Kodi dokotala wanu wakupatsani mankhwala a vuto la kuchepa kwa chidwi (ADHD) kwa inu kapena mwana wanu? Ngati ndi piritsi lotafuna, likhoza kukhala Lisdexamfetamine, lomwe tikulankhula lero. Nthawi zina mankhwalawa amaperekedwanso kwa vuto la kudya mopitirira muyeso. Lero, tikambirana momveka bwino, komanso mwachidule, kuti mankhwalawa ndi otani, zomwe tiyenera kusamala nazo tikamazigwiritsa ntchito, komanso zotsatirapo zake zomwe zingayambitse.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Lisdexamfetamine ndi mankhwala omwe ali m'gulu la mankhwala otchedwa stimulants. M'dziko lathu, amapezeka pansi pa dzina la Vyvanse. Amagwira ntchito posintha momwe ubongo umagwirira ntchito, kuchepetsa kuchita zinthu mopitirira muyeso komanso machitidwe osaganizira . Izi zimakuthandizani kuti mukhale osamala ndikuchita zinthu. Izi zitha kukhala zothandiza kwambiri kwa ana omwe ali ndi ADHD komanso akuluakulu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu mbiri yonse ya thanzi lanu. Mankhwalawa sangakhale ogwirizana ndi matenda ena. Muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Matenda/vuto | Tsatanetsatane woti udziwitse dokotala wako |
|---|---|
| Matenda a mtima ndi kuthamanga kwa magazi | Zokhudza matenda a mtima, zilema zobadwa nazo monga mabowo mumtima, kuthamanga kwa magazi, kutsekeka kwa mitsempha yamagazi, kapena sitiroko komwe inu kapena wina m'banja mwanu muli nako. |
| Mavuto amisala | Nkhawa, mantha, matenda amisala, maganizo ofuna kudzipha kapena kuyesa kudzipha (mwa inuyo kapena munthu wina m'banja mwanu). |
| Matenda ena | Glaucoma, khunyu, matenda a chithokomiro, matenda a Tourette, matenda a chiwindi kapena impso. |
| Matenda a ziwengo | Matenda a ziwengo ku mankhwala awa (lisdexamfetamine) kapena mankhwala ena, zakudya, kapena zosungira. |
| Mfundo zina | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. Ngati muli ndi mbiri ya chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo kapena mowa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kudziwa bwino momwe mungagwiritsire ntchito mankhwalawa.
- Tafunani ndi kumeza: Iyi ndi piritsi lotafuna. Chifukwa chake, piritsili liyenera kutafuna ndi kumezedwa lonse . Musalimeze ndi madzi.
- Imwani pa nthawi yake: Imwani mankhwala monga momwe dokotala wanu wanenera, pa nthawi yomwe mwapatsidwa. Musamwe kawirikawiri kapena mopitirira muyeso.
- Musasiye kumwa mankhwalawa mwadzidzidzi: Si bwino kusiya kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse mavuto osiya kumwa mankhwalawo. Ngati mukufuna kusiya kumwa mankhwalawo, funsani dokotala wanu za njira yabwino yochitira zimenezi.
- Ngati mwaphonya mlingo: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira. Musamwe milingo iwiri nthawi imodzi.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Izi ndi zadzidzidzi, musazengereze.
Kodi izi zingagwirizane ndi mankhwala ena?
Inde, mankhwalawa amatha kuyanjana ndi mankhwala ena, zitsamba, komanso zakudya. Choncho uzani dokotala wanu chilichonse chomwe mumamwa.
Musatenge izi!
- MAOIs: Ndikoopsa kwambiri kumwa mankhwalawa ndi MAOIs (monga Carbex, Nardil, Parnate), mtundu wakale wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala. Sikoyenera kuyamba kumwa mankhwalawa kwa milungu iwiri mutasiya kugwiritsa ntchito MAOI.
