I fa chu hmun khatah a awm thei lo em ni? Nge engmah a ngaihven lo em ni? A nih loh leh nangmah ngei pawhin heng harsatnate hi i nei ve mai thei bawk. Hetiang dinhmun hi Attention Deficit Hyperactivity Disorder, a nih loh leh kan hriat vek angin ADHD (Attention-Deficit Hyperactivity Disorder) kan ti a. Hemi atana damdawi hman ber pakhat chu Dexmethylphenidate a ni. Chuvangin vawiinah hian he damdawi, a nghawng dan te, a side effect te, leh a hman laia fimkhur tur thil te tawi te tein han sawi ila.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, Dexmethylphenidate hi a tichaktu a ni . Kan ramah chuan `Focalin XR` tih brand name hnuaiah hmuh tur a tam ber. ``Stimulant'' tih thumal i hriat hian mi thenkhat chuan naupang chu a ti hahdam zawk dawn niin an ngai mai thei. Mahse a takah chuan a kalh zawng a ni. He damdawi hian thluaka chemical (neurotransmitters) thenkhat, ngaihtuahna leh nungchang thununtute hnathawh chu tlem a tipung a ni.
Hei hian ADHD vei tan chuan:
- Thil pakhata ngaihtuahna seng thei .
- Impulsive behavior control turin tanpuina dawn.
- Muangchanga thut theih leh hna thawh theihna .
Chumi awmzia chu, he damdawi hian a tih chu i emaw i fa emaw thluak chu a hna dik taka thawk turin "push" tlem a pe tihna a ni.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i emaw i fa emaw medical history kimchang doctor hnenah pek a pawimawh hle . He damdawi hi damdawi lam dinhmun thenkhat tan chuan a tha lo mai thei. Nang emaw i fa emaw hian a hnuaia table-a tarlan ang hi i neih chuan i doctor hnenah hrilh ngei ang che.
| Natna emaw dinhmun emaw | Engvangin nge i hriattir ang? |
|---|---|
| Lung natna, lungphu chawl emaw, thisen sang emaw | A chhan chu he damdawi hian heart rate leh thisen sang tlem a tisang thei a ni. |
| Kut zungtang leh ke ruh chhunga circulatory problem awm | He damdawi hian a chang chuan Raynaud-a phenomenon ang chi natna a tizual thei a ni. |
| Rilru natna chi hrang hrang (e.g., lungngaihna, lungkhamna, bipolar disorder) . | He damdawi hian rilru lam natna thenkhat chhinchhiahna a tidanglam thei a ni. |
| Mahni intihhlum duhna emaw, chhungkaw history-a chutiang ngaihtuahna nei emaw | A tlem hle nachungin he damdawi hian mood a tidanglam thei a, chuvangin doctor tan chuan hei hi a hriat a pawimawh hle. |
| Ruihhlo emaw zu emaw addiction tawhna history | Hei hi stimulant drug a nih avangin hmansual theihna a awm. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | Nausen emaw, nausen hnute pe lai emaw chunga nghawng a neih theih dan tur chu i doctor nen in sawiho tur a ni. |
Engtin chiah nge he damdawi hi i hman?
Hei hi extended-release capsule a ni. Chu chu nitin damdawi chhuah tir thei tura duan a ni tihna a ni. Chuvangin i hman hunah heng thilte hi fimkhur hle ang che.
- Capsule pum pui ei: Capsule pum pui chu tui glass khat nen ei tur a ni. Capsule hi tichhia ngai suh, tikehsawm ngai suh, chew ngai suh. Chutianga tih chuan ni khat chhunga dose chhuah zawng zawng chu vawi khatah taksaah a lut vek thei a, chu chu hlauhawm tak a ni thei.
- Chaw ei a harsat chuan: Naupangin ei harsa a tih chuan uluk takin capsule chu i hawng thei a, a thehte chu applesauce lum tablespoon khat chungah i theh thei a ni A chungah chuan thil lum engmah dah suh. Tichuan, naupang chu applesauce chu vawi khatah ei lovin ei tir rawh. A ei zawh chuan naupang chu tui in tur pe rawh. He mixture hi dahkhawm suh; hman nghal tur a ni.
- A hun takah ei rawh: Damdawi hi doctor-in a tih angin ei la, nitin hun inang deuhah ei rawh.
- Dose pahnih a ruala ei loh tur: Dose i ei theihnghilh chuan i hriatreng veleh ei nghal tur a ni. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Eng thil vang pawhin a rualin dose hnih ei loh tur.
Vaukhânna: I ngaihtuah aia tam i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. He damdawi hi i hman tur chauh a ni. He damdawi hi midang hnenah share ngai suh.
He damdawi nena inzawm thei thil dang
Damdawi dang, vitamin emaw, supplement emaw i ei lai chu i doctor hnenah hriattir a pawimawh hle. Damdawi thenkhat chuan hei hi inzawmkhawmin dinhmun hlauhawm tak tak a siam thei a ni.
| Hengte nen hian Dexmethylphenidate hi ei ve suh. | |
|---|---|
| Depression damdawi (e.g. Marplan, Nardil, Parnate) te tan MAOI damdawi te. Dexmethylphenidate hi heng damdawi pakhat hi tihtawp a nih atanga kar hnih tal ei tan loh tur a ni. | |
| ADHD, taksa rihna tihtlem, mut theih lohna damdawi dang pek thin. | |
| Chungte chu an inzawm thei - i doctor hnenah hriattir rawh. | |
| Thisen sang damdawi | Caffeine (tea, coffee, energy drinks) te hi a tha hle. |
| Depression emaw lungkhamna emaw damdawi | Thisen tithianghlimtu Warfarin ang chi te |
| Antiepileptic damdawi phenobarbitone leh phenytoin te a ni | Khawsik emaw allergy emaw damdawi thenkhat |
Damdawi ei huna hriat reng tur thil
- Check reng reng:Doctor chuan nangmah emaw, i fa emaw chu a enfiah fo tur a ni. Naupang a nih chuan an san zawng leh a rih zawng a pung em tih an enfiah ang.
- Fimkhur tur: He damdawi hian i ngaihtuahna a nghawng thei a ni. Chuvangin, a nghawng dan dik tak i hriat hma chuan lirthei khalh emaw, machinery khalh emaw ang chi thil hlauhawm tak takte chu pumpelh rawh.
- Chaw ei chakna hloh: Damdawi i ei tan tirh khan ei duhna hloh hi a awm fo thin. Hei hi chaw te, chaw ei fo emaw, snacks emaw ei hian pumpelh theih a ni. Hetiang dinhmun hi a awm reng chuan doctor hnenah hrilh rawh.
- Mut dan: He damdawi hi zan rei takah ei loh tur. Mut a tibuai thei.
- Mipa tan special note: Darkar 4 aia rei emaw, na tak emaw i neih chuan natna khirh tak a ni thei. Damdawi lam pan vat la, a chhiat reng loh nan.
- Kut zungtang inthlak danglamna: Kut zungtang emaw ke ruh emaw-ah vun rawng inthlak (pale, blue, red) rang taka i hmuh chuan doctor hnenah hrilh nghal rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin hei hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A hnuaia mite hi hre reng ang che.
| Side effects te chu i doctor emaw ETU emaw hnenah report nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Heart rate a inthlak danglam thin | Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, rilru na, thawk harsa. |
| Mood leh nungchang inthlak danglamna | Lungkhamna nasa tak, buaina, thil awm lo hmuh/hriat (hallucinations), mahni intihhlum tumna. |
| Stroke natna lan chhuah dan | Hmai, kut emaw ke emaw a rang emaw chak lo emaw, tawng harsat, lu na nasa tak, mit hmuh dan a danglam. |
| A tlangpuiin a na lo hle a, mahse a awm reng chuan doctor hnenah hrilh rawh. | |
| Lu na | Mut harsat |
| Chaw chakna | Rihna tihtlem |
| Lungkhamna, rilru hahdam lohna | Luhai |
Take-Home Thuchah a ni
- He damdawi hi doctor thurawn hnuaiah chauh hman tur a ni . Doctor-in a sawi angin a dose chu zawm tur a ni.
- Hei hi i tan chauh damdawi pek a ni. Eng thil vang pawhin midang hnenah share suh . Dan bawhchhiatna leh hlauhawm tak a ni.
- Damdawi dang i ei zawng zawng leh natna dang i neih apiang i doctor hnenah hrilh rawh.
- Side effects na tak (heart rate inthlak danglam, mood swing na tak ang chi) i neih chuan doctor rawn la nghal rawh .
- Damdawi chu naupangte hmuh theih lohna hmunah dah tur a ni . Hengte hi ruihhlo hman dik loh theih a ni tih hre reng ang che.
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