Mwana wako akaudzwa nachiremba kuti ane Attention-Deficit Hyperactivity Disorder (ADHD) here? Kana zvakadaro, unogona kunge wakapihwa mushonga wemvura unonzi Methylphenidate semushonga. Paunonzwa nezvemushonga uyu, unogona kunge uchitya uye uchida kuziva zvakawanda. Ungave uine mibvunzo yakawanda mupfungwa dzako, yakaita sekuti "Izvi zvakanaka here kumwana wangu?" uye "Pachava nemigumisiro yakaipa here?" Izvozvo zvakajairika. Ndosaka nhasi tichataura nezvemushonga uyu zviri nyore, zvakajeka, uye nenzira yaunogona kunzwisisa.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, Methylphenidate inokurudzira. Usatya zita racho. Inoshanda nekuwedzera zvishoma mashandiro emamwe ma neurotransmitters muuropi. Izvi zvinobatsira mwana kuti atarisire pane chimwe chinhu uye kudzora zvisarudzo zvisina kurongeka uye zvekukurumidzira . Zvakafanana nekupfeka magirazi kuti aone zvinhu zvakajeka. Mushonga uyu unobatsira uropi hwemwana kudzora maitiro ake nekutarisa zviri nani.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Izvi zvakakosha zvikuru . Mwana wako asati atanga mushonga uyu, unofanira kuudza chiremba wako kana iwe kana mumwe munhu mumhuri mako ane chimwe chezvirwere zvinotevera. Ruzivo urwu ruchabatsira chiremba wako kusarudza kana mushonga uyu wakakodzera mwana wako kana kwete.
- Matambudziko ehutano hwepfungwa: kuzvidya mwoyo, kuvhunduka, zvimwe zvirwere zvepfungwa, pfungwa dzekuzviuraya kana kuedza kuzviuraya.
- Chirwere chemwoyo: Chero rudzi rwechirwere chemwoyo, zvikanganiso zvemwoyo zvekuzvarwa nazvo, BP, kuvharika kana kukora kwemwoyo kana tsinga dzeropa.
- Matambudziko eropa: Kana uine matambudziko ekufamba kweropa muminwe yako nezvigunwe.
- Matambudziko emaziso: Glaucoma chirwere chemaziso.
- Chirwere chechiropa: Chero rudzi rwechirwere chechiropa.
- Zvimwe zvirwere zvetsinga: pfari, kufambisa makumbo, kana nhoroondo yemhuri yeTourette's syndrome.
- Matambudziko ekare: Kana wakambopindwa muropa nezvinodhaka kana doro, kana wakambobatwa nestroke.
- Chirwere chethyroid: Chero chirwere chinosanganisira thyroid gland.
- Kurwara: Kana uine allergy ye methylphenidate kana chero imwe mishonga, chikafu, kana dhayi.
- Kubata pamuviri nekuyamwisa: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa.
Zvakakosha zvikuru kuti mwana wako achengetedzeke kuudza chiremba usingavanzi zvinhu izvi.
Ndingashandisa sei mushonga uyu chaizvo?
Mushonga uyu unofanira kupiwa mwana sezvakarairwa nachiremba, muchiyero chakanyorwa.
1. Zunza zvakanaka: Bhodhoro rinofanira kuzunzwa zvakanaka usati wapa mushonga. Nekuti uyu mushonga wemvura, zvidimbu zvemushonga zvinogona kudzika pasi pebhodhoro.
2. Kuyera nemazvo: Shandisa chipunu chepurasitiki kana kapu inouya nemushonga kuti upime. Usashandise zvipunu zvemumba , sezvo zvisiri zvechokwadi.
3. Nguva: Mushonga uyu unowanzopihwa mangwanani nekuti unogona kukanganisa hope dzemwana husiku. Mupe zuva nezuva panguva yaunoudzwa nachiremba.
4. Kana muchidya kana musina: Mushonga uyu unogona kupiwa kana muchidya kana musina. Zvisinei, kana muine dambudziko remudumbu, zvakanaka kuutora mushure mekudya.
5. Usarega kutora mushonga kamwe kamwe: Usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba wako.
6. Usape mushonga kaviri: Kana ukakanganwa kupa mushonga, ipa nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga unotevera upiwe, siya mushonga wawarasikirwa wobva wapa mushonga unotevera panguva yakatarwa. Usambofa wapa mushonga kaviri.
7. Kana ukanwa mushonga wakawandisa: Kana uchifungidzira kuti mwana wako akapihwa mushonga wakawanda kupfuura zvaunofunga, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuti endesa mwana kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa mwana wako chete. Usagovane mushonga uyu nemumwe munhu chero chikonzero chipi zvacho. Hazvibvumirwi nemutemo uye zvine njodzi zvikuru.
Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?
- Kuongororwa nguva dzose: Iva nechokwadi chekuti waendesa mwana wako kukiriniki pamazuva awakaudzwa nachiremba. Chiremba acharamba achiongorora zvinhu zvakaita sehuremu hwemwana wako, kureba kwake, uye BP yake.
