Clonidine (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Catapres, Kapvay, Nexiclon XR, Onyda XR
Mayelana naleli khambi
I-Clonidine isetyenziselwa yodwa noma kanye nezinye izidakamizwa zokwelapha ukucindezeleka kwegazi (hypertension). Ukucindezeleka kwegazi okuphezulu kuwengeza umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ukwehluleka kwenhliziyo, noma ukwehluleka kwamalunga. Ukucindezeleka kwegazi okuphezulu kungase futhi kukhulise ingozi yezifo zenhliziyo. Lezi zinkinga zingase zibe lula ukwenzeka uma ukucindezeleka kwegazi kulawulwa. I-Clonidine iyingxenye yeqembu lemithi ebizwa ngokuthi yi-antihypertensives. Isebenza ebuchosheni ukushintsha ezinye zezimpikiswano zezinzwa. Ngenxa yalokho, imithambo yegazi iphumula futhi igazi liyadlula kuyo kalula, okunciphisa ukucindezeleka kwegazi. Uma ukucindezeleka kwegazi kunciphisiwe, inani legazi no-oksijini eliya enhliziyweni likhuphuka. Lolu lwemi luwongephi ukucindezeleka kwegazi okuphezulu, kodwa lusiza ukulawula. Ngakho-ke, kufanele uqhubeke ulisebenzisa njengoba uqondiswe uma ulindele ukunciphisa ukucindezeleka kwegazi lakho futhi uligcine phansi. Ungase ube nesidingo sokuthatha imithi yokucindezeleka kwegazi okuphezulu impilo yakho yonke. Amaphilisi e-Kapvay® extended-release asetyenziswa yodwa noma kanye nezinye izidakamizwa zokwelapha isifo sokuqaphela okungapheli nokuqwasha okukhulu (ADHD). Isebenza ngokwandisa ukunaka nokunciphisa ukungakhululeki kubantwana nabantu abadala abaphila ngokweqile, abangakwazi ukugxila isikhathi eside, noma abaphazanyiswa kalula futhi banesandla. Lolu lwemi lusetshenziswa njengengxenye yohlelo lokwelapha oluphelele oluhlanganisa nokuphathwa komphakathi, imfundo, nokuphathwa kwengqondo. Lolu lwemi luyatholakala kuphela ngomyalo wezokwelapha. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahlweni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqululo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-alerji kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unanoma yiluphi olunye uhlobo lwe-alerji, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ye-clonidine kubantwana abaneminyaka engaphansi kwengu-18 ubudala ne-Kapvay® amaphilisi okuphuma kancane kubantwana abaneminyaka engaphansi kwengu-6 ubudala. Ukuphepha nokuphumelela akukaqiniswa. Ayikho imininingwane etholakalayo ngobudlelwano bobudala nemiphumela ye-clonidine kubantu abadala. Kodwa-ke, abantu abadala banamathuba amaningi okuba nezinkinga zenhliziyo noma zezinso ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa komthamo kubantu abamukela i-clonidine. Izifundo ezifanele ezenziwe kuze kube yimanje azibonisi izinkinga ezithile zabantu abadala ezingalawula ukusetshenziswa kwe-Nexiclon™ XR ukuxuba nokukhululwa kancane namaphilisi kubantu abadala. Kodwa-ke, abantu abadala banamathuba amaningi okuba nezinkinga zenhliziyo noma zezinso ezihlobene nobudala, okungase kudinge ukulungiswa komthamo kubantu abamukela le mithi. Izifundo ziyabonisa ukuthi le mithi ingase ihluke ukukhiqizwa noma ukwakheka kobisi. Uma kungekho olunye uhlobo lwemithi oluqokiwe, kufanele uqaphele ingane ngemiphumela emibi nokungenwa okwanele kobisi. Nakuba ezinye izimithi kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlongozwayo ngezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwawo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akuyona into enconywayo, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi iqokiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungase kubangele ukwanda kengozi yemiphumela emibi ethile, kodwa ukusebenzisa kokubili imithi kungase kube ukwelashwa okuhle kuwe. Uma kokubili imithi iqokiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nezinye izimithi kungase futhi kubangele ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwawo okungenzeka futhi akuyona yonke into. Ukuba khona kwezinye izinkinga zezokwelapha kungase kuchaphazele ukusetshenziswa kule mithi. Qiniseka ukuthi utshela udokotela wakho uma unanoma yiziphi ezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Udokotela wakho uyokutshela ukuthi usebenzise kangakanani le miyeke kanye nokuthi uzoyisebenzisa kangaki. Umthamo wakho ungase udingeke ushintshwe izikhathi eziningi ukuze uthole ukuthi yini ekuhambela kahle kuwe. Ungasebenzisi imithi eminingi noma uyisebenzise kaningi kunalokho udokotela wakho akutshele ukuba ukwenze. Ngaphezu kokusetshenziswa kwale miyeke, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo kanye nokuchwechwa kwezinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uyokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhulumisane nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abaguli abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba kuqondiswe nokuthi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le miyeke ngeke iphulukise igazi lakho eliphezulu kepha iyasisiza ukulilawula. Ngakho-ke, kufanele uqhubeke uyisebenzisa njengoba kuqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase udinge ukusebenzisa imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sokukhuluphala. Gwinya ithebulethi yokukhulula okwandisiwe yonke. Ungayisiqi, ungayicwili, noma ungayigugi. Ungayithatha ithebulethi ngokudla noma ngaphandle kokudla. Amathhebulethi okuqhuma okwandisiwe weClonidine asebenza ngokuhlukile kunamathhebulethi okuqhuma okusheshayo weClonidine. Ungashintshi emathhebulethi okuqhuma okwandisiwe uye emathhebulethi okuqhuma okusheshayo ngaphandle kokuthi udokotela wakho akutshele ukuba ukwenze. Kubaguli abasebenzisa ukuxuba komlomo okuqhuma okwandisiwe: Sebenzisa kuphela uhlobo lale miyeke udokotela wakho akuqondile. Amabhizinisi ahlukene angase angasebenzi ngendlela efanayo. Le miyeke ngokuvamile iza nepheshana lolwazi lwabaguli. Zifunde ngokucophelela futhi uqiniseke ukuthi uyaziqonda ngaphambi kokuthatha le miyeke. Uma unemibuzo, buza udokotela wakho. Umthamo wale miyeke uzobahlukile kubaguli abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela imithamo yale miyeke. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akutshele ukuba ukwenze. Inani lemiyeke oyithatha lixhomeke emandleni emiyeke. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, kanye nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo wale miyeke, uyithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, susa umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola umthamo ojwayelekile. Ungawandisi imithamo. Uma uphuthelwa imithamo engaphezu kwesisodwa yamathebulethi eClonidine, xhumana nodokotela wakho ngokushesha. Uma umzimba wakho ungenayo le miyeke isikhathi eside kakhulu, igazi lakho lingase likhuphukele ezingeni eliphezulu kakhulu futhi libe nemiphumela emibi. Uma uphuthelwa umthamo wamathebulethi eClonidine okuqhuma okwandisiwe, susa umthamo ophuthelwe bese uthatha umthamo olandelayo njengoba kuhlelwe. Ungawandisi imithamo. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayigandisi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongayisebenzisi.
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