Clonidine ni iki: Ibyo ikora, Ingano, Ingaruka n'ibindi

Clonidine ni umuti wandikwa na muganga, ufasha kugabanya umuvuduko w'amaraso no kuvura ibibazo bimwe na bimwe by'imyitwarire. Nubwo wabanje gukorwa nk'umuti w'umuvuduko w'amaraso, abaganga basanze unakora neza mu kugenzura ibimenyetso bya ADHD no gufasha abantu kureka ibiyobyabwenge cyangwa inzoga.

Uyu muti woroshye ariko ukora neza ukora utuje imyakura yawe mu buryo bwihariye. Utekereze ko ufasha umubiri wawe gutuza, ari yo mpamvu ushobora gufasha haba ku bibazo by'umubiri nk'umuvuduko ukabije w'amaraso ndetse n'ibibazo by'imyitwarire nko guhangayika cyane.

Clonidine ikoreshwa iki?

Clonidine ivura umuvuduko ukabije w'amaraso nk'ikintu cy'ingenzi ikora, ariko abaganga bayitegeka n'ibindi bibazo byinshi. Uyu muti ufasha imitsi y'amaraso koroha, bigatuma umutima wawe woroherwa no gutera amaraso mu mubiri wawe wose.

Uretse kugenzura umuvuduko w'amaraso, clonidine ishobora gufasha cyane abana n'abantu bakuru bafite ADHD, cyane cyane iyo indi miti itakoze neza cyangwa iteje ingaruka zidashimishije. Ni ingirakamaro cyane mu kugenzura imyitwarire y'urugomo, ubwibone, n'ibibazo byo gusinzira bikunze kuza na ADHD.

Rimwe na rimwe abaganga bategeka clonidine gufasha abantu bari kureka inzoga, imiti ikomeye, cyangwa itabi. Uyu muti ushobora koroshya ibimenyetso byinshi bibabaza byo kureka ibiyobyabwenge nk'umutima uhagaze, kubira ibyuya, n'umutima utera cyane, bigatuma inzira yo gukira yorohera.

Dore ibibazo by'ingenzi clonidine ifasha kuvura, uhereye ku bikunze gukoreshwa cyane:

• Umuvuduko ukabije w'amaraso (hypertension)
• Ibimenyetso bya ADHD, cyane cyane guhangayika cyane no kwibonekeza
• Ibimenyetso byo kureka inzoga
• Ibimenyetso byo kureka imiti ikomeye
• Kureka itabi mu gihe cyo kureka kunywa itabi
• Indwara ya Tourette n'ibindi bibazo byo gutitira
• Uburibwe bukomeye budakira (nk'igice cy'ubuvuzi buhuriweho)

Nubwo ibi ari byo bikunze kugaragara, hari abaganga bashobora gutanga clonidine ku bindi bibazo bitewe n'ibyo ukeneye byihariye. Umukozi w'ubuzima bwawe ni we uzagena niba clonidine ikwiriye imiterere yawe bwite.

Clonidine Ikora Ite?

Clonidine ikora igira ingaruka ku byuma byihariye mu bwonko bwawe byitwa alpha-2 receptors. Iyo clonidine ikanguye ibyo byuma, mu by'ukuri ibwira imyakura yawe gutuza kandi ikagabanya isohoka ry'imisemburo itera umubabaro nka norepinephrine.

Iyo ngaruka yo gutuza ibera mu mubiri wawe wose, ari yo mpamvu clonidine ishobora gufasha ku bimenyetso by'umubiri nko guhangana n'umuvuduko ukabije w'amaraso ndetse n'ibimenyetso by'imyitwarire nko guhangana n'uburuhuko bukabije. Imitsi yawe y'amaraso iraruhuka, umutima wawe ugenda gahoro, kandi uburyo bwawe bwo guhangana n'umubabaro buba butari bukomeye cyane.

Clonidine ifatwa nk'umuti ufite ingufu ziciriritse, bivuze ko ikora neza ariko muri rusange yoroshye kuruta indi miti imwe n'imwe y'umuvuduko w'amaraso cyangwa ADHD. Muri rusange bifata amasaha 1-3 kugira ngo itangire gukora, kandi ingaruka zayo zishobora kumara amasaha 8-12 bitewe n'uko uri gufata ubwoko busanzwe cyangwa ubwoko burekura umuti buhoro buhoro.

Nagombye Gufata Clonidine Nte?

