Guanfacine ni iki: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Guanfacine ni umuti wandikirwa na muganga ufasha kugenzura umuvuduko w'amaraso n'uburwayi bumwe na bumwe bwo kutita ku bintu. Uyu muti woroshye ariko ufite akamaro ukora utuza uturemangingo twihariye mu bwonko bwawe no mu miyoboro y'amaraso, bigatuma umubiri wawe woroherwa no kugumana umuvuduko w'amaraso muzima no kunoza imyumvire iyo bibaye ngombwa.

Guanfacine ni iki?

Guanfacine ni umwe mu miti yitwa alpha-2 agonists, bivuze ko ikora yibanda ku turemangingo twihariye mu mikorere y'imitsi yawe. Bitekereze nk'umugenzi woroshye ufasha umubiri wawe kubona uburinganire bwawo. Yabanje gukorwa kugira ngo ivure umuvuduko mwinshi w'amaraso, abaganga bavumbuye ko ifasha n'abana n'abantu bakuru bafite uburwayi bwo kutita ku bintu no gukabya (ADHD) mu kunoza imyumvire no kugabanya imyitwarire idashidikanywaho.

Uyu muti uza mu buryo bubiri bukuru: ibinini bifatwa ako kanya kugira ngo bigabanye umuvuduko w'amaraso n'ibinini bifatwa mu gihe kirekire byagenewe kuvura ADHD. Uburyo bwombi bukora hakoreshejwe uburyo bumwe ariko bikajya mu mubiri wawe ku kigereranyo gitandukanye kugira ngo bihuze n'ibyo umubiri wawe ukeneye.

Guanfacine ikoreshwa mu kuvura iki?

Guanfacine ifite impamvu ebyiri z'ingenzi mu buvuzi bwa none. Ku bantu bakuru, ifasha neza mu kugenzura umuvuduko mwinshi w'amaraso mu gufasha imiyoboro y'amaraso kuruhuka no kugabanya umurimo w'umutima. Ku bana n'abantu bakuru bafite ADHD, ituma imyumvire yabo irushaho kuba myiza kandi igabanya imyitwarire ikabije cyangwa idashidikanywaho ishobora kubangamira imibereho ya buri munsi.

Muganga wawe ashobora kukwandikira guanfacine wenyine cyangwa hamwe n'indi miti, bitewe n'uburwayi ufite. Iyo ikoreshejwe mu kuvura ADHD, akenshi ivangwa n'indi miti itera imbaraga kugira ngo itange uburyo bwo kuvura burambuye. Uyu muti ukora neza cyane ku bantu bagira uburakari bwinshi cyangwa bagira ikibazo cyo kutagira ubushishozi.

Rimwe na rimwe, abaganga bandika imiti ya guanfacine mu buryo butemewe, nko gufasha mu bibazo byo gusinzira, umunabi, cyangwa ibimenyetso byo kuva mu bindi bintu. Ariko, izi nshingano zigomba gusa kwitabwaho n'abaganga babigiranye ubushishozi kandi bakagenzura buri gihe.

Guanfacine ikora ite?

Guanfacine ikora ikoresha imitsi ya alpha-2 mu bwonko bwawe no mu miyoboro y'amaraso. Iyi mitsi ikora nk'ibishushanyo byo mu bwonko bwawe, bifasha kugabanya imikorere ikabije mu duce tumwe na tumwe tw'ubwonko. Iyo iyi mitsi ikoreshejwe, yohereza ibimenyetso bishyigikira ituze no gushyira mu gaciro neza mugihe igabanya umuvuduko w'amaraso.

Uyu muti ufatwa nk'ukomeye ku rugero ruciriritse kurusha uko ari umuti ukomeye. Utanga impinduka zihamye, zigenda buhoro buhoro mu mubiri wawe kurusha ingaruka zikomeye zihita zigaragara. Ku bijyanye n'umuvuduko w'amaraso, ushobora kubona impinduka nziza mu masaha make, ariko inyungu yuzuye akenshi igaragara nyuma y'ibyumweru byinshi byo kuyikoresha buri gihe.

