Jɔs lɛk aw pɔsin we nɔ de si fayn kin si di wɔl klia wan we i wɛr glas, nɔto so? Semweso, mɛrɛsin fɔ ADHD kin ɛp pipul dɛn we gɛt ADHD fɔ pe atɛnshɔn pan dɛn maynd, stɔp dɛn fɔ mek tin dɛn we nɔ nid fɔ ambɔg dɛn, ɛn kɔntrol dɛn bihayvya. Dɛn mɛrɛsin ya nɔ kin ebul fɔ mɛn ADHD ɔltogɛda, bɔt dɛn kin ɛp fɔ kɔntrol di sik dɛn ɛn ɛp dɛn fɔ wok fayn fayn wan we dɛn de tek di mɛrɛsin.
Fɔs, wetin na ADHD?
Fɔ tɔk am simpul wan, ADHD (Attention-Deficit/Hyperactivity Disorder) na wan sik we kin rili kɔmɔn fɔ mek pɔsin gɛt nyurodivɛlɔpmɛnt. Pikin dɛn we gɛt dis sik kin de du tin pasmak, dɛn kin sho se dɛn nɔ want fɔ du sɔntin, ɛn i nɔ kin izi fɔ dɛn fɔ pe atɛnshɔn, fɔ fala di tin dɛn we dɛn tɛl dɛn fɔ du, ɛn fɔ dɔn di wok dɛn we dɛn fɔ du.
Di ADHD simptom dɛm wae kin bigin wae dɛn smɔl kin kɔntinyu te dɛn big. Sɔm stɔdi dɔn sho se te to 90% pan di sik dɛn we dɛn kin gɛt we dɛn smɔl kin kɔntinyu te dɛn big. Sɔmtɛm, pipul dɛn nɔ kin ivin no se dɛn gɛt ADHD te dɛn big.
Di big pipul dɛm wae gɛt ADHD kin gɛt prɔblɛm fɔ fala di instrɔkshɔn dɛm, fɔ mɛmba infɔmeshɔn, fɔ kɔntinyu fɔ pe atɛnshɔn, ɛn fɔ ɔganayz di wok dɛm. Bɔt di sayn dɛn we big pipul dɛn kin si kin luk difrɛn smɔl frɔm di sayn dɛn we pikin dɛn kin gɛt. Fɔ ɛgzampul, if pikin de du tin pasmak, i kin tan lɛk se big pɔsin nɔ de rɛst pasmak.
Wetin kin rili apin wit ADHD mɛrɛsin?
ADHD mɛrɛsin dɛn kin wok difrɛn difrɛn wan dipen pan di kayn mɛrɛsin we dɛn gi dɛn. Bɔt ɔlmost ɔl di ADHD mɛrɛsin dɛn kin wok bay we dɛn kin mek di impɔtant kemikal dɛn (nyurotransmitta) na wi bren bɔku. Di impɔtant wan pan dɛn kemikal ya na dopamin ɛn norepinephrine.
As dɛn lɛvɛl ya de go ɔp, di ADHD simptom dɛn kin bigin fɔ tek kɔntrol. Dis min se:
- Di tɛm we yu kin pe atɛnshɔn pan wan tin kin bɔku.
- Di tin dɛn we pɔsin kin du pasmak kin stɔp.
- Dɛn kin kɔntrol di we aw pɔsin de biev we i want.
- di ebul fכ plan εn כganayz di wok dεm we yu de du ɛvride (ɛgzibit disfכnkshכn) de impruv.
Di impɔtant tin na dat, ADHD mɛrɛsin nɔr de woke di sem fɔ ɔlman. Wetin kin wok fɔ wan pɔsin nɔ kin wok fɔ yu ɔ yu pikin. So nɔ tink se di fɔs mɛrɛsin we yu bigin wit na di rayt wan. I nɔ kin wok, ɔ i kin gɛt sayd ɛfɛkt dɛn we kin mek pɔsin vɛks. Ɔ ivin if di mɛrɛsin rayt, dɛn kin nid fɔ chenj di doz.
So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu ɔ yu pikin de tek, ɛn bak ɔmɔs kafin yu de drink ɛvride, lɛk kɔfi.Bikɔs if wi tek sɔm mɛrɛsin dɛn togɛda, dat kin ambɔg di bɔdi bad.
Yu dɔktɔ kin tray difrɛn mɛrɛsin ɛn difrɛn doz te dɛn fɛn di rayt mɛrɛsin ɛn doz fɔ yu ɔ yu pikin. Insay da tɛm de, dɛn go de wach yu ɛn ajɔst di doz fɔ fɛn di bɛst balans bitwin di bɛnifit dɛn we di mɛrɛsin gɛt ɛn di sayd ɛfɛkt dɛn. We dɛn dɔn fɛn di rayt mɛrɛsin ɛn di rayt doz, bɔku pipul dɛn we gɛt ADHD kin ebul fɔ kɔntrol dɛn sik dɛn fayn fayn wan.
Wetin na di mɛrɛsin fɔ ADHD?
Dɛn kin trit ADHD mɔ wit tin dɛn we de mek pɔsin fil fayn ɛn we nɔ de mek pɔsin fil fayn. Sɔntɛnde, dɛn kin gi yu mɛrɛsin bak fɔ mek yu nɔ fil bad.
Di tin dɛn we de mek pɔsin want fɔ du sɔntin
Dis na di mɛrɛsin dɛn we dɛn kin gi pɔsin fɔ ADHD. Pan ɔl di nem "stimulants," dɛn tin ya nɔ kin rili mek yu fil mɔ wach. Dɛn kin rili mek di dopamin ɛn norepinephrine na yu bren bɔku. Dɛn kemikal ya impɔtant fɔ mek yu pe atɛnshɔn, fɔ ebul fɔ tink, ɛn fɔ mek yu want fɔ du sɔntin. Stɔdi dɔn sho se lɛk 80% pan di pikin dɛn we gɛt ADHD kin gɛt ridɔkshɔn pan di sik dɛn wans dɛn dɔn fɛn di rayt mɛrɛsin ɛn doz we de mek dɛn fil fayn.
Dɛn kin tek dɛn mɛrɛsin ya as tin dɛn we dɛn kin kɔntrol. Dis min se dɛn gɛt di potenshal fɔ abiuz ɔ adikshɔn. Bɔt dɛn kin rili sef we dɛn tek dɛn ɔnda dɔktɔ in sɔpɔtishɔn. Bifo yu gi yu di mɛrɛsin, yu dɔktɔ kin du EKG bak fɔ chɛk fɔ ɛni prɔblɛm wit yu at ritm we yu nɔ no.
Tu kayn tin dɛn de we kin mek pɔsin want fɔ du sɔntin:
- Immediate-release / short-acting: Dɛn kin tek dɛn tin ya as nid de. Dɛn kin las fɔ lɛk 4 awa so. We di ifekt dɛm fɔ dis kayn mɛrɛsin kin west, sɔm pipul dɛn kin gɛt "krash" ɔ "ribound effect." Dis min se dɛn kin lɔs trɛnk wantɛm wantɛm, dɛn kin fil bad bad wan, ɛn sɔm pipul dɛn kin fil lɛk se dɛn nɔ gɛt bɛtɛ trɛnk wantɛm wantɛm.
- Extended-release / long-acting: Dɛn kin tek dɛn tin ya wan tɛm insay di de na mɔnin. Sɔm kin wok fɔ 6-8 awa, ɔda wan dɛn kin las fɔ 16 awa. Dɛn mɛrɛsin ya kin ridyus di ɔp ɛn dɔŋ fɔ gɛt ɛnaji ɛn mud ɔlsay na di de. Dis kin mek bak di nid fɔ tek ɛkstra doz na skul ɔ wok.
Nɔn-stimulant dɛn
Dɛn tin ya na mɛrɛsin dɛn bak we dɛn kin gi pɔsin, bɔt nɔto tin dɛn we dɛn kin kɔntrol lɛk tin dɛn we kin mek pɔsin fil fayn. Dis min se di risk nɔ de fɔ adikshɔn ɔ abiuz. Dɛn kin wok mɔ bay we dɛn de mek di lɛvɛl we di norepinephrine de na di bren go ɔp.
Dɛn mɛrɛsin ya kin tek smɔl tɛm fɔ bigin fɔ wok pas di wan dɛn we de mek pɔsin fil fayn. Yu nid fɔ tek di mɛrɛsin ɔltɛm fɔ at le 3-4 wik fɔ fil di ful ifɛkt.Bɔt dɛn tin ya kin kɔntrol bak aw yu de pe atɛnshɔn, aw yu de wok togɛda, ɛn aw yu want fɔ du sɔntin. Dɛn kin de aktif fɔ te 24 awa.
Bɔku rizin dɛn de we mek dɔktɔ kin gi yu dis kayn mɛrɛsin:
- If stimulant mɛrɛsin nɔ wok.
- If yu de gɛt sayd ɛfɛkt dɛn we yu nɔ go ebul fɔ bia frɔm di tin dɛn we de mek yu fil fayn.
- If yu want fɔ mek di rizɔlt bɔku, gi am wit tin dɛn we de mek yu fil fayn.
Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
Dis nɔto mɛrɛsin dɛn we dɛn dɔn gri fɔ spɛshal fɔ trit ADHD. Bɔt sɔntɛnde, dɔktɔ dɛn kin gi dɛn dɛn wan ɔ dɛn kin gi dɛn tin dɛn we kin mek pɔsin gɛt ADHD. Antidipreshan fɔ ADHD kin afɛkt bak di dopamin ɛn norepinephrine lɛvɛl na di bren.
Yu tink se ADHD mɛrɛsin dɛn gɛt sayd ɛfɛkt?
Yɛs, fɔ tru. Sɔm sayd ɛfɛkt kin apin we yu fɔs bigin fɔ tek di mɛrɛsin. Bɔt bɔku tɛm dɛn tin ya kin apin fɔ shɔt tɛm ɛn dɛn nɔ kin tu siriɔs. Dɛn go go afta sɔm wiks as yu bɔdi de ajɔst to di mɛrɛsin. Bɔt nɔr kin bɔrku, dɛn kin tranga ɔr kin kɔntinyu fɔ de.
Di sayd ɛfɛkt dɛm we dɛn kin si mɔ na:
- Lɔs fɔ it: Dis kin afɛkt lɛk 80% pan di pipul dɛm wae de tek stimulant.
- We yu de lɔs yu wet: Yu kin kɔntrol dis bay we yu tek di mɛrɛsin afta yu dɔn it ɔ yu ad tin dɛn lɛk prɔtin shek to yu it.
- I nɔ kin izi fɔ slip: Dis kin inklud fɔ mek i nɔ izi fɔ slip ɛn fɔ wek ɔltɛm. If yu chenj di tɛm we yu de tek yu mɛrɛsin insay di de, dat kin ɛp fɔ ridyus dis to bɔku bɔku wan.
Ɔda bad tin dɛn we kin apin:
- Ribaund ifɛkt: Na fɔ fil fɔ sɔm tɛm we yu taya, yu kin vɛks mɔ ɛn mɔ, ɔ yu kin chenj yu maynd as di drɔg de west.
- Wae yu de wɔri: Na nyu tin wae de bigin ɔr de wɔs pasmak.
- Tiks: Sɔdɛn, ripit muvmɛnt ɔ sawnd (e.g., yay blink, trot klia). ADHD mɛrɛsin nɔ kin mek yu gɛt tiks, bɔt dɛn kin notis am pas if yu nɔ tek mɛrɛsin.
- Bɛlɛ nɔ kin fil fayn: tin dɛn lɛk nɔs ɛn vɔmit.
- Di chenj na di blɔd prɛshɔn ɛn di at rit: Sɔm mɛrɛsin kin mek di blɔd prɛshɔn go ɔp smɔl. Di at rit kin go ɔp smɔl bak. Bɔku tɛm, dis nɔ kin denja, bɔt if yu ɔ yu pikin dɔn gɛt at sik , yu fɔ rili tɛl yu dɔktɔ.
