He paʻakikī anei i kāu keiki, a i ʻole paha iā ʻoe, ke kālele i hoʻokahi mea? Ke ʻike nei ʻoe iā ʻoe iho e holo ana a puni, ʻaʻole hiki ke hoʻopau i kahi hana, ʻaʻole hiki ke kālele? Ua kapa ʻia kēia maʻi ʻo Attention Deficit Hyperactivity Disorder, a i ʻole e like me kā mākou e ʻike nei , ADHD ( Attention Deficit Hyperactivity Disorder) . ʻElua mau lāʻau lapaʻau a nā kauka e kuhikuhi pinepine ai e mālama i kēia maʻi ʻo Vyvanse lāua ʻo Adderall. ʻOiai ke ʻano like, aia kekahi mau ʻokoʻa iki. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau lāʻau lapaʻau ʻelua a e noʻonoʻo i ka mea maikaʻi loa iā ʻoe a i ʻole kāu keiki.
He aha maoli ʻo Vyvanse lāua ʻo Adderall?
I ka ʻōlelo maʻalahi, ʻo Vyvanse lāua ʻo Adderall ʻelua ʻano lāʻau lapaʻau like ʻole e pili ana i ka papa hoʻoulu. Loaʻa i nā mea ʻelua kahi kemika i kapa ʻia ʻo amphetamine . Hana kēia mau lāʻau lapaʻau ma ka hoʻonui ʻana i nā pae o nā neurotransmitters i kapa ʻia ʻo dopamine a me norepinephrine i loko o ko kākou lolo. Kōkua kēia mau kemika iā kākou e kālele, e kāohi i ko kākou mau manaʻo, a e noho kālele ma ke kula a i ʻole ka hana. Ma kahi o ʻewalu o ka ʻumi poʻe me ADHD hiki ke kāohi i ko lākou mau hōʻailona me kēia mau lāʻau hoʻoulu.
Akā, ʻaʻole like kēia mau lāʻau lapaʻau ʻelua. Aia kekahi mau ʻokoʻa iki i ke ʻano o kā lākou hana ʻana i loko o ko kākou kino a me nā hopena ʻaoʻao e hiki ai iā lākou ke hana.
Pono ʻoe e kamaʻilio me kāu kauka e ʻike i ka lāʻau lapaʻau kūpono a me ka nui kūpono nou. ʻAʻole paha e holo pono ka lāʻau lapaʻau mua i hāʻawi ʻia iā ʻoe. Inā hana ʻia kēlā, hiki iā ʻoe ke hoʻāʻo i kahi lāʻau lapaʻau ʻē aʻe. Hiki i kēia ke lilo i ka hana e hoʻopau ai i ka manawa, no laila mai hopohopo.
Nā koho ʻē aʻe no ADHD
Ma waho aʻe o Vyvanse lāua ʻo Adderall, aia kekahi mau mea hoʻouluulu ʻē aʻe i loaʻa ka methylphenidate, e like me Ritalin lāua ʻo Concerta. ʻOiai ʻaʻole kēia he amphetamines, hana like lākou. Hoʻohana ʻia kekahi mau mea hoʻouluulu e mālama i ka maʻi ʻai nui, ka momona, a me ka narcolepsy.
Pehea ka ʻokoʻa o nā dosages o kēia mau lāʻau ʻelua?
Aia kahi ʻokoʻa maopopo ma waena o nā dosages o kēia mau lāʻau lapaʻau ʻelua a me ka manawa e hana ai lākou i loko o ke kino.
- ʻAdderall: He hui maoli kēia o ʻelua mau mea hoʻoulu i kapa ʻia ʻo amphetamine- Dextroamphetamine . ʻO kahi pila Adderall maʻamau e mau ana ma kahi o 4 mau hola i loko o ke kino. Eia nō naʻe, aia kahi mana hana lōʻihi i kapa ʻia ʻo Adderall XR (Extended-Release).ʻO ke ʻano i ʻōlelo ʻia e mau no kahi o 8-12 mau hola. ʻO ke kumu o kēia, ʻo ka hapalua o nā hua lāʻau lapaʻau i loko o ke capsule e hoʻoheheʻe koke ʻia, aʻo ka hapalua ʻē aʻe e hoʻoheheʻe mālie ʻia.
- Vyvanse: Aia i loko o kēia kahi hui i kapa ʻia ʻo lisdexamfetamine dimesylate . ʻO ka mea e hoʻolilo ai i mea kūikawā, ʻo ia ka hoʻohui ʻana i ka amphetamine hoʻoulu me kahi hui i kapa ʻia ʻo lysine . I mea e omo ai ko mākou kino i ka mea hoʻoulu i loko o kēia lāʻau lapaʻau, pono e ʻeli mua ʻia a wehe ʻia ka ʻāpana lysine. Ma muli o kēia kaʻina hana, hiki i kahi mahele hoʻokahi o Vyvanse ke noho ikaika i loko o ke kino a hiki i 14 mau hola.
I kekahi manawa, i mea e mālama ai i ka hopena o ka lāʻau i ka lā a pau, hiki i ke kauka ke kuhikuhi i kahi lāʻau hana lōʻihi i ke kakahiaka a me kahi lāʻau hana pōkole i ke ahiahi.
E makaʻala hoʻi kākou i nā hopena ʻaoʻao.
Ma muli o ka hoʻoulu ʻana o kēia mau lāʻau ʻelua, ua like loa nā hopena ʻaoʻao. ʻAʻole paha e ʻike kekahi poʻe i kekahi o kēia mau mea, akā he mea nui e makaʻala iā lākou.
He mea nui loa: Inā loaʻa iā ʻoe kekahi maʻi puʻuwai, pono ʻoe e pale i ka lawe ʻana i nā lāʻau hoʻoulu. Eia kekahi, inā loaʻa iā ʻoe nā maʻi e like me ka psychosis, ka maʻi bipolar, ka hyperactivity, a i ʻole nā hōʻeha, hiki i kēia mau lāʻau ke hoʻonui i kēlā mau hōʻailona. No laila, he mea nui e haʻi i kāu kauka i kāu mōʻaukala olakino piha.
Aia ma lalo iho kekahi o nā hopena ʻaoʻao i maʻamau i kēia mau lāʻau lapaʻau ʻelua.
| Nā hopena ʻaoʻao maʻamau | Nā hopena ʻaoʻao ʻē aʻe |
|---|---|
| ʻEha poʻo | ʻAʻole hiki ke hiamoe |
| Pōʻino | Ka hoʻomaha ʻole a me ka huhū |
| Waha maloʻo | ʻAnorexia a me ka pohō kaumaha |
| Hoʻonui ʻia ke koko | ʻEha ʻōpū, luaʻi, diarrhea, a i ʻole constipation |
| Hoʻonui ʻia ka helu o ka puʻuwai | ʻŌhū ʻili |
| ʻIke pōwehiwehi | Nā haʻalulu |
E aʻo pū kākou e pili ana i nā hopena ʻaoʻao o ka moekolohe.
Hiki i kekahi mau kāne e lawe ana iā Adderall ke ʻike i nā loli i ko lākou kūkulu ʻana, e like me ka paʻakikī o ka loaʻa ʻana o kahi kūkulu ʻana , ka loaʻa pinepine ʻana o kahi kūkulu ʻana, a i ʻole ke noho kū pololei no kahi manawa lōʻihi loa. Ua hōʻike pū kekahi hapa liʻiliʻi o nā kāne e lawe ana iā Vyvanse i nā pilikia me nā kūkulu ʻana a me ka emi ʻana o ka makemake moekolohe. Inā ʻike ʻoe i kēia, mai hilahila a kamaʻilio me kāu kauka.
Hiki iā ʻoe ke lilo i mea hoʻopilikia i kēia mau lāʻau lapaʻau?
ʻAe, he nīnau koʻikoʻi loa kēia. Ua manaʻo ʻia nā mea hoʻoulu he mau mea i kāohi ʻia . ʻO ke ʻano kēia he pilikia ko lākou no ka hana ʻino a me ka hoʻohui ʻana. No kēia kumu, aia kekahi mau ʻāina i nā palena o ka nui e hiki ke kūʻai ʻia i hoʻokahi manawa.
Eia nō naʻe, ua hoʻolālā ʻia nā lāʻau lapaʻau lōʻihi e like me Adderall XR lāua ʻo Vyvanse e hoʻokuʻu mālie i kā lākou mau kemika i loko o ke kino, no laila he haʻahaʻa ko lākou pilikia o ka hoʻopili ʻana. I ke ʻano o Vyvanse ma ke ʻano kūikawā, pono e wehe ʻia ka ʻāpana lysine ma mua o ka hiki ʻana i ke kino ke omo i ka mea hoʻoulu, e hōʻemi hou ana i ka hiki ke hoʻomāinoino ʻia.
Eia nō naʻe, ma mua o ka hoʻohana ʻana i kekahi lāʻau lapaʻau, he mea nui e kūkākūkā i nā pilikia a me nā pono piha me kāu kauka.
ʻOi aku ka ikaika o Vyvanse a i ʻole Adderall?
He palena wale nō nā haʻawina e hoʻohālikelike pololei ana i kēia mau lāʻau lapaʻau ʻelua. Eia nō naʻe, ua ʻike ʻia kahi loiloi o 20 mau haʻawina ʻoiai he pono nā lāʻau lapaʻau ʻelua i ka kaohi ʻana i nā hōʻailona ADHD i nā pākeke, ʻoi aku ka maikaʻi o Vyvanse.
Akā, ʻaʻole manaʻo mau ka "ikaika" ʻo ia hoʻi "ʻoi loa." Makemake ʻoe e noho kāu mau kemika lolo i ko lākou pae kūpono.He kōkua mālama ia, ʻaʻole he hoʻoulu nui ʻana. I kekahi manawa hiki i ka hoʻoulu nui ʻana ke hoʻonui i nā hōʻailona.
Eia kekahi laʻana, pono paha nā keiki kula i kahi lāʻau lapaʻau hana pōkole e kōkua iā lākou e hiamoe i ka pō. ʻAʻohe mana hana pōkole o Vyvanse. No laila, ʻo kāu kauka ke kanaka maikaʻi loa e hoʻoholo i ka mea maikaʻi loa iā ʻoe a i ʻole kāu keiki.
Hiki paha ke loaʻa nā pilikia me nā lāʻau lapaʻau ʻē aʻe? (Nā Hana Pilikino Lāʻau Lapaʻau)
He mea kēia e pono ai ʻoe e noʻonoʻo pono. Hiki i kēia lāʻau lapaʻau ADHD ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu a i ʻole kāu keiki e lawe nei. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau lāʻau).
Aia ma lalo iho kekahi mau papa lāʻau e hiki ke launa pū me kēia mau lāʻau ʻelua.
| Nā lāʻau lapaʻau e pono ai ka nānā kūikawā (Nā Hana Pilikino Hiki) | |
|---|---|
| Nā MAOI (nā mea hoʻopaʻa monoamine oxidase) | ʻAʻole pono e hui pū ʻia kēia mau lāʻau lapaʻau, i hoʻohana ʻia e mālama i nā kūlana e like me ke kaumaha, me nā mea hoʻoulu. ʻAʻole pono e hoʻomaka ʻia nā mea hoʻoulu no 14 mau lā ma hope o ka hoʻōki ʻana i kahi MAOI. |
| Nā lāʻau lapaʻau serotonergic | Nā lāʻau lapaʻau maʻamau no ka hopohopo a me ke kaumaha. |
| Nā lāʻau antidepressant Tricyclic | ʻO kekahi papa lāʻau lapaʻau no ke kaumaha. |
| Nā lāʻau antihistamine | Nā lāʻau lapaʻau no nā maʻi allergies. |
| Lāʻau lapaʻau koko | No ka mea hiki i kēia mau lāʻau ke hoʻonui i ke koko, he mea nui e hoʻomaopopo i kāu kauka inā ʻoe e lawe nei i ka lāʻau lapaʻau no ke koko kiʻekiʻe. |
Leka Lawe-Home
- ʻO Vyvanse lāua ʻo Adderall ʻelua mau lāʻau hoʻouluulu maikaʻi loa i hoʻohana ʻia e mālama iā ADHD.
- ʻOi aku ka lōʻihi o ka noho ʻana o Vyvanse i loko o ke kino ma mua o Adderall, a he emi iki ka pilikia o ka maʻi ʻona.
- Hiki i kēia mau lāʻau lapaʻau ʻelua ke hana i nā hopena ʻaoʻao maʻamau e like me ke poʻo ʻeha, ka hiamoe ʻole, a me ka nalowale o ka makemake. Pono ka poʻe me ka maʻi puʻuwai e pale i ka lawe ʻana iā lākou.
- ʻAʻole "ʻoi aku ka maikaʻi" o ka lāʻau lapaʻau "ikaika" i nā manawa a pau. He mea nui e koho i ka lāʻau lapaʻau a me ka nui o ka lāʻau e kūpono loa i kou kino, kou nohona, a me nā hōʻailona.
- ʻO ka mea hope loa, ʻo ka lāʻau lapaʻau maikaʻi loa nāu e hoʻoholo ʻia e ʻoe a me kāu kauka ma hope o ke kūkākūkā ʻana. Mai lāʻau ponoʻī a hoʻololi paha i ka nui.
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