Fata clonidine nk'uko muganga wawe yabigutegetse, ubusanzwe inshuro ebyiri ku munsi ku mapilisi asanzwe cyangwa rimwe ku munsi ku mapilisi arekura umuti buhoro buhoro. Ushobora kuyifata uriye cyangwa utariye, ariko kuyifata mu buryo bumwe buri gihe bifasha kugumisha urugero rw'umuti ruhamye mu mubiri wawe.

Niba uri gufata clonidine ku bw'umuvuduko w'amaraso, birashoboka ko muganga wawe azagutangiza ku rugero ruto hanyuma akagenda arwongera buhoro buhoro mu byumweru byinshi. Ubwo buryo bwo kugenda gahoro bufasha umubiri wawe kumenyera kandi bukagabanya amahirwe yo kugira ingaruka mbi nko kuzungera cyangwa gusinzira.

Ku bijyanye no kuvura ADHD, clonidine ikunze gufatwa nimugoroba kubera ko ishobora gutera ibitotsi, ibyo bikaba bifasha abantu benshi gusinzira neza. Ariko kandi, abantu bamwe bayifata inshuro ebyiri ku munsi niba muganga wabo yemeje ko bikora neza ku bimenyetso byabo.

Dore amabwiriza y'ingenzi yo gufata clonidine mu buryo butekanye:

• Ujye uyifata ku isaha imwe buri munsi kugira ngo ugire urugero ruhamye
• Ntiwigeze ushya cyangwa uhekenya ibinini birekura imiti buhoro buhoro
• Niba uyifatana n'ibiryo, ujye ubikora buri gihe
• Irinde inzoga igihe uri gufata clonidine
• Ntukayihagarike gutunguranye utabanje kubiganiraho na muganga wawe
• Ubikire ku bushyuhe bw'icyumba kure y'ubushuhe

Wibuke ko ari byiza rwose gufata clonidine n'amazi, umutobe, cyangwa amata. Ikintu cy'ingenzi cyane ni ugukomeza uburyo n'igihe uyifatira buri munsi.

Nagomba Kumara Igihe Kingana Gute Ndafata Clonidine?

Igihe cyo kuvura clonidine giterwa rwose n'indwara urimo kuvura n'uburyo witwara ku miti. Ku bijyanye n'umuvuduko ukabije w'amaraso, abantu benshi bafata clonidine igihe kirekire nk'igice cyo gucunga ubuzima bwabo buri gihe.

Niba uri gukoresha clonidine ku ndwara ya ADHD, muganga wawe ashobora kugusaba kuyigerageza amezi menshi kugira ngo arebe uko ikora ku bimenyetso byawe byihariye. Abantu bamwe basanga bayikeneye igihe kirekire, abandi bakayikoresha by'agateganyo mu gihe bagerageza ubundi buryo bwo kuvura.

Ku bimenyetso byo kureka inzoga cyangwa ibiyobyabwenge, clonidine ikoreshwa mu gihe gito, ubusanzwe ibyumweru bike kugeza ku mezi make. Intego ni ugufasha kunyura mu gice kigoye cyo kureka ibiyobyabwenge mu buryo butekanye kandi bwiza.

Muganga wawe azajya akora isuzuma ry'uburyo witwara kuri clonidine kandi ashobora guhindura gahunda yawe yo kuvura. Ntugahagarike gufata clonidine gutunguranye, cyane cyane niba umaze ibyumweru byinshi uyifata, kuko bishobora gutera umuvuduko w'amaraso kuzamuka cyane.

Ingaruka za Clonidine ni Izihe?

Abantu benshi bafata clonidine neza, ariko kimwe n'imiti iyo ari yo yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka nyinshi ziba zoroshye kandi akenshi zigenda ziba nziza uko umubiri wawe umenyera imiti mu byumweru bike bya mbere.

Ingaruka zikunze kugaragara ushobora guhura nazo muri rusange zirashobora gucungwa kandi zikunze guterwa n'ingaruka za clonidine zituma umutima utuza ku mitsi yawe. Ibi bikunze kubaho iyo ugitangira gufata umuti cyangwa iyo ingano y'umuti wiyongereye.

Dore ingaruka zikunze kugaragara cyane, zikurikiranye uhereye ku zikunze kugaragara cyane kugeza ku zidakunze kugaragara:

• Kugira ibitotsi cyangwa umunaniro (cyane cyane mu byumweru bike bya mbere)
• Umwuma mu kanwa
• Kuzungera, cyane cyane uhagurutse vuba
• Kuziba
• Umutwe
• Isesemi
• Ibibazo byo gusinzira cyangwa kurota nabi
• Intege nke cyangwa kumva unaniwe

Izi ngaruka zikunze kugaragara muri rusange ni iz'igihe gito kandi zigenda zigabanuka uko umubiri wawe umenyera umuti. Kunywa amazi menshi bishobora gufasha kugabanya umwuma mu kanwa, kandi guhaguruka gahoro gahoro uvuye kwicara cyangwa kuryama bishobora kugabanya isereri.

