Ngaba ngamanye amaxesha uvakalelwa kukuba umntwana wakho akakwazi ukuhlala phantsi aze angenzi msebenzi wasekhaya omncinci, uhlala ephazamiseka, kwaye akaphulaphuli into oyithethayo? Okanye, abanye abantu abadala banokuba nomkhwa wokutya ukutya okuninzi ngaxeshanye, bengakwazi ukulawula ubungakanani bokutya abakutyayo. Elinye lamayeza acetyiswa ngoogqirha kwiimeko ezinjalo yiLisdexamfetamine. Namhlanje, siza kuthetha ngeli yeza ngokweenkcukacha, ngokungathi sithetha nomhlobo.
Luhlobo luni lweyeza iLisdexamfetamine?
Ngamafutshane, i-lisdexamfetamine liyeza elisetyenziselwa ukunyanga i-Attention-Deficit Hyperactivity Disorder (ADHD) . Usenokuba uqaphele ukuba abanye abantwana (kwaye ngamanye amaxesha abantu abaselula) abaphumli, bayadideka, banengxaki yokugxila, kwaye banengxaki yokunikela ingqalelo kumsebenzi wesikolo. Eli yeza linikwa ikakhulu abo banezi mpawu.
Akuphelelanga apho, kukho nenye imeko ekhethekileyo apho eli yeza lisetyenziswa khona. Oko kukuthi, i-Binge Eating Disorder . Kule meko, umntu akanakulawula ubungakanani bokutya akutyayo kwaye utya ukutya okuninzi rhoqo. I-Lisdexamfetamine ikwasetyenziswa kule meko.
Eli yeza lisebenza ngokutshintsha umsebenzi weekhemikhali ezithile (ii-neurotransmitters) engqondweni yethu. Le yindlela elinciphisa ngayo izinto ezifana nokusebenza kakhulu, ukuziphatha okungxamisekileyo, kunye nokwandisa amandla okugxila. Eli yeza likwiklasi yeziyobisi ezibizwa ngokuba zi-stimulants .
Khumbula, oogqirha banokukunika eli yeza ngezinye izizathu, ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ingcali yezemithi.
Eli yeza lifumaneka kakhulu kwamanye amazwe phantsi kwegama leVyvanse .
Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndiqalise eli yeza?
Ewe, oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa i-lisdexamfetamine, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi. Oku kungenxa yokuba kulapho kuphela apho ugqirha wakho aya kukwazi ukugqiba ukuba eli yeza likulungele na okanye indlela yokulinika.
Nazi ezo meko:
- Ukuba uhlala uziva uxhalabile okanye uphazamisekile .
- Ukuba uneengxaki zokujikeleza kwegazi kwiminwe yakho nakwiinzwane (umz., iminwe yakho ijika ibe mthubi, ibe luhlaza okwesibhakabhaka, okanye ingabi nanto).
- Ukuba une -glaucoma, isifo apho uxinzelelo emehlweni lunyuka khona.
- Ukuba kukho ukuqina okanye ukuvaleka kwemithambo yegazi ngenxa yokugcwala kwamafutha kwimithambo yegazi okanye ukuba kukho iingxaki kwimithambo yegazi yentliziyo.
- Ukuba unesifo sentliziyo okanye uneengxaki zentliziyo ozalwe nazo.
- Ukuba une- high blood pressure .
- Ukuba ukhe wasebenzisa iziyobisi okanye utywala ngaphambili (Imbali yengxaki yokusebenzisa iziyobisi okanye utywala gwenxa) .
- Ukuba ukhe wahlaselwa sistroke ngaphambili.
- Ukuba unesifo sezintso .
- Ukuba unesifo sesibindi .
- Ukuba unesifo sengqondo (umz., isifo se-bipolar, i-schizophrenia )
- Ukuba uneemeko ezifana nokuxhuzula okanye ukuxhuzula.
- Ukuba ukhe wacinga, waceba, okanye wazama ukuzibulala , okanye ukuba kukho umntu kusapho lwakho oye wakwenza oko.
- Ukuba unesifo se-thyroid .
- Ukuba unesifo sikaTourette (imeko ebangela iintshukumo okanye izandi ngequbuliso, ezingalawulekiyo).
- Ukuba ngaphambili ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwi-lisdexamfetamine, amanye amayeza, ukutya, iidayi, okanye izithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Musa ukuba neentloni zokuthetha ezi zinto. Olu lwazi lubaluleke kakhulu kukhuseleko lwakho kunye nokufumana okuninzi kumayeza akho.
Kulungile, ngoku makhe sibone indlela yokusebenzisa eli yeza ngqo.
Eli yeza lidla ngokuza likwimo yekhaphu . Lithathwa ngomlomo.
- Ufanele uthathe amayeza amiselweyo, ngexesha elimiselweyo, kwidosi emiselweyo, njengoko kumiselwe ngugqirha wakho.
- Ginya ikhapsuli ngeglasi yamanzi.
- Ngamanye amaxesha, ukuba unengxaki yokuginya ikhapsuli, ungayivula ngononophelo ikhapsuli, ugalele umgubo kwiglasi yamanzi, uxube kakuhle, uze uyisele ngoko nangoko . Nangona kunjalo, kungcono ubuze ugqirha wakho okanye ikhemisti kuqala ukuba akunike icebiso.
- Sela amayeza akho njengoko uyalelwe. Musa ukuthatha amayeza angaphezu kwalawo ugqirha wakho akuxelele wona, okanye uwathathe rhoqo.
- Akuyongcinga ilungileyo ukuyeka ukusebenzisa eli yeza ngequbuliso. Ukwenza njalo kunokubangela iziphumo zokurhoxa. Ngoko ke, ukuba uyayeka ukusebenzisa eli yeza, yenza njalo njengoko ugqirha wakho ekuyalele, wehlise kancinci kancinci umthamo.
- Ikhemesti apho ufumana khona amayeza akho iza kukunika incwadana yolwazi ekhethekileyo (iMedGuide) malunga nale yeza. Yifunde ngononophelo ngalo lonke ixesha ufumana amayeza akho, kwaye ngalo lonke ixesha ufumana ukuphinda uwazalise. Iqulethe ulwazi olubalulekileyo.
Ukuba unika abantwana eli yeza:
Oogqirha banokunika abantwana abaneminyaka emi-6 ubudala eli yeza kwiimeko ezithile. Nangona kunjalo, kukho amanyathelo akhethekileyo okuzikhusela. Ngoko ke, ukuba unika umntwana eli yeza, thetha nogqirha ngononophelo kwaye umchazele yonke into.
Umthamo ogqithisileyo:
Ukuba ucinga ukuba usele kakhulu eli yeza, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba kwiziko lokulawula ityhefu .
Okubaluleke kakhulu: Eli yeza lelakho wedwa. Musa ukunika omnye umntu eli yeza nangasiphi na isizathu . Ukwenza njalo kuyingozi kwaye kuchasene nomthetho.
Ndenze ntoni ukuba ndilibele ukuthatha idosi?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe ngawo uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iidosi eziphindwe kabini okanye ezongezelelweyo ukuze ubuyisele umthamo olibalekileyo.
Ngawaphi amanye amayeza angafanele asetyenziswe kunye nale yeza, okanye ngawaphi amanye amayeza anokubangela iziphumo ebezingalindelekanga?
Le yingongoma ebaluleke kakhulu. Xa iyeza i-lisdexamfetamine lisetyenziswa kunye namanye amayeza athile, linokubangela iziphumo ezimbi okanye lichaphazele ukusebenza kakuhle kweyeza.
Musa ukuthatha i-lisdexamfetamine kunye namayeza alandelayo:
- Amayeza akudidi lwamayeza abizwa ngokuba yi -MAOIs (Monoamine Oxidase Inhibitors) (umz. iCarbex, iEldepryl, iMarplan, iNardil, iParnate). Ukuba uthatha elinye lala mayeza, akucetyiswa ukuba uqale i-lisdexamfetamine de kube ziiveki ezimbini ubuncinci emva kokuyiyeka.
- Amanye amayeza okuvuselela ingqondo, ukunciphisa umzimba, okanye ukukunceda uhlale uphaphile.
Ukongeza, la mayeza alandelayo anokusebenzisana ne-lisdexamfetamine:
- I-Acetazolamide
- I-ammonium chloride
- Ii-antacids - Amayeza e-gastritis
- I-Ascorbic acid - iVithamin C
- I-Atomoxetine
- I-Caffeine - ifumaneka kwikofu, iti, nakwezinye iziselo ezibandayo
- Amanye amayeza oxinzelelo lwegazi oluphezulu
- Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
- Amanye amayeza okuxhuzula (umz. iCarbamazepine, iPhenobarbital, iPhenytoin)
- Amanye amayeza eengxaki zesisu (umz. iCimetidine , iFamotidine, iOmeprazole, iLansoprazole)
- Amanye amayeza omkhuhlane okanye i-aleji
- Iti eluhlaza
- I-Levodopa
- I-Linezolid - i-antibiotic
- Amayeza okuthomalalisa umzimba ngexesha lotyando
- I-Methenamine
- I-Norepinephrine
- IiPhenothiazines (umz. iChlorpromazine, iMesoridazine, iProchlorperazine, iThioridazine)
- I-Propoxyphene
- I-sodium acid phosphate
- I-sodium bicarbonate
Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza kagqirha, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, kunye nezongezo zokutya). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokudibana nalo mayeza.
