Clonidine: Ndiyo Kusarudzwa Kwemishonga kune ADHD?

Clonidine imishonga yaive yakatemerwa kubatsira vanhu vane ropa rakanyanya. Zvisinei, nekuda kwekugadzirisa kunoita muviri pamuviri, clonidine yakabatsirwa kubatsira vanhu vane zviratidzo zveHIV zvinosvibisa, kusagadzikana, kushungurudza, kunetseka, uye zvinetso zvekurara.

Muna 2010, US Food and Drug Administration (FDA) yakagamuchirwa clonidine semishonga yevana vane ADHD inotorwa pamwe chete kana ine mishonga inokurudzira.

Mazita emabhizimisi e clonidine anosanganisira Catapres® uye Kapvay®.

Overview

Mishonga yeHDH inowanzorongwa seinosimudzira uye isingasviki. Clonidine inoratidzirwa isiri-stimulant treatment ye ADHD

Stimulants (inonziwo psychostimulants) inowanzova mutsara wemishonga inoshandiswa kuAdHD. Mutsara wokutanga unoreva kuti ivo kazhinji ndivo chisarudzo chekutanga chekurapa. Ndiyo mishonga inonyanya kupiwa yeAIDS nokuda kwekuti inozivikanwa kuva iyo nzira yakanakisisa yekuderedza zviratidzo zveHADH semafungiro, kusagadzikana, uye kutadza. Kune mhando mbiri dzekukurudzira: amphetamines uye methylphenidates. Mienzaniso ndiAdderall® uye Ritalin®.

Mishonga isiri-stimulant inowanzotarisirwa kana munhu asingabvumiri mishonga inokurudzira pamusana pemigumisiro yakakomba. Mishonga isina-stimulant inogonawo kusarudzwa kana munhu ane utano hunokonzera kuti nei zvinokurudzira zvisingagoni kurongerwa, zvakadai sevamwe zvirwere zvepfungwa, zvirwere zvehope, chirwere chemwoyo, kana nhoroondo yekushungurudza kwechisimba.

Strattera® (atomoxetine) inonzi anti-depressant Mishonga Wellbutrin® XL (bupropion hydrochloride) uye mishonga inopesana nehutachiona Intuniv® (Guanfacine) mienzaniso yeimwe mishonga isingakurudziri.

Zvinokurudzira zvinopesana Nezvisina-Zvinokurudzira

Mishonga inokonzera ADHD inoshanda nekuita kuti dopamine yakawanda uye norepinephrine iwanike mumasangano ekuropi.

Iko kukura kunokurudzira hutano hwepamusoro hwehutano uye hunovandudza kugadzirisa kushanda, sekuwana kuwana ruzivo uye kunzwisisa pfungwa. Nemhaka yekuti chirwere chetsitsi chinokurudzirwa, vamwe vanhu vanorondedzera kunzwa jitteri, kunetseka, uye pamucheto pavanotora mishonga inokurudzira.

Clonidine inoshanda zvakasiyana. Pane kudaro, inokonzera uropi kutumira zviratidzo kune midzi yeropa inoderedza ropa. Mukuwedzera, Clonidine inosunungura norepinephrine mu prefrontal cortex nzvimbo yeuropi. Iyi ndiyo nzvimbo iyo hutano hwehuropi hunoitika, zvakadai sokuronga, kuronga, nekushandisa ruzivo uye zvakaitika. Izvi zvinobvumira munhu kuti anzwe akadzikama mumuviri, asi fungisisa mupfungwa.

Batsirwa

Kunowedzera Muitiro Wekuvaka

Clonidine inogona kurongerwa mukuwedzera kune mishonga inokurudzira. Izvi zvinogona kutowedzera kushanda kwekukurudzira.

Appetite Neutral

Clonidine chido chekusava neutachiona, izvo zvinoreva kuti haina kukura kana kuderedza chido. Chirwere chinogona kuwaniswa kana munhu atora mishonga inokurudzira, iyo inogona kuva dambudziko kune vanhu vasina simba.

