Ngaba awunalo ulwazi olupheleleyo? Ngaba uhlala ulele? (Methylphenidate) Masifunde ngesiyobisi?

Wena okanye umntwana wakho ninokuba nobunzima bokugxila kwinto enye ngamanye amaxesha, akunjalo? Okanye uziva ngathi ulala nje emini? Khawucinge nje, umntwana wakho ujikeleza eklasini, engakwazi ukugxila kwizifundo zakhe, ekhathaza abanye abantwana, engawenzi kakuhle umsebenzi wakhe wesikolo... Kulapho oogqirha befumanisa khona ukuba i-Attention-Deficit Hyperactivity Disorder (ADHD) baze banike amayeza ukuba kuyimfuneko. Okanye khawucinge ukuba ngequbuliso ulala ungalawulekiyo ngelixa usebenza eofisini okanye ngelixa uqhuba imoto. Oku kuyingozi kakhulu, akunjalo? Oku kubizwa ngokuba yi -narcolepsy . Ukunceda kwiimeko ezinjalo, oogqirha ngamanye amaxesha banika iyeza elibizwa ngokuba yi-(Methylphenidate). Eli likwiqela lamayeza abizwa ngokuba zi-stimulants . Ngamafutshane, liphucula amandla akho okugxila, linceda ukulawula ukungazinzi, i-pulses, kwaye likunceda uhlale uphaphile. Namhlanje, siza kuthetha okungakumbi ngeli yeza (Methylphenidate). Likwabizwa ngegama lophawu (Methylin).

Yintoni omele uyixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Kulungile, ngoku ngaphambi kokuba ugqirha wakho akunike eli yeza (iMethylphenidate), kubaluleke kakhulu ukuba umxelele ngemeko yakho yempilo. Kuba abanye abantu abaneengxaki ezithile zempilo basenokungafaneleki kweli yeza, okanye kunokubakho amanyathelo akhethekileyo okhuseleko ekufuneka uwathathe. Ukuba unayo nayiphi na kwezi meko, ngokuqinisekileyo kufuneka umxelele ugqirha wakho, akunjalo?

• Ukuba uhlala unexhala okanye uhlaselwa luloyiko .
• Ukuba uneengxaki zokujikeleza kwegazi kwiminwe yakho nasezinzwaneni.
• Ukuba une -glaucoma .
• Ukuba uqinile okanye uvalekile kwimithambo yegazi okanye kwimithambo yegazi yentliziyo .
• Ukuba unesifo sentliziyo okanye uneengxaki zentliziyo ozalwe nazo .
• Ukuba une- high blood pressure .
• Ukuba unembali yeengxaki zokusebenzisa iziyobisi okanye utywala gwenxa .
• Ukuba ukhe waba nembali yestroke .
• Ukuba unesifo sesibindi .
• Ukuba unesifo sengqondo .
• Ukuba une -motortics ( ukushukuma kwamalungu omzimba ngokungazikhetheliyo) okanye ukuba umntu kusapho lwakho unesifo esibizwa ngokuba yiTourette's syndrome .
• 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 wakha waba nempendulo engaqhelekanga okanye ye-allergy kule yeza (iMethylphenidate), amanye amayeza, ukutya, iidayi okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa .
• Ukuba uncancisa .

Xa ugqirha esazi ngezi zinto, unokugqiba ngokuchanekileyo ukuba eli yeza lifanelekile kuwe okanye akunjalo, kwaye angalinika njani.

Ndingayisebenzisa njani kanye kanye le yeza?

Eli yeza (iMethylphenidate) liza lilulwelo, oko kukuthi, isiraphu. Ufanele ulithathe kanye njengoko ugqirha wakho ekuyalele, ngobungakanani obumiselweyo, nangexesha elimiselweyo.

• Icephe lokulinganisa: Eli licephe okanye indebe ekhethekileyo (icephe okanye isitya esiphawulwe ngokukodwa) esinokusetyenziselwa ukulinganisa ubungakanani beyeza ngqo. Ukuba awunalo, buza ingcali yezemithi. Akufuneki usebenzise iitisipuni okanye iitisipuni eziqhelekileyo onazo ekhaya? Abayi kulinganisa ubungakanani obuchanekileyo.
• Ixesha lokulisebenzisa: Kungcono ukulisebenzisa eli yeza imizuzu engama-30 ukuya kwengama-45 ngaphambi kokutya . Nangona kunjalo, ukuba ugqirha wakho ukuxelela ngenye indlela, yenza njalo.
• Amaxesha athile: Sela amayeza akho ngamaxesha aqhelekileyo emini njengoko kuyalelwe ngugqirha wakho. Uninzi lwabantu luya kukuxelela ukuba uthathe idosi yakho yokugqibela yosuku ubuncinane iiyure ezi-4 ukuya kwezi-6 ngaphambi kokulala. Ngaphandle koko, usenokungakwazi ukulala.
• Musa ukuthatha ngaphezu komlinganiselo omiselweyo: Musa ukuthatha ngaphezu komlinganiselo omiselwe ngugqirha wakho, okanye uwuthathe rhoqo.

Incwadana yemiyalelo ekhethekileyo (MedGuide): Ngalo lonke ixesha unikwa eli yeza yikhemesti, nokuba kuxa ufumana i-refill okanye xa usiya kulifumana kwakhona, uya kunikwa incwadana yemiyalelo ekhethekileyo (MedGuide) . Iqulethe ulwazi olubaluleke kakhulu malunga neli yeza. Hlala ukhumbula ukulifunda ngononophelo.

Xa kunikwa abantwana: Eli yeza ngamanye amaxesha linikwa abantwana abaneminyaka emi-6 ubudala. Nangona kunjalo, kukho izinto ekufuneka uzilumkele xa ulinika umntwana wakho. Ke ngoko, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngalo ngononophelo uze ufumane iinkcukacha.

I-Overdose: Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko .

Eli yeza lenzelwe wena kuphela:Eli liyeza olinikwe ngugqirha. Ungaliniki omnye umntu. Liyingozi kwaye lichasene nomthetho.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

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 ezimbini okanye ezongezelelweyo nangaliphi na ixesha.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Xa usela eli yeza (iMethylphenidate), lisenokudibana namanye amayeza. Oku kuthetha ukuba xa lisetyenziswa kunye nelo yeza, lisenokutshintsha indlela elisebenza ngayo okanye lonyuse iziphumo zalo ezingalindelekanga.

Musa ukuthatha iMethylphenidate kunye namayeza alandelayo:

• I-Lithium
• Ii-MAOI (umz. iCarbex, iEldepryl, iMarplan, iNardil, iParnate)
• Amanye amayeza okuvuselela ingqondo, ukunciphisa umzimba, okanye ukukunceda uhlale uphaphile
• I-Procarbazine

La mayeza anokusebenzisana ne-methylphenidate. Ngoko ke xelela ugqirha wakho ukuba usebenzisa la mayeza:

• I-Atomoxetine
• I-Caffeine (efumaneka kwikofu, iti, nakwezinye iziselo ezibandayo)
• Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• Amanye amayeza okudakumba, ixhala, okanye ukugula ngengqondo
• Amanye amayeza asetyenziselwa ukuxhuzula (umz. i-carbamazepine, i-phenobarbital, i-phenytoin)
• Amanye amayeza omkhuhlane okanye i-aleji
• I-Warfarin (iyeza elinciphisa ukujiya kwegazi)

Olu luhlu alubandakanyi zonke iindlela zokunxibelelana ezinokwenzeka. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, iivithamini, kunye nezongezo). Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni, njengoko ezi zinokuchaphazela eli yeza.

Yintoni omele uyilumkele xa usebenzisa eli yeza?

Ngelixa usebenzisa eli yeza, kufuneka uhlolwe rhoqo ngugqirha wakho. Ekubeni eli liyeza elibhalwe ngugqirha, kuya kufuneka ufumane iphepha elitsha elibhaliweyo kugqirha wakho ngalo lonke ixesha xa ufuna ukuphinda uligcwalise.

• Ingqalelo kunye nokudinwa: Eli yeza lisenokuchaphazela ingqalelo yakho okanye likwenze ungaziva udiniwe. Ngoko ke, musa ukuqhuba, ukukhwela ibhayisekile, ukusebenzisa oomatshini, okanye ukwenza eminye imisebenzi efuna ukugxininiswa kwengqondo ude wazi kakuhle ukuba eli yeza likuchaphazela njani.
• Ukuba isiphumo seyeza siyancipha:Ukuba uvakalelwa kukuba iyeza alisebenzi kakuhle njengoko kufanele lisebenze, okanye ukuba uvakalelwa kukuba kufuneka uthathe ngaphezu komlinganiselo omiselweyo, xelela ugqirha wakho. Musa ukutshintsha umthamo weyeza ngaphandle kokuthetha nogqirha wakho.
• Impilo Yamadoda: Ukuba uyindoda, ukuba unesithonga esibuhlungu esihlala iiyure ezingaphezu kwe-4, xelela ugqirha wakho ngoko nangoko. Oku kungaba luphawu lwesifo esinzulu. Ukuba asinyangwa ngokukhawuleza, sinokubangela umonakalo ongunaphakade.
• Ukulahlekelwa yimdla wokutya: Kuqhelekile ukuba umntu alahlekelwe yimdla wokutya xa eqala eli yeza. Ukutya ukutya okuncinci, rhoqo okanye izimuncumuncu kunokunceda. Ukuba ukuphelelwa yimdla wokutya kuyaqhubeka, thetha nogqirha wakho. Ugqirha wakho uhlala ejonga ukukhula nobunzima bomntwana othatha eli yeza.
• Ukulala: Musa ukulisela eli yeza xa sele lisondele ixesha lokulala. Ukwenza njalo kunokubangela ukuba ungalali.
• Utyando okanye uvavanyo: Ukuba uza kwenziwa utyando, i-MRI, i-CT scan, okanye naluphi na olunye unyango, xelela ugqirha wakho ukuba usebenzisa eli yeza. Kusenokufuneka uyeke ukulisebenzisa ngaphambi kokuba kwenziwe olu tyando.
• Izilonda okanye utshintsho kwiminwe yakho: Ukuba ubona amanxeba angachazwanga kwiminwe okanye ezinzwaneni zakho ngelixa usebenzisa eli yeza, xelela ugqirha wakho ngoko nangoko. Kwakhona, xelela iminwe yakho ukuba iziva ingakhululekanga, ibuhlungu, itshintsha umbala wolusu, okanye iyavakalelwa kubushushu.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, eli yeza (iMethylphenidate) linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Kodwa ayingabo bonke abantu abazenzayo. Ezinye zazo zinzulu kwaye kufuneka uxelele ugqirha wakho ngoko nangoko. Ezinye zazo azinzulu kangako, kodwa ukuba ziyaqhubeka, kungcono uxelele ugqirha wakho .

