Yu ɔ yu pikin gɛt prɔblɛm fɔ kɔntinyu fɔ pe atɛnshɔn pan wan tin? Yu kin fil se yu nɔ de rɛst ɛn yu nɔ de rɛst ɔltɛm? Dɛn kɔl dis sik Attention Deficit Hyperactivity Disorder, ɔ ADHD (Attention-Deficit Hyperactivity Disorder), lɛk aw bɔku pipul dɛn no am. Wan pan di men mɛrɛsin dɛm wae dɛn kin yuse fɔ trit dis sik na methylphenidate. Tide, wi go tɔk bɔt dis mɛrɛsin, mɔ di ɛkstend-rilis fɔm we dɛn kin tek na ivintɛm.
Wetin na mɛtilfenidate?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we dɛn kin yuz fɔ mɛn ADHD. Fɔ tɔk bɔt mɛrɛsin, i de insay di kategori we de mek pɔsin want fɔ du sɔntin. Tink bɔt am, sɔm kemikal dɛn de na wi bren (nyurotransmita) we de ɛp wit tin dɛn lɛk atɛnshɔn ɛn kɔntrol. Pɔsin wae gɛt ADHD kin gɛt smɔl smɔl tin fɔ du pan dɛn tin ya. So, dis mεdikeshכn de wok bay we i de mek dεn kεmεkal dεm de wok, i de mek di abiliti fכ fכs εn kכntrכl di impulsiv, rεstless bihayvya. Di spɛshal kayn we wi de tɔk bɔt na dis atikul, dɛn mek am di kayn we we we dɛn tek am na ivintɛm, yu go fil di tin dɛn we i de du ɔlsay na nɛt ɛn te to di nɛks mɔnin.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri. Dis na bikɔs sɔm mɛrɛsin kin mek i nɔ izi fɔ yuz dis mɛrɛsin. If yu ɔ ɛnibɔdi na yu famili gɛt ɛni wan pan di sik dɛn we de na di tebul we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Medikal kɔndishɔn/fakt | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| At sik, ay blɔd prɛshɔn, ɔr famili histri bɔt at sik | Dis mɛrɛsin kin mek di blɔd prɛshɔn ɛn at rit smɔl. |
| Mental sik (wɔri, pwɛl hat, bipola muud disɔda, tink bɔt fɔ kil yusɛf) . | Bikɔs sɔntɛnde, mɛrɛsin kin mek di sik dɛn we de na in maynd we dɔn de, wɔs. |
| Di sik dɛn we kin mek pɔsin sik | Sɔntɛnde dis mɛrɛsin kin mek yu gɛt mɔ epileptic seizure. |
| Glaukoma kɔndishɔn we pɔsin kin gɛt | Na bikɔs i kin mek di yay prɛshɔn go ɔp. |
| Liva sik | Bikɔs i kin afɛkt di we aw dɛn kin pul di mɛrɛsin na di bɔdi. |
| di prכblεm dεm we de fכ sכk na di finga dεm (e.g. Raynaud in fεnomen) . | Na bikɔs dɛn sayn ya go mɔs wɔs. |
| Tourette in sindrom ɔr motoka tics | Bikɔs di sayn dɛm fɔ dɛn kayn tin ya kin bɔku. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ aw di mɛrɛsin kin afɛkt yu pikin. |
| Alɛji to dis mɛrɛsin ɔ ɛni ɔda tin | Fɔ mek yu nɔ gɛt alɛji. |
Wetin na di bɛst we fɔ yuz di mɛrɛsin?
As di dɔktɔ se, i rili impɔtant fɔ tek di kɔrɛkt doz di rayt tɛm.
- Tɛm: Dɛn kin tek dis patikyula kayn tin na ivintɛm ɔ na nɛt . Tray fɔ tek am di sem tɛm ɛvride.
- Aw fɔ tek: Swɛla di kapsul ɔl wit wan glas wata. Nɔ brok, krɔs, ɔ chew di kapsul. If yu du dat, i kin mek ɔl di mɛrɛsin kɔmɔt na di bɔdi wan tɛm, ɛn dis kin mek di sayd ɛfɛkt dɛn bɔku.
- If i nɔ izi fɔ yu fɔ swɛla:If i nɔ izi fɔ yu fɔ swɛla di kapsul, yu kin tek tɛm opin am, sprinkul di smɔl smɔl pils dɛn we de insay pan sɔft it lɛk apul sos, ɛn swɛla dɛn wantɛm wantɛm we yu nɔ it . Bɔt tɔk to yu dɔktɔ bɔt dis fɔs.
- If yu tek di mɛrɛsin pasmak: If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu fɔ tek am, go na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu wantɛm wantɛm ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Di tin we impɔtant pas ɔl: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin. I nɔ de akɔdin to lɔ ɛn i kin denja fɔ da pɔsin de.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek yu ivintɛm doz, tek am jɔs afta yu mɛmba da ivintɛm de. Bɔt if na di nɛks de we yu mɛmba, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu kin tek. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Sɔm mɛrɛsin kin miks wit methylphenidate ɛn mek dɛn gɛt tin dɛn we dɛn nɔ want. I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
- MAOI antidipreshan: Fɔ tek dɛn tin ya wit dis mɛrɛsin kin rili denja. I kin mek pɔsin gɛt ay blɔd prɛshɔn.
- Blɔd prɛshɔn mɛrɛsin: Dis mɛrɛsin kin chenj di we aw blɔd prɛshɔn mɛrɛsin kin wok.
- Mɛrɛsin fɔ ɛpilepshi: I kin afɛkt di we aw dɛn mɛrɛsin ya de wok fayn.
- Ɔda tin dɛn we de mek yu fil fayn: If yu tek am wit ɔda mɛrɛsin dɛn we de mek yu gɛt ADHD, mɛrɛsin dɛn we de mek yu nɔ gɛt bɔku bɔku bɔdi, ɛn drink we gɛt kafinɛ, dat kin mek yu at rit mɔ ɛn mɔ ɛn yu nɔ kin rɛst.
- Mεdikeshכn dεm we de mek bכdi nכ kכlכt (e.g. Warfarin): Di effektiv we dεn ya kin chenj.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek mɛrɛsin
- Grɔw: Di dɔktɔ go wach aw pikin de tek dis mɛrɛsin ayt ɛn wet, bikɔs sɔm tɛm dɛn kin afɛkt di grow smɔl bikɔs i nɔ want fɔ it.
- Apɛtit: Na kɔmɔn tin fɔ lɛ yu nɔ want fɔ it we yu fɔs bigin fɔ tek di mɛrɛsin. Wan we fɔ sɔlv dis na fɔ it smɔl smɔl it dɛn bɔku tɛm insay di de pas fɔ it big it wan tɛm.
- Kia ɛn pe atɛnshɔn: Pan ɔl we dis mɛrɛsin kin mek yu de wach gud gud wan, i kin mek yu fil bak fɔ slip. So, tek tɛm bad bad wan we yu de drayv, baysikul, ɔ yuz mashin te yu no gud gud wan aw di mɛrɛsin de afɛkt yu.
- Speshal wɔnin fɔ man dɛm: If yu gɛt erection fɔ lɔng tɛm ɔ yu de fil pen we de te pas 4 awa, i kin bi siriɔs kɔndishɔn. Go to dɔktɔ wantɛm wantɛm fɔ mek yu nɔ pwɛl sote go.
- Chenj na yu finga dɛm: If yu notis ɛni ɔda kayn sos, yu de fil swɛ, yu de fil pen, ɔ yu de fil fɔ kol na yu finga ɔ yu fut finga dɛm, wit chenj na yu kɔlɔ (wayt, blu, rɛd) we yu de tek di mɛrɛsin, tɛl yu dɔktɔ.
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
Lɛk ɔl mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt, bɔt nɔto ɔlman kin gɛt am.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| If yu gɛt ɛni wan pan dɛn tin ya, go to dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes/lip/tɔng, i nɔ izi fɔ blo. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ i nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fil pen na yu chɛst. |
| Di chenj dɛn we de apin na di maynd | Bɔrku rεstlɛs, agiteshɔn, si/yɛri tin dɛm wae nɔr de, tink bɔt fɔ kil yusɛf, filin fɔ et. |
| Stroke na big pipul dɛn | Di fes, an, ɔ leg kin swɛ/wik wantɛm wantɛm, i nɔ kin izi fɔ tɔk, i nɔ kin izi fɔ waka, i kin at fɔ ed bad bad wan. |
| Dɛn tin ya na kɔmɔn sayn dɛm, bɔt if dɛn kɔntinyu, yu fɔ tɛl yu dɔktɔ. | |
| Smɔl smɔl sayd ɛfɛkt dɛn | Ɛd we de at, we yu nɔ de slip, we yu nɔ de want fɔ it, we yu nɔ de gɛt bɔku bɔku bɔdi, we yu nɔ de si, we yu nɔ de si fayn. |
Mɛsej we dɛn kin kɛr go na os
- Methylphenidate na wan mɛrɛsin we dɛn kin yuz fɔ mɛn ADHD. I de mek pɔsin pe atɛnshɔn mɔ ɛn i nɔ de rɛst.
- Bifo yu bigin dis mɛrɛsin, tɛl yu dɔktɔ ɔl yu wɛlbɔdi infɔmeshɔn (especially at ɛn mental wɛlbɔdi kɔndishɔn).
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm. Nɔ brok, krɔs, ɔ chew di kapsul.
- If yu gɛt siriɔs sayd ɛfɛkt (yu chɛst pen, i nɔ izi fɔ blo, yu maynd chenj bad bad wan), go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin. Kip am na say we sef usay pikin dɛn ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
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