So wo ba no ntumi ntena baabiara? Anaasɛ ɔmfa n’adwene nsi biribiara so? Anaasɛ ebia w’ankasa wowɔ saa ɔhaw ahorow yi. Yɛfrɛ tebea yi Attention Deficit Hyperactivity Disorder, anaa sɛnea yɛn nyinaa nim no, ADHD (Attention-Deficit Hyperactivity Disorder). Nnuru atitiriw a wɔde yɛ eyi no mu biako ne Dexmethylphenidate. Enti ɛnnɛ, momma yɛnka saa aduru yi, ne nsunsuanso, nea ɛde ba, ne nneɛma a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no ho asɛm tiawa.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, Dexmethylphenidate yɛ aduru a ɛkanyan obi . Wɔ yɛn man mu no, wɔtaa hu no wɔ brand din `Focalin XR` ase. Sɛ wote asɛmfua ``stimulant'' a, ebia nnipa binom besusuw sɛ ɛbɛma abofra no ayɛ basaa kɛse. Nanso nokwarem no, ɛne no bɔ abira. Saa aduru yi ma nnuru bi (neurotransmitters) a ɛwɔ amemene no mu a ɛhwɛ adwene ne nneyɛe so no dwumadi yɛ kɛse kakra.
Eyi kyerɛ sɛ wɔ obi a ɔwɔ ADHD fam no:
- Sɛ́ wubetumi de w’adwene asi ade biako so .
- Mmoa a wobenya de adi nneyɛe a ɛyɛ ntɛm so.
- Sɛ́ wubetumi atra ase dwoodwoo na woayɛ adwuma .
Ɛno kyerɛ sɛ, nea saa aduru yi yɛ ne sɛ ɛma wo anaa wo ba amemene no "push" kakra ma ɛyɛ n'adwuma yiye.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ɛho hia yiye sɛ wode wo anaa wo ba no aduruyɛ ho abakɔsɛm nyinaa ma wo duruyɛfo ansa na woafi saa aduru yi ase. Ebia saa aduru yi mfata mma ayaresa tebea horow bi. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wo anaa wo ba no wɔ tebea horow a wɔabobɔ din wɔ pon a ɛwɔ ase ha no mu bi a.
| Yare anaa tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Koma mu yare, komayare, anaa mogya mmoroso | Efisɛ saa aduru yi tumi ma koma bɔ ne mogya mmoroso kakra. |
| Nkwammoaa a ɛkɔ nipadua no mu ho haw ahorow wɔ nsateaa ne nansoaa mu | Ɛtɔ mmere bi a, saa aduru yi betumi ama tebea horow te sɛ Raynaud adeyɛ no ayɛ kɛse. |
| Adwene mu yare biara (sɛ nhwɛso no, adwenemhaw, dadwen, adwenemhaw a ɛma obi yɛ ade tra so) . | Saa aduru yi betumi asakra adwenemyare ahorow bi ho sɛnkyerɛnne. |
| Adwene a ɛne sɛ obekum ne ho anaasɛ abusua abakɔsɛm a ɛfa nsusuwii a ɛte saa ho | Ɛwom sɛ ɛntaa nsi koraa de, nanso saa aduru yi tumi ma obi nya adwene mu nsakrae, enti ɛho hia sɛ oduruyɛfo no hu eyi. |
| Abakɔsɛm a ɛfa nnubɔne anaa nsa a ɔde di dwuma ɔkwammɔne so ho | Esiane sɛ eyi yɛ aduru a ɛkanyan adwene nti, asiane wɔ hɔ sɛ wɔde bedi dwuma ɔkwammɔne so. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo susuw nkɛntɛnso a ebetumi aba akokoaa anaa akokoaa a ɔrema nufu so no ho. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Eyi yɛ aduru a wɔde hyɛ nipadua mu a wɔde bere tenten gyae. Ɛno kyerɛ sɛ wɔayɛ no sɛnea ɛbɛyɛ a ɛbɛma aduru no agyae da mũ no nyinaa. Enti hwɛ yiye titiriw wɔ saa nneɛma yi ho bere a wode redi dwuma no.
- Mene capsule no nyinaa: Fa nsu kuruwa mene capsule no nyinaa. Mmu, nbubu, anaa nwe capsule no da. Saa a wɔbɛyɛ no betumi ama dodow a wɔayi no adi da mũ no nyinaa akɔ nipadua no mu prɛko pɛ, na ebetumi ayɛ asiane.
- Sɛ ɛyɛ den sɛ wobɛmene: Sɛ ɛyɛ den ma abofra sɛ ɔbɛmene a, wubetumi de ahwɛyiye abue aduru a wɔde petepete so no apete apɔw-mu-teɛteɛ a ɛyɛ nwini tablespoon biako so . Mfa biribiara a ɛyɛ hyew nhyɛ so. Afei, ma abofra no mene apɔw-mu-teɛteɛ no prɛko pɛ a ɔnwe. Sɛ womene wie a, ma abofra no nnom nsu. Mfa saa afrafrade yi nsie; ɛsɛ sɛ wɔde di dwuma ntɛm ara.
- Fa no bere ano: Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no, bɛyɛ bere koro no ara da biara.
- Mfa nnuru abien bere koro mu: Sɛ wo werɛ fi sɛ wobɛnom nnuru bi a, fa no bere a wokae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu esiane biribiara nti.
