Uma udokotela wakho ekutshelile noma ingane yakho ukuthi unesifo sokungakwazi ukunaka (ADHD), kungenzeka ukuthi unikezwe lo muthi. Unamagama amabili: i-amphetamine kanye ne-dextroamphetamine. Ungakhathazeki, la magama angase azwakale eyinkimbinkimbi kancane. Ake sixoxe ngawo kalula, ngendlela ongayiqonda. Ake sibheke ukuthi ungowani, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi usetshenziswa kakhulu ekwelapheni i-attention deficit hyperactivity disorder (ADHD) . Usebenza ngokwenza izingxenye ezithile zobuchopho zisebenze ukuze kusizwe ukugcina ukugxila nokulawula ukuziphatha okungenangqondo nokungahlaliseki.
Ngaphezu kwalokho, lo muthi ngezinye izikhathi usetshenziselwa ukwelapha isimo esibizwa ngokuthi i-narcolepsy , esibangela ukozela okungazelelwe. Lo muthi usiza ukugcina umzimba nengqondo ziphapheme. Lo muthi ungowesigaba semithi ebizwa ngokuthi izikhuthazi .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Uma ukhuluma nodokotela wakho ngalo muthi, kubalulekile ukumtshela uma wena noma ingane yakho ninezinye zezimo ezilandelayo. Lolu lwazi luzosiza udokotela wakho ukuthi akunike ukwelashwa okuphephile.
- Uma unesifo sokukhathazeka noma ukuhlaselwa uvalo.
- Izinkinga ezinciphisa ukugeleza kwegazi ezithweni nasezinzwaneni, isibonelo, izimo ezifana ne-Raynaud's syndrome.
- I-Glaucoma yisifo lapho ingcindezi esweni ikhuphuka khona.
- Uma uke waba nesifo senhliziyo ngaphambili.
- Noma yisiphi esinye isifo senhliziyo.
- Umfutho wegazi ophezulu.
- Isifo sezinso noma sesibindi.
- Ezinye izinkinga zempilo yengqondo (isib. ukucindezeleka, ukuphazamiseka kwengqondo okuguquguqukayo).
- Izinkinga zokuquleka njengesifo sokuwa.
- Uma uke waba nesifo sohlangothi ngaphambilini.
- Inkinga yokusebenzisa izidakamizwa.
- Uma wena noma othile emndenini wakho ecabanga noma eke wazama ukuzibulala.
- Izifo ze-thyroid.
- Isimo lapho izingxenye zomzimba zihamba khona ngaphandle kokulawulwa, njenge-Tourette syndrome.
- Uma une-allergy kulo muthi noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Uyisebenzisa kanjani kahle le mithi?
Udokotela wakho uzokutshela ngqo ukuthi uwusebenzisa kanjani lo muthi. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
- Leli philisi kufanele liphuzwe ngomlomo. Zama ukuliphuza ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekuyalele.
- Ungayithatha nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuyithatha nokudla.
- Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungalokothi uyeke ukuwuthatha wedwa.
- Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni. Ngezinye izikhathi unikezwa izingane ezineminyaka engu-3 ubudala. Kodwa-ke, kunezinyathelo ezikhethekile zokuqapha.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma usola ngisho nokuncane ukuthi uphuze umuthi omningi kunalokho ocabanga, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi ungowakho wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye. Awusemthethweni futhi uyingozi kakhulu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi ingase ihlangane nalo muthi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Ungalokothi uthathe lo muthi kanye:
- I-Linezolid
- Imithi ye-MAOI (isb. Marplan, Nardil, Parnate)
- I-Methylene eluhlaza okwesibhakabhaka
Lezi zinto zingasabela:
- I-Acetazolamide
- Utshwala
- I-Vitamin C (i-Ascorbic acid)
- Eminye imithi yokwelapha izifo zengqondo njengokucindezeleka nokukhathazeka
- Eminye imithi yokwelapha i-migraines (isb. i-sumatriptan)
- Ezinye izidakamizwa zokuqeda ubuhlungu, ikakhulukazi lezo ezisekilasini le-opioid
- I-sodium bicarbonate
- Imikhiqizo yamakhambi njenge-St. John's wort
- Eminye imithi
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amavithamini, umkhiqizo wamakhambi (izithasiselo), kanye nemithi yendabuko oyithathayo. Futhi, ungakhohlwa ukutshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Bona udokotela wakho njalo: Ngemva kokuqala umuthi, iya kudokotela wakho ngezikhathi ezithile njengoba kuyalelwe bese umtshela ngesimo sakho. Mtshele uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.
- Ingozi yokulutha:Lo muthi ungaba umlutha. Ngakho-ke, sebenzisa kuphela umthamo oshiwo udokotela wakho, futhi kuphela njengoba kuyalelwe. Ungalokothi wandise umthamo ngokwakho. Ngezinye izikhathi udokotela wakho angakucela ukuthi uthathe ikhefu emuthini ngezimpelasonto noma ngamaholide. Khuluma nodokotela wakho ngalokhu.
- Imiphumela ekulaleni: Lo muthi ungenza kube nzima ukulala uma uthathwa kusihlwa noma ebusuku. Ngakho-ke, kungcono ukuwuthatha ekuseni njengoba utshelwe udokotela wakho.
- Ukulahlekelwa yisifiso sokudla: Ungase ulahlekelwe yisifiso sokudla uma uqala ukuthatha lo muthi. Ungazama ukudla ukudla okuncane izikhathi eziningana ngosuku esikhundleni sokudla ukudla okukhulu. Uma lokhu kuqhubeka, tshela udokotela wakho. Uma ingane ithatha lo muthi, kubalulekile ukuqapha ubude nesisindo sayo njalo .
- Izinguquko eminweni: Uma uzwa noma yiziphi izilonda ezingavamile, ukungazweli, ubuhlungu, izinguquko zombala wesikhumba (okhanyayo, oluhlaza okwesibhakabhaka, obomvu), noma ukuzwela ukubanda eminweni noma ezinzwaneni zakho ngenkathi uthatha lo muthi, tshela udokotela wakho ngokushesha.
- Ukuma okubuhlungu: Uma indoda ithola ukuma okuhlala isikhathi esingaphezu kwamahora amane noma kubuhlungu, kungaba yisimo esibi kakhulu. Yiya ekamelweni lezimo eziphuthumayo (ETU) ngokushesha ukuze uvimbele umonakalo ohlala unomphela.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Ithebula elingezansi libonisa ngokucacile.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Kudingeka ukwelashwa ngokushesha. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukujuluka. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Umfutho wegazi okhuphukile | Udokotela kufanele akuhlole. |
| I-Serotonin syndrome | Ukungaphumuli, ukudideka, ukushaya kwenhliziyo okusheshayo, ukuqina kwemisipha noma ukudikiza, ukujuluka ngokweqile, umkhuhlane, ukuxhuzula, ukuhlanza, isifo sohudo. |
| Izinguquko esimweni sengqondo nasekuziphatheni | Ukucasuka okungavamile, ubutha, imibono engekho, imicabango yokuzibulala, ukucindezeleka okukhulu. |
| Izimpawu zesifo sohlangothi | Ukuba ndikindiki noma ubuthakathaka ohlangothini olulodwa lobuso, ingalo, noma umlenze, ubunzima bokukhuluma, ubunzima bokuhamba, ikhanda elibuhlungu kakhulu. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Umlomo owomile | Phuza amanzi engeziwe. Ukuhlafuna itshungama engenashukela kungasiza. |
| Ikhanda elibuhlungu | Buza udokotela wakho ngomuthi wokuqeda izinhlungu ojwayelekile. |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo | Yidla kancane izikhathi eziningana ngosuku. Uma kuqhubeka, tshela udokotela wakho . |
| Isicanucanu, ubuhlungu besisu | Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla. |
| Ubunzima bokulala | Thatha umuthi ekuseni. Ungawuthathi sekusondele isikhathi sokulala. |
Ungawugcina futhi uwulahle kanjani umuthi ngokuphephile?
- Gcina kude nezingane nezilwane ezifuywayo. Lo muthi uyingozi kakhulu kubo.
- Ngenxa yokuthi kukhona ingozi yokuba umlutha walo muthi, gcina ukhiye endaweni ephephile ukuze uwuvikele ekwebiweni.
- Gcina ibhodlela livalwe kahle ezingeni lokushisa legumbi (phakathi kuka-20-25 Celsius), kude nokukhanya nomswakama.
- Kubaluleke kakhulu ukulahla kahle imithi ephelelwe yisikhathi noma engasadingeki. Kunezindlela ezimbili zokwenza lokhu:
1. Amanye amakhemisi noma izibhedlela zinezinhlelo zokubuyisa imithi emidala. Zihlole.
2. Uma lokhu kungenzeki, susa amaphilisi ebhodleleni, uwaxube nento efana nekhofi esetshenzisiwe, inhlabathi, noma udoti wekati, uwafake esikhwameni noma esitsheni esivalekayo, bese uwaphonsa emgqonyeni kadoti. Ungalokothi uhlanze lo muthi endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi kufanele usetshenziswe kuphela uma unqunywe udokotela. Ungathathi umthamo ongaphezu noma ongaphansi komthamo onqunyiwe.
- Ungalokothi unike omunye umuntu umuthi wakho. Uyingozi kakhulu futhi awuvumelekile ngokomthetho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu (njengobuhlungu besifuba, ubunzima bokuphefumula, ukushintshashintsha kwemizwelo okukhulu), funa iseluleko sezokwelapha ngokushesha.
- Gcina imithi endaweni ephephile kude nezingane, bese uyilahla ngendlela efanele uma ingadingeki.
- Uma unenkinga mayelana nomuthi, khuluma nodokotela wakho.
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