Ne wò ɖɔkta gblɔ na wò be ADHD le viwòa ŋu la, afɔɖeɖe si kplɔe ɖo ate ŋu anye be nàdze atikewo zazã gɔme. Gake àte ŋu abia ɖokuiwò be nukatae wò ɖɔkta menaa atike ƒe agbɔsɔsɔme ɖeka ko wò o, ke boŋ etrɔa asi le eŋu vivivi, alo ɣeaɖewoɣi la, etrɔa atikeawo kura. Emae nye ɖoɖo si ŋu míaƒo nu tsoe egbea. Esia le vevie ŋutɔŋutɔ.
Nukae nye titration? Aleke wowɔnɛ?
Titration ate ŋu adze abe nya gã aɖe ene, gake ne míagblɔe kpuie ko la, efia be nàwɔ dɔ kple wò ɖɔkta be nàtrɔ asi le atike si nàna viwòa ƒe agbɔsɔsɔme ŋu ale be wòasɔ na wo pɛpɛpɛ.
Esia ƒe taɖodzinu vevitɔe nye be woadi atike ƒe agbɔsɔsɔme si akpɔ ɖevia ƒe ADHD dzesiwo, abe susu ƒe dɔmawɔmawɔ nyuie ƒe dɔléle ene, dzi nyuie wu, eye eƒe nugbegblẽ le ame ŋu wu. Ðo ŋku edzi be menye ɖevi ɖesiaɖee nye ɖeka o. Eyata atike ɖeka kple agbɔsɔsɔme ɖeka mawɔ dɔ na amesiame o.
Zi geɖe la, ɖɔktaa wɔa esia:
1. Dze egɔme kple atike si ƒe agbɔsɔsɔme le sue wu: Dze egɔme kple atike si ƒe agbɔsɔsɔme le sue ŋutɔ.
2. Dzi ɖe edzi vivivi: Kwasiɖa ɖesiaɖe alo kwasiɖa etɔ̃ ɖesiaɖe la, ele be nàdzi atikeawo ƒe agbɔsɔsɔ ɖe edzi vie, abe alesi wò ɖɔkta gblɔe na wò ene.
3. Kpɔkpɔ: Le afɔɖeɖe siawo dometɔ ɖesiaɖe me la, mia kple ɖɔktaa mianɔ ŋku lém ɖe ɖevia ŋu nyuie be ɖevia ƒe dzesiwo le nyonyom ɖe edzi alo ne ɖevia le eƒe nugbegblẽ le ame ŋu hã .
Woyia esia dzi vaseɖe esime wokpɔ ɖevia ƒe dzesiwo dzi nyuie, alo vaseɖe esime ɖevia nakpɔ nugbegblẽ le ame ŋu si womate ŋu ado dzi atsɔ o. Ðɔktaa wɔa ɖoɖo sia ne ebu nu geɖe ŋu, abe ɖevia ƒe kɔkɔme, eƒe kpekpeme, dzesiawo ƒe nɔnɔme, kple eƒe gbesiagbedɔwo (sukuɣi, sukudɔdasiwo) ene.
Nu vevitɔ kekeakee nye be, esia le abe ƒuƒoƒo ƒe agbagbadzedze ene. Ele be ɖɔkta la, wò kple viwòa, mi ame etɔ̃a siaa miato mɔzɔzɔ sia me ɖekae.
Ɣeyiɣi didi kae esia axɔ?
Esia ate ŋu axɔ kwasiɖa geɖe, ɣeaɖewoɣi ɣleti geɖe gɔ̃ hã. Eyata mègatsi dzodzodzoe o. Mègatsi dzi ne atike gbãtɔ si nèna la mewɔ dɔ o. Enye nusi sɔ be ɖevi aɖewo nate atike vovovo eve alo etɔ̃ kpɔ be woakpɔ atike nyuitɔ kple agbɔsɔsɔme si woazã. Dzigbɔɖi le vevie ŋutɔ.
Aleke míawɔ anya ne atike la le dɔ wɔm?
