Ingabe ingane yakho inenkinga yokuhlala igxile? Ingabe uvame ukuzizwa sengathi ayikwazi ukugxila emsebenzini wesikole noma yini enye? Mhlawumbe udokotela wakho uxilonge ingane yakho ukuthi inesifo sokungakwazi ukugxilisa ingqondo (ADHD) futhi unikeze umuthi obizwa ngokuthi iGuanfacine njengokwelashwa. Ngakho-ke, kuvamile ukuba novalo kancane futhi ube nemibuzo eminingi lapho uqala umuthi omusha. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa ngokuthi iGuanfacine, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele lapho uwusebenzisa.
Kalula nje, iyini i-Guanfacine?
I-Guanfacine umuthi osetshenziswa kakhulu ekwelapheni i-attention deficit hyperactivity disorder (ADHD) . Isebenza ngokulawula imisebenzi ethile yobuchopho, isize ingane noma umuntu omdala ukuthi agxile kangcono futhi alawule ukuziphatha okungenangqondo nokungenangqondo . Ivame futhi ukuthengiswa ngaphansi kwegama lomkhiqizo i-Intuniv. Iyiphilisi elikhulula isikhathi eside. Lokhu kusho ukuthi uma lithathwa kanye ngosuku, imiphumela yalo ihlala amahora amaningana.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuqala lo muthi, kubalulekile ukutshela udokotela wakho uma wena noma ingane yakho ethatha lo muthi inezinkinga zempilo ezilandelayo. Lokhu kubaluleke kakhulu.
- Uma unengcindezi yegazi ephezulu noma umfutho wegazi ophansi
- Uma unesifo sezinso
- Uma unesifo sesibindi
- Uma ukushaya kwenhliziyo kuhamba kancane (ukushaya kwenhliziyo kuhamba kancane)
- Uma une-allergies ku-guanfacine noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa
- Uma ungumama oncelisayo
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini wena nokuthi, uma kunjalo, kufanele ube yini umthamo ofanele.
Kufanele ngiwusebenzise kanjani ngempela lo muthi?
Ukuze uthole okuningi ngomuthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Phuza iphilisi nengilazi yamanzi. Landela imiyalelo kadokotela njengoba nje uyalelwe.
- Lokhu kubaluleke kakhulu: Ungaliphuli, ulichoboze, noma ulihlafune leli philisi. Gwinya iphilisi lonke. Ukwehluleka ukwenza kanjalo kungabangela ukuthi umuthi umunceke emzimbeni ngokushesha kakhulu futhi kubangele imiphumela emibi engafuneki.
- Ungawuthathi lo muthi kanye nokudla okunamafutha amaningi nokudla okunzima. Ukwenza kanjalo kungashintsha indlela umuthi omuncwa ngayo umzimba.
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekutshelile.
- Okubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu, njengomfutho wegazi ophakeme ophindaphindayo. Uma udinga ukuyeka ukuthatha umuthi, yenza kanjalo ngaphansi kweseluleko sikadokotela wakho, wehlise kancane kancane umthamo.
Uma ucabanga ukuthi ngephutha uphuze ngaphezu komthamo onqunyiwe, ungachithi isikhathi bese ushayela ucingo ngokushesha eNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Sonke siyakhohlwa izinto. Ungakhathazeki uma uphuthelwa umthamo.
- Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
- Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, ungakapheli amahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
- Uma uphuthelwa izinsuku ezimbili noma ngaphezulu zokuthatha imithi zilandelana, khuluma nodokotela wakho ngaphambi kokuthi uqale futhi. Angase akucebise ukuthi uqale futhi ngomthamo ophansi.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi oyithathayo ingase ihlangane ne-Guanfacine, ishintshe imiphumela yayo noma yandise imiphumela yayo emibi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi emithi, kanye nezithasiselo).
