Kodi mwana wanu amavutika kukhala chete n’kumaphunzira? Kapena amasokonezedwa mosavuta? Kodi izi zimasokoneza ntchito za kusukulu ndi zochita za tsiku ndi tsiku? Ili ndi vuto lotchedwa ADHD (Attention-Deficit Hyperactivity Disorder). Izi sizili choncho kwa ana okha, komanso nthawi zina akuluakulu. Methylphenidate ndi mankhwala apadera omwe amaperekedwa kuti athetse vutoli. Chifukwa chake, ngati dokotala wanu wakupatsani mankhwala awa kwa inu kapena mwana wanu, ndi zachilendo kukhala ndi mafunso ndi nkhawa zina zokhudza mankhwalawa. Lero, tiyeni tikambirane za mankhwalawa momveka bwino komanso mosavuta.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, Methylphenidate ndi mankhwala omwe amathandiza kukonza chidwi ndikuwongolera khalidwe losakhazikika . Ndi m'gulu la mankhwala otchedwa stimulants. Koma musaope kunena kuti "stimulants." Chomwe mankhwalawa amachita ndikuwonjezera pang'ono ntchito ya ziwalo za ubongo zomwe zimalamulira chidwi ndi khalidwe, motero kutonthoza malingaliro ndikuwonjezera luso loyang'ana pa chinthu chimodzi.
Mankhwalawa angakupatseni dokotala wanu pa matenda ena, osati ADHD yokha. Choncho ngati muli ndi mafunso, nthawi zonse lankhulani ndi dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu mbiri yonse ya thanzi lanu kapena la mwana wanu, makamaka ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Matenda kapena mbiri yakale | Kufotokozera |
|---|---|
| Mavuto amisala | Nkhawa yaikulu kapena mantha, matenda amisala, maganizo ofuna kudzipha kapena kuyesa kudzipha (mwa inuyo kapena munthu wina m'banja mwanu) |
| Matenda a mtima ndi kuthamanga kwa magazi | Ngati muli ndi kuthamanga kwa magazi, matenda a mtima kapena vuto la mtima lobadwa nalo, mitsempha yamagazi yopapatiza kapena yotsekeka, kapena mbiri ya sitiroko |
| Matenda ena | Glaucoma, matenda a chiwindi, matenda a chithokomiro, khunyu, mavuto ozungulira magazi m'miyendo ndi zala |
| Zizolowezi ndi ziwengo | Mbiri ya chizolowezi cha mankhwala osokoneza bongo kapena mowa, mbiri ya banja la tics kapena Tourette's syndrome, ziwengo ku mankhwala ena, zakudya, kapena utoto |
| Zochitika zapadera | Ngati muli ndi pakati kapena mukufuna kutenga pakati, kapena ngati ndinu mayi woyamwitsa |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi sizili ngati piritsi wamba. Ili ndi piritsi losungunuka lomwe limasungunuka mkamwa mwanu . Chifukwa chake simukusowa madzi. Iyi ndi njira yolondola yogwiritsira ntchito.
1. Umitsani manja anu bwino: Musanamwe mapiritsi, sambani manja anu ndi sopo, aume bwino, ndipo muwaume. Ngati mutakhudza mapiritsi ndi manja onyowa, akhoza kusungunuka.
2. Imwani piritsi: Tulutsani piritsi m'paketi yotsekedwa yomwe muli mankhwala. Izi ziyenera kuchitika mosamala kwambiri. Ngati piritsi lasweka kapena laphwanyika, litayeni ndipo tengani latsopano.
3. Sungani pakamwa: Ikani piritsi pa lilime lanu ndipo lisungunuke. Kenako mezani.
4. Chofunika kwambiri: Musadule , kuphwanya, kapena kutafuna piritsi ili.
5. Musanadye kapena mutatha kudya: Mutha kumwa izi muli ndi chakudya kapena ayi. Koma monga momwe dokotala wanenera, ndi bwino kumwa chimodzimodzi tsiku lililonse.
6. Pa nthawi yake: Kumwa mankhwala nthawi yomweyo tsiku lililonse kudzakuthandizani kupeza zotsatira zabwino kwambiri.
7. Popereka mankhwalawa kwa ana: Ngakhale kuti mankhwalawa amalimbikitsidwa kwa ana azaka zopitirira 6, pali zinthu zina zofunika kusamala nazo kwambiri. Dokotala nthawi zonse amafufuza kulemera ndi kutalika kwa mwanayo.
Kuchuluka kwa mankhwala: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Zinthu zina zomwe zingagwirizane ndi mankhwala
Mankhwalawa angagwirizane ndi mankhwala ena, mavitamini, kapena mankhwala azitsamba omwe mukumwa. Choncho uzani dokotala wanu zonse zomwe mukumwa, makamaka zotsatirazi.
| Pewani kumwa Methylphenidate ndi mankhwala awa. | |
|---|---|
| MAOIs (gulu lakale la mankhwala oletsa kuvutika maganizo) | Lithiamu, Procarbazine |
| Mankhwala ena olimbikitsa | Mankhwala ena owonjezera tcheru, kuchepetsa thupi, kapena kuchepetsa tulo |
| Popeza izi zingagwirizane, dziwitsani dokotala wanu. | |
| Mankhwala a kuthamanga kwa magazi ndi matenda a mtima | Atomoxetine, Warfarin (mankhwala ochepetsa magazi) |
| Matenda amisala, mankhwala a khunyu | Monga Carbamazepine, Phenobarbital, ndi Phenytoin |
| Zinthu zina | Zakumwa zokhala ndi caffeine, mankhwala ena a chimfine kapena ziwengo |
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Tulo: Mankhwalawa angayambitse kugona, choncho musamwe nthawi yogona isanafike . Nthawi zambiri amalimbikitsidwa kumwa m'mawa.
- Chilakolako:Mungathe kutaya chilakolako cha chakudya mukangoyamba kumwa mankhwala. Izi ndi zachilendo. Kudya pang'ono komanso pafupipafupi kungathandize. Dokotala nthawi zambiri amafufuza dzina la mwana wanu, kulemera kwake, ndi kutalika kwake.
- Chidziwitso chapadera kwa amuna: Ngati kukhwima kwa chiberekero kumatenga nthawi yoposa maola 4 popanda chilakolako chogonana kapena kukhala kowawa, kungakhale vuto lalikulu (priapism) . Pitani kuchipatala mwamsanga kuti mupewe kuwonongeka kosatha.
- Mavuto m'manja ndi m'mapazi: Ngati mukumva kupweteka kosazolowereka, dzanzi, kupweteka, kusintha kwa mtundu wa khungu (lotumbululuka, labuluu, lofiira) m'manja ndi m'mapazi anu mukumwa mankhwalawa, uzani dokotala wanu nthawi yomweyo. Imeneyi ikhoza kukhala matenda otchedwa Raynaud's.
- Kuyezetsa pafupipafupi: Funsani dokotala wanu nthawi zonse kuti muwone ngati mankhwala akugwira ntchito komanso ngati pali vuto lililonse. Musasinthe mlingo kapena kusiya kumwa mankhwalawo popanda kufunsa dokotala wanu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala 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, udani, ndi maganizo ofuna kudzipha. |
| Zizindikiro zina zazikulu | Kuthamanga kwa magazi, kupweteka kwa mbolo komwe kumatenga maola opitilira 4, zizindikiro za sitiroko (kusanza mwadzidzidzi, kuvutika kulankhula, kuvutika kuyenda). |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu (kupweteka mutu) | Chilakolako cha chakudya |
| Kuvuta kugona | Kuchepetsa thupi |
| Nkhawa, kusakhazikika | Kusanza, kusawona bwino |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo woyenera komanso panthawi yoyenera. Musasinthe mlingo nokha.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse kapena a mwana wanu komanso mankhwala ena onse omwe mukumwa.
- Mankhwalawa ndi olamulidwa, choncho musawagawire ndi wina aliyense. Ndi osaloledwa komanso owopsa kwambiri.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga kusintha kwa kugunda kwa mtima, kusintha kwakukulu kwa maganizo, kapena kupweteka kwa chiberekero komwe kumatenga maola opitilira 4.
- Ndikofunikira kwambiri kuonana ndi dokotala nthawi zonse kuti muwone ngati chithandizo chanu chapita patsogolo.
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