Ese wowe cyangwa umwana wawe mwigeze muhura n'ingorane zikomeye zo kwibanda ku gikorwa kimwe, gutegura imirimo ya buri munsi, cyangwa kwicara igihe kirekire? Ku babana na ADHD (Attention-Deficit Hyperactivity Disorder), izi ngorane za buri munsi ni ingenzi cyane. Ku bw'amahirwe, abaganga bakunze gutanga umuti mwiza cyane witwa Dexmethylphenidate kugira ngo ubashe guhangana n'ibi bimenyetso. Reka turebere hamwe ibyo ukeneye kumenya kuri uyu muti mu buryo busobanutse, bushyigikira kandi bujyanye n'ubuvuzi.
Dexmethylphenidate ni iki?
Muri make, Dexmethylphenidate ni umuti utangwa na muganga ukoreshwa mu kuvura ibimenyetso by'ingenzi bya ADHD. Ukora mu kuringaniza imiti imwe n'imwe isanzwe mu bwonko kugira ngo wongere ubushobozi bwo kwibanda, kwibanda ku bintu, no kugenzura ibyifuzo. Ni mu bwoko bw'imiti izwi nka central nervous stimulants , ifasha mu kunoza imikorere y'ubwonko .
Akenshi uyu muti uzawusanga munsi y'izina rya Focalin , nubwo muganga wawe azakwandikira imiti ikoreshwa muri uwo muti, Dexmethylphenidate. Ufasha cyane abana n'abantu bakuru kugira gahunda, kwibanda ku mirimo, no gucunga inshingano za buri munsi mu buryo bworoshye.
Amakuru y'ingenzi ugomba gusangiza muganga wawe mbere yo gutangira
Mbere yuko wowe cyangwa umwana wawe mutangira gufata Dexmethylphenidate, ni ngombwa cyane gusangiza umuganga wawe amateka yose y’ubuzima bwawe. Muganga wawe agomba kumenya amakuru yose yerekeye ubuzima bwawe kugira ngo uyu muti ube mwiza kuri wowe. Nyamuneka reba imbonerahamwe iri hepfo hanyuma umenyeshe umuganga wawe niba wowe cyangwa umuryango wawe mwarigeze kugira iyi ndwara.
| Indwara (Amateka y'Umuntu ku giti cye cyangwa ay'Umuryango) | Kuki ari ngombwa kubimenyesha muganga wawe? |
|---|---|
| Indwara z'umutima, indwara z'umutima zavukanye, umuvuduko ukabije w'amaraso, cyangwa amateka yo kurwara indwara yo gucika imitsi | Uyu muti ushobora kongera umuvuduko w'umutima n'umuvuduko w'amaraso gato. Kubwibyo, abarwayi bafite indwara z'umutima zisanzwe bakeneye gukurikiranwa neza no kwitonda cyane. |
| Ibibazo byo gutembera kw'amaraso cyangwa gutembera kw'amaraso mu ntoki cyangwa mu mano | Hari igihe imiti itera amaraso kugabanuka no kugabanya urujya n'uruza rw'amaraso mu ngingo. Ni ngombwa kubimenyesha muganga wawe niba usanzwe ubona ibi bimenyetso. |
| Indwara iyo ari yo yose yo mu mutwe (urugero: kwiheba, guhangayika, indwara yo gucika intege mu mutwe) | Uyu muti ushobora kugira ingaruka ku byiyumvo n'imyitwarire. Muganga wawe akeneye imiterere yuzuye y'ubuzima bwo mu mutwe kugira ngo ahindure gahunda y'ubuvuzi mu buryo butekanye. |
| Amateka y'umuntu ku giti cye cyangwa umuryango we yo gutekereza cyangwa imyitwarire yo kwiyahura | Aya ni amakuru y’ingenzi cyane ariko y’ingenzi. Gusangiza ibi bituma muganga wawe agukurikirana neza kandi akakurinda ubuzima bwiza. |
| Amateka yo gukoresha ibiyobyabwenge cyangwa inzoga nabi | Kubera ko imiti itera imbaraga ishobora gutuma umuntu ayikoresha nabi cyangwa akayikoresha nabi, kuganira ku mateka y’ubuzima bwawe ku mugaragaro bifasha muganga wawe kukwandikira no gukurikirana imiti mu buryo butekanye. |
| Allergie ku miti, ibiryo, cyangwa ibindi bintu | Ibi bigufasha kutagira allergie kuri dexmethylphenidate cyangwa ibindi bintu bidakora biri mu binini. |
| Gutwita, gutegura gutwita, cyangwa konsa | Ni ngombwa kuganira na muganga wawe ku ngaruka n'ibyiza byo gukoresha uyu muti mu gihe utwite cyangwa wonsa. |
Uburyo bwo gufata uyu muti
Gufata uyu muti neza biroroshye ariko ni ingenzi. Buri gihe kurikiza amabwiriza nyayo ya muganga wawe yerekeye urugero n'igihe ukoresha.
