Ngaba wena okanye umntwana wakho ninengxaki yokuhlala nigxile? Ngaba niphazamiseka lula? Okanye nithanda ukuphazama kwaye ningxamile? Ezi zinokuba ziimpawu zesifo esisibiza ngokuba yi-Attention-Deficit Hyperactivity Disorder (ADHD) ngokwezonyango. Namhlanje, siza kuthetha ngamayeza anegama elide asetyenziselwa ukunyanga esi sifo.
Lithini eli yeza libizwa ngokuba yiSerdexmethylphenidate; Dexmethylphenidate?
Ngamafutshane, eli liyeza elisetyenziselwa ukunyanga i-ADHD. Kwilizwe lethu, eli yeza lifumaneka phantsi kwegama lophawu lwe -AZSTARYS . Eli likwiklasi yeziyobisi ezibizwa ngokuba zi-stimulants . Khawuthelekelele ukuba ingqondo yakho ifana nendlela exakekileyo. Kukho iimoto ezivela kuyo yonke indawo, kwaye konke kuyafana. Eli yeza lisebenza njengokubeka izibane zendlela kuloo ndlela nokuthumela iimoto ngokulandelelana. Oko kukuthi, livuselela iikhemikhali ezithile engqondweni ezinceda ekugxileni nasekulawuleni ukuziphatha okungxamisekileyo. Ke ngoko, linceda kakhulu ekugcineni ingqalelo kwindawo enye nokunciphisa ukungxamiseka .
Oku akupheleli nje kwi-ADHD, kodwa ugqirha wakho angakunika nezinye iimeko. Ngoko ke ukuba unemibuzo malunga nale mithi, kungcono ubuze ugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba uqalise eli yeza kuwe okanye kumntwana wakho, kubaluleke kakhulu ukwazisa ugqirha wakho ngembali yakho epheleleyo yempilo. Eli yeza lisenokungahambelani nezinye iimeko zempilo. Ukuba wena okanye nabani na kusapho lwakho unenye yezi zilandelayo, qiniseka ukuba ubaxelela ngalo.
- Iingxaki zentliziyo: Ukuba ukhe waba nesifo sentliziyo ngaphambili, unesinye isifo sentliziyo okanye iziphene zentliziyo ozelwe nazo , unoxinzelelo lwegazi oluphezulu , okanye ukubetha kwentliziyo okungahambelaniyo , kufuneka uxelele ugqirha wakho.
- Iingxaki zokujikeleza kwegazi: Imeko apho iminwe neenzwane ziba ndindisholo xa kubanda, zijika zibe mhlophe, zibe luhlaza okwesibhakabhaka, zize ziphinde zibe bomvu kwakhona, njengesiganeko sikaRaynaud .
- Iingxaki zempilo yengqondo: Ukuba ukhe waba nesifo sengqondo ngaphambili, iingcinga zokuzenzakalisa , okanye uzama ukwenza njalo (nokuba wena okanye ilungu losapho), xelela ugqirha wakho.
- Ezinye iimeko zonyango: Ukuba ukhe waba nestroke , ukuba une-anorexia, ukuba unembali yokuba likhoboka leziyobisi okanye utywala.
- Okunye ukusetyenziswa kweziyobisi: WenaQiniseka ukuba uxelela ugqirha wakho ukuba usebenzise uhlobo lwe-MAOI (iMonoamine Oxidase Inhibitors) (umz. iMarplan, iNardil, iParnate) kwiintsuku ezili-14 ezidlulileyo . Ukusela la mayeza mabini kunye kunokuba yingozi.
- Ii-Allergies: Ukuba une-allergy kule yeza (serdexmethylphenidate, dexmethylphenidate, methylphenidate) okanye naliphi na elinye iyeza, ukutya, okanye isithinteli sezifo.
- Ukukhulelwa nokuncancisa: Ukuba ukhulelwe , uzama ukukhulelwa , okanye uncancisa .
Ngokunika ugqirha wakho olu lwazi, unokugqiba ngokuchanekileyo ukuba eli yeza lifanelekile kuwe okanye akunjalo, kwaye kufuneka libe lingakanani idosi.
Ndingayisebenzisa njani le mithi?
Oku kubaluleke kakhulu. Ukuze ufumane okuninzi kwiyeza, kufuneka ulisebenzise ngokuchanekileyo.
1. Indlela yokusela: Eli yeza lifanele lithathwe ngomlomo kunye neglasi yamanzi. Zama ukulithatha ngexesha elifanayo yonke imihla. Lithathe kanye njengoko ugqirha wakho ekuxelele.
2. Ikhaphu: Musa ukuyiqhekeza, ukuyityumza, okanye ukuyihlafuna ikhaphu. Ginya yonke.
3. Ukuba unengxaki yokuginya: Abanye abantu banengxaki yokuginya iikhaphu. Kwimeko enjalo, ungayivula ngononophelo ikhaphu, udibanise umgubo weyeza ngaphakathi kunye nethisipuni ye-applesauce, uze uyiginye ngoko nangoko . Kodwa khumbula, musa ukuhlafuna i-applesauce enonyango.
4. Ukutya okanye ngaphandle kokutya?: Oku kungasetyenziswa nokutya okanye ngaphandle kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukukuthatha nokutya.
Xa kunikwa abantwana abancinci
Eli yeza likwanikwa abantwana abaneminyaka engaphezu kwemithandathu ubudala. Nangona kunjalo, kukho amanyathelo athile okhuseleko akhethekileyo ekufuneka athathwe xa enikwa abantwana. Ugqirha wakho uza kukuchazela la mayeza.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Musa nokucinga ngayo loo nto, kodwa ukuba ngengozi uthabathe eli yeza lingaphezulu kunelo limiselweyo, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Eli yeza limiselwe wena wedwa. Ungaze ulinike omnye umntu. Lisenokuba yingozi kwaye alivumelekanga.
Wenza ntoni ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo.Ungaze uye kuthenga izidlo ezibini ngaxeshanye.
Ezinye izinto ezinokusebenzisana nale mithi
Kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye neemveliso zezityalo), njengoko amanye amayeza enokuthi adibane nalo.
Kukho amayeza athile angacetyiswayo ngokukodwa ukuba asetyenziswe kunye nale yeza:
- Ii-MAOI (ezifana noMarplan, uNardil, uParnate)
- U-Ozanimod
Kwakhona, kukho ezinye iintlobo zamayeza ezinokubangela iingxaki :
- Amanye amayeza oxinzelelo lwegazi kunye nesifo sentliziyo
- Amayeza eemeko ezinje ngokudakumba kunye nokuxhalaba
- Ezinye iintlungu zentlungu (ii-opioids)
- Amayeza afana neLinezolid, iMethylene blue, iRisperidone, iSt. John's wort
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngayo yonke into oyithathayo. Kwakhona, mxelele ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Ugqirha wakho uza kukujonga rhoqo ngelixa usela eli yeza, ngoko ungalibali ukuya ekliniki ngemihla yakho ecwangcisiweyo.
- Umngcipheko wokulutha: Xa eli yeza lisetyenziswa ixesha elide, ingakumbi xa lisetyenziswa kakhulu, umzimba nengqondo zinokuxhomekeka kulo. Ngoko ke, ungaze uthathe ngaphezu komlinganiselo owuxelelwa ngugqirha wakho.
- Ukuthabatha ikhefu kumayeza: Ngamanye amaxesha ugqirha wakho uya kukuxelela ukuba uthathe ikhefu kula mayeza ngeempelaveki nangeeholide. Oku kunokunciphisa umngcipheko wokuxhomekeka kuwo. Kodwa kufuneka ukwenze oku kuphela ngokwengcebiso kagqirha wakho.
- Imiphumo ekulaleni: Eli yeza lingenza kube nzima ukulala ukuba lithathwe ebusuku. Ngoko ke, lithathe ngexesha ugqirha wakho akuxelele ngalo.
- Ukulahlekelwa yimdla wokutya: Usenokuphelelwa yimdla wokutya xa uqala ukuthatha iyeza. Eyona ndlela ilungileyo yokujongana noku kukutya ukutya okuncinci amaxesha amaninzi ngemini , endaweni yokutya isidlo esikhulu ngaxeshanye. Ukuba oku kuyaqhubeka, xelela ugqirha wakho. Ukuphakama nobunzima babantwana kufuneka kuhlolwe rhoqo.
- Utyando: Ukuba uza kwenziwa utyando, i-MRI, okanye i-CT scan, xelela iqela lezonyango ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa ngaphambi kokuba kwenziwe inkqubo .
Masifunde ngemiphumo emibi.
Njengazo zonke amayeza, le inokuba nemiphumo emibi. Kodwa ayinguye wonke umntu oyifumanayo. Eminye iyingozi, eminye ixhaphakile. Masiyichaze.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| 🚨 Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko. | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi. |
| Iimpawu zentliziyo | Intlungu esifubeni, ukuqina, ubunzima bokuphefumla, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukuquleka. |
| Uxinzelelo lwegazi olunyukileyo | Intloko ebuhlungu kakhulu, isiyezi. |
| Utshintsho lwengqondo kunye nokuziphatha | Umsindo ongaqhelekanga, ukuphazamiseka kwengqondo, ukudideka kwengqondo, ukubona izinto ezingekhoyo, iingcinga zokuzibulala. |
| Iimpawu zeRaynaud syndrome | Ukubanda, ukungaziva, iintlungu, utshintsho lombala (omhlophe, oluhlaza okwesibhakabhaka, obomvu) kwiminwe nakwiinzwane. |
| Iimpawu zeStroke | Ukungaziva ngqindilili kwelinye icala lobuso, ingalo, okanye umlenze, ubunzima bokuthetha, ubunzima bokuhamba, intloko ebuhlungu kakhulu. |
| Ukumiswa okuhlala ixesha elide, okubuhlungu | Ukuma okubuhlungu okuhlala ixesha elingaphezulu kweeyure ezi-4 (ukuma okude). Le yimeko engxamisekileyo. |
| 🙂 Ngokwesiqhelo ayisiyongxaki inzulu, kodwa ukuba iyaqhubeka, bonana nogqirha.Izinto onokuzithetha | |
| Umlomo owomileyo | Sela amanzi amancinci uze uhlafune itshungama engenaswekile. |
| Intloko ebuhlungu | Buza ugqirha wakho malunga nonyango oluqhelekileyo lokunciphisa iintlungu. |
| Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba | Yitya ukutya okuncinci. Ukuba kuyaqhubeka, xelela ugqirha . |
| Intlungu yesisu, isicaphucaphu | Zama ukusela amayeza kunye nokutya. |
| Ukungalali | Sela iyeza kusasa. Musa ukulisela ebusuku. |
Ungayikhusela njani imithi?
- Gcina eli yeza kude nabantwana: Gcina eli yeza livalelwe kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya . Likhusele ekubiweni kuba eli liyeza elingasetyenziswa gwenxa.
- Indawo yokugcina: Gcina kubushushu begumbi (20-25 degrees Celsius). Khusela ekukhanyeni nasekufumeni. Gcina ibhotile ivaliwe kakuhle.
- Iyeza eliphelelwe lixesha: Musa ukulisebenzisa nangasiphi na isizathu emva komhla wokuphelelwa.
- Ukulahlwa: Kubalulekile ukulahla ngokukhuselekileyo amayeza aseleyo okanye aphelelwe lixesha. La mayeza anokuba yingozi ukuba awela ezandleni ezingafanelekanga. Cela ingcebiso kugqirha wakho malunga nendlela echanekileyo yokulahla amayeza akho. Ezinye iinkqubo ziyawamkela amayeza angasetyenziswanga. Ukuba akunjalo, susa amayeza kwisikhongozeli, udibanise nento efana nekofu esetyenzisiweyo okanye umhlaba, uyivale kakuhle ebhegini okanye kwisikhongozeli, uze uyifake kwinkunkuma.
Umyalezo Wokuya Ekhaya
- Eli yeza lifanele lisetyenziswe kuphela njengoko ugqirha ekuyalele. Landela idosi kunye nemiyalelo enikiweyo ngugqirha ngokuchanekileyo.
- Ungalibali ukuxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na iingxaki zempilo onazo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu (ezifana neentlungu zesifuba, ubunzima bokuphefumla, utshintsho olukhulu engqondweni) , funa ingcebiso kagqirha ngoko nangoko.
- Ungaze unike omnye umntu eli yeza. Linokuba yingozi kakhulu kubo.
- Gcina amayeza kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya.
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