I nɔ kin izi fɔ yu ɔ yu pikin fɔ kɔntinyu fɔ pe atɛnshɔn? Yu tink se i kin izi fɔ mek yu pe atɛnshɔn? Ɔ yu de du bad smɔl ɛn yu de du tin kwik kwik wan? Dɛn tin ya kin bi sayn dɛm fɔ wan sik we wi kin kɔl Attention-Deficit Hyperactivity Disorder (ADHD). Tide, wi go tɔk bɔt wan mɛrɛsin wae gɛt wan rather long nem wae dɛn kin yuse fɔ trit dis sik.
Wetin na dis mɛrɛsin we dɛn kɔl Serdexmethylphenidate; Dɛksmɛtilfenidat?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we dɛn kin yuz fɔ mɛn ADHD. Insay wi kɔntri, yu kin fɛn dis mɛrɛsin ɔnda di brand nem AZSTARYS . Dis de insay di klas ɔf drɔgs we dɛn kɔl stimulant . Imajin se yu bren tan lɛk rod we bɔku pipul dɛn de waka. Motoka de kam ɛn go frɔm ɔlsay, ɛn ɔltin na di sem. Dis drɔg de wok lɛk fɔ put sɔm trafik layt dɛn na da rod de ɛn sɛn di motoka dɛn ɔdasay. Dat min se i de mek sɔm kemikal dɛn na di bren we de ɛp fɔ pe atɛnshɔn ɛn kɔntrol di we aw pɔsin de biev we i nɔ want fɔ du sɔntin, wok. So, i kin ɛp bɔku fɔ mek yu pe atɛnshɔn na wan ples ɛn fɔ mek yu nɔ gɛt bɛtɛ maynd .
Dis nɔto jɔs fɔ ADHD, bɔt yu dɔktɔ kin gi am fɔ ɔda tin dɛn bak. So if yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, i go fayn fɔ aks yu dɔktɔ.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu bigin dis mɛrɛsin fɔ yu ɔ yu pikin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Dis mɛrɛsin nɔ kin gri wit sɔm mɛrɛsin dɛn. If yu ɔ ɛnibɔdi na yu famili gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl dɛn bɔt am.
- At prɔblɛm: If yu dɔn gɛt at atak bifo, yu gɛt ɔda at sik ɔ yu bɔn wit at prɔblɛm , yu gɛt ay blɔd prɛshɔn , ɔ yu at nɔ de bit ɔltɛm , yu fɔ tɛl yu dɔktɔ.
- Prɔblɛm fɔ di say we di wata de rɔn: Na sik we di finga dɛn ɛn di fut finga dɛn kin swɛla we dɛn kol, dɛn kin tɔn pale, tɔn blu, ɛn afta dat dɛn kin tɔn rɛd bak, lɛk di tin we Raynaud kin du .
- Mental wɛl bɔdi prɔblɛm: If yu bin dɔn gɛt maynd sik bifo, yu bin de tink bɔt fɔ du bad to yusɛf , ɔr yu tray fɔ du dat (yusɛf ɔr yu fambul), tɛl yu dɔktɔ.
- Ɔda sik dɛn we yu kin gɛt: If yu dɔn gɛt strok , if yu gɛt anorexia, if yu dɔn gɛt adikshɔn to drɔgs ɔ rɔm.
- Ɔda drɔgs we yu de yuz: YuMek shɔ se yu tɛl yu dɔktɔ if yu dɔn yuz wan kayn MAOI (Monoamine Oxidase Inhibitors) (e.g. Marplan, Nardil, Parnate) insay di pas 14 dez . If yu tek dɛn tu mɛrɛsin ya togɛda, dat kin mek yu denja.
- Alɛji: If yu gɛt alɛji to dis mɛrɛsin (serdexmethylphenidate, dexmethylphenidate, methylphenidate) ɔ ɛni ɔda mɛrɛsin, it, ɔ tin we de mek yu nɔ pwɛl.
- Bεlε εn bεlε: If yu bεlε , yu de tray fכ bεlε , כ yu de gi bεlε .
We yu gi yu dɔktɔ dis infɔmeshɔn, i go ebul fɔ no klia wan if dis mɛrɛsin fayn fɔ yu ɔ nɔ rayt fɔ yu, ɛn wetin di mɛrɛsin fɔ bi.
Aw a fɔ yuz di mɛrɛsin?
Dis na tin bak we rili impɔtant. Fɔ mek yu go ebul fɔ yuz di mɛrɛsin fayn fayn wan, yu nid fɔ yuz am di rayt we.
1. Aw fɔ tek am: Yu fɔ tek dis mɛrɛsin wit yu mɔt wit wan glas wata. Tray fɔ tek am di sem tɛm ɛvride. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu.
2. Kapsul: Nɔ brok, krɔs, ɔ chew di kapsul. Swɛla ɔltin.
3. If yu gɛt prɔblɛm fɔ swɛla: Sɔm pipul dɛn kin gɛt prɔblɛm fɔ swɛla kapsul. If na so i bi, yu kin tek tɛm opin di kapsul, miks di mɛrɛsin paoda insay wit wan ti spɔnj apul, ɛn swɛla am wantɛm wantɛm . Bɔt mɛmba se, nɔ chew di apul sos we gɛt mɛrɛsin.
4. Wit it or without food?: Yu kin tek dis wit it or witout it. Bɔt if yu bɛlɛ at, i go fayn fɔ tek am wit sɔm it.
We dɛn gi am to smɔl pikin dɛn
Dɛn kin gi dis mɛrɛsin bak fɔ pikin dɛn we dɔn pas 6 ia. Bɔt sɔm spɛshal tin dɛn de we yu fɔ tek tɛm wit we yu de gi pikin dɛn. Yu dɔktɔ go ɛksplen dɛn tin ya to yu.
Wetin a go du if a tek bɔku mɛrɛsin?
Nɔ ivin tink bɔt am, bɔt if yu aksidɛntli tek mɔ pan dis mɛrɛsin pas di doz we dɛn gi yu, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kɔlɔmbɔ Nashɔnal Ospital, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɛni ɔda pɔsin. I kin denja ɛn i nɔ de akɔdin to lɔ.
Wetin yu kin du if yu mis wan doz fɔ mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul.Nɔ ɛva go bay tu it wan tɛm.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul prɔdak dɛm), bikɔs sɔm mɛrɛsin kin miks wit dis wan.
Sɔm mɛrɛsin dɛn de we dɛn nɔ kin fayn fɔ tek wit dis mɛrɛsin:
- MAOI dɛn (lɛk Marplan, Nardil, Parnate)
- Ozanimod bin de du am
Dɔn bak, sɔm ɔda mɛrɛsin dɛn de we kin mek yu gɛt prɔblɛm :
- Sɔm mɛrɛsin fɔ blɔd prɛshɔn ɛn at sik
- Mɛrɛsin fɔ sik dɛm lɛk pwɛl hat ɛn wɔri
- Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen (Opioids) .
- Mɛrɛsin dɛn lɛk Linezolid, Methylene blu, Risperidone, Sɛnt Jɔn wɔt
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl wetin yu de tek. Dɔn bak, tɛl am if yu de smok, drink rɔm, ɔ yu de yuz ɔda drɔgs.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Yu dɔktɔ go chɛk yu ɔltɛm we yu de tek dis mɛrɛsin, so nɔ fɔgɛt fɔ go na di klinik di de dɛn we yu dɔn sɛtul.
- Risk fɔ adikshɔn: We dɛn yuz dis mɛrɛsin fɔ lɔng tɛm, mɔ we dɛn tek am bɔku, di bɔdi ɛn di bren kin dipen pan am. So, nɔ ɛva tek pas di doz we yu dɔktɔ tɛl yu fɔ tek.
- Fɔ blo smɔl fɔ tek mɛrɛsin: Sɔntɛnde, yu dɔktɔ go tɛl yu fɔ tek tɛm blo pan dis mɛrɛsin insay wikɛnd ɛn ɔlide. Dis kin ridyus di risk fɔ dipen pan pɔsin. Bɔt yu fɔ du dis jɔs bay yu dɔktɔ in advays.
- Di tin dɛn we kin apin to pɔsin we i slip: Dis mɛrɛsin kin mek i nɔ izi fɔ lɛ pɔsin slip if i tek am na nɛt. So, tek am di tɛm we yu dɔktɔ tɛl yu fɔ tek am.
- Yu nɔ go want fɔ it: Yu nɔ go want fɔ it we yu fɔs bigin fɔ tek di mɛrɛsin. Di bɛst we fɔ dil wit dis na fɔ it smɔl smɔl it dɛn bɔku tɛm insay di de , pas fɔ it big it wan tɛm. If dis kɔntinyu, tɛl yu dɔktɔ. Dɛn fɔ de chɛk pikin dɛn ayt ɛn wet ɔltɛm.
- Ɔpreshɔn: If yu go du ɔpreshɔn, MRI, ɔ CT skan, tɛl di mɛdikal tim se yu de tek dis mɛrɛsin. Yu kin nid fɔ stɔp fɔ tek di mɛrɛsin bifo yu du di ɔpreshɔn .
Lɛ wi lan bɔt di bad tin dɛn we kin apin to wi.
Lɛk ɔl di mɛrɛsin dɛn, dis wan kin gɛt sayd ɛfɛkt. Bɔt nɔto ɔlman kin gɛt dɛn. Sɔm siriɔs, sɔm kɔmɔn. Mek wi brok dem down.
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| 🚨 If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| Di sayn dɛn we de sho se pɔsin gɛt at | Chɛst de pen, tayt, i nɔ izi fɔ blo, yu at de bit fast ɔ i nɔ de bit ɔltɛm, yu de fɔdɔm. |
| Blɔd prɛshɔn we de go ɔp | Siriv ed pen, diziz. |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev | Nɔ kɔmɔn vɛks, agyumɛnt, kɔnfyushɔn na yu maynd, hallucinations, tink bɔt fɔ kil yusɛf. |
| Di simptom dɛm fɔ Raynaud syndrome | Kol, sכm, pen, kכla chenj (wayt, blu, rεd) na di finga dεm εn fut finga dεm. |
| Di sayn dɛn we pɔsin kin gɛt we i gɛt Strɔk | Wan say na yu fes, yu an, ɔ yu leg kin swɛla wantɛm wantɛm, i nɔ kin izi fɔ tɔk, i nɔ kin izi fɔ waka, i kin at fɔ ed bad bad wan. |
| Wan erection we de tek lɔng tɛm ɛn we de mek pɔsin fil pen | Wan erection we de mek yu fil pen we de te pas 4 awa (erection we de te fɔ lɔng tɛm). Dis na imejensi. |
| 🙂 Bɔku tɛm i nɔ kin siriɔs, bɔt if i kɔntinyu, go to dɔktɔ.Tin dɛn fɔ tɔk | |
| Dray mɔt | Drink smɔl mɔ wata ɛn chew gɔm we nɔ gɛt shuga. |
| Ed de at | Aks yu dɔktɔ bɔt wan jenɛral pen riliva. |
| I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi | It smɔl smɔl it dɛn. If i kɔntinyu fɔ de, tɛl di dɔktɔ . |
| Bɛlɛ de at, nɔs | Tray fɔ tek di mɛrɛsin wit it. |
| Nɔ ebul slip | Tek di mɛrɛsin na mɔnin. Nɔ tek am na nɛt. |
Aw fɔ protɛkt mɛrɛsin?
- Kip dis mɛrɛsin usay pikin dɛn nɔ go ebul fɔ rich: Kip dis mɛrɛsin lɔk na say we sef we pikin dɛn ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich . Protekt am frɔm tif bikɔs dis na mɛrɛsin we pɔsin kin yuz di rɔŋ we.
- Fɔ kip am: Stɔr am na rum tɛmpracha (20-25 digri sɛlshiɔs). Protɛkt frɔm layt ɛn mɔstɔ. Kip di bɔtul tayt tayt wan.
- Di mɛrɛsin we dɔn pas: Nɔ yuz am fɔ ɛni rizin afta di de we i dɔn dɔn.
- Aw fɔ trowe am: I impɔtant fɔ trowe di mɛrɛsin dɛn we lɛf ɔ we dɔn pas fayn fayn wan. Dɛn tin ya kin denja if dɛn fɔdɔm na di rɔng an. Aks yu dɔktɔ fɔ advays bɔt di kɔrɛkt we fɔ trowe yu mɛrɛsin dɛn. Sɔm program dɛn kin tek mɛrɛsin dɛn we dɛn nɔ yuz. If nɔto so, pul di mɛrɛsin na di kɔntena, miks am wit sɔntin lɛk kɔfi grɔn ɔ dɔti we dɛn dɔn yuz, sial am tayt wan insay bag ɔ kɔntena, ɛn put am na di dɔti.
Mɛsej we dɛn kin kɛr go na os
- Dis mɛrɛsin fɔ jɔs yuz lɛk aw dɔktɔ tɛl yu. Fɔ fala di doz ɛn di instrɔkshɔn dɛn we di dɔktɔ gi yu di rayt we.
- Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni mɛrɛsin we yu gɛt.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt (lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, yu maynd chenj bad bad wan) , go to dɔktɔ wantɛm wantɛm.
- Nɔ ɛva gi dis mɛrɛsin to ɛni ɔda pɔsin. I kin rili denja fɔ dɛn.
- Kip di mɛrɛsin na say we sef usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
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