Nubwo bidakunze kubaho, hari abantu bagira ingaruka zikomeye zisaba ubuvuzi bwihuse. Izi ngaruka zikomeye ariko zikaba ari ngombwa zirimo kugabanuka gukabije kw'umuvuduko w'amaraso, umutima utera gake cyane, cyangwa ibimenyetso byo kugira allergi nko kurwara uruhu cyangwa guhumeka bigoranye.

Hamagara muganga wawe ako kanya niba ugize ububabare mu gatuza, isereri ikabije, gucika intege, cyangwa ibimenyetso byose biguteye impungenge. Abantu benshi bafata clonidine nta kibazo gikomeye, ariko buri gihe ni byiza kubaza umuforomo wawe niba udasobanukiwe ibimenyetso ibyo ari byo.

Ni Bande Batagomba Gufata Clonidine?

Nubwo clonidine muri rusange ifite umutekano ku bantu benshi, hari abantu bamwe bagomba kwirinda uyu muti cyangwa bakawukoresha bitonze cyane. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kugutegekera clonidine kugira ngo arebe ko ifite umutekano kuri wewe.

Abantu bafite ibibazo by'umutima runaka bakeneye kwitabwaho by'umwihariko kuko clonidine igira ingaruka ku itera ry'umutima n'umuvuduko w'amaraso. Niba ufite umutima utera gake, ubwoko bumwe na bumwe bwo kuziba umutima, cyangwa indwara ikomeye y'umutima, clonidine ishobora kuba atari yo mahitamo meza kuri wewe.

Abantu bafite ibibazo by’impyiko na bo bagomba kwitonda, kuko clonidine itunganywa n’impyiko. Umuganga wawe ashobora gukenera guhindura ingano y’umuti cyangwa akagukurikiranira hafi niba ufite indwara y’impyiko.

Dore ibibazo nyamukuru n’imimerere aho clonidine ikwiye kwirindwa cyangwa ikoreshwa witonze cyane:

• Indwara ikomeye y’umutima cyangwa ibibazo by’umutima guteragura nabi
• Umuvuduko w’amaraso uri hasi cyane (hypotension ikabije)
• Indwara ikomeye y’impyiko
• Kugira allergie izwi kuri clonidine cyangwa imiti isa nayo
• Gutwita (keretse inyungu ziruta kure ibyago)
• Konsa (clonidine inyura mu mashereka)
• Kwiheba gukabije cyangwa amateka yo kugerageza kwiyahura
• Umutima watereranye cyangwa stroke biherutse

Imyaka na yo ishobora kuba ikintu cyo kwitondera, kuko abantu bakuru bashobora kwitabira cyane ingaruka za clonidine ku muvuduko w’amaraso no ku mutima guteragura. Abana bashobora gufata clonidine neza ku bwa ADHD, ariko bakeneye gukurikiranwa cyane no guhabwa ingano y’umuti ikwiye imyaka yabo.

Niba uri gufata indi miti, cyane cyane indi miti igabanya umuvuduko w’amaraso, imiti igabanya kwiheba, cyangwa imiti itera ibitotsi, umuganga wawe azakenera gutekereza ku mikoranire ishoboka. Jya uhora utanga urutonde rwuzuye rw’imiti yose n’ibyuzuzo by’imirire uri gufata.

Amazina y’Ubucuruzi ya Clonidine

Clonidine iboneka ku mazina y’ubucuruzi atandukanye, nubwo ubwoko bwayo busanzwe bukora neza kimwe kandi akenshi buraboneka ku giciro gito. Amazina y’ubucuruzi azwi cyane harimo Catapres ku mapilule asanzwe na Catapres-TTS ku bipande byo ku ruhu.

Ku kuvura ADHD, ushobora kubona clonidine itangwa nka Kapvay, yo ni ubwoko burekurwa buhoro buhoro bwagenewe gufatwa rimwe ku munsi. Hariho kandi Nexiclon XR, ubundi bwoko burekurwa buhoro buhoro abaganga bamwe bakunda gukoresha ku barwayi bamwe na bamwe.

Kuba wabona izina ry’ubucuruzi cyangwa ubwoko busanzwe ntacyo bitwaye cyane mu bijyanye n’imikorere. Ikintu nyamukuru gikora ni kimwe, kandi imiti isanzwe igomba kuzuza ubuziranenge bukomeye nk’uko amazina y’ubucuruzi abigenza.

Uburyo Bwo Gusimbura Clonidine

Niba clonidine itagufasha neza cyangwa igatera ingaruka mbi zikubangamiye, hari imiti myinshi ushobora gusimbuza umuganga wawe yakwitegereza. Uburyo bwiza bwo gusimbuza biterwa n'indwara urimo kuvura n'uburyo umubiri wawe wakira imiti itandukanye.

Ku bw'umuvuduko ukabije w'amaraso, ubundi buryo burimo ACE inhibitors nka lisinopril, beta-blockers nka metoprolol, cyangwa calcium channel blockers nka amlodipine. Iyi miti ikora binyuze mu buryo butandukanye kandi ishobora kuba ikwiriye ibyo ukeneye byihariye.

Niba uri gufata clonidine ku bwa ADHD, ubundi buryo burimo imiti ikangura ubwonko nka methylphenidate cyangwa amphetamines, cyangwa ubundi buryo butakangura ubwonko nka atomoxetine cyangwa guanfacine. Umuganga wawe azagufasha kubona umuti ugukorera neza ku bimenyetso byawe byihariye.

Ku bimenyetso byo kureka ibiyobyabwenge, ubundi buryo bushobora kuba burimo indi miti nka gabapentin, imiti imwe n'imwe igabanya kwiheba, cyangwa imiti yihariye ivura ubuziranenge. Amahitamo aterwa n'ikintu urimo kureka n'uko ubuzima bwawe bwose buhagaze.

Ese Clonidine Ni Nziza Kuruta Guanfacine?

Clonidine na guanfacine byombi bikora kimwe bigira ingaruka ku byakira bimwe mu bwonko bwawe, ariko bifite itandukaniro ry'ingenzi. Guanfacine ikunze kumara igihe kirekire mu mubiri wawe kandi ishobora gutera ibitotsi bike, mu gihe clonidine ikunze gukora byihuse ariko igomba gufatwa kenshi.

Ku kuvura ADHD, abantu bamwe bitwara neza ku muti umwe kuruta undi. Guanfacine ishobora gukundwa niba ibitotsi ari ikibazo kuri clonidine, mu gihe clonidine ishobora gutoranywa niba ukeneye ubufasha ku bibazo byo gusinzira kimwe n'ibimenyetso bya ADHD.

Ku kugenzura umuvuduko w'amaraso, imiti yombi irashobora gukora neza, ariko clonidine yakoreshejwe igihe kirekire kandi ifite ubushakashatsi bwimbitse inyuma yayo. Umuganga wawe azareba ibimenyetso byawe byihariye, imibereho yawe, n'indi miti igihe uhitamo hagati yabyo.

Nta hantu hose usanga umuti umwe uruta undi hagati y'iyi miti ibiri. Ikiruta ibindi byose ni ukubona umuti ugukorera neza kurusha iyindi kandi ukagira ingaruka nke.

Ibibazo bikunze kubazwa kuri Clonidine

Ese Clonidine ni umuti wizewe ku ndwara z'umutima?

Clonidine ishobora kwizerwa ku bantu bafite ubwoko bumwe na bumwe bw'indwara z'umutima, ariko bisaba kugenzurwa byimbitse n'abaganga. Uyu muti ushobora gufasha zimwe mu ndwara z'umutima ugabanya umuvuduko w'amaraso n'umuvuduko w'umutima, ariko ntibikwiriye buri wese ufite ibibazo by'umutima.

Niba ufite indwara y'umutima, muganga wawe azakenera gusuzuma uko ubuzima bwawe buhagaze mbere yo kugutegekera clonidine. Bazareba ibintu nk'imiterere y'umutima wawe, urugero rw'umuvuduko w'amaraso, n'indi miti yose y'umutima uri gufata.

Abantu bafite ikibazo gikabije cyo guhagarara k'umutima, umuvuduko w'umutima uri hasi cyane, cyangwa abagize indwara y'umutima vuba aha, ubusanzwe ntibagomba gufata clonidine. Ariko, abafite indwara y'umutima igenzurwa neza bashobora kungukirwa n'ingaruka zayo zo kugabanya umuvuduko w'amaraso.

Nakora iki niba nshizeho gufata Clonidine nyinshi?

Niba ushizeho gufata clonidine nyinshi kurusha iyo wategetswe, hamagara muganga wawe cyangwa ikigo gishinzwe uburozi ako kanya, cyane cyane niba wafashe umuti mwinshi cyane ugereranije n'umusemburo wawe usanzwe. Gufata clonidine nyinshi bishobora gutera kugabanuka gukabije kw'umuvuduko w'amaraso n'umuvuduko w'umutima.

Ibyerekana ko wafashe clonidine nyinshi harimo gusinzira cyane, kuzungera, umutima utera gahoro cyangwa udatera neza, guhumeka bigoranye, no guta ubwenge. Niba uhuye n'ibyo bimenyetso, shakisha ubufasha bw'abaganga bwihutirwa ako kanya.

Mu gihe utegereje ubufasha bw'abaganga, uryame hasi amaguru yawe azamuye niba bishoboka, kandi ntukagerageze kuruka. Menya neza umubare w'imiti w'inyongera wafashe n'igihe wabifatiye, kuko ibyo bizafasha abaganga kuvura neza.

Nakora iki niba nibagiwe gufata umusemburo wa Clonidine?

Niba wibagiwe gufata umuti wa clonidine, fata iyo dose ukimara kubyibuka, keretse niba igihe cyo gufata dose yawe ikurikira kigiye kugera. Muri icyo gihe, reka iyo dose wibagiwe maze ukomeze gahunda yawe isanzwe yo gufata imiti.

Ntuzigere ufata doze ebyiri icyarimwe kugira ngo wishyure iyo dose wibagiwe, kuko ibyo bishobora gutuma umuvuduko w'amaraso wawe umanuka cyane. Niba ukunze kwibagirwa gufata imiti, tekereza gushyiraho ibyibutso kuri telefoni cyangwa gukoresha agasanduku gapangiye imiti kugira ngo bigufashe gukurikiza gahunda.

Kutafata imiti rimwe na rimwe akenshi ntago biteye akaga, ariko kutayifata inshuro nyinshi cyangwa guhagarika clonidine bitunguranye bishobora gutuma umuvuduko w'amaraso uzamuka cyane mu buryo buteye akaga. Niba wibagiwe gufata imiti inshuro nyinshi, vugana na muganga wawe kugira ngo akugire inama y'uburyo wakongera gufata imiti yawe mu buryo butekanye.

Ni Ryari Nashobora Guhagarika Gufata Clonidine?

Ntuzigere uhagarika gufata clonidine bitunguranye utabanje kuvugana na muganga wawe, kuko ibyo bishobora gutera ingaruka ziteye akaga zo kuzamuka k'umuvuduko w'amaraso mu buryo bwihuse. Ibi ni ukuri nubwo waba umaze ibyumweru bike ufata clonidine.

Igihe kigeze cyo guhagarika clonidine, muganga wawe azakora gahunda yo kugabanya buhoro buhoro dose yawe mu minsi cyangwa ibyumweru byinshi. Ubu buryo bwo kugabanya buhoro buhoro bufasha kwirinda ibimenyetso byo kureka imiti no kugumisha umuvuduko w'amaraso wawe utekanye.

Icyemezo cyo guhagarika clonidine giterwa n'impamvu yatumye uyifata, uko ikora neza, n'uko urimo kugira ingaruka mbi zigutera impungenge. Muganga wawe azagufasha gupima akamaro n'ingaruka zo gukomeza cyangwa guhagarika imiti.

Nshobora Kunywa Inzoga Ndi Gufata Clonidine?

Ni byiza kwirinda inzoga mu gihe uri gufata clonidine, kuko ibintu byombi bishobora kugabanya umuvuduko w'amaraso no gutera ibitotsi. Kubihuza bishobora gutuma izo ngaruka zirushaho kwiyongera kandi bikaba biteye akaga.

Niba uhisemo kunywa inzoga rimwe na rimwe, gerageza kunywa nke kandi witondere cyane ibikorwa bisaba ubushishozi, nko gutwara imodoka. Zirikana uko wiyumva, kuko guhuza ibyo bintu bishobora gutuma ugira isereri cyangwa ugasinzira cyane kuruta uko bisanzwe.

Niba uri gufata clonidine kugira ngo ureke inzoga, birumvikana ko kwirinda inzoga burundu ari ingenzi cyane kugira ngo ukire. Ganira na muganga wawe ku bibazo byose ufite ku bijyanye no kunywa inzoga uri kuri iyi miti.