I doctor chuan nangmah emaw, i fa emaw chu ADHD , a nih loh leh Attention-Deficit Hyperactivity Disorder i vei tih a hrilh tawh em? Chutiang a nih chuan, methylphenidate tih damdawi an pe che a ni mai thei. He damdawi hi chi khat bik a awm a, chu chu oral disintegrating tablet a ni. Chuvangin vawiinah hian he damdawi chungchang te, a hman dan tur dik tak te, fimkhur a tulna te kan sawi dawn nia.
Hei hi eng damdawi nge ni?
A awlsam zawngin sawi ila, methylphenidate hi ADHD enkawlna atana hman thin damdawi a ni. Damdawi chi khat stimulants an tih zingah a tel a ni . "Stimulant" tih thumal i hriat hian hlauthawng suh. He damdawi hian thluak hnathawh tlem a tichak a , ngaihtuahna a tipung a, impulsive behavior a control bawk. Hei hian naupang chu sikul hnathawh leh nitin hnathawhnaah a rilru a pe zawk thei a ni.
Doctor-te chuan a chang chuan natna dang atan he damdawi hi an pe thei a, chuvangin zawhna i neih chuan i doctor hnenah zawt la.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He damdawi hi nangmah emaw i fa emaw tan i tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasa phawt a pawimawh hle . Nangmah emaw, i chhungte tu emaw pawhin a hnuaia tarlan ang hi i neih chuan i doctor hnenah hrilh ngei ang che.
| Quality chi hrang hrang | Nangmah emaw, i chhungte zinga mi emaw chuan a nei a nih chuan min hriattir dawn nia |
|---|---|
| Lung natna leh thisen kalna lama harsatna nei | Heart disease emaw congenital heart defects, thisen sang, kut zungtang leh ke ruh chhunga thisen kal dan lama harsatna, stroke. |
| Rilru hriselna lama harsatna nei | Lungkhamna emaw, hlauhna emaw nei fo thin, rilru lam natna dang, motor tics Tourette’s syndrome ang chi emaw chhungkaw history-a chutiang nei tawh emaw, mahni intihhlum tumna emaw, intihhlum tumna emaw. |
| Damdawi lam thil dang | Glaucoma, seizures, thin natna, thyroid natna. |
| Thiltih dan leh allergy te | Ruihhlo emaw zu emaw addiction history, methylphenidate emaw damdawi dang, ei tur emaw, dye emaw avanga allergy nei tawh. |
| Hun bik atan | Naupai lai te, nau pai tum te, nau hnute pek te. |
Hei hi damdawi hman dik dan tur chu a ni:
Hei hi ka chhunga a hmin thei tablet a nih avangin a hman dan pawh a danglam deuh hlek a ni. Chuvangin heng step te hi uluk takin hre reng ang che.
- Nitin hun khata ei tur: Nitin damdawi hi a hun ruala ei tur a ni a, i doctor-in a sawi angin.
- Tui a ngai lo: He pill ei tur hian tui i mamawh lo.
- Pill chu i ei theih hma loh chuan packet chhungah dah la: I ei theih hma loh chuan sealed packet atang hian pill hi la chhuak suh.
- Kut vawt hmanga pill ei: Kut vawt nen uluk takin packet chu hawng la, pill chu la chhuak rawh. Pill chu a chhe emaw, a chhe emaw a nih chuan paih la, a thar la rawh.
- Ka chhungah a hmin: Tablet chu i hmuiah dah la, a hmin tir rawh. Tichuan, ei rawh.
- Chew, crush, broke suh: He damdawi hi chew, crush, chi hrang hranga then ngai suh .
- Chaw ei lai emaw ei tel lo emaw: Hei hi ei tur nen emaw ei loh pawhin i ei thei. Amaherawhchu, nitin hun khata ei hi a tha ber.
- I doctor-in a tih hma loh chuan chawlhsan suh: I doctor-in chawlhsan tura a tih hma loh chuan damdawi hi ei chhunzawm zel ang che.
A pawimawh ber chu:Damdawi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
He damdawi hi i tan chauh pek a ni tih hre reng ang che. Midang hnenah share ngai suh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i ei theihnghilh 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. Dose pahnih chu a rualin ei ngai suh. Hei hi a hlauhawm thei hle.
He damdawi nena inzawm thei damdawi dang
Damdawi thenkhat hian methylphenidate nen an inzawm thei a, side effect a nei thei bawk a, chuvangin i damdawi ei zawng zawng ( vitamin leh herbal products te pawh tel) i doctor hnenah hrilh rawh.
| Damdawi chi hrang hrang | Hrilhfiahna |
|---|---|
| Hengte hi i hruai ngai suh. | |
| MAOIs (Monoamine Oxidase Inhibitors) te hi a tha hle a, a man hi a to hle bawk. | Depression ang chi natna enkawlna atana hman thin damdawi chi khat. (Ex: Marplan, Nardil, Parnate te chuan an ziak a ni). Hengte hi tihtawp hnuah kar hnih tal methylphenidate ei hi a tha lo. |
| Ozanimod chuan a rawn ti a | Damdawi dang damdawi pek thin. |
| Damdawi dang harsatna thlen thei | |
| Thisen sang leh lung natna damdawi | Thisen sang, lung natna, leh lungphun lama harsatna nei damdawi thenkhat ei thin. |
| Rilru hriselna damdawi | Damdawi thenkhat chu lungngaihna leh lungkhamna ang chi natna atana pek thin. |
| Mut damdawi | Surgery hmaa anesthesia atana hman tur damdawi thenkhat (e.g. isoflurane). |
| Thildang | Linezolid, Methylene blue, Opioids (natna tidamtu chak tak thenkhat), Risperidone, St. John’s wort (herbal product) te pawh a awm bawk. |
Damdawi ei huna hriat reng tur thil
Doctor hmu fo ang che.
