Ingabe udokotela wakho ukunike umuthi wena noma ingane yakho we-ADHD? Ingabe igama lalowo muthi i-Methylphenidate? Ngakho-ke namuhla sizoxoxa kafushane ngalo muthi, ukuthi wenzani, nokuthi yini okufanele uyiqaphele. Njengoba lo umuthi ukhethekile, kuzobaluleka kakhulu kuwe ukwazi kahle ukuthi uyini.
Iyini ngempela iMethylphenidate?
Kalula nje, lesi yisidakamizwa esisetshenziswa kakhulu ekwelapheni i-Attention-Deficit Hyperactivity Disorder (ADHD) . Njengoba ungase ukhumbule, ingane noma umuntu omdala one-ADHD unenkinga yokunaka, ukuhlala egxile, nokwenza izinto ngesikhathi esisodwa. Ngakho-ke lokho okwenziwa yilesi sidakamizwa ukuvuselela ubuchopho bakhe, ukuthuthukisa ukunaka kwakhe, nokubasiza balawule ukuziphatha kwabo okungacabangi.
Futhi, lo muthi usetshenziselwa isimo esibizwa ngokuthi i-narcolepsy, okuyisimo lapho ulala khona nganoma yisiphi isikhathi. Ngoba kusiza ukugcina umzimba nengqondo ziphapheme. Lezi ziyingxenye yeqembu lemithi ebizwa ngokuthi izikhuthazi. Ezweni lakithi, lo muthi utholakala ngaphansi kwamagama ahlukahlukene emikhiqizo efana ne-Concerta, i-Ritalin SR.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Kulungile, manje lena yingxenye ebaluleke kakhulu. Ngaphambi kokuqala lo muthi, kufanele wazise udokotela wakho ngezinye zezimo onazo emzimbeni wakho. Ngoba lo muthi awufanele wonke umuntu ngendlela efanayo. Khuluma nodokotela wakho ngalezi zinto ngaphandle kokufihla lutho.
- Isifo senhliziyo: Uma wena noma othile emndenini wakho enesifo senhliziyo, njengomfutho wegazi ophakeme, imbobo enhliziyweni, noma umthambo wegazi ovalekile.
- Izinkinga zempilo yengqondo: Uma unezimo ezifana nokukhathazeka njalo, ukuhlaselwa uvalo, ukucindezeleka, imicabango yokuzibulala yangaphambilini, noma i-Tourette's syndrome.
- Ezinye izimo zezokwelapha: I-Glaucoma, isimo lapho ingcindezi esweni ikhuphuka khona, umlando wesifo sohlangothi, ukuxhuzula, isifo sesibindi, noma izinkinga ze-thyroid.
- Izinkinga zeminwe: Uma unenkinga yokuncipha kokujikeleza kwegazi kuya eminweni yemilenze yakho.
- Izinkinga zomgudu wokugaya ukudla: Uma unenkinga yokugwinya amaphilisi, noma uma uke waba nokuvaleka komgudu wakho wokugaya ukudla noma isisu.
- Ukulutheka: Uma unomlando wokulutheka ngezidakamizwa noma utshwala.
- Ezinye izinto okufanele uzicabangele: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Ukungezwani komzimba: Uma une-allergy kulo muthi we-Methylphenidate noma yimuphi omunye umuthi, ukudla, noma idayi.
Ukunikeza udokotela lolu lwazi kuzomsiza ukuthi anqume ukuthi lo muthi ungawunikezwa ngokuphephile yini noma kufanele afune enye indlela.
Ngingawusebenzisa kanjani umuthi ngqo?
Kubaluleke kakhulu ukusebenzisa umuthi njengoba nje udokotela emyalile.
- Gwinya ithebhulethi lonke ngengilazi yamanzi.
- Lokhu kubaluleke kakhulu: Njengoba lawa amaphilisi akhulula isikhathi eside, ungalokothi uwaphule, uwachoboze, noma uwahlafune. Ukwenza kanjalo kungakhipha umuthi emzimbeni wonke ngesikhathi esisodwa, okubangela imiphumela emibi eyingozi.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla.
- Uma udokotela wakho ekutshelile ukuthi uyithathe izikhathi ezingaphezu kwesisodwa ngosuku, zama ukuthatha umthamo wokugcina okungenani amahora angu-8 ngaphambi kokulala . Ngaphandle kwalokho, kungase kuphazamise ikhono lakho lokulala ebusuku.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ngephutha uthatha umuthi omningi kunalokho obekuhlosile, ungawuthathi kalula. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Kuthiwani uma ngiphuthelwa isikhathi sokubonana nodokotela?
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. Ungathathi imithamo emibili ngesikhathi esisodwa , noma ngabe ukhohliwe owodwa.
Eminye imithi engase ihlangane nalo muthi
I-Methylphenidate ingasebenzisana neminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi. Ingasebenzisana kahle kakhulu nemithi ebhalwe ngezansi.
| Isigaba sezidakamizwa | Incazelo |
|---|---|
| Imithi okungafanele neze ithathwe | Ama-MAOI (uhlobo lomuthi osetshenziselwa ukwelapha ukucindezeleka), i-Lithium, i-Procarbazine, nezinye izinto ezivuselelayo ezisetshenziswa ukusiza ukugxila, ukwehlisa isisindo, noma ukuhlala uphapheme. |
| Imithi okufanele isetshenziswe ngokuqapha / okumele ibikwe kudokotela | Imithi yokucindezeleka kwegazi nesifo senhliziyo, i-Warfarin (imithi yokwehlisa igazi), eminye imithi yokwelapha ukuxhuzula (isib. i-Carbamazepine, i-Phenytoin), eminye imithi yokwelapha ukugula kwengqondo, i-Atomoxetine, imikhiqizo equkethe i-caffeine, kanye neminye imithi yokwelapha umkhuhlane kanye nokungezwani komzimba. |
Ezinye izinto okufanele uzikhumbule lapho uthatha umuthi
- Ukuhlolwa kwezokwelapha: Vakashela udokotela wakho ngezinsuku ezihleliwe ukuze uhlole isimo sakho. Njengoba lesi kuyisidakamizwa esilawulwayo, kuzodingeka uthole umuthi omusha kudokotela wakho ukuze ugcwalise umuthi uma usuphelile.
- Inothi elikhethekile kwabesilisa: Uma indoda ithola ukuvuvukala okuhlala isikhathi eside noma okubuhlungu okuhlala amahora angaphezu kwamane , kungaba yisimo esibi kakhulu. Kungabangela umonakalo ongapheli, ngakho-ke bonana nodokotela ngokushesha.
- Ukulahlekelwa yisifiso sokudla: Kuvamile ukulahlekelwa yisifiso sokudla lapho uqala lo muthi. Ukuze ubhekane nalokhu, zama ukudla ukudla okuncane izikhathi eziningana ngosuku kunokudla ukudla okukhulu. Ezinganeni, udokotela uzoqapha ubude nesisindo sazo.
- Uqweqwe lwethebhulethi lungadlula esitulweni sakho: Ezinye izinhlobo ze-methylphenidate zingase zingancibiliki futhi zingadlula esitulweni sakho ngokuphelele. Lokhu kuvamile futhi akufanele kube yimbangela yokukhathazeka.
- Izinkinga zeminwe: Uma uba nezilonda ezingachazeki, ukungazweli, ubuhlungu, noma izinguquko embala weminwe yakho (omhlophe, oluhlaza okwesibhakabhaka, obomvu) ngenkathi uthatha umuthi, tshela udokotela wakho.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo / Okufanele ukwenze |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| Izinkinga zenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Umfutho wegazi okhuphukile | Ubuhlungu obukhulu bekhanda, izinguquko embonweni. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka okukhulu, ukucasuka, imibono engekho, imicabango yokuzibulala, intukuthelo enkulu. |
| Izimpawu Zokushaywa Yisifo Sohlangothi | Ukungazweli noma ubuthakathaka ebusweni, engalweni, noma emlenzeni, ubunzima bokukhuluma, noma ukuhamba. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Imiphumela emibi evamile | Ukukhathazeka okuncane, ikhanda elibuhlungu, ukuphelelwa yisifiso sokudla, isicanucanu, ukuqwasha, ukwehla kwesisindo, ukubona okufiphele. |
Umlayezo Wokuya Nawe Ekhaya
- I-Methylphenidate umuthi ovuselelayo osetshenziselwa ukwelapha i-ADHD kanye ne-narcolepsy. Kufanele isetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.
- Ungalokothi uliphule, ulichoboze, noma ulihlafune leli philisi. Ligwinye lonke.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengokushintshashintsha okukhulu kwemizwa, ukushintsha kwenhliziyo, noma ukuvuka kwenduku okubuhlungu isikhathi eside kwabesilisa, funa iseluleko sezokwelapha ngokushesha.
- Ngenxa yokuthi lo muthi ungasetshenziswa kabi (ungasetshenziswa kabi), gcina endaweni ephephile kude nezingane nezilwane ezifuywayo. Ungalokothi wabelane ngalo muthi nabanye.
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