- Zina Zolimbikitsa:Musamwe izi pamodzi ndi mankhwala ena a ADHD kapena mankhwala ena ochepetsa thupi.
Pakhoza kukhalanso mavuto ndi izi.
Mankhwalawa amatha kuyanjana ndi mankhwala ena ambiri. Mwachitsanzo:
- Mankhwala ena ochepetsa kuthamanga kwa magazi
- Mankhwala ochizira kuvutika maganizo kapena nkhawa
- Mankhwala oletsa kupweteka kwa mutu (monga carbamazepine, phenobarbital)
- Mankhwala a matenda am'mimba (monga omeprazole, famotidine)
- Mankhwala ena a chimfine ndi ziwengo
- Zotsatira za izi zimathanso kusiyana ndi zinthu monga caffeine ndi tiyi wobiriwira .
Mndandandawu sunathe, kotero ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuyezetsa pafupipafupi: Muyenera kufunsa dokotala wanu nthawi zonse mukumwa mankhwala awa. Mankhwala akatha, muyenera kupeza mankhwala atsopano.
- Kusamala ndi kuyendetsa galimoto: Mankhwalawa angakhudze kusamala kwanu. Choncho, musachite zinthu zoopsa monga kuyendetsa galimoto, kukwera njinga, kapena kugwiritsa ntchito makina mpaka mutadziwa bwino momwe izi zimakukhudzirani.
- Kusowa chilakolako: Ndizachibadwa kutaya chilakolako mukangoyamba kumwa mankhwalawa. Idyani pang'ono, nthawi zambiri. Ngati mukupitirizabe kutaya chilakolako, uzani dokotala wanu . Ngati mukupereka mankhwalawa kwa mwana, dokotalayo nthawi zonse aziyang'anira kutalika ndi kulemera kwake.
- Kugona: Musamwe izi pafupi ndi nthawi yogona. Zingayambitse kusowa tulo.
- Opaleshoni: Ngati mukufuna kuchitidwa opaleshoni, MRI, kapena CT scan, onetsetsani kuti mwauza dokotala wanu kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwalawo musanachite opaleshoniyi.
- Mavuto a zala: Ngati muwona zilonda zachilendo, dzanzi, ululu, kapena kusintha kwa mtundu wa khungu (loyera, labuluu, kapena lofiira) m'zala zanu kapena zala zanu , uzani dokotala wanu nthawi yomweyo . Ichi chikhoza kukhala chizindikiro cha matenda otchedwa Raynaud's.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Mavuto a mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kusintha kwa maganizo ndi khalidwe | Nkhawa yaikulu, kusokonezeka maganizo, kuona zinthu molakwika, kuganiza zodzipha, komanso kuipiraipira kwa maganizo. |
| Zizindikiro za sitiroko mwa akuluakulu | Kusanza mwadzidzidzi kapena kufooka pankhope, mkono, kapena mwendo, kuvutika kulankhula, mutu waukulu. |
| Zotsatira zoyipa zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa: | |
| Zotsatirapo zazing'ono | Mutu, nseru, kusowa tulo, kusowa chilakolako cha chakudya, kuchepa thupi, kusawona bwino. |
Uthenga Wopita Nawo Kunyumba
- Lisdexamfetamine ndi mankhwala olimbikitsa omwe amagwiritsidwa ntchito pochiza ADHD ndi matenda odya mopitirira muyeso. Ayenera kumwedwa potafuna, monga momwe dokotala wanenera.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Musasiye kumwa mankhwalawa mwadzidzidzi. Ngati mwasiya, funsani dokotala wanu momwe mungachitire.
- Ngati mukukumana ndi mavuto aakulu monga kusintha kwa kugunda kwa mtima, kusintha kwakukulu kwa maganizo, kapena kusintha kwa mtundu wa zala, funsani upangiri wa dokotala nthawi yomweyo.
- Sungani mankhwalawa pamalo otetezeka omwe ana sangawafikire. Mankhwalawa ndi anu okha . Musawapatse wina aliyense.
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