Ni iki Dexmethylphenidate: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Dexmethylphenidate ni umuti wandikirwa abantu ufasha abantu bafite ADHD kwibanda neza no kugenzura imyitwarire y'ubugome. Mubyukuri ni verisiyo yatejwe imbere ya methylphenidate (izwi cyane nka Ritalin), ikubiyemo gusa igice gikora cyane cy'uwo muti. Ibi bituma bishoboka ko bikora neza ku bipimo bike kubantu benshi bahanganye n'ibibazo byo kwitondera no kwihutisha.

Dexmethylphenidate ni iki?

Dexmethylphenidate ni umuti ushimisha urwungano rw'imitsi yo hagati ugizwe n'umuryango w'imiti yitwa psychostimulants. Tekereza nkigice cyatoranijwe neza cyurugero runini rwumuti - abahanga bafashe igice gikora cyane cyane cya methylphenidate kugirango bakore ubuvuzi bwibanda cyane.

Umuti ukora wongera gake imisemburo imwe yo mu bwonko ifasha kwibanda no kwitondera. Iboneka mumashusho yibinyabuzima byihuse bikora mumasaha agera kuri 4 na kapsule zirekurwa cyane zitanga ubufasha bwumunsi wose. Muganga wawe azemeza uburyo bukora neza kubisabwa byawe byihariye na gahunda ya buri munsi.

Dexmethylphenidate ikoreshwa kubiki?

Dexmethylphenidate ikoreshwa cyane mugukiza Indwara yo kutitaho no kwihutisha (ADHD) haba kubana nabakuze. Bifasha abantu bagira ibibazo byo kwitondera, gukomeza kwibanda ku mirimo, cyangwa kugenzura imyitwarire y'ubugome ibangamira imibereho yabo ya buri munsi.

Umuti ushobora gutuma habaho itandukaniro rinini mubice bitandukanye byimikorere ya buri munsi. Urashobora kubona impinduka nziza mubushobozi bwawe bwo kurangiza imishinga yakazi, gukurikiza ibiganiro, gutegura imirimo, cyangwa kwicara utuje mugihe cyinama. Abantu benshi basanga bibafasha kumva nkabo - boroheje, bibanda cyane, kandi bashobora kwifatanya neza n'isi ibakikije.

Rimwe na rimwe, abaganga bandika dexmethylphenidate hanze y'uburyo bwanditsweho kubera narcolepsy, indwara itera gusinzira cyane ku manywa. Ariko, iyi mikoreshereze ntisanzwe, kandi muganga wawe azasuzuma neza niba ariyo nzira ikwiriye kuri wowe.

Dexmethylphenidate ikora ite?

Dexmethylphenidate ikora yongera urwego rwa dopamine na norepinephrine mu bwonko bwawe - intumwa z'imiti z'ingenzi ebyiri zifasha kugenzura imyumvire n'imyitwarire. Ku bantu bafite ADHD, iyi miti akenshi ntikora neza uko bikwiye, bigatuma bigorana kwibanda no kugenzura ibitekerezo.

Uyu muti ufatwa nk'ukomeye mu miti ivura ADHD. Ufite imbaraga kurusha imiti imwe ya kera ariko muri rusange ni woroshye kurusha imiti mishya, ikora igihe kirekire. Ibi bituma iba uburyo bwiza bwo hagati ku bantu benshi bakeneye kugenzura ibimenyetso neza batagize ingaruka zikabije.

Igituma dexmethylphenidate idasanzwe ni imiterere yayo itunganyije. Mugihe methylphenidate isanzwe ikubiyemo ibice bikora n'ibitakora cyane, dexmethylphenidate ikubiyemo igice cyonyine gifitiye akamaro mu kuvura. Ibi akenshi bivuze ko ushobora kugera ku nyungu zimwe na zimwe ufite urugero ruto, rushobora kugabanya ingaruka ziterwa.

Nkwiriye gufata dexmethylphenidate nte?

Fata dexmethylphenidate nkuko muganga wawe abitegeka, akenshi rimwe cyangwa kabiri ku munsi bitewe n'uburyo bwanditsweho. Tablette zihita zirekurwa akenshi zifatwa kabiri ku munsi, mugihe ibinini birekurwa igihe kirekire bifatwa rimwe mu gitondo. Igihe ni ingenzi kuko uyu muti ushobora kubuza gusinzira niba ufashwe nyuma y'umunsi.

Ushobora gufata uyu muti hamwe n'ibiryo cyangwa utabifite, ariko kubikora buri gihe bifasha umubiri wawe kuwufata neza. Niba ubonye ko mu nda hawe hatameze neza, kuwufata hamwe n'ifunguro rito cyangwa akamanyu birashobora gufasha. Irinde kuwufata hamwe n'ibiryo birimo amavuta menshi, kuko ibi bishobora gutinda uburyo umuti utangira gukora.

