidwa ntchito kuthana ndi vuto la kuchepa kwa matenda (ADHD).
3. Zotsatira zoyipa zimaphatikizapo matenda am'mapapo, kupsa mtima, kugona tulo, ndi maloto owopsa.

Machenjezo ofunikira

• Chenjezo la ziwengo: Musamamwe clonidine wam'kamwa ngati mwakhalapo ndi vuto la clonidine kapena chigamba cha clonidine. Kutenga clonidine pakamwa mutakhala ndi khungu pachimake kungayambitse thupi lanu lonse, kuyabwa, ndipo mwina kuyanjana kwambiri.
• Chenjezo la Opaleshoni: Mutha kutenga clonidine mpaka maola 4 musanachite opaleshoni. Osazitenga mkati mwa maola 4 nthawi yanu isanakwane. Mutha kuyiyambitsanso nthawi yomweyo mukatha opaleshoni.

Clonidine ndi chiyani?

Clonidine ndi mankhwala akuchipatala. Imapezeka ngati chigamba, piritsi lokamwa, komanso piritsi lotulutsa pakamwa. Fomu yomwe mumagwiritsa ntchito imadalira momwe mulili.

Mapiritsi otulutsa Clonidine amapezeka ngati mankhwala omwe amadziwika kuti ndi mankhwala Kapvay. Amapezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika mtengo. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga chizindikirocho.

Chifukwa chimagwiritsidwa ntchito

Mapiritsi otulutsidwa a Clonidine amagwiritsidwa ntchito kuthana ndi vuto lakuchepa kwa matenda osokoneza bongo (ADHD). Atha kugwiritsidwa ntchito ndi anthu azaka 6-18 zaka.

Mankhwalawa atha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti mungafunike kumwa mankhwala ena.

Momwe imagwirira ntchito

Clonidine ndi m'gulu la mankhwala omwe amatchedwa alpha-agonists. Sizikudziwika bwinobwino momwe mapiritsi otulutsira clonidine amagwirira ntchito kuti achepetse zizindikiro za ADHD. Tikudziwa kuti clonidine imagwira ntchito muubongo womwe umathandizira kuwongolera machitidwe, chidwi, komanso momwe timafotokozera.

Zotsatira za Clonidine

Piritsi la Clonidine limatha kuyambitsa tulo. Komabe, izi zimatha kuchoka mukamazitenga. Zitha kupanganso zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zofewa zimatha kutha masiku angapo kapena milungu ingapo. Lankhulani ndi dokotala wanu kapena wamankhwala ngati ali ovuta kwambiri kapena samachoka. Zotsatira zoyipa zomwe zimatha kuchitika ndi clonidine ndi monga:

• pakamwa pouma ndi maso owuma
• chizungulire
• kutopa
• kupweteka m'mimba kapena kupweteka
• kukhalitsa
• kudzimbidwa
• mutu
• matenda opatsirana apamwamba
• kumva kupsa mtima
• kuvuta kugona
• maloto olakwika

Zotsatira zoyipa

Ngati mukukumana ndi zovuta izi, pitani kuchipatala nthawi yomweyo. Ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala, itanani 911. Zotsatira zoyipa zimatha:

• kuwonjezeka kenako kutsika kwa magazi
• kugunda kwa mtima pang'onopang'ono kapena mofulumira
• kugunda kwa mtima kosagwirizana
• chizungulire mukayimirira
• kufa
• kupuma pang'ono kapena kupuma movutikira
• kupweteka pachifuwa
• kuyerekezera zinthu m'maganizo (kuwona zinthu zomwe palibe)

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Clonidine amatha kulumikizana ndi mankhwala ena

Pulogalamu yamlomo ya Clonidine imatha kulumikizana ndi mankhwala ena, zitsamba, kapena mavitamini omwe mwina mumamwa. Ndicho chifukwa chake dokotala wanu amayenera kusamalira mankhwala anu onse mosamala. Ngati muli ndi mafunso okhudza momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Chidziwitso: Mutha kuchepetsa mwayi wanu wogwiritsa ntchito mankhwalawa mwakukakamiza kuti mupatsidwe mankhwala anu omwewo. Mwanjira imeneyi, wamankhwala amatha kuwona momwe angayanjanitsire mankhwala.