- Uko wafata: Mirira ikinini n'ikirahure cyuzuye cy'amazi.
- Igihe cyo gufata: Gerageza gufata dose yawe mu gihe kimwe buri munsi kugira ngo ugire gahunda ihoraho.
- Uramutse uriye cyangwa utariye: Ushobora gufata uyu muti uramutse uriye cyangwa utariye.
- Irinde doze zatinze: Fata doze ya nyuma nibura amasaha 4 kugeza kuri 6 mbere yo kuryama . Kubera ko iyi ari iy'ingufu, kuyifata bitinze cyane ku manywa bishobora kubangamira ibitotsi byawe.
- Igipimo: Ntukigere ufata ibirenze urugero rw'igipimo wahawe mu buryo ubwo aribwo bwose.
Wibuke ko uyu muti wanditswe kuri wewe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso bisa, kuko bishobora guteza akaga gakomeye.
Bite ho ku bana?
Uyu muti ukunze kwandikirwa abana barengeje imyaka 6. Ariko, ingamba zidasanzwe zirakenewe. Umuganga w'abana azakurikirana buri gihe uburebure bw'umwana wawe, ibiro bye, n'imikurire ye muri rusange kugira ngo arebe ko akura neza.
Bite ho niba ubuze dose?
Twese rimwe na rimwe twibagirwa! Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose yawe itaha kigeze, jya usimbuka dose wabuze ukomeze gahunda yawe isanzwe. Ntukigere wikuba kabiri dose yawe kugira ngo wishyure dose wabuze.
Icyo wakora mu gihe urengeje urugero rw'umuti
Niba ukeka ko wakoresheje imiti irenze urugero ku buryo butunguranye, ntutegereze . Shaka ubufasha bwihuse kwa muganga uhamagara 911, usure ishami ry’ubutabazi bw’ibitaro byo mu gace utuyemo, cyangwa uhamagare ikigo cy’igihugu gishinzwe kurwanya uburozi ako kanya.
Ibiyobyabwenge bishobora gutera
Ni ngombwa cyane kubwira muganga wawe ibyo ufata byose, harimo imiti yanditswe na muganga, imiti idatanzwe na muganga, vitamine , nainyongeramusaruro z'ibimera . Hari ibintu bimwe na bimwe bishobora kugira ingaruka mbi kuri Dexmethylphenidate.
| Ntuzigere uvanga iyi miti! | |
|---|---|
| Ibikoresho bigabanya imbaraga za MAO (MAOIs) | Imiti ishaje yo kurwanya indwara zo mu mutwe nka Marplan, Nardil, cyangwa Parnate. Guhuza MAOI na Dexmethylphenidate bishobora gutera kwiyongera k'umuvuduko w'amaraso mu buryo bushobora gushyira ubuzima mu kaga. Ntugafate mu minsi 14 uhereye igihe ukoresheje MAOI. |
| Ozanimod | Ikoreshwa mu kuvura indwara nka sclerosis nyinshi. Kuyivanga n'ibindi bintu bitera imbaraga bishobora gutera ingaruka mbi zikomeye. |
| Bibwire muganga wawe niba ufata kimwe muri ibi | |
| Imiti y'umuvuduko w'amaraso cyangwa umutima | Imiti igabanya umuvuduko w'amaraso ishobora kugabanya imbaraga z'imiti igabanya umuvuduko w'amaraso. |
| Imiti igabanya ububabare cyangwa imiti igabanya ububabare | Guhuza imiti imwe n'imwe bishobora gutera indwara idasanzwe ariko ikomeye yitwa Serotonin Syndrome. |
| Linezolide, Methylene Ubururu | Ibi bintu bishobora gukora nk'uko MAOIs ikora, byongera ibyago bikomeye byo kugira ingaruka mbi. |
| Imiti igabanya ububabare ya Opioid | Gufata ibi hamwe n'imiti itera imbaraga bishobora kongera ibyago byo kugira ingorane zikomeye. |
Ingingo z'ingenzi zo kwirinda mu gihe cyo kuvurwa
Gutangira imiti ni intambwe ya mbere gusa. Kumenya uko umubiri wawe witwara ni ingenzi kugira ngo ugire ubuzima bwiza n'umutekano mu gihe kirekire.
