Koj puas muaj teeb meem tsom ntsoov rau ib yam ntev dhau lawm? Los yog koj puas pom tias nws nyuaj rau tswj koj lub siab xav? Tej zaum cov no koj paub zoo. Cov no yog cov tsos mob ntawm tus mob uas peb hu ua ADHD ( Attention Deficit Hyperactivity Disorder). Tshuaj yog ib feem tseem ceeb heev ntawm kev kho tus mob no. Yog li hnub no peb yuav tham txog cov tshuaj ADHD, tshwj xeeb tshaj yog cov uas cuam tshuam rau cov tshuaj hauv koj lub hlwb, ib yam li koj yuav tham nrog ib tug phooj ywg.
ADHD yog dab tsi tiag?
Hais yooj yim xwb, ADHD yog ib qho mob hlwb uas feem ntau tshwm sim thaum yau. Nws yog tus cwj pwm los ntawm kev nyuaj siab rau kev mloog , qee zaum los ntawm kev ua ub ua no ntau dhau, thiab los ntawm kev coj cwj pwm tsis xav ua.
Muaj ib txhia menyuam yaus loj hlob dhau qhov mob no thaum lawv loj hlob tuaj. Tiam sis qee tus yuav tseem muaj cov tsos mob no mus txog thaum lawv laus. Qee zaum, ADHD tsis raug lees paub thaum lawv tseem yog menyuam yaus thiab tsuas pom thaum lawv laus xwb.
Thaum kho ADHD rau cov neeg laus, ib lossis ntau yam ntawm cov hauv qab no feem ntau siv ua ke:
- Tshuaj
- Kev sab laj lossis kev kho mob
- Kev cob qhia txog kev txawj ua neej
- Kev kawm txog qhov mob no
Ntawm cov kev kho mob no, ntau cov tshuaj uas muab rau ADHD cuam tshuam ncaj qha rau lub cev noradrenergic hauv peb lub hlwb. Tam sim no cia peb saib seb qhov ntawd yog dab tsi.
Kev sib txuas ntawm ADHD thiab cov tshuaj lom neeg hauv lub hlwb
Xav txog tias peb lub hlwb zoo li ib lub chaw ua haujlwm loj uas muaj ntau lab tus neeg ua haujlwm ua haujlwm hauv. Cov neeg ua haujlwm hauv chaw ua haujlwm no yog cov hlwb hu ua neurons. Cov neeg ua haujlwm no siv ib pawg tshwj xeeb ntawm 'postmen' los tham nrog ib leeg thiab sib pauv lus. Hauv kev kho mob, peb hu cov postmen no ua neurotransmitters .
Ib qho ntawm cov neurotransmitters no yog norepinephrine . Nws yog tsim thiab faib thoob plaws lub hlwb los ntawm lub cev noradrenergic. Norepinephrine txoj haujlwm tseem ceeb yog ua kom koj ceeb toom, tsom mus rau, thiab pab koj xav kom meej . Nws tseem yog cov tshuaj uas npaj koj lub cev rau kev teb tawm tsam lossis khiav thaum koj muaj kev phom sij lossis raug hem.
Cov kws tshaj lij ntseeg tias ib qho ua rau ADHD yog qhov tsis sib npaug ntawm lub cev noradrenergic. Yog li ntawd, lub hlwb tsis muaj tshuaj lom neeg hu ua norepinephrine txaus. Tom qab ntawd yuav ua li cas? Lub prefrontal cortex, uas tswj cov yam tseem ceeb xws li kev mloog zoo, kev tswj hwm kev xav, thiab kev txiav txim siab, tsis tau txais cov lus zoo. Ib yam li tus thawj coj hauv chaw ua haujlwm uas tsis tau txais cov lus zoo raug cuam tshuam.
Nws ntseeg tau tias cov qib qis ntawm norepinephrine thiab lwm yam tseem ceeb neurotransmitter , dopamine, yuav pab txhawb rau cov tsos mob ntawm ADHD, xws li hyperactivity , inattention, thiab impulsivity.
Cov tshuaj no kho ADHD li cas?
Cov tshuaj Noradrenergic rau ADHD ua haujlwm feem ntau los ntawm kev ua kom cov norepinephrine ntau ntxiv hauv lub hlwb. Muaj ob hom tshuaj no tseem ceeb: cov tshuaj stimulants thiab cov tshuaj non-stimulants .
1. Cov tshuaj txhawb zog
Feem ntau cov kws kho mob pom zoo kom siv cov tshuaj stimulant los kho ADHD. Cov tshuaj no ua haujlwm los ntawm kev txhawb qee cov hlwb hauv lub hlwb kom tsim ntau dua norepinephrine thiab dopamine. Qhov no yog qhov uas lub npe 'stimulant' los ntawm. Cov tshuaj no tau siv tau zoo rau ADHD tau ntau xyoo lawm.
2. Cov tshuaj tsis ua rau muaj kev ntxhov siab
Cov no yog ib pawg tshuaj hu ua SNRIs (Selective Norepinephrine Reuptake Inhibitors). Piv txwv li Atomoxetine (Strattera) thiab Viloxazine (Qelbree). Cov no ua rau cov norepinephrine nce ntxiv ntau dua li cov tshuaj stimulants.
Hais yooj yim xwb, cov tshuaj no thaiv qhov rov qab nqus tau norepinephrine los ntawm cov hlwb hlab ntsha. Qhov no ua rau muaj ntau ntxiv ntawm norepinephrine uas nyob nruab nrab ntawm cov hlwb hlab ntsha, ua rau lub hlwb ua haujlwm tau zoo dua.
Kev tshawb fawb tau qhia tias cov tshuaj stimulant thiab cov tshuaj non-stimulant ua rau cov tsos mob ntawm ADHD zoo dua, xws li kev nco, kev mloog zoo, thiab kev tswj tus cwj pwm.
| Hom tshuaj | Cov piv txwv siv ntau (cov npe lag luam) |
|---|---|
| Cov Tshuaj Txhawb Zog - Methylphenidate pawg | Concerta, Ritalin, Focalin, Daytrana |
| Cov Tshuaj Txhawb Zog - Pawg Amphetamine | Adderall, Vyvanse, Dexedrine, Evekeo |
| Cov tshuaj tsis muaj zog - pawg SNRI | Strattera (Atomoxetine), Qelbree (Viloxazine) |
Koj xaiv cov tshuaj zoo li cas rau koj, kws kho mob?
Cov tshuaj ADHD zoo tshaj plaws tuaj yeem txo cov tsos mob li ntawm 80%. Tab sis qhov teeb meem yog, txawm tias koj tus kws kho mob tsis tuaj yeem qhia koj tias cov tshuaj twg yuav ua haujlwm zoo tshaj plaws rau koj. Kev nrhiav cov tshuaj zoo rau koj tuaj yeem siv sijhawm thiab ntau qhov kev sim thiab qhov yuam kev .
Feem ntau, tus kws kho mob yuav pib noj tshuaj me me xwb. Yog tias qhov ntawd tsis ua haujlwm, lawv yuav nce qhov tshuaj me ntsis. Yog tias qhov ntawd tsis ua haujlwm, lawv yuav hloov mus rau lwm yam tshuaj.
Nco ntsoov, nws yuav siv sijhawm li 3 txog 6 lub hlis los nrhiav cov tshuaj zoo rau koj uas tswj tau koj cov tsos mob, tsis muaj kev phiv loj, thiab ua haujlwm rau koj. Yog li ntawd, tsis txhob ntshai. Qhov ntawd yog ib txwm muaj. Ua siab ntev thiab ua haujlwm nrog koj tus kws kho mob.
Txawm tias cov tshuaj ADHD zoo tshaj plaws los tsis yog kho tau txhua yam. Qee zaum, kom tau txiaj ntsig zoo tshaj plaws, koj yuav tsum tau noj tshuaj nrog kev sab laj, kev tawm dag zog, thiab kev hloov pauv hauv lub neej.
Cov tshuaj no muaj tej yam tshwm sim li cas?
Ib yam li lwm yam tshuaj, cov tshuaj ADHD tuaj yeem muaj cov kev mob tshwm sim. Ib txhia neeg tsis muaj kev mob tshwm sim. Rau lwm tus, cov kev mob tshwm sim tuaj yeem hnyav heev uas ua rau nws nyuaj rau tso tseg kev noj tshuaj. Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob txog txhua yam kev mob tshwm sim uas koj ntsib.
| Hom tshuaj | Cov kev mob tshwm sim feem ntau |
|---|---|
| Cov tshuaj txhawb zog |
|
| Cov tshuaj tsis ua kom muaj zog |
Yog koj muaj tej yam kev mob tshwm sim no, qhia rau koj tus kws kho mob paub. Qee yam yuav ploj mus tom qab ob peb hnub thaum koj lub cev hloov mus rau cov tshuaj. Yog tias lawv tseem nyob thiab ua rau koj ntxhov siab, koj tus kws kho mob yuav hloov qhov ntau npaum li cas lossis hloov koj mus rau lwm yam tshuaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ADHD yog ib yam mob uas kho tau. Koj tsis yog tib tug xwb, muaj ntau tus neeg uas ntsib qhov no.
- Cov tshuaj yog ib feem tseem ceeb heev ntawm kev kho mob ADHD. Lawv pab sib npaug cov tshuaj lom neeg hauv lub hlwb thiab txhim kho koj txoj kev mloog thiab kev tswj hwm.
- Muaj ntau hom tshuaj. Yog tias ib hom tsis ua haujlwm, koj tuaj yeem sim lwm hom.
- Nws yog ib qho ib txwm siv sijhawm los nrhiav cov tshuaj thiab qhov ntau npaum li cas rau koj, yog li ua siab ntev.
- Tseem ceeb heev: Yog tias koj muaj lus nug txog cov tshuaj lossis cov kev mob tshwm sim, nco ntsoov tham nrog koj tus kws kho mob. Tsis txhob xav ntau dhau.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus