Medicine "Clonidine" - kuyini? Esikhundleni "clonidine"

Yazi uma ngabe bonke abantu abezwa lo izidakamizwa "Clonidine" yini imithi inikeza umzimba womuntu? Ngeshwa, cha. Futhi lokhu iyithuluzi omkhulu ezingaba kunciphise umfutho wegazi. I umuthi sizole isimiso sezinzwa esiyinhloko. "Clonidine" imithi futhi ukwazi ukunciphisa ingcindezi intraocular. Ngaphezu kwalokho, kunciphisa izinga inhliziyo.

izakhiwo kwemithi zomuthi

Ngakho, indlela "Clonidine". Uyini izidakamizwa unika umzimba? Umuthi has a hypotensive eqinile futhi izakhiwo sine.

Ubuye abe izinyathelo ezimbalwa:

• kunciphisa neuropathy ukumelana semithambo (kuhlanganise nelase-izinso);
• kwehlisa ingcindezi intraocular iziguli;
• kunciphisa okukhipha inhliziyo.

Kwezinye izimo, impahla abanomfutho wegazi ophakeme kungabonakala nasemkhakheni phambi eziphikelelayo umfutho ophansi wegazi. Njengomthetho, isikhathi - emva kwamaminithi ambalwa.

Udinga ukwazi iziguli ezinqunyiwe isidakamizwa "Clonidine" ukuthi ikhambi elinjalo ngemithamo emincane has a nomphumela ofiselekayo. Umuthi isinyathelo ngokushesha. Futhi ngenkathi ehlala isikhathi eside. Lapho yokwamukela ithuluzi ngemva kwamahora ambalwa umphumela ohlala njalo kubonakala khona. Uthatha amahora mayelana 8.

Lapho kuhlangene ukulungiselela "Clonidine" kunemithi noma amaphilisi owaphuzayo noma utshwala kungase kwandise imiphumela hypotensive noma zaba zimbi engemihle. Asikwazi ukubeka eceleni ngisho nokufa. Ngakho-ke kubalulekile for yokufuna lezo zimali njengoba "Clonidine", udokotela. Ngaphandle-ke, umuthi hhayi kudedelwa.

Ukukhishwa

Ithuluzi itholakala amafomu ezintathu Isikali:

• amaphilisi;
• iso amaconsi;
• isixazululo / esethulweni.

Ukusebenzisa izidakamizwa

ukufunwa ePhakeme ukuze akhululwe esimweni esibucayi abantu abanomfutho wegazi ophakeme kusho "Clonidine". Izimpawu eyabonisa kuyanda ingcindezi, ongaqeda isikhathi ezathathwa izidakamizwa oshiwo ngenhla.

Ngakho, lesi sidakamizwa "Clonidine" inikezwa nge izimo ezilandelayo:

• Inkinga abanomfutho wegazi ophakeme;
• Umfutho wegazi ophakeme emithanjeni (kuhlanganise izinso zokugula ..);
• pheochromocytoma (ngoba uphethwe);
• acute isilethikusebenza (ngaphandle cardiogenic izimpawu ukushaqeka);
• dysmenorrhea;
• bekhanda imvelo semithambo;
• nokuqaleka kubantu abanegciwane yizidakamizwa (e-therapy eziyinkimbinkimbi);
• kwencika-nicotine.

Kunconywa ukusebenzisa umkhiqizo "Clonidine" (amathonsi), ukwelapha evulekile-engela glaucoma eyinhloko.

Izimo zomuthi

Kumelwe ngaso sonke isikhathi ukukhumbula abagulayo, wabelwe esebenzisa "Clonidine", ukuthi imithi enjalo asivunyelwe ukusebenzisa lezi zici ezilandelayo:

• hypersensitivity;
• hypotension;
• ukushaqeka cardiogenic;
• isifo sokuqina kwemithambo yegazi imithambo cerebral;
• occlusive neuropathy lwemithambo pathologies;
• AV-nokuvinjelwa degrees 2-3;
• ezinzima itheku bradycardia;
• nokucindezeleka;
• porphyria;
• syndrome itheku ogulayo;
• ukhulelwe;
• lactating;
• hypersensitivity kuya clonidine;
• Izifo ukuvuvukala izingxenye iso phambi (ukuvuza).

reception engavumelekile ngesikhathi esisodwa izidakamizwa ukuze ethanol kanye nezinye izindlela, nethonya ezicindezelayo ezikuyi-isimiso sezinzwa esiyinhloko. Akuvunyelwe zisebenzisa i co-imithi "Clonidine" kanye notshwala!

Umthamo zomuthi in amaphilisi

Ngaphambi kokuqala ukuthatha inkambo imithi, kufanele ufunde imiyalelo ngokucophelela. Njenganoma iyiphi izidakamizwa, umuthi kungadambisa isimo lesiguli. Kodwa endabeni ka kabi uyakwazi udale umonakalo omkhulu wezempilo. Yingakho imithi "Clonidine" kumele kusetshenziswe ncamashi njengoba uyalelwe udokotela kuphela imithamo enqunyiwe.

