Aleke ADHD-tikewo kpɔa ŋusẽ ɖe wò ahɔhɔ̃ dzii? (Noradrenergic Atikewo na ADHD) .

Ðe wòsesẽna na wò be wò susu nanɔ nu ɖeka ŋu ɣeyiɣi didi akpaa? Alo ɖe wòsesẽna na wò be nàɖu wò seselelãmewo dzia? Ðewohĩ esiawo nye nya siwo nènya nyuie. Esiawo nye nɔnɔme aɖe si míeyɔna be ADHD ( Attention Deficit Hyperactivity Disorder) ƒe dzesi siwo bɔ. Atikewo zazã nye nɔnɔme sia dada ƒe akpa vevi aɖe ŋutɔ. Eyata egbea míaƒo nu tso ADHD-tikewo ŋu, vevietɔ esiwo kpɔa ŋusẽ ɖe atike siwo le wò ahɔhɔ̃ me dzi, abe alesi nàƒo nu kple xɔ̃wò ene.

Nuka tututue nye ADHD?

Kpuie ko la, ADHD nye susumedɔléle si bɔ ɖe ɖevime. Eƒe dzesi enye be esesẽna na ame be wòalé to ɖe nu ŋu , ɣeaɖewoɣi la , ewɔa nu wògbɔa eme, eye wòwɔa nu kpata.

Ðevi aɖewo tsina wu nɔnɔme sia ne wole tsitsim. Gake dzesi siawo ate ŋu ayi edzi anɔ ame aɖewo ŋu vaseɖe woƒe tsitsime. Ɣeaɖewoɣi la, womedea dzesi ADHD le ɖevime o eye ame tsitsi me koe wokpɔnɛ le.

Ne wole ADHD dam na ame tsitsiwo la, zi geɖe la, wozãa nusiwo gbɔna dometɔ ɖeka alo esi wu nenema ɖekae:

• Atikewo zazã
• Aɖaŋuɖoɖo alo atikewɔwɔ
• Agbenɔnɔ ŋuti aɖaŋuwo ƒe hehenana
• Hehenana tso nɔnɔme sia ŋu

Le atike siawo dome la, atike siwo wonana na ADHD la dometɔ geɖe kpɔa ŋusẽ ɖe noradrenergic system si le míaƒe ahɔhɔ̃ me dzi tẽ. Azɔ mina míalé ŋku ɖe nusi ema nye ŋu.

Kadodo si le ADHD kple ahɔhɔ̃mekawo dome

Tsɔe be míaƒe ahɔhɔ̃ le abe ɔfis gã aɖe si me dɔwɔla miliɔn geɖe le dɔ wɔm le ene. Dɔwɔla siwo le ɔfis sia nye lãmeka siwo woyɔna be neurons. Dɔwɔla siawo zãa ‘posudɔwɔlawo’ ƒe ƒuƒoƒo tɔxɛ aɖe tsɔ ƒoa nu na wo nɔewo heɖɔlia gbedasiwo. Le atikewɔwɔ me la, míeyɔa postmen siawo be ahɔhɔ̃mekawo ƒe dɔwɔwɔ .

Ahɔhɔ̃meka siawo dometɔ ɖekae nye norepinephrine . Noradrenergic system ye wɔae eye wòmaae ɖe ahɔhɔ̃a katã me. Norepinephrine ƒe dɔ vevitɔe nye be wòana nànɔ ŋudzɔ, wò susu nanɔ nu ŋu, eye wòakpe ɖe ŋuwò nàbu tame nyuie . Enye atike si dzraa wò ŋutilã ɖo hã ɖe avuwɔwɔ alo sisi ƒe ŋuɖoɖo ŋu ne èle afɔku me alo do ŋɔdzi na wò.

Eŋutinunyalawo xɔe se be nusiwo gbɔ ADHD tsona dometɔ ɖekae nye noradrenergic system ƒe dadasɔmakpɔmakpɔ. Eyae nye be atike si woyɔna be norepinephrine mesɔ gbɔ ɖe ahɔhɔ̃a me o. Nukae dzɔna ɣemaɣi? Prefrontal cortex, si kpɔa nu veviwo abe susu ƒe dɔwɔwɔ, seselelãmewo dzi kpɔkpɔ, kple nyametsotsowɔwɔ dzi la mexɔa gbedasi siwo sɔ o. Abe alesi ɔfisdzikpɔla si mexɔa gbedasi siwo sɔ o la ƒe susu dzonae ene.

Woxɔe se be norepinephrine kple ahɔhɔ̃mekawo ƒe dɔwɔwɔ vevi bubu , si nye dopamine, ƒe agbɔsɔsɔ si mede o ate ŋu ana ADHD ƒe dzesiwo, abe nuwɔwɔ fũu akpa , susumanɔmanɔ, kple nuwɔwɔ kpata ene, nadze.

Aleke atike siawo daa ADHD?

Noradrenergic atike siwo wozãna na ADHD wɔa dɔ koŋ to norepinephrine ƒe agbɔsɔsɔ si le ahɔhɔ̃a me dzi ɖeɖe kpɔtɔ me. Atike siawo ƒomevi vevi eve li: atike siwo doa ŋusẽ ame kple esiwo meʋãa ame o .

1. Nusiwo doa ŋusẽ ame

Zi geɖe la, ɖɔktawo kafua atike siwo doa ŋusẽ ame be woatsɔ ada ADHD. Esiawo wɔa dɔ to lãmenugbagbevi aɖewo siwo le ahɔhɔ̃a me ʋãm be woawɔ norepinephrine kple dopamine geɖe wu me. Afi siae ŋkɔ ‘atike si doa ŋusẽ ame’ tso. Wozã atike siawo dzidzedzetɔe na ADHD ƒe bla nanewoe nye sia.

2. Nusiwo meʋãa ame o

Esiawo le atikewo ƒe hatsotso aɖe si woyɔna be SNRIs (Selective Norepinephrine Reuptake Inhibitors) me. Kpɔɖeŋu aɖewoe nye Atomoxetine (Strattera) kple Viloxazine (Qelbree). Esiawo dzia norepinephrine ƒe agbɔsɔsɔ ɖe edzi le mɔ bubu nu wu atike siwo doa ŋusẽ ame.

Kpuie ko la, atike siawo xea mɔ na norepinephrine ƒe gbugbɔgaxɔ tso lãmekawo me. Esia nana norepinephrine si le lãmekawo ƒe lãmenugbagbeviwo dome la dzina ɖe edzi, si wɔnɛ be ahɔhɔ̃a ƒe dɔwɔwɔ nyona ɖe edzi.

Numekukuwo ɖee fia be atike siwo doa ŋusẽ ame kple esiwo meʋãa ame o siaa nana ADHD ƒe dzesiwo, abe ŋkuɖoɖonudzi, susu ƒe dɔwɔwɔ, kple nuwɔna dzi ɖuɖu ene nyona ɖe edzi ŋutɔ.

Aleke nàwɔ atia atike si sɔ na wò, ɖɔkta?

ADHD-tike nyuitɔwo ate ŋu aɖe dzesiawo dzi akpɔtɔ abe 80% ene. Gake kuxiae nye be, wò ɖɔkta gɔ̃ hã mate ŋu agblɔ atike si tututu awɔ dɔ nyuie na wò na wò o. Atike si sɔ na wò didi ate ŋu axɔ ɣeyiɣi aɖe kple dodokpɔ kple vodada geɖe .

Zi geɖe la, ɖɔktaa adze egɔme kple atike si doa ŋusẽ ame ƒe agbɔsɔsɔ sue aɖe. Ne ema mewɔ dɔ o la, woadzi atikeawo ƒe agbɔsɔsɔme ɖe edzi vie. Ne ema mewɔ dɔ o la, woate ŋu atrɔ ɖe atike bubu ŋu.

ADHD-tike nyuitɔ kekeake gɔ̃ hã menye atike si woatsɔ ada nusianu o. Ɣeaɖewoɣi la, be nu nyuitɔ nado tso eme la, ahiã be nàtsɔ atikewo zazã akpe ɖe aɖaŋuɖoɖo, kamedede, kple agbenɔnɔ ƒe tɔtrɔ ŋu.

Nukawoe nye atike sia ƒe nugbegblẽ le ame ŋu?

Abe atike ɖesiaɖe ene la, ADHD-tikewo ate ŋu agblẽ nu le ame ŋu. Ame aɖewo mekpɔa eƒe nugbegblẽ le ame ŋu aɖeke o. Le ame bubuwo gome la, eƒe nugbegblẽ le ame ŋu ate ŋu asẽ ale gbegbe be wòasesẽ be woadzudzɔ atikeawo nono. Nu vevitɔe nye be nàƒo nu kple wò ɖɔkta tso nugbegblẽ le ame ŋu ɖesiaɖe si nàdo goe ŋu.

Ne èkpɔ nugbegblẽ le ame ŋu siawo dometɔ aɖe la, gblɔe na wò ɖɔkta. Wo dometɔ aɖewo nu ayi le ŋkeke ʋɛ aɖewo megbe ne wò ŋutilã le tɔtrɔm ɖe atikeawo ŋu. Ne woyi edzi eye woɖe fu na wò la, wò ɖɔkta ate ŋu atrɔ atikeawo ƒe agbɔsɔsɔme alo atrɔ wò ɖe atike bubu ŋu.