Ingabe udokotela wakho ukunike imithi wena noma ingane yakho ye-ADHD, noma i-attention deficit hyperactivity disorder? Uma uzwa amagama anjengoRitalin noStrattera, ungase uzizwe udidekile kancane, uzibuza, "Luhlobo luni lomuthi? Uyini umehluko phakathi kwalokhu okubili? Yikuphi okungcono kimi noma enganeni yami?" Ungesabi. Lena inkinga abantu abaningi abanayo. Namuhla, sizoxoxa ngayo ngendlela elula kakhulu ongayiqonda.
Okokuqala, yini iRitalin neStrattera?
Kalula nje, iRitalin neStrattera yimithi emibili esetshenziselwa ukwelapha izimpawu ze-ADHD (Attention Deficit Hyperactivity Disorder). Yomibili le mithi ithuthukisa ikhono lakho lokugxila nokugxila. Kodwa-ke, isebenza ngezindlela ezimbili ezihlukene.
I-Ritalin (methylphenidate):
Lokhu kuyi -stimulant . Cabanga ngobuchopho bakho njengobunezithunywa ezincane ezithwala imiyalezo emuva naphambili. Sibiza lezi ngokuthi ama-neurotransmitter . Lokho okwenziwa yiRitalin ukwandisa amazinga amabili alezi zithunywa , i-dopamine ne -norepinephrine, ebuchosheni bakho. Uma la makhemikhali enyuka, kuba lula ngawe ukugxila, ukwenza izinto, nokunciphisa ukukhathazeka kwakho. Cishe abantu abangu-8 kwabayi-10 abane-ADHD bayazuza kulezi zikhuthazo.
I-Strattera (i-atomoxetine):
Lesi isidakamizwa esingavuseleli ingqondo. Asinawo umthelela omkhulu ku-dopamine. Kunalokho, sigcina i-neurotransmitter eshiwo ngenhla, i-norepinephrine, ebuchosheni isikhathi eside. Lokhu kusiza futhi ukulawula ukunaka kwakho, ukusebenza ngokweqile, kanye nokuziphatha okungenangqondo.
I-Strattera ingase ingasebenzi ngokushesha noma ngamandla njenge-Ritalin ye-ADHD, kodwa udokotela wakho angase abe nezizathu zokuyinika yona. Isibonelo, uma umuthi ofana ne-Ritalin ungasebenzi kuwe, noma uma ungakwazi ukubekezelela imiphumela yawo emibi , i-Strattera ingaba inketho enhle.
Into ebaluleke kakhulu ukuthi ngeke ubone imiphumela ngokushesha uma uqala ukusebenzisa i-Strattera. Kungathatha cishe amasonto amane kuya kwayisithupha ukubona imiphumela ephelele. Ngakho-ke, ungayeki ngemva kwezinsuku ezimbili noma ezintathu uthi, "Lokhu akusebenzi." Qhubeka nokusebenzisa njengoba udokotela wakho ekutshela.
Lo muthi uhlala isikhathi esingakanani emzimbeni?
Lona futhi umbuzo obaluleke kakhulu. Ubude besikhathi sokusebenza kwalezi zinhlobo ezimbili zemithi buhlukile.
- I-Ritalin : Lona umuthi osebenza isikhathi esifushane . Umphumela wephilisi elilodwa uvame ukuhlala cishe amahora angu-3-4 . Lokhu kusho ukuthi ingane eya esikoleni noma umuntu osebenzayo kuzodingeka aliphuze izikhathi eziningana ngosuku, njengelinye ekuseni nelinye ntambama, ukuze limboze usuku lonke. Kukhona nezinhlobo ze-Ritalin ezisebenza isikhathi eside , njenge -Ritalin LA . Iphilisi elilodwa limboza cishe amahora angu-6-8.
- I-Strattera: Lesi isidakamizwa esikhethayo i-norepinephrine reuptake inhibitor (SNRI) . Kuthatha isikhathi ukuqala ukusebenza, kodwa uma umzimba usujwayele umuthi , uhlala isikhathi eside. Uma uthathwa kanye (ngezinye izikhathi kabili) ngosuku ngesikhathi esifanayo, usebenza amahora angama-24 .
Umthamo unqunywa kanjani?
Lokhu kuyinto enqunywa udokotela wakho kuphela. Uzobheka iminyaka yakho, isisindo, kanye nohlobo lwezimpawu zakho, aqale ngomthamo ophansi kakhulu, bese kancane kancane engeza umthamo ofanele wena. Nazi ezinye iziqondiso ezijwayelekile.
| Uhlobo lomuthi | Incazelo yesilinganiso esivamile |
|---|---|
| Amaphilisi eRitalin (Izingane ezingaphezu kweminyaka eyi-6 ubudala) |
|
| Amaphilisi eRitalin (Abantu abadala) | |
| I-Strattera (Abantu abangaphansi kwama-70 kg) | |
| I-Strattera (Abantu abangaphezu kwama-70 kg) |
Mayelana nokuvimba uRitalin ngokuzumayo
Ungayeki ukuthatha i-Ritalin ngokuzumayo , ikakhulukazi uma usuyithathe ngomthamo ophezulu isikhathi eside. Ukwenza kanjalo kungabangela izimpawu zokuhoxa. Ngakho-ke, uma uyeka ukuthatha imithi, yenza kanjalo ngaphansi kwesiqondiso sikadokotela wakho, wehlise kancane kancane umthamo. Lokhu kubizwa ngokuthi i-tapering.
Ake sifunde nangemiphumela emibi.
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Esikhathini esiningi, lokhu kuncane futhi kuyanyamalala njengoba umzimba wakho ujwayela umuthi. Kodwa eminye ingaba mibi kakhulu.
| Uhlobo lomuthi | Imiphumela emibi evamile | Izinto ezidinga ukunakwa ngokushesha |
|---|---|---|
| URitalin |
| |
| I-Strattera | ||
Ukusabela Okubi Kakhulu Kokungezwani Nomzimba - Isimo Esiphuthumayo! Uma uhlangabezana nezimpawu ezifana nobunzima bokuphefumula, ukuqina komphimbo, noma ukuvuvukala kwezindebe/ulimi/ubuso ngemuva kokuthatha noma yimuphi wale mithi emibili, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU). | ||
Ngesikhathi sokukhulelwa nokuncelisa
Lena inkinga ebucayi kakhulu. Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele ukhulume nodokotela wakho mayelana nokuthatha imithi ye-ADHD futhi uhlole izinzuzo nezingozi ngaphambi kokwenza isinqumo.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Yebo, impela. Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma izithasiselo ozithathayo. Qaphela kakhulu ngalokhu:
- Ama-MAOI (ama-Monoamine Oxidase Inhibitors): Lawa uhlobo oludala lwemithi esetshenziselwa ukwelapha ukucindezeleka. Ukuwasebenzisa nge-Ritalin noma i-Strattera kuyingozi kakhulu . Angabangela umfutho wegazi ophakeme kakhulu.
- Imithi yokucindezeleka kwegazi: I-Ritalin ne-Strattera zingathinta ukusebenza kahle kwemithi yokucindezeleka kwegazi.
- Utshwala: Ukuphuza utshwala neRitalin kungandisa imiphumela emibi.
Ungaba umlutha wale mithi?
Lokhu ukwesaba abantu abaningi abanakho. Ake sikuqonde kahle lokhu.
- I-Ritalin: Lokhu kuhlukaniswa njengento elawulwayo . Lokhu kungenxa yokuthi abanye abantu bangaba umlutha wayo uma beyisebenzisa ngendlela engafanele (ukuze bazijabulise). Kodwa-ke, nge-ADHD, yithathe njengoba udokotela wakho ekuyalele ngomthamo onconywayo.Ingozi yokuba umlutha iphansi kakhulu uma uyithatha. Ukuyisebenzisa njengoba kuqondiswe udokotela kanye nokuyisebenzisa ngendlela engafanele kuyizinto ezimbili ezahlukene.
- I-Strattera: Lesi akusona isithako esilawulwayo. Futhi, i-Strattera ayizange ibikwe ukuthi iyalutha noma inomkhuba wokusebenzisa kabi. Ngakho-ke, uma kukhona ukwesaba ukulutheka, i-Strattera ingaba yindlela ephephile.
Umlayezo Wokuya Nawe Ekhaya
- I-Ritalin iyisidakamizwa esivuselelayo, kanti i-Strattera iyisidakamizwa esingavuseleli.
- I-Ritalin isebenza ngokushesha futhi imiphumela ihlala isikhathi esifushane. I-Strattera ithatha amasonto ambalwa ukuthi isebenze, kodwa imiphumela ihlala isikhathi eside.
- Udokotela wakho kuphela onganquma umuthi ofanele kakhulu kanye nomthamo wakho noma wengane yakho.
- Ungalokothi ushintshe umthamo wemithi noma uyeke ukuwuthatha ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Ungesabi imiphumela emibi, futhi khuluma nodokotela wakho ngayo ngokukhululekile. Ingase ilawuleke ngokushintsha umthamo noma ukushintshela komunye umuthi.
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