Inoderedza Kuzvidya Mwoyo

Vanhu vane ADHD vanowanzotambudzika zvakare. Mishonga inobva kumhuri yebenzodiazepine, yakadai seXanax® kana Valium®, inowanzotarisirwa kuve nehanya.

Zvisinei, izvi zvinoonekwa sekuti tsika inogadzirisa uye inogona kukanganisa kusagadzikana kwemaitiro sekucherechedza. Nokuda kwechikonzero ichi, clonidine inowanzogadzirirwa kubatsira vanhu vane ADHD vanozvidya mwoyo.

Zvirwere Zvinorara Matambudziko

Matambudziko ekurara ndeimwe nyaya vanhu vakawanda vane ADHD chiso. Izvo zvinogona kubatsira kuti utore clonidine inogona kubatsira kuvandudza kurara. Ichokwadi, vamwe vanachiremba vanorayira kuti chirwere chakanyanya che clonidine 'off label' (izvi zvinoreva kushandisa mushonga unogamuchirwa neDAA kushandiswa kusingagamuchirwi) kubatsira nehope.

Kunyange zvazvo mitambo yebenzodiazepine yokurara inogona kudziviswa nokuti inogona kuva tsika yekuumba, clonidine haifaniri kutarisirwa kuva tsika yekuumba.

Kuwedzerwa kweRopa Rakaderedza

Kana munhu ane ADHD uye kuwedzerwa kwepamusoro kweropa ipapo clonidine inogona kuva sarudzo yakanaka. Ichinobatsira kuderedza kushanda kweropa uye kubatsira kubata zviratidzo zveAIDS.

Tourette Syndrome uye Tic Disorder Kubatsirwa

Kana munhu ane Tourette syndrome uye ADHD, clonidine inogona kubatsira zviratidzo zvezvose. Kubatanidzwa kwe clonidine uye mishonga inokurudzira kunogona kubatsira kune chirwere cheti tic.

Drawbacks

Haibatsiri Mharidzo DzeDHD

Clonidine inobatsira kushaya hutano, kusagadzikana, kushungurudza, kukwegura, uye zvinetso zvekurara. Zvisinei, hazvina kuwanika sezviri kubatsira kune zviratidzo zvisingatauriki zveDHD.

Tsvakurudzo Pfupi Kubhuku reAdhD

Dzidzo dzakaratidza clonidine inogona kubatsira zviratidzo zveHDH muvana nevechiri kuyaruka. Asi pane zvishoma kutsvakurudza kuratidza kubudirira kwe clonidine muAdHD yakakura . Izvi zvinogona kuva nokuti zviratidzo izvo clonidine inobatsira zvakanyanya, zvakadai sechisimba, kusagadzikana uye kusagadzikana, kazhinji kunopera mukukura.

Muchidimbu Chinobudirira Kupfuura Zvokusimudzira

Clonidine haisi yakakosha semishonga inokurudzira yekurapa zviratidzo zveHADH. Zvisinei, clonidine migumisiro yakakosha kuti FDA inobvumira kushandiswa kwayo kweAdHD.

Brain Bog

Panzvimbo pokuwedzera kukwanisa kuisa pfungwa, vamwe vanhu vanowana clonidine inoderedza kutsvaga kwavo kana kuti zvinokonzera 'utsi hwehuropi.' Zvinetso nekwanisi yekuisa pfungwa zvinogona kunge zvenguva pfupi, sezvo muviri unoshandura ku clonidine. Zvisinei, vamwe vanhu vanowana dambudziko iri rinopfuurira.

Kunzwa Kurara

Apo kurara zviri nani usiku kunogona kuva rubatsiro runobatsira rwekutora clonidine, vamwe vanhu vanonzwa vachinetseka kana vakagara pasi masikati zvakare. Izvi zvinogona kuva nemigumisiro yakaipa pachikoro kana kubasa. Dzimwe nguva, kurara kunoderedza nguva. Ichi chinhu chinonyanya kukosha icho chiremba chinofanira kuitwa kuti chizive, sezvo chinogona kunge chakaipa kana munhu achityaira motokari kana kuti anoshandisa mishonga.