Isuzuma rya buri gihe ry'abaganga
Ntuzigere usiba gahunda zawe zo gukurikirana. Izi ngendo ni ingenzi cyane kugira ngo muganga wawe asuzume uburyo ubuvuzi bukora, ahindure ingano, kandi akurikirane ingaruka mbi .
Ingaruka zo Kubatwa n'Ibiyobyabwenge no Kubikoresha Mubi
Kubera ko ibi ari ibintu bitera imbaraga, kubikoresha igihe kirekire rimwe na rimwe bishobora gutuma umuntu aba umusinzi. Gukoresha nabi nabyo bishobora gutuma umuntu aba umusinzi. Niyo mpamvu ugomba guhora ubifata uko wabitegetswe . Muganga wawe rimwe na rimwe ashobora kukugira inama yo kuruhuka gato ku miti, nko mu mpera z'icyumweru cyangwa mu biruhuko by'ishuri (rimwe na rimwe byitwa "ibiruhuko by'imiti"). Ibi biha umubiri wawe ikiruhuko gito kandi bigatuma muganga asuzuma ko ukomeje kubikenera.
Impinduka mu mirire no kugabanya ibiro
Kugabanuka k'ubushake bwo kurya ni ibisanzwe iyo utangiye gukoresha imiti itera imbaraga. Kugira ngo ubigereho, gerageza kurya amafunguro make kandi yuzuye intungamubiri umunsi wose aho kurya amafunguro make manini. Ku bana, gukurikirana imikurire, uburebure n'ibiro buri gihe ni ingenzi. Niba kugabanuka k'ubushake bwo kurya bikomeje cyangwa bigatera ibibazo by'ibiro, biganire n'umuganga wawe.
Ingaruka ku gutembera kw'amaraso (Raynaud's Syndrome)
Ni gake cyane abarwayi bashobora kugira ibinya, ububabare, cyangwa ubukonje mu ntoki cyangwa amano. Ibara ry'uruhu rishobora no guhinduka kuva ku cyera kugera ku bururu, hanyuma rigahinduka umutuku. Iyi ndwara izwi nka Raynaud's syndrome. Niba ubonye impinduka mu ibara ry'uruhu, ibisebe bitazwi, cyangwa ububabare mu maguru, hamagara muganga wawe vuba.
Kubaga cyangwa gupima indwara biri imbere
Niba uteganijwe kubagwa, cyangwa ibizamini byihariye nka MRI cyangwa CT scan, buri gihe menyesha itsinda ry’abaganga ko urimo gufata uyu muti. Ushobora kuba ugomba kuwuhagarika by'agateganyo mbere yo kubagwa .
Gusobanukirwa ingaruka mbi zishobora kubaho
Kimwe n'indi miti yose, Dexmethylphenidate ishobora gutera ingaruka mbi, nubwo atari buri wese uzibona. Kuzimenya bigufasha kuguma mu buzima bwawe. Reka tubicemo ibimenyetso bikomeye bisaba kwitabwaho byihuse n'ingaruka mbi zoroheje.
