Guanfacine
Umxholo
- Ngaphambi kokuba uthathe i-guanfacine,
- IGuanfacine inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha wakho ukuba ngaba kukho enye yezi mpawu okanye ezo zidweliswe kwiCandelo LOKUGCINWA OKUKHETHEKILEYO zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:
- Iimpawu zokudlula ngaphezulu zinokubandakanya:
Iipilisi zeGuanfacine (Tenex) zisetyenziswa zodwa okanye zidityaniswe namanye amayeza ukunyanga uxinzelelo lwegazi. Iipilisi zeGuanfacine ezandisiweyo-ezandisiweyo (ezisebenza ixesha elide) (i-Intuniv) zisetyenziswa njengenxalenye yenkqubo yonyango yokulawula iimpawu zokunqongophala kokuphazamiseka kwengqondo (ADHD; ubunzima bokujonga, ukulawula isenzo, kunye nokuhlala uzolile okanye uthule kunabanye abantu ubudala obufanayo) ebantwaneni. UGuanfacine ukwiklasi yamayeza ebizwa ngokuba yi-alpha esembindini2A-adrenergic receptor agonists. IGuanfacine inyanga uxinzelelo lwegazi ngokunciphisa ukubetha kwentliziyo kunye nokuhlaziya imithambo yegazi ukuze igazi lihambe ngokulula emzimbeni. Iipilisi zokukhutshwa ezandisiweyo zeGuanfacine zinokunyanga i-ADHD ngokuchaphazela icandelo lobuchopho elilawula ingqalelo kunye nokunyanzeliswa.
Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo kwaye xa lunganyangwa, lunokubangela ukonakala kwengqondo, intliziyo, imithambo yegazi, izintso namanye amalungu omzimba. Ukonakala kula malungu kunokubangela isifo sentliziyo, isifo sentliziyo, ukusilela kwentliziyo, ukubetha, ukusilela kwezintso, ukungaboni kakuhle, kunye nezinye iingxaki. Ukongeza ekuthatheni amayeza, ukwenza utshintsho kwindlela yokuphila kuya kunceda ukulawula uxinzelelo lwegazi. Olu tshintsho lubandakanya ukutya ukutya okunamafutha amancinci kunye netyuwa, ukugcina ubunzima obunempilo, ukusebenzisa ubuncinci imizuzu engama-30 ubuninzi beentsuku, ukungatshayi, kunye nokusebenzisa utywala ngokumodareyitha.
IGuanfacine iza njengecwecwe kwaye njengethebhulethi ekhutshiweyo eyandisiweyo ukuba ithathe ngomlomo. Ithebhulethi ihlala ithathwa kanye ngemini ngexesha lokulala. Ithebhulethi yokukhululwa eyandisiweyo ihlala ithathwa kanye ngemini kwaye akufuneki ithathwe ngesidlo esinamafutha aphezulu. Thatha i-guanfacine malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-guanfacine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ginya iipilisi zokukhululwa ezandisiweyo kunye nesixa esincinci samanzi okanye olunye ulwelo; musa ukuwaphula, ungawuhlafuna, okanye uwaqhekeze.
Ugqirha wakho uya kukuqala ngethamo eliphantsi le-guanfacine kwaye unokunyusa ngokuthe ngcembe idosi yakho, hayi rhoqo rhoqo kube kanye ngeveki ukuba uthatha iipilisi zokukhupha ezandisiweyo, kwaye hayi rhoqo rhoqo kube kanye kwiiveki ezi-3-4 ukuba ukuthatha iipilisi.
IGuanfacine inokuyilawula imeko yakho, kodwa ayizukuyinyanga. Kungathatha iiveki ezi-2 ngaphambi kokuba uve isibonelelo esipheleleyo seetafile ezikhutshiweyo zeguanfacine. Qhubeka nokuthatha i-guanfacine nokuba uziva uphilile. Sukuyeka ukuthatha i-guanfacine ngaphandle kokuthetha nogqirha wakho. Ukuba uyeka ngequbuliso ukuthatha i-guanfacine, uxinzelelo lwegazi lwakho lunokunyuka kwaye unokuba novalo okanye uxhalabe. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-guanfacine,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-guanfacine, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-guanfacine okanye iipilisi ezandisiweyo. Buza usokhemesti wakho uluhlu lwezithako.
- Kuya kufuneka uyazi ukuba i-guanfacine sisithako esisebenzayo kwiipilisi zeguanfacine kunye neepilisi zokukhupha ezandisiweyo zeguanfacine. Musa ukuthatha zombini ezi mveliso ngaxeshanye.
- xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo nolungabhaliswanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo okanye oceba ukuzithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: antihistamines; i-barbiturates efana ne-phenobarbital (Luminal); icarbamazepine (Carbatrol, Epitol, Equetro, Tegretol); i-clarithromycin (i-Biaxin, kwi-PrevPac); indinavir (iCrixivan); itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); amayeza oxinzelelo, uxinzelelo oluphezulu lwegazi, ukugula ngengqondo, isicaphucaphu, okanye ukuxhuzula; nefazodone; i-nelfinavir (iViracept); phenytoin (iDilantin, iPhenytek); ipioglitazone (Actos, eActoplus Met, eDuetact, eOseni); irifabutin (Mycobutin); irifampin (Rifadin, eRifamate, eRifater, eRimactane); i-ritonavir (iNorvir, eKaletra); ukuthomalalisa; iipilisi zokulala; izinto zokuthomalalisa; kunye ne-valproic acid (iDepakene). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort.
- xelela ugqirha wakho ukuba wakhe wawa isiqaqa, okanye ukuba ukhe wahlaselwa sisifo sentliziyo kutshanje; kwaye ukuba ukhe wahlaselwa sistroke; uxinzelelo lwegazi oluphantsi; ukubetha kwentliziyo kancinci; ukuphazamiseka kwengqondo (i-manic depress disorder), isifo esibangela ukudakumba, iziqwengana, nezinye izinto ezingaqhelekanga); okanye intliziyo, isifo sezintso okanye isibindi.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa uthatha i-guanfacine, tsalela ugqirha wakho.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-guanfacine.
- Kuya kufuneka uyazi ukuba i-guanfacine inokukwenza wozele okanye ube nesiyezi. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
- buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-guanfacine. Utywala bunokuzenza iziphumo ezibi kakhulu ezivela kwi-guanfacine.
- Kuya kufuneka uyazi ukuba i-guanfacine inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukuthatha i-guanfacine. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
- Kuya kufuneka uyazi ukuba unokuphelelwa ngamandla ukuba uye waphelelwa ngamanzi emzimbeni okanye ubushushu kakhulu ngexesha lonyango lwakho nge-guanfacine. Qiniseka ukuba usele utywala obuninzi kwaye uhlale upholile ngelixa uthatha eli yeza.
- Kuya kufuneka uyazi ukuba i-guanfacine kufuneka isetyenziswe njengenxalenye yenkqubo yonyango iyonke ye-ADHD, enokubandakanya iingcebiso kunye nemfundo ekhethekileyo. Qiniseka ukuba uyayilandela yonke imiyalelo kagqirha kunye / okanye yonyango.
- thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-guanfacine ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-guanfacine kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza anokusetyenziselwa ukunyanga imeko efanayo.
Thetha nogqirha wakho malunga nokutya igrapefruit kunye nokusela ijusi yamagilebhisi ngelixa uthatha eli yeza.
Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo. Ukuba uthatha iipilisi zokukhupha ezandisiweyo ze-guanfacine, kwaye uphose idosi ezimbini nangaphezulu ngokulandelelana, tsalela ugqirha wakho.
IGuanfacine inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha wakho ukuba ngaba kukho enye yezi mpawu okanye ezo zidweliswe kwiCandelo LOKUGCINWA OKUKHETHEKILEYO zinzima okanye azihambi:
- umlomo owomileyo
- ukudinwa
- ubuthathaka
- intloko ebuhlungu
- ukucaphuka
- ukunciphisa amandla esini
- ukunciphisa ukutya
- isisu esibuhlungu
- isicaphucaphu
- ukugabha
- ukuqhina
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:
- isiqaqa
- ukungaboni kakuhle
- irhashalala
- ukubetha kwentliziyo kancinci
IGuanfacine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.
Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).
Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).
Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org
Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.
Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.
Iimpawu zokudlula ngaphezulu zinokubandakanya:
- ukozela
- ukunqongophala kwamandla
- ukubetha kwentliziyo kancinci
- isiqaqa
- isiyezi
- ukungaboni kakuhle
- abafundi abancinci (izangqa ezimnyama phakathi kwamehlo)
Gcina lonke ixesha lokudibana nogqirha wakho. Uxinzelelo lwegazi kunye nenqanaba lentliziyo kufuneka lijongwe rhoqo ukumisela impendulo yakho kwi-guanfacine.
Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.
Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.
- Umnqophiso®
- Tenex®