Medicine "Clonidine" - ndichiyani? Mmalo "clonidine"

Kudziwa ngati anthu onse amene anamva za mankhwala "Clonidine" zimene mankhwala amapereka thupi la munthu? Mwatsoka, palibe. Ndipo ichi ndi chida chachikulu chimene akhoza kuchepetsa kuthamanga kwa magazi. The mankhwala ndi zotsatira pansi anthuwo pa chapakati mantha dongosolo. "Clonidine" mankhwala komweko akhoza kuchepetsa kuthamanga intraocular. Komanso, kuchepetsa mlingo mtima.

Pharmacological katundu wa mankhwala

Choncho, njira "Clonidine". Kodi mankhwala amapereka thupi? Mankhwala ali hypotensive amphamvu ndi katundu sedative.

Alinso zinthu zingapo:

• kumachepetsa zotumphukira mtima kukana (kuphatikizapo mu impso ndi);
• Sachita kuthamanga intraocular odwala;
• kumachepetsa linanena bungwe mtima.

Nthawi zina, chuma hypertensive zingaoneke pamaso pa kulimbikira mochedwerako magazi. Monga ulamuliro, nthawi - mphindi zochepa.

Muyenera kudziwa Odwala amene chinafotokoza mankhwala "Clonidine" kuti mankhwala pa mlingo yaing'ono kumakhudza ankafunila. mankhwala zimene msanga. Ndipo pamene yaitali. Pa phwando chida patapita maola angapo zotsatira chosatha akuwonetseredwa. Chimakhala pafupifupi 8 maola.

Zimagwira kukonzekera "Clonidine" ndi mankhwala ena kapena mowa achuluke zotsatira hypotensive kapena zotsatira kulimbikitsa mbali. Sitingathe kukusalani ngakhale imfa. Choncho zofunika kupeza ndalama monga "Clonidine", mankhwala dokotala. Popanda mankhwala si anamasulidwa.

Kulengezedwa

chida lilipo mitundu mlingo atatu:

• magome;
• madontho diso;
• njira / kumayambiriro.

Ntchito mankhwala

Mkulu kufunika kwa mpumulo mu umunthu hypertensive mavuto amatanthauza "Clonidine". Zizindikiro zimasonyeza kuwuka kuthamanga, akhoza kuthetsa nthawi anatengedwa ndi mankhwala tatchulawa.

Choncho, mankhwala "Clonidine" akapatsidwa ndi statuses zotsatirazi:

• hypertensive mavuto;
• Wolumikizira oopsa (kuphatikizapo impso kudwala ..);
• pheochromocytoma (kwa matenda);
• pachimake m'mnyewa wamtima infarction (popanda zizindikiro cardiogenic mantha);
• dysmenorrhea;
• mutu chikhalidwe mtima;
• mavuto obwera ku anthu ndi mankhwala osokoneza bongo (mu mankhwala zovuta);
• chikonga chidakwa.

Ndi bwino kugwiritsa ntchito mankhwala "Clonidine" (madontho), zochizira otsegula ngodya khungu chachikulu.

contraindications mankhwala

Nthawi zonse tiyenera kukumbukira odwala, amene amapatsidwa njira "Clonidine", kuti mankhwala otere analetsedwa kugwiritsa ntchito mfundo zotsatirazi:

• hypersensitivity;
• hypotension;
• cardiogenic mantha;
• atherosclerosis ziwiya oziziritsa;
• occlusive zotumphukira wolumikizira pathologies;
• AV-anatseka misewu madigiri 2-3;
• aakulu nkusani bradycardia;
• maganizo;
• porphyria;
• syndrome odwala nkusani;
• mimba;
• lactating;
• hypersensitivity kuti clonidine;
• matenda yotupa a zigawo kutsogolo diso (kukapanda kuleka).

phwando yolakwika munthawi yomweyo mankhwala kuti Mowa ndi njira zina, ndi kumafooketsa pa chapakati mantha dongosolo. Iwo analetsedwa kugwiritsa ntchito Co-mankhwala "Clonidine" ndi mowa!

Mlingo wa mankhwala a mapiritsi

Tisanayambe mankhwala, muyenera mwawerenga mosamala malangizo. Monga mankhwala alionse, mankhwala akhoza kuchepetsa alili. Koma mu nkhani chomwa angathe kutivulaza kwambiri thanzi. N'chifukwa chake mankhwala "Clonidine" ayenera kugwiritsidwa ntchito chimodzimodzi monga momwe dokotala ndi okha Mlingo akuchipatala.

Guide amapereka malangizo otsatirawa yopemphera kwa piritsi mawonekedwe a mankhwala:

1. Iwo akutengedwa pakamwa popanda kugwiritsa, pambuyo kapena pachakudya. Kusamba pansi mapiritsi ayenera madzi.
2. Mlingo wa onsewa anasankha payekha.
3. Therapy ayenera kuyamba ndi mlingo wochepa - 2-3 tsiku 0.075 mg.
4. Ngati zotsatira antihypertensive sikunali kokwanira, phwando zikutanthauza pang'onopang'ono kuchuluka. Mlingo uliwonse masiku 1-2 kumawonjezera kuti 0,0375 mg. Mpaka akafika 0,15 mg.
5. Achikulire odwala, makamaka pamaso pa ofoola ziwalo ziwiya ubongo, mlingo woyambilira kutumikiridwa 0,0375 mg.

Ntchito ya mankhwala mu mbale

Pakuti anapatsidwa mlingo mawonekedwe kalozera amapereka malangizo otsatirawa:

1. ampoules The ntchito mu mnofu, subcutaneous kapena mtsempha utsogoleli.
2. Pankhani ya mavuto hypertensive analimbikitsa 0.5-1.5 ml ya 0.01% njira. Akuluakulu pa mu mnofu kapena subcutaneous. Ngati zotsatira anakhumba ndi wofatsa, woikidwa ndi jekeseni nthawi 3-4 tsiku.
3. Pakuti kulowa mu mtsempha 0.5-1.5 ml ya 0.01% njira lokonzekera anali sitimadzipereka mu isotonic sodium kolorayidi njira - 10-20 ml. Majekeseni kubala pang'onopang'ono kwambiri.

Ntchito madontho diso

malangizo analimbikitsa ntchito zotsatirazi lokonzekera:

1. The sac conjunctival ndi anaika nthawi 2-4 pa tsiku kwa 1-2 dropwise.
2. Therapy imayamba ndi njira 0,25%. Likuchitira umboni kuti ntchito yokonza 0.5% ndi kuchepetsa osakwanira mu kuthamanga intraocular.
3. Ngati zotsatira wodwalayo anayamba mbali, ndiye anatuma 0,125% njira. Ndipo nthawizina kwathunthu kupasula mankhwala.

zotsatira zoyipazi

Odwala pamene kulandira "Clonidine" mankhwala adzionere anasiyana ndithu.

1. Dongosolo lymphatic ndi magazi. Pangakhale msinkhu kuchuluka kwa shuga.
2. CNS. Odwala ena amakhalanso ndi mutu chonyansa, chisokonezo osakhalitsa, paresthesia, kenaka utentha mamba, kuyerekezera zinthu m'maganizo, kutopa, kufooka. Nthawi zina pali kugona, manjenje, zochita pang'onopang'ono psychomotor, nkhawa, maganizo, chizungulire. Odwala mukhoza kuona kuwala kapena zoopsa. Koma nthawi zina matenda a anorexia.
3. Zamtima dongosolo. Mankhwala kungakhale bradycardia, edema, syndrome Raynaud a, orthostatic hypotension, AV anatseka misewu.
4. Ziwalo masomphenya. Pakhoza kukhala kuchepa lacrimal zopangitsa secretions m'badwo.
5. Ziwalo kumva. Ankamva kupweteka kusapeza mu England parotid.
6. Kupuma dongosolo. Wodwala akhoza kuona kuchulukana m'mphuno. Nthawi zina pali kupuma matenda.
7. GIT. Pankhaniyi, wodwalayo yafupika chilakolako chakudya, kunyansidwa, pakamwa youma, kusanza ndi kudzimbidwa. A kuchepa katulutsidwe muzituluka.
8. Khungu. Pali kuyabwa, alopecia. Nthawi zina pali zotupa pa khungu. kawirikawiri zimachitika kutupa mucous lapansi.
9. dongosolo mkodzo ndi impso. madzi anapitiriza mu thupi. Ndinasintha utachepa pokodza. Kachedwedwe soda ndi madzi patsogolo kwa kunenepa.
10. Zoberekera. Posasangalala ntchito kugonana. Pakhoza kukhala kuchepa potency. Mu amuna, kuthekera kukhala gynecomastia.

