Uma ingane yakho itholakala ukuthi inesifo sokungakwazi ukugxilisa ingqondo (ADHD), ungase ube nemibuzo eminingi mayelana nomuthi onikezwayo. Kuvamile. Ungase ube nelukuluku kakhulu futhi wesabe kancane ngomuthi iMethylphenidate onikezwe ingane yakho. Kulungile, ungesabi. Namuhla, sizoxoxa ngalomuthi, izinzuzo nezingozi zawo, nokuthi ungawusebenzisa kanjani, ngesiSinhala esilula ongasiqonda.
Iyini ngempela iMethylphenidate?
Kalula nje, i-Methylphenidate umuthi osetshenziselwa ukwelapha i-Attention-Deficit Hyperactivity Disorder (ADHD). Iphinde ifike ngesimo sephilisi elihlafunwayo. Isebenza ngokuthuthukisa isikhathi sokunaka kwengane nokulawula ukuziphatha okuphambukayo nokuphazamisayo.
Lo muthi ungowesigaba semithi ebizwa ngokuthi izikhuthazi. Uma uzwa igama elithi "stimulant," ungase ucabange ukuthi lizokwenza ingane yakho ithukuthele kakhulu. Kodwa alikwenzi lokho. Lokho okwenziwa yilo muthi ukulinganisela umsebenzi wama-neurotransmitter athile ebuchosheni bengane ene-ADHD, umsize agxile entweni eyodwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Uma wena noma omunye umuntu emndenini wakho enezinkinga noma izimo zezokwelapha ezilandelayo, kufanele utshele udokotela wakho ngaphambi kokuqala lo muthi wengane yakho.
- Ukukhathazeka noma ukuhlaselwa uvalo
- Izinkinga ngokujikeleza kwegazi eminweni nasezinzwaneni
- I-Glaucoma, isimo lapho ingcindezi esweni ikhuphuka khona
- Isifo senhliziyo noma noma yikuphi ubuthakathaka benhliziyo
- Umfutho wegazi ophakeme
- Umlando wokulutha izidakamizwa noma utshwala ngaphambilini
- Uma uke waba nesifo sohlangothi
- Izifo zesibindi
- Ezinye izifo zengqondo
- I-Motortics noma i-Tourette's syndrome
- Isimo esibizwa ngokuthi i-Phenylketonuria (PKU)
- Ukuquleka
- Imicabango yokuzilimaza noma ukuzibulala
- Isifo se-thyroid
- Uma une-allergy kule mithi ye-Methylphenidate noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa
Ungamfihli udokotela lolu lwazi. Kubalulekile ukuthi akwazi konke lokhu ukuze anqume ukwelashwa okungcono kakhulu nokufanele kakhulu ukuze ingane iphephe.
Ngingawusebenzisa kanjani lo muthi?
Leli iphilisi elihlafunwayo, ngakho-ke udinga ukulihlafuna kahle ngaphambi kokugwinya.Phuza nengilazi yamanzi. Nikeza umuthi ngesikhathi esifanele, njengoba udokotela ekuyalele. Ngokuvamile, lo muthi unikezwa ekuseni . Ngoba uma unikezwa ebusuku, ungaphazamisa ubuthongo bengane.
Uma uzwa ubuhlungu besisu, nikeza umuthi kanye nokudla. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
Okubalulekile: Uma usola ukuthi ingane yakho inikwe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uyiyise e-ETU (Emergency Treatment Unit) yesibhedlela esiseduze. Lo muthi unikezwe ingane yakho kuphela. Ungabelani ngalo muthi nomunye umuntu.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi engase ihlangane nalo muthi
I-Methylphenidate ingasebenzisana neminye imithi, ngakho tshela udokotela wakho uma ingane yakho ithatha eminye imithi (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Isigaba sezidakamizwa | Izibonelo nezincazelo |
|---|---|
| Ungalokothi uthathe i-methylphenidate kanye nalo muthi. | |
| Imithi ye-MAOI | Imithi efana neCarbex, i-Eldepryl, iMarplan, iNardil, iParnate. |
| Ezinye izinto ezikhuthazayo | Ezinye izinto ezikhuthazayo ezinikezwa ukwandisa ukunaka, ukwehlisa isisindo, noma ukuhlala uphapheme. |
| Okunye | Imithi efana neLithium neProcarbazine. |
| Kungase kube nezinkinga ngalo muthi (tshela udokotela wakho). | |
| Imithi yezifo ezahlukahlukene | - I-Atomoxetine - Eminye imithi yokwelapha umfutho wegazi nesifo senhliziyo - Imithi yokucindezeleka nokukhathazeka - Imithi yokwelapha ukuxhuzula (isib. i-carbamazepine, i-phenytoin) - I-Warfarin (isidakamizwa esinciphisa igazi) - Izinto eziqukethe i-caffeine - Eminye imithi ethathwa ngenxa yomkhuhlane kanye nokungezwani komzimba |
Izinto okufanele uzikhumbule uma usebenzisa umuthi
- Vakashela udokotela njalo: Ngemva kokuqala umuthi, kufanele uvakashele udokotela njalo ukuze uhlole intuthuko yengane yakho. Udokotela uzoqapha izinto ezifana nesisindo nokuphakama kwengane.
- Ukuncipha kwesifiso sokudla: Kuvamile ukuba nokwehla kwesifiso sokudla lapho uqala lo muthi. Esinye isixazululo salokhu ukudla ukudla okuncane usuku lonke kunokudla ukudla okukhulu ngesikhathi esisodwa. Uma le nkinga iqhubeka, khuluma nodokotela wakho.
- Ukunakwa okukhethekile kubafana: Uma ipenisi yomfana ihlala iqonde isikhathi esingaphezu kwamahora amane noma ibuhlungu, kungaba yisimo esibi kakhulu (i-priapism). Kudingeka ilashwe ngaphambi kokuba kwenzeke umonakalo ongapheli, ngakho khuluma nodokotela ngokushesha.
- Izinguquko eminweni: Uma ubona noma yiziphi izilonda ezingachazeki, ukungazweli, ubuhlungu, noma ukushintsha kombala wesikhumba (okumhlophe/oluhlaza okwesibhakabhaka) eminweni noma ezinzwaneni zakho ngenkathi uthatha lo muthi, tshela udokotela wakho ngokushesha.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo, ubuhlungu besifuba, ubunzima bokuphefumula, isiyezi. |
| Umfutho wegazi okhuphukile | Uma udokotela ehlola, kuvela ukuthi ingcindezi iphezulu. |
| Izinguquko zengqondo nezokuziphatha | Intukuthelo enkulu, ukucasuka, ukubona/ukuzwa izinto ezingekho (imibono engalungile), imicabango yokuzibulala. |
| Isenzakalo sikaRaynaud | Iminwe iphenduka ibe mhlophe, ibe luhlaza okwesibhakabhaka, bese ibomvu futhi, izizwa indikindiki futhi ibuhlungu. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka | |
| Izinkinga ezincane | Ikhanda elibuhlungu, ukuphelelwa yisifiso sokudla, isicanucanu, ukuqwasha, ukwehla kwesisindo, ukubona okufiphele, ukucasuka okuncane. |
Ungayivikela kanjani imithi?
Gcina lo muthi endaweni ephephile kude nezingane nezilwane ezifuywayo. Uvikele ekwebiweni, njengoba lo muthi ungakulutha. Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Methylphenidate umuthi othuthukisa ukunaka futhi usetshenziselwa ukwelapha i-ADHD.
- Lona umuthi ohlafunwayo. Uma uwunika ingane yakho, yitshele ukuthi iwuhlafune kahle bese iwugwinya.
- Ngaphambi kokuqala umuthi, tshela udokotela ngazo zonke izimo zezokwelapha zengane nomndeni.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu (njengokushintsha kwesilinganiso senhliziyo, izinguquko zengqondo, noma ukungezwani komzimba), funa iseluleko sezokwelapha ngokushesha.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Lo muthi ungowengane yakho kuphela. Ungalokothi wabelane ngawo nabanye.
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