He aha te Pemoline: Ngā Whakamahinga, te Inenga, Ngā Pānga taha me ētahi atu

Ko te Pemoline he rongoā whakaihiihi i te punaha io matua i whakamahia i mua hei rongoā i te mate aro kore me te kaha rawa (ADHD) i roto i ngā tamariki me ngā pakeke. Heoi, kua mutu te whakamahi i tēnei rongoā i roto i te nuinga o ngā whenua nā te mōrearea nui, ina koa te tūponotanga o te kino nui o te ate.

Ahakoa i whai hua te pemoline ki te whakahaere i ngā tohumate ADHD, ko tōna kaha ki te pā mai i ngā raruraru ate e mōrearea ana ki te ora i arahina ki tōna tangohanga mai i te mākete i te maha o ngā wāhi. Ko te māramatanga ki te aha i kore ai e whakamahia nuitia tēnei rongoā ka āwhina i a koe ki te whakatau i ngā whakatau mō ngā kōwhiringa rongoā ADHD.

He aha te Pemoline?

No te akomanga rongoā e kiia nei ko ngā whakaihiihi i te punaha io matua te pemoline. E mahi ana i te ara rite ki ētahi atu rongoā ADHD mā te pā ki ētahi matū roro e whakahaere ana i te aro me te whanonga.

I te tuatahi i whakaaetia te rongoā i ngā tau 1970, ā, i hokona i raro i ngā ingoa waitohu pēnei i te Cylert. Kāore i rite ki ētahi atu rongoā whakaihiihi, he roa ake te wā o te pemoline, ko te tikanga ka taea te mahi mō ngā wā roa me te horopeta kotahi noa i te rā.

Heoi, he rerekē te hanganga o te pemoline i ētahi atu whakaihiihi pēnei i te methylphenidate, i te amphetamines rānei. I whai wāhi tēnei hanganga ahurei ki tōna whai huatanga me ōna pānga taha nui.

He aha te Pemoline e whakamahia ana mō?

I te tuatahi i whakaritea te pemoline hei rongoā i te ADHD i roto i ngā tamariki, ngā taiohi, me ngā pakeke. I āwhina i te whakapai ake i te arotahi, te whakaiti i te kaha rawa, me te whakahaere i ngā whanonga hihiko e āhuatanga ana i tēnei āhuatanga.

I tino ātaahua te rongoā ki ētahi tākuta me ngā whānau nā te mea kotahi noa te wā e tika ana kia tangohia i ia rā. I māmā ake tēnei mō ngā tamariki ki te piri ki tā rātou mahere rongoā i te whakataurite ki ngā rongoā e hiahiatia ana ngā horopeta maha i te roanga o te rā.

I ngā wā onge, i whakamahia ai te pemoline i ētahi wā mō ētahi atu āhuatanga pēnei i te narcolepsy, ahakoa ehara tēnei i tōna whakamahinga tuatahi i whakaaetia. Heoi anō, nā te nui o ngā āwangawanga haumaru, kāore anō ēnei whakamahinga i te tūtohutia.

Me pēhea te mahi a te Pemoline?

Ka mahi te pemoline mā te whakanui i ngā taumata o ētahi matū roro e kīia nei ko neurotransmitters, inā koa ko te dopamine me te norepinephrine. He mea nui ēnei matū ki te aro, te arotahi, me te whakahaere i te hiahia.

Kāore i rite ki ētahi atu rongoā ADHD e tere ana te mahi, ka piki ake te pemoline i roto i tō pūnaha i te roanga o te wā. Ko te tikanga tēnei ka roa pea te wiki e hiahiatia ana kia eke ki tōna whai huatanga katoa, engari i whakarato hoki i te whakahaere tohumate roa ake.

E kiia ana he whakaihiihi kaha te rongoā, e tūtaki ana i waenga i ngā kōwhiringa ngawari me ngā whakaihiihi kaha ake. Heoi anō, i ngaro tōna kaha i te nui o ngā tūponotanga haumaru.

Me pēhea taku tango i te Pemoline?

Mēnā i whakahau tonu te pemoline (he mea tino onge), ka tangohia i te ata kotahi i te rā. Ka taea te tango i te rongoā me te kore kai rānei, ahakoa ko te tango me te kai ka āwhina i te whakaiti i te puku.

He mea nui te wā o te horopeta nā te mea ko te tango i te mutunga o te rā ka raru pea te moe. Ko te nuinga o ngā tākuta ka tūtohu kia tangohia i te wā kotahi i ia ata kia mau tonu ngā taumata i roto i tō pūnaha.

He mea tino nui ngā whakamātautau toto i te wā e tango ana i te pemoline, i te mea me mātakitaki tata te mahi ate. Ko te tikanga ka tīmata tēnei mātakitaki i mua i te tīmatanga o te rongoā, ā, ka haere tonu i te wā e whakamahi ana.

Kia pēhea te roa e tango ana ahau i te Pemoline?

Ka whakawhirinaki te roa o te rongoā pemoline ki te urupare takitahi me ngā whakaaro haumaru. Heoi anō, nā te nui o ngā tūponotanga ate, i te nuinga o te wā ka poto te wā rongoā i te mea ka taea tonu te whai hua.

Me whakatau i nga wa katoa kia kite mena e tika ana tonu te rongoa me te haumaru ki te haere tonu. He maha nga taakuta e ngana ana ki te whakaiti, ki te whakamutu ranei i te rongoa i ia wa ki te kite mena e tika ana tonu.

Ko te whakatau ki te haere tonu i te maimoatanga me pauna tonu nga painga ki nga tupono ka mate. I te nuinga o nga wa i enei ra, ka whiriwhiria nga huarahi haumaru ake hei utu.

He aha nga paanga taha o Pemoline?

Ka taea e Pemoline te whakaputa i te tini o nga paanga taha, mai i te ngawari ki te mate pea. He mea nui te mohio ki enei tupono mo te hunga e whakaaro ana ki tenei rongoa.

Ko nga paanga taha tino noa ka pa ki a koe ko:

• Te heke o te hiahia me te ngaro o te taumaha
• Te uaua ki te moe, ki te kore ranei e moe
• Te puku pouri, te whakapairuaki ranei
• Te mahunga
• Te whanoke, te mamae ranei
• Te riri, te huringa ranei o te ngakau
• Te piki o te ngakau

Ko enei paanga taha noa he rite ki era i kitea me etahi atu rongoa whakaihiihi, a he maha nga wa ka pai ake i te wa e urutau ana to tinana ki te rongoa.

Heoi, he nui nga tupono e mau ana i te pemoline e wehe ana i etahi atu maimoatanga ADHD:

• Te kino o te ate, tae atu ki te kore o te ate
• Te kowhai o te kiri, o nga kanohi ranei (jaundice)
• Te mamae nui o te puku
• Te mimi pouri, te tu ranei
• Te ngenge rereke, te ngoikore ranei
• Te ngaro o te hiahia me te whakapairuaki

Ko te tupono o te kino o te ate te mea e tino kino ai te pemoline. Ka puta tenei me te kore whakatupato, ka mate pea. Koinei te take he mea nui te aroturuki toto i nga wa katoa mena ka whakamahia tenei rongoa.

Ko nga paanga taha onge engari nui pea ko nga tauhohenga mate pāwera nui, nga nekehanga rereke, nga huringa nui ranei o te hinengaro. Ko nga tohu rereke me tono tonu he rongoa.

Ko wai e kore e tango Pemoline?

Na te nui o ngā āwangawanga mō te haumaru, kāore te pemoline e tika ana mō te nuinga o te tangata. Ko ngā tūponotanga te nuinga ake i ngā painga mō te nuinga o ngā tūroro.

Kaua rawa koe e tango pemoline mēnā he:

• He hītori tō te mate ate, te raruraru ate rānei
• Ngā urupare pāwera ki te pemoline i mua
• Ngā raruraru ngākau nui, te toto tiketike rānei kāore i te whakahaerehia
• He hītori tō te whakamahi matū kino
• Te āwangawanga nui, te ohooho rānei
• Te glaucoma, ētahi atu āhuatanga kanohi nui rānei

Ahakoa kāore ēnei āhuatanga, e kore te nuinga o ngā tākuta i tēnei rā e whakarite pemoline nā te wātea o ngā rongoā haumaru ake.

Me tino tūpato mō ngā tamariki kei raro i te 6 tau te pakeke, ngā tūroro kaumātua, me te hunga e raruraru ana te pūkahukahu, te mate rānei e pā ana ki te hopu.

Me karo rawa e ngā wāhine hapū, e whāngai u ana rānei tēnei rongoā.

Ngā Ingoa Waitohu Pemoline

I mua i te hoko o te pemoline i raro i ētahi ingoa waitohu, ko Cylert te mea rongonui. Ko ētahi atu ingoa waitohu ko Pemoline me ngā momo hanganga generic.

Heoi, kāore te nuinga o ēnei ingoa waitohu e wātea ana i roto i te maha o ngā whenua. I whakamutua e te kaihanga taketake a Cylert i te tau 2005 nā te āwangawanga mō te haumaru, ahakoa i wātea ētahi momo generic mō te wā poto.

Mēnā ka kite koe i ētahi o ēnei ingoa waitohu, he mea nui kia mōhio koe he rite tonu ngā tūponotanga nui ki ētahi atu hanganga pemoline.

Ngā Kōwhiringa Pemoline

Waimarie, he maha ngā kōwhiringa haumaru ake, whai hua ake ki te pemoline mō te rongoā ADHD. E whakarato ana ēnei kōwhiringa hou i te mana whakahaere tohu pai me te kore ngā tūponotanga ate nui.

Kei roto i ngā kōwhiringa whakahihiri:

• Methylphenidate (Ritalin, Concerta, Metadate)
• Ngā tote Amphetamine (Adderall, Vyvanse)
• Dexmethylphenidate (Focalin)
• Lisdexamfetamine (Vyvanse)

Kei te wātea hoki ngā kōwhiringa kore whakahihiri, ā, he pai ake pea mō ētahi tāngata:

• Atomoxetine (Strattera)
• Guanfacine (Intuniv)
• Clonidine (Kapvay)
• Viloxazine (Qelbree)

Kua nui te rangahau i ēnei rongoā kē, ā, he pai ake te haumaru i te pemoline. Ka taea e tō tākuta te āwhina i a koe ki te kimi i te kōwhiringa pai rawa atu i runga i ō hiahia takitahi me te hītori hauora.

He Pai Anei te Pemoline i te Methylphenidate?

Ahakoa he rongoā whakaihiihi mō te ADHD te pemoline me te methylphenidate (Ritalin), e mōhiotia ana he haumaru ake, he whai hua ake te methylphenidate. He nui te tautoko ki te methylphenidate i runga i ngā take haumaru.

Ko te painga nui o te pemoline ko tōna horopeta kotahi i te rā, he mea watea ake i ngā momo methylphenidate tawhito. Heoi, nā te whakahāngai hou o te methylphenidate kua roa te tuku, e wātea ana te watea rite tonu me te kore o ngā tūponotanga nui.

Kua whakamahia te Methylphenidate i runga i te haumaru mō ngā tau tekau, ā, kāore he tūponotanga ki te whara o te ate e pā ana ki te pemoline. Ka tere ake hoki te mahi, ā, he pai ake ngā pānga e kitea ana, e māmā ake ai te whakatika i te horopeta e ngā tākuta i te mea e tika ana.

Kua neke te hapori hauora i te pemoline ki ngā kōwhiringa haumaru ake pēnei i te methylphenidate me ētahi atu rongoā ADHD hou.

Ngā Pātai Auau mō te Pemoline

Q1. He Haumaru te Pemoline mō te Whakamahi Wā-roa?

Kāore, kāore i te mōhiotia he haumaru te pemoline mō te whakamahi wā-roa i runga i te tūponotanga o te whara nui o te ate. E kitea ana ka piki ake tēnei tūponotanga i te wā roa o te maimoatanga, e tino mōrearea ana te whakamahi roa.

Ka taea te whara o te ate i ngā wā katoa i te wā o te maimoatanga, ahakoa i muri i ngā marama, tau rānei o te whakamahi haumaru. Nā tēnei korenga e kitea ai te maimoatanga wā-roa ki te pemoline he tino mōrearea, ā, koinei te take e karo ana te nuinga o ngā tākuta ki te whakahau i tēnei rongoā.

Q2. Me Pēhea Taku Mahi Mēnā Ka Nui Rawa Taku Pemoline?

Mēnā ka inu koe i te nui rawa o te pemoline, me rapu tonu koe i te āwhina hauora, whakapā atu rānei ki te mana whakahaere paitini. He mea nui te nui rawa o te rongoā, ā, ka mōrearea pea te ora.

Ko ngā tohu o te nui rawa o te rongoā ka uru pea ki te whakatāoke nui, te tere o te ngākau, te pēhanga toto tiketike, te rangirua, te hopu rānei. Kaua e tatari kia kite mena ka puta ngā tohu - me rapu tonu i te āwhina hauora mēnā kei te whakaaro koe he nui rawa te rongoā.

Q3. Me pēhea ahau ki te ngaro i te horopeta o te Pemoline?

Mēnā ka ngaro koe i te horopeta o te pemoline, tangohia i te wā e mahara ana koe, engari mēnā kei te wā tonu o te rā. Mēnā kua pō, kua ahiahi rānei, waiho te horopeta i ngaro kia kore ai e raruraru te moe.

Kaua rawa e tango i te horopeta rua hei utu mō te mea i ngaro, nā te mea ka piki ake te tūponotanga o ngā pānga taha. Engari, hoki atu ki tō hōtaka horopeta i te rā e whai ake nei.

Q4. Āhea ahau e mutu ai te tango i te Pemoline?

Me mutu anake te tango i te pemoline i raro i te tirotiro hauora. Me mātakitaki tō tākuta i te mahi o tō ate, ā, ka hiahia pea ki te whakaiti i te horopeta i te wā, kaua ki te whakamutu ohorere.

I te mea he nui ngā āwangawanga haumaru mō te pemoline, he maha ngā tākuta ka tūtohu kia huri ki tētahi atu rongoā haumaru ake, kaua ki te haere tonu i te rongoā. Me whakatau tonu tēnei whakatau i te kōrero tahi me tō kaiwhakarato hauora.

Q5. He kai, he rongoā rānei me karo ahau i te wā e tango ana i te Pemoline?

I te wā e tango ana i te pemoline, me karo katoa koe i te waipiro, nā te mea ka piki ake te tūponotanga o te kino o te ate. Me tūpato hoki koe ki ētahi atu rongoā ka pā ki te ate, tae atu ki ētahi rongoā mamae me ngā tāpiringa otaota.

Me kōrero tonu ki tō tākuta mō ngā rongoā katoa, ngā tāpiringa, me ngā hua otaota e tango ana koe. He mōrearea pea ētahi huinga, ā, me mōhio tō tākuta ki tēnei mōhiohio kia noho haumaru ai koe.

Ka piki pea te kawhe i ngā pānga taha pēnei i te wiri, i ngā raruraru moe rānei, nō reira pea me whakawhāiti koe i te kawhe, te tī, me ētahi atu inu kawhe i te wā e tango ana koe i tēnei rongoā.