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

I-Dexmethylphenidate iyimithi kadokotela esiza abantu abane-ADHD ukuthi bagxile kangcono futhi balawule ukuziphatha okungazelelwe. Empeleni iyinguqulo ethuthukisiwe ye-methylphenidate (ejwayelekile ukwaziwa nge-Ritalin), equkethe kuphela ingxenye esebenza kakhulu yaleyo mithi. Lokhu kuyenza ibe ngcono kakhulu ngemithamo ephansi kubantu abaningi abahlushwa izinselelo zokunaka nokusebenza ngokweqile.

Yini i-Dexmethylphenidate?

I-Dexmethylphenidate iyisithuthukisi sesimiso sezinzwa esiphakathi esingaphansi kwezigaba zemithi ebizwa ngokuthi ama-psychostimulants. Cabanga ngayo njengengxenye ekhethwe ngokucophelela yephazili enkulu yemithi - ososayensi bahlukanisa ingxenye esebenza kakhulu ekwelapheni ku-methylphenidate ukuze bakhe lokhu kwelashwa okuqondiwe.

Umuthi usebenza ngokunyusa ngobumnene amakhemikhali athile obuchopho asiza ngokugxila nokunaka. Itholakala ngamaphilisi akhishwa ngokushesha asebenza cishe amahora angu-4 kanye namaphilisi akhishwa isikhathi eside anikeza ukumbozwa kosuku lonke. Udokotela wakho uzonquma ukuthi iyiphi ifomu elisebenza kangcono kakhulu ngezidingo zakho ezithile kanye nomkhuba wakho wansuku zonke.

Yini i-Dexmethylphenidate Esetshenziselwa Yona?

I-Dexmethylphenidate ikakhulukazi inikezwa ukwelapha i-Attention Deficit Hyperactivity Disorder (ADHD) kubantwana nakubantu abadala. Isiza abantu abanobunzima bokunaka, ukuhlala begxile emisebenzini, noma ukulawula ukuziphatha okungazelelwe okuphazamisa impilo yabo yansuku zonke.

Umuthi ungenza umehluko omkhulu ezicini ezihlukahlukene zokusebenza kwansuku zonke. Ungase uqaphele ukuthuthuka emandleni akho okuqeda amaphrojekthi omsebenzi, ukulandela izingxoxo, ukuhlela imisebenzi, noma ukuhlala uzolile ngesikhathi semihlangano. Abantu abaningi bathola ukuthi kubasiza bazizwe sengathi bangabona - bazole, bagxile kakhulu, futhi bakwazi kangcono ukuzibandakanya nomhlaba obazungezile.

Ngesinye isikhathi odokotela banikeza i-dexmethylphenidate ngaphandle kwemvume yokwelapha i-narcolepsy, isimo esibangela ukozela ngokweqile emini. Kodwa-ke, lokhu kusetshenziswa akuvamile, futhi udokotela wakho uzohlola ngokucophelela ukuthi ngabe yikho okulungile esimweni sakho esithile.

Isebenza Kanjani I-Dexmethylphenidate?

I-Dexmethylphenidate isebenza ngokukhuphula amazinga e-dopamine kanye ne-norepinephrine ebuchosheni bakho - izithunywa zamakhemikhali ezimbili ezibalulekile ezisiza ukulawula ukunaka nokuziphatha. Kubantu abane-ADHD, lawa makhemikhali ngokuvamile awasebenzi ngendlela efanele, okuholela ebunzimeni bokugxila nokulawula izinkanuko.

Umuthi uthathwa njengomuthi olungile phakathi kokwelashwa kwe-ADHD. Inamandla kunezeminye imithi emidala kodwa ngokuvamile inobungani kunezinye zezikhuthazi ezintsha, ezisebenza isikhathi eside. Lokhu kuyenza ibe yindlela emaphakathi enhle kubantu abaningi abadinga ukulawulwa kwezimpawu ngempumelelo ngaphandle kwemiphumela enamandla ngokweqile.

Okuhlukanisa i-dexmethylphenidate ukwakheka kwayo okucwengiwe. Ngenkathi i-methylphenidate ejwayelekile iqukethe kokubili izingxenye ezisebenzayo nezingasebenzi kakhulu, i-dexmethylphenidate iqukethe kuphela ingxenye enenzuzo enkulu yokwelapha. Lokhu ngokuvamile kusho ukuthi ungafinyelela ezinzuzweni ezifanayo ngomthamo ophansi, okungenzeka ukuthi unciphise imiphumela emibi.

Kufanele Ngiyithathe Kanjani I-Dexmethylphenidate?

Thatha i-dexmethylphenidate ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye noma kabili ngosuku kuye ngokuthi iyiphi ifomula. Amaphilisi akhishwa ngokushesha avame ukuthathwa kabili ngosuku, ngenkathi amaphilisi akhishwa isikhathi eside ethathwa kanye ekuseni. Isikhathi sibalulekile ngoba lo muthi ungaphazamisa ukulala uma uthathwa sekwephuze kakhulu emini.

Ungawuthatha lo muthi ngaphandle kokudla, kodwa ukungaguquguquki kusiza umzimba wakho ukuthi uwumunce ngendlela elindelekile. Uma uhlangabezana nesisu esibuhlungu, ukuwuthatha nokudla okulula noma ukudla okulula kungasiza. Gwema ukuwuthatha nokudla okunamafutha amaningi, ngoba lokhu kungase kubambezele ukuthi umuthi uqala ngokushesha kangakanani ukusebenza.

Ngemaphilisi akhishwe isikhathi eside, agwinye wonke ngamanzi. Uma unenkinga yokugwinya amaphilisi, ungavula ikhaphule bese ufafaza okuqukethwe esipuni se-applesauce - ungahlafuni nje amabhola amancane ngaphakathi. Ungalokothi uchoboze noma uhlafune noma yiluphi uhlobo lwale mithi, ngoba lokhu kungakhipha imithi eningi kakhulu ngesikhathi esisodwa.

Zama ukuthatha imithi yakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Lokhu kuvumelana kusiza ukuthuthukisa izinzuzo futhi kwenza kube lula ukukhumbula imithamo yakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Dexmethylphenidate?

Ubude bokwelashwa nge-dexmethylphenidate buhluka kakhulu kumuntu nomuntu futhi kuncike ezidingweni zakho kanye nokuphendula kwakho. Abanye abantu bayazuza ekusetshenzisweni kwesikhashana ngezikhathi ezinzima kakhulu, kanti abanye bathola ukuthi ukwelashwa kwesikhathi eside kubasiza ukuthi bagcine ukusebenza okuqhubekayo emsebenzini, esikoleni, noma ebudlelwaneni.

Udkt wakho cishe uzoqala ngesikhathi sokuhlola ukuze abone ukuthi imithi ikusebenzela kahle kangakanani futhi aqaphele noma yimaphi imiphumela emibi. Abantu abaningi baqhubeka nokwelashwa izinyanga noma iminyaka, ngokuhlolwa njalo ukuze baqinisekise ukuthi imithi iyaqhubeka nokusiza futhi ifanele. I-ADHD ivame ukuba yisimo esihlala isikhathi eside, ngakho-ke ukwelashwa okuqhubekayo kuvamile futhi kujwayelekile.

Kubalulekile ukusebenzisana eduze nomhlinzeki wakho wezempilo ukuze unqume ubude obufanele besimo sakho. Bazocabangela izinto ezinjengobunzima bezimpawu zakho, izimo zempilo, ukusabela ekwelashweni, kanye nanoma yimiphi imiphumela emibi oyitholayo. Ungalokothi uyeke ukuthatha le mithi ngokuzumayo ngaphandle kokubonisana nodokotela wakho, njengoba bengase bafune ukunciphisa umthamo wakho kancane kancane.

Yini Imiphumela Emibi Ye-Dexmethylphenidate?

Njengayo yonke imithi, i-dexmethylphenidate ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emithini emasontweni ambalwa okuqala okwelashwa.

Nawa amanye amaphutha avamile ongase uhlangabezane nawo, ahlelwe ngokulandelana kokuthi avame kangakanani:

• Ukuncipha kwesifiso sokudla noma ukuncipha kwesisindo
• Ubunzima bokulala noma ukuhlala ulele
• Ukukhathazeka
• Ubuhlungu besisu noma isicanucanu
• Ukukhathazeka noma ukuzizwa unovalo
• Isiyezi
• Ukuqina kwenhliziyo
• Ushintsho lwemizwa noma ukucasuka

Le miphumela emibi ejwayelekile ivamise ukungabonakali njengoba umzimba wakho ujwayela imithi. Udokotela wakho angahlinzeka ngamasu okuwalawula uma eqhubeka.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Nakuba kungavamile, kubalulekile ukwazi lezi zinto ezingenzeka ukuze ukwazi ukufuna usizo uma kudingeka:

• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ushintsho olukhulu lwemizwa, okuhlanganisa ukucindezeleka noma imicabango yokuzilimaza
• Izimpawu zezinkinga zokujikeleza kwegazi, njengeminwe noma izinzwane eziluhlaza okwesibhakabhaka noma ezibanda
• Ukuhamba okungajwayelekile noma ama-tics
• Ukubona okungacacile noma ezinye izinguquko ekuboneni
• Ukukhathazeka okukhulu noma ukudideka
• Ukushaywa yisithuthwane (okungavamile kakhulu)

Uma uhlangabezana nanoma iyiphi yale miphumela emibi ebucayi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo. Khumbula, imiphumela emibi ebucayi ayivamile, kodwa ngaso sonke isikhathi kungcono ukuqapha impilo yakho.

Ubani Ongafanele Athathe I-Dexmethylphenidate?

Abanye abantu kufanele bagweme i-dexmethylphenidate ngenxa yezingozi ezingaba khona zempilo noma ukusebenzisana kwemithi. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela le mithi ukuze aqinisekise ukuthi iphephile kuwe.

Akufanele uthathe i-dexmethylphenidate uma unesinye salezi zimo noma izimo:

• Ukungezwani okwaziwayo ne-dexmethylphenidate noma i-methylphenidate
• Ukusetshenziswa kwamanje noma kwamuva kwama-MAO inhibitors (phakathi nezinsuku eziyi-14 ezedlule)
• Ukukhathazeka okukhulu, ukungezwani, noma ukucasuka
• I-Glaucoma (ukwanda kwengcindezi yamehlo)
• Ama-tic e-Motor noma i-Tourette's syndrome
• Izinkinga zenhliziyo ezinzima noma ukukhubazeka kwenhliziyo
• Umfutho wegazi ophezulu kakhulu
• I-thyroid engasebenzi kahle (i-hyperthyroidism)

Lezi zimo zingenza i-dexmethylphenidate ingaphephile noma ingasebenzi kuwe. Udokotela wakho uzosebenza nawe ukuthola ezinye izindlela zokwelapha uma kukhona okusebenza esimweni sakho.

Ngaphezu kwalokho, amaqembu athile adinga ukucatshangelwa okukhethekile nokuqapha okuseduze. Udokotela wakho uzokala izinzuzo ngokumelene nezingozi ezingaba khona uma unezinkinga zenhliziyo eziphakathi nendawo, umfutho wegazi ophezulu, izimo zempilo yengqondo, noma umlando wokusebenzisa izidakamizwa kabi. Abesifazane abakhulelwe noma abancelisa ngamabele kufanele baxoxe ngazo zonke izinketho ngokucophelela nomhlinzeki wabo wezempilo.

Amagama Omkhiqizo we-Dexmethylphenidate

Igama lomkhiqizo elivame kakhulu le-dexmethylphenidate yi-Focalin, eza ngamaphilisi akhishwe ngokushesha. Inguqulo yokukhishwa okweluliwe ibizwa ngokuthi i-Focalin XR. Zombili lezi zinhlobo ziqukethe isithako esifanayo esisebenzayo kodwa zenzelwe ukusebenza isikhathi esihlukene sosuku lonke.

Izinhlobo ze-Generic ze-dexmethylphenidate nazo ziyatholakala futhi ziqukethe isithako esifanayo esisebenzayo njengezinhlobo zegama lomkhiqizo. Ikhemisi lakho lingase lithathe indawo yenguqulo ejwayelekile ngaphandle kokuthi udokotela wakho acele ngokuqondile igama lomkhiqizo. Zombili izinhlobo ezijwayelekile nezegama lomkhiqizo zisebenza ngokulinganayo kubantu abaningi.

Uma ushintsha phakathi kwabakhiqizi abahlukene benguqulo ejwayelekile, qaphela ukuthi uzizwa kanjani. Ngenkathi isithako esisebenzayo sifana, umehluko omncane ezithakweni ezingasebenzi ngezikhathi ezithile ungathinta indlela abanye abantu abasabela ngayo emuthini.

Ezinye izindlela ze-Dexmethylphenidate

Eminye imithi eminingi ingelapha i-ADHD uma i-dexmethylphenidate ingakulungele. Udokotela wakho angase ancome ukuzama omunye umuthi okhuthazayo, njenge-methylphenidate (Ritalin), imithi esekelwe ku-amphetamine (njenge-Adderall), noma izinketho ezisebenza isikhathi eside njenge-lisdexamfetamine (Vyvanse).

Ezinye izindlela ezingakhuthazi zihlanganisa i-atomoxetine (Strattera), esebenza ngendlela ehlukile kunokukhuthaza futhi ingase ibe ngcono uma ungaqedi imiphumela emibi yokukhuthaza. Abanye abantu bazuza futhi emithini ethile yokucindezeleka noma imithi yegazi engasiza ngezimpawu ze-ADHD.

Ukukhetha phakathi kwezinye izindlela kuncike ezimpawini zakho ezithile, indlela yokuphila, ezinye izimo zempilo, nokuthi usabela kanjani emithini ehlukene. Udokotela wakho uzosebenza nawe ukuthola ukwelashwa okuphumelela kakhulu ngemiphumela emibi embalwa yesimo sakho ngasinye.

Ingabe i-Dexmethylphenidate Ingcono Kune-Methylphenidate?

I-Dexmethylphenidate ne-methylphenidate ziyimithi ehlobene kakhulu, kodwa akudingeki ukuthi zingcono noma zibi kunomunye nomunye - zihlukile nje. I-Dexmethylphenidate empeleni iyisigaba esihlanzekile, esisebenzayo kakhulu se-methylphenidate, okusho ukuthi ingasebenza ngemithamo ephansi kubantu abaningi.

Abanye abantu bathola ukuthi i-dexmethylphenidate ibangela imiphumela emibi embalwa ngoba badinga umthamo omncane ukuze bathole inzuzo efanayo yokwelapha. Abanye basabela kangcono ku-molecule ephelele ye-methylphenidate. Ukukhetha kuvame ukwehla ekuphenduleni komuntu ngamunye, ukubekezelelana nemiphumela emibi, kanye nokucatshangelwa kwezindleko.

Udokotela wakho angase azame eyodwa kuqala bese eshintshela kwenye uma kudingeka. Yomibili imithi inokuphumelela okufanayo ekwelapheni izimpawu ze-ADHD, ngakho ukukhetha

I-Dexmethylphenidate idinga ukucatshangelwa ngokucophelela uma unezinkinga zenhliziyo. Lo muthi ungakhuphula izinga lokushaya kwenhliziyo nomfutho wegazi, okungase kube ngukukhathazeka kubantu abanezimo zenhliziyo ezithile. Kodwa-ke, abantu abaningi abanezinkinga zenhliziyo ezincane bangawuthatha ngokuphepha ngaphansi kokuqashwa kwezokwelapha okuseduze.

Udkt wakho cishe uzofuna ukuhlola ukusebenza kwenhliziyo yakho ngaphambi kokuqala ukwelashwa futhi akuqaphele njalo ngenkathi uthatha umuthi. Bangase bacele i-EKG noma ezinye izivivinyo zenhliziyo ukuqinisekisa ukuthi inhliziyo yakho ingawuthwala umuthi ngokuphepha. Uma unesifo senhliziyo esibi, udkt wakho cishe uzoncoma ezinye izindlela zokwelapha.