Damdawi i ei tan hnuah i doctor appointment-ah hun ruat saah kal rawh. I natna lan chhuah dan a ṭhat lehzual emaw, a zual emaw a nih chuan doctor hnenah hrilh rawh.
Ruihhlo ngawlvei hlauhawmna
He damdawi hi rei tak hman a nih chuan, a bik takin a tam lutuk chuan taksa leh thluak hi a innghahna a ni thei. He damdawi hi hmansual theihna a awm bawk. Chuvangin , doctor-in a pek dose chauh ei la, a tih angin. A châng chuan doctor chuan weekend leh holiday (drug holiday)-ah ni engemaw zat damdawi ei tawh loh turin a hrilh thei che a ni. Heng zawng zawng hi Doctor thupek ang chauha tih tur a ni.
Mut buai leh ei duhna a awm
He damdawi hian mi thenkhat chu zan mut a harsat phah thei a ni. Chuvangin , a theih ang angin zan rei takah damdawi ei loh tur a ni. Damdawi i ei tan tirh hian ei duh lohna i nei fo bawk. Hei hi sutkian nan hian chaw lian tak tak vawi khata ei ai chuan ni khatah vawi tam tak ei tum ang che. Hetiang ei duh lohna hi i tawng chhunzawm zel a nih chuan doctor hnenah hrilh rawh. Naupangin he damdawi hi a ei a nih chuan a san zawng leh a rih zawng enfiah reng a pawimawh bawk.
Point bik dang
- I kut zungtang emaw, i ke ruh emaw-ah sawifiah theih loha hliam i neih chuan, i kut zungtang a lo hring emaw, a na emaw a nih chuan, emaw, i kut zungtang rawng a inthlak (pale, blue, red) a nih chuan doctor hnenah hrilh nghal rawh.
- Mipain hun rei tak emaw, na tak emaw, darkar 4 aia rei a erection a neih chuan natna khirh tak, enkawl vat ngai a ni thei.
- Surgery emaw, MRI emaw, CT scan emaw neih tura ruahman i nih chuan, he damdawi hi i ei tih medical team kaihhnawih hnenah hriattir hmasa phawt ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin methylphenidate hian side effect engemaw zat a nei thei a ni. Chung zinga ṭhenkhat chu a pawi hle a, ngaihven vat a ngai a ni.
| 🚨 Side effect na tak tak, doctor hnenah report nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Lung lam natna lan chhuah dan | Heart attack chhinchhiahna (chhung na, tightness), heartbeat inthlak danglam (hast or irregular heartbeat), rilru na, thawk harsa. |
| Thisen sang a sang | Thisen sang nasa taka tihsan. |
| Rilru leh nungchang inthlak danglamna | Lungkhamna nasa tak, buaina, thil hmuh theih loh, thinrimna nasa tak, mahni intihhlum tumna, rilru dinhmun a chhe zual. |
| Stroke natna lan chhuah dan | Hmai, kut emaw, ke emaw-ah rang taka rilru hah emaw, chak lohna emaw, tawng harsa, kal harsa, lu na na tak. |
| Symptom na tak dang a awm bawk | Seizures, mit na nghal emaw, mit a danglam emaw, darkar 4 aia rei mipat hmeichhiatna hman nasat. |
| 🙂 An beidawng emaw, an tibuai emaw a nih chuan doctor hnenah i hrilh tur a ni. Side effect awm fo thin | |
| Kawng a vawt | Lu na |
| Chaw ei chakna hloh leh taksa rihna tlahniam | Pum a na |
| Luhai | Mut harsat |
Damdawi hi engtin nge him taka kan vawn theih ang?
Hei hi ruihhlo hman dik loh hlauhawm tak a nih avangin naupang leh ran vulhte hmuh theih lohna hmun him takah khar tlat tur a ni. He damdawi hi mi dang hnena hralh emaw pek emaw hi dan kalh a ni a, a hlauhawm hle.
Room temperature (20-25 degree Celsius inkar) ah dah tur a ni. Damdawi expire tawh chu paih vek tur a ni. Damdawi la awm emaw, expired emaw him taka paih a pawimawh. Chutianga tih dan tha ber chu damdawi chu a bawm atanga lakchhuah a, coffee ground hman tawh, lei emaw, ui bawlhhlawh emaw ang chi thil nen chawhpawlh a, bag tha taka seiah dahin bawlhhlawh bawmah paih hi a ni.
Take-Home Thuchah a ni
- He damdawi hi doctor-in a pek ang chiah hian ei fo ang che. Nangmah ngeiin dose hi thlak ngai suh.
- Damdawi i ei tan hmain i doctor hnenah i hriselna chanchin kimchang leh i chhungte chanchin hrilh hmasa phawt ang che.
- I rilru natna, rilru lama inthlak danglamna nasa tak, emaw, stroke symptoms te ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- He damdawi hi i tan chauh a ni. Eng thil vangin pawh midang hnenah share suh.
- Damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
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