Ingabe wena noma ingane yakho nike nakuthola kunzima kakhulu ukugxila emsebenzini owodwa, ukuhlela imisebenzi yansuku zonke, noma ukuhlala nithule isikhathi eside? Kulabo abaphila ne- ADHD (Attention-Deficit Hyperactivity Disorder), lezi zinselele zansuku zonke zingokoqobo kakhulu. Ngenhlanhla, odokotela bavame ukunikeza umuthi osebenza kahle kakhulu obizwa ngokuthi i-Dexmethylphenidate ukusiza ekuphatheni lezi zimpawu. Ake sixoxe ngakho konke okudingeka ukwazi ngalo muthi ngendlela ecacile, esekelayo, nenembile ngokwezokwelapha.
Iyini i-Dexmethylphenidate?
Kalula nje, i-Dexmethylphenidate umuthi onikezwa ngodokotela osetshenziselwa ukuphatha izimpawu eziyinhloko ze-ADHD. Isebenza ngokulinganisela amakhemikhali athile emvelo ebuchosheni ukuthuthukisa ukugxila, ukugxilisa ingqondo, kanye nokulawula imizwa. Iyingxenye yemithi eyaziwa ngokuthi izikhuthazi zesistimu yezinzwa ephakathi, ezisiza ukuthuthukisa umsebenzi wobuchopho .
Ngokuvamile uzothola lo muthi ngaphansi kwegama lomkhiqizo i-Focalin , yize udokotela wakho ezobhala umuthi wesithako esisebenzayo, i-Dexmethylphenidate. Usebenza kahle kakhulu ekusizeni izingane kanye nabantu abadala ukuthi bahlale behlelekile, bagxile emisebenzini, futhi baphathe imithwalo yemfanelo yansuku zonke kalula.
Ulwazi Olubalulekile Okufanele Uluhlanganyele Nodokotela Wakho Ngaphambi Kokuqala
Ngaphambi kokuba wena noma ingane yakho niqale ukuthatha i-Dexmethylphenidate, kubaluleke kakhulu ukwabelana ngomlando wakho wezokwelapha ophelele nomhlinzeki wakho wezempilo. Udokotela wakho udinga ukwazi yonke imininingwane yempilo yakho ukuqinisekisa ukuthi lo muthi uphephile kuwe. Sicela ubuyekeze ithebula elingezansi bese wazisa udokotela wakho uma wena noma umndeni wakho ninomlando wanoma yiziphi zalezi zimo.
| Isimo Sezokwelapha (Umlando Womuntu Siqu noma Womndeni) | Kungani kubalulekile ukutshela udokotela wakho? |
|---|---|
| Isifo senhliziyo, ukukhubazeka kwenhliziyo okuzalwa nakho, umfutho wegazi ophakeme, noma umlando wesifo sohlangothi | Lo muthi ungakhuphula kancane izinga lokushaya kwenhliziyo kanye nomfutho wegazi. Ngakho-ke, iziguli ezinezinkinga zenhliziyo ezikhona zidinga ukubhekwa ngokucophelela kanye nokuqapha okukhulu. |
| Izinkinga zokujikeleza kwegazi noma zokugeleza kwegazi eminweni noma ezinzwaneni | Izikhuthazi ngezinye izikhathi zingavimba imithambo yegazi futhi zinciphise ukujikeleza kwegazi emaphethelweni. Kubalulekile ukwazisa udokotela wakho uma usuvele uhlangabezana nalezi zimpawu. |
| Noma yiziphi izimo zempilo yengqondo (isb., ukucindezeleka, ukukhathazeka, ukuphazamiseka kwengqondo okuguquguqukayo) | Lo muthi ungathinta isimo sengqondo nokuziphatha. Udokotela wakho udinga iphrofayili ephelele yezempilo yengqondo ukuze ahlele uhlelo lokwelashwa ngokuphephile. |
| Umlando womuntu siqu noma womndeni wemicabango noma ukuziphatha kokuzibulala | Lolu lwazi lubucayi kakhulu kodwa lubalulekile. Ukwabelana ngalokhu kuvumela udokotela wakho ukuthi aqalise ukuqapha okufanele futhi avikele inhlalakahle yakho. |
| Umlando wokusebenzisa kabi izidakamizwa noma utshwala | Njengoba izikhuthazi zibeka engcupheni yokulutheka noma ukusetshenziswa kabi, ukuxoxa ngomlando wakho wezokwelapha ngokukhululekile kusiza udokotela wakho ukuthi akunike imithi futhi ayiqaphe ngokuphephile. |
| Ukungezwani komzimba nemithi, ukudla, noma ezinye izinto | Lokhu kuqinisekisa ukuthi awunayo impendulo yokungezwani komzimba ne-dexmethylphenidate noma ezinye izithako ezingasebenzi kuthebhulethi. |
| Ukukhulelwa, ukuhlela ukukhulelwa, noma ukuncelisa | Kubalulekile ukuxoxa ngezingozi nezinzuzo zokusebenzisa lo muthi ngesikhathi sokukhulelwa noma ngenkathi uncelisa nodokotela wakho. |
Indlela Yokuthatha Lo Muthi
Ukuthatha lo muthi ngendlela efanele kulula kodwa kubalulekile. Landela njalo imiyalelo eqondile kadokotela wakho mayelana nomthamo nesikhathi.
- Indlela Yokuthatha: Gwinya ithebhulethi ngengilazi egcwele yamanzi.
- Isikhathi: Zama ukuphuza umthamo wakho ngesikhathi esifanayo nsuku zonke ukuze uhlele inqubo efanayo.
- Ngokudla noma ngaphandle kokudla: Ungawuthatha lo muthi ngokudla noma ngaphandle kokudla.
- Gwema imithamo sekwephuzile: Thatha umthamo wakho wokugcina okungenani amahora angu-4 kuya kwangu-6 ngaphambi kokulala . Ngenxa yokuthi lokhu kuyakhuthaza, ukuwuthatha sekwephuzile kakhulu emini kungaphazamisa ubuthongo bakho.
- Isilinganiso: Ungalokothi uthathe ngaphezu kwesilinganiso osinqunyiwe ngaphansi kwanoma yiziphi izimo.
Khumbula, lo muthi unqunyelwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye, noma ngabe unezimpawu ezifanayo, ngoba lokhu kungaba yingozi kakhulu.
Kuthiwani Ngezingane?
Lo muthi uvame ukunqunyelwa izingane ezingaphezu kweminyaka engu-6. Kodwa-ke, kudingeka izinyathelo zokuphepha ezikhethekile. Udokotela wakho wezingane uzoqapha njalo ukuphakama, isisindo, kanye nokukhula kwengane yakho ukuqinisekisa ukuthi ikhula kahle.
Kuthiwani Uma Uphuthelwa Umthamo?
Sonke siyakhohlwa ngezinye izikhathi! Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo ohleliwe, yeqa lowo ophuthelwe bese uqhubeka nesimiso sakho esijwayelekile. Ungalokothi uphinde kabili umthamo wakho ukuze ubuyisele umthamo ophuthelwe.
Okufanele Ukwenze Uma Une-Overdose
Uma usola ukuthi uphuze ngokweqile ngengozi, ungalindi . Funa usizo lwezokwelapha ngokushesha ngokushayela u-911, ukuvakashela umnyango wezimo eziphuthumayo wesibhedlela sakho sendawo, noma ukuxhumana nesikhungo sakho sokulawula ubuthi sikazwelonke ngokushesha.
Ukusebenzisana Okungaba Khona Kwezidakamizwa
Kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini , kanyeizithako zemithi . Izinto ezithile zingasebenzisana ngendlela eyingozi ne-Dexmethylphenidate.
| Ungalokothi Uhlanganise Nale Mithi! | |
|---|---|
| Ama-MAO Inhibitors (ama-MAOI) | Ama-antidepressant amadala afana ne-Marplan, i-Nardil, noma i-Parnate. Ukuhlanganisa ama-MAOI ne-Dexmethylphenidate kungabangela ukwanda komfutho wegazi okusongela impilo. Ungayisebenzisi zingakapheli izinsuku eziyi-14 usebenzisa i-MAOI. |
| U-Ozanimod | Isetshenziselwa izimo ezifana ne-multiple sclerosis. Ukuhlanganisa lokhu nezikhuthazi kungaholela ekuphenduleni okubi kakhulu. |
| Yazisa Udokotela Wakho Uma Uthatha Noma Yikuphi Kwalokhu | |
| Imithi yokucindezeleka kwegazi noma yenhliziyo | Izikhuthazi zingavimbela ukusebenza kahle kwemithi yokwehlisa umfutho wegazi. |
| Imithi yokucindezeleka noma imithi yokulwa nokukhathazeka | Ukuhlanganisa imithi ethile kungabangela isimo esingavamile kodwa esibi esibizwa ngokuthi i-Serotonin Syndrome. |
| I-Linezolid, i-Methylene Blue | Lezi zinto zingasebenza ngendlela efanayo ne-MAOIs, okwandisa izingozi ezinkulu zemiphumela emibi. |
| Imithi yokunciphisa ubuhlungu be-opioid | Ukuthatha lezi zinto kanye nezikhuthazi kungandisa ingozi yezinkinga ezinkulu. |
Izinyathelo Ezibalulekile Zokuqapha Ngesikhathi Sokwelashwa
Ukuqala umuthi kuyisinyathelo sokuqala nje. Ukuhlala wazi ukuthi umzimba wakho usabela kanjani kubalulekile empilweni nasekuphepheni kwesikhathi eside.
Ukuhlolwa Kwezokwelapha Okuvamile
Ungalokothi uphuthelwe ama-aphoyintimenti akho okulandelela. Lokhu kuvakasha kubalulekile kudokotela wakho ukuze ahlole ukuthi ukwelashwa kusebenza kahle kangakanani, alungise imithamo, futhi aqaphe noma yimiphi imiphumela emibi .
Izingozi Zokuthembela Komuntu Othile Nokusetshenziswa Kabi
Ngenxa yokuthi lokhu kuyisidakamizwa esivuselelayo, ukusetshenziswa kwesikhathi eside ngezinye izikhathi kungaholela ekuziphatheni ngokweqile ngokomzimba. Ukusebenzisa kabi nakho kubeka engcupheni yokuba umlutha. Yingakho kufanele uhlale uphuza njengoba uyalelwe . Udokotela wakho angase asikisele ngezikhathi ezithile ikhefu elifushane lokusebenzisa imithi, njengangempelasonto noma amaholide esikole (ngezinye izikhathi abizwa ngokuthi "amaholide emithi"). Lokhu kunikeza umzimba wakho ukuphumula okufushane futhi kuvumela udokotela ukuthi ahlole isidingo sakho esiqhubekayo salesi sidakamizwa.
Izinguquko Zokudla Nokuphathwa Kwesisindo
Ukuncipha kwesifiso sokudla kuvamile lapho uqala izikhuthazi. Ukuze ulawule lokhu, zama ukudla ukudla okuncane, okugcwele izakhamzimba usuku lonke kunokudla okumbalwa okukhulu. Ezinganeni, ukuqapha ukukhula, ukuphakama, kanye nesisindo njalo kubalulekile. Uma ukuncipha kwesifiso sokudla kuba njalo noma kuholela ezinkingeni zesisindo, xoxa ngakho nomhlinzeki wakho wezempilo.
Imiphumela Ekujikelezeni Kwegazi (i-Raynaud's Syndrome)
Akuvamile ukuthi iziguli zizwe ubuhlungu, izinhlungu, noma ukuzwela ukubanda eminweni noma ezinzwaneni zazo. Umbala wesikhumba ungase ushintshe usuka kokumhlophe uye kokuluhlaza okwesibhakabhaka, bese kuba obomvu. Lesi simo saziwa ngokuthi yi-Raynaud's syndrome. Uma ubona noma yiluphi ushintsho lombala wesikhumba, izilonda ezingachazeki, noma ubuhlungu emalungeni akho, xhumana nodokotela wakho ngokushesha.
Ukuhlinzwa Okuzayo Noma Ukuskena
Uma uhlelelwe noma yikuphi ukuhlinzwa, noma ukuhlolwa okukhethekile njenge-MRI noma i-CT scan, yazisa njalo ithimba lezokwelapha ukuthi uthatha lo muthi. Kungase kudingeke ukuthi uwumise okwesikhashana ngaphambi kwenqubo .
Ukuqonda Imiphumela Engase Ibe Khona
Njengayo yonke imithi, i-Dexmethylphenidate ingadala imiphumela emibi, yize kungebona bonke abantu ababhekana nayo. Ukuyazi kukusiza ukuthi uhlale ulawula impilo yakho. Ake siyihlukanise ibe yizimpawu ezinkulu ezidinga ukunakekelwa okusheshayo kanye nemiphumela emibi engemihle.
| Izimpawu Eziphuthumayo: Funa Usizo Lwezokwelapha Ngokushesha noma Vakashela i-ER | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqunjelwa, ukulunywa, ukuvuvukala kobuso, izindebe, noma ulimi, kanye nobunzima bokuphefumula. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu besifuba, ukuqina, ukuphelelwa umoya, ukujuluka okungachazeki, noma isicanucanu. |
| Ukushaya kwenhliziyo okungavamile | Ukushaya kwenhliziyo (ukushaya kwenhliziyo), ukushaya kwenhliziyo okungajwayelekile, noma isiyezi esinzima. |
| Izinguquko zengqondo noma zokuziphatha | Ulaka olukhulu, ukukhathazeka okukhulu, imibono engekho, imicabango yokuzilimaza, noma ukukhathazeka okukhulu. |
| Izimpawu zesifo sohlangothi | Ukungazweli noma ubuthakathaka obungazelelwe ebusweni, engalweni, noma emlenzeni (ikakhulukazi ohlangothini olulodwa), ukukhuluma okungacacile, noma ukulahlekelwa ukuhambisana komzimba. |
| Kwabesilisa: Ukuma isikhathi eside, okubuhlungu | Ukuma okubuhlungu okuhlala amahora angaphezu kwamane (priapism) kuyisimo esiphuthumayo sezokwelapha. Yiya emnyangweni wezimo eziphuthumayo oseduze ngokushesha. |
| Imiphumela Emibi Evamile: Yazisa Udokotela Wakho Uma Iqhubeka | |
| Umlomo owomile | Ikhanda elibuhlungu |
| Ukulahlekelwa yisifiso sokudla noma ukwehla kwesisindo | Ubuhlungu besisu |
| Ubunzima bokulala (ukungalali) | Isicanucanu |
Indlela Yokugcina Nokulahla Imithi Yakho Ngokuphephile
Ukuphatha imithi evuselelayo ngokuphephile kubalulekile ekuvikeleni umndeni wakho kanye nomphakathi.
- Gcina kude nezingane: Ungalokothi ushiye lo muthi lapho izingane noma izilwane ezifuywayo zingawuthola khona. Ukuwudla kungaba yingozi kakhulu. Kunconywa kakhulu ukuwugcina ekhabetheni elikhiyiwe.
- Yigcine iphephile: Ngenxa yokuthi imithi evuselelayo ingaba yinto ehloselwe ukwebiwa noma ukusetshenziswa kabi, yigcine endaweni ephephile nephephile.
- Izimo zokugcina: Gcina endaweni eyomile (phakathi kuka-15°C no-30°C noma 59°F kuya ku-86°F) kude nokukhanya okuqondile nomswakama. Ungagcini ezindlini zokugezela.
- Ukulahla okuphephile: Lahla kahle imithi ephelelwe yisikhathi noma engasetshenziswanga. Ukuze uyilahle ngokuphephile kudoti wasekhaya, hlanganisa amaphilisi nento engathandeki njengekhofi esetshenzisiwe, ukungcola, noma udoti wamakati (ungawachobozi). Beka ingxube esikhwameni sepulasitiki esivaliwe ngaphambi kokulahla. Buza usokhemisi wakho noma udokotela mayelana nezinhlelo zasendaweni zokuthatha imithi.
Isifinyezo Sakho Esisheshayo (Umyalezo Oya Nawo Ekhaya)
- I-Dexmethylphenidate iyimithi ephumelela kakhulu yokwelapha i-ADHD, kodwa kumele ithathwe kuphela ngaphansi kokuqashwa okuqinile kwezokwelapha.
- Yazisa udokotela wakho njalo ngomlando wakho wezokwelapha ophelele kanye nanoma yimiphi eminye imithi, amavithamini, noma izithasiselo ozithathayo ngaphambi kokuqala.
- Phuza imithi yakho njengoba nje uyalelwe. Ungalokothi wandise umthamo wakho noma wabelane ngemithi yakho nanoma ubani omunye.
- Funa usizo lwezokwelapha oluphuthumayo ngokushesha uma uhlangabezana nezimpawu ezinzima njengobuhlungu besifuba, ubunzima bokuphefumula, noma izinguquko zengqondo ezisheshayo.
- Gcina imithi yakho endaweni ephephile kakhulu, kude nezingane nezilwane ezifuywayo.
- Yiba khona kuzo zonke izikhathi zokulandelela ezihleliwe ukuze ulandelele inqubekela phambili futhi uphathe noma yiziphi izinguquko zokwelapha ngokuphephile.
I-Dexmethylphenidate, i-Focalin, i-ADHD, ukungakwazi ukunaka, ukusebenza ngokweqile, impilo yengqondo yezingane, isikhuthazi, imithi ye-ADHD, umhlahlandlela wezidakamizwa, i-Nirogi Lanka
