Ese umwana wawe ahura n'ingorane zo kuguma ahantu hamwe? Cyangwa se ibitekerezo bye birahinduka vuba cyane? Ese wigeze wumva bimugora gukomeza kwibanda ku kintu kimwe, ndetse no mu gihe yiga cyangwa akina? Mu buvuzi, iyi tuyita ADHD (Attention-Deficit Hyperactivity Disorder). Umuti wihariye abaganga basaba mu kugenzura iyi ndwara ni Clonidine. Cyane cyane, ubwoko bwa Extended-Release. Rero, uyu munsi turaganira gusa kuri iki kinini cya Clonidine, imikorere yacyo, uko kikoreshwa, n'ibintu tugomba kwitondera.
Uyu muti witwa Clonidine ukora iki mu by'ukuri?
Mu magambo make, uyu muti witwa Clonidine ugenzura bimwe mu bikorwa by'ubwonko ku muntu urwaye ADHD. Ibi bikora ibintu bibiri by'ingenzi.
1. Yongera ubushobozi bwo kwita ku kintu kimwe: Yongera ubushobozi bwo kwibanda ku kintu kimwe.
2. Kugabanya imyitwarire yo guhubuka: Bifasha kugenzura imyitwarire yo guhubuka.
Kubera ko iki ari ikinini cya "Extended-Release", umuti usohoka mu mubiri buhoro buhoro kandi ku buryo bungana umunsi wose. Bityo, ingaruka zawo zishobora kugumaho umunsi wose. Muri Sri Lanka, uyu muti ushobora kuboneka ku mazina atandukanye nka Kapvay.
Ibintu ugomba kubwira muganga wawe mbere yo gufata uyu muti
Ibi ni ingenzi cyane. Mbere yuko wowe cyangwa umwana wawe mutangira gufata Clonidine, mugomba kubwira muganga wanyu aya makuru. Ni ingenzi cyane ku mutekano wanyu.
- Niba wigeze kugira ikibazo nko kuva amaraso mu bwonko .
- Niba ufite indwara y'umutima cyangwa ikibazo icyo ari cyo cyose kijyanye n'imikorere y'umutima.
- Niba ufite umuvuduko w'amaraso uri hejuru cyangwa uri hasi .
- Niba ufite amateka yo gutera umutima mu buryo bwihuse cyangwa budasanzwe .
- Niba ufite indwara y'impyiko .
- Niba ufite allergie kuri clonidine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi .
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Kuganira na muganga wawe kuri ibi bintu utabahisha ni ingenzi kugira ngo ubone ubuvuzi nyabwo kandi bwizewe.
Nigute nkwiye gukoresha uyu muti?
Igikuru ni ugukurikiza amabwiriza ya muganga neza. Muri rusange, uyu muti ugomba gukoreshwa ku buryo bukurikira:
- Mirira ikinini cyose n'ikirahure cy'amazi.
- Ibi ni ingenzi cyane: Kubera ko iki ari ikinini (cyakuweho igihe kirekire), ntuzigere ugicagagura, ugisya cyangwa ngo ugihekenya.Iyo ubikoze, umuti ushobora kwinjira mu mubiri ako kanya ugatera ingaruka mbi.
- Ibi bishobora gufatwa mbere cyangwa nyuma yo kurya, ariko niba ugize ikibazo mu gifu, ni byiza kubifata hamwe n'ibiryo.
- Gerageza gufata umuti mu gihe kimwe buri munsi.
- Ndetse no ku bana barengeje imyaka 6, uyu muti ushobora gukoreshwa babanje kugirwa inama na muganga. Ariko, ugomba kwitonda cyane.
Icy'ingenzi cyane: Ntugahagarike gufata uyu muti mu buryo butunguranye, kuko bishobora gutera ingaruka mbi zikomeye, nko kwiyongera k'umuvuduko w'amaraso mu buryo butunguranye. Niba ukeneye guhagarika gufata uyu muti, ugomba kugabanya dose buhoro buhoro. Vugana na muganga wawe kandi umugire inama.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi cyane, ntugatinye. Hita uhamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Wakora iki niba wabuze dose y'umuti?
