Ese ubura ubushobozi bwo kwita ku bintu? Ese uhora usinziriye? (Methylphenidate) Reka twige ku muti?

Wowe cyangwa umwana wawe mushobora kugira ingorane zo gukomeza kwibanda ku kintu kimwe rimwe na rimwe, si byo se? Cyangwa wumva usinziriye ku manywa? Tekereza, umwana wawe arimo kwiruka mu ishuri, adashobora kwibanda ku masomo ye, abangamira abandi bana, adakora umukoro we neza... Iki ni cyo gihe abaganga basuzuma indwara yo kudakora neza (ADHD) bakaguha imiti nibiba ngombwa. Cyangwa se tekereza ko usinziriye mu buryo butunguranye mu gihe ukora akazi ko mu biro cyangwa utwaye imodoka. Ibi ni bibi cyane, si byo se? Ibi byitwa narcolepsy . Kugira ngo bifashe muri izo ndwara, abaganga rimwe na rimwe baguha umuti witwa (Methylphenidate). Uyu ni umuti wo mu bwoko bw'imiti witwa stimulants . Mu magambo make, utuma urushaho kugira ubushobozi bwo kwibanda, ugafasha kugenzura kudatuza, impacts, kandi ukagufasha kuguma uri maso. Uyu munsi, turaza kuvuga byinshi kuri uyu muti (Methylphenidate). Nanone uza ku izina ry'ikirango (Methylin).

Ni iki wabwira muganga wawe mbere yo gukoresha uyu muti?

Mbere yuko muganga wawe akwandikira uyu muti (Methylphenidate), ni ngombwa cyane ko umumenyesha uko ubuzima bwawe buhagaze. Kubera ko hari abantu bafite indwara zimwe na zimwe bashobora kuba batakwiriye uyu muti, cyangwa hashobora kubaho ingamba zidasanzwe ugomba gufata. Niba ufite imwe muri izi ndwara, ugomba kubibwira muganga wawe, sibyo?

• Niba ukunze kugira ubwoba cyangwa ubwoba .
• Niba ufite ibibazo byo gutembera kw'amaraso mu ntoki no mu mano.
• Niba urwaye glaucoma .
• Niba ufite imitsi cyangwa imitsi y'amaraso y'umutima irakomeye cyangwa ifunganye .
• Niba ufite indwara y'umutima cyangwa se ufite ikibazo cy'umutima wavukanye .
• Niba ufite umuvuduko w'amaraso ukabije .
• Niba ufite amateka yo kugira ibibazo byo gukoresha ibiyobyabwenge cyangwa inzoga nabi .
• Niba warigeze kugira amateka yo kurwara indwara yo mu bwonko .
• Niba ufite indwara y'umwijima .
• Niba ufite indwara yo mu mutwe .
• Niba ufite ikibazo cyo kunanirwa kw'imitsi ( kugenda ibice by'umubiri mu buryo butabishaka) cyangwa niba hari umuntu wo mu muryango wawe ufite indwara yitwa Tourette's syndrome .
• Niba ufite indwara nko kurwara ibicurane cyangwa kurwara imitsi.
• Niba warigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura , cyangwa niba hari umuntu wo mu muryango wawe wabikoze.
• Niba urwaye indwara ya tiroyide .
• Niba warigeze kugira ikibazo kidasanzwe cyangwa kidasanzwe kuri uyu muti (Methylphenidate), indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita .
• Niba wonsa .

Iyo umuganga amaze kumenya ibyo bintu, ashobora guhitamo neza niba uyu muti ukubereye cyangwa utakubereye, n'uko wawutanga.

Ni gute neza neza nkoresha uyu muti?

Uyu muti (Methylphenidate) uza mu mazi, ni ukuvuga sirupe. Ugomba kuwufata neza nk'uko muganga wawe yabigutegetse, mu rugero rwanditswe, no mu gihe cyanditswe.

• Igikombe cyo gupimira: Iki ni ikiyiko cyangwa igikombe cyihariye (ikiyiko cyangwa agasanduku kanditseho ikimenyetso cyihariye) gishobora gukoreshwa mu gupima ingano nyayo y'umuti. Niba udafite, baza umufarumasiye. Ese ntugomba gukoresha ibiyiko cyangwa ibiyiko bisanzwe ufite mu rugo? Ntabwo bazapima ingano nyayo.
• Igihe cyo gufata: Ubusanzwe ni byiza gufata uyu muti iminota 30 kugeza kuri 45 mbere yo kurya . Ariko, niba muganga wawe akubwira ibinyuranye n'ibyo, bikora.
• Iminsi isanzwe: Fata imiti yawe ku masaha asanzwe y'umunsi nk'uko muganga wawe yabigutegetse. Abantu benshi bazakubwira gufata dose yawe ya nyuma y'umunsi nibura amasaha 4 kugeza kuri 6 mbere yo kuryama. Bitabaye ibyo, ushobora kudashobora gusinzira.
• Ntugafate ibirenze urugero rwategetswe: Ntugafate ibirenze urugero rwategetswe na muganga wawe, cyangwa ngo ubifate kenshi.

Agatabo k'amabwiriza yihariye (MedGuide): Igihe cyose uhawe uyu muti na farumasi, haba iyo wongeye kuwuhabwa cyangwa iyo ugiye kuwugura, uzahabwa agatabo k'amabwiriza yihariye (MedGuide) . Karimo amakuru y'ingenzi cyane kuri uyu muti. Wibuke kuwusoma witonze.

Iyo uhawe abana: Uyu muti rimwe na rimwe uhabwa abana bafite imyaka 6. Ariko, hari ibintu bimwe na bimwe ugomba kwitondera iyo uwuhaye umwana wawe. Kubwibyo, niba uhaye umwana wawe uyu muti, vugana na muganga wawe witonze kandi umenye ibisobanuro birambuye.

Kurenza urugero rw'umuti: Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi cy’ibitaro biri hafi yawe ako kanya .

Uyu muti ni uwawe gusa:Uyu ni umuti muganga yaguhaye. Ntuwuhe undi muntu uwo ari we wese. Ni umuti uteje akaga kandi unyuranyije n'amategeko.

Wakora iki iyo ubuze dose y'umuti?

Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri cyangwa zirenzeho igihe icyo ari cyo cyose.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iyo ufashe uyu muti (Methylphenidate), ushobora kugira ingaruka ku yindi miti. Ibi bivuze ko iyo ufashe uwo muti, ushobora guhindura imikorere yawo cyangwa ukongera ingaruka zawo.

Ntugafate Methylphenidate hamwe n'imiti ikurikira:

• Lithiyumu
• MAOIs (urugero: Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Indi miti itera imbaraga igabanya ubushobozi bwo kwita ku bintu, kugabanya ibiro, cyangwa kugufasha kuguma uri maso
• Procarbazine

Iyi miti ishobora kugira ingaruka kuri methylphenidate. Bibwire muganga wawe niba ufata ibi:

• Atomoxetine
• Kafeyine (iboneka mu ikawa, icyayi, n'ibindi binyobwa bidasembuye)
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso, indwara z'umutima, n'umutima utera nabi
• Imiti imwe n'imwe ivura indwara zo mu mutwe, ihungabana, cyangwa indwara zo mu mutwe
• Imiti imwe n'imwe ikoreshwa mu kuvura indwara zo mu mutwe (urugero: carbamazepine, phenobarbital, phenytoin)
• Imiti imwe n'imwe ivura ibicurane cyangwa aleriji
• Warfarin (umuti ugabanya kuvura amaraso)

Uru rutonde ntirugaragaza imiti yose ishoboka. Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine, n'inyongeramusaruro). Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko, kuko nabyo bishobora kugira ingaruka kuri uyu muti.

Ni iki ugomba kwitondera mu gihe ufata uyu muti?

Mu gihe ufata uyu muti, ugomba kwisuzumisha buri gihe kwa muganga wawe. Kubera ko uyu ari umuti wanditswe na muganga, uzakenera kubona undi muti mushya wanditswe na muganga wawe igihe cyose ukeneye kongeramo.

• Kwita ku bintu no kunanirwa: Uyu muti ushobora kugira ingaruka ku buryo ubyitayeho cyangwa bigatuma unanirwa cyane. Kubwibyo, ntugatware imodoka, ntugakoreshe igare, ntugakoreshe imashini, cyangwa ngo ukore indi mirimo isaba kwitonda mu mutwe kugeza igihe umenye neza uko uyu muti ukugiraho ingaruka.
• Iyo ingaruka z'umuti zigabanutse:Niba wumva ko umuti udakora neza nk'uko bikwiye, cyangwa niba wumva ukeneye gufata ibirenze urugero rwategetswe, bwira muganga wawe. Ntugahindure ingano y'umuti utabanje kuvugana na muganga wawe.
• Ubuzima bw'abagabo: Niba uri umugabo, niba ufite ububabare bwo guhagarara bumara amasaha arenga 4, bwira muganga wawe vuba. Iki gishobora kuba ikimenyetso cy'indwara ikomeye. Iyo idavuwe vuba, ishobora kwangiza burundu.
• Kubura ubushake bwo kurya: Ni ibisanzwe kubura ubushake bwo kurya iyo utangiye uyu muti. Kurya amafunguro make, kenshi cyangwa utuntu duto bishobora gufasha. Niba kubura ubushake bwo kurya bikomeje, vugana na muganga wawe. Muganga wawe akunze gukurikirana imikurire n'ibiro by'umwana ufata uyu muti.
• Gusinzira: Ntugafate uyu muti hafi yo kuryama. Kubikora bishobora kukubuza gusinzira.
• Kubagwa cyangwa gupimwa: Niba ugiye kubagwa, gupimwa MRI, gupimwa CT, cyangwa ubundi buryo ubwo aribwo bwose bwo kwa muganga, bwira muganga wawe ko urimo gufata uyu muti. Ushobora kuba ugomba guhagarika gufata uyu muti mbere yo kubagwa.
• Ibisebe cyangwa impinduka mu ntoki zawe: Niba ubonye ibikomere bitazwi ku ntoki zawe cyangwa ku mano yawe igihe ufata uyu muti, bwira muganga wawe ako kanya. Nanone, bwira intoki zawe niba zumva zidafite ibinya, zibabara, zihinduye ibara ry'uruhu, cyangwa zikumva ubushyuhe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, uyu muti (Methylphenidate) ushobora gutera ingaruka mbi ku bantu bamwe na bamwe. Ariko si bose babikora. Zimwe muri zo zirakomeye kandi ugomba kuzibwira muganga wawe ako kanya. Zimwe muri zo ntabwo zikabije cyane, ariko niba zikomeje, ni byiza kubibwira muganga wawe .

Ingaruka mbi ugomba guhita ubibwira muganga wawe :

• Indwara zo kugira ubwivumbure: uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Imihindagurikire y'umutima: umutima utera vuba cyangwa utari umeze neza, isereri, kumva nta cyo ushoboye cyangwa ufite umutwe uhagaze neza, kubabara mu gatuza, guhumeka nabi.
• Ukwiyongera k'umuvuduko w'amaraso.
• Impinduka mu byiyumvo no mu myitwarire: guhangayika, ubwoba, urujijo, kubona ibintu mu buryo butari bwo, kurakara, urwango, ibitekerezo byo kwiyahura cyangwa kwibabaza, imitekerereze irushaho kwiyongera, kumva wihebye.
• Guhagarara igihe kirekire cyangwa kubabara.
• Indwara ya Raynaud: Intoki n'amano birakonja, birashira cyangwa birababaza, kandi bishobora guhinduka ibara ry'umukara, ubururu cyangwa umutuku.
• Ku bantu bakuru: Gucika intege cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, kugorwa no kuvuga, kujijinganya, kugorwa no kugenda, kubura uburinganire, kuzungera umutwe, kuribwa umutwe cyane, impinduka mu maso.

Ingaruka mbi ubusanzwe zidasaba inama kwa muganga, ariko zigomba kumenyeshwa niba zikomeje:

• Guhangayika, ubwoba
• Kureba nabi
• Umutwe
• Kubura ubushake bwo kurya
• Isesemi
• Ikibazo cyo gusinzira
• Kugabanya ibiro

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe kugira ngo akugire inama. Ushobora kandi gutanga raporo kuri FDA kuri 1-800-FDA-1088.

Ni gute twabika imiti yacu? Reka dutekereze no ku mutekano.

Uyu muti ugomba kubikwa ahantu abana n'amatungo batagera . Uyu muti ushobora gukoreshwa nabi. Kubwibyo, uwubike ahantu hatekanye kugira ngo uwurinde ubujura . Ntugasangire uyu muti n'undi muntu uwo ari we wese. Kuwugurisha cyangwa kuwuha undi muntu ni akaga kandi binyuranyije n'amategeko.

Bika ku bushyuhe bw'icyumba (dogere selisiyusi 20 kugeza 25 / dogere selisiyusi 68 kugeza 77). Rinda urumuri n'ubushuhe. Ugomba gufunga neza umupfundikizo w'icupa.

Icy'ingenzi: Uyu muti ushobora kwica iyo unyowe n'abandi bantu bakuru, abana, cyangwa amatungo. Kubwibyo, niba hari umuti usigaye, uwuvange n'ikintu nk'imyanda y'injangwe cyangwa ikawa ishaje. Hanyuma uwushyire mu gikapu gifunze neza cyangwa mu gikombe cy'ikawa gifite umupfundikizo hanyuma uwujugunye mu myanda. Ntugakoreshe umuti warengeje igihe cyo kurangira.

Aka gatabo ni incamake gusa. Gashobora kuba kadafite amakuru yose. Niba ufite ibindi bibazo kuri uyu muti, nyamuneka vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi wawe.

Icyo ugomba kwibuka mu byo twaganiriyeho (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi kuri methylphenidate uyu munsi, si byo se? Muri make, ni umuti wongera ubushobozi bwo kwita ku bintu no kugabanya imihangayiko, kandi ukoreshwa mu kuvura indwara nka ADHD na Narcolepsy.

• Bwira muganga wawe : Menya neza ko wabwiye muganga wawe izindi ndwara zose ufite n'indi miti yose ufata.
• Koresha neza: Fata neza nk'uko muganga wawe akubwira, mu gipimo gikwiye, kandi mu gihe gikwiye. Koresha igikoresho cyihariye cyo gupima.
• Menya ingaruka mbi:Niba ubonye ingaruka mbi zikomeye, bwira muganga wawe ako kanya.
• Bika neza: Bika kure y'abana. Shyira umuti usigaye neza.
• Baza ibibazo: Niba ufite ikibazo cyangwa impungenge, ntutinye kubaza muganga wawe cyangwa umufarumasiye.

Ubuzima bwawe ni ingenzi cyane kuri wewe, bityo rero ni ingenzi cyane gukurikiza aya mabwiriza.

Methylphenidate , ADHD, Narcolepsy, itera imbaraga, kwita ku bintu, kwibanda ku bintu, gukora cyane, ingaruka mbi, imiti