Koj tus menyuam puas muaj teeb meem nyob hauv ib qho chaw ntev? Nws puas tsom ntsoov sai dhau? Los yog nws ua tej yam tsis xav ua thiab tsis xav ua? Cov no feem ntau yog cov cim qhia ntawm ADHD ( Kev Xav Tsis Zoo/Kev Ua Haujlwm Tsis Tau Zoo ) . Muaj ntau yam ua rau qhov no. Ntawm lawv, peb yuav tham txog cov tshuaj hauv peb lub hlwb hu ua 'Dopamine' hnub no.
Dopamine yog dab tsi tiag?
Hais yooj yim xwb, dopamine yog ib yam tshuaj uas xa cov lus ntawm cov hlwb ntawm peb lub hlwb. Hauv kev kho mob, peb hu qhov no ua neurotransmitter. Cov tshuaj no hu ua dopamine muaj feem cuam tshuam rau ntau yam hauv peb lub cev dua li peb xav.
Xav txog nws, qhov no zoo li 'Cov Tshuaj Txhawb Siab' hauv peb lub hlwb. Uas yog, cov tshuaj uas txhawb peb kom ua ib yam dab tsi, ua rau peb zoo siab, thiab ua rau peb tsom ntsoov.
Nov yog qee yam tseem ceeb uas dopamine cuam tshuam rau:
- Peb lub cim xeeb
- Kev txhawb siab
- Lub siab xav
- Kev txav ntawm lub cev (Movem ENT )
- Kev mloog zoo
- Kev xyiv fab thiab khoom plig
- Pw tsaug zog
- Kev kawm
- Kev coj cwj pwm
Yog tias koj tus menyuam muaj cov dopamine txaus hauv lawv lub cev, lawv feem ntau yuav zoo siab, ceeb toom, tsom ntsoov, thiab xav ua ib yam dab tsi. Tab sis yog tias cov theem no qis, lawv yuav qaug zog, tu siab, thiab pw tsaug zog. Lawv kuj tseem yuav muaj kev nco tsis zoo, teeb meem pw tsaug zog , thiab nyuaj rau tsom ntsoov.
Tiam sis yog tias cov dopamine ntau dhau lawm ces yuav ua li cas? Nws tuaj yeem ua rau muaj zog ntau dhau, pw tsis tsaug zog, ua phem, thiab tsis tswj tau lub siab xav.
Kev sib txuas ntawm ADHD thiab cov dopamine qis yog dab tsi?
Txoj kev sib raug zoo ntawm ADHD thiab dopamine yog qhov nyuaj me ntsis, tab sis cia peb ua kom yooj yim.
Feem ntau, peb lub hlwb tsim cov dopamine ntuj tsim. Tam sim no xav txog tias peb siv dopamine los xa cov lus ntawm ob lub hlwb hauv peb lub hlwb . Tom qab cov lus xa mus, cov dopamine seem raug coj rov qab mus rau hauv lub hlwb qub. Muaj cov protein tshwj xeeb uas pab hauv cov txheej txheem no ntawm kev coj nws mus, uas peb hu ua dopamine transporters .
Xav txog cov khoom thauj no zoo li cov 'tshuab nqus tsev' me me. Thaum cov lus dopamine tiav lawm, cov 'tshuab nqus tsev' no tuaj txog thiab tshem tawm cov dopamine seem.
Cov kws tshawb fawb ntseeg tias cov menyuam yaus uas muaj ADHD muaj cov 'nqus tsev' lossis cov dopamine transporters ntau dhau hauv lawv lub hlwb, lossis lawv ua haujlwm ntau dhau . Tom qab ntawd yuav ua li cas? Ua ntej dopamine tuaj yeem xa cov lus tau zoo, cov transporters tuaj thiab tshem tawm dopamine sai sai. Qhov no txhais tau tias dopamine nyob hauv cov hlwb paj hlwb rau lub sijhawm luv luv. Qhov no suav hais tias yog qhov laj thawj tseem ceeb vim li cas kev mloog thiab kev tswj tus cwj pwm raug cuam tshuam hauv ADHD.
Kev kho mob rau ADHD yog dab tsi?
Cov tshuaj stimulants yog ib hom tshuaj tseem ceeb uas cov kws kho mob sau ntawv kom tswj tau ADHD. Cov tshuaj no thaiv ib ntus cov haujlwm ntawm cov dopamine transporters uas peb tau tham txog ua ntej.
Qhov ntawd txhais tau hais tias lub 'nqus tsev' tau ua ntau dua me ntsis. Tom qab ntawd, vim tias dopamine nyob nruab nrab ntawm cov hlwb ntawm lub paj hlwb rau lub sijhawm ntev dua, kev sib pauv lus ntawm lub hlwb tuaj yeem ua tau zoo. Qhov no yog ib qho kev pab zoo hauv kev txhim kho tus menyuam txoj kev mloog thiab tswj nws tus cwj pwm .
Tsis tas li ntawd xwb, qee qhov kev tshawb fawb tau pom tias cov menyuam yaus uas muaj ib tug gene hu ua DAT1 muaj kev ua haujlwm ntau dua ntawm cov dopamine transporters no, uas qhia tias muaj kev cuam tshuam los ntawm noob caj noob ces.
| Lub npe dav dav ntawm cov tshuaj | Cov hom lag luam uas siv ntau (Piv txwv) |
|---|---|
| Methylphenidate | Ritalin, Concerta, Aptensio XR, Daytrana |
| Amphetamine/Dextroamphetamine | Adderall, Adderall XR, Mydayis |
| Dexmethylphenidate tshuaj | Focalin, Focalin XR |
| Lisdexamfetamine | Vyvanse |
| Dextroamphetamine | Dexedrine, Dextrostat |
Qhov tseem ceeb tshaj plaws: Cov tshuaj no tsuas yog yuav tsum muab rau cov menyuam yaus raws li cov lus qhia ntawm tus kws kho mob tshwj xeeb. Tus kws kho mob yuav txiav txim siab seb yuav noj npaum li cas raws li qhov hnyav, hnub nyoog, thiab cov tsos mob ntawm tus menyuam. Yog tias noj tsis raug, es tsis yog ua kom muaj kev tsom ntsoov, nws yuav nyuaj rau tsom ntsoov dua.
Puas muaj tej yam tshwm sim tsis zoo rau cov tshuaj no?
Yog, ib yam li lwm yam tshuaj, yeej muaj tej yam tshwm sim tsis zoo. Tiam sis tsis txhob txhawj, feem ntau cov no tsis yog qhov loj heev. Koj tus kws kho mob yuav nrog koj tham txog cov no thiab pab koj tswj txhua yam.
| Cov kev mob tshwm sim thiab koj yuav tsum ua li cas | |
|---|---|
| Cov kev mob tshwm sim me me uas yuav tshwm sim thaum pib thiab ploj mus li ob peb lub lis piam | |
| Mob taub hau | Mob plab |
| kiv taub hau | Qhov ncauj qhuav |
| Ntshav siab me ntsis | |
| Yog tias cov tsos mob no tseem muaj, qhia rau koj tus kws kho mob. | |
| Kev ntshaw noj mov | Tsis tsaug zog |
| Kev poob phaus | Tsis so/ntxhov siab |
| Ua tib lub suab lossis tib lub zog (Tics) | |
| Cov kev mob tshwm sim loj heev uas xav tau kev kho mob tam sim ntawd | |
| Pom kev tsis meej | Kev ua xua nrog pob khaus tawv nqaij |
| Teeb meem loj nrog lub plawv lossis cov hlab ntsha (piv txwv li, mob hauv siab, lub plawv dhia ceev ceev) | |
Yog koj tus menyuam muaj tej yam tsos mob txawv txawv, qhia rau koj tus kws kho mob tam sim ntawd. Yog tias tsim nyog, koj tus kws kho mob yuav hloov qhov ntau npaum li cas lossis hloov koj mus rau lwm yam tshuaj. Tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas ntawm koj tus kheej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ADHD tsis yog tsuas yog ib tug me nyuam txoj kev tub nkeeg lossis tus cwj pwm tsis zoo xwb. Nws yog ib qho mob tiag tiag uas cuam tshuam nrog cov tshuaj lom neeg hauv lub hlwb.
- Ib qho laj thawj tseem ceeb rau qhov no yog kev hloov pauv hauv kev ua haujlwm ntawm cov tshuaj dopamine hauv lub hlwb.
- Muaj cov kev kho mob zoo heev rau qhov no. Cov tshuaj thiab kev kho tus cwj pwm zoo yuav pab tau tus menyuam kom muaj lub neej vam meej.
- Tej zaum yuav muaj tej yam tshwm sim tom qab pib noj tshuaj. Tsis txhob ntshai, tham nrog koj tus kws kho mob . Nws yuav muab cov lus qhia tsim nyog rau koj.
- Yog koj xav tias koj tus menyuam muaj ADHD, thov mus ntsib kws kho mob menyuam yaus lossis kws kho mob hlwb.
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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