Yini i-Serdexmethylphenidate ne-Dexmethylphenidate: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Serdexmethylphenidate ne-dexmethylphenidate yimithi kadokotela esiza ukuphatha i-attention deficit hyperactivity disorder (ADHD) ezinganeni nakubantu abadala. Le mithi isebenza ngokwandisa amakhemikhali athile obuchopho asiza ukuthuthukisa ukugxila, ukunaka, nokulawula ukuziphatha. Uma wena noma ingane yakho unikezwe le mithi, cishe uyazibuza ukuthi isebenza kanjani nokuthi yini ongayilindela.

Yini i-Serdexmethylphenidate ne-Dexmethylphenidate?

I-Serdexmethylphenidate ne-dexmethylphenidate yimithi ekhuthazayo eyingxenye yeqembu lemithi ebizwa ngokuthi ama-stimulants ohlelo lwezinzwa oluphakathi nendawo. I-Serdexmethylphenidate iyimithi entsha equkethe kokubili uhlobo olusebenzayo kanye nohlobo lwe-prodrug lwe-methylphenidate, kuyilapho i-dexmethylphenidate iyindlela esebenzayo yesandla sokudla se-methylphenidate.

Le mithi ihlobene ngamakhemikhali ne-methylphenidate (evame ukwaziwa nge-Ritalin), kodwa yakhelwe ukuthi isebenze kahle ebuchosheni bakho. Cabanga nge-dexmethylphenidate njengenguqulo ecwengiwe, eqondiwe kakhulu ye-methylphenidate. I-Serdexmethylphenidate ithatha lokhu isinyathelo esisodwa ngokuqhubekayo ngokuhlanganisa imiphumela esheshayo nezinzuzo ezihlala isikhathi eside.

Yomibili le mithi iyizinto ezilawulwayo ngoba inethuba lokusetshenziswa kabi, kodwa uma isetshenziswa njengoba kunqunywe udokotela wakho, ziyizindlela zokwelapha eziphephile nezisebenzayo zezimpawu ze-ADHD.

Isetshenziselwani i-Serdexmethylphenidate ne-Dexmethylphenidate?

Le mithi ikakhulukazi inikezwa ukwelapha i-ADHD ezinganeni ezineminyaka engu-6 nangaphezulu, intsha, nabantu abadala. Basiza ukunciphisa izimpawu eziyinhloko ezingenza impilo yansuku zonke ibe yinselele kubantu abane-ADHD.

Izimpawu eziyinhloko le mithi eziqondisa kuzo zihlanganisa ubunzima bokunaka, ukungasebenzi kahle, nokuziphatha okungazelelwe. Ungase uqaphele ukuthuthuka emandleni akho okugxila emisebenzini, ukuhlala uzolile ngesikhathi semihlangano noma amakilasi, nokucabanga ngaphambi kokwenza. Abantu abaningi bathola ukuthi bangahlela kangcono imicabango yabo futhi baqede amaphrojekthi abawaqalile.

Udokotela wakho angase akunikeze le mithi uma ezinye izindlela zokwelapha i-ADHD zingasebenzi kahle kuwe, noma uma udinga umuthi onikeza ukulawulwa kwezimpawu ezihlala isikhathi eside usuku lonke. Ngezinye izikhathi odokotela bakhetha lezi ngaphezu kwezinye izinto ezikhuthazayo ngoba zingase zibangele imiphumela emibi embalwa kwabanye abantu.

Isebenza Kanjani I-Serdexmethylphenidate ne-Dexmethylphenidate?

Le mithi isebenza ngokwandisa amazinga amakhemikhali amabili obuchopho abalulekile abizwa ngokuthi i-dopamine ne-norepinephrine ezindaweni ezithile zobuchopho bakho. Lawa makhemikhali asebenza njengemithunywa esiza amaseli emizwa ukuthi axhumane, ikakhulukazi ezindaweni ezinomthwalo wemfanelo wokunaka nokulawula ukuziphatha okungazelelwe.

Kubantu abane-ADHD, lawa makhemikhali obuchopho ngokuvamile awasebenzi emazingeni afanele. Ngokuvimba ukuthathwa kwawo kabusha (inqubo lapho ubuchopho bususa lawa makhemikhali), le mithi isiza ukugcina amazinga aphezulu lapho edingeka kakhulu. Lokhu kuholela ekuthuthukisweni kokugxila, ukunaka okungcono, nokunciphisa ukungasebenzi kahle.

I-Serdexmethylphenidate ithathwa njengento ekhuthazayo enamandla aphakathi nendawo enikeza imiphumela esheshayo neqhubekayo. Umuthi uqala ukusebenza ngemizuzu engaba ngu-30 kuya ehora elilodwa, futhi imiphumela yawo ingahlala amahora angafika kwangu-13. I-Dexmethylphenidate nayo iyinto ekhuthazayo enamandla aphakathi nendawo, enemiphumela evame ukuhlala amahora angu-4 kuya kwangu-5 ngezinhlobo ezikhishwa ngokushesha kanye nama-8 kuya kwangu-10 amahora ngezinhlobo ezikhishwa isikhathi eside.

Kufanele Ngiyithathe Kanjani I-Serdexmethylphenidate ne-Dexmethylphenidate?

Njalo thatha le mithi ngendlela udokotela wakho ayikuyala ngayo. Isikhathi nendlela yokuthatha imithi yakho kungathinta kakhulu ukuthi isebenza kahle kangakanani nokuthi uzizwa kanjani usuku lonke.

Ngeserdesmethylphenidate, ngokuvamile uzoyithatha kanye ngosuku ekuseni ngaphandle noma ngaphandle kokudla. Uma ukhetha ukuyithatha ngokudla, namathela esimisweni esifanayo nsuku zonke. Gwema ukuyithatha sekwephuzile ngosuku ngoba kungaphazamisa ukulala kwakho. Kufanele ugwinye amaphilisi wonke futhi ungaligayi, ungalihlafuni, noma uwalivule, ngoba lokhu kungabangela ukuthi kukhishwe imithi eningi ngesikhathi esisodwa.

I-Dexmethylphenidate iza ngesimo sokukhishwa ngokushesha nokukhishwa okweluliwe. Amaphilisi akhishwa ngokushesha avame ukuthathwa kabili ngosuku, cishe ngamahora angu-4 ahlukene, kuyilapho amaphilisi akhishwa isikhathi eside ethathwa kanye ngosuku ekuseni. Njenge-serdexmethylphenidate, ungayithatha ngokudla noma ngaphandle kokudla, kodwa ukuqina kubalulekile.

Uma unenkinga yokugwinya amaphilisi, ungavula amaphilisi e-dexmethylphenidate akhishwa isikhathi eside bese ufafaza okuqukethwe enanini elincane le-applesauce. Yidla ingxube ngokushesha ngaphandle kokuhlafuna amabhola angaphakathi. Ungaligcini ingxube ukuze uyisebenzise kamuva.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Serdexmethylphenidate ne-Dexmethylphenidate?

Ubude bokwelashwa buhlukahluka kakhulu kumuntu nomuntu futhi busekelwe ekuphenduleni kwakho umuntu ngamunye emuthini kanye nezidingo zakho ezithile. Abantu abaningi abane-ADHD bayazuza ekwelashweni kwesikhathi eside, ngezinye izikhathi iminyaka eminingi, kuyilapho abanye bengase badinge imithi kuphela ngezikhathi ezithile zempilo yabo.

Udokotela wakho uzohlola njalo ukuthi imithi ikusebenzela kahle kangakanani nokuthi usayidinga yini. Lokhu kungabandakanya ukuphumula ngezikhathi ezithile emuthini, ikakhulu ezinganeni, ukuze kubonakale ukuthi izimpawu ziyabuya yini noma ngabe ukukhula kuthintekile. Lokhu kuphumula okuhleliwe ngezinye izikhathi kubizwa ngokuthi

Abanye abantu bathola ukuthi badinga imithi impilo yabo yonke yobudala, kanti abanye bangase bakwazi ukuphatha izimpawu zabo ngamanye amaqhinga njengoba bethuthukisa amakhono angcono okubhekana nezinto. Okubalulekile ukusebenza eduze nomhlinzeki wakho wezempilo ukuze uthole indlela efanele yesimo sakho.

Ziyini Imiphumela Eceleni ye-Serdexmethylphenidate ne-Dexmethylphenidate?

Njengayo yonke imithi, le mithi ingabangela imiphumela emibi, nakuba abantu abaningi behlangabezana nemiphumela emincane kuphela ethuthuka njengoba umzimba wabo ujwayela umuthi. Ukuqonda okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kangcono futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Nansi imiphumela emibi evame kakhulu ongase uyithole, futhi khumbula ukuthi akubona bonke abantu abathola lokhu:

• Ukuncipha kwesifiso sokudla nokuncipha kwesisindo
• Ubunzima bokulala noma ukuhlala ulele
• Ikhanda
• Ubuhlungu besisu noma isicanucanu
• Isiyezi
• Ukushaya kwenhliziyo okwandayo
• Ushintsho lwemizwa noma ukucasuka
• Umlomo owomile

Iningi lale miphumela emibi imincane futhi ivame ukuthuthuka ngemva kwamasonto ambalwa okuqala ukwelashwa. Uma ziqhubeka noma ziba yisicefe, udokotela wakho uvame ukulungisa umthamo wakho noma isikhathi sokusiza ukuzinciphisa.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kuhlanganisa ubuhlungu besifuba, ukuphefumula kanzima, ukuquleka, izinguquko ezinzima zemizwa, noma izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka noma ukuvuvukala. Ngaphezu kwalokho, abanye abantu bangase bahlangabezane nokukhula okuhamba kancane ezinganeni, izinkinga zokujikeleza kwegazi emunweni nasezinzwaneni, noma izimpawu ezintsha noma ezimbi kakhulu zempilo yengqondo.

Imiphumela emibi engavamile kakhulu kodwa ebucayi ihlanganisa izinkinga zenhliziyo, ukuquleka, noma i-priapism (ukuqina okude kwamadoda). Nakuba lokhu kungavamile, kubalulekile ukukwazi futhi ufune ukunakekelwa kwezokwelapha ngokushesha uma kwenzeka.

Ubani Ongafanele Athathe i-Serdexmethylphenidate ne-Dexmethylphenidate?

Le mithi ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela. Izimo eziningana nezimo zenza le mithi ingaphephile noma ingafanele.

Akufanele usebenzise le mithi uma unezimo ezithile zenhliziyo, okuhlanganisa izinkinga zenhliziyo ezinzima, umfutho wegazi ophezulu ongaphathwanga kahle, noma uma uke wahlaselwa yinhliziyo noma ukushaya kwenhliziyo okungajwayelekile. Abantu abanegland yegilo esebenza ngokweqile, i-glaucoma, noma izifo zokukhathazeka ezinzima kufanele futhi bagweme le mithi.

Uma usebenzisa noma usanda kusebenzisa ama-monoamine oxidase inhibitors (MAOIs), uzodinga ukulinda okungenani izinsuku eziyi-14 ngaphambi kokuqala le mithi. Inhlanganisela ingabangela ukwanda okuyingozi komfutho wegazi. Ngaphezu kwalokho, uma unomlando wokusebenzisa kabi izidakamizwa noma ukulutheka, udokotela wakho uzodinga ukulinganisa ngokucophelela izinzuzo nezingozi.

Abesifazane abakhulelwe nabancelisayo kufanele baxoxe ngezingozi nezinzuzo nomhlinzeki wabo wezempilo, njengoba le mithi ingadlulela enganeni. Abantu abanezimo ezithile zempilo yengqondo, okuhlanganisa i-bipolar disorder noma i-psychosis, bangase badinge ukuqashwa okukhethekile noma ukwelashwa okuhlukile.

Amagama Omkhiqizo we-Serdexmethylphenidate kanye ne-Dexmethylphenidate

I-Serdexmethylphenidate itholakala ngaphansi kwegama lomkhiqizo elithi Azstarys. Lena imithi entsha eyavunywa yi-FDA ngo-2021, ngakho-ke ingase ingajwayelekile kubahlinzeki bezempilo neziguli uma iqhathaniswa nemithi endala ye-ADHD.

I-Dexmethylphenidate itholakala ngaphansi kwegama lomkhiqizo elithi Focalin ngamaphilisi akhishwe ngokushesha kanye ne-Focalin XR ngamaphilisi akhishwe isikhathi eside. Izinhlobo ezivamile ze-dexmethylphenidate nazo ziyatholakala, ezingabiza kakhulu ngenkathi zinikeza izinzuzo ezifanayo zokwelapha.

Uma ukhuluma ngale mithi nodokotela wakho noma usokhemisi, ungasebenzisa igama elivamile noma igama lomkhiqizo. Umshwalense wakho ungase ukhethe olunye uhlobo ngaphezu kolunye, ngakho-ke kufanelekile ukubheka nomhlinzeki wakho womshwalense ukuthi iyiphi inketho engabizi kakhulu kuwe.

Ezinye izindlela zokwelapha i-Serdexmethylphenidate ne-Dexmethylphenidate

Uma le mithi ingasebenzi kahle kuwe noma idala imiphumela engathandeki, kunezinketho eziningi zokwelapha ezitholakalayo. Udokotela wakho angakusiza ukuthi uhlole lezi zindlela ezingezinye ngokusekelwe ezidingweni zakho ezithile kanye nomlando wakho wezokwelapha.

Eminye imithi ekhuthazayo ihlanganisa i-methylphenidate (Ritalin, Concerta), imithi esekelwe ku-amphetamine (Adderall, Vyvanse), kanye ne-lisdexamfetamine (Vyvanse). Ngayinye inemiphumela ehlukile kancane kanye nobude besikhathi, ngakho-ke ukushintshela kokunye okukhuthazayo kungahle kunikeze imiphumela engcono enemiphumela emincane.

Izinketho ezingezona ezikhuthazayo zihlanganisa i-atomoxetine (Strattera), i-guanfacine (Intuniv), kanye ne-clonidine (Kapvay). Le mithi isebenza ngendlela ehlukile kunokukhuthaza futhi ingaba yizinqumo ezingcono uma unezinkinga zenhliziyo, ukukhathazeka ngokusebenzisa izidakamizwa, noma imiphumela emibi evela ekukhuthazeni.

Ngaphandle kwemithi, ukwelashwa kokuziphatha, izinguquko zokuphila, kanye nezindawo zokuhlala zemfundo kungasiza kakhulu ekuphatheni izimpawu ze-ADHD. Abantu abaningi bathola ukuthi ukuhlanganisa imithi nalezi zindlela kunikeza imiphumela engcono kakhulu.

Ingabe i-Serdexmethylphenidate ne-Dexmethylphenidate ingcono kune-Methylphenidate?

Ukuthi le mithi

I-Dexmethylphenidate empeleni iyifomu elihlanzekile, elisebenzayo kakhulu le-methylphenidate. Lokhu kusho ukuthi ngokuvamile udinga umthamo ophansi ukuze uzuze imiphumela efanayo, okungase kuholele emiphumeleni emincane emibi kwabanye abantu. Iziguli eziningi zithola ukuthi i-dexmethylphenidate ibangela ukucindezelwa okuncane kwesifiso sokudla kanye nezinkinga zokulala uma kuqhathaniswa ne-methylphenidate ejwayelekile.

I-Serdexmethylphenidate inikeza inzuzo yokuthatha umthamo kanye ngosuku ngemiphumela ehlala kuze kufike emahoreni angu-13, okungaba lula kakhulu kunokuthatha imithamo eminingi usuku lonke. Futhi inikeza ukuqala nokuphela kwemiphumela okubushelelezi, okungenzeka ukuthi kunciphisa izimpawu ze- "rebound" abanye abantu abazitholayo njengoba imithi iphela.

Nokho, i-methylphenidate isetshenziswe amashumi eminyaka futhi inerekhodi elide lokuphepha nokusebenza kahle. Itholakala futhi ngamafomula amaningi futhi ngokuvamile ayabiza. Ukukhetha okungcono kuncike endleleni yakho yokuphila, amaphethini ezimpawu, ukubekezelelana nemiphumela emibi, kanye nomshwalense wakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Serdexmethylphenidate kanye ne-Dexmethylphenidate

Ingabe i-Serdexmethylphenidate kanye ne-Dexmethylphenidate iphephile ezigulini zenhliziyo?

Le mithi ingakhuphula izinga lokushaya kwenhliziyo nomfutho wegazi, ngakho-ke abantu abanezifo zenhliziyo badinga ukucatshangelwa okukhethekile. Udokotela wakho uzodinga ukuhlola isimo sakho senhliziyo esithile kanye nempilo yonke ngaphambi kokunquma ukuthi le mithi iphephile yini kuwe.

Uma unesifo senhliziyo esilawulwa kahle futhi udokotela wakho wenhliziyo evuma, ungase ukwazi ukuthatha le mithi ngokuqapha okucophelelayo. Lokhu kuzobandakanya ukuhlolwa okuvamile ukuze kuqashwe izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nempilo yonke yenhliziyo. Kodwa-ke, uma unezinkinga ezinkulu zenhliziyo, i-angina engazinzile, noma ukuhlaselwa yinhliziyo kwamuva, le mithi ngokuvamile ayinconywa.

Njalo yazisa udokotela wakho obhalayo kanye nodokotela wakho wenhliziyo ngayo yonke imithi oyithathayo. Bangasebenzisana ukuthola indlela yokwelapha ephephe kakhulu ye-ADHD yakho ngenkathi bevikela impilo yenhliziyo yakho.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Serdexmethylphenidate noma I-Dexmethylphenidate Eningi Kakhulu?

Uma ngengozi uthatha imithi eminingi kakhulu, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kwe-stimulant kungaba kubi futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.

Izimpawu zokuthatha imithi eminingi kakhulu zihlanganisa ukucasuka okukhulu, ukudideka, ukushaya kwenhliziyo okusheshayo, umfutho wegazi ophezulu, umkhuhlane ophezulu, ukuhlehla kwemisipha, noma ukuquleka. Ungase futhi uhlangabezane nekhanda elibuhlungu elibukhali, ukuhlanza, noma ukucabanga. Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo.

Shayela isikhungo sakho sendawo sokulawula ubuthi ku-1-800-222-1222 noma uye egumbini lakho eliseduze lezimo eziphuthumayo. Letha ibhodlela lomuthi nawe ukuze ochwepheshe bezokwelapha bazi kahle ukuthi uthathe ini nokuthi uthathe malini. Isenzo esisheshayo singavimbela izinkinga ezinzima ezivela ekweqiseni kwe-stimulant.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Serdexmethylphenidate noma I-Dexmethylphenidate?

Uma udlula umthamo, isenzo esingcono kakhulu sincike ekutheni ukhumbula nini nokuthi iyiphi imithi oyithathayo. Ngemithi yansuku zonke efana ne-serdexmethylphenidate, thatha umthamo owudlulile ngokushesha lapho ukhumbula, kodwa kuphela uma kusekuseni.

Ungathathi umthamo owudlulile emini noma kusihlwa, ngoba lokhu kungaphazamisa kakhulu ukulala kwakho. Uma sekuhlwile, weqa umthamo owudlulile bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile ekuseni okulandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owudlulile.

Nge-dexmethylphenidate ekhishwe ngokushesha ethathwa kabili ngosuku, ungafaka umthamo owudlulile uma kungaphakathi kwamahora ambalwa esikhathini sakho esihleliwe. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, weqa umthamo owudlulile bese uqhubeka neshejuli yakho ejwayelekile.

Ngingayeka nini ukuthatha i-Serdexmethylphenidate noma i-Dexmethylphenidate?

Isinqumo sokuyeka ukuthatha le mithi kufanele senziwe ngaso sonke isikhathi ngokubonisana nodokotela wakho. Ngokungafani neminye imithi, ngokuvamile ungasayeka izithasiselo ngaphandle kokunciphisa umthamo kancane kancane, kodwa udokotela wakho uzokuqondisa ngendlela engcono kakhulu yesimo sakho.

Ungase ucabange ukuyeka uma uhlangabezana nemiphumela emibi ebalulekile edlula izinzuzo, uma izimo zempilo yakho zishintshile, noma uma ufuna ukubona ukuthi uziqhubela kanjani ngaphandle komuthi. Abanye abantu bakhetha ukuphumula ngezinyanga zasehlobo noma ezinye izikhathi lapho izidingo zokunaka ziphansi.

Ngaphambi kokuyeka, xoxa nodokotela wakho ukuthi ungawaqapha kanjani amasignali abuyayo nokuthi yiziphi izindlela ezingenye ongazisebenzisa. Abanye abantu bathola ukuthi kudingeka baqale kabusha umuthi ngemuva kokuphumula, kanti abanye baphatha ngempumelelo izimpawu zabo ngezindlela ezinye ezinjengokwelashwa, izinguquko zokuphila, noma imithi ehlukile.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha le mithi?

Ngokuvamile kutuswa ukugwema utshwala ngenkathi uthatha imithi ekhuthazayo. Utshwala bungaphazamisa indlela le mithi esebenza ngayo futhi ingase ikhulise ingozi yemiphumela emibi noma ukuxhumana okuyingozi.

Utshwala bungafihla eminye yemiphumela yezithasiselo, okungenzeka ukuthi kuholele abantu ekuphuzeni ngaphezu kwalokho abajwayele ukukwenza. Le nhlanganisela ingakhuphula futhi ingozi yezinkinga zenhliziyo futhi ingase iqhubeke nemiphumela emibi efana nesiyezi noma izinguquko emfutheni wegazi.

Uma ukhetha ukuphuza utshwala ngezikhathi ezithile, xoxa ngalokhu nodokotela wakho kuqala. Bangakunikeza isiqondiso ngesikhathi kanye nezinto okufanele ziqashelwe zokuphepha. Hlala uqotho nomhlinzeki wakho wezempilo mayelana nokusetshenziswa kwakho kotshwala ukuze bakusize wenze izinqumo eziphephe kakhulu mayelana nohlelo lwakho lomuthi.