Kɔkɔbɔ: Sɛ wususuw sɛ woanom pii sen sɛnea wususuw a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital no ntɛm ara anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no. Saa aduru yi yɛ nea w’ankasa wode bedi dwuma nkutoo. Mfa saa aduru yi nkyerɛ afoforo da.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru foforo biara, vitamin, anaa nnuru a wɔde ka wo ho a worenom ho asɛm. Nnuru bi betumi ne eyi adi nkitaho na ɛde tebea horow a ɛyɛ hu aba.
| Mfa Dexmethylphenidate nka eyinom ho koraa. | |
|---|---|
| MAOI nnuru a wɔde sa adwenemhaw (e.g. Marplan, Nardil, Parnate). Ɛnsɛ sɛ wofi ase de dexmethylphenidate di dwuma kosi sɛ anyɛ yiye koraa no, bere a wɔagyae nnuru yi biako akyi adapɛn abien. | |
| Nnuru afoforo a ɛkanyan adwene a wɔde ma ADHD, mu duru a ɛso tew, anaa nna a wontumi nna. | |
| Eyinom betumi adi nkitaho - abɔ wo duruyɛfo amanneɛ. | |
| Mogya mmoroso aduru | Caffeine (tii, kɔfe, anonne a ɛma ahoɔden) . |
| Aduru a wɔde sa adwenemhaw anaa dadwen | Nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin |
| Nnuru a wɔde ko tia akisikuru te sɛ phenobarbitone ne phenytoin | Nnuru bi a wɔde sa atiridii anaa akisikuru |
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Nhwehwɛmu a wɔyɛ no daa:Ɛsɛ sɛ oduruyɛfo no hwɛ wo anaa wo ba no daa. Sɛ ɛyɛ abofra a, wɔbɛhwɛ sɛ wɔn tenten ne wɔn mu duru renya nkɔanim anaa.
- Ahwɛyiye: Saa aduru yi betumi aka w’adwene. Enti, kwati nneɛma a asiane wom te sɛ karka anaa mfiri a wode bedi dwuma kosi sɛ wubehu sɛnea ɛka wo ankasa.
- Aduan ho akɔnnɔ a ɛyera: Ɛtaa ba sɛ wubenya aduan ho akɔnnɔ a ɛyera bere a edi kan a wufi ase nom aduru no. Wobetumi akwati eyi denam nnuan nketenkete a wɔtaa di anaa nnuan nketenkete a wobedi so. Sɛ saa tebea yi kɔ so a, ka kyerɛ wo duruyɛfo.
- Dae: Nnom saa aduru yi anadwo dasum. Ebetumi atwitware nna mu.
- Nsɛm titiriw a ɛsɛ sɛ wohyɛ no nsow ma mmarima: Sɛ wunya ɔbarima ne ɔbea nna a ɛkyɛ anaasɛ ɛyɛ yaw a ɛkyɛ bɛboro nnɔnhwerew 4 a, ebetumi ayɛ tebea a emu yɛ den. Hwehwɛ ayaresa ntɛm ara na amma nneɛma ansɛe no daa.
- Nsakrae a ɛba nsateaa mu: Sɛ wuhu sɛ nsateaa anaa nansoaa mu akuru mpofirim, ɛyɛ mmerɛw, ɛyaw, anaa honam ani kɔla sesa (a ɛyɛ bruu, bruu, kɔkɔɔ) a, ka kyerɛ wo duruyɛfo ntɛm ara.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba, nanso ɛnyɛ obiara na onya bi. Hu nea edidi so yi.
| Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo anaa ETU amanneɛ ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Nsakrae a ɛba koma a ɛbɔ mu | Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ, adwenemhaw, koko mu yaw, ahome a ɛyɛ den. |
| Nsakrae a ɛba adwene ne nneyɛe mu | Dadwen a emu yɛ den, basabasayɛ, nneɛma a enni hɔ a wohu/te (hallucinations), adwene a ɛne sɛ obekum ne ho. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare a ɛma obi hwe ase | Anim, abasa anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, kasa a ɛyɛ den, tiyɛ a emu yɛ den, aniwa a ɛsakra. |
| Mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Tipaeɛ | Ɛyɛ den sɛ wobɛda |
| Akɔnnɔ | Mu duru a ɛso tew |
| Dadwen, ahomegye a enni hɔ | Abofono |
Nkrasɛm a Wɔde Kɔ Fie
- Ɛsɛ sɛ wɔde saa aduru yi di dwuma wɔ oduruyɛfo afotu ase nkutoo . Di dodow a wɔde ma no akyi sɛnea oduruyɛfo no kyerɛ no.
- Eyi yɛ aduru a wɔakyerɛw ama wo nkutoo. Mfa nkyɛ afoforo esiane biribiara nti . Ɛyɛ nea mmara mma ho kwan na asiane wom.
- Ka nnuru afoforo a wonom nyinaa ne nyarewa foforo biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Sɛ wunya ɔhaw biara a anibere wom (te sɛ nsakrae a ɛba koma a ɛbɔ mu, adwene a ɛsakra kɛse) , hwehwɛ aduruyɛfo afotu ntɛm ara .
- Fa nnuru sie baabi a ahobammɔ wɔ a mmofra ntumi nkɔ hɔ . Kae sɛ eyinom yɛ nnuru a wobetumi de adi dwuma ɔkwammɔne so.
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