If dɛn sayd ɛfɛkt ya nɔ go dɔn afta sɔm wiks, yu dɔktɔ go ebul fɔ kɔntrol dɛn bay we i chenj di doz ɔ di tɛm we yu de tek di mɛrɛsin, chenj yu to mɛrɛsin we de wok fɔ lɔng tɛm, ɔ tray ɔda kayn mɛrɛsin.
Yu tink se dɛn kin kɔntrol ADHD if dɛn nɔ tek mɛrɛsin?
Di fɔs layn fɔ tritmɛnt fɔ ADHD na mɛrɛsin.Stɔdi dɔn sho se lɛk 80% pan di pikin dɛn kin gɛt sakrifays wit mɛrɛsin. Bɔt sɔntɛm yu de fred di bad tin dɛn we mɛrɛsin kin apin to yu, ɔ yu go lɛk fɔ lɛ yu nɔ tek mɛrɛsin fɔ ɔda rizin.
Fɔ bɔku pipul dɛn , bihayvya tritmɛnt na fayn tin fɔ du. Biheviɔr tɛrapi involv fɔ tich ɛn riinfors fayn fayn bihayvya ɛn ridyus di bihayvya we dɛn nɔ want, bad bad tin.
- Fɔ pikin dɛn we nɔ rich 6 ia yet: I fayn fɔ mek mama ɛn papa dɛn gɛt trenin fɔ manej di we aw dɛn de biev. Tru dis, mama ɛn papa dɛn kin lan aw fɔ ɛp dɛn pikin ɛn aw fɔ ɛp dɛn pikin.
- Afta i ol 6 ia: Dɛn kin advays fɔ tek bihayvya tɛrapi wit mɛrɛsin. Di pikin in skul na impɔtant pat bak pan dis tritmɛnt plan.
| Tayp fɔ mɛrɛsin | Ɛgzampul dɛn we dɛn kin yuz bɔku tɛm (Jɛnɛrik / Brand Nem) . |
|---|---|
| Di tin dɛn we de mek pɔsin want fɔ du sɔntin | Methylphenidate (Ritalin, Kɔnsɛt), Amfɛtamin (Adderall, Vyvanse) . |
| Nɔn-stimulant dɛn | Atomɔksɛtin (Strattera), Guanfasin (Intuniv) ɛn di ɔda wan dɛn. |
| Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (Dɛn kin yuz am na sɔm kes dɛn) | Bupropion (Wɛlbɔrin) . |
Aw lɔng a nid fɔ tek dis mɛrɛsin?
ADHD na wan sik we pɔsin kin gɛt fɔ ɔl in layf ɛn we nɔ gɛt ɛni mɛrɛsin. So, yu kin nid fɔ tek mɛrɛsin fɔ kɔntrol yu sik dɛn. If yu fɛn mɛrɛsin we go wok fɔ yu ɛn we de kɔntrol yu sik dɛn, i go fayn fɔ tek am fɔ di res ɔf yu layf. Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- ADHD mɛrɛsin tan lɛk ayglas. Dɛn kin ɛp di bren fɔ pe atɛnshɔn ɛn fɔ pe atɛnshɔn pan di tin dɛn we i de tink bɔt.
- Dɛn mɛrɛsin ya kin balans di kemikal dɛn we de na di bren ɛn dɛn kin ebul fɔ pe atɛnshɔn, kɔntrol aw pɔsin de biev, ɛn aw i de du tin.
- I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu ɔ yu pikin. I impɔtant fɔ woke klos wit yu dɔktɔ pan dis joyn.
- Sɔm sayd ɛfɛkt dɛn kin apin, bɔt bɔku tɛm dɛn kin apin fɔ shɔt tɛm nɔmɔ. Nɔ wɔri bɔt dɛn, bɔt tɔk to yu dɔktɔ. I kin ɛp yu fɔ manej dɛn.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu nɔ gɛt dɔktɔ advays.
- Apat frɔm mɛrɛsin, bihayvya tɛrapi na rili impɔtant pat pan ADHD mɛnejɛmɛnt.
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