Tiyeni tiphunzire za mankhwala a ADHD? (Serdexmethylphenidate; Dexmethylphenidate)

Kodi inu kapena mwana wanu mumavutika kukhala maso? Kodi mumasokonezeka mosavuta? Kapena ndinu wochita zinthu mopupuluma komanso wopanda nzeru? Izi zitha kukhala zizindikiro za matenda omwe timawatcha kuti Attention-Deficit Hyperactivity Disorder (ADHD). Lero, tikambirana za mankhwala omwe ali ndi dzina lalitali lomwe amagwiritsidwa ntchito pochiza vutoli.

Kodi mankhwala awa otchedwa Serdexmethylphenidate ndi chiyani; Dexmethylphenidate ndi chiyani?

Mwachidule, iyi ndi mankhwala omwe amagwiritsidwa ntchito pochiza ADHD. M'dziko lathu, mankhwalawa amapezeka pansi pa dzina la AZSTARYS . Izi ndi za gulu la mankhwala otchedwa stimulants . Tangoganizani kuti ubongo wanu uli ngati msewu wotanganidwa. Pali magalimoto akubwera ndi kupita kuchokera kulikonse, ndipo zonse ndi chimodzimodzi. Mankhwalawa amagwira ntchito ngati kuyika magetsi pamsewuwo ndikutumiza magalimotowo molongosoka. Izi zikutanthauza kuti, amayatsa mankhwala ena muubongo omwe amathandiza kuyang'ana ndikuwongolera khalidwe lopupuluma. Chifukwa chake, zimathandiza kwambiri kusunga chidwi pamalo amodzi ndikuchepetsa kupupuluma .

Izi sizili za ADHD zokha, komanso dokotala wanu angakupatseni mankhwalawo pa matenda ena. Choncho ngati muli ndi mafunso okhudza mankhwalawa, ndi bwino kufunsa dokotala wanu.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa

Musanayambe kumwa mankhwalawa kwa inu kapena mwana wanu, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yanu yonse ya thanzi. Mankhwalawa sangakhale ogwirizana ndi matenda ena. Ngati inu kapena wina aliyense m'banja mwanu ali ndi zotsatirazi, onetsetsani kuti mwawauza za izi.

• Mavuto a mtima: Ngati munadwalapo matenda a mtima kale, muli ndi matenda ena a mtima kapena vuto la mtima lobadwa nalo , muli ndi kuthamanga kwa magazi , kapena muli ndi kugunda kwa mtima kosasinthasintha , muyenera kuuza dokotala wanu.
• Mavuto a magazi: Matenda omwe zala ndi zala za mapazi zimakhala dzanzi zikazizira, zimasanduka mtundu, zimakhala zabuluu, kenako n’kufiiranso, monga momwe Raynaud anachitira .
• Matenda amisala: Ngati munakhalapo ndi matenda amisala, mukuganiza zodzivulaza , kapena kuyesa kutero (mwina inuyo kapena wachibale wanu), uzani dokotala wanu.
• Matenda ena: Ngati mwadwalapo sitiroko , ngati muli ndi vuto la anorexia, ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa.
• Kugwiritsa ntchito mankhwala ena: InuOnetsetsani kuti mwauza dokotala wanu ngati mwagwiritsa ntchito mtundu wa MAOI (Monoamine Oxidase Inhibitors) (monga Marplan, Nardil, Parnate) m'masiku 14 apitawa . Kumwa mankhwala awiriwa pamodzi kungakhale koopsa.
• Ziwengo: Ngati muli ndi vuto la ziwengo ndi mankhwalawa (serdexmethylphenidate, dexmethylphenidate, methylphenidate) kapena mankhwala ena aliwonse, chakudya, kapena chosungira.
• Mimba ndi kuyamwitsa: Ngati muli ndi pakati , mukuyesera kutenga pakati , kapena mukuyamwitsa .

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Izi ndizofunikira kwambiri. Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito moyenera.

1. Momwe mungamwere: Mankhwalawa ayenera kumwedwa pakamwa ndi kapu ya madzi. Yesetsani kumwa nthawi yomweyo tsiku lililonse. Imwani monga momwe dokotala wanu wanenera.

2. Kapisozi: Musaswe, kuphwanya, kapena kutafuna kapisozi. Mezani yonse.

3. Ngati mukuvutika kumeza: Anthu ena amavutika kumeza makapisozi. Zikatero, mutha kutsegula kapisozi mosamala, kusakaniza ufa wa mankhwala mkati ndi supuni ya tiyi ya applesauce, ndikumeza nthawi yomweyo . Koma kumbukirani, musatafune applesauce yogwiritsidwa ntchito ndi mankhwala.

