Koj tus menyuam puas muaj ADHD ( Kev Xav Tsis Thoob/Kev Ua Si Ntau Dhau )? Tus kws kho mob puas tau sau tshuaj kom tswj tau nws txoj kev tsis xav mloog, kev tsis so, thiab tus cwj pwm tsis xav ua dab tsi? Feem ntau cov kws kho mob yuav sau tshuaj txhawb zog ua ntej. Tab sis qee tus menyuam tsis teb zoo rau cov tshuaj no. Lawv tuaj yeem ua rau muaj kev phiv. Hnub no, peb yuav tham txog lwm yam tshuaj uas siv rau hauv cov xwm txheej zoo li no.
Cov no yog cov tshuaj uas tsis ua rau lub cev muaj zog. Cia peb saib ze dua cov tshuaj hauv pawg no, Guanfacine thiab Clonidine. Cov no kuj hu ua Alpha-2 Agonists. Cov tshuaj no tuaj yeem pab tau zoo rau qee tus menyuam.
Guanfacine thiab Clonidine yog dab tsi?
Qhov tseeb, ob hom tshuaj no tau tsim thawj zaug los kho cov ntshav siab, lossis ntshav siab. Lawv ua haujlwm rau peb cov hlab ntsha thiab so cov hlab ntsha, uas ua rau cov ntshav siab qis. Tab sis tom qab ntawd cov kws tshawb fawb tau pom tias cov tshuaj no kuj cuam tshuam rau qhov ntawm peb lub hlwb uas tswj kev mloog thiab kev coj cwj pwm .
Kev tshawb fawb qhia tau tias ntawm 55% thiab 60% ntawm cov menyuam yaus uas muaj ADHD tau txais txiaj ntsig los ntawm cov tshuaj 'Alpha-2 Agonist' no.
Feem ntau tus kws kho mob pom zoo kom siv cov tshuaj no yog tias cov tshuaj uas pab kom tus menyuam muaj zog thaum xub thawj tsis ua haujlwm. Kev tshawb fawb tau qhia tias cov tshuaj uas pab kom tus menyuam muaj zog tswj tau cov tsos mob ntawm ADHD zoo dua li cov tshuaj 'Alpha-2 Agonist' no.
Tab sis rau qee tus menyuam yaus, qhov no yog ib qho kev xaiv zoo yog tias lawv muaj ntau yam kev phiv los ntawm lwm yam tshuaj. FDA, uas sawv cev rau Lub Chaw Haujlwm Saib Xyuas Khoom Noj thiab Tshuaj, tau pom zoo cov tshuaj no rau cov menyuam yaus hnub nyoog ntawm 6 thiab 17 xyoo. Tab sis qee zaum cov kws kho mob siv lawv rau cov menyuam yaus hnub nyoog qis dua ntawd.
Cov kws kho mob sau cov tshuaj no rau hauv cov xwm txheej twg?
Cov tshuaj ' ALP ha-2 Agonist' tej zaum yuav yog ib qho kev xaiv zoo rau koj tus menyuam. Cia peb saib thaum twg qhov ntawd nyob hauv daim ntawv no.
| Vim li cas | Ib qho lus piav qhia yooj yim |
|---|---|
| Yog tias cov tshuaj txhawb zog tsis ua haujlwm zoo | Thaum cov tshuaj thawj zaug tsis ua qhov sib txawv tseem ceeb rau cov tsos mob ntawm ADHD ntawm tus menyuam. |
| Yog tias koj tsis tuaj yeem ua siab ntev rau cov kev mob tshwm sim | Yog tias tus me nyuam muaj teeb meem pw tsis tsaug zog, poob phaus, mob taub hau, thiab tsis xav noj mov vim yog lwm yam tshuaj, ces cov tshuaj ntawd ntau dhau rau tus me nyuam. |
| Yog koj muaj lwm yam teeb meem kev noj qab haus huv | Yog tias tus me nyuam muaj mob hlwb xws li tics lossis mob plawv, cov tshuaj txhawb zog tsis tsim nyog. |
| Yog tias muaj kev pheej hmoo ntawm kev siv tshuaj tsis raug | Tshwj xeeb tshaj yog tias cov menyuam yaus muaj kev pheej hmoo ntawm kev siv cov tshuaj stimulants tsis raug. |
Qee zaum, nrog rau cov tshuaj txhawb zog, koj tus kws kho mob yuav sau ntawv kom noj 'Guanfacine' lossis 'Clonidine' kom nws cov txiaj ntsig zoo dua.
Cov tshuaj no siv li cas?
Ob hom tshuaj no muaj cov tshuaj uas ua haujlwm ntev. Tus kws kho mob yuav pib muab tshuaj rau tus menyuam noj tsawg kawg nkaus thiab tom qab ntawd maj mam nce cov tshuaj raws li tus menyuam teb.
- Guanfacine : Noj ib zaug ib hnub. Noj tau thaum sawv ntxov lossis yav tsaus ntuj. Nws muaj nyob rau hauv cov koob tshuaj ntawm 1, 2, 3, thiab 4 milligrams (mg).
- Clonidine: Noj ob zaug ib hnub, ib zaug thaum sawv ntxov thiab ib zaug thaum mus pw. Nws muaj li ntawm 0.1 mg thiab 0.2 mg koob tshuaj.