Erectile Dysfunction

Chirevo chevarume vanotora clonidine is erectile dysfunction (ED). Kunyange zvazvo munhu angave akanyara kunyara kutaura nechiremba, chiremba achaziva kuti ichi chinhu chinowanzobatanidzwa uye achada kubatsira kugadzirisa nyaya iyi.

Mafomu uye Kuyera

Apo clonidine inotanga kurongerwa, inowanzowanikwa pamusana wepasi. Izvi zvinogona kuva 0.05 kusvika 0.1milligram kutanga. Kushanda nachiremba, chirwere chacho chinowedzera zvishoma kusvikira mushonga unoshanda (kurapa) inowanikwa. Matafura (Catapres®) anouya mu 0.1, 0.2, uye 0.3 milligrams. Kuwedzerwa kusunungurwa (Kapvay®) kunowanika mu 0.1 uye 0.2 milligrams.

Clonidine inowanikwawo mune mavara. Patches yakapera mazuva manomwe. Icho chinhu chakanaka kune munhu anowanzokanganwa kutora mishonga kana asingadi kumedza mahwendefa. Kana imwe nguva chirwere chekurapa chawanikwa chichishandisa mapiritsi, kuva ne clonidine patch ndiyo nzira.

Inguva Yakareba Sei Inonzwa Kubudirira

Zvinogona kutora masvondo mashomanana kuti zvione zvakakwana zve clonidine pane ADHD zviratidzo, asi zvimwe humwe huri nani hunogona kuitika nokukurumidza.

Migumisiro Yechiri

Izvozvo zvinowanzovhiringidza clonidine zvinosanganisira kuneta, kuora musoro, chizuru, kuoma muromo, kutsamwa, kurwadziwa kwepamupamusoro, zvinetso zvemuitiro, uye kuderera kweropa. Izvi zvinogona kuderedza mushure mekunge imwe nguva yekutora mishonga.

Zvimwe zvakakomba asi zvinokonzerwa nemigumisiro miviri zvinosanganisira kusagadzikana kwepfungwa kusinganzwisisiki, kunonoka kwemwoyo, kutengesa. Munhu anoona izvi kana zvimwe zvinokonzerwa nemigumisiro yakaoma anofanira kutaura nachiremba nekukurumidza.

Munhu ane nhoroondo yekuderera ropa kusati yatora clonidine inogona kunge yakanyanya kunzwa kunzwa ucheche, kuchena uye kuora mwoyo paunotora clonidine. Vanhu vazhinji vanokanganwa kutora mishonga yavo-kana iwe ukadaro, chirwere chakaviri hachifaniri kutorwa, sezvo icho chingave chakashata kuderedza ropa.

Zvakakosha kuti clonidine irege kumira pakarepo, sezvo izvi zvinogona kukonzera kukwidziridzwa kwehuwandu hweropa. Pane kudaro, chirwere chacho chinofanira kuderedzwa zvishoma nezvishoma. Chiremba anokwanisa kupa mazano pamusoro penguva yakanakisisa yekugadzira.

Clonidine ishi Mushonga C. Izvi zvinoreva kuti mishonga inogona kunge yakachengeteka kumwana asati aberekwa. Zvakakosha kuti mukadzi ataure chiremba wake kana ane pamuviri, achiyamwisa, kana kuronga kuva nepamuviri.

In Summary

Muchidimbu, apo clonidine haisi yekutanga kusarudzwa kwemishonga yeDHD, inogona kubatsira mukurapa zviratidzo zveHADH, zvichida kana zvakabatanidzwa nemamwe mishonga ADHD. Kana iwe uchifarira iwe sechirongwa chekurapa, uuye nayo nachiremba wako. Vachakubatsira kusarudza kana zvakakunakira iwe.