4. Ndi chakudya kapena ayi?: Izi zitha kumwedwa ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa ndi chakudya.

Akapatsidwa ana aang'ono

Mankhwalawa amaperekedwanso kwa ana azaka zopitirira 6. Komabe, pali njira zina zodzitetezera zomwe muyenera kutsatira popereka mankhwalawa kwa ana. Dokotala wanu adzakufotokozerani izi.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Musaganize nkomwe za izi, koma ngati mwangozi mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.Musapite kukagula chakudya kawiri nthawi imodzi.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa

Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba), chifukwa mankhwala ena angagwirizane ndi mankhwalawa.

Pali mankhwala ena omwe sakuvomerezeka kuti amwedwe pamodzi ndi mankhwalawa:

• MAOIs (monga Marplan, Nardil, Parnate)
• Ozanimod

Komanso, pali mankhwala ena ambiri omwe angayambitse mavuto :

• Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima
• Mankhwala a matenda monga kuvutika maganizo ndi nkhawa
• Mankhwala ena ochepetsa ululu (Opioids)
• Mankhwala monga Linezolid, Methylene blue, Risperidone, St. John's wort

Mndandandawu sunathe. Choncho uzani dokotala wanu zonse zomwe mumamwa. Komanso muuzeni ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.

Zinthu zoti muzisamala nazo mukamamwa mankhwala

Dokotala wanu adzakuyang'anirani nthawi zonse mukamamwa mankhwalawa, choncho musaiwale kupita ku chipatala pa masiku omwe mwakonza.

• Kuopsa kwa chizolowezi: Mankhwalawa akagwiritsidwa ntchito kwa nthawi yayitali, makamaka ngati ali ndi mlingo waukulu, thupi ndi ubongo zimatha kudalira mankhwalawa. Chifukwa chake, musamwe mankhwala ochulukirapo kuposa mlingo womwe dokotala wanu wakuuzani.
• Kupuma pa mankhwala: Nthawi zina dokotala wanu angakuuzeni kuti mupumule pa mankhwala awa kumapeto kwa sabata ndi maholide. Izi zingathandize kuchepetsa chiopsezo chodalira mankhwala. Koma muyenera kuchita izi pokhapokha ngati dokotala wanu wakupatsani upangiri.
• Zotsatira pa tulo: Mankhwalawa angapangitse kuti zikhale zovuta kugona ngati atengedwa usiku. Choncho, imwani panthawi yomwe dokotala wanu wakuuzani.
• Kusowa chilakolako: Mutha kutaya chilakolako mukangoyamba kumwa mankhwala. Njira yabwino yothetsera vutoli ndi kudya pang'ono kangapo patsiku , m'malo modya chakudya chachikulu nthawi imodzi. Ngati izi zikupitirira, uzani dokotala wanu. Kutalika ndi kulemera kwa ana kuyenera kufufuzidwa nthawi zonse.
• Opaleshoni: Ngati mukufuna kuchitidwa opaleshoni, MRI, kapena CT scan, uzani gulu lachipatala kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwalawo musanachite opaleshoniyi .

Tiyeni tiphunzire za zotsatira zake zoyipa.

Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amawapeza. Ena ndi oopsa, ena ndi ofala. Tiyeni tikambirane mwachidule.

Kodi mungateteze bwanji mankhwala?

• Sungani mankhwalawa pamalo otetezeka omwe ana sangafikire: Sungani mankhwalawa pamalo otetezeka omwe ana ndi ziweto sangafikire . Tetezani kuti asabedwe chifukwa awa ndi mankhwala omwe angagwiritsidwe ntchito molakwika.
• Kusungira: Sungani kutentha kwa chipinda (madigiri 20-25 Celsius). Tetezani ku kuwala ndi chinyezi. Tsekani botolo mwamphamvu.
• Mankhwala otha ntchito: Musagwiritse ntchito pazifukwa zilizonse tsiku lotha ntchito litadutsa.
• Kutaya: Ndikofunikira kutaya mankhwala otsala kapena omwe atha ntchito mosamala. Mankhwalawa akhoza kukhala oopsa ngati atagwera m'manja olakwika. Funsani dokotala wanu kuti akupatseni upangiri wa momwe mungatayire mankhwala anu. Mapulogalamu ena amavomereza mankhwala osagwiritsidwa ntchito. Ngati sichoncho, chotsani mankhwalawo mu chidebecho, sakanizani ndi chinthu monga khofi wogwiritsidwa ntchito kapena dothi, mutseke mwamphamvu mu thumba kapena chidebecho, ndikuchiyika m'zinyalala.