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, 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, uvalo, ukudideka, ukubona izinto ezingekhoyo, ukucaphuka, ubutshaba, iingcinga zokuzibulala okanye ukuzenzakalisa, imeko-bume ewohlokayo, iimvakalelo zokudakumba.
• Ukuma ixesha elide okanye okubuhlungu.
• Isiganeko sikaRaynaud: Iminwe neenzwane ziyabanda, zingabi namvakalelo, okanye zibe buhlungu, kwaye zinokujika zibe mthubi, zibe luhlaza okwesibhakabhaka, okanye zibe bomvu.
• 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 ezihlala zingadingi ngcebiso kagqirha, kodwa kufuneka zixelwe ukuba ziyaqhubeka:

• Ixhala, uvalo
• Umbono ofipheleyo
• Intloko ebuhlungu
• Ukulahlekelwa ngumdla wokutya
• Isicaphucaphu
• Ingxaki yokulala
• Ukuhla ukusinda

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho ukuze akunike icebiso. Ungaxela neziphumo ebezingalindelekanga kwi-FDA ku-1-800-FDA-1088.

Ufanele uwagcine njani amayeza akho? Masicinge nangokhuseleko.

Eli yeza lifanele ligcinwe kude nabantwana nezilwanyana zasekhaya . Eli yeza lingasetyenziswa gwenxa. Ngoko ke, ligcine kwindawo ekhuselekileyo ukuze ulikhusele ekubiweni . Musa ukwabelana ngeli yeza nomnye umntu. Ukulithengisa okanye ukulinika omnye umntu kuyingozi kwaye kuchasene nomthetho.

Gcina kubushushu begumbi (20 ukuya kuma-25 degrees Celsius / 68 ukuya kuma-77 degrees Fahrenheit). Khusela ekukhanyeni nasekufumeni. Gcina isiciko sebhotile sivaliwe kakuhle.

Kubalulekile: Eli yeza linokuba yingozi xa lisetyenziswa ngabanye abantu abadala, abantwana, okanye izilwanyana zasekhaya. Ke ngoko, ukuba uneyeza elingasetyenziswanga eliseleyo, lixube nento efana nenkunkuma yekati okanye ikofu egayiweyo. Emva koko lifake kwibhegi evalwe ngokuqinileyo okanye kwitini yekofu enesiciko uze ulilahle emgqomeni. Musa ukusebenzisa amayeza aphelelwe lixesha.

Le ncwadana sisishwankathelo kuphela. Isenokungabi nalo lonke ulwazi. Ukuba unemibuzo engaphezulu malunga nale yeza, nceda uthethe nogqirha wakho, usokhemesti, okanye umboneleli wezempilo.

Oko kufuneka ukukhumbule koko sithethe ngako (Umyalezo Wokubuyela Ekhaya)

Kulungile, sithethe kakhulu nge-methylphenidate namhlanje, akunjalo? Ngamafutshane, liyeza eliphucula ingqalelo kwaye linciphisa ixhala, kwaye lisetyenziselwa ukunyanga izifo ezifana ne-ADHD kunye ne-Narcolepsy.

• Xelela ugqirha wakho : Qiniseka ukuba uxelela ugqirha wakho ngazo naziphi na ezinye izifo onazo kunye nezinye amayeza owasebenzisayo.
• Yisebenzise ngokuchanekileyo: Yithathe kanye njengoko ugqirha wakho ekuxelele, ngomlinganiselo ofanelekileyo, nangexesha elifanelekileyo. Sebenzisa isixhobo esikhethekileyo sokulinganisa.
• Qaphela iziphumo ebezingalindelekanga:Ukuba ubona naziphi na iziphumo ebezingalindelekanga ezinzulu, xelela ugqirha wakho ngoko nangoko.
• Gcina ukhuselekile: Gcina kude nokufikelela kwabantwana. Lahla naliphi na iyeza eliseleyo ngokufanelekileyo.
• Buza imibuzo: Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungoyiki ukubuza ugqirha wakho okanye ingcali yezemithi.

Impilo yakho ibaluleke kakhulu kuwe, ngoko ke kubaluleke kakhulu ukulandela le miyalelo.

I- Methylphenidate, i-ADHD, i-Narcolepsy, i-stimulant, ingqwalasela, ukugxila, ukusebenza kakhulu, iziphumo ebezingalindelekanga, amayeza