Kodi mukusowa chidwi? Kodi nthawi zonse mumakhala ndi tulo? (Methylphenidate) Tiyeni tiphunzire za mankhwalawa?

Inu kapena mwana wanu nthawi zina mungakhale ndi vuto lokhala ndi chidwi pa chinthu chimodzi, sichoncho? Kapena mumamva ngati mukungogona masana? Tangoganizirani, mwana wanu akuthamangathamanga mkalasi, sangathe kuyang'ana kwambiri pa maphunziro ake, akuvutitsa ana ena, osachita homuweki yake moyenera... Apa ndi pamene madokotala amazindikira Attention-Deficit Hyperactivity Disorder (ADHD) ndikukupatsani mankhwala ngati pakufunika kutero. Kapena tangoganizirani kuti mwadzidzidzi mumagona mosalamulirika mukugwira ntchito muofesi kapena mukuyendetsa galimoto. Izi ndi zoopsa kwambiri, sichoncho? Izi zimatchedwa narcolepsy . Kuti zithandize pamavuto otere, madokotala nthawi zina amalemba mankhwala otchedwa (Methylphenidate). Izi ndi za gulu la mankhwala otchedwa stimulants . Mwachidule, zimakulitsa luso lanu loyang'ana, zimathandiza kulamulira kusakhazikika, zilakolako, komanso zimakuthandizani kukhala maso. Lero, tikambirana zambiri za mankhwalawa (Methylphenidate). Amabweranso pansi pa dzina la kampani (Methylin).

Kodi muyenera kuuza dokotala wanu chiyani musanagwiritse ntchito mankhwalawa?

Chabwino, tsopano dokotala wanu asanakulembereni mankhwala awa (Methylphenidate), ndikofunikira kwambiri kuti mumuuze za matenda anu. Chifukwa anthu ena omwe ali ndi matenda ena sangakhale oyenera kugwiritsa ntchito mankhwalawa, kapena pakhoza kukhala njira zapadera zodzitetezera. Ngati muli ndi vuto lililonse mwa izi, muyenera kuuza dokotala wanu, eti?

• Ngati nthawi zambiri mumakhala ndi nkhawa kapena mantha .
• Ngati muli ndi vuto la kuyenda kwa magazi m'zala zanu ndi zala zanu.
• Ngati muli ndi glaucoma .
• Ngati muli ndi kuuma kapena kutsekeka kwa mitsempha yamagazi kapena mitsempha yamagazi ya mtima .
• Ngati muli ndi matenda a mtima kapena vuto la mtima lobadwa nalo .
• Ngati muli ndi kuthamanga kwa magazi .
• Ngati muli ndi mbiri ya mavuto okhudzana ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa mopitirira muyeso .
• Ngati mwakhalapo ndi matenda a sitiroko .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi matenda amisala .
• Ngati muli ndi vuto la kuyenda kwa ziwalo za thupi ( kusuntha ziwalo za thupi mosadzifunira) kapena ngati wina m'banja mwanu ali ndi vuto lotchedwa Tourette's syndrome .
• Ngati muli ndi matenda monga khunyu kapena khunyu.
• Ngati munaganizapo zodzipha, kukonza mapulani, kapena kuyesa kudzipha , kapena ngati wina m'banja mwanu wachita zimenezo.
• Ngati muli ndi matenda a chithokomiro .
• Ngati munakhalapo ndi vuto lachilendo kapena la ziwengo ndi mankhwala awa (Methylphenidate), mankhwala ena, zakudya, utoto kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati mukuyamwitsa .

Dokotala akangodziwa zinthu izi, akhoza kusankha ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso momwe angawaperekere.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa (Methylphenidate) amapezeka mumadzimadzi, kutanthauza madzi a syrup. Muyenera kumwa monga momwe dokotala wanu wanenera, kuchuluka kwa mankhwala omwe mwalemba, komanso nthawi yomwe mwalemba.

• Supuni yoyezera: Iyi ndi supuni yapadera kapena chikho (supuni kapena chidebe cholembedwa mwapadera) chomwe chingagwiritsidwe ntchito poyesa kuchuluka kwa mankhwala enieni. Ngati mulibe, funsani wamankhwala. Kodi simuyenera kugwiritsa ntchito supuni kapena supuni wamba zomwe muli nazo kunyumba? Sadzayesa kuchuluka kwenikweni.
• Nthawi Yomwe Mungatenge: Nthawi zambiri ndi bwino kumwa mankhwalawa mphindi 30 mpaka 45 musanadye . Komabe, ngati dokotala wanu wakuuzani zosiyana, chitani zimenezo.
• Nthawi ndi nthawi: Imwani mankhwala anu nthawi ndi nthawi monga momwe dokotala wanu wanenera. Anthu ambiri angakuuzeni kuti mumwe mlingo wanu womaliza wa tsikulo osachepera maola 4 mpaka 6 musanagone. Kupanda kutero, simungathe kugona.
• Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa: Musamwe mankhwala ochulukirapo kuposa omwe mwauzidwa ndi dokotala wanu, kapena kumwa mobwerezabwereza.

Kapepala ka malangizo apadera (MedGuide): Nthawi iliyonse mukapatsidwa mankhwala awa ndi pharmacy, kaya ndi pamene mwalandira mankhwala owonjezera kapena mukapita kukatenganso, mudzapatsidwa kapepala ka malangizo apadera (MedGuide) . Kali ndi mfundo zofunika kwambiri zokhudza mankhwalawa. Nthawi zonse kumbukirani kuwawerenga mosamala.

Akapatsidwa ana: Mankhwalawa nthawi zina amaperekedwa kwa ana azaka 6. Komabe, pali zinthu zina zomwe muyenera kusamala nazo mukamapatsa mwana wanu mankhwalawa. Chifukwa chake, ngati mukupereka mankhwala awa kwa mwana wanu, lankhulani ndi dokotala wanu mosamala kuti mudziwe zambiri.

Kumwa Mopitirira Muyeso: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo .

Mankhwalawa ndi a inu nokha:Uwu ndi mankhwala omwe dokotala anakupatsani. Musapatse wina aliyense. Ndi woopsa komanso wotsutsana ndi lamulo.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri kapena kuonjezera nthawi iliyonse.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Mukamwa mankhwalawa (Methylphenidate), amatha kuyanjana ndi mankhwala ena. Izi zikutanthauza kuti akamwedwa limodzi ndi mankhwalawo, amatha kusintha momwe amagwirira ntchito kapena kuwonjezera zotsatira zake zoyipa.

Musamwe Methylphenidate pamodzi ndi mankhwala otsatirawa:

• Lithiamu
• MAOIs (monga Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Mankhwala ena olimbikitsa kutopa, kuchepetsa thupi, kapena kukuthandizani kukhala maso
• Procarbazine

Mankhwalawa angagwirizane ndi methylphenidate. Choncho uzani dokotala wanu ngati mukumwa izi:

• Atomoxetine
• Kafeini (yomwe imapezeka mu khofi, tiyi, ndi zakumwa zina zoziziritsa kukhosi)
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda amisala
• Mankhwala ena omwe amagwiritsidwa ntchito pa khunyu (monga carbamazepine, phenobarbital, phenytoin)
• Mankhwala ena a chimfine kapena ziwengo
• Warfarin (mankhwala omwe amachepetsa magazi kuundana)

Mndandandawu sukuphatikizapo mankhwala onse omwe angagwiritsidwe ntchito. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, ndi zowonjezera). Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo, chifukwa izi zingakhudzenso mankhwala awa.

Kodi muyenera kusamala ndi chiyani mukamamwa mankhwalawa?

Mukamamwa mankhwalawa, muyenera kupita kukawonana ndi dokotala nthawi zonse. Popeza mankhwalawa ndi mankhwala olembedwa ndi dokotala, muyenera kupeza mankhwala atsopano olembedwa ndi dokotala nthawi iliyonse mukafuna kudzazanso mankhwalawo.

• Kusamala ndi kutopa: Mankhwalawa angakhudze chidwi chanu kapena kukupangitsani kuti musamavutike kumva kutopa. Choncho, musayendetse galimoto, kukwera njinga, kugwiritsa ntchito makina, kapena kuchita zinthu zina zomwe zimafuna kuganizira kwambiri mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
• Ngati mphamvu ya mankhwala yachepa:Ngati mukuona kuti mankhwalawo sakugwira ntchito bwino monga momwe ayenera kukhalira, kapena ngati mukuona kuti muyenera kumwa mankhwala ochulukirapo kuposa omwe mwauzidwa, uzani dokotala wanu. Musasinthe mlingo wa mankhwalawo popanda kulankhula ndi dokotala wanu.
• Thanzi la Amuna: Ngati ndinu mwamuna, ngati muli ndi vuto lopweteka loti muume lomwe limatenga maola opitilira 4, uzani dokotala wanu nthawi yomweyo. Izi zitha kukhala chizindikiro cha vuto lalikulu. Ngati simulandira chithandizo mwachangu, lingayambitse kuwonongeka kosatha.
• Kusowa chilakolako: Nthawi zambiri munthu amayamba kutaya chilakolako akamamwa mankhwalawa. Kudya zakudya zochepa, kapena zokhwasula-khwasula pafupipafupi kungathandize. Ngati kusakhala ndi chilakolako kukupitirira, lankhulani ndi dokotala wanu. Dokotala wanu nthawi zambiri amawunika kukula ndi kulemera kwa mwana amene akumwa mankhwalawa.
• Tulo: Musamwe mankhwalawa nthawi yogona isanafike. Kuchita zimenezi kungakulepheretseni kugona.
• Opaleshoni kapena mayeso: Ngati mukufuna kuchitidwa opaleshoni, MRI, CT scan, kapena njira ina iliyonse yachipatala, uzani dokotala wanu kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwala musanachite opaleshoni.
• Zilonda kapena kusintha kwa zala zanu: Ngati muwona mabala osadziwikiratu pa zala zanu kapena zala zanu mukumwa mankhwalawa, uzani dokotala wanu nthawi yomweyo. Komanso, uzani zala zanu ngati zikumva dzanzi, kupweteka, kusintha kwa mtundu wa khungu, kapena kutentha thupi.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwala awa (Methylphenidate) angayambitse mavuto ena mwa anthu ena. Koma si aliyense amene amachita zimenezo. Ena mwa iwo ndi oopsa ndipo muyenera kuuza dokotala wanu nthawi yomweyo. Ena mwa iwo si oopsa kwambiri, koma ngati apitirira, ndi bwino kuuza dokotala wanu .

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kusintha kwa kayimbidwe ka mtima: kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kumva kufooka kapena mutu wopepuka, kupweteka pachifuwa, kupuma movutikira.
• Kuwonjezeka kwa kuthamanga kwa magazi.
• Kusintha kwa maganizo ndi khalidwe: nkhawa, mantha, chisokonezo, kuona zinthu molakwika, kukwiya, udani, maganizo odzipha kapena kudzivulaza, kuipiraipira kwa maganizo, kuvutika maganizo.
• Kumangirira kwa nthawi yayitali kapena kupweteka.
• Matenda a Raynaud: Zala ndi zala za miyendo zimakhala zozizira, zosagwira ntchito, kapena zopweteka, ndipo zimatha kuoneka ngati zotumbululuka, zabuluu, kapena zofiira.
• Sitiroko mwa akuluakulu: Kusanza mwadzidzidzi kapena kufooka kwa nkhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka, kuvutika kuyenda, kulephera kulinganiza bwino zinthu, chizungulire, mutu waukulu, kusintha kwa masomphenya.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala, koma ziyenera kunenedwa ngati zikupitirira:

• Nkhawa, mantha
• Maso osawoneka bwino
• Mutu
• Kutaya chilakolako
• Kusanza
• Kuvutika kugona
• Kuchepetsa thupi

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu kuti akupatseni upangiri. Muthanso kunena za zotsatirapo zoyipa ku FDA pa 1-800-FDA-1088.

Kodi muyenera kusunga bwanji mankhwala anu? Tiyeni tiganizirenso za chitetezo.

Mankhwalawa ayenera kusungidwa pamalo omwe ana ndi ziweto sangawafikire . Mankhwalawa akhoza kugwiritsidwa ntchito molakwika. Choncho, sungani pamalo otetezeka kuti muwateteze ku kuba . Musagawire mankhwalawa ndi wina aliyense. Kugulitsa kapena kupereka kwa wina ndi koopsa komanso kotsutsana ndi lamulo.

Sungani kutentha kwa chipinda (20 mpaka 25 digiri Celsius / 68 mpaka 77 digiri Fahrenheit). Tetezani ku kuwala ndi chinyezi. Tsekani chivundikiro cha botolo mwamphamvu.

Chofunika: Mankhwalawa akhoza kupha ngati atengedwa ndi akuluakulu ena, ana, kapena ziweto. Chifukwa chake, ngati muli ndi mankhwala osagwiritsidwa ntchito, sakanizani ndi zinthu monga zinyalala za amphaka kapena khofi wophwanyidwa. Kenako muyike mu thumba lotsekedwa bwino kapena mu chidebe cha khofi chokhala ndi chivindikiro ndikutaya mu zinyalala. Musagwiritse ntchito mankhwala omwe atha ntchito.

Kabuku aka ndi chidule chokha. Sikangakhale ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Zimene muyenera kukumbukira kuchokera pa zomwe takambirana (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za methylphenidate lero, sichoncho? Mwachidule, ndi mankhwala omwe amathandiza chidwi ndi kuchepetsa nkhawa, ndipo amagwiritsidwa ntchito pochiza matenda monga ADHD ndi Narcolepsy.

• Uzani dokotala wanu : Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mukumwa.
• Gwiritsani ntchito moyenera: Imwani monga momwe dokotala wanu wakuuzani, muyeso woyenera, komanso panthawi yoyenera. Gwiritsani ntchito chipangizo chapadera choyezera.
• Dziwani zotsatirapo zake:Ngati muwona zotsatirapo zilizonse zoyipa, uzani dokotala wanu nthawi yomweyo.
• Sungani bwino: Sungani pamalo omwe ana sangafikire. Tayani mankhwala otsala bwino.
• Funsani mafunso: Ngati muli ndi nkhawa kapena mafunso, musaope kufunsa dokotala wanu kapena wamankhwala.

Thanzi lanu ndi lofunika kwambiri kwa inu, choncho ndikofunikira kwambiri kutsatira malangizo awa.

Methylphenidate , ADHD, Narcolepsy, stimulant, chidwi, kuganizira kwambiri, kuchita zinthu mopitirira muyeso, zotsatirapo zake, mankhwala