I fa chuan ṭhut reng emaw, lehkha zir emaw, hnathawhna lama ngaihtuahna seng emaw a harsat em? A nih loh leh nang, puitling i nih angin i hnathawhnaah i rilru i pe harsa em? Chutiang harsatna thlentu chu ADHD an tih natna a ni thei. Chuvangin, hei hi damdawi pek ber pakhat chu methylphenidate a ni. Vawiin hian heng chewable methylphenidate tablets te hi kan sawi dawn a ni. He thuziak ah hian he damdawi chungchanga zawhna i neih zawng zawngte chu kan chhang vek dawn a ni.
A awlsam zawngin, methylphenidate chu eng nge ni?
Methylphenidate hi attention deficit hyperactivity disorder, a nih loh leh ADHD . A awlsam zawngin, thluaka chemical ṭhenkhat hnathawh dân a thlak danglam a, chu chuan i ngaihtuahna i ngaihtuah reng theih nân leh i thil tihsual (impulsive behavior) i thunun theih nân a ṭanpui a ni . Damdawi chi khat, stimulant an tih zingah a tel a ni.
Mahse, a châng chuan doctor-te chuan he damdawi hi natna dang atân pawh an pe thei tih hre reng ang che. Chuvangin zawhna i neih chuan i doctor hnenah zawt la.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
Before giving this medicine to you or your child, it is very important to tell your doctor about your complete health history. Nangmah emaw, i chhungte zingah emaw a hnuaia dinhmunte hi i neih chuan i doctor hnenah hrilh ngei ang che:
| Condition/natna chi hrang hrang | Hrilhfiahna |
|---|---|
| Rilru hriselna lama harsatna nei | Lungkhamna, hlauhna, rilru lam natna dang, mahni intihhlum tumna emaw (nangmah emaw, i chhungte zingah emaw) . |
| Lung natna leh thisen sang | Thisen sang, thinlung natna, pianpui thinlung chhiatna, thisen kalna kawng khauh emaw, block emaw, stroke |
| Circulatory lama harsatna a awm | Kut zungtang (kut leh ke)-a thisen kal dan lama harsatna awm . |
| Damdawi lam thil dang | Glaucoma, thin natna, seizures, thyroid natna, phenylketonuria |
| Thiltih dan leh history | Ruihhlo emaw zu emaw ruihhlo ngawlvei, motor tics, Tourette’s syndrome (nangmah emaw chhungkuaa emaw) i neih tawhna . |
| Allergy nei te pawh a awm | Methylphenidate emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy nei |
| Hun bik atan | Naupai, nau pai tum emaw, nau hnute petu i nih chuan |
Engtin chiah nge he damdawi hi ka hman ang?
Hei hi chewable tablet a nih avangin uluk takin i chew tur a ni a, i ei tur a ni . I ei kim hmain ei loh tur. Tichuan tui glass khat in rawh.
- Chaw ei hmain: A tlangpuiin he damdawi hi chaw ei hma minute 30-45 vel ei a tha ber a, doctor-in a tih loh chuan.
- A hun takah: Nitin i damdawi ei hun inangah ei thin ang che.
- Zanlai: A tlangpuiin ni khata dose hnuhnung ber hi mut hma darkar 4-6 tal ei tur a ni a, hei hian mut a tibuai thei a ni.
- Dosage: Doctor-in a pek aia tam emaw, a tam emaw ei loh tur.
Pawimawh: He damdawi hi i tan chauh a ni. I damdawi chu eng vangin pawh midang hnenah share suh. A hlauhawmin dan kalh a ni.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. 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. Double dose ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei nia i ngaih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal la , Colombo National Hospital-a National Poisons Information Center-ah pawh call nghal rawh.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
I damdawi ei zawng zawng (vitamin leh hnam damdawi te pawh tel) doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat hian he damdawi nen hian a inzawm thei a ni.
| Hengte nen hian Methylphenidate hi ei loh tur a ni. | |
|---|---|
| MAOIs (depression enkawlna atana hman thin damdawi chi khat) . | Entirnan: Carbex, Eldepryl, Marplan, Nardil, Parnate te an ni |
| Lithium a ni | Rilru natna damdawi |
| Procarbazine hmanga siam a ni | Cancer damdawi a ni |
| Thil dang tichaktu | Damdawi dang, alertness tihpunna tur, taksa rihna tihtlem nan emaw, mutthilhna tihziaawmna tur emaw |
| Hengte nen hian methylphenidate i ei a nih chuan doctor hnenah hrilh rawh. | |
| Thisen sang leh lung natna damdawi thenkhat | Warfarin (thisen tithianghlimtu), Atomoxetine, Caffeine |
| Seizure tan damdawi | Ex: Carbamazepine, Phenobarbital, Phenytoin te hi a tha hle |
| Depression/anxiety damdawi | Damdawi thenkhat chu khawsik emaw allergy emaw atana ei thin |
Damdawi ei huna ngaihtuah tur engte nge ni?
- Regular check-up: He damdawi hi i ei lai hian doctor pan fo tur a ni a, i dinhmun enfiah tur a ni. A bik takin naupang i nih chuan doctor chuan i san zawng leh i rihna a lo en fo ang.
- Ngaihtuahna a nghawng dan: He damdawi hian i ngaihtuahna i ngaihtuahna emaw, i fimkhur theihna emaw a nghawng thei a ni. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma chuan lirthei khalh te, cycle khalh te, machinery hman te chu pumpelh rawh.
- Chaw ei chakna hloh: Damdawi i ei tan tirh khan ei duhna hloh hi thil pangngai a ni. Hei hi a chinfel dan pakhat chu vawi khata chaw lian ei ai chuan ni khatah vawi tam tak chaw te zawk ei hi a ni. Hei hi a awm reng chuan doctor hnenah hrilh rawh.
- Mipa tan vaukhânna bik: Mipat hmeichhiatna lama rilru hahna chu darkar 4 aia rei emaw, a na emaw a nih chuan damdawi lam pan nghal rawh . Hei hi dinhmun pawi tak a ni thei. Enkawl loh chuan chhiatna nghet tak a awm thei.
- Kut zungtang inthlak: He damdawi i ei lai hian sawifiah theih loha hliam, rilru hahna, natna, vun rawng inthlak (pale, blue, red), emaw i kut zungtang emaw ke ruh emaw a temperature sensitivity i neih chuan doctor hnenah hrilh nghal rawh.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin hei hian side effect a thlen thei a, mahse mi zawng zawngin an vei vek lo.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy nei te pawh a awm | 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. |
| Thisen sang a sang | Lu na na tak, mit a danglam. |
| Rilru leh nungchang inthlak danglamna | Lungkhamna nasa tak, buaina, hallucinations, mahni intihhlum tumna, rilru dinhmun a chhe zual. |
| Puitlingah stroke a awm thin | Hmai, kut, ke ruh rang/chak lo, tawng harsa, kal harsa. |
| Raynaud-a phenomenon chu a ni | Kut zungtang leh ke ruh (pale -> blue -> red) a vawt, bengchheng, natna, leh rawng inthlak danglam (pale -> blue -> red). |
| A tlangpuiin ngaihtuahawm tur a awm lo va, mahse a awm reng chuan doctor hnenah hrilh rawh. | |
| Lu na | Mut harsat |
| Chaw chakna | Rihna tihtlem |
| Lungkhamna/lungngaihna | Luhai |
Engtin nge i damdawi i venhim?
- He damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni . He damdawi hi ei palh a nih chuan thihna thlen thei a ni.
- Hmun him: He damdawi hi hman sual a awlsam avangin rukbo laka invenna hmunah dah tur a ni.
- Dahthatna:Bottle chu room temperature (15-30 Celsius inkar), light leh moisture atanga hla takah khar nghet takin dah rawh.
- Hman dan: Pill la awm emaw, expired emaw chu pawnah emaw, toilet hnuaiah emaw paih suh. Coffee ground hman tawh emaw, cat litter emaw ang chi thil nen chawhpawlh la, bag emaw container emaw khauh taka sealed-ah dah la, bawlhhlawh bawmah paih rawh.
Take-Home Thuchah a ni
- Methylphenidate hi ADHD enkawlna atana hman thin damdawi a ni. Ngaihvenna a tichak a, impulsive behavior a control bawk.
- Damdawi i ei tan hmain i doctor hnenah i hriselna chanchin kimchang hrilh hmasa phawt la, a bik takin thinlung natna leh rilru lam harsatna chungchang hrilh hmasa phawt ang che.
- Damdawi chu uluk takin chew la, a hun takah ei la, doctor thupek angin ei bawk ang che. Zanah ei loh tur.
- Side effect na tak tak (ril na na tak, rilru lam inthlak danglamna, allergy nei) i neih chuan doctor thurawn zawng nghal rawh.
- He damdawi hi i tan chauh a ni. Naupang leh midangte lakah him tak leh hla takah dah tur a ni.
- He damdawi chungchanga zawhna i neih chuan i Doctor nen inbiak pawh hlau suh.
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