Icyo Serdexmethylphenidate na Dexmethylphenidate ari byo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Serdexmethylphenidate na dexmethylphenidate ni imiti yandikwa na muganga ifasha mu kuvura indwara yo kutita ku bintu no kugira umwanya muto wo kwitonda (ADHD) ku bana n'abantu bakuru. Iyi miti ikora yongera imisemburo imwe n'imwe mu bwonko ifasha mu kunoza imyumvire, kwitondera ibintu, no kugenzura imyitwarire. Niba wowe cyangwa umwana wawe yarandikiwe iyi miti, birashoboka ko wibaza uko ikora n'icyo witegura.

Icyo Serdexmethylphenidate na Dexmethylphenidate ari byo?

Serdexmethylphenidate na dexmethylphenidate ni imiti itera imbaraga ikaba mu cyiciro cy'imiti yitwa imiti itera imbaraga mu mikorere y'imitsi yo hagati. Serdexmethylphenidate ni umuti mushya urimo ubwoko bwombi bukora n'ubundi butagira icyo bukora bwa methylphenidate, naho dexmethylphenidate ni ubwoko bukora bwa methylphenidate.

Iyi miti ifitanye isano ya hafi na methylphenidate (izwi cyane nka Ritalin), ariko yateguwe kugira ngo ikore neza mu bwonko bwawe. Tekereza dexmethylphenidate nk'ubwoko bwa methylphenidate bwatoranijwe kandi bugamije. Serdexmethylphenidate ikora ibi ikurikiza intambwe ikoresha ingaruka zihuse hamwe n'inyungu zirambye.

Imiti yombi ni ibintu bigenzurwa kuko bishobora gukoreshwa nabi, ariko iyo ikoreshejwe nk'uko byategetswe na muganga wawe, ni imiti ifite umutekano kandi ikora neza mu kuvura ibimenyetso bya ADHD.

Icyo Serdexmethylphenidate na Dexmethylphenidate bikoreshwa?

Iyi miti ikoreshwa cyane mu kuvura ADHD ku bana bafite imyaka 6 n'abarenzeho, urubyiruko, n'abantu bakuru. Ifasha kugabanya ibimenyetso by'ingenzi bishobora gutuma ubuzima bwa buri munsi bugorana ku bantu bafite ADHD.

Ibimenyetso nyamukuru imiti ivura birimo kugorwa no kwitondera, kwihutirwa, n'imyitwarire y'ubugizi bwa nabi. Ushobora kubona impinduka mu bushobozi bwawe bwo kwibanda ku mirimo, kwicara utuje mu nama cyangwa mu mashuri, no gutekereza mbere yo gukora. Abantu benshi basanga bashobora gutegura neza ibitekerezo byabo no kurangiza imishinga batangiye.

Muganga wawe ashobora kugusaba iyi miti niba izindi nshingano zo kuvura ADHD zitagukundiye, cyangwa niba ukeneye umuti utanga imiti iramba yo kugenzura ibimenyetso umunsi wose. Rimwe na rimwe abaganga bahitamo iyi miti kurusha izindi zikangura ubwonko kuko zishobora gutera ingaruka nke ku bantu bamwe.

Serdexmethylphenidate na Dexmethylphenidate bikora bite?

Iyi miti ikora yongera urwego rw'imiti ibiri y'ingenzi mu bwonko yitwa dopamine na norepinephrine mu duce twihariye tw'ubwonko bwawe. Iyi miti ikora nk'intumwa zifasha imitsi y'imitsi kuvugana, cyane cyane mu duce dushinzwe kwitondera no kugenzura ubushake.

Ku bantu bafite ADHD, iyi miti y'ubwonko akenshi ntikora ku rwego rwo hejuru. Muri rusange, iyi miti ifasha gukomeza urwego rwo hejuru aho ikenewe cyane. Ibi bituma kwibanda neza, kwitondera neza, no kugabanya kwihutirwa.

Serdexmethylphenidate ifatwa nk'ikangura ubwonko ryo hagati ritanga ingaruka zihuse kandi zirambye. Umuti utangira gukora mu minota 30 kugeza ku isaha, kandi ingaruka zawo zirashobora kumara amasaha 13. Dexmethylphenidate nayo ni ikangura ubwonko ryo hagati, rifite ingaruka zikunda kumara amasaha 4 kugeza kuri 5 kuburyo bwihuse kandi amasaha 8 kugeza kuri 10 kuburyo burambye.