Ku bijyanye n'ibinini bifata igihe kinini mbere yo gukora, ubimire byose hamwe n'amazi. Niba ugira ikibazo cyo kumira ibinini, urashobora gufungura ikinini ugashyira ibikubiyemo ku gice cy'ibishyimbo by'apulo - ariko ntukagome uduce duto turimo. Ntukagome cyangwa ngo umire ubundi buryo bw'uyu muti, kuko ibyo bishobora gutuma umuti usohoka mwinshi icyarimwe.

Gerageza gufata umuti wawe ku gihe kimwe buri munsi kugira ngo ugumane urwego ruzigama mu mubiri wawe. Ibi bigufasha gukoresha neza inyungu kandi bikorohera kwibuka doze zawe.

Nzamara Igihe Kingana Iki Ndafata Dexmethylphenidate?

Igihe cyo kuvura na dexmethylphenidate gitandukana cyane ku muntu ku muntu kandi biterwa n'ibyo ukeneye n'uburyo ubyakira. Abantu bamwe bungukirwa no gukoresha igihe gito mu bihe bigoye cyane, mu gihe abandi basanga kuvurwa igihe kirekire bibafasha gukora neza mu kazi, ku ishuri, cyangwa mu mibanire yabo.

Ugomba gutangira n'igihe cy'igerageza kugira ngo urebe uko umuti ukora neza kuri wowe no gukurikirana ingaruka zose zishobora kubaho. Abantu benshi bakomeza kuvurwa amezi cyangwa imyaka, bafite ibiganiro bisanzwe kugira ngo barebe ko umuti ukomeza gufasha kandi ukwiye. ADHD akenshi ni indwara y'ubuzima bwose, bityo kuvurwa bikomeza ni ibisanzwe kandi ni ibisanzwe rwose.

Ni ngombwa gukorana bya hafi n'umuganga wawe kugira ngo umenye igihe gikwiye cyo kuvurwa mu bihe byawe. Bazatekereza ibintu nk'uburemere bw'ibimenyetso byawe, uko ubuzima bwawe bumeze, uko wakiriye ubuvuzi, n'ingaruka zose ubona. Ntukareke gufata uyu muti mu buryo butunguranye utabanje kubaza umuganga wawe, kuko ashobora gushaka kugabanya doze yawe buhoro buhoro.

Ni Iyihe Ngaruka Ziterwa na Dexmethylphenidate?

Kimwe n'indi miti yose, dexmethylphenidate ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza. Ingaruka nyinshi ziba nto kandi akenshi zikagenda uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere byo kuvurwa.

Ibi ni bimwe mu ngaruka zikunze kugaragara zishobora kukubaho, zikurikizwa uko zikunda kugaragara:

• Kugabanya ubushake bwo kurya cyangwa kugabanya ibiro
• Kugorwa no gusinzira cyangwa kutaguma mu tuntu
• Umutwe
• Urubu mu nda cyangwa isesemi
• Ubwoba cyangwa kumva utuje
• Urugero
• Umutima wihuta
• Impinduka z'amarangamutima cyangwa kwishima cyane

Izi ngaruka zisanzwe zikunze kugabanuka uko umubiri wawe wimenyereza umuti. Muganga wawe ashobora gutanga ingamba zo kuzicunga niba zikomeje.

Ingaruka zitagaragara cyane ariko zikomeye zisaba ubufasha bwihutirwa bw'abaganga. Nubwo bidasanzwe, ni ngombwa kumenya ibi bishoboka kugirango usabe ubufasha niba bibaye ngombwa:

• Uburibwe mu gituza cyangwa umutima utagenda neza
• Impinduka zikomeye z'amarangamutima, harimo umubabaro cyangwa ibitekerezo byo kwigirira nabi
• Ibimenyetso by'ibibazo by'imitsi, nk'intoki cyangwa intoki zihinduka ubururu cyangwa kumva bikonje
• Imyitwarire idasanzwe cyangwa tics
• Kureba nabi cyangwa izindi mpinduka zo kureba
• Umutwe ukabije cyangwa urujijo
• Kwigaragambya (bidasanzwe cyane)

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa usabe ubufasha bwihutirwa bw'abaganga. Wibuke, ingaruka zikomeye ntizisanzwe, ariko buri gihe biruta kwitondera ubuzima bwawe.

Ninde Utagomba Gufata Dexmethylphenidate?

Abantu bamwe bagomba kwirinda dexmethylphenidate kubera ibibazo by'ubuzima bishoboka cyangwa imiti ihura. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kugusaba uyu muti kugirango yemeze ko ari mutekano kuri wewe.

Ntabwo ugomba gufata dexmethylphenidate niba ufite izi ngorane cyangwa ibihe bikurikira:

• Uburwayi bw'umubiri bwatewe na dexmethylphenidate cyangwa methylphenidate
• Ubu cyangwa mu minsi ya vuba gukoresha imiti ya MAO (mu minsi 14 ishize)
• Ubwoba bukomeye, umunabi, cyangwa umujinya
• Glaucoma (umuvuduko w'amaso wiyongereye)
• Motor tics cyangwa indwara ya Tourette
• Ibibazo bikomeye by'umutima cyangwa ibibazo by'imiterere y'umutima
• Umuvuduko w'amaraso mwinshi cyane
• Uburwayi bw'impyiko bukabije (hyperthyroidism)

Ibi bibazo bishobora gutuma dexmethylphenidate itaba nziza cyangwa idakora neza kuri wowe. Muganga wawe azakorana nawe kugirango abone imiti isimbura niba kimwe muri ibi bireba uko ubuzima bwawe bumeze.

Byongeye kandi, amatsinda amwe na amwe akeneye kwitabwaho by'umwihariko no gukurikiranwa hafi. Muganga wawe azagereranya inyungu n'ibishobora guteza akaga niba ufite ibibazo by'umutima byoroheje, umuvuduko w'amaraso mwinshi, indwara zo mu mutwe, cyangwa amateka yo gukoresha ibiyobyabwenge. Abagore batwite cyangwa bonsa bagomba kuganira kubyerekeye ibisubizo byose neza n'umuganga wabo.

Amazina y'ubwoko bwa Dexmethylphenidate

Izina risanzwe rya dexmethylphenidate ni Focalin, iza mu nini zihita zirekurwa. Verisiyo irekurwa ryongerewe yitwa Focalin XR. Ubu bwoko bwombi burimo ibintu bimwe bikora ariko bigenewe gukora mu gihe gitandukanye umunsi wose.

Verisiyo rusange ya dexmethylphenidate iraboneka kandi irimo ibintu bimwe bikora nk'ubwoko bw'izina. Farumasi yawe irashobora gusimbuza verisiyo rusange keretse muganga wawe asabye izina ry'ubwoko. Verisiyo zombi rusange n'izina ry'ubwoko zikora neza kimwe kuri benshi.

Niba uhindura hagati y'abakora batandukanye ba verisiyo rusange, witondere uko wumva. Mugihe ikintu gikora kimwe, itandukaniro rito riri mubintu bitagira akamaro rimwe na rimwe rishobora kugira ingaruka kuburyo abantu bamwe basubiza imiti.

Uburyo bwo gusimbuza Dexmethylphenidate

Imiti indi myinshi irashobora kuvura ADHD niba dexmethylphenidate itagukwiriye. Muganga wawe ashobora kugusaba kugerageza imiti itandukanye ikangura ubwonko, nka methylphenidate (Ritalin), imiti ishingiye kuri amphetamine (nka Adderall), cyangwa ibindi bifite igihe kirekire nk'urugero lisdexamfetamine (Vyvanse).

Uburyo bwo gusimbuza butakangura ubwonko burimo atomoxetine (Strattera), ikora mu buryo butandukanye n'ibitera ubwonko kandi bishobora kuba byiza niba udashobora kwihanganira ingaruka ziterwa n'ibitera ubwonko. Abantu bamwe kandi bungukirwa n'imiti imwe na rimwe ivura umubabaro cyangwa imiti igabanya umuvuduko w'amaraso ishobora gufasha mu kugaragaza ibimenyetso bya ADHD.

Gu hitamo hagati y'ubundi buryo biterwa n'ibimenyetso byawe byihariye, imibereho yawe, izindi ndwara z'ubuzima, n'uko witwara ku miti itandukanye. Muganga wawe azakorana nawe kugirango abone uburyo bwo kuvura bwiza bufite ingaruka nke ku miterere yawe.

Ese Dexmethylphenidate iruta Methylphenidate?

Dexmethylphenidate na methylphenidate ni imiti ifitanye isano rya hafi, ariko ntibiba ngombwa ko ziruta cyangwa zikaba mbi kurusha izindi - zirasa gusa. Dexmethylphenidate ni igice cyiza, gikora cyane cya methylphenidate, bivuze ko gishobora gukora ku bipimo bike kubantu benshi.

Abantu bamwe basanga dexmethylphenidate itera ingaruka nke kuko bakeneye urugero ruto kugirango bagere ku nyungu imwe yo kuvura. Abandi bitwara neza ku molekile yuzuye ya methylphenidate. Guhitamo akenshi biterwa n'uburyo umuntu yitwara, kwihanganira ingaruka, n'ibitekerezo by'ikiguzi.

