Wake wazizwa sengathi kunzima ngempela ukugxila entweni eyodwa nokuhlala uzolile endaweni eyodwa? Lokhu kuyiqiniso ikakhulukazi ezinganeni zethu ezincane. Le nselele inkulu nakakhulu uma uphila ne -ADHD , okusho ukuthi i-Attention-Deficit Hyperactivity Disorder. Ngakho-ke, umuthi okhethekile odokotela abawunikeza ukusiza ngalokhu ubizwa ngokuthi i-Dexmethylphenidate . Namuhla, sizokhuluma ngalomuthi ngendlela elula kakhulu, ngendlela ongayiqonda.
Iyini i-Dexmethylphenidate?
Kalula nje, i-dexmethylphenidate umuthi osetshenziselwa ukwelapha i-ADHD. Isebenza ngokuvuselela umsebenzi wobuchopho , ukwandisa isikhathi sokunaka nokunciphisa ukuziphatha okungenangqondo. Iyingxenye yeqembu lezidakamizwa ezibizwa ngokuthi izikhuthazi .
Ungathola lo muthi emakhemisi ngaphansi kwegama lomkhiqizo iFocalin . Kodwa-ke, udokotela uzokunikeza isithako esisebenzayo, i-dexmethylphenidate. Lokhu kusiza ingane ukuthi igxile kangcono emsebenzini wesikole kanye nemisebenzi yansuku zonke.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba wena noma ingane yakho niqale lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele. Njengomseshi, udokotela wakho udinga ukwazi konke ngomzimba wakho ukuqinisekisa ukuphepha kwakho. Uma wena noma omunye umuntu emndenini wakho enezinye zezimo ezibalwe kuthebula elingezansi, qiniseka ukuthi uyamtshela ngakho.
| Isimo wena noma othile emndenini wakho enibhekene naso | Kungani udinga ukutshela udokotela ngalokhu? |
|---|---|
| Umlando wesifo senhliziyo, ukukhubazeka kwenhliziyo okuzalwa nakho, umfutho wegazi ophakeme, noma isifo sohlangothi | Lo muthi ngezinye izikhathi ungakhuphula kancane izinga lokushaya kwenhliziyo kanye nomfutho wegazi, ngakho-ke abantu abanesifo senhliziyo kufanele baqaphele kakhulu lapho bewusebenzisa. |
| Izinkinga zokujikeleza kwegazi ezandleni nasezinyaweni | Lo muthi ngezinye izikhathi unganciphisa ukugeleza kwegazi eminweni, ngakho-ke uma usuvele unenkinga enjalo, kubalulekile ukwazisa udokotela wakho . |
| Noma iyiphi inkinga yempilo yengqondo (isib. ukucindezeleka, ukukhathazeka, ukuphazamiseka kwengqondo okuguquguqukayo) | Lo muthi ungashintsha izimpawu zezinye izimo zengqondo, ngakho-ke kubalulekile ukuthi udokotela wakho azi isithombe esiphelele. |
| Uma wena noma othile emndenini wakho eke waba nemicabango yokuzibulala | Lolu lwazi lubucayi kakhulu, kodwa lubaluleke kakhulu. Ukwazisa udokotela ngalokhu kungaqinisekisa ukuphepha kwakho. |
| Umlando wokuluthwa izidakamizwa noma utshwala | Njengoba lesi kuyisidakamizwa esivuselelayo, kufanele uqaphele ingozi yokuba umlutha. Ngakho-ke khuluma nodokotela wakho ngobuqotho ngalokhu. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Lokhu kubalulekile ukwazi ukuthi une-allergy ku-dexmethylphenidate noma kunoma yiziphi izithako zayo. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kubalulekile ukuxoxa ngokuphepha kwalo muthi nodokotela wakho ngesikhathi sokukhulelwa nokuncelisa. |
Ngingawusebenzisa kanjani umuthi?
Lokhu kulula kakhulu, kodwa kubaluleke kakhulu. Njengoba nje udokotela esho, thatha umthamo ofanele ngesikhathi esifanele.
- Indlela Yokuthatha: Gwinya ithebhulethi ngengilazi yamanzi.
- Isikhathi:Zama ukukuthatha ngesikhathi esifanayo nsuku zonke. Uma usukwenzile lokhu umkhuba, ngeke ukhohlwe.
- Ukudla: Ungayithatha ngaphambi noma ngemva kokudla. Akunamehluko omkhulu.
- Umthamo wasebusuku: Odokotela abaningi bazokutshela ukuthi uthathe umthamo wakho wokugcina wosuku okungenani amahora amane kuya kwayisithupha ngaphambi kokulala . Lokhu kungenxa yokuthi uyakhuthaza, ngakho ukuwuthatha eduze kakhulu nesikhathi sokulala kungaphazamisa ikhono lakho lokulala ebusuku.
- Isilinganiso: Ungalokothi uthathe okungaphezu kwesilinganiso esinqunywe udokotela wakho.
Khumbula, lo muthi ungowakho kuphela. Ungamniki lo muthi umngane onezimpawu ezifanayo nezakho. Ungaba yingozi.
Uma kunikezwa izingane?
Lo muthi unikezwa ngisho nezingane ezingaphezu kweminyaka engu-6 ubudala. Kodwa kunezinyathelo zokuphepha ezikhethekile. Udokotela uzohlola njalo isisindo nokuphakama kwengane.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
O, ngezinye izikhathi uyakhohlwa ukuphuza umuthi wakho, akunjalo? Uma lokho kwenzeka, thatha lowo mthamo ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu.
Kuthiwani uma uphuza kakhulu ngokuzumayo? (Ukuphuza ngokweqile)
Uma ucabanga ukuthi uphuze umuthi omningi ngephutha, ungalibali . Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini , ngisho namakhambi . Eminye imithi ingasebenzisana ne-dexmethylphenidate futhi ibangele imiphumela emibi eyingozi.
| Ungawuthathi lo muthi kanye nanoma yimuphi omunye umuthi! | |
|---|---|
| Umuthi wohlobo lwe-MAOI | Lena imithi emidala esetshenziselwa ukwelapha ezinye izifo zengqondo. Izibonelo: Marplan, Nardil, Parnate. Ukuthatha lokhu nge-dexmethylphenidate kungabangela umfutho wegazi ophakeme futhi kungaba yingozi ngisho nokuphila. |
| U-Ozanimod | Lona umuthi onikezwa ezinye izimo zezokwelapha. Ukuthatha lezi zinto zombili ndawonye nakho kungabangela ukusabela okuyingozi. |
| Qiniseka ukuthi utshela udokotela wakho uma uthatha lo muthi. | |
| Imithi yokucindezeleka kwegazi nesifo senhliziyo | Lokhu kungathinta ukusebenza kahle kwale mithi. |
| Imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo | Ukuthatha imithi ethile ndawonye kungabangela isimo esiyingozi esibizwa ngokuthi i-serotonin syndrome. |
| I-Linezolid, i-Methylene eluhlaza okwesibhakabhaka | Lezi yizinto ezisetshenziselwa ama-antibiotic nezinye izinjongo zokwelapha. |
| Izibulali-zinhlungu (ama-opioid) | Ukusabela okuyingozi kungenzeka phakathi kwalezi zinhlobo ezimbili zemithi. |
Izinto okufanele uzikhumbule lapho uthatha imithi
Akukapheli uma usuqalile ukuthatha umuthi. Kubalulekile ukunaka noma yiziphi izinguquko emzimbeni wakho.
Ukuhlolwa okuhleliwe kukadokotela
Qiniseka ukuthi ubuyela emuva ngosuku udokotela wakho akutshele ngalo. Kuzokusiza ukuthi ubone ukuthi umuthi uyasebenza yini, ukuthi umthamo udinga ukushintshwa yini, nokuthi kukhona yini imiphumela emibi .
Ingozi yokulutha izidakamizwa
Ngenxa yokuthi iyisikhuthazi, umzimba ungancika kancane kuyo uma isetshenziswa isikhathi eside. Kukhona nengozi yokuba umlutha uma isetshenziswa ngendlela engafanele. YingakhoUdokotela uthi ungalokothi uthathe ngaphezu komthamo onqunyiwe. Ngezinye izikhathi udokotela uzokutshela ukuthi uyeke ukuthatha umuthi isikhashana ngezimpelasonto noma ngamaholide esikole. Lokhu sikubiza ngokuthi 'amaholide emithi'. Lokhu kunikeza umzimba ikhefu elincane emuthini.
Isifiso sokudla kanye nokulawula isisindo
Kuvamile ukuzizwa ulambile kancane uma uqala ukuthatha umuthi. Isixazululo esingcono kakhulu ukudla ukudla okuncane izikhathi eziningana ngosuku, kunokudla okuningi ngesikhathi esisodwa. Kubaluleke kakhulu ukuqapha ubude nesisindo sezingane lapho unikeza lo muthi. Uma indlala iqhubeka, tshela udokotela wakho.
Imiphumela eminweni
Abanye abantu bangase babe nokuqaqamba, ubuhlungu, kanye nokuzwela ukubanda eminweni nasezinzwaneni zabo ngenkathi bethatha lo muthi. Ngezinye izikhathi umbala weminwe ungashintsha kusuka kokumhlophe kuya kokuluhlaza okwesibhakabhaka, bese kuba obomvu. Lokhu kubizwa ngokuthi i-Raynaud's syndrome. Uma uzwa nezilonda, ukushintsha kombala, noma ubuhlungu eminweni yakho, tshela udokotela wakho ngokushesha.
Imicimbi ekhethekile
Uma uzohlinzwa, uhlolwe i-MRI, noma i-CT scan, kufanele utshele ithimba lezokwelapha ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha umuthi izinsuku ezimbalwa ngaphambi kwenqubo .
Qaphela imiphumela emibi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa ungesabi. Into ebaluleke kakhulu ukuqaphela lokhu. Ake sikwahlukanise kube izingxenye ezimbili.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha noma uye ku-ETU. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu besifuba, ukuqina, ubunzima bokuphefumula, isicanucanu, ukujuluka. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha, ukushaya kwenhliziyo okungajwayelekile, isiyezi, ubuhlungu besifuba. |
| Izinguquko zengqondo nezokuziphatha | Intukuthelo enkulu, ukukhathazeka, imibono engekho, imicabango yokuzibulala, ukukhathazeka. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, noma ukuhamba. |
| Kwabesilisa: ukuvuka kwenduku isikhathi eside, okubuhlungu | Uma unesicanucanu esibuhlungu esihlala amahora angaphezu kwamane, kuyisimo esiphuthumayo. Yiya ku-ETU ngokushesha. |
| Lokhu ngokuvamile akulona ingozi, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Umlomo owomile | Ikhanda elibuhlungu |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo | Isisu esibuhlungu |
| Ubunzima bokulala | Isicanucanu |
Ugcina kanjani imithi yakho iphephile?
Lokhu kubaluleke kakhulu futhi.
- Gcina kude nezingane: Ungalokothi ushiye lo muthi lapho izingane nezilwane ezifuywayo zingawuthola khona. Ungaba yingozi kakhulu kubo. Kungcono ukuwugcina ekhabetheni elikhiywe kahle.
- Yigcine endaweni ephephile: Njengoba lesi kuyisidakamizwa esingasetshenziswa kabi, sivikele ekwebiweni.
- Indawo Yokugcina: Gcina ekamelweni lokushisa (phakathi kuka-15-30 Celsius), kude nokukhanya nomswakama.
- Lahla:Lahla kahle imithi ephelelwe yisikhathi noma engadingeki. Ngaphambi kokuyilahla emgqonyeni kadoti, hlanganisa amaphilisi nento efana nekhofi eligayiwe, inhlabathi, noma udoti wekati, uwafake esikhwameni noma esitsheni, uwuvale kahle, bese uwalahla. Uma ungaqiniseki ngalokhu, buza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Dexmethylphenidate iyimithi ephumelelayo ye-ADHD, kodwa kufanele isetshenziswe kuphela ngaphansi kwesiqondiso sikadokotela.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Thatha umthamo njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele. Ungalokothi uthathe umthamo ongaphezu konconywayo noma wabelane ngawo nabanye.
- Uma kuvela imiphumela emibi kakhulu (ubuhlungu besifuba, ubunzima bokuphefumula, izinguquko ezinkulu zengqondo), funa iseluleko sezokwelapha ngokushesha.
- Gcina imithi endaweni ephephile njalo, kude nezingane nezilwane ezifuywayo.
- Kubalulekile ukuhlangana nodokotela ngosuku oluhleliwe bese nixoxa ngemiphumela yomuthi.
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