Mankhwala omwe amachulukitsa kusinza

Osaphatikiza mankhwalawa ndi clonidine. Kutenga mankhwalawa ndi clonidine kumatha kuwonjezera kugona:

• barbiturates monga:
  • anayankha
  • magwire
• phenothiazines monga:
  • mankhwala enaake
  • thioridazine
  • wanjanji
• benzodiazepines monga:
  • alireza
  • diazepam
• mankhwala opweteka (opioids) monga:
  • oxychodone
  • hydrocodone
  • morphine
• mankhwala ena ogonetsa

Tricyclic antidepressants (TCA)

Kuphatikiza mankhwalawa ndi clonidine kumatha kukulitsa kuthamanga kwa magazi. Zitsanzo za mankhwalawa ndi monga:

• clomipramine (Anafranil)
• desipramine (Norpramin)
• doxepin (Sinequan)
• imipramine (Tofranil)
• nortriptyline (Pamelor)
• chojambula (Vivactil)
• trimipramine (Surmontil)

Mankhwala amtima

Kuphatikiza mankhwala osokoneza bongo ndi clonidine kumachepetsa kugunda kwa mtima wanu. Izi zitha kukhala zovuta. Mungafunike kupita kuchipatala kapena kukhala ndi pacemaker. Ngati mukumwa imodzi mwa mankhwalawa, clonidine sangakhale chisankho chabwino kwa inu.

Zitsanzo za mankhwala amtima awa ndi awa:

• Chinthaka
• zotchinga beta
• zotsekemera zama calcium monga:
  • alireza
  • alireza

Mankhwala oletsa antipsychotic

Mukamamwa mankhwalawa ndi clonidine, mutha kukhala ndi chizungulire kapena kukhala ndi vuto loyenda mukakhala pansi mutagona, kapena kuyimirira mukakhala pansi. Izi zimatchedwa orthostatic hypotension. Zitsanzo za mankhwalawa ndi monga:

• clozapine (Clozaril)
• aripiprazole (Limbikitsani)
• quetiapine (Seroquel)

Mankhwala osokoneza bongo

Kuphatikiza mankhwalawa ndi clonidine kumachepetsa kuthamanga kwa magazi kwanu kwambiri. Izi zimawonjezera chiopsezo chanu chodutsa kunja. Zitsanzo za mankhwalawa ndi monga:

• angiotensin II receptor blockers monga:
  • alireza
  • alirezatalischi
  • alirezatalischi
• angiotensin-converting enzyme (ACE) zoletsa monga:
  • chikodil
  • kutchilimy
• okodzetsa monga:
  • hydrochlorothiazide
  • alireza

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Clonidine

Mankhwalawa amabwera ndi machenjezo angapo.

Nthendayi

Musagwiritse ntchito mankhwalawa ngati munali ndi vuto la mapiritsi a clonidine kapena magawo am'magazi a clonidine m'mbuyomu.

Kutenga clonidine pakamwa mutatha khungu kuchitapo cha clonidine kungayambitse thupi lanu lonse, kuyabwa, ndipo mwina kuyanjana kwambiri.

Matendawa amatha kuyambitsa:

• kuvuta kupuma
• kutupa pakhosi kapena lilime
• ming'oma

Kuyanjana ndi mowa

Kuphatikiza mowa ndi clonidine kumatha kuyambitsa vuto lowononga. Ikhoza kuchepetsa kuganiza kwanu, kuyambitsa kuganiza moyenera, ndikupangitsa kugona.

