Yini i-Lisdexamfetamine Dimesylate: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Lisdexamfetamine dimesylate iyimithi kadokotela esiza ukwelapha i-ADHD (i-attention deficit hyperactivity disorder) kanye nesifo sokudla ngokweqile. Cabanga ngayo njengesikhuthazi esenzelwe ngqo esiba semsebenzini kuphela ngemuva kokuthi umzimba wakho usiyisebenzile, okwenza sithathe isikhathi eside futhi kube nzima ukusisebenzisa kabi kunezinye izidakamizwa ze-ADHD.

Le mithi yilokho odokotela abakubiza ngokuthi "i-prodrug," okusho ukuthi ihlala ingasebenzi kuze kube yilapho uhlelo lwakho lokugaya ukudla luyiguqula libe yifomu layo elisebenzayo. Lo mklamo oyingqayizivele usiza ukuhlinzeka ngokuqhubeka kokulawulwa kwezimpawu usuku lonke ngenkathi kunciphisa ubungozi bokuhlukunyezwa.

Yini i-Lisdexamfetamine Dimesylate Esetshenziselwa Yona?

I-Lisdexamfetamine dimesylate iphatha izimo ezimbili ezingathinta kakhulu impilo yansuku zonke. Udokotela wakho uyikhipha lapho ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele noma lapho udinga ukuphathwa kwezimpawu okuqhubekayo, kosuku lonke.

Nge-ADHD, le mithi isiza ukuthuthukisa ukugxila, ukunciphisa ukugxila ngokweqile, nokulawula ukuziphatha okungazelelwe kubo bobabili abantwana kanye nabantu abadala. Isebenza ngokwandisa amakhemikhali athile obuchopho asiza ukulawula ukunaka nokuziphatha, okwenza kube lula ukugxila emisebenzini nokulandela imisebenzi.

Ngesifo sokudla ngokweqile, i-lisdexamfetamine dimesylate isiza ukunciphisa imvamisa yezigameko zokudla ngokweqile. Ithinta izindawo zobuchopho ezilawula ukudla, ikusiza ukuthi uzizwe ulawula kangcono amaphethini okudla futhi unciphise isifiso sokudla ukudla okuningi ngokushesha.

Isebenza Kanjani i-Lisdexamfetamine Dimesylate?

Le mithi isebenza ngokwandisa amazinga e-dopamine kanye ne-norepinephrine ebuchosheni bakho. Lawa ngamakhemikhali emvelo asiza ukulawula ukunaka, ukulawula ukuziphatha, nemizwa, okudala isimo esilinganiselwe kakhulu sokusebenza kwansuku zonke.

Okuthi i-lisdexamfetamine dimesylate ikhethekile ngayo yinqubo yayo yokuvulwa kancane kancane. Ngemuva kokugwinya ikhaphule, uhlelo lwakho lokugaya ukudla luyayiguqula kancane kancane libe yifomu layo elisebenzayo usuku lonke. Lokhu kusho ukuthi uthola ukukhululeka kwezimpawu okuqhubekayo kuze kube amahora angu-14, kunokuba kube nokunyuka nokwehla ongase ukuzwe ngemithi esebenza ngesikhathi esifushane.

Umuthi uthathwa njengomuthi oqinile ngokulinganisela phakathi kokwelashwa kwe-ADHD. Unikeza ukulawulwa kwezimpawu okuthembekile ngaphandle kokulinganiswa okuvamile okudingekayo ngezinye izinketho, okwenza kube lula ukugcina imiphumela yokwelashwa eqhubekayo.

Kufanele Ngiyithathe Kanjani I-Lisdexamfetamine Dimesylate?

Thatha i-lisdexamfetamine dimesylate ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku ekuseni. Ungayithatha nokudla noma ngaphandle kokudla, nakuba ukuyithatha nokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uhlangabezana nanoma yikuphi.

Gwinya ikhaphule lonke ngamanzi, noma uma unenkinga yokugwinya amaphilisi, ungavula ikhaphule bese ufafaza okuqukethwe kuyo iyogathi encane noma i-applesauce. Ungahlafuni amabhola ngaphakathi kwekhaphule, ngoba lokhu kungathinta indlela umuthi okhishwa ngayo emzimbeni wakho.

Njengoba lo muthi ungaphazamisa ukulala, wuthatha ekuseni ngangokunokwenzeka. Gwema ukuwuthatha sekwephuzile emini ngaphandle uma udokotela wakho ekweluleka ngokuqondile ngenye indlela, njengoba kungakugcina uvukile ebusuku.

Akudingeki ukuthi ulandele noma yikuphi ukudla okukhethekile ngenkathi uthatha lo muthi. Kodwa-ke, ukuphuza amanzi amaningi usuku lonke kungasiza ukuvimbela ukushoda kwamanzi emzimbeni, okwenzeka ngezinye izikhathi ngemithi ekhuthazayo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Lisdexamfetamine Dimesylate?

Ubude bokwelashwa buhlukahluka kakhulu kuye ngezidingo zakho zomuntu ngamunye nokuphendula emuthini. Abantu abaningi abane-ADHD bayazuza ekwelashweni kwesikhathi eside, ngezinye izikhathi iminyaka, kanti abanye bangase badinge izifundo zokwelashwa ezimfushane.

Udktela wakho uzohlola njalo ukuthi umuthi usebenza kahle kangakanani nokuthi usawudinga yini. Ezinganeni nakubantu abasha, odokotela bavame ukuhlola kabusha ukwelashwa ngesikhathi samaholide esikole ukuze babone ukuthi izimpawu zithuthuke ngokwanele yini ukunciphisa noma ukuyeka umuthi.

Ngenxa yokudla ngokweqile, ubude bokwelashwa buvame ukusuka ezinyangeni ezimbalwa kuya onyakeni noma ngaphezulu, kuye ngokuthi uphendula kahle kangakanani nokuthi ngabe ezinye izindlela zokwelapha nazo ziyasetshenziswa yini. Udokotela wakho uzosebenza nawe ukuthola ubude bokwelashwa obulungile esimweni sakho.

Ungayeki ukuthatha i-lisdexamfetamine dimesylate ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ngenkathi ngokuvamile ingaluthisi uma isetshenziswa njengoba kunqunywe, ukuyeka kungazelelwe kungadala ukukhathala okwesikhashana, izinguquko zemizwa, nokubuyela kwezimpawu.

Yiziphi Imiphumela Eceleni ye-Lisdexamfetamine Dimesylate?

Njengayo yonke imithi, i-lisdexamfetamine dimesylate ingadala imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Nansi imiphumela emibi evame kakhulu ongase uyithole, ikakhulukazi lapho uqala ukwelashwa:

• Ukuncipha kwesifiso sokudla nokuncipha kwesisindo
• Ukuhluleka ukulala noma ukuhlala ulele
• Umlomo owomile
• Ikhanda
• Isicanucanu noma isisu esibuhlungu
• Ukuzizwa unovalo noma ungakhululekile
• Ukuqina kwenhliziyo
• Ushintsho lwemizwa njengokucasuka

Le miphumela ngokuvamile iba ngaphansi uma umzimba wakho ujwayela umuthi. Ukuphuza amanzi amaningi kungasiza ngomlomo owomile, futhi ukuthatha umuthi ekuseni kunganciphisa izinkinga zokulala.

Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha. Xhumana nodokotela wakho uma uqaphela noma yiziphi lezi zimpawu:

• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ushintsho olukhulu lwemizwa noma ukucindezeleka
• Izimpawu zezinkinga zokujikeleza kwegazi njengokuba ndikindiki kweminwe noma izinzwane
• Ukwanda okukhulu kwengcindezi yegazi
• Ukuthuthumela kwemisipha okungajwayelekile noma ukunyakaza
• Izimpawu zezinkinga zesibindi njengokushintsha kombala kwesikhumba noma amehlo abe phuzi

Imiphumela emibi engavamile kodwa ebucayi ingabandakanya izinkinga zenhliziyo, izinguquko zempilo yengqondo, noma ukusabela okukhulu komzimba. Lokhu kwenzeka kubantu abambalwa kakhulu, kodwa kubalulekile ukukwazi lokhu futhi ufune usizo lwezokwelapha ngokushesha uma kwenzeka.

Ubani Ongafanele Athathe I-Lisdexamfetamine Dimesylate?

Izimo ezithile zempilo kanye nemithi kwenza i-lisdexamfetamine dimesylate ingaphephile noma ingasebenzi kahle. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthathe lo muthi uma unesinye salezi zimo:

• Isifo senhliziyo noma izinkinga ezinkulu zesigqi senhliziyo
• Umfutho wegazi ophezulu ongaphathwa kahle
• I-thyroid esebenza ngokweqile (i-hyperthyroidism)
• I-Glaucoma (ukwanda kwengcindezi emehlweni)
• Umlando wokusebenzisa izidakamizwa noma ukulutheka
• Ukukhathazeka okukhulu, ukungezwani, noma ukucasuka
• Ukungezwani ne-lisdexamfetamine noma imithi efanayo

Uma uthathe ama-MAO inhibitors (uhlobo lwe-antidepressant) ezinsukwini eziyi-14 ezedlule, uzodinga ukulinda ngaphambi kokuqala i-lisdexamfetamine dimesylate. Le mithi ingasebenzisana ngendlela eyingozi, okubangela ukwanda okukhulu komfutho wegazi.

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe uma unomlando wezimo zempilo yengqondo, ukuquleka, noma izinkinga zokujikeleza kwegazi. Lokhu akudingeki ukuthi kukuvimbele ekuthathweni komuthi, kodwa kudinga ukuqapha okuseduze ngesikhathi sokwelashwa.

Amagama Omkhiqizo we-Lisdexamfetamine Dimesylate

I-Lisdexamfetamine dimesylate ivameleke kakhulu ngegama layo lomkhiqizo elithi Vyvanse. Lona uhlobo lokuqala lomkhiqizo olwenziwa yi-Takeda Pharmaceuticals, futhi luyindlela esetshenziswa kakhulu yalo muthi.

Izinhlobo ezivamile ze-lisdexamfetamine dimesylate ziye zatholakala eminyakeni yamuva, zinikeza isithako esisebenzayo esifanayo ngezindleko ezingase zibe ngaphansi. Umuthi wakho wemithi angakutshela ukuthi iyiphi inguqulo oyitholayo nokuthi ngabe izinketho ezivamile ziyatholakala yini.

Noma ngabe uthatha igama lomkhiqizo noma inguqulo ejwayelekile, umuthi usebenza ngendlela efanayo. Abanye abantu bakhetha ukunamathela egameni lomkhiqizo ukuze bavumelane, kanti abanye bakhetha ama-generics ukuze wonge izindleko.

Ezinye Izindlela Zokwelapha I-Lisdexamfetamine Dimesylate

Eminye imithi eminingi ingelapha i-ADHD kanye nokuphazamiseka kokudla ngokweqile uma i-lisdexamfetamine dimesylate ingakulungele. Udokotela wakho angakusiza ukuthi uhlole lezi zinketho ngokususelwa ezidingweni zakho ezithile nomlando wakho wezokwelapha.

Nge-ADHD, eminye imithi yokuvuselela ihlanganisa:

• I-Methylphenidate (Ritalin, Concerta)
• Usawoti we-Amphetamine (Adderall)
• I-Dextroamphetamine (Dexedrine)

Imithi ye-ADHD engavuseleli njenge-atomoxetine (Strattera) noma i-guanfacine (Intuniv) ingaba yizinketho ezingcono uma ungaqedi izivuseleli noma unezimo ezithile zezokwelapha.

Nokuphazamiseka kokudla ngokweqile, ezinye izindlela zokwelapha zifaka i-topiramate (Topamax), ezinye izidambisi zokucindezeleka, noma izinhlelo zokwelapha eziphelele ezigxile ezingxenyeni zokuziphatha ezizungeze amaphethini okudla.

Enye indlela engcono kakhulu incike ezimpawini zakho, emlandweni wakho wezokwelapha, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene. Udokotela wakho uzosebenza nawe ukuthola inketho esebenza kahle kakhulu.

Ingabe i-Lisdexamfetamine Dimesylate Ingcono Kune-Adderall?

Kokubili i-lisdexamfetamine dimesylate ne-Adderall kuyizindlela zokwelapha ezisebenzayo ze-ADHD, kodwa zisebenza ngendlela ehlukile emzimbeni wakho. Ukukhetha okuthi "kungcono" kuncike ezidingweni zakho, indlela yokuphila, nokuthi umzimba wakho usabela kanjani emithini ngayinye.

I-Lisdexamfetamine dimesylate inikeza ezinye izinzuzo ngaphezu kwe-Adderall. Ihlala isikhathi eside (kufika emahoreni angu-14 uma kuqhathaniswa namahora angu-4-6 e-Adderall ejwayelekile), okusho ukuthi udinga ukuyithatha kanye ngosuku. Futhi inethuba eliphansi lokusetshenziswa kabi njengoba kufanele icutshungulwe uhlelo lwakho lokugaya ukudla ukuze lisebenze.