Ntugafate dose yabuze vuba ubyibuka. Wibagirwe burundu hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri icyarimwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Clonidine ishobora kugira ingaruka ku yindi miti, nka alcool, bityo rero ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera).
| Ubwoko bw'impanuka | Ibisobanuro n'ingero |
|---|---|
| Ntuzigere ufata Clonidine hamwe n'ibi. | |
| Imiti ya MAOI | Iyi ni ubwoko bw'imiti ikoreshwa mu kuvura indwara nko kwiheba. (Urugero: Marplan, Nardil, Parnate). Gufata Clonidine hamwe na yo ni akaga gakomeye. |
| Ibibazo bishobora no kubaho kuri ibi (bibwire muganga wawe) | |
| Inzoga | Inzoga zishobora kongera cyane gusinzira no kuzungera bitewe n'imiti. |
| Indi miti y'umuvuduko w'amaraso cyangwa indwara z'umutima | Ibi bishobora gutuma umuvuduko w'amaraso cyangwa umuvuduko w'umutima ugabanuka bitari ngombwa. |
| Imiti ivura indwara zo mu mutwe | Imiti ivura ihungabana, imihangayiko, cyangwa izindi ndwara zo mu mutwe. |
| Ibinini byo gusinzira | Ibi bishobora gutera gusinzira cyane. |
| Imiti imwe n'imwe ivura migraine | Urugero, umuti nka phenobarbital. |
Ni izihe ngaruka mbi zishobora guterwa no gufata umuti?
Kimwe n'indi miti iyo ari yo yose, Clonidine ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Zimwe muri zo ntabwo ari mbi cyane, ariko zimwe zigomba kwitabwaho byihuse.
| Ingaruka mbi | Ibiranga |
|---|---|
| Ibintu ugomba kubwira muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba iminwa, ururimi no mu maso. |
| Umuvuduko w'amaraso uri hasi | Kuzunguza, kubabara mu mutwe, kutabona neza. |
| Umutima utera cyane | Kuzunguza umutwe, kubabara mu mutwe, guhumeka bigoranye, kumva unaniwe bidasanzwe. |
| Ibintu ugomba kubwira muganga wawe niba akenshi atari bikomeye, ariko ugakomeza | |
| Gusinzira/kuzunguza | Ibi ni ibisanzwe mu minsi mike ya mbere uhereye igihe utangiye gufata umuti. Bishobora kugabanuka uko umubiri wawe ugenda uwumenyera. |
| Umunwa wumye | Kunywa amazi no guhekenya shim idafite isukari bishobora gufasha. |
| Impatwe | Nywa amazi menshi kandi urye ibiryo birimo fibre (imbuto, imboga). |
| Ibindi | Umunaniro, kubura ubushake bwo kurya, ibibazo byo gusinzira. |
Ukwiye kubika gute imiti yawe?
- Bika ahantu abana n'amatungo batagera .
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 20-25).
- Bika icupa rifunze neza, kure y'urumuri n'ubushuhe.
- Ntuzigere ukoresha cyangwa ngo ujugunye imiti yarengeje igihe .
Ubutumwa bwo kujyana mu rugo
- Clonidine (Ikoreshwa mu Gusohora Ibitekerezo Birambuye) ni umuti ukoreshwa mu kuvura ADHD, kunoza uburyo umuntu yitabwaho, no kugabanya imyitwarire yo guhubuka.
- Ntukavune iki kinini, ukimene cyangwa ngo ukihekenye. Uramire cyose.
- Igikuru ni uko, ntugahagarike gufata imiti mu buryo butunguranye nta mpamvu iyo ari yo yose udafite inama ya muganga.
- Bwira muganga wawe indi miti yose ufata n'indwara iyo ari yo yose ufite.
- Menya gusinzira, isereri, n'umuvuduko w'amaraso uri hasi mu gihe ufata imiti. Witondere cyane cyane niba utwaye imodoka.
- Niba ufashe imiti myinshi cyangwa ukagira ingaruka mbi zikomeye, shaka ubufasha bwa muganga ako kanya.
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