Machenjezo kwa magulu ena

Kwa anthu omwe ali ndi mavuto amtima: Izi zimaphatikizapo kuthamanga kwa magazi, kugunda kwa mtima, komanso matenda amtima. Mankhwalawa amachepetsa kuthamanga kwa magazi komanso kugunda kwa mtima. Mutha kukhala pachiwopsezo chazovuta zina ngati muli ndi vuto lotsika magazi kapena kuthamanga kwa mtima.

Kwa anthu omwe amachita chizungulire akaimirira: Matendawa amatchedwa orthostatic hypotension. Clonidine amatha kukulitsa vutoli. Musayime mofulumira kwambiri ndipo onetsetsani kuti musataye madzi m'thupi. Izi zitha kukulitsa chizungulire komanso chiopsezo chakukomoka.

Kwa anthu omwe ali ndi syncope (kukomoka): Clonidine amatha kukulitsa vutoli. Musayime mofulumira kwambiri ndipo onetsetsani kuti musataye madzi m'thupi. Izi zitha kukulitsa chizungulire komanso chiopsezo chakukomoka.

Kwa anthu omwe ali ndi mavuto amaso: Izi zikuphatikiza matenda amaso owuma komanso zovuta zomwe zikuyang'ana m'maso mwanu. Clonidine atha kukulitsa mavutowa.

Kwa amayi apakati: Clonidine ndi gulu C lokhala ndi pakati. Izi zikutanthauza zinthu ziwiri:

1. Kafukufuku wazinyama awonetsa zovuta kwa mwana wosabadwa mayi atamwa mankhwalawo.
2. Sipanakhale maphunziro okwanira omwe adachitika mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.

Lankhulani ndi dokotala ngati muli ndi pakati kapena mukufuna kutenga pakati. Clonidine iyenera kugwiritsidwa ntchito panthawi yapakati pokhapokha phindu lomwe lingakhalepo likuthandizira chiopsezo kwa mwana wosabadwayo.

Kwa amayi omwe akuyamwitsa: Clonidine amatha kulowa mkaka wa m'mawere ndipo amatha kuyambitsa zovuta zoyamwitsa mwana. Uzani dokotala wanu ngati mukuyamwitsa. Muyenera kusankha kuti musiye kuyamwa kapena kusiya kumwa clonidine.

Kwa okalamba: Mankhwalawa amakhudza kuthamanga kwa magazi, komwe kumatha kuyambitsa chizungulire ndikuwonjezera ngozi yakugwa.

Kwa ana: Mankhwalawa sanaphunzire kwa ana omwe ali ndi ADHD osakwana zaka 6.

Momwe mungatengere clonidine

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe anu, komanso kuti mumatenga kangati zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Fomu ndi mphamvu

Mawonekedwe: piritsi lotulutsa pakamwa

Mphamvu: 0.1 mg

Mlingo wa kuchepa kwa chidwi cha kuchepa kwa matenda (ADHD)

Mlingo wachikulire (wazaka 18 kapena kupitirira)

Mlingo wotetezeka komanso wogwira mtima sunakhazikitsidwe kwa akulu.

Mlingo wa ana (zaka 6-17 zaka)

• Mlingo woyambira ndi 0.1 mg womwe umatengedwa nthawi yogona.
• Mlingo ungakulitsidwe ndi owonjezera 0.1 mg tsiku lililonse sabata iliyonse mpaka zizolowezi zanu zizikhala bwino kapena mukafika pachimake tsiku lililonse.
• Mlingo wathunthu wa tsiku ndi tsiku ndi 0-0-0.4 mg patsiku.
• Mlingo wathunthu watsiku ndi tsiku umagawidwa magawo awiri omwe amatengedwa kawiri patsiku.
• Ngati mukuyimitsa clonidine, mlingo wathunthu watsiku ndi tsiku uyenera kuchepetsedwa ndi 0.1 mg masiku onse atatu kapena atatu.

Mlingo wa ana (zaka 0-5 zaka)

Mlingo wotetezeka komanso wogwira mtima sunakhazikitsidwe m'badwo uno.

