I-Clonidine, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Kuyini i-clonidine?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Clonidine
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• UClonidine angaxhumana neminye imithi
• Izidakamizwa ezandisa ukozela
• I-Tricyclic antidepressants (TCA)
• Izidakamizwa zenhliziyo
• Izidakamizwa ze-antipsychotic
• Izidakamizwa zomfutho wegazi
• Izexwayiso zikaClonidine
• Ukungezwani komzimba
• Ukusebenzisana kotshwala
• Izexwayiso zamaqembu athile
• Ungayithatha kanjani i-clonidine
• Ifomu namandla
• Isikali sokunakekelwa kokushoda kokungasebenzi kahle (ADHD)
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-clonidine
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Umshuwalense
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-clonidine

1. I-Clonidine iyatholakala njengemithi ejwayelekile kanye negama lomkhiqizo. Amagama omkhiqizo: Kapvay.
2. Amaphilisi wokukhishwa anwetshiwe kaClonidine asetshenziselwa ukwelapha ukunakekelwa kokushoda kokungasebenzi (ADHD).
3. Imiphumela emibi ejwayelekile ifaka ukutheleleka okuphezulu kokuphefumula, ukuzwa ukucasuka, inkinga yokulala, namaphupho amabi.

Izexwayiso ezibalulekile

• Isexwayiso somzimba: Ungathathi i-clonidine yomlomo uma ngabe uke waba nokungezwani komzimba ne-clonidine noma isichibi se-clonidine. Ukuthatha i-clonidine yomlomo ngemuva kokuphendula kwesikhumba esiqeshini kungadala ukuqhuma emzimbeni wakho wonke, ukulunywa, futhi mhlawumbe nokusabela okweqile.
• Isexwayiso sokuhlinzwa: Ungathatha i-clonidine kufika emahoreni amane ngaphambi kokuhlinzwa. Ungayithathi phakathi kwamahora ama-4 ngaphambi kokuhlinzwa kwakho. Ungaqala kabusha ngokushesha ngemuva kokuhlinzwa.

Kuyini i-clonidine?

I-Clonidine ngumuthi kadokotela. Itholakala njenge-patch, ithebhulethi yomlomo, kanye nethebhulethi ekhishwa ngomlomo enwetshiwe. Ifomu olisebenzisayo lingaxhomeka esimeni sakho.

Amaphilisi wokukhishwa we-Clonidine anwetshiwe ayatholakala njengomuthi wegama lomkhiqizo I-Kapvay. Zitholakala futhi njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza kancane. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengomkhiqizo.

Kungani kusetshenziswa

Amathebulethi wokukhishwa kwe-Clonidine asetshenziselwe ukwelapha izimpawu zokuphazamiseka kwengqondo (ADHD). Zingasetshenziswa ngabantu abaneminyaka engu-6-18 ubudala.

Lesi sidakamizwa singasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokho kusho ukuthi ungadinga ukuyithatha nezinye izidakamizwa.

Isebenza kanjani

I-Clonidine ingeyesigaba semithi ebizwa ngama-alpha-agonists aphakathi nendawo. Akwaziwa kahle ukuthi amathebulethi akhipha i-clonidine asebenza kanjani ukunciphisa izimpawu ze-ADHD. Siyazi ukuthi i-clonidine isebenza engxenyeni yobuchopho esiza ukulawula ukuziphatha, ukunaka, nokuthi siveza kanjani imizwa.

Imiphumela emibi ye-Clonidine

Ithebhulethi yomlomo kaClonidine ingadala ukozela. Kodwa-ke, lo mphumela ungahle uhambe uma uwuthatha isikhathi eside. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi emincane ingahle iphele ezinsukwini ezimbalwa noma emasontweni ambalwa. Khuluma nodokotela wakho noma usokhemisi uma benamandla kakhulu noma bengahambi. Imiphumela emibi ejwayelekile engenzeka nge-clonidine ifaka:

• umlomo owomile namehlo omile
• isiyezi
• ukukhathala
• isisu noma ubuhlungu
• ukuthambisa
• ukuqunjelwa
• ikhanda
• ukutheleleka okuphezulu okuphefumulayo
• ukuzwa ukucasuka
• inkathazo yokulala
• amaphupho amabi

