So ɛyɛ den ma wo ba sɛ ɔbɛtra ase dinn, asua ade, anaa ɔde n’adwene asi adwuma so? Anaasɛ, sɛ́ ɔpanyin no, ɛyɛ den ma wo sɛ wode w’adwene besi w’adwuma so? Ebia nea ɛde ɔhaw ahorow a ɛtete saa ba ne tebea bi a wɔfrɛ no ADHD. Enti, nnuru titiriw a wɔde ma eyi no mu biako ne methylphenidate. Ɛnnɛ yɛreka saa methylphenidate aduru a wotumi we yi ho asɛm. Wɔ asɛm yi mu no, yɛrebɛma nsɛmmisa a wowɔ wɔ aduru yi ho nyinaa ho mmuae.
Sɛ yɛbɛka no tiawa a, dɛn ne methylphenidate?
Methylphenidate yɛ aduru a wɔde sa adwene a ɛma obi yɛ ade tra so , anaa ADHD . Sɛ yɛbɛka no tiawa a, ɛyɛ adwuma denam ɔkwan a nnuru bi a ɛwɔ amemene no mu yɛ adwuma a ɛsakra ma ɛboa wo ma wode w’adwene si biribi so na wudi nneyɛe a ɛyɛ ntɛm so . Ɛka nnuru kuw bi a wɔfrɛ no nnuru a ɛkanyan obi ho.
Nanso kae sɛ ɛtɔ mmere bi a nnuruyɛfo betumi akyerɛw saa aduru yi ama tebea afoforo nso. Enti sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo no ho asɛm.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wode saa aduru yi bɛma wo anaa wo ba no, ɛho hia paa sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wo anaa w’abusua mu obiara wɔ tebea horow a edidi so yi mu biara a:
| Tebea/yare no fã | Nkyerɛmu |
|---|---|
| Adwene mu akwahosan ho haw ahorow | Dadwen, ehu, adwenemyare afoforo, adwene a ɛne sɛ obekum ne ho anaa mmɔden a wɔbɔ (wɔ wo ho anaa obi a ɔwɔ w’abusua mu) . |
| Koma mu yare ne mogya mmoroso | Mogya mmoroso, komayare, komayare a wɔde awo obi, ntini a ɛyɛ den anaasɛ esiw, ɔyare a ɛma obi hwe ase |
| Nkwammoaa a ɛkɔ nipadua no mu ho haw ahorow | Ɔhaw ahorow a ɛfa mogya a ɛkɔ nsateaa (nsa ne anan) mu . |
| Ayaresa mu tebea afoforo | Glaucoma, mmerɛbo mu yare, akisikuru, thyroid yare, phenylketonuria |
| Suban ne abakɔsɛm | Abakɔsɛm a ɛfa nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so, ntini mu yare, anaa Tourette yare (wɔ w’ankasa anaa w’abusua mu) ho . |
| Nneɛma a ɛma obi ho yɛ no hyew | Methylphenidate anaa nnuru foforo, nnuan, anaa nnuru a wɔde yɛ nneɛma a ɛma obi ho yɛ no hyew |
| Mmere titiriw | Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Esiane sɛ eyi yɛ aduru a wotumi we nti, ɛsɛ sɛ wowe no yiye na womene . Mmene ansa na woawe no koraa. Afei nom nsu kuruwa biako.
- Ansa na woadidi: Mpɛn pii no ɛyɛ papa sɛ wobɛnom saa aduru yi simma 30-45 ansa na woadi, gye sɛ wo duruyɛfo no kyerɛ sɛ ɛnte saa.
- Bere a ɛsɛ mu: Fa yɛ wo su sɛ wobɛnom w’aduru no bere koro mu da biara.
- Anadwo: Mpɛn pii no, ɛsɛ sɛ wɔnom da no mu dodow a etwa to anyɛ yiye koraa no nnɔnhwerew 4-6 ansa na wɔada, efisɛ eyi betumi asiw nna kwan.
- Dosage: Mfa nnom pii anaa mpɛn pii nsen nea wo duruyɛfo akyerɛ wo no.
Nea ɛho hia: Saa aduru yi yɛ ma wo nkutoo. Mfa w’aduru mma obi foforo biara esiane biribiara nti. Ɛyɛ asiane na mmara mma ho kwan.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wopa dose bi a, fa no bere a woakae 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 mmɔho abien da.
Na sɛ menom nnuru pii nso ɛ?
Sɛ wususuw sɛ woanom nnuru pii sen sɛnea wususuw a, kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) anaa frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital .
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa (a vitamin ne nnuru a wɔde di dwuma wɔ amanne kwan so) ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne eyi adi nkitaho.
| Mfa Methylphenidate nka eyinom ho. | |
|---|---|
| MAOIs (aduru bi a wɔde sa adwenemhaw) . | Sɛ nhwɛso no: Carbex, Eldepryl, Marplan, Nardil, Parnate, ne wɔn a wɔka wɔn ho no |
| Lithium a wɔde yɛ nneɛma | Aduru a wɔde sa adwenemyare |
| Procarbazine a wɔde ma | Aduru a wɔde sa kokoram |
| Nneɛma afoforo a ɛkanyan obi | Nnuru afoforo a wɔde ma wɔn ani da hɔ kɛse, wɔtew wɔn mu duru so, anaasɛ wɔma nna fi hɔ |
| Sɛ worenom methylphenidate ne eyinom a, ka kyerɛ wo duruyɛfo. | |
| Nnuru bi a wɔde sa mogya mmoroso ne komayare | Warfarin (aduru a ɛma mogya yɛ mmerɛw), Atomoxetine, Caffeine |
| Aduru a wɔde sa akisikuru | Sɛ nhwɛso no: Carbamazepine, Phenobarbital, Phenytoin a wɔde yɛ aduru |
| Aduru a wɔde sa adwenemhaw/dadwen | Nnuru bi a wɔnom ma atiridii anaa akisikuru |
Nneɛma bɛn na ɛsɛ sɛ wususuw ho bere a worenom aduru no?
- Hwɛ a wobɛhwɛ wo daa: Bere a worenom aduru yi no, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn daa kɔhwɛ wo tebea no. Titiriw sɛ woyɛ abofra a, oduruyɛfo no bɛhwɛ wo tenten ne wo mu duru a ɛkɔ soro daa.
- Nkɛntɛnso a enya wɔ adwene a wɔde si biribi so so: Saa aduru yi betumi aka sɛnea wutumi de w’adwene si biribi so anaasɛ w’ani da hɔ. Enti, kwati sɛ wobɛka kar, wobɛka sakre, anaa wode mfiri bedi dwuma kosi sɛ wubehu sɛnea aduru yi ka wo ankasa.
- Aduan ho akɔnnɔ a ɛyera: Ɛyɛ ade a ɛfata sɛ wubenya aduan ho akɔnnɔ a ɛyera bere a wudi kan fi ase nom aduru no. Eyi ano aduru biako ne sɛ wubedi nnuan nketenkete mpɛn pii da biara sen sɛ wubedi nnuan akɛse prɛko pɛ. Sɛ eyi kɔ so a, ka kyerɛ wo duruyɛfo.
- Kɔkɔbɔ titiriw ma mmarima: Sɛ nna ho akɔnnɔ kyɛ bɛboro nnɔnhwerew 4 anaasɛ ɛyɛ yaw a, kɔ oduruyɛfo ntɛm ara . Eyi betumi ayɛ tebea a emu yɛ den. Sɛ wɔansa a, ebetumi asɛe ade daa.
- Nsateaa a ɛsakra: Sɛ wunya akuru biara a wontumi nkyerɛkyerɛ mu, wo ho yɛ wo yaw, wote ɛyaw, wo honam ani kɔla sesa (ɛyɛ bruu, bruu, kɔkɔɔ), anaasɛ wote ɔhyew nka wɔ wo nsateaa anaa wo nansoaa mu bere a worenom aduru yi a, ka kyerɛ wo duruyɛfo ntɛm ara.
Nsunsuanso bɔne a ebetumi aba esiane nnuru nti
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba, nanso ɛnyɛ obiara na onya bi.
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no 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. |
| Mogya mmoroso a ɛkɔ soro | Tiyɛ a emu yɛ den, aniwa a ɛsakra. |
| Adwene ne nneyɛe mu nsakrae | Dadwen a emu yɛ den, basabasayɛ, nsusuwii hunu, adwene a ɛne sɛ obekum ne ho, adwene mu tebea a ɛyɛ hu. |
| Akisikuru a ɛba mpanyimfo mu | Anim, nsa, anaa nan a ɛyɛ mmerɛw/yɛ mmerɛw mpofirim, ɛyɛ den sɛ wobɛkasa, ɛyɛ den sɛ wobɛnantew. |
| Raynaud adeyɛ a ɛyɛ nwonwa no | Awɔw, akisikuru, ɛyaw, ne kɔla a ɛsakra wɔ nsateaa ne nansoaa mu (pale -> blue -> red). |
| Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Tipaeɛ | Ɛyɛ den sɛ wobɛda |
| Akɔnnɔ | Mu duru a ɛso tew |
| Dadwen/adwennwene | Abofono |
Wobɛyɛ dɛn abɔ w’aduru ho ban?
- Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ. Saa aduru yi betumi akum obi sɛ wɔdi mfomso nom a.
- Beae a ahobammɔ wɔ: Aduru yi taa yɛ nea wɔde di dwuma ɔkwammɔne so, enti fa sie baabi a wobetumi abɔ ho ban afi korɔnbɔ ho.
- Akoraeɛ:Fa toa no sie denneennen wɔ dan mu hyew (ɛyɛ Celsius 15-30 ntam), baabi a hann ne nsu ntumi nkɔ mu.
- Nneɛma a Wɔtow gu: Ntow nnuru a aka anaa nea ne bere atwam ngu abɔnten anaa tiafi ase. Fa fra biribi te sɛ kɔfe a wɔayam anaa mpataa nwura a wɔde adi dwuma, fa gu kotoku anaa ade a wɔatoto mu denneennen mu, na tow gu nwura mu.
Nkrasɛm a Wɔde Kɔ Fie
- Methylphenidate yɛ aduru a wɔde sa ADHD. Ɛma adwene a wɔde si biribi so tu mpɔn na ɛhyɛ nneyɛe a ɛyɛ ntɛm so.
- Ansa na wubefi aduru no ase no, ka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo, titiriw komayare ne adwenemyare ho.
- Chew aduru no yiye, nom bere a ɛfata, ne sɛnea oduruyɛfo no kyerɛ no. Mfa no anadwo.
- Sɛ wunya nsunsuanso bɔne a emu yɛ den (koko mu yaw a emu yɛ den, adwene mu nsakrae, akisikuru) a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Fa sie baabi a asiane biara nni ho na ɛntwe ne ho mfi mmofra ne afoforo ho.
- Sɛ wowɔ nsɛmmisa bi fa saa aduru yi ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa.
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