Ngati wodwalayo anachita chotero chamoyo, inu mwamsanga lipoti iwo kwa dokotala. Palibe sangathe paokha kusiya kumwa mankhwalawa "Clonidine". Zotsatira za kutha mwadzidzidzi mankhwala zikhoza kukhala zoopsa. N'zotheka kukula kwa vuto hypertensive.

Mu mbali anachita kumachitika pa ntchito m'malovu:

• dryness wa conjunctiva ya;
• moto kumverera mu maso.

Sitingathe kukusalani kuthekera mawonetseredwe a zizindikiro zina tafotokozazi.

mmalo mankhwala

Monga mankhwala ena aliwonse, pali analogues ndi njira "Clonidine". Mmalo mankhwala sayenera kusankhidwa paokha. Ndi povuta kuti agwire kusankha molondola.

Only dokotala adzatha kusankha mankhwala mpaka "Clonidine" mmalo. Iye kuganizira ndi kumasula mtundu ndi mlingo. Musaiwale kuti analogue zonse za chida, amene sizidzawapweteka thanzi, adokotala amalangiza yekha.

Choncho, kodi m'malo "Clonidine"? Medics mndandanda wa mankhwala akhoza kukhala analogue kwambiri:

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

ambiri osokoneza wa mankhwala

Simuyenera kamo mu anatumizidwa dokotala mlingo mankhwala. Popeza zotsatira za zochita zinadzala ndi mavuto aakulu.

An ambiri osokoneza mankhwala ndi anatha kuonetsa zizindikiro:

• amavutitsa kusanza;
• kusinza;
• mphwayi;
• hypothermia;
• mkhutu chikumbumtima;
• youma pakamwa;
• kupuma maganizo;
• kusokonekera;
• zotheka deceleration atrioventricular conduction;
• kuwonjezera kapena kuchepa mu kuthamanga;
• bradycardia;
• miosis (pupillary constriction);
• oyambirira repolarization syndrome.

Ngati pali umboni zizindikiro za wodwala thandizo la mankhwala symptomatic. Bukuli lili ndi malangizo awa:

1. Pamene anayambika apnea mtima alowe mankhwala "Naloxone" m'nsinga mu kuchuluka kwa 2-4 mg.
2. Ngati zitavuta, jekeseni wa njira tatchulawa abwerezedwa.
3. Pankhani cha mankhwala osokoneza bongo choopsa cha mankhwala "Clonidine" analimbikitsa AKUYENDA.
4. Mu chochitika cha wodwalayo bradycardia ogwira bongo "atropine".
5. Zodabwitsa adakalibe wothandizila "Clonidine" ndi mankhwala "tolazoline". Chiphunzitso pamwamba pa kuchuluka kwa 10-50 mg wa amatha n'chongoletsa zotsatira za kukhazikitsidwa kwa 0,6 mg wa clonidine.

Kusamala

Mu masiku ano zachipatala mankhwala mankhwala "Clonidine" pafupifupi konse ntchito. Si ntchito chifukwa cha khalidwe kuchepetsa mwadzidzidzi kuthamanga. Amenewa ndi sakhalitsa. Mu kuwonjezeka wotsatira mu kuthamanga zimawonedwa. Ndi za mavuto gemitonovom.

Osavomerezeka mankhwala pa nkhani ya mavuto obwera odwala ndi kusiya. Osati pamene iye anasankha vasomotor kulephera pa maziko a dysmenorrhea ndi kusintha kwa thupi. Ndi osafunika kugwiritsa ntchito mankhwala kwa pachimake m'mnyewa wamtima infarction. Zikatero ndi bwino ntchito imidazoline cholandilira agonists.

Pankhani ya phwando yaitali amatanthauza "Clonidine" M'pofunika kuchepetsa kuthamanga intraocular.

Mankhwala angadwale zotsatira za mankhwala ndi kufufuta chapakati mantha dongosolo maganizo, Mowa. Okodzetsa, vasodilators, mankhwala mankhwala clonidine kumapangitsanso zimakhudza thupi. Tricyclic antidepressants, anorectics, NSAIDs, zotsatira sympathomimetic wa mankhwala "Clonidine" chakhungu.

Eyedrops osavomerezeka osakaniza antidepressants ndi neuroleptics.

Pomaliza

Gwiritsani ntchito mankhwala aliwonse, kuphatikizapo mankhwala "Clonidine" kungoyankhula kwa dokotala. Matendawa mankhwala kugwiritsa kusankha yekha katswiri wodziwa. Pofuna kupewa zotsatira zoipa sayenera kudziona medicate. Kukhulupirira thanzi lanu akatswiri!