Ku bimenyetso bya ADHD, guanfacine akenshi bifata icyumweru kimwe cyangwa bibiri kugirango bigaragaze impinduka z'ibanze, hamwe n'inyungu nyinshi zigaragara nyuma y'ibyumweru 4-6 by'imiti. Uyu muti ukomeza gukora umunsi wose, utanga ubufasha buhoraho bw'ibimenyetso nta mpinduka zigaragara nk'izo abantu bamwe bahura nazo hamwe n'imiti ikoreshwa.

Nkwiriye gufata guanfacine nte?

Fata guanfacine nk'uko umuganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi bitewe n'uburwayi bwawe n'uburyo bwihariye. Uburyo bwo gusohora vuba akenshi bufatwa mbere yo kuryama kugirango bigabanye gusinzira k'umunsi, mugihe ibinini byo gusohora byongereweho akenshi bifatwa rimwe ku munsi mu gitondo cyangwa nimugoroba.

Ushobora gufata guanfacine hamwe n'ibiryo cyangwa utabifite, ariko kuyifata hamwe n'ibiryo bishobora gufasha kugabanya isesemi niba hariyo. Mumeze ibinini byo gusohora byongereweho byose nta kubikanda, kubihekenya, cyangwa kubica, kuko ibi bishobora kugira ingaruka ku buryo umuti usohoka mu mubiri wawe. Niba ugira ikibazo cyo kumira ibinini, ganira n'umuganga wawe kubyerekeye uburyo bwo kubikora.

Kuguma ku murongo ni ingenzi kuri guanfacine. Gerageza kuyifata ku gihe kimwe buri munsi kugira ngo urinde urugero ruzigama mu maraso yawe. Niba uyifata kubera umuvuduko w'amaraso, muganga wawe ashobora gutangira akuguha urugero ruto hanyuma akagenda arwongera buhoro buhoro kugira ngo abone urugero rukwiye ku mubiri wawe.

Nzamara Igihe Kingana Iki Ndafata Guanfacine?

Igihe cyo kuvura na guanfacine giterwa rwose n'uburwayi bwawe bwihariye n'uburyo wemera neza imiti. Kuva umuvuduko mwinshi w'amaraso, ushobora gukenera kuyifata igihe kirekire nk'igice cyo gucunga ubuzima bwawe buri gihe. Imiti igabanya umuvuduko w'amaraso akenshi iba igice cy'iteka ry'ubuzima bwawe kugira ngo urinde sisitemu yawe ya kardiyovaskulari ikora neza.

Ku kuvura ADHD, igihe gishobora gutandukana cyane ku muntu ku muntu. Abantu bamwe bungukirwa no gufata guanfacine amezi menshi kugeza ku myaka mike, mu gihe abandi bashobora gukenera kuvurwa igihe kirekire. Muganga wawe azagenzura buri gihe uburyo imiti ikora neza niba urimo guhura n'ingaruka zose ziteye impungenge.

Ntuzigere uhagarika gufata guanfacine ako kanya utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera umuvuduko mwinshi w'amaraso cyangwa kurushaho kw'ibimenyetso bya ADHD. Muganga wawe azagufasha kugabanya buhoro buhoro urugero niba ukeneye guhagarika gufata imiti, akemeza ko umubiri wawe uhinduka neza ku mpinduka.

Ni Iyihe Ngaruka Ziterwa na Guanfacine?

Abantu benshi boroherwa na guanfacine, ariko nk'imiti yose, ishobora gutera ingaruka ku bantu bamwe. Inkuru nziza ni uko ingaruka nyinshi zoroheje kandi akenshi zikongera uko umubiri wawe uhinduka ku miti mu byumweru bike bya mbere byo kuvurwa.

Ingaruka zisanzwe ushobora guhura nazo zirimo gusinzira, kuribwa umutwe, no kunanirwa. Izi ngaruka akenshi zigaragara cyane iyo utangiye gufata imiti cyangwa iyo urugero rwawe rwiyongereye. Hano hari ingaruka zigaragara cyane:

• Gusinzira cyane cyangwa gusinzira, cyane cyane mu byumweru bya mbere
• Kuribwa umutwe igihe uhagurutse vuba
• Kuribwa umutwe, akenshi bikaba byoroheje cyangwa bikaba byinshi
• Kumva unaniwe cyangwa kumva urushye kurusha uko byari bisanzwe
• Umunwa wumye, ushobora gukemurwa no kunywa amazi menshi
• Kugorana kw'igifu, akenshi bikagenda neza iyo wongereye imigozi n'amazi
• Uburwayi bwo mu gifu cyangwa isesemi, cyane cyane igihe utangiye kuvurwa

Ibi bimenyetso rusange bikunda kugabanuka uko umubiri wawe umenyera umuti. Abantu benshi basanga kunywa amazi menshi, kuruhuka bihagije, no guhaguruka buhoro iyo wicaye cyangwa uryamye bishobora gufasha kugabanya ibi bimenyetso.

Ibimenyetso bitagaragara cyane ariko bikomeye bisaba ubufasha bwihuse bw'abaganga. Nubwo biba gake, ni ngombwa kubimenya kugirango usabe ubufasha niba bibaye ngombwa:

• Kuribwa umutwe cyane cyangwa guta ubwenge
• Umutima utera gahoro cyangwa umutima utera nabi
• Impinduka zikomeye mu myumvire cyangwa agahinda gakabije
• Kugira ibitekerezo bidahuye n'ukuri cyangwa urujijo
• Uruhu rurwara cyane cyangwa ibiheri
• Kubura umwuka cyangwa kuribwa mu gituza

Niba ubonye kimwe muri ibi bimenyetso bikomeye, vugana n'umuganga wawe ako kanya cyangwa usabe ubufasha bwihutirwa bw'abaganga. Ibi bimenyetso ntibisanzwe ariko bisaba isuzuma ryihuse ry'abaganga kugirango umutekano wawe wemezwe.

Ninde utagomba gufata Guanfacine?

Abantu bamwe bagomba kwirinda guanfacine cyangwa bakayikoresha bayobowe n'abaganga. Umuganga wawe azasuzuma amateka yawe y'ubuzima mbere yo kugutangira uyu muti kugirango yemeze ko ari mutekano ku buzima bwawe bwihariye.

Ntabwo ugomba gufata guanfacine niba ufite allergie kuri uyu muti cyangwa ibikoresho byawo. Abantu bafite indwara zimwe na zimwe z'umutima, cyane cyane abafite umutima utera cyane cyangwa guhagarara kw'umutima, ntibashobora kuba abakandida beza kuri uyu muti. Umuganga wawe ashobora gushaka kureba uko umutima wawe utera mbere yo gutangira kuvurwa.

Ukwitonda bidasanzwe birakenewe niba ufite ibibazo by'impyiko cyangwa umwijima, kuko izo ngingo zifasha mu gutunganya imiti. Abantu bafite amateka y'agahinda gakabije, kuruka, cyangwa umuvuduko w'amaraso uri hasi cyane bagomba kuganira kuri ibyo bibazo na muganga wabo mbere yo gutangira gufata guanfacine. Abagore batwite cyangwa bonka bagomba gukoresha uyu muti gusa niba inyungu zishoboka zigaragara neza kurusha ibyago.

Amazina y'ubwoko bwa Guanfacine

Guanfacine iboneka mu mazina menshi y'ubwoko, buri rimwe ryagenewe gukoreshwa mu buryo bwihariye. Amazina y'ubwoko asanzwe arimo Tenex kubera ibinini byihutirwa bikoreshwa cyane cyane kubera umuvuduko w'amaraso, na Intuniv kubera ibinini birebire byemerejwe byihariye kuvura ADHD.

Guanfacine rusange nayo iraboneka cyane kandi ikubiyemo ibikoresho bikora kimwe n'ubwoko bw'amazina. Farumasi yawe ishobora guhita isimbura verisiyo rusange keretse muganga wawe asabye byihariye izina ry'ubwoko. Zombi verisiyo rusange n'izina ry'ubwoko zikora neza iyo zikoreshwa nkuko byategetswe.

Uburyo bwa Guanfacine

Hariho ubundi buryo bwinshi bwo gucunga umuvuduko w'amaraso no kuvura ADHD. Kubera umuvuduko w'amaraso mwinshi, izindi alpha-2 agonists nka clonidine zikora kimwe na guanfacine. ACE inhibitors, beta-blockers, na calcium channel blockers zihagarariye ibyiciro bitandukanye by'imiti y'umuvuduko w'amaraso muganga wawe ashobora gutekereza.

Kubera kuvura ADHD, ubundi buryo burimo imiti ikangura nka methylphenidate cyangwa amphetamines, ikora binyuze mu buryo butandukanye na guanfacine. Uburyo butakangura burimo atomoxetine, ikora ku bindi bice by'ubwonko. Muganga wawe ashobora kugufasha gushakisha ubwo buryo niba guanfacine atari yo ikwiriye kubyo ukeneye.

Uburyo bwo guhitamo bujyana n'ibimenyetso byawe byihariye, amateka yawe y'ubuzima, n'uko witwara ku miti itandukanye. Abantu bamwe bitwara neza bafashijwe n'ibitera imbaraga, mu gihe abandi bungukirwa cyane n'ubundi buryo butera imbaraga nka guanfacine.

Ese Guanfacine iruta Clonidine?

Guanfacine na clonidine ni imiti yombi ya alpha-2 agonists ikora mu buryo busa, ariko ifite itandukaniro rikomeye. Guanfacine ikunda kumara igihe kirekire mu mubiri wawe, akenshi bivuze ko ugomba kuyifata kenshi kandi ikagira ingaruka zihamye umunsi wose. Abantu benshi basanga guanfacine itera ibitotsi bike ugereranije na clonidine.

Clonidine imaze igihe kirekire kandi iboneka mu buryo bwinshi, harimo n'ibishishwa byo gutanga imiti ihoraho. Ariko, guanfacine ishobora kwihanganirwa neza n'abantu bamwe, cyane cyane abagira ibitotsi byinshi bakoresheje clonidine.

Uburyo "bwiza" bushingiye rwose ku buryo witwara, imibereho yawe, n'ibyo ukeneye mu buvuzi. Muganga wawe ashobora kugufasha kumenya umuti ukwiriye cyane kuri wowe, ndetse ushobora no kugerageza yombi kugira ngo urebe uwo ukorera neza.

Ibikunze Kubazwa Kuri Guanfacine

Ese Guanfacine irakwiriye abantu barwaye indwara z'umutima?

Guanfacine irashobora gukoreshwa neza ku bantu benshi barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza. Uyu muti ushobora kugabanya umuvuduko w'umutima n'umuvuduko w'amaraso, ibyo bishobora kugirira akamaro indwara zimwe na zimwe z'umutima ariko bikaba bibangamiye izindi. Muganga wawe w'umutima n'umuganga wandika imiti bazakorana kugira ngo bamenye niba guanfacine ikwiriye indwara yawe y'umutima.

Abantu bafite ubwoko runaka bwo guhagarara k'umutima cyangwa umuvuduko w'umutima muto cyane ntibashobora kuba abakandida beza ba guanfacine. Ariko, abafite umuvuduko mwinshi w'amaraso n'indwara z'umutima akenshi bungukirwa n'ubushobozi bw'uyu muti bwo kugabanya umuvuduko w'imitsi y'umutima. Gukurikiranwa k'umutima buri gihe ni ibisanzwe iyo utangiye kuvurwa.

Ninkora iki niramuka mfashwe gufata imiti ya Guanfacine nyinshi?

Niba ufashwe gufata imiti ya guanfacine nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe ubumara ako kanya. Gufata nyinshi bishobora gutera igabanuka ry'amaraso riri ku rwego rwo hejuru, gusinzira cyane, n'umuvuduko muto w'umutima. Ntukegere ngo urebe niba ibimenyetso bigaragara, kuko kugenzura kwa muganga vuba na bwangu ni ingenzi.

Mugihe utegereje ubuyobozi bwa muganga, ryama hasi wirinde guhaguruka vuba. Niba bishoboka, ujye ufashwa n'undi muntu, kandi ntukagende mu modoka cyangwa ukoreshe imashini. Niba urimo guhura n'ibimenyetso bikomeye nk'ubugorane bwo guhumeka, kuribwa mu gituza, cyangwa kugwa igihumure, hamagara serivisi zihutirwa ako kanya.

Ninkora iki niramuka nsubiyeho doze ya Guanfacine?

Niba usubiyeho doze ya guanfacine, yifate uko wibuka, keretse igihe cyegereye doze yawe itaha iteganyijwe. Muricyo gihe, reka doze yasubiyeho ukomeze gahunda yawe isanzwe. Ntukigere ufata doze ebyiri icyarimwe kugirango usubizeho doze yasubiyeho, kuko ibi bishobora gutera igabanuka ry'amaraso riri ku rwego rwo hejuru.

Kubijyanye n'imiti ifata igihe kinini kugirango irekurwe, gusubiza inyuma doze bishobora kugira ingaruka ku kugenzura ibimenyetso byawe kuri uwo munsi. Gerageza gushyiraho gahunda igufasha kwibuka gufata imiti yawe buri gihe, nk'ugushyiraho ibyibutso kuri terefone cyangwa kuyifata icyarimwe n'ibindi bikorwa bya buri munsi.

Nshobora guhagarika ryari gufata Guanfacine?

Umwanzuro wo guhagarika guanfacine ugomba gufatirwa hamwe na muganga wawe. Kubijyanye no kugenzura umuvuduko w'amaraso, ushobora gukenera gukomeza gufata imiti igihe kirekire kugirango ugumane urwego rwiza rw'umuvuduko w'amaraso. Kubijyanye no kuvura ADHD, abantu bamwe bashobora guhagarika imiti nyuma y'amezi cyangwa imyaka yo kuvurwa neza.

Muganga wawe azagufasha kugabanya buhoro buhoro doze mu byumweru byinshi kugirango wirinde ingaruka zigaruka. Guhagarika mu buryo butunguranye bishobora gutera kuzamuka kw'amaraso ku buryo buteye akaga cyangwa koroshya ibimenyetso bya ADHD. Inama zisanzwe zizafasha kumenya igihe cyiza cyo guhindura imiti iyo ariyo yose.

Nshobora kunywa inzoga nkorera imiti ya Guanfacine?

Inzoga irashobora kongera umunaniro no kuribwa umutwe biterwa na guanfacine, bigatuma bishobora kuba bibi gutwara imodoka cyangwa gukora imirimo isaba ubushishozi. Ibintu byombi bishobora kugabanya umuvuduko w'amaraso, kandi kubivanga bishobora gutera umuvuduko w'amaraso muke cyane ku bantu bamwe.

Niba uhisemo kunywa inzoga ukoresha guanfacine, bikore mu rugero kandi witondere cyane ibikorwa bisaba guhuza cyangwa ubushishozi. Ganira na muganga wawe ku bijyanye n'umubare w'inzoga zishobora kunyobwa bitewe n'urugero rwawe rwihariye n'uburwayi bwawe. Abantu bamwe bashobora gukenera kwirinda inzoga rwose bakoresha uyu muti.