Imiphumela emibi kakhulu

Uma uhlangabezana neminye yale miphumela emibi kakhulu, shayela udokotela wakho ngokushesha. Uma izimpawu zakho zingasongela impilo noma uma ucabanga ukuthi ubhekene nesimo esiphuthumayo sezokwelapha, shayela ku-911. Imiphumela emibi kakhulu ingafaka:

• yanda yabe yehla umfutho wegazi
• ukushaya kwenhliziyo okuhamba kancane noma okusheshayo
• ukushaya kwenhliziyo okungalingani
• isiyezi lapho umile
• ukudlula emhlabeni
• ukuphefumula okuphuzile noma ukuphefumula kanzima
• ubuhlungu besifuba
• ukubona izinto ezingekho (ukubona izinto ezingekho)

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

UClonidine angaxhumana neminye imithi

Ithebhulethi yomlomo kaClonidine ingaxhumana neminye imithi, amakhambi, noma amavithamini ongahle uwathathe. Yingakho udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Uma unemibuzo yokuthi lo muthi ungaxhumana kanjani nokuthile okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Qaphela: Unganciphisa amathuba akho okuhlangana kwezidakamizwa ngokugcwalisa yonke imiyalo yakho ekhemisi elifanayo. Ngaleyo ndlela, usokhemisi angabheka ukuthi kungenzeka yini ukuhlangana kwezidakamizwa.

Izidakamizwa ezandisa ukozela

Ungahlanganisi le mithi ne-clonidine. Ukuthatha le mithi nge-clonidine kungakhuphula ukozela:

• barbiturates njenge:
  • lindokuhle
  • pentobarbital
• ama-phenothiazines afana ne:
  • i-chlorpromazine
  • thioridazine
  • prozlorperazine
• benzodiazepines njenge:
  • mzwandile
  • mzingisi
• izidakamizwa zobuhlungu (ama-opioid) njenge:
  • i-oxycodone
  • i-hydrocodone
  • morphine
• ezinye izidakamizwa zokudambisa

I-Tricyclic antidepressants (TCA)

Ukuhlanganisa le mithi ne-clonidine kungakhuphula umfutho wegazi. Izibonelo zale mithi zifaka:

• i-clomipramine (Anafranil)
• i-desipramine (Norpramin)
• doxepin (Sinequan)
• imipramine (Tofranil)
• i-nortriptyline (Pamelor)
• i-protriptyline (Vivactil)
• i-trimipramine (iSurmontil)

Izidakamizwa zenhliziyo

Ukuhlanganisa lezi zidakamizwa zenhliziyo ne-clonidine kunganciphisa izinga lokushaya kwenhliziyo yakho. Lokhu kungaba nzima. Kungase kudingeke uye esibhedlela noma ube ne-pacemaker. Uma uthatha owodwa wale mithi, i-clonidine kungenzeka ingabi inketho engcono kakhulu kuwe.

Izibonelo zalezi zidakamizwa zenhliziyo zifaka:

• I-digoxin
• beta blocker
• ama-calcium channel blocker anjenge:
  • umabhebhana
  • sibongile

Izidakamizwa ze-antipsychotic

Uma uphuza le mithi nge-clonidine, ungathola isiyezi noma ube nenkinga yokulinganisa lapho uhleli ngemuva kokulala phansi, noma ume ngemuva kokuhlala. Lokhu kubizwa ngokuthi yi-orthostatic hypotension. Izibonelo zale mithi zifaka:

• i-clozapine (Clozaril)
• i-aripiprazole (Hlanza)
• i-quetiapine (iSeroquel)

Izidakamizwa zomfutho wegazi

Ukuhlanganisa le mithi ne-clonidine kungehlisa umfutho wegazi wakho kakhulu. Lokhu kukhulisa ingozi yakho yokudlula. Izibonelo zale mithi zifaka:

• ama-angiotensin II receptor blockers anjenge:
  • losartan
  • valsartan
  • busisiwe
• ama-angiotensin-converting enzyme (ACE) inhibitors anjenge:
  • indilaphril
  • lisinopril
• isisu esinjenge:
  • i-hydrochlorothiazide
  • umabhebhana

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso zikaClonidine

Lesi sidakamizwa siza nezixwayiso eziningana.

Ukungezwani komzimba

Ungayisebenzisi le mithi uma ngabe uke waba nokungezwani komzimba namaphilisi e-clonidine noma izingxenye ze-clonidine patch esikhathini esedlule.

Ukuthatha i-clonidine yomlomo ngemuva kokuphendula kwesikhumba esiqwini se-clonidine kungadala ukuqhuma emzimbeni wakho wonke, ukulunywa, futhi mhlawumbe nokusabela okweqile komzimba.

Ukusabela okweqile komzimba kungadala:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi
• isifuba

Ukusebenzisana kotshwala

Ukuhlanganisa utshwala ne-clonidine kungadala umphumela oyingozi wokuthomalalisa. Kunganciphisa ukucabanga kwakho, kubangele ukwahlulela okungafanele, futhi kubangele ukulala.

Izexwayiso zamaqembu athile

Kubantu abanezinkinga zenhliziyo: Lokhu kufaka umfutho ophansi wegazi, ukushaya kwenhliziyo okuphansi, nesifo senhliziyo. Lo muthi unciphisa umfutho wegazi nokushaya kwenhliziyo. Ungaba sengozini yemiphumela emibi kakhulu uma usuvele unengcindezi yegazi ephansi noma isilinganiso senhliziyo esiphansi.

Okwabantu abanesiyezi lapho bemi: Lesi simo sibizwa ngokuthi i-orthostatic hypotension. IClonidine ingenza lesi simo sibe sibi kakhulu. Ungasukumi ngokushesha okukhulu futhi uqiniseke ukuthi ungapheli amanzi emzimbeni. Lokhu kungakhulisa isiyezi sakho kanye nengozi yokuquleka.

Eyabantu abane-syncope (abaqulekile): IClonidine ingenza lesi simo sibe sibi kakhulu. Ungasukumi ngokushesha okukhulu futhi uqiniseke ukuthi ungapheli amanzi emzimbeni. Lokhu kungakhulisa isiyezi sakho kanye nengozi yokuquleka.

Kubantu abanezinkinga zamehlo: Lokhu kufaka i-eye eye syndrome nezinkinga ezigxile emehlweni akho. I-Clonidine ingenza lezi zinkinga zibe zimbi kakhulu.

Kwabesifazane abakhulelwe: IClonidine yisigaba C somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

1. Ukucwaninga ngezilwane kukhombise imiphumela emibi embungwini lapho umama ethatha umuthi.
2. Akuzange kube nezifundo ezanele ezenziwe ebantwini ukuze kuqinisekiswe ukuthi umuthi ungawuthinta kanjani umbungu.

Khuluma nodokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. I-Clonidine kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona ibeka ubungozi enganeni.

Kwabesifazane abancelisayo: I-Clonidine ingadlula obisini lwakho lwebele futhi ingadala imiphumela emibi enganeni ebelethayo. Tshela udokotela wakho uma uncelisa. Ungadinga ukunquma ukuthi uyeke ukuncelisa noma uyeke ukuthatha i-clonidine.

Okwabadala: Lo muthi uthinta umfutho wegazi, ongadala isiyezi futhi wandise ingozi yokuwa.

Okwezingane: Lesi sidakamizwa asizange sifundwe ezinganeni ezine-ADHD ezingaphansi kweminyaka engu-6.

Ungayithatha kanjani i-clonidine

Yonke imithamo namafomu okungenzeka angafakwa lapha. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Ifomu namandla

Ifomu: ithebhulethi ekhishwa isikhathi eside yomlomo

Amandla: 0.1 mg

Isikali sokunakekelwa kokushoda kokungasebenzi kahle (ADHD)

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Umthamo ophephile futhi osebenzayo awusunguliwe kubantu abadala.

Isilinganiso sengane (iminyaka eyi-6-17 iminyaka)

• Umthamo wokuqala ngu-0.1 mg othathwe ngesikhathi sokulala.
• Imithamo ingakhuphuka nge-0.1 mg eyengeziwe ngosuku njalo ngesonto kuze kube yilapho izimpawu zakho sezingcono noma ufinyelela kubukhulu bansuku zonke.
• Ingqikithi yemithamo yansuku zonke ingu-0.1-0.4 mg ngosuku.
• Umthamo ophelele wansuku zonke uhlukaniswe ngemithamo emi-2 ethathwe kabili ngosuku.
• Uma umisa i-clonidine, inani eliphelele lansuku zonke kufanele lehle ngo-0.1 mg njalo ezinsukwini ezingama-3-7.