Zeziphi izinto ekufuneka sizilumkele ngakumbi xa sisebenzisa eli yeza?
Ewe, kufuneka ulumke kancinci xa usebenzisa eli yeza.
- Ukuhlolwa rhoqo: Yiya kugqirha wakho ngamaxesha athile njengoko kuyalelwe ngugqirha wakho. Kusenokubakho iinkqubo ezikhethekileyo ekufuneka uzilandele wena, ugqirha wakho , kunye nekhemesti xa unika eli yeza. Umzekelo, unokufuna ukufumana iresiphi entsha ebhaliweyo kugqirha wakho ngalo lonke ixesha xa ufuna ukuphinda uzalise.
- Ingqalelo: Eli yeza linokukuchaphazela ukugxininisa kwakho okanye likwenze ungadinwa kakhulu. Ngoko ke, musa ukuqhuba, ukukhwela ibhayisekile, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuba ulumke kakhulu ude wazi kakuhle ukuba eli yeza likuchaphazela njani.
- Ukuba iyeza alisebenzi: Ukuba uvakalelwa kukuba iyeza alisebenzi kakuhle, okanye ukuba uvakalelwa kukuba kufuneka uthathe ngaphezu komlinganiselo owunikwe ngugqirha wakho, thetha nogqirha wakho ngoko nangoko. Musa ukutshintsha umthamo weyeza lakho ngaphandle kwengcebiso kagqirha wakho.
- Ukulahlekelwa yimdla wokutya: Kuqhelekile ukuba umntu angabi namdla wokutya xa eqala eli yeza. Ungayilungisa le nto ngokutya ukutya okuncinci, rhoqo okanye izimuncumuncu. Ukuba uyaqhubeka nokulahlekelwa yimdla wokutya, thetha nogqirha wakho. Ukuba umntwana usebenzisa eli yeza, ugqirha uya kujonga ubude nobunzima bomntwana rhoqo.
- Imiphumo ekulaleni: Eli yeza lingenza kube nzima ukulala ukuba lithathwa ebusuku. Ngoko ke, musa ukulisebenzisa eli yeza ebusuku kakhulu.
- Utyando okanye olunye uvavanyo lwezonyango: Ukuba uza kwenziwa utyando, i-MRI, i-CT scan, okanye naluphi na olunye unyango, qiniseka ukuba uxelele ugqirha wakho ukuba usebenzisa eli yeza. Kusenokufuneka uyeke ukulisebenzisa ixesha elithile ngaphambi kokuba kwenziwe olu tyando.
- Iingxaki zeminwe:Xelela ugqirha wakho ngoko nangoko ukuba ufumana amanxeba angaziwayo ezandleni zakho, ezinyaweni, okanye kwiminwe ngelixa usebenzisa eli yeza. Kwakhona, xelela ugqirha wakho ukuba iminwe yakho iyaba ndindisholo, ibuhlungu, itshintsha umbala wolusu, okanye iyaba novelwano kubushushu. Oku kungaba luphawu lwento kaRaynaud .
Ingaba kukho naziphi na iziphumo ebezingalindelekanga? Zithini?
Njengalo naliphi na iyeza, i-lisdexamfetamine inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ungakhathazeki, ayinguye wonke umntu oza kuzifumana. Nokuba zinokuba njalo, ezinye zazo azibi kakhulu kwaye ziya kuphela emva kweentsuku ezimbalwa.
Nangona kunjalo, ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezilandelayo, kufuneka uxelele ugqirha wakho ngokukhawuleza:
- Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
- Utshintsho lwesingqi sentliziyo: Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuziva ubuthathaka okanye intloko ebuhlungu, iintlungu esifubeni, ubunzima bokuphefumla.
- Ukunyuka koxinzelelo lwegazi.
- Utshintsho kwindlela ovakalelwa ngayo kunye nendlela oziphatha ngayo: Ixhala, Uloyiko, Ukudideka, Ukungaboni Nganto, Ukucaphuka, Intiyo, Iingcinga zokuzibulala okanye ukuzenzakalisa, Ukuwohloka kwemood, Iimvakalelo zokudakumba.