Kufanele ngenzeni uma ngisebenzisa i-Dexmethylphenidate eningi ngengozi?

Uma ngengozi uthatha i-dexmethylphenidate eningi kunaleyo ebekiwe, xhumana nodkt wakho noma ukulawulwa kwezinto ezinobuthi ngokushesha. Ukuthatha okuningi kungabangela izimpawu ezinzima njengokushaya kwenhliziyo okusheshayo, umfutho wegazi ophezulu, ukuthuthumela, ukudideka, noma ngisho nokuhlaselwa ezimweni ezinzima.

Ungalindi ukubona ukuthi izimpawu ziyavela - thola iseluleko sezokwelapha ngokushesha. Uma uhlangabezana nezimpawu ezinzima njengobuhlungu besifuba, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi, shayela u-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha. Gcina ibhodlela lomuthi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi uthathe ini nokuthi uthathe kangakanani.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Dexmethylphenidate?

Uma uphuthelwa umthamo we-dexmethylphenidate, wuthatha ngokushesha lapho ukhumbula, kodwa kuphela uma kusekuqaleni kosuku. Uma sekuhlwile noma kusihlwa, weqa umthamo ophuthelwe ukuze ugweme izinkinga zokulala. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.

Ezindleleni zokukhishwa okwandisiwe, isikhathi sibaluleke kakhulu. Uma ukhumbula kungakapheli amahora ambalwa esikhathini sakho esivamile, ungasithatha. Kodwa-ke, uma sekudlule isigamu sosuku, ngokuvamile kungcono ukweqa lowo mthamo bese uqhubeka nohlelo lwakho olujwayelekile ngosuku olulandelayo.

Ngingayeka nini ukuthatha i-Dexmethylphenidate?

Ungayeka ukuthatha i-dexmethylphenidate uma wena nodokotela wakho ninquma ukuthi ayisadingeki noma ayinanzuzo. Lokhu kungenzeka uma izimpawu zakho zithuthuka kakhulu, uma uba nemiphumela emibi ekhathazayo, noma uma izimo zempilo yakho zishintsha ngezindlela ezenza imithi ingadingeki kangako.

Njalo sebenzisana nodokotela wakho ukuhlela ukuthi uyeka nini futhi kanjani. Nakuba i-dexmethylphenidate ingaluthisi ngokomzimba ngendlela ezinye izinto eziluthisa ngayo, ukuyeka kungazelelwe kungabangela ukuthi izimpawu zakho ze-ADHD zibuye ngokushesha. Udokotela wakho angase asikisele ukunciphisa kancane kancane umthamo wakho noma ukuhlela ukuyeka ngesikhathi esingadingi kakhulu empilweni yakho.

Ngingakwazi Yini Ukuphuza Ikhofi Ngenkathi Ngithatha I-Dexmethylphenidate?

Ngokuvamile ungafaka inani elilinganiselwe le-caffeine ngenkathi uthatha i-dexmethylphenidate, kodwa kuhle ukuqapha. Kokubili i-caffeine ne-dexmethylphenidate kuyizinto ezikhuthazayo, ngakho ukuzihlanganisa kungakhuphula imiphumela emibi efana nokuthuthumela, ukushaya kwenhliziyo okusheshayo, noma ukukhathazeka.

Qala ngamanani amancane e-caffeine futhi unake indlela ozizwa ngayo. Abantu abaningi bathola ukuthi badinga ikhofi elincane kunokujwayelekile ngoba umuthi unikeza ukuqapha kwengqondo. Uma uhlangabezana nokwanda kokukhathazeka, ukushaya kwenhliziyo okusheshayo, noma izinkinga zokulala, cabanga ukunciphisa ukuthatha kwakho i-caffeine. Njalo xoxa ngokusebenzisa kwakho i-caffeine nodokotela wakho, ikakhulukazi uma uzwela ezintweni ezikhuthazayo.