So oduruyɛfo no aka akyerɛ wo sɛ wowɔ ADHD ( attention deficit hyperactivity disorder)? Anaasɛ wo ba no ayɛ saa? Enti, sɛ wɔka kyerɛ wo sɛ ɛsɛ sɛ wufi ase nom nnuru ma eyi a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na woanya nsɛmmisa pii. Nneɛma te sɛ ‘So mihia aduru yi ankasa?’, ‘So nneɛma bɔne bi bɛba?’, ‘So eyi bɛyɛ me su?’ ebia wɔ w’adwene mu. Nha wo ho. Ɛnnɛ, yɛbɛka nnuru a wɔde ma ADHD ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw koraa so, wɔ ɔkwan a wubetumi ate ase so.
Ɔkwan bɛn so na ADHD nnuru yɛ adwuma?
Sɛ yɛbɛka no tiawa a, yɛn amemene no wɔ nnuru a ɛboa ma yɛde nsɛm kɔ anim ne akyi na yɛne yɛn ho yɛn ho di nkitaho. Yɛfrɛ saa ntini mu nkwaadɔm yi . Ebia nnipa a wɔwɔ ADHD no bɛkari pɛ kakra wɔ nnuru a wɔde mena nkurɔfo yi mu, titiriw dopamine ne norepinephrine .
ADHD nnuru no yɛ adwuma titiriw denam nnuru yi dodow a ɛkari pɛ wɔ amemene no mu no so. Eyi betumi aboa wo:
- Ɛbɛyɛ mmerɛw sɛ wode w’adwene besi biribi so na woayɛ adwuma.
- Wɔhyɛ impulsivity so.
- Nneɛma a wɔyɛ boro so so tew.
- Ɛbɛyɛ mmerɛw sɛ wobedi nkate horow so .
Kae sɛ ebia ebegye bere kakra ansa na woanya aduru a ɛfata, dodow a ɛfata, ne bere a wode bɛnom. Ɛho behia sɛ wo ne wo duruyɛfo no bom hwehwɛ aduru a ɛfata ma wo.
Nnuru atitiriw bɛn na wɔde sa ADHD?
Wobetumi akyekyɛ nnuru a nnuruyɛfo de sa ADHD no mu akuw atitiriw abiɛsa.
| Aduru ko a wɔde yɛ | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Nneɛma a ɛkanyan adwene | Eyinom na wɔtaa de di dwuma. Wɔyɛ adwuma ntɛmntɛm denam nnuru a ɛwɔ amemene no mu a wɔma ɛkɔ soro no so. |
| Nneɛma a ɛnyɛ nea ɛkanyan obi | Wɔde eyinom ma nnipa a wɔnyɛ wɔn ade wɔ nnuru a ɛkanyan adwene ho anaasɛ wonya nsunsuanso bɔne pii. Wogye bere kakra ansa na wɔayɛ adwuma. |
| Nnuru a wɔde kum adwenemhaw | Ɛwom sɛ aban no nnye eyinom ntom mma ADHD de, nanso ebia wɔn duruyɛfo bɛkamfo nnipa binom (titiriw wɔn a wɔwɔ ADHD ne tebea horow a ɛka ho te sɛ adwenemhaw ne dadwen) akyerɛ wɔn. |
Ayaresa bɛboro biako...
Mpɛn pii no, ɛnyɛ nnuru nkutoo na enya nea eye sen biara. Wɔnam nnuru a wɔde ka nneyɛe ho ayaresa , afotu, ne asetra mu nsakrae ho so na ɛba . Yɛfrɛ eyi multimodal ayaresa.
Stimulants - aduru a wotaa de di dwuma paa
Nnuru kuw yi na wɔde sa ADHD sen biara wɔ wiase nyinaa. Wɔkyekyɛ mu akuw atitiriw abien: Methylphenidates ne Amphetamines . Wɔnam nnuru a ɛwɔ amemene no mu a ɛboa ma wɔde adwene si biribi so a wɔma ɛkɔ soro no so na ɛyɛ adwuma.
Wɔakyekyɛ aduru yi nso mu abien a egyina bere a egye ansa na wɔayɛ adwuma so.