Isilinganiso sengane (iminyaka engu-0-5)

Umthamo ophephile futhi osebenzayo awusungulwanga leli qembu leminyaka.

Ukucatshangelwa okukhethekile komthamo

Uma unesifo sezinso: Uma unesifo sezinso, isilinganiso sakho sokuqala singase sibe ngaphansi. Umthamo wakho ungakhuphuka ngokuya ngomfutho wegazi.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

I-Clonidine ngumuthi wesikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma ungayithathi nhlobo noma cha ngesikhathi

Izimpawu nezimpawu zakho ze-ADHD zingase zibe zimbi kakhulu.

Uma ume ngokungazelelwe

Kubalulekile ukuthi ungayeki ngokungazelelwe ukuthatha lo muthi. Lokhu kungaholela ekuphenduleni kokuhoxiswa. Imiphumela emibi ingafaka:

• ikhanda
• ukuthuthumela
• ukwanda okusheshayo kwengcindezi yegazi

Okufanele ukwenze uma uphuthelwa umthamo

Uma uphuthelwa umthamo, weqa umthamo ongabanjwanga bese uthatha umthamo olandelayo njengoba kuhlelwe.

Ungathathi ngaphezu kwenani elinqunyiwe eliphelele lansuku zonke le-clonidine esikhathini samahora angama-24.

Ungasho kanjani ukuthi umuthi uyasebenza

Ungahle ukwazi ukutshela ukuthi lesi sidakamizwa siyasebenza uma ubona ukuthuthuka kwezimpawu zakho, ikakhulukazi ukunakwa, ukungasebenzi kahle, nokungafisi.

Ukucatshangelwa okubalulekile kokuthatha i-clonidine

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-clonidine.

Jikelele

• Ungathatha i-clonidine ngokudla noma ngaphandle kokudla.
• Thatha i-clonidine ekuseni nangesikhathi sokulala: Umthamo ophelele wansuku zonke uhlukaniswe ngamanani ama-2. Umthamo ngamunye uvame ukufana, kepha kwesinye isikhathi umthamo omkhulu uyadingeka. Uma unesilinganiso esiphezulu, thatha ngesikhathi sokulala.
• Musa ukuchoboza, ukuhlafuna, noma ukusika lo muthi.

Isitoreji

• Gcina lesi sidakamizwa ekamelweni eliphakathi kuka-68 ° F no-77 ° F (20 ° F no-25 ° C).
• Gcina imithi ingekho ekukhanyeni.
• Gcina lesi sidakamizwa kude nezindawo lapho singamanzi khona, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha nawe noma esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza lo muthi.
• Ungahle udinge ukukhombisa ilebuli ekhiqizwe ngaphambili yekhemisi lakho ukukhomba umuthi. Gcina ibhokisi lokuqala elinelebula kadokotela lapho usohambweni.

Ukuqapha komtholampilo

Udokotela wakho angenza izivivinyo ngesikhathi sokwelashwa kwakho nalesi sidakamizwa. Lezi zivivinyo zingasiza ekuqinisekiseni ukuthi umuthi uyasebenza nokuthi uhlala uphephile ngesikhathi sokwelapha. Udokotela wakho anga:

• hlola ukusebenza kwezinso zakho ukubona ukuthi ngabe umthamo wakho wokuqala udinga ukuba phansi.
• yenza i-electrocardiogram noma olunye uvivinyo lwenhliziyo ukuze uhlole ukuthi inhliziyo yakho isebenza kanjani futhi uqiniseke ukuthi awunayo imiphumela emibi.
• qapha umfutho wegazi nokushaya kwenhliziyo yakho ukuze uqiniseke ukuthi lo muthi uyasebenza.

Izindleko zalezi zivivinyo zizoya ngokutholakala komshuwalense wakho.

Umshuwalense

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwenguqulo yegama lomuthi yalesi sidakamizwa. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Amanye angahle akulungele wena kunamanye. Khuluma nodokotela wakho ngezinye izindlela ezingenzeka.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.