- Ukuma okubuhlungu okanye okuhlala ixesha elide (kumadoda)
- Ingxaki kaRaynaud: ukubanda, ukungaziva, iintlungu, kunye nokutshintsha kombala weminwe, oluhlaza okwesibhakabhaka, okanye obomvu.
- Istroke kubantu abadala: Ukungaziva okanye ubuthathaka bobuso, ingalo, okanye umlenze ngequbuliso, ubunzima bokuthetha, ukudideka, ubunzima bokuhamba, ukulahleka kokulinganisela, isiyezi, intloko ebuhlungu kakhulu, utshintsho lombono.
Iziphumo ebezingalindelekanga ezingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:
- Ixhala, uvalo
- Umbono ofipheleyo
- Intloko ebuhlungu
- Ukulahlekelwa ngumdla wokutya
- Isicaphucaphu
- Ingxaki yokulala
- Ukuhla ukusinda
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo.
Ndingaligcina njani eli yeza likhuselekile?
Oku kubaluleke kakhulu.
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Eli yezaIngasetyenziswa gwenxa . Ngoko ke, gcina amayeza akho kwindawo ekhuselekileyo ukuze uwakhusele ekubiweni .
- Musa ukwabelana ngeli yeza nabani na. Ukuthengisa okanye ukunika abanye eli yeza kuyingozi kwaye kuchasene nomthetho.
- Gcina kubushushu begumbi , phakathi kwe-15°C kunye ne-30°C. Khusela ekukhanyeni. Gcina ibhotile/ipakethi yamayeza ivaliwe kakuhle.
- Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.
Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, sithethe kakhulu ngeLisdexamfetamine, akunjalo? Eli yeza linokunceda kwiimeko ezifana ne-ADHD kunye ne-Binge Eating Disorder. Kodwa kubalulekile ukulisebenzisa kanye njengoko ugqirha wakho ekuyalele.
Khumbula, eli nqaku lenzelwe ulwazi ngokubanzi kuphela. Ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo ngokusekelwe kwimeko yakho ethile. Ngoko ke, nokuba zithini na iingxaki zakho, ungathandabuzi ukuthetha nogqirha wakho. Impilo yakho ibaluleke kakhulu kuwe njengokuba ibaluleke nakuthi!
Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ngaba iLisdexamfetamine (Vyvanse) liyeza elonyusa ingqalelo yabantwana?
Ewe! Eli liyeza elinamandla kakhulu (elivuselelayo)! Eli linikwa ikakhulu abantwana kunye nabantu abadala abane-ADHD (Attention Deficit Hyperactivity Disorder). Xa linikwa abo bathe saa, bedidekile, kwaye benengxaki yokuhlala kwindawo enye, linyusa iikhemikhali engqondweni (iDopamine, iNorepinephrine), nto leyo ebenza bazole kakhulu kwaye bakwazi ukugxila kumsebenzi omnye.
💬 Kutheni oku kunikwa ngenxa ye-Binge Eating Disorder (BED)?
Le yenye inzuzo enkulu yale mithi! I-BED sisifo sengqondo apho utya ngokungalawulekiyo nangokungalawulekiyo xa ungalambanga, kodwa xa uxinezelekile okanye ulusizi. Xa usela i-Vyvanse (lisdexamfetamine), iminqweno yengqondo yokutya iyacinezelwa ngokupheleleyo. Oku kwenza kube lula kwisigulana ukulawula ukutya kwaso.
💬 Ngaba eli yeza linokuba ngumlutha? Zithini iziphumo ebezingalindelekanga?
Eli yeza (iVyvanse) likudidi lwe-Amphetamine, ngoko ke linamandla aphezulu okusetyenziswa gwenxa (ukuba lisetyenziswa njengomgubo/ukusetyenziswa gwenxa endaweni yeepilisi). Iziphumo ebezingalindelekanga ziquka ukwehla kobunzima ebantwaneni (ngenxa yokungathandi ukutya), ukungalali, kunye nokubetha kwentliziyo ngokukhawuleza. Ke ngoko, eli liyeza elinikwa kuphela phantsi kweliso elingqongqo lezonyango kunye nomyalelo kagqirha!
I- Lisdexamfetamine, iLisdexamfetamine, i-ADHD, i-Attention Deficit Hyperactivity Disorder, i-Binge Eating Disorder, Ukutya kakhulu, izinto ezivuselelayo, izinto ezivuselelayo, i-Vyvanse
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