Muganga wawe ashobora kugerageza imwe mbere hanyuma agahindukirira iyindi niba bibaye ngombwa. Imiti yombi ifite ubushobozi bungana bwo kuvura ibimenyetso bya ADHD, bityo guhitamo

Dexmethylphenidate bisaba kwitonda cyane niba ufite ibibazo by'umutima. Uyu muti ushobora kongera umuvuduko w'umutima n'umuvuduko w'amaraso, ibyo bishobora guhangayikisha abantu bafite indwara zimwe na zimwe z'umutima. Ariko, abantu benshi bafite ibibazo byoroheje by'umutima bashobora kuwufata neza bayobowe n'abaganga.

Ubuganga bwawe bushobora gushaka gupima imikorere y'umutima wawe mbere yo gutangira kuvurwa no kugukurikirana buri gihe mu gihe ufata uyu muti. Bashobora gusaba EKG cyangwa izindi igeragezwa ry'umutima kugira ngo barebe niba umutima wawe ushobora kwihanganira uyu muti neza. Niba ufite indwara ikomeye y'umutima, muganga wawe ashobora gusaba izindi miti.

Nkwiriye gukora iki niba mfashwe n'umuti wa Dexmethylphenidate ku buryo butunganye?

Niba ufata dexmethylphenidate ku buryo butunganye, vugana n'umuganga wawe cyangwa ikigo gishinzwe ubumara ako kanya. Kuwufata ku bwinshi bishobora gutera ibimenyetso bikomeye nk'umuvuduko w'umutima wihuse, umuvuduko mwinshi w'amaraso, guhinda umushyitsi, urujijo, cyangwa no gufatwa n'ibihungabanyo mu gihe gikomeye.

Ntugategereze ngo urebe niba ibimenyetso bigaragara - shakisha inama z'ubuvuzi ako kanya. Niba ufite ibimenyetso bikomeye nk'ububabare mu gituza, guhumeka bigoranye, cyangwa kutagira ubwenge, hamagara 911 cyangwa ujye mu cyumba cy'ubutabazi cyegereye ako kanya. Guma n'agacupa k'umuti kugira ngo abakozi b'ubuvuzi babone neza icyo wafashe n'ingano yacyo.

Nkwiriye gukora iki niba nsubiza urugero rwa Dexmethylphenidate?

Niba usubije urugero rwa dexmethylphenidate, ufate ako kanya wibuka, ariko niba bikiri kare ku manywa. Niba ari nimugoroba cyangwa nimugoroba, reka urugero rwasubijwe kugira ngo wirinde ibibazo byo gusinzira. Ntukigere ufata urugero ebyiri icyarimwe kugira ngo usubize urugero rwasubijwe.

Kubijyanye n'imiti ifata igihe kinini, igihe ni ingenzi cyane. Niba wibuka mu masaha make nyuma y'igihe cyanyu gisanzwe, urashobora kuyifata. Ariko, niba hashize igice cy'umunsi, akenshi biruta kureka urwo rugero no gusubira ku gahunda yawe isanzwe ku munsi ukurikira.

Nshobora kureka gufata Dexmethylphenidate ryari?

Ushobora kureka gufata dexmethylphenidate igihe wowe na muganga wawe mwembi mwemeje ko bitagikenewe cyangwa bitagifitiye akamaro. Ibi bishobora kuba iyo ibimenyetso byawe bigabanutse cyane, niba ugize ingaruka zikubangamiye, cyangwa niba imibereho yawe ihinduka mu buryo butuma imiti itaba ngombwa.

Buri gihe jya ukorana na muganga wawe kugirango utegure igihe n'uburyo bwo guhagarika. Nubwo dexmethylphenidate itagira ububata mu buryo ibindi bintu bimwe bifite, guhagarika ako kanya bishobora gutuma ibimenyetso byawe bya ADHD bisubira ako kanya. Muganga wawe ashobora gutanga igitekerezo cyo kugabanya buhoro buhoro urugero rwawe cyangwa gutegura igihe cyo guhagarika mu gihe cyoroshye cy'ubuzima bwawe.

Nshobora kunywa ikawa niga mfata Dexmethylphenidate?

Muri rusange ushobora gufata caffeine mu rugero ruto niga ufata dexmethylphenidate, ariko ni byiza kwitonda. Zose caffeine na dexmethylphenidate ni stimulants, bityo kuzihuza bishobora kongera ingaruka nk'umuvundo, umutima wihuta, cyangwa guhangayika.

Tangira n'utuntu duto twa caffeine kandi witondere uko wumva. Abantu benshi basanga bakeneye ikawa nkeya kuruta uko bisanzwe kuko umuti utanga ubushishozi mu mutwe. Niba wumva guhangayika kwiyongera, umutima utera cyane, cyangwa ibibazo byo gusinzira, tekereza kugabanya caffeine yawe. Buri gihe ganira ku mikoreshereze yawe ya caffeine na muganga wawe, cyane cyane niba wumva ibintu byongera imbaraga.