ADHD ƒe dzesi vevitɔwoe nye nuwɔwɔ fũu akpa, nuwɔwɔ kpata, kple susumanɔmanɔ. Ne èzã atike si sɔ la, àte ŋu akpɔe be viwòa ƒe dzesiwo le nyonyom ɖe edzi vivivi.
- Ŋutete manɔanyi be woanɔ teƒe ɖeka ahanɔ ʋuʋum abe tsã ene dzi aɖe akpɔtɔ.
- Mesusu be dɔwɔwɔ mabumabui aɖe dɔa ƒe agba dzi akpɔtɔ.
- Ɣeyiɣi si wozãna tsɔ léa fɔ ɖe nusɔsrɔ̃ kple dɔdasiwo ŋu dzina ɖe edzi.
- Nufiala siwo le suku hã gblɔna be yewoate ŋu akpɔ vovototo aɖe le ɖevia ŋu.
Nukae woawɔ tso eƒe nugbegblẽ le ame ŋu ŋu?
Abe atike ɖesiaɖe ene la, ADHD-tikewo ate ŋu agblẽ nu le ame ŋu. Esiawo toa vovo le atike si ƒomevi wona viwòa nu. Nusiwo wògblẽna le ame ŋu zi geɖe siwo ate ŋu ado mo ɖa le atike siwo doa ŋusẽ ame siwo woŋlɔna zi geɖe ŋu la dometɔ aɖewoe nye esi.
| Nusiwo wògblẽna le ame ŋu si bɔ |
|---|
| Nudzroame |
| Kpekpeme dzi ɖeɖe kpɔtɔ |
| Alɔ̃dɔdɔ sesẽ |
| Dɔgbo ƒe vevesese |
| Taɖuame |
| Tɔtrɔ kpata |
| Nuwɔna ƒe tɔtrɔ (blanuiléle, dzikudodo, hadomenuwɔnawo dzi ɖeɖe kpɔtɔ) . |
Nu nyuitɔ kekeakee nye be nugbegblẽ le ame ŋu siawo ƒe akpa gãtɔ nu yina le wo ɖokui si le kwasiɖa ʋɛ aɖewo ko me. Eyata wò ɖɔkta agblɔ na wò be nàlala ŋkeke ʋɛ aɖewo.
Gake ne ètsi dzi vevie alo ɖikeke aɖe le ŋuwò le eƒe nugbegblẽ aɖewo ŋu, vevietɔ ne edze abe ɖe wole sesẽm ɖe edzi gbesiagbe ene la, ƒo nu kple wò ɖɔkta enumake.Le kpɔɖeŋu me, ne viwòa va le ʋuʋum enuenu (tics) abe ŋkuʋuʋu alo mo ʋuʋu ene la, ele be nàna wò ɖɔkta nanya godoo. Mègadze agbagba gbeɖe be yeadzudzɔ atikewo nono le ɖokuiwò si ne mèbia wò ɖɔkta o. Edzudzɔ kpata ate ŋu ahe afɔku vɛ.
If you experience any of the rare but serious side effects (heart problems, liver problems, seeing/hearing things that aren't there, suicidal thoughts), go to the nearest hospital emergency room (ETU) immediately and tell your doctor. Ðo ŋku edzi be nusiawo mebɔ kura o.
Dɔ kae nèwɔna abe dzila ene?
Agbanɔamedzi gã aɖe le dziwò le titration ƒe ɖoɖo sia me.
- Bia nyawo: Bia wò ɖɔkta nya alo nya ɖe sia ɖe si ŋu nètsi dzi ɖo ku ɖe atikeawo alo dɔdamɔnua ŋu.
- Lé ŋku ɖe eŋu nyuie: Lé ŋku ɖe tɔtrɔ siwo ava viwòa ƒe nuwɔna me, ale si dzesiawo le nyonyom ɖe edzii, kple nu yeye ɖesiaɖe si wòagblẽ le eŋu la ŋu nyuie.