| Izinhlobo zemithi engabangela izinkinga | Incazelo nezibonelo |
|---|---|
| Imithi yokucindezeleka kwegazi nesifo senhliziyo | Ukuthatha eminye imithi yomfutho wegazi ngalo muthi kungabangela ukwehla okungadingekile komfutho wegazi. |
| Imithi yokugula kwengqondo | Imithi ethile enikezwa izimo ezinjengokucindezeleka nokukhathazeka. |
| Imithi yokwelapha ukuxhuzula | Izibonelo: (Carbamazepine), (Phenobarbital), (Phenytoin) |
| Amaphilisi okulala | Lokhu kungandisa kakhulu ubuthongo. |
| Eminye imithi | I-Ketoconazole (isidakamizwa sokulwa nezifo), i-Rifampin (umuthi wesifo sofuba), imithi yokudambisa ubuhlungu ye-opioid. |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukozela kanye nesiyezi: Lo muthi ungabangela ukozela kanye nesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi kahle ukuthi lo muthi uthinta kanjani umzimba wakho.
- Ukushintsha izikhundla: Qaphela lapho usukuma endaweni yokuhlala nalapho usuka endaweni yokuma uya endaweni yokuhlala. Lokhu kuzonciphisa amathuba okuba nesiyezi nokuwa.
- Utshwala: Gwema ukuphuza utshwala ngokuphelele. Utshwala bungakwenza uzizwe ulele kakhulu futhi unesiyezi.
- Ukuphelelwa amanzi emzimbeni: Qaphela ukuthi ungaphelelwa amanzi emzimbeni ngenkathi uthatha umuthi. Phuza amanzi amaningi usuku lonke. Qaphela uma uvivinya umzimba noma ujuluka kakhulu.
- Umlomo owomile: Ungase ube nomlomo owomile. Ukuhlafuna itshungama engenashukela, ukumunca amaswidi angenashukela, noma ukuphuza amanzi njalo kungasiza. Uma le nkinga iqhubeka noma inzima, tshela udokotela wakho.
- Ukuhlolwa okuvamile: Iya kokuhlolwa okuhleliwe ngudokotela wakho ngezikhathi ezithile. Futhi, uma udokotela wakho ekweluleka ukuthi ulinganise umfutho wegazi wengane yakho kanye nokushaya kwenhliziyo ekhaya, yenza njalo.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-Guanfacine ingabangela imiphumela emibi kwabanye abantu. Nakuba iningi lale mithi lincane, kunezinto ezithile okufanele siziqaphele ngokukhethekile.
| Okuqhamuka uma udla imishanguzo | |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Umfutho wegazi ophansi | Isiyezi esikhulu, ukuquleka, umbono ofiphele. |
| Ukwehla kwesilinganiso senhliziyo | Ukuzungeza, ukuquleka, ikhanda elibuhlungu, ubunzima bokuphefumula, ukukhathala okungavamile. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza: | |
| Isiyezi/ukozela | Kuvame kakhulu ezinsukwini ezimbalwa zokuqala ngemva kokuqala umuthi. |
| Umlomo owomile | Ukuphuza amanzi njalo kunganikeza impumuzo. |
| Okunye | Ikhanda elibuhlungu, ukukhathala, isicanucanu, ubuhlungu besisu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Guanfacine umuthi osetshenziselwa ukwelapha i-ADHD. Uyasiza ukwandisa ukunaka nokunciphisa ukushesha nokungahlaliseki.
- Ungaliphuli, ulichoboze, noma ulihlafune leli philisi. Ligwinye lonke ngamanzi.
- Ukuyeka imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho kungaba yingozi.
- Imiphumela emibi emincane efana nokozela, isiyezi, nomlomo owomile ingase ivele. Kodwa-ke, uma uhlangabezana nezimpawu ezifana nokusabela okukhulu kokungezwani komzimba, umfutho wegazi ophansi ngendlela engavamile, noma ukushaya kwenhliziyo, bona udokotela wakho ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo wena noma ingane yakho.
- Uma uneminye imibuzo mayelana nalomuthi, ungangabazi ukukhuluma nodokotela wakho.
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