Iwe kana mwana wako mune dambudziko rekugara muchitarisa pane chimwe chinhu here? Munonzwa kusagadzikana uye kusagadzikana nguva dzese here? Chirwere ichi chinonzi Attention Deficit Hyperactivity Disorder, kana kuti ADHD (Attention-Deficit Hyperactivity Disorder), sezvinozivikanwa nevanhu vazhinji. Imwe yemishonga mikuru inoshandiswa kurapa chirwere ichi imethylphenidate. Nhasi, tichataura nezvemushonga uyu, kunyanya mushonga unowedzerwa kubudiswa unotorwa manheru.
Chii chinonzi methylphenidate?
Zvichitaurwa zviri nyore, uyu mushonga unoshandiswa kurapa ADHD. Panyaya dzezvekurapa, uri muchikamu chezvinosimudzira pfungwa. Funga nezvazvo, kune mamwe makemikari muuropi hwedu (neurotransmitters) anobatsira nezvinhu zvakaita sekutarisisa uye kudzora. Munhu ane ADHD anogona kunge asina basa rakawanda mune izvi. Saka, mushonga uyu unoshanda nekukurudzira kushanda kwemakemikari iwayo, uchiwedzera kugona kutarisa uye kudzora maitiro asina kugadzikana. Rudzi rwakakosha rwatiri kutaura nezvarwo muchinyorwa chino rwakagadzirwa nenzira yekuti kana ukatorwa manheru, mhedzisiro yawo inonzwika husiku hwese uye kusvika mangwanani anotevera.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati watanga mushonga uyu, zvakakosha kuti utaure nachiremba wako nezvenhoroondo yako yese yehutano. Izvi zvinodaro nekuti mamwe matambudziko ehutano anogona kuita kuti kushandisa mushonga uyu kuve nengozi. Kana iwe kana mumwe munhu mumhuri yako aine chero mamiriro ezvinhu akanyorwa patafura iri pazasi, iva nechokwadi chekuudza chiremba wako.
| Mamiriro ehutano/chokwadi | Sei uchifanira kuzivisa? |
|---|---|
| Chirwere chemwoyo, BP, kana nhoroondo yemhuri yechirwere chemwoyo | Mushonga uyu unogona kuwedzera BP zvishoma uye kurova kwemoyo. |
| Kurwara kwepfungwa (kuzvidya mwoyo, kuora mwoyo, bipolar disorder, pfungwa dzekuzviuraya) | Nekuti mishonga dzimwe nguva inogona kuwedzera zviratidzo zvepfungwa zviripo. |
| Kubatwa nepfari | Mushonga uyu dzimwe nguva unogona kuwedzera njodzi yekubatwa nepfari. |
| Dambudziko reGlaucoma | Nekuti zvinogona kuwedzera kumanikidzwa kwemaziso. |
| Chirwere chechiropa | Nekuti zvinogona kukanganisa maitiro ekubvisa mushonga mumuviri. |
| Matambudziko ekuyerera kweropa muminwe (semuenzaniso chiitiko chaRaynaud) | Nekuti zviratidzo izvi zvinogona kuwedzera. |
| Chirwere cheTourette kana kuti motor tics | Nekuti zviratidzo zvezvirwere izvi zvinogona kuwedzera. |
| Kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uri amai vanoyamwisa | Unofanira kukurukura nachiremba wako kuti mushonga wacho ungakanganisa sei mwana wako. |
| Kurwara nemushonga uyu kana chimwe chinhu | Kudzivirira kusawirirana. |
Ndeipi nzira yakanakisisa yekushandisa mushonga uyu?
Sezvakataurwa nachiremba, zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo.
- Nguva: Rudzi urwu rwemushonga runowanzo torwa manheru kana husiku . Edza kuutora panguva imwe chete zuva nezuva.
- Maitiro ekutora: Medza kapusule yese negirazi remvura. Usapwanye, kupwanya, kana kutsenga kapusule. Kuita izvi kunogona kukonzera kuti mushonga wese ubudiswe mumuviri panguva imwe chete, izvo zvinogona kuwedzera migumisiro yakaipa.
- Kana uchinetseka kumedza:Kana zvichikuomera kumedza kapisiyu, unogona kuivhura nokungwarira, wosasa mapiritsi madiki ari mukati pazvikafu zvakapfava zvakaita semaapurosauce, wobva waamedza ipapo ipapo usingatsengi . Asi taura nachiremba wako nezvazvo kutanga.
- Kana ukanwa mushonga wakawandisa: Kana uchifunga kuti watora mushonga wakawanda kupfuura waunofanira kutora, enda kuEmergency Treatment Unit (ETU) iri pedyo newe nekukurumidza kana kufonera National Poisons Information Centre kuColombo National Hospital .
Chinonyanya kukosha: Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho. Hazvibvumirwi nemutemo uye zvinogona kuva nengozi kumunhu iyeye.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga wako wemanheru, tora mushonga wacho nekukurumidza paunoyeuka manheru iwayo. Zvisinei, kana riri zuva rinotevera raunoyeuka, svetuka mushonga wawakarasikirwa wotora mushonga wako unotevera panguva yawakajaira. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Mimwe mishonga inogona kukanganisa methylphenidate uye kukonzera migumisiro isingadiwe. Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga).
- Mishonga yeMAOI yekudzora kushushikana kwepfungwa: Kunwa mishonga iyi kune njodzi huru. Inogona kukonzera BP yakakwira.
- Mishonga yeBP: Mushonga uyu unogona kuchinja kushanda kwemishonga yeBP.
- Mishonga yepfari: Kushanda kwemishonga iyi kunogona kukanganiswa.
- Zvimwe Zvinokurudzira: Kunwa pamwe chete nemimwe mishonga yeADHD, mishonga yekuderedza uremu, uye zvinwiwa zvine caffeine zvinogona kukonzera kurova kwemoyo zvakanyanya uye kusagadzikana.
- Mishonga inodzivirira kugwinha kweropa (semuenzaniso Warfarin): Kushanda kwemishonga iyi kunogona kuchinja.
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
- Kukura: Chiremba achaongorora hurefu nehuremu hwemwana ari kutora mushonga uyu, sezvo dzimwe nguva kukura kunogona kukanganiswa zvishoma nekuda kwekushaya chido chekudya.
- Kuda kudya: Zvakajairika kuti unzwe kurasikirwa nechido chekudya paunotanga kutora mushonga. Imwe nzira yekugadzirisa izvi ndeyekudya zvidiki kakawanda pazuva pane kudya chikafu chikuru panguva imwe chete.
- Kungwarira uye kutarisirwa: Kunyange zvazvo mushonga uyu ungavandudza kungwarira kwako, unogona zvakare kuita kuti unzwe hope. Saka, chenjerera zvikuru paunenge uchityaira, uchichovha bhasikoro, kana uchishandisa michina kusvika waziva kuti mushonga wacho unokubatsira sei.
- Yambiro yakakosha kuvarume: Kana ukaona kumira kwenguva refu kana kurwadziwa kwenhengo yako yekubereka kunotora maawa anopfuura mana, ingave chirwere chakakomba. Tsvaga rubatsiro rwechiremba nekukurumidza kuti udzivise kukuvara zvachose.
- Kuchinja kweminwe yako: Kana ukaona maronda asina kujairika, kusanzwa, kurwadziwa, kana kunzwa kutonhora muminwe yako kana zvigunwe, pamwe chete nekuchinja kweruvara (chena, bhuruu, tsvuku) paunenge uchinwa mushonga, udza chiremba wako.
Migumisiro yemushonga
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa, asi havasi vese vanoiwana.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Kana uine chimwe cheizvi, enda kuna chiremba nekukasika. | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso/miromo/rurimi, kuoma kufema. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva. |
| Kuchinja kwepfungwa | Kusagadzikana kwakanyanya, kusagadzikana, kuona/kunzwa zvinhu zvisipo, kufunga nezvekuzviuraya, kunzwa kwehasha. |
| Kurohwa nehana muvanhu vakuru | Kushaya simba kwechiso, ruoko, kana gumbo kamwe kamwe, kuoma kutaura, kuoma kufamba, musoro wakanyanya. |
| Izvi zviratidzo zvinozivikanwa, asi kana zvikaramba zviripo, unofanira kuudza chiremba wako. | |
| Migumisiro midiki | Musoro, kushaya hope, kushaya chido chekudya, kudzikira uremu, kuda kurutsa, kuona zvisipo. |
Mharidzo Yekuenda Nayo Kumba
- Methylphenidate mushonga unoshandiswa kurapa ADHD. Unowedzera kutarisisa uye unoderedza kusagadzikana.
- Usati watanga mushonga uyu, udza chiremba wako ruzivo rwako rwese rwehutano (kunyanya matambudziko emwoyo nepfungwa).
- Inwa mushonga wacho sezvawaudzwa nachiremba wako, panguva chaiyo. Usapwanye, kupwanya, kana kutsenga kapisiyu.
- Kana ukasangana nemigumisiro yakaipa (kurwadziwa muchipfuva, kunetseka kufema, kuchinja kwepfungwa kwakanyanya), tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu ndewako chete. Usambougovana nevamwe. Chengeta munzvimbo yakachengeteka iri kure nevana nezvipfuyo.
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