Umhlahlandlela inikeza iziqondiso ezilandelayo yokwamukelwa efomini ithebhulethi zomuthi:

1. Ezithathwe ngomlomo ngaphandle ukuhlafuna, ngemva noma ngesikhathi sokudla. Ukuze ahlanze phansi iphilisi kufanele kube ketshezi.
2. Isilinganiso esithathwa esimweni ngasinye akhethiwe ngamunye.
3. Ukwelashwa okufanele izoqaliswa nge umthamo ongaphakeme - izikhathi 2-3 nsuku zonke 0.075 mg.
4. Uma inciphise umfutho wegazi ophakeme kwakunganele, yokwamukela kusho liyakhula kancane kancane. Umthamo zonke izinsuku 1-2 kwandisa ukuba 0,0375 mg. Aze afinyelele 0.15 mg.
5. iziguli esezikhulile, ikakhulukazi khona sclerosis izitsha zobuchopho, umthamo kokuqala iqondiswa 0,0375 mg.

Ukusebenzisa izidakamizwa in vials

Elinikeziwe ngomthamo ifomu Umhlahlandlela unikeza izincomo ezilandelayo:

1. I ampoules asetshenziselwa ekuphathweni esicutshini, ongama noma emthanjeni.
2. Endabeni crisis unesifo sikashukela Kunconywa isixazululo 0.5-1.5 ml 0.01%. Ukuphatha kuyinto esicutshini noma ongama. Uma umphumela oyifunayo umnene aqokwe umjovo 3-4 izikhathi ngosuku.
3. Ukuze ukungena emthanjeni 0.5-1.5 ml 0.01% isixazululo yokulungiselela ukuthi buhlanjululwe i isotonic sodium chloride isixazululo - 10-20 ml. Imijovo ukukhiqiza kakhulu slow.

Ukusetshenziswa iso amaconsi

imiyalelo Kunconywa izinhlelo zokusebenza ezilandelayo yokulungiselela:

1. I sac conjunctival ufakwa izikhathi 2-4 ngosuku 1-2 dropwise.
2. Ukwelashwa iqala isixazululo 0.25%. It uncoma ukusetshenziswa 0.5% ukulungiselela nge ukunciphisa lokungakeneli ingcindezi intraocular.
3. Uma isiguli athuthukile side effects, bese kunikezelwe isixazululo 0,125%. Futhi ngezinye izikhathi yokuqeda ngokuphelele izidakamizwa.

side effects

In iziguli ngesikhathi ethola "Clonidine" izidakamizwa kungenzeka sithola ukusabela okuhluke kakhulu.

1. I lymph uhlelo negazi. Kungase kube nesinye ezingeni kukhuphuke ushukela.
2. CNS. Ezinye iziguli ukuzwa ikhanda ezimbi, ukudideka yesikhashana, paresthesia, ukundindizela, ukuhhema, ukukhathala, ubuthakathaka. Ngezinye izikhathi kukhona ukozela, uvalo kancane lengqondo ukusabela, ukukhathazeka, ukucindezeleka, isiyezi. Iziguli ungabona kukhanya noma obumnandi. Kube khona izindaba ze-anorexia.
3. Isimiso senhliziyo nemithambo yegazi. Umuthi kungaba avuse bradycardia, edema, Raynaud Syndrome, hypotension orthostatic, AV ukuvinjelwa.
4. Izinhlaka umbono. Kungase kube ukwehla lacrimal nezindlala uketshezi isizukulwane.
5. Izitho ekuzweni. Wezwa ubuhlungu kabi indlala parotid.
6. uhlelo zokuphefumula. Isiguli bangezwa ukuminyana acinene. Ngezinye izikhathi kukhona ukuphazamiseka ukuphefumula.
7. Git. Kulokhu, isiguli sinciphile esesuthi, isicanucanu, nomlomo owomile, ukuhlanza, kanye ukuqunjelwa. A ukwehla uketshezi esiswini.
8. Skin. Kukhona ukulunywa, Alopecia. Ngezinye izikhathi kukhona ukuqubuka kwesikhumba. Kakhulu akuvamile kwenzeka ukuvuvukala lwamafinyila.
9. uhlelo urinary nezinso. liquid agcinwe emzimbeni. Ngokuphawulekayo kwehle ukuchama. sodium latency namanzi asihole isisindo somzimba.
10. uhlelo ezalayo. Siyabhubha umsebenzi zocansi. Kungase kube ukwehla potency. In amadoda, ikhono ukuthuthukisa gynecomastia.

Uma isiguli ukusabela ngaleyo ndlela umzimba, kufanele khonokho ubike ukuba udokotela. Akunakusetshenziswa abakwazi ngokuzimela ithawula ngokuthatha imithi "Clonidine". Imiphumela ukumisa okungazelelwe zomuthi Ingaba yinto engathí sina. Kungenzeka ukuthuthukiswa crisis abanomfutho wegazi ophakeme.