Maganizo apadera

Ngati muli ndi matenda a impso: Ngati muli ndi matenda a impso, muyeso wanu woyamba ungakhale wotsika. Mlingo wanu ungakulitsidwe kutengera kuthamanga kwanu kwamagazi.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Clonidine ndi mankhwala a nthawi yayitali. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Ngati simutenga konse kapena ayi panthawi yake

Zizindikiro zanu za ADHD zitha kukulirakulira.

Mukayima mwadzidzidzi

Ndikofunika kuti musasiye mwadzidzidzi kumwa mankhwalawa. Izi zitha kupangitsa kuti anthu azichotsa. Zotsatira zoyipa zingaphatikizepo:

• kupweteka mutu
• kunjenjemera
• kuwonjezeka msanga kwa kuthamanga kwa magazi

Zomwe muyenera kuchita mukaphonya mlingo

Ngati mwaphonya mlingo, dutsani mlingo womwe simukupezawo ndikumwa mlingo wotsatira momwe munakonzera.

Musatenge zoposa kuchuluka kwa tsiku ndi tsiku kwa clonidine munthawi ya maola 24.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito

Mutha kudziwa kuti mankhwalawa akugwira ntchito ngati mungawone kusintha kwa zizindikilo zanu, makamaka chidwi, kusakhazikika, komanso kusachita chidwi.

Zofunikira pakumwa clonidine

Kumbukirani izi ngati dokotala akukulemberani clonidine.

Zonse

• Mutha kutenga clonidine kapena wopanda chakudya.
• Tengani clonidine m'mawa ndi nthawi yogona: Mlingo wathunthu watsiku ndi tsiku umagawika magawo awiri. Mlingo uliwonse nthawi zambiri umafanana, koma nthawi zina pamafunika mulingo wokwera. Ngati muli ndi mlingo wapamwamba, tengani nthawi yogona.
• Osaphwanya, kutafuna, kapena kudula mankhwalawa.

Yosungirako

• Sungani mankhwalawa kutentha kwapakati pakati pa 68 ° F ndi 77 ° F (20 ° F ndi 25 ° C).
• Sungani mankhwalawa kutali ndi kuwala.
• Sungani mankhwalawa kutali ndi malo omwe amatha kunyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muziyenda nanu kapena m'thumba lanu.
• Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwalawa.
• Mungafunike kuwonetsa zolemba zomwe zasungidwa ku pharmacy yanu kuti muzindikire mankhwalawo. Sungani bokosi loyambirira lokhala ndi mankhwala mukamayenda.

Kuwunika kuchipatala

Dokotala wanu akhoza kuyesedwa mukamamwa mankhwalawa. Mayeserowa atha kuthandizira kuti mankhwalawa agwire ntchito komanso kuti mukhale otetezeka panthawi yamankhwala. Dokotala wanu atha:

• onetsetsani ntchito yanu ya impso kuti muwone ngati muyeso wanu woyambira uyenera kutsika.
• pangani electrocardiogram kapena mayeso ena amtima kuti muwone momwe mtima wanu ukugwirira ntchito ndikuonetsetsa kuti simukukhala ndi zovuta zina.
• yang'anani kuthamanga kwa magazi ndi kugunda kwa mtima wanu kuti muwonetsetse kuti mankhwalawa akugwira ntchito.

Mtengo wa mayeserowa udalira kutengera kwanu inshuwaransi.

Inshuwalansi

Makampani ambiri a inshuwaransi amafunikira chilolezo choyambirira cha mtundu wa mankhwalawa. Izi zikutanthauza kuti dokotala wanu adzafunika kuvomerezedwa ndi kampani yanu ya inshuwaransi kampani yanu ya inshuwaransi isanakulipireni mankhwalawo.

Kodi pali njira zina?

Pali mankhwala ena omwe angakuthandizeni kuthana ndi vuto lanu. Zina zingakhale zoyenera kwa inu kuposa ena. Lankhulani ndi dokotala wanu za njira zina zomwe zingatheke.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.