Koj puas paub txog lwm yam tshuaj (SNRI) rau cov menyuam yaus uas muaj ADHD?

Thaum koj tus kws kho mob qhia rau koj tias koj tus menyuam muaj ADHD (Kev Xav Tsis Zoo ), koj, ua ib tug niam txiv, tej zaum yuav muaj ntau cov lus nug thiab kev txhawj xeeb. Tej zaum koj yuav muaj kev xav sib txawv txog cov tshuaj uas koj tus menyuam yuav tau txais thiab lawv cov kev mob tshwm sim. Feem ntau, cov tshuaj txhawb zog yog thawj qhov kev xaiv rau ADHD. Tab sis cov tshuaj no tsis ua haujlwm rau txhua tus menyuam. Qee tus niam txiv kuj ntshai muab cov tshuaj no rau lawv tus menyuam. Yog li, yog tias koj tab tom xav txog kev xaiv tsis yog kev txhawb zog, koj tus kws kho mob yuav qhia ib hom tshuaj hu ua SNRI. Hnub no, cia peb tham txog cov SNRIs no yog dab tsi thiab lawv ua haujlwm li cas.

SNRIs yog dab tsi?

Hais yooj yim xwb, SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) yog ib hom tshuaj siv los kho kev nyuaj siab. Lawv ua haujlwm los ntawm kev nce qib ntawm ob lub tshuaj xa xov hauv peb lub hlwb. Peb hu cov tshuaj xa xov no ua cov neurotransmitters. Ob lub tshuaj no yog serotonin thiab norepinephrine.

Cov tshuaj no tsis tau txais kev pom zoo los ntawm FDA (Food and Drug Administration) los kho ADHD. Txawm li cas los xij, yog tias cov kws kho mob xav tias nws tsim nyog thiab pab tau rau tus neeg mob, lawv tuaj yeem sau cov tshuaj no 'tsis muaj daim ntawv lo', txhais tau tias rau lwm yam mob uas tsis yog qhov mob uas tau pom zoo. Qhov no yog ib qho kev coj ua ntau ntawm cov kws kho mob hauv Sri Lanka thiab thoob plaws ntiaj teb.

Cov tshuaj SNRI tshiab no suav tias muaj kev nyab xeeb dua thiab muaj tsawg dua cov kev phiv dua li cov tshuaj tricyclic antidepressants (TCAs) uas tau siv yav dhau los.

Muaj ob hom SNRIs tseem ceeb uas tau raug kuaj rau cov menyuam yaus uas muaj ADHD:

1. Duloxetine: Qhov no tau pom zoo los kho kev nyuaj siab thiab kev ntxhov siab rau cov neeg laus. Tsis tas li ntawd, cov tshuaj no kuj tseem siv los kho kev ntxhov siab rau cov menyuam yaus hnub nyoog tshaj 7 xyoo thiab mob fibromyalgia.

2. Venlafaxine: Qhov no yog ib yam tshuaj uas tau pom zoo siv los kho kev nyuaj siab thiab kev ntxhov siab rau cov neeg laus. Txawm hais tias nws tsis tau pom zoo rau cov menyuam yaus hnub nyoog qis dua 18 xyoo lossis rau ADHD, qee zaum cov kws kho mob sau ntawv kom siv nws 'tsis suav nrog daim ntawv lo'.

SNRIs pab tau li cas rau ADHD?

Xav txog tias cov hlwb ntawm peb lub hlwb tab tom tham lus rau ib leeg. Cov uas pab nrog kev sib tham no, uas yog, kev sib pauv lus, yog cov neurotransmitters uas peb tau hais ua ntej. Cov kws kho mob ntseeg tias cov menyuam yaus uas muaj ADHD muaj qee qhov teeb meem nrog kev ua cov lus xa xov dopamine thiab norepinephrine. Qee qhov kev tshawb fawb tau pom tias serotonin kuj koom nrog.

Cov tshuaj txhawb zog ua rau cov dopamine ntau ntxiv hauv lub hlwb. Cov tshuaj SNRI ua rau cov serotonin thiab norepinephrine ntau ntxiv. Thaum cov tshuaj no raug nce ntxiv, kev sib txuas lus, lossis kev sib pauv lus, ntawm cov hlwb hlab ntsha hauv lub hlwb tshwm sim zoo dua.

Tej yam yuav tsum paub thaum siv cov tshuaj no

Yog koj tus menyuam tus kws kho mob sau ntawv kom noj SNRI, feem ntau lawv yuav pib noj tsawg heev . Tom qab ntawd, ob peb lub lis piam, lawv yuav maj mam nce qhov koob tshuaj kom txog thaum tus menyuam pom qhov koob tshuaj uas ua haujlwm zoo tshaj plaws rau lawv. Nws tuaj yeem siv sijhawm 2 txog 4 lub lis piam kom pom tag nrho cov txiaj ntsig ntawm cov tshuaj no. Yog li, tsis txhob ntshai thiab hais tias, "Kuv tseem tsis tau pib noj qhov no." Nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev.

Cov tshuaj no muaj nyob rau hauv daim ntawv tshuaj ntsiav lossis tshuaj ntsiav. Yog tias koj tus menyuam muaj teeb meem nqos cov tshuaj, qee cov tshuaj tuaj yeem raug tsoo thiab sib xyaw ua ib yam dab tsi zoo li kua txiv applesauce. Tham nrog koj tus kws kho mob txog qhov no.

Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov kev mob tshwm sim ntawm kev noj cov tshuaj no thiab cov tsos mob uas yuav tshwm sim yog tias koj tsum tsis txhob noj nws tam sim ntawd.

SNRIs zoo npaum li cas rau ADHD?

Qhov no yog ib yam dab tsi uas peb yuav tsum tau tham txog qhov tseeb. Muaj ntau xyoo dhau los ntawm kev tshawb fawb txog cov tshuaj stimulant rau ADHD, thiab ntawm 70% thiab 90% ntawm cov neeg uas siv lawv qhia tau tias lawv cov tsos mob zoo dua qub.

Txawm li cas los xij, muaj kev tshawb fawb me ntsis txog qhov ua tau zoo ntawm SNRIs rau ADHD. Hauv ob peb txoj kev tshawb fawb me me ntawm cov tshuaj venlafaxine, ntawm ib feem peb thiab ob feem peb ntawm cov menyuam uas koom nrog tau pom qee qhov kev txhim kho hauv cov tsos mob (tshwj xeeb tshaj yog hyperactivity thiab tsis mloog lus). Txawm li cas los xij, ntau tus tau tawm ntawm kev tshawb fawb vim muaj kev phiv. Ib txoj kev tshawb fawb ntawm duloxetine kuj tau pom qee qhov kev txhim kho. Yog li, peb tsis tuaj yeem hais tias cov no muaj txiaj ntsig zoo li cov tshuaj stimulants.

Qhov kev pheej hmoo loj tshaj plaws ntawm SNRIs yog dab tsi?

Qhov no yog qhov koj yuav tsum tau them sai sai tshaj plaws ua niam txiv.

Cov tshuaj no muaj ib qho kev ceeb toom tshwj xeeb, uas yog ib qho kev ceeb toom txog kev pheej hmoo loj heev hu ua 'black box'. Qhov no txhais tau tias, zoo li txhua yam tshuaj antidepressants, cov tshuaj no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev xav tua tus kheej lossis kev ua phem rau cov menyuam yaus thiab cov tub ntxhais hluas, tshwj xeeb tshaj yog thaum lawv thawj zaug pib noj cov tshuaj .

Koj tus menyuam:

• Yog koj muaj cov tsos mob ntawm kev nyuaj siab,
• Yog koj tham txog kev ua phem rau koj tus kheej,
• Yog peb tham txog kev tuag,
• Yog koj qhia txog kev hloov pauv tus cwj pwm uas txawv txawv thiab tam sim ntawd,

Hu rau koj tus kws kho mob tam sim ntawd, tsis txhob ncua sijhawm. Los yog coj nws mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws hauv tsev kho mob. Tsis txhob saib qhov kev pheej hmoo no tsis tseem ceeb.