I-Methylphenidate, eyaziwa ngokugqithisileyo ngegama lomthi u-Ritalin, livuselela ixesha elide lisetyenziselwa ukuphatha abantwana ngokukhawuleza ukuphazamiseka kwengxaki yokugula. Yaye nangona kwakudla ngokusebenza kakuhle ekulawuleni iimpawu ze-ADHD, enye into ephantsi kukuba yayigqoke ngokukhawuleza, ngoko ke abantwana babenokufuneka bathathe iipilisi ezimbini ukuya kwethathu ngosuku.
Oku kulandelwa rhoqo kwakuthetha ukuba abantwana bafanele bathathe iipilisi ekuseni, omnye umva ngexesha lesidlo esikolweni, ngamanye amaxesha omnye emva kwesikolo.
Ukongeza kokungathinteki, abantwana abaqhelekanga ukuhlukana nabafundi abafunda nabo kunye nokunyuka kwiofisi yomongikazi kwiipilisi zabo.
Ukufudukela kwimihla yokuvuselela i-ADHD iye yamkelwa ngabantwana, abazali kwaye ndiqinisekile ukuba ngabahlengikazi besikolo. Ngoku abantwana bafanele bathathe iipilisi enye ekuseni kwaye kuphele iiyure eziyi-10-12.
I-Concerta ye-ADHD
Ukuvunyelwa yi-FDA ngowe-2000, i-Concerta yayiyinto yokuqala yokuqala yonyango ngosuku lwe-ADHD kwaye yakhawuleza yaziwa. NjengoRitalin, isithako sayo esiyinhloko yi-methylphenidate, kodwa ihlanganiswe kwipilisi ekhethekileyo ekhutshwayo, enika umntwana wakho ngemithi yonke imihla.
Ukutshintsha kwi-Concerta rhoqo kwiRitalin kulula. Ngokuqhelekileyo uthatha umthamo wakho wemihla ngemihla kaRitalin kwaye utshintshe kwipilisi ye-Concerta esondele kweli dose. Ngoko ukuba umntwana wakho uthatha u-5mg weRitalin kathathu ngosuku, kwi-dose yemihla ngemihla ye-15mg, mhlawumbi uya kutshintsha kwi-tablet ye-18mg ye-Concerta.
I-Concerta ifumaneka kwiipilisi ezingama-27mg, ezingama-36mg kunye nee-54mg, ukubonelela ngeendlela ezinokuguqula izinto. Kwaye nangona ithebhulethi enkulu ngakumbi ayitholakali, intsha eneminyaka engama-20 ubudala iyakunikwa iipilisi ezingama-36mg ukufikelela kwisikhulu esiphezulu se-72mg.
Nangona ootitshala bezilwanyana bahlala beqala ngeendlela eziphantsi xa beqala ukuvuselela, gcinani engqondweni ukuba kwiphando olutshanje ama-95% eentlobo zezingane zazingama-36mg okanye ama-54mg amacwecwe amandla, ngoko ungayeki kwi-Concerta ukuba i-dose ephantsi ingabonakali ku sebenza.
Ukutshintshwa kwi-Adderall okanye i-Adderall XR kulula kwakhona. Udla ngokuphindaphinda kabini umthamo wakho wemihla ngemihla ye-Adderall.
Iimpembelelo eziPhambi kweeNgxaki
Ngokwe-packet yolwazi lweemveliso ze-Concerta, iimpembelelo eziqhelekileyo ze-Concerta ziyintloko (14%), isifo sokuphefumula esiphakamileyo (8%), intlungu esiswini (7%), ukuhlanza (4%), ukulahleka kwesidlo (4%) , ukulala (4%), ukukhwehlela okwanda (4%), i-pharyngitis (4%), i-sinusitis (i-3%), kunye nesondlo (2%).
Ukuba umntwana wakho unemiphumo emibi yecala, i-dosage ephantsi okanye utshintsho kwiyeza elithile lingafuneka.
Kwaye nangona i-FDA "ayizange ifumane ubudlelwane phakathi kokusetyenziswa kweemithi ze-ADHD kunye neentsholongwane zentliziyo," njenge-stroke, i-heart attack, kunye nokufa kwangokokufa kwegazi, bacebisa ukuba "izigulane eziphathwe ngamayeza e-ADHD kufuneka zihlolwe rhoqo ngeenguqu kwiintliziyo izinga okanye uxinzelelo lwegazi. "
Ezinye iifomu ezenza i-Methylphenidate
Kukho ezinye iifom zexesha elide le-methylphenidate, njenge-Daytrana, i-CD ye-Metadate, uRitalin LA, ne-Quillivant XR, ngoko kutheni ukhetha i-Concerta?