Nkwiriye gufata Serdexmethylphenidate na Dexmethylphenidate nte?

Jya ufata imiti uko muganga wawe abikwandikiye. Igihe n'uburyo ufata imiti yawe bishobora kugira ingaruka zikomeye ku buryo ikora neza n'uko wumva umunsi wose.

Ku bijyanye na serdexmethylphenidate, ubusanzwe uyifata rimwe ku munsi mu gitondo ufite cyangwa udafite ibiryo. Niba uhisemo kuyifata ufite ibiryo, jya ukurikiza gahunda imwe buri munsi. Irinde kuyifata nimugoroba kuko bishobora kubangamira ibitotsi byawe. Ugomba kumira ibinini byose kandi ntuzabikore, ntuzabumire, cyangwa ngo ubifungure, kuko ibi bishobora gutuma imiti myinshi irekurwa icyarimwe.

Dexmethylphenidate iza mu buryo bwo kurekurwa ako kanya no kurekurwa nyuma y'igihe. Ibinini birekurwa ako kanya bikunze gufatwa kabiri ku munsi, intera y'amasaha agera kuri 4, mugihe ibinini birekurwa nyuma y'igihe bifatwa rimwe ku munsi mu gitondo. Kimwe na serdexmethylphenidate, urashobora kuyifata ufite cyangwa udafite ibiryo, ariko guhora ubikora ni ingenzi.

Niba ugira ikibazo cyo kumira ibinini, urashobora gufungura ibinini bya dexmethylphenidate birekurwa nyuma y'igihe hanyuma ugatobora ibikubiye muri byo ku gice gito cya pome. Rya uruvange ako kanya utabumbye imbere. Ntugashyire uruvange rwo gukoresha nyuma.

Mbona Nk'igihe Kangahe Ngomba Gufata Serdexmethylphenidate na Dexmethylphenidate?

Igihe cyo kuvurwa gitandukanye cyane ku muntu ku muntu kandi biterwa n'uburyo wowe ubwawe wakiriye imiti n'ibyo ukeneye byihariye. Abantu benshi bafite ADHD bungukirwa no kuvurwa igihe kirekire, rimwe na rimwe imyaka myinshi, mugihe abandi bashobora gukenera imiti gusa mu bihe bimwe na bimwe by'ubuzima bwabo.

Muganga wawe azagenzura buri gihe uburyo imiti ikora neza kuri wowe niba ukiyikeneye. Ibi bishobora gukubiyemo kuruhuka rimwe na rimwe ku miti, cyane cyane ku bana, kugirango barebe niba ibimenyetso bisubira cyangwa niba imikurire yagizweho ingaruka. Ibi biruhuko byateguwe rimwe na rimwe byitwa "ibiruhuko by'imiti" kandi bifasha kumenya niba kuvurwa bikomeje ari ngombwa.

Abantu bamwe basanga bakeneye imiti mu buzima bwabo bwose bw'abantu bakuru, mu gihe abandi bashobora gucunga ibimenyetso byabo bakoresheje izindi ngamba uko bagenda bagira ubushobozi bwo guhangana. Ikintu cy'ingenzi ni ugukorana bya hafi n'umuganga wawe kugira ngo umenye uburyo bukwiye kuri wowe.

Ni Ibihe Bikorwa Bigaragara bya Serdexmethylphenidate na Dexmethylphenidate?

Kimwe n'imiti yose, iyi miti ishobora gutera ibikorwa bigaragara, nubwo abantu benshi bahura n'ibyoroshye gusa bigenda birushaho uko umubiri wabo wimenyereza umuti. Kumenya icyo witegura bishobora kugufasha kumva witeguye kandi ukamenya igihe cyo kuvugana na muganga wawe.

Dore ibikorwa bigaragara bisanzwe ushobora guhura nabyo, kandi wibuke ko atari buri wese ubigeraho:

• Kugabanya ubushake bwo kurya no gutakaza ibiro
• Kugorana gusinzira cyangwa kuguma usinziriye
• Umutwe
• Urubu mu nda cyangwa isesemi
• Umuzungero
• Umutima wihuta
• Impinduka z'amarangamutima cyangwa umujinya
• Umunwa wumye

Ibyinshi muri ibi bikorwa bigaragara biroroshye kandi bikunda gukira nyuma y'ibyumweru bike bya mbere by'ubuvuzi. Niba bikomeje cyangwa bikaba bibangamiye, muganga wawe akenshi ashobora guhindura urugero rwawe cyangwa igihe kugira ngo bifashe kubigabanya.

Ibyo bitabaho kenshi ariko bikomeye bisaba ubufasha bwihuse bwa muganga. Ibi birimo kuribwa mu gituza, guhumeka bigoranye, guta ubwenge, impinduka zikomeye z'amarangamutima, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rumeze nabi cyangwa kubyimba. Byongeye kandi, abantu bamwe bashobora kugira imikurire itinda ku bana, ibibazo by'imitsi mu ntoki no mu birenge, cyangwa ibimenyetso bishya cyangwa bikomeza by'ubuzima bwo mu mutwe.

Ibyo bitabaho cyane ariko bikomeye birimo ibibazo by'umutima, gufatwa n'indwara, cyangwa priapism (gushyukwa igihe kirekire ku bagabo). Nubwo ibi bidakunze kubaho, ni ngombwa kubimenya kandi gushaka ubufasha bwihuse bwa muganga niba bibayeho.

Ninde Utagomba Gufata Serdexmethylphenidate na Dexmethylphenidate?

Imiti iyi ntikwiriye abantu bose, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyikwandikira. Ibyiciro byinshi n'ibihe bituma iyi miti idatekanye cyangwa idakwiriye.

Ntugomba gufata iyi miti niba ufite indwara zimwe na zimwe z'umutima, harimo ibibazo bikomeye by'umutima, umuvuduko w'amaraso uri hejuru utagenzurwa neza, cyangwa niba waragize ibitero by'umutima cyangwa umutima utera nabi. Abantu bafite imisemburo y'umubiri ikora cyane, glaucoma, cyangwa indwara zikomeye zo guhangayika nabo bagomba kwirinda iyi miti.

Niba urimo gufata cyangwa umaze gufata vuba imiti yitwa monoamine oxidase inhibitors (MAOIs), uzakenera gutegereza byibuze iminsi 14 mbere yo gutangira gufata iyi miti. Ubu buryo bushobora gutera izamuka ry'umuvuduko w'amaraso. Byongeye kandi, niba ufite amateka yo gukoresha ibiyobyabwenge cyangwa ubujura, muganga wawe azakenera gupima neza inyungu n'ingaruka.

Abagore batwite kandi bonsa bagomba kuganira ku ngaruka n'inyungu n'umuganga wabo, kuko iyi miti ishobora kujya ku mwana. Abantu bafite indwara zimwe na zimwe zo mu mutwe, harimo indwara ya bipolar cyangwa psychosis, bashobora gukenera gukurikiranwa by'umwihariko cyangwa imiti isimbura.

Amazina y'ubwoko bwa Serdexmethylphenidate na Dexmethylphenidate

Serdexmethylphenidate iboneka munsi y'izina ry'ubwoko rya Azstarys. Uyu ni umuti mushya wemejwe na FDA mu 2021, bityo birashoboka ko utazwi cyane n'abaganga bamwe na bamwe n'abarwayi ugereranije n'imiti ya kera ya ADHD.

Dexmethylphenidate iboneka munsi y'izina ry'ubwoko rya Focalin kubijyanye na tablet zihita zisohoka na Focalin XR kubijyanye na capsule zisohoka igihe kirekire. Ubwoko bwa generic bwa dexmethylphenidate buraboneka kandi, bushobora kuba buhendutse mugihe butanga inyungu zimwe za therapeutic.

Igihe uvugana n'umuganga wawe cyangwa umufarumasiti kuri iyi miti, ushobora gukoresha izina rusange cyangwa izina ry'ubwoko. Ubwishingizi bwawe bushobora gushyigikira uburyo bumwe kuruta ubundi, bityo birakwiye kugenzura n'uwaguha ubwishingizi bwawe niba hari uburyo bukugirira akamaro kurusha ubundi.

Uburyo bwo gusimbuza Serdexmethylphenidate na Dexmethylphenidate

Niba iyi miti itagukundiye cyangwa ikagutera ingaruka mbi, hari ubundi buryo bwo kuvura buriho. Umuganga wawe ashobora kugufasha gushakisha izi nzira zindi zishingiye ku byo ukeneye n'amateka yawe y'ubuzima.

Izindi miti ikangura harimo methylphenidate (Ritalin, Concerta), imiti ishingiye kuri amphetamine (Adderall, Vyvanse), na lisdexamfetamine (Vyvanse). Buri imwe ifite ingaruka zitandukanye gato n'igihe zimara, bityo guhindura ukajya ku kintu gitandukanye gishobora gutanga ibisubizo byiza hamwe n'ingaruka nke.

Uburyo butakangura harimo atomoxetine (Strattera), guanfacine (Intuniv), na clonidine (Kapvay). Iyi miti ikora mu buryo butandukanye n'ibyangura kandi ishobora kuba amahitamo meza niba ufite ibibazo by'umutima, impungenge zo gukoresha ibiyobyabwenge, cyangwa ingaruka zikomeye ziva ku byangura.

Usibye imiti, imyitwarire, impinduka z'imibereho, n'uburyo bwo kwigisha birashobora gufasha cyane mu gucunga ibimenyetso bya ADHD. Abantu benshi basanga guhuza imiti n'izi nzira bitanga ibisubizo byiza muri rusange.

Ese Serdexmethylphenidate na Dexmethylphenidate biruta Methylphenidate?

Niba iyi miti ari

Dexmethylphenidate ni nk'isukuye, ifite imbaraga kurusha methylphenidate. Ibi bivuze ko ubusanzwe ukeneye urugero ruto kugira ngo ugereranye ingaruka, bishobora gutuma abantu bamwe bagira ingaruka nke. Abarwayi benshi basanga dexmethylphenidate ituma umuntu atagira ubushake bwo kurya kandi ntibagire ibibazo byo gusinzira ugereranyije na methylphenidate isanzwe.

Serdexmethylphenidate itanga inyungu yo gufata umuti rimwe ku munsi, ingaruka zikamarana amasaha agera kuri 13, ibyo bishobora koroha kurusha gufata imiti myinshi umunsi wose. Itanga kandi itangira ryoroheje n'ihagarika ry'ingaruka, bishobora kugabanya ibimenyetso byo "gusubira inyuma" abantu bamwe bahura nabyo iyo umuti utangiye gushira imbaraga.

Ariko, methylphenidate imaze imyaka myinshi ikoreshwa kandi ifite amateka maremare y'umutekano n'ubushobozi. Iraboneka kandi mu buryo bwinshi kandi akenshi ihendutse. Guhitamo neza biterwa n'imibereho yawe, uko ibimenyetso bimeze, uko wihanganira ingaruka, n'ubwishingizi bwawe.

Ibibazo bikunze kubazwa kuri Serdexmethylphenidate na Dexmethylphenidate

Ese Serdexmethylphenidate na Dexmethylphenidate birakwiriye indwara z'umutima?

Iyi miti ishobora kongera umuvuduko w'umutima n'umuvuduko w'amaraso, bityo abantu bafite indwara z'umutima bakenera kwitabwaho by'umwihariko. Muganga wawe azakenera gusuzuma uko umutima wawe umeze n'ubuzima bwawe muri rusange mbere yo kumenya niba iyi miti ikwiriye kuri wowe.

Niba ufite indwara y'umutima ifashwe neza kandi umuganga w'umutima wawe abyemeye, ushobora gufata iyi miti ukurikiranwa neza. Ibi byakubiyemo gusuzumwa buri gihe kugira ngo ukurikirane umuvuduko w'umutima wawe, umuvuduko w'amaraso, n'ubuzima bw'umutima muri rusange. Ariko, niba ufite ibibazo bikomeye by'umutima, angina idahagaze, cyangwa ibitero by'umutima bya vuba, iyi miti akenshi ntabwo itangwa.

Buri gihe menyesha muganga wawe wandika imiti n'umuganga w'umutima ku bijyanye n'imiti yose urimo gufata. Bashobora gufatanya kugirango bamenye uburyo bwo kuvura ADHD burinzwe cyane mugihe barengera ubuzima bw'umutima wawe.

Nkwiriye gukora iki niba nifashishije cyane Serdexmethylphenidate cyangwa Dexmethylphenidate?

Niba witwaje imiti myinshi nk'iyi, vugana n'umuganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, n'iyo wumva umeze neza. Kwiyongera kwa stimulant bishobora kuba bikomeye kandi bisaba ubufasha bwihuse bw'abaganga.

