Ðe wòsesẽna na viwò be wòanɔ teƒe ɖeka ɣeyiɣi didia? Ðe eƒe susu nɔa tsaglãla tsam kabakaba akpaa? Alo ɖe wòwɔa nuwo le manyamanya kple susumanɔmee? Zi geɖe la, esiawo ate ŋu anye ADHD ( Attention-Deficit/Hyperactivity Disorder ) ƒe dzesiwo. Susu geɖewo tae wòle alea ɖo. Le wo dome la, míele nu ƒom tso atike si le míaƒe ahɔhɔ̃ me si woyɔna be ‘Dopamine’ egbea ŋu.
Nuka tututue nye dopamine?
Kpuie ko la, dopamine nye atike aɖe si tsɔa gbedasiwo ɖoa lãmeka siwo le míaƒe ahɔhɔ̃ me dome. Le atikewɔwɔ me la, míeyɔa esia be ahɔhɔ̃mekawo ƒe dɔwɔwɔ. Atike sia si woyɔna be dopamine kpɔa gome le nu geɖe me le míaƒe ŋutilã me wu alesi míesusui.
Bu eŋu kpɔ, esia le abe ‘Motivation Chemical’ si le míaƒe ahɔhɔ̃ me ene. Eyae nye atike si ʋãa mí be míawɔ nane, nana míekpɔa dzidzɔ, eye wònana míaƒe susu nɔa nu ŋu.
Nu vevi siwo dzi dopamine kpɔa ŋusẽ ɖo dometɔ aɖewoe nye esi:
- Míaƒe ŋkuɖoɖonudzi
- Dzideƒo
- Seselelãme
- Ŋutilã ƒe ʋuʋu (Movem ENT ) .
- Ŋuɖoɖo
- Dzidzɔkpɔkpɔ kple teƒeɖoɖo
- Dᴐ alɔ̃
- Nusɔsrɔ̃
- Nuwɔna
Ne dopamine agbɔsɔsɔme si sɔ le viwòa ƒe ŋutilã me la, zi geɖe la, akpɔ dzidzɔ, anɔ ŋudzɔ, eƒe susu anɔ nu ŋu, eye wòadi vevie be yeawɔ nane. Gake ne agbɔsɔsɔ siawo mesɔ gbɔ o la, woate ŋu azu kuviatɔ, blanuiléle, kple alɔ̃dɔdɔ. Woate ŋu akpɔ ŋkuɖoɖonudzi hã, alɔ̃dɔdɔ ƒe kuxiwo , kple susu tsɔtsɔ ɖo nu ŋu asesẽ na wo.
Gake nukae adzɔ ne dopamine ƒe agbɔsɔsɔ dzi ɖe edzi akpa ? Ate ŋu ana ŋusẽ nasu ame si fũu akpa, alɔ̃madɔmadɔ, adãwɔwɔ, kple ame si magate ŋu aɖu nusiwo ʋãa ame dzi o.
Kadodo kae le ADHD kple dopamine ƒe agbɔsɔsɔ si bɔbɔ dome?
Ƒomedodo si le ADHD kple dopamine dome la sesẽ vie, gake mina míana wòanɔ bɔbɔe.
Zi geɖe la, míaƒe ahɔhɔ̃ wɔa dopamine le dzɔdzɔme nu. Azɔ tsɔe be míezãa dopamine tsɔ ɖoa gbedasi ɖe lãmeka eve siwo le míaƒe ahɔhɔ̃ me dome . Ne wogblɔ gbedasia vɔ la, wogatsɔa dopamine si susɔ la yia lãmenugbagbevi gbãtɔa me. Protein tɔxɛ aɖewo li siwo kpena ɖe eŋu le eƒe xɔxlɔ̃ ƒe ɖoɖo sia me, si míeyɔna be dopamine transporters .
Bu mɔ̃ siawo be wonye ‘afɔdzideƒe’ suesuesuewo. Ne wonya wu dopamine gbedasi la nu ko la, ‘yagbɔkpɔmɔ̃’ siawo gena ɖe eme eye woɖea dopamine si susɔ la ɖa.
Dzɔdzɔmeŋutinunyalawo xɔe se be ɖevi siwo ŋu ADHD le la ƒe ahɔhɔ̃ me ‘yagbɔgbɔmɔ̃’, alo dopamine tsɔtsɔ yi teƒe bubu, siawo sɔ gbɔ akpa , alo be wowɔa dɔ akpa . Nukae dzɔna ɣemaɣi? Hafi dopamine la nate ŋu agblɔ gbedasia nyuie la, mɔzɔlawo va ɖea dopamine la ɖa kaba. Esia fia be dopamine la nɔa lãmekawo me ɣeyiɣi kpui aɖe ko. Wobua esia be enye susu vevitɔ si tae wògblẽa nu le susu kple nuwɔna dzi ɖuɖu ŋu le ADHD me.
Nukae nye ADHD ƒe atike?
Atike siwo doa ŋusẽ ame nye atike vevi siwo ɖɔktawo ŋlɔna na ame be woatsɔ akpɔ ADHD gbɔ la dometɔ ɖeka. Atike siawo xea mɔ na dopamine tsɔtsɔ yi teƒe bubu siwo ŋu míeƒo nu tsoe va yi ƒe dɔwɔwɔ hena ɣeyiɣi aɖe.