Enye into, nangona zonke zenziwa nge-methylphenidate, zineenkcenkcesho kwiinkqubo zabo zokuhambisa.
Inkqubo yokuhanjiswa kwee-Concerta inikezela umntwana ngomlinganiselo wokuqala malunga ne-22% kwaye emva koko onke amayeza emva koko.
Ngoko ke ukuba umntwana wakho ethatha i-Concerta 18mg, uza kufumana i-4mg kuphela kwiyeza kwaye uza kuqala ngeqondo eliphantsi ukuba wayedla ngo-5mg kathathu ngosuku uRitalin.
URitalin LA usebenzisa indlela efana neAdderall XR , ngoko ufumana isigamu somthamo wokuqala into yokuqala emva kokuyithatha kunye nesiqingatha kamva ngosuku. Oku kuthetha ukuba ukuba umntwana wakho uthatha uRitalin LA 20mg, uya kufumana i-dose ye-10mg ekuseni. Lo umehluko omkhulu kwi-dose ye-4mg uya kufumana ukuba wayethatha i-Concerta 18mg.
Ngoko ukuba umntwana wakho unenkathazo enkulu ekuseni xa ethatha i-Concerta, ukutshintsha kuRitalin LA inokuba yinto engcono kunokwandisa idosa ye-Concerta.
Itholakala kwi-capsule ye-20, 30, ne-40mg.
I-CD ye-Metadate ifana ne-Concerta kwi-dose yokuqala. I-CD ye-Metadate yenziwe ngamabhondi okukhululwa ngokukhawuleza anika u-30% we dosi ngokukhawuleza kwaye enye i-70% yesilinganiso ikhutshwa ngokuqhubekayo kwimiba yokukhululwa. Ingcipheko kukuba itholakala kuphela kumandla angama-20mg, ngoko ke umntwana wakho kufuneka athathe i-capsule engaphezu kweyodwa ukuze athole umthamo ophezulu.
Yintoni Oyaziyo Ngayo Ingxaki
Ukongeza kwezi ngcebiso, ezinye izinto ozaziyo malunga ne-Concerta ziquka ukuba:
- I-Concerta ayikwazi ukuhlaselwa okanye ichithwe kwaye kufuneka igxilwe ngokupheleleyo, ngoko kuya kuba yingxaki kubantwana abangenako ukugwinya iipilisi. Bobabini iRitalin LA kunye ne-CD yeMetadate ivuliwe kwaye ifefe ngokutya, njenge-applesauce, ukuba umntwana wakho akanako ukugwinya iipilisi . I-Quillivant XR yinguqu ye-liquid ye-methylphenidate kunye ne- Daytrana yinkqutyana, ngoko ke abantwana abangenako ukugwinya iipilisi banokukhetha ezininzi.
- I-Concerta yinto elawulwa ngumbutho.
- I-Conceric ye-Generic (i-Methylphenidate ER) yafumaneka ngo-Disemba 2012. Ngelishwa, iifom ezimbini ze-generic zazingabonakali zilingana ngolo hlobo (zineendlela ezahlukileyo zokukhululwa kwi-Concerta zangempela) kwaye zikhawuleza zisuswa kwiimarike.
I-Concerta ayilona wonke umntu, ngakumbi abantwana abanexhala, i-tics, okanye i- Tourette's syndrome , i-glaucoma, okanye i-Concerta, kodwa ingaba yinto enhle kubantwana abaninzi abane-ADHD.
Imithombo:
I-Concerta yeMicrosoft Guide. Disemba 2013.
I-FDA Inxibelelwano loKhuseleko lweMveliso: Ukuhlaziywa kokuPhuculwa koKhuselo koMilwa esetyenziselwa ukunyamekela i-Attention-Deficit / Disperactivity Disorder (ADHD) kubantwana nakubantu abadala. Novemba 2011.
UWilens T. unyango lwe-ADHD kunye ne-OROS i-methylphenidate yimihla ngemihla: iziphumo zenyanga ezili-12 ezivela kwisifundo se-evulekileyo esivule ixesha elide. J Am Academy Adolesc Psychiatry - 01-APR-2003; 42 (4): 424-33