Ngo uhlangothi ukusabela kungenzeka ngesikhathi ukusetshenziswa amaconsi:

• ukoma we conjunctiva;
• evutha ukuzwa emehlweni.

Asikwazi ukuvala amathuba ukubonakaliswa ezinye izimpawu zesifo ezichazwe ngenhla.

esikhundleni izidakamizwa

Njenganoma iyiphi enye izidakamizwa, kukhona analogue nawo amandla "Clonidine". Esikhundleni imithi akufanelanga abakhethiwe ngokuzimela. Kunzima kakhulu ukuba afeze Ukukhetha olunembile.

udokotela kuphela azokwazi ukukhetha izidakamizwa kwesokudla kuya "Clonidine" esikhundleni. Ngeke acabangele nokukhululwa ifomu kanye umthamo. Ungakhohlwa ukuthi Analogue egcwele ithuluzi, okuyinto ngeke ukulimaza impilo, udokotela uyoncoma kuphela.

Ngakho, yini okufanele esikhundleni "Clonidine"? Odokotela uhlu izidakamizwa ukuthi kungaba Analogue esihle:

• "Apo-Clonidine."
• "Atenzina".
• "Bapresan".
• "Barklid".
• "Gemiton".
• "Gipozin".
• "Kaprezin".
• "Ipotenzin".
• "Katapresan".
• "Catapres".
• "Hydrochloride Clonidine".
• "Klonilon".
• "Clonidine".
• "Klonizin".
• "Clonidine-M."
• "Normopresan".
• "Namestin".
• "Preskatan".
• "Hlornidin".
• "Hlofazolin".

ukweqisa izidakamizwa wezokwelapha

Akufanele neze zehluke babelwe udokotela Isikali izidakamizwa. Njengoba imiphumela isinqumo esinjalo kubabangele eziyingozi.

Ukweqisa izidakamizwa zomuthi uyakwazi sibonakalise zimpawu:

• ukuhlanza ongalawuleki;
• ukozela;
• ukucobeka;
• hypothermia;
• ukwazi kahle;
• nomlomo owomile;
• ukucindezeleka zokuphefumula;
• igoqe;
• kungenzeka deceleration conduction atrioventricular;
• ukwandisa noma ukunciphisa e ingcindezi;
• bradycardia;
• miosis (pupillary constriction);
• ekuseni repolarization syndrome.

Uma kunobufakazi izimpawu isiguli abadinga imishanguzo lingaze. Kusekelwe iziqondiso ezilandelayo:

1. Lapho sekuvele zokuphelelwa umoya nesineke Kufanele ufake lesi sidakamizwa "Naloxone" ngemithambo yegazi e isamba 2-4 mg.
2. Uma kuba khona isidingo, umjovo we izindlela ezibalwe ngenhla aphindaphindwe.
3. Endabeni ukweqisa izidakamizwa okunzima imithi "Clonidine" EHAMBAHAMBA Kunconywa.
4. Esimeni bradycardia ngempumelelo izidakamizwa "Atropine" lesiguli.
5. Wonderful yokuvimbela ejenti "Clonidine" ingumuthi "tolazoline". Le mfundiso eyasungulwa ethi ngenhla imali 10-50 mg ukwazi iwukudambisa umphumela lapho kwemukelwa 0.6 mg clonidine.

Izixwayiso

Therapy yezokwelapha imithi "Clonidine" yesimanje cishe akazange asebenzise. It alisetshenziswa ngenxa isici ngokuzumayo ingcindezi ukunciphisa. Lo mphumela okungakanani, kuba okwesikhashana. Ku-ukwanda okwalandela e ingcindezi siyenzeka. Kumayelana gemitonovom crisis.

Akunconyelwe imithi esimweni kwezimpawu zokuqaleka in iziguli umlutha. Hhayi lapho wamisa ukwehluleka vasomotor ku isizinda dysmenorrhea nambili kuya kwabadala. Kuyinto engathandeki ukusebenzisa kwezidakamizwa acute isilethikusebenza. Ezimweni ezinjalo kungcono ukusebenzisa agonists imidazoline yokwamukela.

Endabeni reception eside kusho "Clonidine" kuyadingeka ukulawula ingcindezi intraocular.

Umuthi kungandisa imiphumela yemithi ube isebenze sezinzwa ukucindezeleka uhlelo, ethanol. Isisu, vasodilators, izidakamizwa antihistamine clonidine ukuthuthukisa umthelela emzimbeni. tricyclic antidepressant, anorectics, ama-NSAID, imiphumela sympathomimetic zomuthi "Clonidine" kahle.

Eyedrops hhayi Kunconywa lihambisana antidepressant futhi neuroleptics.

isiphetho

Sebenzisa noma iyiphi imithi, kuhlanganise nokusetshenziswa "Clonidine" nje ukukhuluma nodokotela wakho. Sifo, ukwelashwa ngempumelelo Ungakhetha kuphela uchwepheshe abanolwazi. Ukuze ugweme nemiphumela ebuhlungu akufanele self-medicate. Themba impilo yakho okhokhelwayo!