1. Nnuru a ɛyɛ adwuma bere tiaa : Eyinom fi ase yɛ adwuma wɔ simma 30-45 akyi bere a wɔanom no na ɛtra hɔ bɛyɛ nnɔnhwerew 3-4. Ɛsɛ sɛ wɔnom no mprenu anaa mprɛnsa da biara.
2. Nnuru a ɛyɛ adwuma bere tenten: Eyinom di nnɔnhwerew 8-12, ɛtɔ mmere bi a ɛkɔ nnɔnhwerew 16, bere a wɔanom pɛnkoro akyi. Ɛho hia sɛ wɔnom pɛnkoro pɛ da biara. Nnuruyɛfo taa kamfo saa nnuru yi kyerɛ efisɛ ebia nnipa a wɔwɔ ADHD werɛ befi sɛ wɔbɛnom wɔn nnuru.
Ebia henanom na wɔnfata sɛ wɔde nnuru a ɛkanyan adwene no di dwuma?
Sɛ wowɔ akwahosan ho haw ahorow a edidi so yi mu biara a, ebia wo duruyɛfo renkamfo saa aduru yi nkyerɛ wo. Enti, ɛho hia sɛ woka eyinom ho asɛm kyerɛ wo duruyɛfo.
- Koma mu yare anaa mmerɛwyɛ biara a ɛwɔ koma no mu
- Mogya mmoroso a wontumi nni so
- Ntini a ɛma mogya tu a ɛboro so
- Glaucoma tebea a ɛma obi nya atiridiinini
- Dadwen a emu yɛ den
- Abakɔsɛm a ɛfa nnubɔne anaa nsa a ɔde di dwuma ɔkwammɔne so ho
- Adidi mu haw te sɛ anorexia nervosa
Nneɛma bɔne a efi nnuru a ɛkanyan adwene mu ba
Mpɛn pii no, saa nsunsuanso bɔne yi ba bere a wudi kan nom aduru no nkutoo. Wɔkɔ bere a wo nipadua no de aduru no yɛ ne su no.
- Aduan ho akɔnnɔ: Ade a ɛtaa ba.
- Mu duru a wɔtew so:Ebetumi afi aduan ho akɔnnɔ a wɔhwere nti.
- Dae a wontumi nna anaa nna a ɛyɛ basaa: Titiriw sɛ wonom aduru no awiabere a.
- Tipaeɛ
- Adwene a ɛyɛ basaa
- Yafunu mu a ɛyɛ mmerɛw
- Koma a ɛbɔ ne mogya mmoroso a ɛkɔ soro kakra
- Adwene mu nsakrae, abufuw
- "Rebound effect" - Sɛ aduru no brɛ a, ɔbrɛ, abufuw, ne abufuw betumi akɔ soro bere tiaa bi.
Sɛ eyi kɔ so a, wo ne wo duruyɛfo nkasa ntɛm ara . Ebia obetumi asesa dodow a wɔde ma no, asesa bere a wonom aduru no da no mu, anaasɛ ɔbɛsakra wo akɔ aduru foforo so.
Non-stimulants - Ade foforo a wobetumi afa so
Nnipa binom nnya nea wɔpɛ mfi nnuru a ɛkanyan adwene mu, anaasɛ nea efi mu ba no dɔɔso dodo sɛ wobetumi agyina ano. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo bɛkamfo nnuru bi a wɔfrɛ no nnuru a ɛnyɛ nea ɛkanyan obi akyerɛ wo.
Ebetumi agye adapɛn pii ansa na saa aduru yi afi ase ayɛ adwuma, enti ɛho hia sɛ wunya abotare.
Nnuru atitiriw a ɛwɔ kuw yi mu ne Atomoxetine , Viloxazine , Guanfacine , ne Clonidine . Wɔnkura asiane a ɛne sɛ wɔde nnuru a ɛkanyan adwene no te, enti ebia wɔbɛfata kɛse ama nnipa a wɔanya nnubɔnenom ho abakɔsɛm.
Nneɛma bɔne a efi nnuru a ɛnyɛ nea ɛkanyan adwene mu ba
- Yafunu mu yaw, akisikuru
- Tiyɛ ne adwenemhaw
- Dae anaa ɔbrɛ
- Adwene mu nsakrae
- Aduan ho akɔnnɔ (esua sen nnuru a ɛkanyan obi) .
Ɛnyɛ adwene pa sɛ wubegyae Guanfacine ne Clonidine nom mpofirim, efisɛ ebetumi ama mogya mmoroso akɔ soro mpofirim. Enti, sɛ wugyae nom a, yɛ saa sɛnea wo duruyɛfo kyerɛ no, na tew dodow no so nkakrankakra.
Nneɛma a ɛsɛ sɛ wususuw ho ansa na woafi ase anom nnuru
1. Ɛnyɛ aduru, ɛyɛ aduru a wɔde di dwuma: ADHD nnuru nsa wo tebea no koraa. Ɛhwɛ sɛnkyerɛnne ahorow no so ara kwa bere tenten a wonom aduru no. Sɛ wugyae aduru no nom a, yare no ho sɛnkyerɛnne no betumi asan aba. Ɛno kyerɛ sɛ ebia ɛbɛyɛ biribi a wuhia wɔ asetra mu.
2. Ebia ɛne nnuru afoforo bedi nkitaho: Sɛ worenom nnuru a wɔde sa tebea foforo biara (te sɛ mogya mmoroso, asikreyare) a, hwɛ hu sɛ wobɛka nnuru biara a wontɔn a worenom ho asɛm akyerɛ wo duruyɛfo . Sɛ nhwɛso no, atiridiinini nnuru bi betumi ama obi ho adwo no bere a wɔde ka nnuru a ɛkanyan ADHD ho no.
3. Caffeine ne nneɛma a wɔde ka ho:Sɛ wonom kɔfe, tii, anaa anonne foforo a caffeine wom, anaa sɛ wonom vitamin anaa nnuru bi a wɔde ka ho a, ka kyerɛ wo duruyɛfo.
4. Asiane a ɛwɔ hɔ sɛ obi bɛka ne ho na ɔde adi dwuma ɔkwammɔne so:
Obi a ɔwɔ ADHD no, sɛ ɔnom sɛnea ne duruyɛfo kyerɛ no a, ɔrennom aduru yi. Nokwarem no, nnipa a wɔwɔ ADHD a wonnya ayaresa no wɔ asiane kɛse mu sɛ wɔbɛdan akɔ nsa anaa nnubɔne so bere a wɔanyinyin no.
Nanso, su bi wɔ hɔ sɛ nnipa a wonni ADHD no de nnuru yi di dwuma ɔkwammɔne so de sua ade kɔyɛ sɔhwɛ anaasɛ wɔn mu duru so tew. Eyi yɛ asiane kɛse. Enti, sɛ wode nnuru rema wo ba a, fa nnuru no sie na hwɛ sɛ wo ba no rekyɛ afoforo anaa.
Dɛn na ɛsɛ sɛ woyɛ wɔ tebea a egye ntɛmpɛ mu?
Sɛ wunya nsunsuanso bɔne biara a emu yɛ den bere a woanom aduru no akyi, sɛ nhwɛso no, wo koko mu yaw, ɛyɛ den sɛ wobɛhome, wo ho yeraw wo kɛse anaasɛ wo ho yeraw wo a, kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) . Sɛ wususuw sɛ woanom boro so a, wubetumi nso afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no akɔhwehwɛ afotu.
Nkrasɛm a Wɔde Kɔ Fie
- Nnuru yɛ ade a etu mpɔn yiye na ɛho hia wɔ ADHD a wodi ho dwuma mu. Nnipa pii nya nneɛma pa fi eyinom mu.
- Nnuru ahorow pii wɔ hɔ. Sɛ biako anyɛ adwuma a, wo duruyɛfo betumi asɔ ɔkwan foforo ahwɛ. Enti mma nsuro.
- Ebia ebegye bere kakra ansa na woanya nnuru ne dodow a ɛfata ama wo anaa wo ba. Egye boasetɔ.
- Wo ne wo duruyɛfo nkasa fa nsunsuanso bɔne anaa ɔhaw biara ho a wunsiw biribiara ano .
- Saa nnuru yi nsa ADHD, ɛhyɛ sɛnkyerɛnne ahorow no nkutoo so.
- Fa nnuru sie baabiara bere nyinaa. Ɛho hia sɛ wosiw nneɛma a wɔde di dwuma ɔkwammɔne so ano, titiriw sɛ mmofra nkumaa wɔ fie a.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment