Nws yog ib qho uas cov kws kho mob feem ntau yuav sau cov tshuaj stimulant ua ntej los kho ADHD. Txawm li cas los xij, cov tshuaj no tsis haum rau txhua tus. Ib txhia neeg tuaj yeem muaj cov kev mob tshwm sim loj heev. Rau lwm tus, cov tshuaj no tsis ua haujlwm zoo li lawv yuav tsum tau ua. Yog li ntawd, yog tias koj tab tom nrhiav lwm cov kev xaiv tshuaj ADHD, koj muaj ob peb txoj kev xaiv. Qee zaum koj tus kws kho mob yuav ntxiv cov tshuaj stimulant rau cov tshuaj uas koj twb noj lawm, lossis lawv yuav qhia koj kom noj cov tshuaj no ib leeg yam tsis muaj cov tshuaj stimulant.
Cov tshuaj uas tsis yog stimulant rau ADHD yog dab tsi?
Tsuas yog hais tias, cov tshuaj nonstimulant rau ADHD tuaj yeem muab faib ua peb pawg tseem ceeb.
1. Cov tshuaj uas tsis yog tshuaj txhawb zog rau ADHD: Cov no yog tsim los kho ADHD thiab tau pom zoo rau lub hom phiaj ntawd.
2. Cov tshuaj kho ntshav siab : Cov tshuaj no kuj pab tswj cov tsos mob ntawm ADHD rau qee tus neeg.
3. Cov Tshuaj Tiv Thaiv Kev Nyuaj Siab: Cov no pab nrog ADHD los ntawm kev tswj cov tshuaj lom neeg hauv lub hlwb. Lawv pab tau tshwj xeeb rau cov neeg uas muaj ADHD thiab lwm yam mob hlwb, xws li kev nyuaj siab thiab kev ntxhov siab.
Cov tshuaj tsis yog stimulant tshwj xeeb rau ADHD
Atomoxetine (Strattera) thiab Viloxazine (Qelbree) tau txais kev pom zoo rau kev siv rau cov menyuam yaus, cov hluas, thiab cov neeg laus. Lawv ua haujlwm los ntawm kev nce qib ntawm cov tshuaj tseem ceeb hauv lub hlwb hu ua norepinephrine. Qhov no tau pom tias txhim kho lub sijhawm mloog thiab txo qis tus cwj pwm tsis xav ua thiab hyperactivity .
Txawm hais tias Clonidine ER (Kapvay) thiab Guanfacine ER (Intuniv) tau txais kev pom zoo rau cov menyuam yaus hnub nyoog 6 txog 17 xyoo, cov kws kho mob kuj tau sau ntawv rau cov neeg laus. Cov tshuaj no ua haujlwm los ntawm kev tsom mus rau thaj chaw tshwj xeeb ntawm lub hlwb. Cov kev tshawb fawb tau qhia tias lawv txo qhov tsis xav tau thiab txhim kho kev mloog zoo, kev nco qab ua haujlwm , thiab kev tswj hwm lub siab .
Cov no muaj qhov zoo li cas dua li cov tshuaj txhawb zog?
Tsis zoo li cov tshuaj uas ua rau lub cev muaj zog, cov tshuaj uas tsis ua rau lub cev muaj zog feem ntau ua rau muaj tsawg dua cov kev mob tshwm sim, xws li tsis so, pw tsis tsaug zog, lossis tsis xav noj mov. Lawv kuj tsis muaj kev pheej hmoo ntawm kev quav yeeb quav tshuaj.
Ib qho tseem ceeb ntxiv yog tias cov teebmeem ntawm cov tshuaj txhawb zog zoo li tuaj yeem tshwm sim sai sai thiab tom qab ntawd ploj mus sai li sai tau. Txawm li cas los xij, cov teebmeem ntawm cov tshuaj tsis txhawb zog feem ntau kav ntev dua thiab du dua .
Cia peb kuj paub txog cov kev mob tshwm sim ntawm cov tshuaj nonstimulant.
Ib yam li lwm yam tshuaj, cov no tuaj yeem muaj qee qhov kev phiv , yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.
| Pawg tshuaj | Tej zaum yuav muaj tej yam tshwm sim tsis zoo |
|---|---|
| Atomoxetine (Strattera) |
|
| Cov kev pheej hmoo tsis tshua muaj tab sis loj heev ntawm Atomoxetine uas yuav tsum tau tshaj tawm rau tus kws kho mob tam sim ntawd: | |
| Atomoxetine (mob hnyav) |
|
| Clonidine (Kapvay), Guanfacine (Intuniv), Viloxazine (Qelbree) |
|
| Cov kev pheej hmoo tsis tshua muaj tab sis loj heev ntawm cov tshuaj no suav nrog: | |
| Clonidine, Guanfacine, Viloxazine (mob hnyav) |
|
Vim tias cov tshuaj no tuaj yeem ua rau tsaug zog, nws yog ib qho tseem ceeb heev uas yuav tsum paub meej tias lawv yuav cuam tshuam li cas rau koj ua ntej tsav tsheb lossis siv cov tshuab hnyav .
Cov Tshuaj Ntshav Siab Siv Rau ADHD
Cov tshuaj uas feem ntau siv los kho cov ntshav siab, xws li Clonidine (Kapvay) thiab Guanfacine hcl (Tenex), kuj tseem tuaj yeem pab tswj cov tsos mob ntawm ADHD. Lawv tuaj yeem ua rau qee qhov chaw ntawm lub hlwb so.
Lawv kuj pab txo cov kev mob tshwm sim, tshwj xeeb tshaj yog cov uas tshwm sim los ntawm cov tshuaj txhawb zog, xws li pw tsis tsaug zog thiab ua phem. Lawv tuaj yeem siv ib leeg lossis ua ke nrog cov tshuaj txhawb zog.
Txawm li cas los xij, muaj qee qhov kev tsis sib haum xeeb txog kev muab cov no ua ke nrog cov tshuaj txhawb zog. Muaj cov ntawv tshaj tawm txog kev tuag ntawm cov menyuam yaus uas noj ob hom tshuaj no ua ke. Tsis paub meej tias cov kev tuag no puas yog los ntawm kev sib xyaw ua ke ntawm ob hom tshuaj, tab sis yuav tsum ceev faj heev thaum siv cov kev sib xyaw ua ke no.
Koj tus kws kho mob yuav saib xyuas koj tsis tu ncua. Nws yuav ua cov kauj ruam los txo koj qhov kev pheej hmoo los ntawm kev kuaj xyuas koj lub plawv dhia (ECG) thiab kuaj xyuas koj cov ntshav siab tsis tu ncua. Yog tias cov txiaj ntsig ntau dua li cov kev pheej hmoo, koj tus kws kho mob yuav pom zoo kom kho qhov no.
Cov kev mob tshwm sim ntawm cov no thiab leej twg yuav tsum tsis txhob noj lawv
Cov kev mob tshwm sim tseem ceeb ntawm cov no yog qaug zog, ntshav qis, mob taub hau, thiab kiv taub hau. Tsis tshua muaj, lub plawv dhia tsis xwm yeem tuaj yeem tshwm sim. Cov no yuav tsis haum rau koj yog tias koj lossis ib tus neeg hauv koj tsev neeg muaj keeb kwm ntshav qis lossis kab mob plawv.
Cov tshuaj Antidepressants siv rau ADHD
Muaj ntau hom tshuaj antidepressants siv los kho ADHD. Cov no yog cov kev kho mob zoo tshaj plaws, tshwj xeeb tshaj yog rau cov menyuam yaus lossis cov neeg laus uas muaj kev nyuaj siab nrog rau ADHD.
Cov no tuaj yeem txhim kho kev mloog zoo, kev tswj hwm lub siab xav, kev ua ub ua no ntau dhau, thiab kev chim siab. Tab sis nco ntsoov tias, lawv tsis muaj txiaj ntsig zoo li cov tshuaj stimulant lossis cov tshuaj tsis stimulant hauv kev txhim kho kev mloog zoo thiab kev tsom mus rau ib yam dab tsi.
Ib qho zoo ntawm cov no yog tias lawv muaj kev pheej hmoo tsawg dua ntawm kev quav yeeb quav tshuaj. Lawv ua haujlwm los ntawm kev nce qib ntawm cov neurotransmitters hauv lub hlwb, xws li 'norepinephrine', 'serotonin', thiab 'dopamine'.
Muaj ntau hom tseem ceeb siv:
- Cov tshuaj tiv thaiv kev ntxhov siab Tricyclic: Cov tshuaj xws li 'Desipramine' thiab 'Imipramine' yog cov tshuaj no. Txawm hais tias cov no ua haujlwm tau zoo los xij, lawv tuaj yeem ua rau muaj kev phiv xws li qhov ncauj qhuav thiab cem quav.
- Bupropion (Wellbutrin): Qhov no kuj yog ib yam tshuaj zoo heev rau ADHD. Txawm li cas los xij, nws tuaj yeem ua rau muaj teeb meem rau cov neeg uas muaj kev ntxhov siab lossis qaug dab peg.
- MAO inhibitors: Cov no tsis tshua siv vim tias lawv tuaj yeem muaj cov kev mob tshwm sim txaus ntshai. Lawv tsuas yog xav txog yog tias tsis muaj lwm yam tshuaj ua haujlwm.
Tseem Ceeb: FDA tau ceeb toom tias cov tshuaj antidepressants yuav ua rau muaj kev xav thiab tus cwj pwm tua tus kheej me ntsis rau cov menyuam yaus thiab cov tub ntxhais hluas. Yog li ntawd, yog tias koj muaj lus nug lossis kev txhawj xeeb txog qhov no, nrog koj tus kws kho mob tham.
Ua ntej noj cov tshuaj uas tsis yog tshuaj stimulant, yuav tsum paub txog cov no.
Ua ntej koj pib noj tshuaj uas tsis yog stimulant, koj yuav tsum qhia rau koj tus kws kho mob txog cov hauv qab no:
- Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis pub niam mis.
- Yog tias koj noj tshuaj rau lwm yam mob (piv txwv li, ntshav siab, tshuaj tiv thaiv kev ntxhov siab, tshuaj loog).
- Yog tias koj siv cov tshuaj ntxiv rau kev noj haus, tshuaj ntsuab, lossis cov tshuaj uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj.
- Yog koj muaj lwm yam mob (ntshav siab lossis qis, qaug dab peg, kab mob plawv, glaucoma, teeb meem kev noj qab haus huv ntawm lub hlwb, kab mob siab).
- Yog tias koj tau muaj kev tsis haum tshuaj rau ib yam tshuaj yav dhau los.
- Yog koj muaj keeb kwm ntawm kev quav yeeb quav tshuaj lossis dej cawv.
Thaum koj thiab koj tus kws kho mob tau txiav txim siab tias cov tshuaj uas tsis yog tshuaj stimulant yog qhov zoo rau koj, noj cov tshuaj raws li tau sau tseg, ntawm qhov ntau npaum li cas uas tau pom zoo . Koj tus kws kho mob kuj tseem yuav ua tej yam xws li kev kuaj ntshav qee zaum los xyuas seb cov tshuaj puas ua haujlwm zoo thiab yog tias muaj teeb meem dab tsi.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ADHD tsis yog tsuas yog siv cov tshuaj uas ua rau lub hlwb ua haujlwm xwb. Kuj tseem muaj ntau yam tshuaj uas tsis ua rau lub hlwb ua haujlwm.
- Yuav kom xaiv tau txoj kev kho mob uas zoo rau koj, nrog koj tus kws kho mob tham txog koj keeb kwm mob nkeeg thiab lwm yam tshuaj uas koj noj.
- Tsis txhob tsum noj cov tshuaj no tam sim ntawd yam tsis tau kev qhia los ntawm kws kho mob. Ua li ntawd yuav ua rau muaj teeb meem xws li ntshav siab nce siab tam sim ntawd. Maj mam tsum noj cov tshuaj.
- Yuav siv sijhawm li 2-4 lub lis piam lossis ntau dua kom hnov cov txiaj ntsig tag nrho ntawm cov tshuaj no, yog li ua siab ntev thiab txuas ntxiv noj tshuaj.
- Qhia rau koj tus kws kho mob tam sim ntawd yog tias koj muaj tej yam tshwm sim tsis zoo li qub lossis hnyav (tshwj xeeb tshaj yog daim tawv nqaij daj, lub plawv dhia hloov pauv, xav tua tus kheej).
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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