Qhov tseem ceeb tshaj plaws yog tias nws tsis zoo rau kev rhuav, tsoo, lossis zom cov tshuaj no. Cov tshuaj yuav tsum tau nqos tag nrho. Nug koj tus kws kho mob kom paub cov lus qhia tshwj xeeb txog qhov no.
Tej zaum yuav siv sijhawm 4 txog 8 lub lis piam kom pom cov txiaj ntsig tag nrho ntawm cov tshuaj no, yog li koj yuav tsum ua siab ntev.
Ib qho tseem ceeb ntxiv yog tias nws tsis yog lub tswv yim zoo kom tsum tsis txhob noj cov tshuaj no tam sim ntawd. Ua li ntawd tuaj yeem ua rau cov tsos mob tsis xav noj tshuaj hauv tus menyuam, xws li ntshav siab thiab teeb meem plawv dhia. Yog li ntawdYog koj xav tso tseg noj tshuaj, koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia, los ntawm kev maj mam txo cov tshuaj (txo qis dua).
Tej yam kev mob tshwm sim thiab kev pheej hmoo uas yuav tshwm sim yog dab tsi?
Ib yam li lwm yam tshuaj, cov tshuaj 'Alpha-2 Agonist' no tuaj yeem ua rau muaj qee qhov kev phiv.
- Kev tsaug zog tsis taus
- Kev qaug zog
- kiv taub hau
- Mob taub hau
- Kev chim siab
- Qhov ncauj qhuav
- Mob plab
- Ntshav siab qis
Cov kev mob tshwm sim no feem ntau tshwm sim ntau dua thaum pib noj tshuaj, thiab maj mam txo qis thaum lub cev tau siv rau cov tshuaj.
Cov ntsiab lus yuav tsum tau them sai sai rau
Muaj qee qhov kev tshawb fawb qhia tias cov tshuaj no yuav ua rau muaj kev pheej hmoo ntawm qee yam kab mob plawv. Yog li ntawd, yog tias leej twg hauv koj tsev neeg muaj keeb kwm ntawm kab mob plawv, nco ntsoov qhia rau koj tus kws kho mob ua ntej pib noj tshuaj.
Cov tshuaj no yuav tsum tau muab nrog kev ceev faj rau cov menyuam yaus uas muaj lossis muaj kev pheej hmoo rau cov mob hauv qab no:
- Ntshav siab qis
- Lub plawv dhia qeeb (bradycardia)
- Tsaus muag ntau zaus (Fainting)
- Lub plawv thaiv, ib qho mob uas muaj teeb meem nrog lub plawv cov teeb liab hluav taws xob
Yuav ua li cas xaiv cov tshuaj zoo tshaj plaws rau ADHD?
Nws nyuaj rau hais tseeb tias cov tshuaj twg zoo tshaj plaws rau tus menyuam uas muaj ADHD. Qhov no yog kev txiav txim siab uas koj thiab koj tus kws kho mob yuav tsum ua ke, sib piv qhov zoo thiab qhov tsis zoo ntawm txhua txoj kev kho mob.
Ib yam tshuaj tsis ua haujlwm rau txhua tus. Yog li ntawd, tej zaum koj yuav tau sim ntau yam tshuaj kom txog thaum koj pom qhov zoo tshaj plaws rau koj tus menyuam. Tej zaum koj kuj yuav tau hloov qhov ntau npaum li cas lossis hloov mus rau lwm yam tshuaj thaum koj tus menyuam loj hlob tuaj.
Ua niam txiv, koj thiab koj tus menyuam cov xib fwb muaj lub luag haujlwm tseem ceeb hauv txoj kev no. Nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj tus menyuam tus cwj pwm, cov tsos mob, thiab cov kev mob tshwm sim thiab qhia rau kws kho mob paub.
Thaum kawg, nco ntsoov tias tshuaj ib leeg xwb tsis tuaj yeem kho tau ADHD tag nrho. Qhov no ua tau zoo tshaj plaws thaum ua ke nrog kev kho tus cwj pwm, kev txhawb nqa los ntawm niam txiv thiab xib fwb. Txawm hais tias cov tshuaj xws li Guanfacine thiab Clonidine yuav tsis kho tau tus menyuam tus mob, lawv tuaj yeem pab lawv daws cov haujlwm niaj hnub hauv tsev kawm ntawv thiab hauv tsev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Alpha-2 Agonist (Guanfacine, Clonidine) yog ib qho kev xaiv zoo rau cov menyuam yaus uas muaj ADHD uas tsis tau siv cov tshuaj stimulant.
- Cov tshuaj no tuaj yeem ua rau muaj kev phiv xws li tsaug zog thiab ntshav siab qis, yog li ceev faj nrog koj tus menyuam.
- Tsis txhob tsum noj cov tshuaj no tam sim ntawd yam tsis tau nrog koj tus kws kho mob tham. Ua li ntawd yuav ua rau koj tus menyuam tsis kam noj tshuaj.
- Nrhiav cov tshuaj zoo rau koj tus menyuam yog ib txoj kev taug kev. Ua haujlwm nrog koj tus kws kho mob kom zoo rau txoj kev taug kev no.
- Yuav kom ua tiav cov txiaj ntsig zoo tshaj plaws rau ADHD, tshuaj, kev kho tus cwj pwm, thiab kev txhawb nqa ntawm niam txiv / xib fwb txhua tus yuav tsum tuaj ua ke.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus