IClonidine, iThebhulethi yomlomo

Umxholo

• Izilumkiso ezibalulekileyo
• Yintoni iclonidine?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeClonidine
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• IClonidine inokusebenzisana namanye amayeza
• Iziyobisi ezonyusa ukozela
• I-Tricyclic antidepressants (TCA)
• Iziyobisi zentliziyo
• Amachiza antipsychotic
• Uxinzelelo lwegazi iziyobisi
• Izilumkiso zikaClonidine
• Izifo zomzimba
• Ukudibana kotywala
• Izilumkiso kumaqela athile
• Ungayithatha njani i-clonidine
• Ifom kunye namandla
• Umyinge wokuphawula ukungahambi kakuhle kwengqondo (ADHD)
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-clonidine
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• I-inshurensi
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi econidine

1. I-Clonidine iyafumaneka njengamachiza enziwe afana nalawo enziwe ngumenzi nanjengegama lesiqhelo. Igama lebrand: (Kap).
2. Iipilisi zokukhupha ezandisiweyo zikaClonidine zisetyenziselwa ukunyanga ukungahambi kakuhle kwengqondo (ADHD).
3. Iziphumo eziqhelekileyo ezichaphazelekayo zibandakanya ukusuleleka kwintsholongwane yokuphefumula, ukuziva ucaphukile, ubunzima bokulala, kunye namaphupha amabi.

Izilumkiso ezibalulekileyo

• Isilumkiso somzimba: Musa ukuthatha i-clonidine yomlomo ukuba ukhe waba ne-allergies kwi-clonidine okanye kwi-clonidine patch. Ukuthatha i-clonidine yomlomo emva kokuphendula kwesikhumba kwisiqwengana kunokubangela ukurhabaxa emzimbeni wakho uphela, ukurhawuzelela, kunye nokubakho komzimba.
• Utyando lwesilumkiso: Ungathatha i-clonidine ukuya kuthi ga kwiiyure ezi-4 ngaphambi kotyando. Sukuyithatha ngaphakathi kweeyure ezi-4 kanye phambi kotyando lwakho. Ungayiqala kwangoko emva kotyando.

Yintoni iclonidine?

I-Clonidine yonyango lonyango. Iyafumaneka njengesiqwengana, ithebhulethi yomlomo, kunye nethebhulethi yomlomo eyandisiweyo. Ifom oyisebenzisayo inokuxhomekeka kwimeko yakho.

Iipilisi zokukhupha ezandisiweyo zeClonidine ziyafumaneka njengechiza legama lophawu IKapvay. Zikwafumaneka njengechiza eliqhelekileyo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala enexabiso elincinci. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengophawu.

Kutheni isetyenziswa

Iipilisi zokukhupha ezandisiweyo zikaClonidine zisetyenziselwa ukunyanga iimpawu zokungahambi kakuhle kwengqondo (ADHD). Zingasetyenziswa ngabantu abaneminyaka eyi-6-18 ubudala.

Eli chiza linokusetyenziswa njengenxalenye yonyango oludibeneyo. Oko kuthetha ukuba unokufuna ukuyithatha kunye nezinye iziyobisi.

Ingaba isebenza kanjani

I-Clonidine ikudidi lweziyobisi ezibizwa ngokuba zii-alpha-agonists. Ayaziwa ngokuthe ngqo ukuba iipilisi ze-clonidine ezandisiweyo zisebenza njani ukunciphisa iimpawu ze-ADHD. Siyazi ukuba i-clonidine isebenza kwinxalenye yengqondo enceda ekulawuleni indlela yokuziphatha, ingqalelo, kunye nendlela esibonisa ngayo iimvakalelo.

Iziphumo ebezingalindelekanga zeClonidine

Ithebhulethi yomlomo yeClonidine inokubangela ukozela. Nangona kunjalo, le nto inokuhamba ixesha elide uyithatha. Inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo ebezingalindelekanga ezincinci zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Thetha nogqirha wakho okanye usokhemesti ukuba banzima kakhulu okanye abahambi. Iziphumo eziqhelekileyo eziqhelekileyo ezinokuthi zenzeke nge-clonidine ziquka:

• umlomo owomileyo namehlo owomileyo
• isiyezi
• ukudinwa
• isisu okanye iintlungu
• ukuthomalalisa
• ukuqhina
• intloko ebuhlungu
• usulelo lwephepha lokuphefumla
• ndiziva ndicaphukile
• ingxaki yokulala
• amaphupha amabi

Iziphumo ebezingalindelekanga ezimandundu

Ukuba ufumana nayiphi na le miphumo emibi, biza ugqirha wakho ngokukhawuleza. Ukuba iimpawu zakho zisengozini yobomi okanye ukuba ucinga ukuba ufumana imeko yongxamiseko kwezonyango, tsalela umnxeba ku-911. Iziphumo ebezingalindelekanga ezinzulu zinokubandakanya:

• yanda emva koko yehla uxinzelelo lwegazi
• isantya esicothayo okanye esikhawulezayo sentliziyo
• ukungalingani kwentliziyo
• isiyezi xa umi
• ukudlula
• ukuphefumla kancinci okanye ingxaki yokuphefumla
• iintlungu zesifuba
• ukubona izinto ezingekhoyo (ubona izinto ezingekhoyo)

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

IClonidine inokusebenzisana namanye amayeza

Ithebhulethi yomlomo yeClonidine inokusebenzisana namanye amayeza, amayeza, okanye iivithamini onokuthi uzithathe. Kungenxa yoko le nto ugqirha wakho kufuneka alawule onke amayeza akho ngononophelo. Ukuba unemibuzo malunga nokuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Qaphela: ungawanciphisa amathuba okuhlangana kweziyobisi ngokwenza yonke imigqaliselo yakho igcwaliswe kwikhemesti enye. Ngale ndlela, usokhemesti unokujonga unxibelelwano olunokubakho neziyobisi.

Iziyobisi ezonyusa ukozela

Musa ukudibanisa la machiza neclonidine. Ukuthatha la machiza nge-clonidine kunokunyusa ukozela:

• barbiturates ezinje:
  • ifumanobarbital
  • pentobarbital
• i-phenothiazines efana nale:
  • chlorpromazine
  • thioridazine
  • prochlorperazine
• benzodiazepines ezinje:
  • mzantsi
  • mzantsiweb
• iziyobisi zentlungu (i-opioids) ezinje:
  • yioocodone
  • hydrocodone
  • Imofini
• ezinye iziyobisi

I-Tricyclic antidepressants (TCA)

Ukudibanisa la machiza ne-clonidine kunokunyusa uxinzelelo lwegazi. Imizekelo yala machiza ibandakanya:

• clomipramine (Anafranil)
• desipramine (Norpramin)
• i-doxepin (iSinequan)
• imipramine (Tofranil)
• Umda we-nortriptyline (Pamelor)
• umgca weprotocol (Vivactil)
• itrimipramine (iSurmontil)

Iziyobisi zentliziyo

Ukudibanisa la machiza entliziyo kunye ne-clonidine kunokucothisa ukubetha kwentliziyo yakho. Oku kunokuba nzima. Kuya kufuneka uye esibhedlele okanye ubenomatshini wokuthambisa umzimba. Ukuba uthatha elinye lala mayeza, i-clonidine isenokungabi lolona khetho lufanelekileyo kuwe.

Imizekelo yeziyobisi zentliziyo zibandakanya:

• Yogco
• iibhloko ze-beta
• iicalcium block blockers ezinje:
  • mzantsi
  • mzantsi

Amachiza antipsychotic

Ukuba uthatha la machiza nge-clonidine, unokufumana isiyezi okanye ube nengxaki yokulinganisa xa uhleli emva kokulala, okanye ume emva kokuhlala. Oku kubizwa ngokuba yi-orthostatic hypotension. Imizekelo yala machiza ibandakanya:

• i-clozapine (iClozaril)
• aripiprazole (Yenza)
• iquetiapine (iSeroquel)

Uxinzelelo lwegazi iziyobisi

Ukudibanisa la machiza ne-clonidine kunokuhlisa uxinzelelo lwegazi kakhulu. Oku kuphakamisa umngcipheko wokudlula. Imizekelo yala machiza ibandakanya:

• ii-angiotensin II receptor blockers ezinje:
  • losartan
  • valsartan
  • zulube
• i-angiotensin-converting enzyme (ACE) inhibitors enje:
  • enaphilili
  • lisinopril
• womchamo ezifana:
  • Ihydrochlorothiazide
  • mzantsiweb

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Izilumkiso zikaClonidine

Eli chiza liza nezilumkiso ezininzi.

Izifo zomzimba

Sukusebenzisa la mayeza ukuba ubukhe wangadibani namacwecwe e-clonidine okanye iinxalenye ze-clonidine patch kwixa elidlulileyo.

Ukuthatha i-clonidine yomlomo emva kokuphendula kwesikhumba kwi-clonidine patch kunokubangela ukurhabaxa emzimbeni wakho wonke, ukurhawuzelela, kwaye kusenokwenzeka ukuba ube neempendulo ezinzima.

Impendulo ebukhali kakhulu inokubangela:

• ingxaki yokuphefumla
• ukudumba komqala okanye ulwimi lwakho
• urhwebo

Ukudibana kotywala

Ukudibanisa utywala kunye ne-clonidine kunokubangela ingozi yokuthambisa. Inokucothisa ukucinga kwakho, ibangele ukugweba okungafanelekanga, kwaye ibangele ukulala.

Izilumkiso kumaqela athile

Kubantu abaneengxaki zentliziyo: Oku kubandakanya uxinzelelo lwegazi olusezantsi, ukubetha kwentliziyo okuphantsi, kunye nesifo sentliziyo. Eli yeza linciphisa uxinzelelo lwegazi kunye nokubetha kwentliziyo. Unokuba semngciphekweni weziphumo ebezingalindelekanga ezibi kakhulu ukuba sele unalo uxinzelelo lwegazi okanye isantya sentliziyo esisezantsi.

Kubantu abafumana isiyezi xa bemi: Le meko ibizwa ngokuba yi-orthostatic hypotension. IClonidine inokwenza le meko ibe mandundu. Musa ukuphakama ngokukhawuleza kwaye uqiniseke ukuba ungafumani manzi emzimbeni. Oku kunokunyusa isiyezi sakho kunye nomngcipheko wokuphelelwa ngamandla.

Kubantu abane syncope (batyhafa): IClonidine inokwenza le meko ibe mandundu. Musa ukuphakama ngokukhawuleza kwaye uqiniseke ukuba ungafumani manzi emzimbeni. Oku kunokunyusa isiyezi sakho kunye nomngcipheko wokuphelelwa ngamandla.

Kubantu abanengxaki yamehlo: Oku kubandakanya isifo semehlo esomileyo kunye neengxaki ezijolise emehlweni akho. I-Clonidine inokwenza ezi ngxaki zibi ngakumbi.

Abafazi abakhulelweyo: IClonidine ludidi C lokukhulelwa iziyobisi. Oko kuthetha izinto ezimbini:

1. Uphando kwizilwanyana lubonakalise iziphumo ezingalunganga kwimveku xa umama ethatha iyeza.
2. Khange kubekho zifundo zaneleyo zenziweyo ebantwini ukuze baqiniseke ukuba ichiza linokuchaphazela njani umntwana ongekazalwa.

Thetha nogqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. I-Clonidine kufuneka isetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho siqinisekisa ubungozi obunokubakho kwimveku.

Kubafazi abancancisayo: I-Clonidine inokudlula kubisi lwakho lwebele kwaye inokubangela iziphumo ebezingalindelekanga kumntwana oncelisayo. Tshela ugqirha wakho ukuba uncelisa. Kuya kufuneka uthathe isigqibo sokuba uyeke ukuncancisa okanye uyeke ukuthatha i-clonidine.

Kubantu abadala: Eli yeza lichaphazela uxinzelelo lwegazi, olunokubangela ukuba ube nesiyezi kunye nokwandisa umngcipheko wokuwa.

Kubantwana: Eli chiza alifundiswanga kubantwana abane-ADHD abangaphantsi kweminyaka emi-6.

Ungayithatha njani i-clonidine

Zonke iidosi ezikhoyo kunye neefom azinakufakwa apha. Idosi yakho, ifom, kunye nokuba uyithatha kangaphi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• imbi kangakanani imeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Ifom kunye namandla

Ifom: ithebhulethi yokukhupha eyandisiweyo

Amandla: 0.1 mg

Umyinge wokuphawula ukungahambi kakuhle kwengqondo (ADHD)

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

Idosi ekhuselekileyo nesebenzayo ayimiselwanga abantu abadala.

Umthamo womntwana (iminyaka eyi-6-17 iminyaka)

• Umthamo wokuqala yi-0.1 mg ethathwe ngexesha lokulala.
• Iidosi zinokunyuswa nge-0.1 mg eyongezelelweyo ngosuku ngeveki de iimpawu zakho zibe ngcono okanye ufike kubuninzi bemihla ngemihla.
• Iidosi ezipheleleyo zemihla ngemihla zi-0.1-0.4 mg ngosuku.
• Idosi yemihla ngemihla yohlulwe yangamayeza ama-2 athathwe kabini ngemini.
• Ukuba uyeka i-clonidine, idosi yemihla ngemihla iyonke kufuneka yehle nge-0.1 mg qho ngeentsuku ezi-3-7.

Idosi yomntwana (iminyaka eyi-0-5 iminyaka)

Idosi ekhuselekileyo nesebenzayo ayimiselwanga kweli qela leminyaka.

Ukuqwalaselwa okhethekileyo kwedosi

Ukuba unesifo sezintso: Ukuba unesifo sezintso, idosi yakho yokuqala inokuba sezantsi. Umyinge wakho unokwandiswa ngokuxhomekeke kwingcinezelo yegazi.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

IClonidine lunyango lwexesha elide. Kuza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba awuyithathi kwaphela okanye hayi kwishedyuli

Iimpawu zakho kunye neempawu ze-ADHD zinokuba zibi ngakumbi.

Ukuba uyeka ngesiquphe

Kubalulekile ukuba ungayeki ngokukhawuleza ukuthatha eli chiza. Oku kunokukhokelela ekuphenduleni kokurhoxa. Iziphumo ezinokubandakanya:

• intloko ebuhlungu
• ukungcangcazela
• ukwanda ngokukhawuleza koxinzelelo lwegazi

Yintoni omele uyenze xa uphosa idosi

Ukuba uphosa idosi, tsiba idosi ephosiweyo kwaye uthathe idosi elandelayo njengoko kucwangcisiwe.

Musa ukuthatha ngaphezulu kwexabiso elimiselweyo lemihla ngemihla le-clonidine kwisithuba seeyure ezingama-24.

Ungaxela njani ukuba ichiza liyasebenza

Unokwazi ukuxelela eli chiza ukuba liyasebenza ukuba ubona ukuphucuka kweempawu zakho, ngakumbi ingqalelo, uxinzelelo kunye nokunyanzeliswa.

Ukuqwalaselwa okubalulekileyo kokuthatha i-clonidine

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-clonidine.

Ngokubanzi

• Ungathatha i-clonidine kunye okanye ngaphandle kokutya.
• Thatha i-clonidine kusasa naphambi kokulala: Idosi yemihla ngemihla yahlulwe yaziidosi ezi-2. Idosi nganye ihlala ifana, kodwa ngamanye amaxesha idosi ephezulu iyafuneka. Ukuba unedosi ephezulu, yithathe ngexesha lokulala.
• Musa ukutyumza, ukuhlafuna, okanye ukusika eli yeza.

Ukugcina

• Gcina eli chiza kubushushu begumbi phakathi kwama-68 ° F kunye nama-77 ° F (20 ° F kunye nama-25 ° C).
• Gcina amayeza kude nokukhanya.
• Gcina eli chiza kude neendawo elinokuthi limanzi, ezinje ngezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha kunye nawe okanye kwibhegi yakho yokuphatha.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulilimaza eli chiza.
• Kusenokufuneka ubonise ileyibhile eprintiweyo yekhemesti yakho ukuze uchonge amayeza. Gcina ibhokisi yeleyibheli ebhalwe kwangaphambili xa useluhambeni.

Ukubeka iliso kwezonyango

Ugqirha wakho unokwenza uvavanyo ngexesha lonyango lwakho neli chiza. Ezi mvavanyo zinokunceda ekuqinisekiseni ukuba ichiza liyasebenza kwaye uhlala ukhuselekile ngexesha lonyango. Ugqirha wakho unakho:

• jonga umsebenzi wakho wezintso ukubona ukuba idosi yakho yokuqala kufuneka ibe sezantsi.
• yenza i-electrocardiogram okanye ezinye iimvavanyo zentliziyo ukujonga ukuba intliziyo yakho isebenza njani kwaye uqiniseke ukuba awunazo iziphumo ebezingalindelekanga.
• jonga uxinzelelo lwegazi kunye nenqanaba lentliziyo yakho ukuqinisekisa ukuba eli chiza liyasebenza.

Iindleko zolu vavanyo ziya kuxhomekeka kwi-inshurensi yakho.

I-inshurensi

Iinkampani ezininzi zeinshurensi zifuna ugunyaziso lwangaphambili lohlobo lwegama lesiyobisi. Oku kuthetha ukuba ugqirha wakho uyakufuna ukufumana imvume kwinkampani yeinshurensi ngaphambi kokuba inkampani yakho yeinshurensi ihlawule amayeza.

Ngaba zikhona ezinye iindlela?

Kukho amanye amayeza akhoyo ukunyanga imeko yakho. Ezinye zinokukulungela ngakumbi kunezinye. Thetha nogqirha wakho malunga nezinye iindlela ezinokwenzeka.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.