Ema fia be wole ‘vacuum cleaner’ la wɔm geɖe wu vie. Emegbe esi dopamine nɔa lãmekawo dome ɣeyiɣi didi wu ta la, ahɔhɔ̃a ƒe gbedasiwo ɖɔliɖɔli ate ŋu adzɔ nyuie. Esia nye kpekpeɖeŋu gã aɖe le ɖevia ƒe susu ƒe dɔwɔwɔ nyuie wu kple eya ŋutɔ ƒe nuwɔna dzi ɖuɖu me .
Azɔ hã, numekuku aɖewo ɖee fia be ɖevi siwo si domenyiŋusẽfianu si woyɔna be DAT1 le la wɔa dɔ geɖe wu le dopamine-tsɔla siawo ŋu, si fia be domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi aɖe le wo ŋu.
| Atikea ƒe ŋkɔ si wozãna le mɔ gbadza nu | Adzɔnu siwo wozãna zi geɖe (Kpɔɖeŋuwo) . |
|---|---|
| Methylphenidate ƒe atike | Ritalin, Concerta, Aptensio XR, Daytrana, kple ame bubuwo |
| Amphetamine/Dextroamphetamine ƒe atike | Adderall, Adderall XR, Mydayis ƒe lãmesẽnyawo gbɔ kpɔkpɔ |
| Dexmethylphenidate ƒe atike | Focalin, Focalin ƒe agbalẽ XR |
| Lisdexamfetamine ƒe atike | Vyvanse ƒe ŋkɔ |
| Dextroamphetamine ƒe atike | Dexedrine, si nye Dextrostat ƒe atike |
Vevietɔ wu: Ele be woana atike siawo ɖeviwo le eŋutinunyala bibi aɖe ƒe aɖaŋuɖoɖo nu ko. Ðɔktaa anɔ te ɖe ɖevia ƒe kpekpeme, ƒe si wòxɔ, kple eƒe dzesiwo dzi anya agbɔsɔsɔme si sɔ. Ne agbɔsɔsɔme si woazã la mesɔ o la, le esi teƒe be wòana ame ƒe susu nanyo ɖe edzi la, ate ŋu asesẽ be eƒe susu nanɔ nu ŋu.
Ðe atike siawo gblẽa nu le ame ŋua?
Ẽ, abe atike ɖesiaɖe ene la, eƒe nugbegblẽ le ame ŋu ate ŋu anɔ anyi. Gake mègatsi dzi o, zi geɖe la, esiawo menyea nya veviwo o. Wò ɖɔkta aƒo nu tso nusiawo ŋu na wò eye wòakpe ɖe ŋuwò nàkpɔ nusianu gbɔ.
| Nusiwo wògblẽna le ame ŋu kple nusi wòle be nàwɔ | |
|---|---|
| Nu suesuesue siwo ate ŋu ado tso eme le gɔmedzedzea me eye woaɖiɖi le kwasiɖa ʋɛ aɖewo megbe | |
| Taɖuame | Dɔgbo ƒe vevesese |
| Taɖuame | Nu ƒuƒu |
| Ʋu ƒe sisi dzi ɖe edzi vie | |
| Ne dzesi siawo gakpɔtɔ li la, na wò ɖɔkta nanya. | |
| Nudzroame | Alɔ̃ madɔmadɔ |
| Kpekpeme dzi ɖeɖe kpɔtɔ | Dzimaɖitsitsi/dzimaɖitsitsi |
| Ʋuʋu alo gbeɖiɖi ɖeka wɔwɔ enuenu (Tics) . | |
| Nusiwo dona tso eme vevie siwo hiã be woakpɔ egbɔ enumake | |
| Nukpɔkpɔ si me mekɔ o | Nulɔdɔwo kple ŋutigbalẽ ƒe ʋuʋudedi |
| Kuxi sesẽ siwo le dzi alo ʋukawo ŋu (e.g., akɔtave, dzi ƒe tsotso kabakaba) . | |
Ne dzesi aɖewo siwo mebɔ o dze viwòa dzi la, gblɔe na wò ɖɔkta enumake. Ne ehiã la, wò ɖɔkta atrɔ asi le atikeawo ƒe agbɔsɔsɔme ŋu alo atrɔ wò ɖe atike bubu ŋu. Mègadzudzɔ atikeawo nono alo atrɔ atikeawo ƒe agbɔsɔsɔme le ɖokuiwò si gbeɖe o.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye ɖevi ƒe kuviawɔwɔ alo nuwɔna gbegblẽ dzro aɖe koe ADHD nye o. Enye atikewɔwɔ me nɔnɔme ŋutɔŋutɔ si do ƒome kple ahɔhɔ̃mekawo ƒe dɔwɔwɔ.
- Susu vevi aɖe si gbɔ esia tsoe nye tɔtrɔ siwo vaa atike si nye dopamine ƒe dɔwɔwɔ me le ahɔhɔ̃a me.
- Atikewɔwɔ siwo wɔa dɔ ŋutɔ li na esia. To atike nyuitɔ kple nuwɔna ƒe atikewɔwɔ me la, woate ŋu akpe ɖe ɖevia ŋu wòanɔ agbe si me dzidzedzekpɔkpɔ le.
- Nu gbegblẽ aɖewo ate ŋu ado mo ɖa le atikeawo zazã gɔmedzedze vɔ megbe. Mègavɔ̃e o, ƒo nu kple wò ɖɔkta gaglãa . Ana mɔfiame si hiã la wò.
- Ne èsusu be ADHD le viwòa ŋu la, taflatse yi ɖeviwo ƒe dɔdala alo tagbɔdɔdala gbɔ.
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