Ibimenyetso byo gufata imiti myinshi birimo umujinya ukabije, urujijo, umutima utera cyane, umuvuduko mwinshi w'amaraso, umuriro mwinshi, imitsi ikubita, cyangwa ibibazo byo gufatwa. Ushobora kandi guhura n'umutwe ukabije, kuruka, cyangwa kwibeshya. Ntukategereza ko ibimenyetso bigaragara mbere yo gushaka ubufasha.

Hamagara ikigo cyaho gishinzwe kurwanya ubumara kuri 1-800-222-1222 cyangwa ujye mu cyumba cyihutirwa cyegereye. Zana icupa ry'imiti hamwe nawe kugirango abaganga bamenye neza icyo wafashe n'ingano yacyo. Ibikorwa byihuse birinda ingaruka zikomeye zo kwiyongera kwa stimulant.

Nkwiriye gukora iki niba nciwe doze ya Serdexmethylphenidate cyangwa Dexmethylphenidate?

Niba uciwe doze, igikorwa cyiza giterwa nigihe wibukira n'umuti urimo gufata. Ku miti ifatwa rimwe ku munsi nka serdexmethylphenidate, fata doze yaciwe ako kanya wibukiye, ariko niba bikiri mu gitondo.

Ntufate doze yaciwe mu gitondo cyangwa nimugoroba, kuko ibi bishobora kubangamira cyane ibitotsi byawe. Niba byarangiye mu gitondo, reka doze yaciwe hanyuma ufate doze yawe ikurikira ku gihe gisanzwe mu gitondo gikurikira. Ntukigere ufata doze ebyiri icyarimwe kugirango usubize doze yaciwe.

Kubijyanye na dexmethylphenidate isohoka ako kanya ifatwa kabiri ku munsi, urashobora gufata doze yaciwe niba biri mu masaha make y'igihe cyagenwe. Ariko, niba igihe cyegereje doze yawe ikurikira, reka doze yaciwe ukomeze gahunda yawe isanzwe.

Ryarihe nshobora kureka gufata Serdexmethylphenidate cyangwa Dexmethylphenidate?

Umwanzuro wo kureka gufata iyi miti ugomba gufatirwa hamwe na muganga wawe. Ntabwo bisa n'indi miti, ushobora guhagarika ibiyobyabwenge nta kugabanya urugero buhoro buhoro, ariko muganga wawe azakuyobora mu buryo bwiza bujyanye n'uko ubuzima bwawe bumeze.

Ushobora gutekereza kureka gufata iyi miti niba ufite ingaruka zikomeye zirenze akamaro, niba imiterere y'ubuzima bwawe yahindutse, cyangwa niba ushaka kureba uko ubaho udafata imiti. Abantu bamwe bahitamo guhagarika gufata imiti mu gihe cy'impeshyi cyangwa mu bindi bihe iyo ibyo usabwa gukora biba bicye.

Mbere yo guhagarika, ganira na muganga wawe uko wakurikirana ibimenyetso byagaruka n'uburyo bundi ushobora gukoresha. Abantu bamwe basanga bakeneye kongera gufata imiti nyuma yo guhagarika, mu gihe abandi bashobora guhangana n'ibimenyetso byabo binyuze mu bundi buryo nka terapi, guhindura imibereho, cyangwa imiti itandukanye.

Nshobora kunywa inzoga niba mfata iyi miti?

Muri rusange birasabwa kwirinda inzoga mugihe ufata imiti ikangura ubwonko. Inzoga irashobora kubuza iyi miti gukora neza kandi irashobora kongera ibyago by'ingaruka cyangwa guhura n'ibintu biteje akaga.

Inzoga irashobora guhisha zimwe mu ngaruka z'ibiyobyabwenge, bishobora gutuma abantu banywa inzoga nyinshi kuruta uko basanzwe banywa. Uku guhuza kandi birashobora kongera ibyago by'ibibazo by'umutima kandi birashobora gukomeza ingaruka nk'izunguruka cyangwa guhinduka kw'umuvuduko w'amaraso.

Niba uhisemo kunywa inzoga rimwe na rimwe, banza uganire na muganga wawe. Bashobora gutanga ubuyobozi ku gihe n'ibitekerezo by'umutekano. Jya uhora ubwiza umuganga wawe uko ukoresha inzoga kugirango bagufashe gufata ibyemezo byiza ku bijyanye n'imiti ufata.