| Ibimenyetso byihutirwa: Shaka ubufasha bwihuse bwa muganga cyangwa usure ikigo cyita ku barwayi | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Kurya ibibyimba, kuribwa, kubyimba mu maso, ku minwa, cyangwa ku rurimi, no kugorwa no guhumeka. |
| Ibimenyetso by'indwara y'umutima | Kubabara mu gituza, gufungana, guhumeka nabi, kubira ibyuya bidasobanutse, cyangwa isesemi. |
| Umutima utari usanzwe | Umutima utera cyane (gutera ubwoba), umutima utera nabi, cyangwa isereri ikomeye. |
| Impinduka mu mutwe cyangwa mu myitwarire | Ubukana bukomeye, guhangayika cyane, kubona ibintu mu buryo butari bwo, gutekereza ku kwiyangiza, cyangwa guhangayika cyane. |
| Ibimenyetso by'indwara yo mu bwonko | Gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru (cyane cyane ku ruhande rumwe), kuvuga nabi, cyangwa kubura ubushobozi bwo guhuza ingingo. |
| Ku bagabo: Guhagarara igihe kirekire kandi bibabaza | Guhagarara kubabaza kumara amasaha arenga 4 (priapism) ni ikibazo cyihutirwa cy’ubuvuzi. Jya mu biro by’ubutabazi biri hafi yawe vuba. |
| Ingaruka zisanzwe: Bibwire muganga wawe niba zikomeje | |
| Umunwa wumye | Umutwe |
| Kubura ubushake bwo kurya cyangwa kugabanya ibiro | Kubabara mu gifu |
| Gusinzira nabi (kubura ibitotsi) | Isesemi |
Uburyo bwo kubika no guta imiti yawe mu buryo butekanye
Gufata imiti itera imbaraga mu buryo bwizewe ni ingenzi cyane mu kurinda urugo rwawe n'abaturage.
- Bika kure y'abana: Ntuzigere usiga uyu muti aho abana cyangwa amatungo ashobora kuwubona. Kuwurya bishobora kuba uburozi bwinshi. Kuwubika mu kabati gafunze birasabwa cyane.
- Bika neza: Kubera ko imiti itera imbaraga ishobora kwibwa cyangwa gukoreshwa nabi, yibike ahantu hizewe kandi hatekanye.
- Uburyo bwo kubika: Bika ahantu humutse kure y'urumuri n'ubushuhe. Ntukabibike mu bwiherero.
- Guta imiti mu buryo bwizewe: Kura imiti yarengeje igihe cyangwa itarakoreshwa neza. Kugira ngo uyijugunye mu myanda yo mu rugo, vanga ibinini n'ikintu kitari cyiza nk'ikawa yakoreshejwe, umwanda, cyangwa imyanda y'injangwe (ntukabisya). Shyira imvange mu ishashi ya pulasitiki ifunze neza mbere yo kuyijugunya. Baza umufarumasiye wawe cyangwa umuganga wawe gahunda zo kuyifata.
Incamake yawe y'ibanga (Ubutumwa bwo kujyana mu rugo)
- Dexmethylphenidate ni umuti mwiza cyane wo kuvura ADHD, ariko ugomba gufatwa gusa uyobowe neza n'abaganga.
- Buri gihe menyesha muganga wawe amateka yawe yose y’uburwayi hamwe n’indi miti, vitamine, cyangwa inyongeramusaruro ufata mbere yo gutangira.
- Fata imiti yawe neza neza uko wanditswe. Ntukigere wongera ingano y'umuti wawe cyangwa ngo usangire imiti n'undi muntu uwo ari we wese.
- Shaka ubufasha bwihutirwa bw'abaganga niba ugize ibimenyetso bikomeye nko kubabara mu gatuza, guhumeka nabi, cyangwa impinduka zitunguranye mu mutwe.
- Bika imiti yawe ahantu hizewe cyane, kure y'abana n'amatungo.
- Jya mu nama zose ziteganijwe zo gukurikirana aho umurwayi aherereye kugira ngo ukurikirane aho ahagaze kandi ucunge neza impinduka zose zo kuvurwa.
Dexmethylphenidate, Focalin, ADHD, kubura ubushobozi bwo kwita ku bintu, gukora cyane, ubuzima bwo mu mutwe bw'abana, inzobere mu gutera inkunga, imiti ya ADHD, ubuyobozi bw'imiti, Nirogi Lanka