- Kushaya chido chekudya: Mwana wako anogona kunge achishaya chido chekudya zvishoma paanotanga mushonga uyu. Izvi zvakajairika. Pane kumupa chikafu chikuru panguva imwe chete, unogona kuedza kumupa chikafu chidiki kakawanda pazuva . Kana izvi zvikaramba zvichiitika, udza chiremba wako.
- Kutarisirwa zvakanyanya kwevakomana: Kana mukomana akaremara kana kuti akaremara kwenguva refu uye achirwadziwa kwenguva inopfuura maawa mana, ingave chirwere chakakomba. Tsvaga rubatsiro rwechiremba nekukasika.
- Kuchinja kweminwe:Kana ukaona maronda akangoerekana aitika, kusanzwa, kurwadziwa, kana kuchinja kweruvara rweganda (rakachenuruka, bhuruu, kana dzvuku) muminwe yako kana zvigunwe, taurira chiremba wako nekukasika.
- Kushanda Kwemushonga: Kana uchifunga kuti mushonga uri kurasikirwa nekushanda kwawo nekufamba kwenguva, kana kuti uchifunga kuti mushonga wakanyorwa hauna kukwana kumwana wako, usachinje mushonga sezvaunonzwa. Taura nachiremba wako nezvazvo.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Haasi munhu wese anowana. Asi zvakakosha kuti uzvizive.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| 🚨 Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kurwara | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo nekukurumidza kana kusina kurongeka, dzungu, kurwadziwa pachipfuva, kunetseka kufema. |
| Kuwedzera kweropa | Musoro wakakomba, kuchinja kwemaonero. |
| Kuchinja kwemaitiro nemafungiro | Kuzvidya mwoyo kwakanyanya, kusagadzikana, kuona zvinhu zvisipo, kufunga nezvekuzviuraya, hasha dzakanyanya. |
| Zvimwe zviratidzo zvakakomba | Kumira kunorwadza kunotora maawa anopfuura mana, chiitiko chaRaynaud (minwe yakachenuruka, yebhuruu, tsvuku), zviratidzo zvestroke (kusanzwa kwechiso kamwe kamwe, ruoko, gumbo, kunetseka kutaura). |
| 🙂 Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Zvipingamupinyi zvidiki | Musoro, kushaya hope, dumbu rinogumbura, kudzikira kwehuremu, kuona zvisizvo zvishoma, kuzvidya mwoyo kudiki kana kusagadzikana. |
Mimwe mishonga isingafaniri kutorwa nemushonga uyu
Kana mwana wako ari kutora mimwe mishonga (kusanganisira mavhitamini nemishonga yemishonga), unofanirawo kuudza chiremba wako. Mimwe mishonga inogona kukanganisa methylphenidate. Iva nechokwadi chekuudza chiremba wako kana mwana wako ari kutora mimwe yemishonga inotevera:
- MAOIs mishonga yekuora mwoyo (semuenzaniso Carbex, Eldepryl, Marplan).
- Mimwe mishonga yekurapa BP nezvirwere zvemwoyo.
- Mimwe mishonga yekurapa pfari (semuenzaniso carbamazepine, phenobarbital, phenytoin).
- Mishonga inodzivirira kuumbwa kweropa, yakaita seWarfarin.
- Mimwe mishonga yekudzivirira dzihwa neallergies.
- Zvinwiwa nemishonga ine caffeine.
- Mimwe mishonga yekurapa ADHD, yakaita seatomoxetine.
Nzira yekuchengetedza sei mishonga yakachengeteka?
Mushonga uyu unogona kushandiswa zvisina kunaka, saka chengeta munzvimbo yakachengeteka.
- Chengeta kure nevana: Zvakanaka kuichengeta yakakiyiwa kure nevana nezvipfuyo.
- Dzivirirai kubva mukubiwa: Chengetai mushonga uyu munzvimbo yakachengeteka sezvo unogona kubiwa uye kushandiswa nevanhu vausingazive.
- Kurasa: Usangorasa mushonga wasara mumarara. Sanganisa nechimwe chinhu chakaita sekofi yakamboshandiswa kana tsvina yekatsi, isa mumudziyo wakavharwa zvakasimba kana mubhegi, woirasa. Izvi zvinodzivirira mumwe munhu kana mhuka kuti isatore mushonga wayo woidya.
- Zuva rekupera kwemushonga: Usashandise mushonga wapera.
Mharidzo Yekuenda Nayo Kumba
- Methylphenidate mushonga unoshandiswa kurapa ADHD uye unobatsira kudzora kutarisisa kwemwana nemaitiro ake.
- Usati watanga mushonga, udza chiremba nezvezvirwere zvose zvemwana nemhuri.
- Ipa mushonga wacho nehuwandu hwakakodzera, panguva chaiyo, sezvawaudzwa nachiremba. Usashandise zvipunu kumba.
- Kana ukasangana nematambudziko akakomba (kuchinja kwekurova kwemoyo, hasha dzakawandisa, allergic reaction), tsvaga rubatsiro rwechiremba nekukasika.
- Migumisiro midiki yakaita sekushaya chido chekudya inowanzoonekwa, asi kana ikaramba iripo, udza chiremba wako.
- Musachengete mushonga uyu kure nevana. Unofanira kuchengetwa zvakachengeteka.
- Kana muine mimwe mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu.
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