- De dzesii: Ŋlɔ nusiawo ɖi, abe alesi wòle le ŋkekenyuigbalẽ me ene. Ðɔktaa ate ŋu ana agbalẽvi tɔxɛwo (dzidzenu siwo wotsɔ dea dzesi nu) wò kple viwòa ƒe nufialawo hã be miakpe ɖo. Ele vevie ŋutɔ be nàkpe nusiawo ɖo nyuie.
- Kadodo edziedzi: Ne kuxi aɖeke mele ɣleti gbãtɔ megbe o la, gayi ɖɔkta gbɔ ake. Le ema megbe la, ele be nàyi wò ɖɔkta gbɔ abe ɣleti 3 ɖesiaɖe ene be nàkpɔ egbɔ be atikewɔɖoɖoa gakpɔtɔ le dɔ wɔm na viwòa. Ne viwòa le tsitsim eye woƒe nuhiahiãwo le tɔtrɔm la, ahiã be woatrɔ asi le agbɔsɔsɔ si woazã ŋu.
Atike ƒomevi vevi siwo wozãna na ADHD
Woate ŋu ama ADHD ƒe atikewo ɖe hatsotso vevi geɖe me. Wò ɖɔkta koe ate ŋu awɔ nyametsotso le nusiawo ŋu.
| Atikewo ƒe hatsotso | Kpɔɖeŋuwo |
|---|---|
| Nusiwo doa ŋusẽ ame Ƒomevi si wozãna wu. Enaa dopamine, si nye ahɔhɔ̃meka aɖe si kpɔa ŋusẽ ɖe ame ƒe susu kple seselelãme dzi la dzina ɖe edzi. | Methylphenidate (Concerta, Ritalin), Dexmethylphenidate (Focalin), Dextroamphetamine (Adderall) ƒe dɔlékuiwutike . |
| Nusiwo menye nusiwo doa ŋusẽ ame o Esiawo ate ŋu axɔ kwasiɖa geɖe hafi woawɔ dɔ. Wokpɔa ŋusẽ ɖe ahɔhɔ̃a ƒe atike si nye norepinephrine dzi. | Atomoxetine (Strattera), Klonidine (Kapvay), Guanfacine (Intuniv) ƒe atikewo ƒe dɔwɔwɔ. |
| Atike bubuwo Ɣeaɖewoɣi la, wozãa atike ƒomevi bubuwo (blanuilélenutsitikewo, ʋusɔgbɔdɔtikewo) hã tsɔ naa amewo ƒe susu nɔa nu ŋu geɖe wu. | Bupropion (Wellbutrin), Venlafaxine (Effexor) ƒe atike . |
Mlɔeba la, ADHD ƒe atikewo menye "ame ɖeka ƒe lolome na amesiame" ƒe mɔnu o. Ele abe awuwo dzadzraɖo ene, eye ehiã be woatrɔ asi le ame ɖesiaɖe ƒe ŋutilã ŋu ɖekaɖeka. Ne èwɔ dɔ dzigbɔɖitɔe to titration ƒe ɖoɖo sia me, eye nèlé ƒomedodo nyui me ɖe asi kple wò ɖɔkta la, àte ŋu ado alɔ viwòa nyuie wu be wòaɖo eƒe ŋutete katã gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Titration nye nuwɔna si bia dzigbɔɖi. Ate ŋu axɔ kwasiɖa alo ɣleti geɖe hafi nàkpɔ atike si sɔ na viwòa.
- Ðo dze kple wò ɖɔkta edziedzi. Gblɔ wò biabiawo kple vɔvɔ̃wo katã nɛ.
- Lé ŋku ɖe viwòa ŋu nyuie. Dzra nu nyui siwo atikeawo gblẽna le ame ŋu kpakple eƒe nugbegblẽ le ame ŋu ɖesiaɖe ŋu.
- Mègadzudzɔ atikewo nono alo atrɔ atikeawo ƒe agbɔsɔsɔme gbeɖe wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
- Ne viwòa le tsitsim la, woƒe nuhiahiãwo trɔna. Eyata, yi wò ɖɔkta gbɔ ɣleti 3 ɖesiaɖe ya teti be nàwɔ wò atikewo zazã ƒe ɖoɖoa yeyee.
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