Ebia ɛbɛyɛ den ama wo anaa wo ba no sɛ ɛtɔ mmere bi a wode w’adwene besi ade biako so, ɛnte saa? Anaasɛ wote nka sɛ woreda awiabere kɛkɛ? Fa no sɛ, wo ba no retu mmirika akɔ adesua mu, ontumi mfa n’adwene nsi n’adesua so, ɔrehaw mmofra afoforo, ɔnyɛ ne fie nnwuma yiye... Eyi ne bere a nnuruyɛfo hu sɛ ɔwɔ Attention-Deficit Hyperactivity Disorder (ADHD) na sɛ ɛho hia a, ɔkyerɛw nnuru ma no. Anaa fa no sɛ woda mpofirim a wuntumi nhyɛ wo ho so bere a woreyɛ adwuma wɔ adwumayɛbea hɔ anaa bere a woreka kar no. Eyi yɛ asiane kɛse, ɛnte saa? Wɔfrɛ eyi narcolepsy . Nea ɛbɛyɛ na wɔaboa wɔ tebea horow a ɛtete saa mu no, ɛtɔ mmere bi a nnuruyɛfo kyerɛw aduru bi a wɔfrɛ no (Methylphenidate). Eyi ka nnuru bi a wɔfrɛ no nnuru a ɛkanyan obi ho . Sɛ yɛbɛka no tiawa a, ɛma wutumi de w’adwene si biribi so yiye, ɛboa ma wudi ahomegye, nkate horow so, na ɛboa ma woda. Ɛnnɛ, yɛbɛka saa aduru yi (Methylphenidate) ho asɛm kakra. Ɛsan nso ba wɔ brand din (Methylin) ase.
Dɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma?
Okay, afei ansa na wo duruyɛfoɔ bɛkyerɛw saa (Methylphenidate) aduru yi ama wo no, ɛho hia paa sɛ woka w’akwahosan tebea ho asɛm kyerɛ no. Efisɛ ebia nnipa binom a wɔwɔ ayaresa tebea horow bi mfata mma saa aduru yi, anaasɛ ebia ahwɛyiye titiriw bi wɔ hɔ a ɛsɛ sɛ woyɛ. Sɛ wowɔ saa tebea horow yi bi a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo, ɛnte saa?
- Sɛ wotaa nya dadwen anaasɛ ehu ka wo a .
- Sɛ wowɔ mogya a ɛkɔ wo nsateaa ne wo nansoaa mu no ho haw a.
- Sɛ wowɔ glaucoma a .
- Sɛ ntini anaa koma mogya ntini no ayɛ den anaasɛ asiw a .
- Sɛ wowɔ komayare anaasɛ wowɔ komayare a wɔde awo wo a .
- Sɛ wowɔ mogya mmoroso a .
- Sɛ wowɔ abakɔsɛm a ɛfa nnubɔne anaa nsa a wɔde di dwuma ɔkwammɔne so ho haw ahorow ho a .
- Sɛ woanya akisikuru ho abakɔsɛm a .
- Sɛ wowɔ mmerɛbo mu yare a .
- Sɛ wowɔ adwenemyare bi a .
- Sɛ wowɔ motor tics ( nipadua akwaa a ɛnyɛ wo pɛ) anaasɛ obi wɔ w’abusua mu wɔ tebea bi a wɔfrɛ no Tourette’s syndrome .
- Sɛ wowɔ tebea horow te sɛ akisikuru anaa akisikuru a.
- Sɛ woanya adwene, nhyehyɛe, anaa mmɔden a wobɛbɔ sɛ wubekum wo ho , anaa sɛ obi a ɔwɔ w’abusua mu ayɛ saa a.
- Sɛ wowɔ thyroid yare a .
- Sɛ woanya aduru yi (Methylphenidate), nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma anaa nneɛma a wɔde sie no ho adwene a ɛyɛ soronko anaasɛ wo ho nyɛ wo hyew pɛn.
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ worema nufu a .
Sɛ oduruyɛfo no hu saa nneɛma yi wie a, obetumi asi gyinae pɛpɛɛpɛ sɛ ebia aduru yi fata wo anaasɛ ɛnsɛ, ne ɔkwan a ɔbɛfa so de ama.
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
Saa aduru yi (Methylphenidate) wɔ nsuo mu, kyerɛ sɛ, syrup. Ɛsɛ sɛ wofa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, dodow a wɔakyerɛw ama wo, ne bere a wɔakyerɛw ama wo no.
- Nnuru a wɔde susuw nneɛma: Eyi yɛ nsenia anaa kuruwa titiriw bi (a wɔde nsenia anaa ade a wɔahyɛ no agyirae titiriw) a wobetumi de asusuw nnuru dodow pɔtee. Sɛ wunni bi a, bisa nnuruyɛfo no. So ɛnsɛ sɛ wode teaspoon anaa tablespoons a wowɔ daa a wowɔ wɔ fie no di dwuma? Wɔrensusuw dodow pɔtee no.
- Bere a ɛsɛ sɛ wonom: Mpɛn pii no eye sɛ wobɛnom saa aduru yi simma 30 kosi 45 ansa na woadi . Nanso, sɛ wo duruyɛfo ka kyerɛ wo sɛ ɛnte saa a, yɛ saa.
- Bere a wɔde di dwuma daa : Nom w’aduru no daa wɔ da no mu sɛnea wo duruyɛfo kyerɛ no. Nnipa dodow no ara bɛka akyerɛ wo sɛ fa wo dodow a etwa to wɔ da no mu anyɛ yiye koraa no nnɔnhwerew 4 kosi 6 ansa na woada. Anyɛ saa a, ebia worentumi nna.
- Mma nnnom nsen dodow a wɔakyerɛw ama wo: Nnom nsen dodow a wo duruyɛfo akyerɛ wo, anaasɛ nnom no mpɛn pii.
Akwankyerɛ krataa titiriw (MedGuide): Bere biara a nnurutɔnbea no bɛma wo saa aduru yi, sɛ́ ɛyɛ bere a woasan ahyɛ mu ma anaasɛ bere a wokɔ sɛ worekɔfa bio no, wɔbɛma wo akwankyerɛ krataa titiriw bi (MedGuide) . Nsɛm a ɛho hia paa wɔ aduru yi ho. Kae bere nyinaa sɛ wobɛkenkan no yiye.
Sɛ wɔde ma mmofra a: Ɛtɔ da bi a, wɔde saa aduru yi ma mmofra a wɔadi mfe 6 pɛ. Nanso, nneɛma bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode rema wo ba no. Enti, sɛ wode saa aduru yi rema wo ba a, wo ne wo duruyɛfo nka ho asɛm yiye na hwehwɛ mu nsɛm nyinaa.
Dodow a ɛboro so: Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ beae a wɔhwɛ awuduru so anaa ayaresabea dan a ɛbɛn hɔ a wɔhwɛ ntɛmpɛ so ntɛm ara .
Saa aduru yi yɛ wo nkutoo dea:Eyi yɛ aduru a oduruyɛfo no de maa wo. Mfa mma obi foforo. Ɛyɛ asiane na ɛne mmara nhyia.
Sɛ wopa nnuru dodow bi a, dɛn na 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 anaa nea ɛboro so bere biara.
Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?
Sɛ wonom saa aduru yi (Methylphenidate) a, ebetumi ne nnuru afoforo bi adi nkitaho. Eyi kyerɛ sɛ, sɛ wɔde ka saa aduru no ho a, ebetumi asesa sɛnea ɛyɛ adwuma anaasɛ ɛbɛma nea efi mu ba no ayɛ kɛse.
Mfa Methylphenidate nka nnuru a edidi so yi ho:
- Lithium a wɔde yɛ nneɛma
- MAOI ahorow (sɛ nhwɛso no, Carbex, Eldepryl, Marplan, Nardil, Parnate) .
- Nnuru afoforo a ɛkanyan wo ma w’adwene nkɔ wo so, wo mu duru so tew, anaasɛ ɛbɛboa wo ma woada
- Procarbazine a wɔde ma
Ebia nnuru yi ne methylphenidate bedi nkitaho. Enti sɛ worenom eyinom a, ka kyerɛ wo duruyɛfo :
- Atomoxetine a wɔde yɛ aduru
- Caffeine (a wohu wɔ kɔfe, tii, ne anonne a ɛyɛ dɛ bi mu) .
- Nnuru bi a wɔde sa mogya mmoroso, komayare, ne koma a ɛbɔ a ɛnteɛ daa
- Nnuru bi a wɔde sa adwenemhaw, dadwen, anaa adwenemyare
- Nnuru bi a wɔde di dwuma ma akisikuru (e.g. carbamazepine, phenobarbital, phenytoin) .
- Nnuru bi a wɔde sa atiridii anaa akisikuru
- Warfarin (aduru a ɛtew mogya a ɛtwetwe so) .
Saa nsɛm a wɔahyehyɛ yi nka nkitahodi ahorow a ebetumi aba nyinaa ho. Enti, ka nnuru a worenom nyinaa (wɔakyerɛw ama wo, a wontɔn, nhabannuru, vitamin, ne nnuru a wɔde ka ho) kyerɛ wo duruyɛfo. Sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo nso, efisɛ eyinom nso betumi ne aduru yi adi nkitaho.
Dɛn na ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi?
Bere a worenom aduru yi no, ɛsɛ sɛ wo ne wo duruyɛfo kɔhwɛ wo daa. Esiane sɛ eyi yɛ aduru a wɔkyerɛw ma wo nti, ɛho behia sɛ wunya aduru foforo a wɔakyerɛw afi wo duruyɛfo hɔ bere biara a wubehia sɛ wɔsan de ma no.
- Ahwɛyiye ne ɔbrɛ: Saa aduru yi betumi aka w’adwene anaasɛ ɛremma wo brɛ. Enti, nka kar, ntra sakre so, nnyɛ mfiri, anaa nyɛ nneɛma afoforo a ɛhwehwɛ sɛ wode w’adwene si biribi so kosi sɛ wubehu sɛnea aduru yi ka wo no pɛpɛɛpɛ.
- Sɛ aduru no nkɛntɛnso so tew a:Sɛ wote nka sɛ aduru no ntumi nyɛ adwuma yiye sɛnea ɛsɛ sɛ ɛyɛ, anaasɛ wote nka sɛ ɛsɛ sɛ wonom boro dodow a wɔakyerɛw ama wo no a, ka kyerɛ wo duruyɛfo. Mma nsakra aduru no dodow a wo ne wo duruyɛfo nkasa.
- Mmarima Akwahosan: Sɛ woyɛ ɔbarima, sɛ wo ho yɛ wo yaw a ɛkyɛ boro nnɔnhwerew 4 a, ka kyerɛ wo duruyɛfo ntɛm ara. Eyi betumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne. Sɛ wɔansa no ntɛm a, ebetumi asɛe ade daa.
- Aduan ho akɔnnɔ a ɛyera: Ɛtaa ba sɛ bere a worefi aduru yi ase no. Aduan nketenkete anaa nnuan nketenkete a wodi mpɛn pii no betumi aboa. Sɛ aduan ho akɔnnɔ a worehwere kɔ so a, wo ne wo duruyɛfo nkasa. Mpɛn pii no, wo duruyɛfo bɛhwɛ sɛnea abofra a ɔnom aduru yi nyin ne ne mu duru.
- Dae: Mfa aduru yi nnbɛn sɛ wobɛda. Ebia saa a wobɛyɛ no remma wuntumi nna.
- Oprehyɛn anaa nhwehwɛmu: Sɛ wobɛyɛ oprehyɛn, MRI, CT scan, anaa aduruyɛ foforo biara a, ka kyerɛ wo duruyɛfo sɛ worenom aduru yi. Ebia ɛho behia sɛ wugyae aduru no nom ansa na wɔayɛ wo oprehyɛn no.
- Wo nsateaa mu akuru anaa nsakrae: Sɛ wuhu akuru a wontumi nkyerɛkyerɛ mu wɔ wo nsateaa anaa wo nansoaa so bere a worenom aduru yi a, ka kyerɛ wo duruyɛfo ntɛm ara. Afei nso, sɛ wo nsateaa te nka sɛ ɛyɛ mmerɛw, ɛyɛ yaw, honam ani kɔla sesa, anaasɛ ɛyɛ hyew wɔ ɔhyew ho a, ka kyerɛ.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, saa (Methylphenidate) aduru yi betumi de ɔhaw ahorow aba nnipa binom so. Nanso ɛnyɛ obiara na ɔyɛ saa. Ebinom yɛ aniberesɛm na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Ebinom nyɛ aniberesɛm saa, nanso sɛ ɛkɔ so a, eye sɛ wobɛka akyerɛ wo duruyɛfo .
Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:
- Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, akisikuru, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
- Koma mu nnyigyei sesa: koma bɔ ntɛmntɛm anaasɛ ɛnte saa, adwenemhaw, te nka sɛ wo ho ayɛ wo hyew anaasɛ wo ti yɛ hare, koko mu yaw, ɔhome a ɛyɛ den.
- Mogya mmoroso a ɛkɔ soro.
- Adwene ne nneyɛe mu nsakrae: dadwen, ehu, adwene mu naayɛ, nsusuwii hunu, abufuw, nitan, adwene a ɛne sɛ obekum ne ho anaasɛ obepira ne ho, adwene a ɛyɛ den, adwenemhaw ho nkate.
- Ɔsɔretia a ɛkyɛ anaasɛ ɛyɛ yaw.
- Raynaud adeyɛ: Nsateaa ne nansoaa no yɛ nwini, ɛyɛ mmerɛw, anaasɛ ɛyɛ yaw, na ebetumi ayɛ bruu, bruu, anaa kɔkɔɔ.
- Akisikuru a ɛba mpanyimfo mu: Anim, abasa, anaa nan a ɛyɛ mmerɛw mpofirim anaa ɛyɛ mmerɛw, ɛyɛ den sɛ ɔbɛkasa, adwene atu afra, ɛyɛ den sɛ ɔbɛnantew, ɛkari pɛ, adwenemhaw, tiyɛ a emu yɛ den, aniwa a ɛsakra.
Nsunsuanso bɔne a mpɛn pii no enhia nnuruyɛfo afotu, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ:
- Dadwen, ehu a ɛma obi ho popo
- Anisoadehu a ɛyɛ kusuu
- Tipaeɛ
- Aduan ho akɔnnɔ a ɛyera
- Abofono
- Ɔhaw a ɛba wɔ nna mu
- Mu duru a ɛso tew
Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa na ama woanya afotu. Wubetumi nso abɔ amanneɛ akyerɛ FDA wɔ 1-800-FDA-1088.
Ɔkwan bɛn so na ɛsɛ sɛ yɛkora yɛn nnuru so? Momma yensusuw ahobammɔ ho nso.
Ɛsɛ sɛ wɔde saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ . Wobetumi de aduru yi adi dwuma ɔkwammɔne so. Enti, fa sie baabi a ahobammɔ wɔ na ama abɔ ho ban afi korɔnbɔ ho . Mfa saa aduru yi nkyɛ obi foforo. Sɛ wobɛtɔn anaa wode ama obi foforo a, asiane wom na ɛne mmara nhyia.
Fa sie wɔ dan mu hyew (digrii Celsius 20 kosi 25 / digrii Fahrenheit 68 kosi 77). Bɔ ho ban fi hann ne nsu ho. Ma toa no ano ntoto mu denneennen.
Nea ɛho hia: Sɛ mpanyimfo, mmofra, anaa afieboa afoforo nom saa aduru yi a, ebetumi akum obi. Enti, sɛ wowɔ aduru bi a womfa nni dwuma a aka a, fa fra biribi te sɛ mpataa nwura anaa kɔfe a wɔayam. Afei fa gu kotoku a wɔatoto mu denneennen anaa kɔfe toa a akata so mu na tow gu nwura mu. Mfa nnuru a ne bere atwam atwam nni dwuma.
Saa kratawa yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia nsɛm no nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo nkasa.
Nea ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu (Take-Home Message) .
Okay, yɛaka methylphenidate ho asɛm pii nnɛ, ɛnte saa? Ne tiawa mu no, ɛyɛ aduru a ɛma adwene tu mpɔn na ɛtew dadwen so, na wɔde sa tebea horow te sɛ ADHD ne Narcolepsy.
- Ka kyerɛ wo duruyɛfo : Hwɛ hu sɛ wobɛka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo .
- Fa di dwuma yiye: Fa no sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata, ne bere a ɛfata mu. Fa afiri titiriw bi a wɔde susuw nneɛma di dwuma.
- Hu nneɛma bɔne a efi mu ba:Sɛ wuhu sɛ nneɛma bɔne bi a anibere wom a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Fa sie dwoodwoo: Fa sie baabi a mmofra ntumi nkɔ hɔ. Tow nnuru biara a aka no gu yiye.
- Bisa nsɛm: Sɛ wowɔ nsɛm bi a ɛhaw wo anaa nsɛmmisa bi a, nsuro sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.
W’akwahosan ho hia wo paa, enti ɛho hia paa sɛ wudi akwankyerɛ ahorow yi akyi.
` Methylphenidate, ADHD, Narcolepsy, stimulant, adwene a wɔde si biribi so, adwene a wɔde si biribi so, dwumadi a ɛboro so, nsunsuanso bɔne, nnuru
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