Chiremba wako akakuudza here iwe kana mwana wako kuti une attention deficit hyperactivity disorder (ADHD)? Kana zvakadaro, ungangove wakanyorerwa mushonga wekurapa. Ungangove wakapihwa kapisiyumu yakasarudzika yaunotora manheru uye inoshanda mukati mezuva. Nhasi tiri kutaura nezvemumwe mushonga wakadaro, methylphenidate. Ngatitaurei nezvemushonga uyu nenzira iri nyore uye yakajeka.
Zvichitaurwa zviri nyore, mushonga werudzii uyu?
Methylphenidate mushonga unoshandiswa kurapa attention deficit hyperactivity disorder (ADHD). Iri muboka remishonga inonzi stimulants. Ungave uchifunga kuti, "Chinosimudzira muviri chinhu chinokuita kuti unzwe wakangwarira, saka chinobatsira sei nehyperactivity?"
Zviri nyore kwazvo. Mamwe makemikari (neurotransmitters) muuropi hwemunhu ane ADHD anoshanda zvakasiyana zvishoma. Mushonga uyu unoshanda nekuenzanisa makemikari iwayo, uchivabatsira kuramba vakatarisa uye kuderedza maitiro ekusafunga. Izvi zvinogona kuvabatsira kuramba vakarongeka nebasa rechikoro, basa remuhofisi, uye mabasa ezuva nezuva.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako kana hwemwana wako. Mushonga uyu ungasaenderana nezvimwe zvirwere. Kana iwe kana mumwe munhu mumhuri yako aine chimwe chezvinotevera, iva nechokwadi chekuvaudza nezvazvo.
- Matambudziko epfungwa: Matambudziko akadai sekuzvidya mwoyo, kuvhunduka, kuora mwoyo, kufunga kuzviuraya, uye chirwere cheTourette.
- Chirwere chemwoyo: Chero rudzi rwechirwere chemwoyo, kuremara kwemwoyo kwakaberekwa nako, BP yakakwira, kana kurova kwemoyo kusina kujairika.
- Matambudziko eropa: Matambudziko anoderedza kuyerera kweropa mumaoko netsoka.
- Zvimwe zvirwere: Kana wakambova nechirwere chakadai se glaucoma, pfari, chirwere chechiropa, chirwere chethyroid, kana sitiroko.
- Nhoroondo yekupindwa muropa: Kana wakambopindwa muropa nezvinodhaka kana doro.
- Kurwara: Kana uine allergy yemushonga uyu wemethylphenidate kana chero mumwe mushonga, chikafu, kana dhayi.
- Kubata pamuviri nekuyamwisa: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa.
Zvakakosha zvikuru kuti muve vakachengeteka kutaura nachiremba musingavanzi zvinhu izvi.
Ndinofanira kushandisa mushonga uyu sei chaizvo?
Kuti uwane rubatsiro rwakanyanya kubva pamushonga uyu, unofanira kuutora sezvakarayirwa.
- Nguva: Mushonga uyu unofanira kutorwa manheru . Iva netsika yekuutora panguva imwe chete zuva nezuva. Utore panguva chaiyo yaunoudzwa nachiremba wako.
- Maitiro ekutora: Medza kapusule yese negirazi remvura. Usambotsenga, kupwanya, kana kupwanya kapusule iyi.
- Kana uchinetseka nekumedza: Vamwe vanhu vanonetseka nekumedza makapisi. Kana zvakadaro, unogona kuvhura kapisi nokungwarira woisa mushonga mudiki wakaita sembeu mukati muchipunu cheapplesauce. Wobva wamedza musanganiswa wacho ipapo ipapo. Asi yeuka, kunyangwe zvakadaro, hazvina kunaka kutsenga mbeu yacho.
- Usati wadya kana kuti wapedza?: Unogona kutora mushonga uyu uine kana usina kudya. Asi unofanira kuita tsika yekuutora nenzira imwechete zuva nezuva. Semuenzaniso, kana ukautora mushure mekudya kwemanheru zuva nezuva, zviite saizvozvo.
- Kumira: Usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro.
Kutora mushonga wepamusoro: Kana uchifunga kuti wakatora mushonga unopfuura wakatarwa nekutadza, unofanira kuenda kuEmergency Department (ETU) yechipatara chiri pedyo nekukurumidza . Kana kufonera National Poisons Information Centre paColombo National Hospital .
Mushonga uyu ndewako chete. Usambofa wakapa mumwe munhu, kunyangwe aine zviratidzo zvakafanana nezvako.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga wako manheru, tora nekukurumidza kana uchiyeuka manheru iwayo. Asi kana uchiyeuka mangwanani akatevera, mira zvachose. Wobva watora mushonga wako unotevera panguva yawagara uchiita. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Mushonga uyu unogona kusangana nemimwe mishonga, mavhitamini, kana mishonga yemishonga yauri kutora. Saka udza chiremba wako nezvese zvauri kutora. Chenjerera zvakanyanya pane zvinotevera.
| Rudzi rwemushonga/chinhu | Tsananguro |
|---|---|
| Zvinhu zvausingafaniri kutora pamwe chete | Mishonga yakaita seMAOI (boka rekare remishonga yekudzora kushungurudzika) uye Ozanimod. |
| Mimwe mishonga inogona kukonzera matambudziko |
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Rondedzero iyi haina kukwana, saka zvakanaka kuudza chiremba wako nezvese zvaunotora.
Zvinhu zvekungwarira paunenge uchitora mushonga
Pane zvinhu zvakati wandei zvaunofanira kungwarira paunenge uchishandisa mushonga uyu.
- Kuongororwa nachiremba nguva dzose: Iva nechokwadi chekuenda kuna chiremba wako. Udza chiremba wako kana zviratidzo zvako zviri kuvandudzika kana kuti kwete.
- Kugona kupindwa muropa: Kana mushonga uyu ukashandiswa kwenguva yakareba, kunyanya kana ukatorwa nedosi dzakanyanya kupfuura dzakanyorerwa, muviri nepfungwa zvinogona kuvimba nawo. Saka, tora mushonga wacho sezvawaudzwa nachiremba wako.
- Kumbozorora pakushandisa mishonga: Dzimwe nguva chiremba wako anokuudza kuti urege kutora mishonga yako kwemazuva mashoma pakupera kwevhiki kana mazororo. Izvi zvinopa muviri wako zororo. Asi izvi zvinofanirwa kuitwa chete kana chiremba wako ataura.
- Kushaya hope: Mushonga uyu unogona kukonzera kuti vamwe vanhu vatadze kurara husiku. Ndosaka zvichikurudzirwa kuutora manheru (kwete pedyo nenguva yekurara). Kana ukaramba uchinetseka nekurara, taura nachiremba wako.
- Kushaya chido chekudya: Unogona kurasikirwa nechido chekudya paunotanga kutora mushonga. Nzira yakanakisisa yekugadzirisa izvi ndeyekudya zvidiki kakawanda pazuva, pane kudya chikafu chikuru panguva imwe chete. Kana uri mwana, unofanira kuongororwa huremu hwako nehurefu hwako nguva nenguva.
- Kuchinja kweminwe yako: Kana ukaona maronda, kusanzwa, kurwadziwa, kana shanduko yeruvara rweganda (richichinja kuchenuruka, bhuruu, kana dzvuku) muminwe yako kana zvigunwe, taurira chiremba wako nekukasika.
- Kumira kwenguva refu kana kunorwadza kunotora maawa anopfuura mana: Kana murume akamira kwenguva refu kana kurwadza kunotora maawa anopfuura mana, chirwere chakakomba. Chinodiwa kurapwa nekukasika . Kukundikana kuita izvi kunogona kukonzera kukuvara zvachose.
- Kuvhiyiwa uye bvunzo:Kana uchizovhiyiwa, kuongororwa MRI, kana kuongororwa neCT scan, udza chiremba pachine nguva kuti uri kutora mushonga uyu. Ungangoda kurega kutora mushonga kwemazuva mashoma usati watanga kurapwa .
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi. |
| Kurwiswa kwemoyo kana sitiroko | Kurwadziwa pachipfuva, kufema zvishoma, kufema zvakaoma, kusanzwa simba kune rumwe rutivi rwemuviri, kuoma kutaura. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza, kurwadziwa pachipfuva, dzungu. |
| Chirwere cheSerotonin | Kuvhiringidzika, kudikitira zvakanyanya, fivha, kugwinha kwetsandanyama, kurutsa, manyoka. |
| Kuchinja kwepfungwa nemaitiro | Kuzvidya mwoyo zvakanyanya, kushaya zororo, kuona/kunzwa zvinhu zvisipo, kufunga zvekuzviuraya. |
| Zvimwe zviratidzo zvakakomba | Kubatwa nepfari, kuchinja kwekuona, kurwadziwa kwemaziso, kurwadza kwemazamu. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Migumisiro midiki |
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Nzira yekuchengetedza nekurasa mushonga zvakachengeteka sei?
- Kuchengeta: Chengeta mushonga uyu panzvimbo yakachengeteka pasingasvikirwi nevana nezvipfuyo. Uyu mushonga unogona kushandiswa zvisirizvo, saka udzivirire kubva pakubiwa. Chengeta patembiricha yemumba, kure nehunyoro.
- Kuraswa: Zvakakosha kurasa mishonga yapera kana kuti isingadiwe zvakachengeteka. Iyi inogona kuva nengozi kana ikawira mumaoko evamwe. Bvunza chiremba wako nezvenzira dzakachengeteka dzekurasa mishonga. Dzimwe nguva, vanokurudzira kusanganisa mishonga nevhu rekofi, ivhu, kana tsvina yekatsi, kuivhara mubhegi, uye kuirasa mumarara.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora mushonga uyu sezvawakarairwa nachiremba wako, panguva chaiyo.
- Musape mumwe munhu mushonga uyu, wakanyorerwa imi chete, kune chero chikonzero chipi zvacho.
- Kana ukasangana nematambudziko akakomba (kunyanya kurwadziwa muchipfuva, kuchinja kwepfungwa, kana kuti zvimwe zvinhu zvisina kumira zvakanaka), tsvaga rubatsiro rwechiremba nekukasika.
- Ipa chiremba wako tsananguro yakazara yemimwe mishonga yauri kutora uye chero matambudziko ehutano auri kusangana nawo.
- Mushonga uyu unogona kukanganisa muviri, saka usatore chero chinhu usina kurairwa nachiremba wako.
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