I-Adderall, ngakolunye uhlangothi, iqala ukusebenza ngokushesha futhi iza ngesimo esisebenza ngokushesha nesisebenza isikhathi eside. Lokhu kunikeza udokotela wakho ukuguquguquka okwengeziwe ekulungiseni ukwelashwa kwakho, futhi inguqulo esebenza ngokushesha ivumela isikhathi esiqondile sokulawula izimpawu.

Abanye abantu basabela kangcono emuthini owodwa kunomunye, yize bobabili bengama-stimulants. Udokotela wakho angase azame zombili izinketho ukuze abone ukuthi iyiphi enikeza ukulawula okungcono kwezimpawu ngemiphumela emincane engemihle esimweni sakho esithile.

Imibuzo Evame Ukubuzwa Mayelana ne-Lisdexamfetamine Dimesylate

Ingabe i-Lisdexamfetamine Dimesylate iphephile ezimweni zenhliziyo?

I-Lisdexamfetamine dimesylate ingathinta izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho-ke ngokuvamile akunconywa uma unezimo zenhliziyo ezinzima. Kodwa-ke, abantu abanezimo zenhliziyo ezilawulwa kahle ezingathí sina bangase bakwazi ukuyithatha ngaphansi kokuqashwa kwezokwelapha okuseduze.

Ngaphambi kokuqala lo muthi, udokotela wakho uzohlola impilo yenhliziyo yakho ngemva kokuhlolwa futhi mhlawumbe ne-EKG. Bazophinda baqaphe umfutho wegazi lakho nezinga lokushaya kwenhliziyo njalo ngesikhathi sokwelashwa ukuze baqinisekise ukuthi umuthi awubangeli izinkinga.

Ngingenzani uma ngisebenzisa i-Lisdexamfetamine Dimesylate eningi ngengozi?

Uma ngabe uthatha ngengozi umuthi owedlula umthamo owubekelwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha umuthi owedlula umthamo kungabangela izimpawu ezinzima njengokushaya kwenhliziyo ngokushesha, umfutho wegazi ophezulu, ukudideka, noma ukuquleka.

Ungalindi ukubona ukuthi uzizwa kahle yini - izimpawu zokweqisa umthamo zingase zingaveli ngokushesha kodwa zingaba yingozi ngokushesha. Gcina ibhodlela lomuthi unawo uma ufuna usizo ukuze ochwepheshe bezokwelapha bazi kahle ukuthi uthathe ini nokuthi uthathe malini.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Lisdexamfetamine Dimesylate?

Uma uphuthelwa umthamo wakho wasekuseni, wuthatha ngokushesha lapho ukhumbula, kodwa kuphela uma kusekuqaleni kosuku. Ungawuthathi umthamo ophuthelwe emini noma kusihlwa, ngoba lokhu cishe kuzophazamisa ukulala kwakho.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe. Kunalokho, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile ekuseni ngakusasa. Umthamo owodwa ophuthelwe ngeke ukulimaze, nakuba ungase uqaphele ukuthi izimpawu zakho zibuyela okwesikhashana.

Ngingayeka nini ukuthatha i-Lisdexamfetamine Dimesylate?

Ungayeka ukuthatha i-lisdexamfetamine dimesylate uma wena nodokotela wakho nivumelana ngokuthi awusadingi noma uma izinzuzo zingasaweli ngaphezu kwanoma yimaphi imiphumela emibi. Lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngokubambisana nomhlinzeki wakho wezempilo.

Udokotela wakho angase asikisele ukuyeka ngesikhathi samaholide esikoleni noma ezinye izikhathi lapho ukulawulwa kwezimpawu kungabalulekile kangako ukuze abone ukuthi uziqhubula kanjani ngaphandle komuthi. Abanye abantu badinga ukwelashwa impilo yonke, kanti abanye bangagcina beyeka ukuyithatha ngempumelelo.

Ngingawuphuza utshwala ngenkathi ngithatha i-Lisdexamfetamine Dimesylate?

Kungcono ukugwema utshwala ngenkathi uthatha i-lisdexamfetamine dimesylate, njengoba le nhlanganisela ingaba engalindelekile futhi ingaba yingozi. Utshwala bungenza imiphumela emibi ibe mibi njengokugajuka futhi ingase iphazamise ukusebenza komuthi.

Uma ukhetha ukuphuza ngezikhathi ezithile, kwenze ngendlela elinganiselwe kakhulu futhi unake indlela ozizwa ngayo. Imiphumela yokuvuselela yomuthi ingase ifihle imiphumela yotshwala, okuholela ekutheni uphuze ngaphezu kwalokho oqondayo, okungaba yingozi.