Yu gɛt prɔblɛm fɔ de pe atɛnshɔn pan wan tin fɔ lɔng tɛm? Ɔ i nɔ kin izi fɔ yu fɔ kɔntrol di we aw yu de fil? Sɔntɛm dɛn tin ya na tin dɛn we yu sabi. Dis na kɔmɔn sayn dɛm fɔ wan sik wae wi kin kɔl ADHD ( Attention Deficit Hyperactivity Disorder). Mɛrɛsin na impɔtant tin fɔ trit dis sik. So tide wi go tɔk bɔt ADHD mɛrɛsin, mɔ di wan dɛn we de afɛkt di kemikal dɛn we de na yu bren, jɔs lɛk aw yu go tɔk to yu padi.
Wetin rili na ADHD?
Fɔ tɔk am simpul wan, ADHD na wan prɔblɛm we kin apin to pɔsin we i smɔl. I kin bi bikɔs i nɔ kin izi fɔ pe atɛnshɔn , sɔntɛnde i kin du tin pasmak, ɛn i kin biev kwik kwik wan.
Sɔm pikin dɛn kin gro pas dis sik as dɛn de ol. Bɔt sɔm kin kɔntinyu fɔ gɛt dɛn sik ya te dɛn big. Sɔntɛnde, dɛn nɔ kin no ADHD we i smɔl ɛn na we pɔsin big nɔmɔ dɛn kin no bɔt am.
We dɛn de trit ADHD pan big pipul dɛn, dɛn kin yuz wan ɔ mɔ pan dɛn tin ya togɛda:
- Mɛrɛsin we dɛn kin gi
- Kɔnsul ɔ tritmɛnt
- Layf skil trenin
- Edukeshon bɔt dis kɔndishɔn
Fɔ dɛn tritmɛnt ya, bɔku pan di mɛrɛsin dɛn we dɛn kin gi fɔ ADHD kin afɛkt di noradrenergic sistɛm na wi bren dairekt wan. Naw lɛ wi tek wan luk pan wetin na dat.
Di kɔnekshɔn bitwin ADHD ɛn di kemikal dɛn we de na di bren
Imajin se wi bren tan lɛk big ɔfis we bɔku bɔku wokman dɛn de wok insay. Di wan dɛn we de wok na dis ɔfis na di nɛv sɛl dɛn we dɛn kɔl nyuron. Dɛn wokman ya de yuz spɛshal grup we na ‘postman’ fɔ tɔk to dɛnsɛf ɛn chenj mɛsej. Insay mɛrɛsin, wi kin kɔl dɛn postman ya nyurotransmitta .
Wan pan dɛn nyurotransmitta ya na norepinephrine . di noradrenergic sistεm de prodyuz εn sheb am כlsay na di bren. Di men wok we norepinephrine de du na fɔ mek yu de wach, fɔ pe atɛnshɔn, ɛn ɛp yu fɔ tink gud wan . Na di kemikal bak we de rɛdi yu bɔdi fɔ di fɛt-fɛt ɔ flay we yu de pan denja ɔ trɛtin yu.
Masta sabi bukman dɛn biliv se wan tin we kin mek pɔsin gɛt ADHD na we di noradrenergic sistɛm nɔ balans. Dat min se di bren nɔ gɛt inof kemikal we dɛn kɔl norepinephrine. Wetin kin apin da tɛm de? di prεfrכnt kכtεks we de kכntro imכtant tin dεm lεk atεnshכn, imyushכn rεgulεshכn, εn fכ disayd, nכ de gεt di rayt mεsej dεm. Jɔs lɛk aw ɔfis manija we nɔ de gɛt di rayt mɛsej dɛn kin gɛt in maynd.
Dɛn biliv se we di norepinephrine ɛn ɔda impɔtant nyurotransmitta , we na dopamine, nɔ bɔku, dat kin mek pɔsin gɛt ADHD, lɛk fɔ du tin pasmak , fɔ nɔ pe atɛnshɔn, ɛn fɔ du tin kwik kwik wan.
Aw dɛn mɛrɛsin ya kin trit ADHD?
Noradrenergic mεdikeshכn fכ ADHD de wok fכs bay we dεn de inkrεs di amount of norepinephrine na di bren. Tu men kayn mɛrɛsin ya de: tin dɛn we de mek pɔsin fil fayn ɛn we nɔ de mek pɔsin fil fayn .
1. Di tin dɛn we de mek pɔsin want fɔ du sɔntin
Bɔku tɛm, dɔktɔ dɛn kin se dɛn fɔ tek mɛrɛsin we de mek pɔsin fil fayn fɔ mɛn ADHD. dis dεm de wok bay we dεn de mek sכm sεl dεm na di bren fכ mek mכr norepinephrine εn dopamine. Dis na di say we di nem ‘stimulant’ kɔmɔt. Dɛn dɔn de yuz dɛn mɛrɛsin ya fayn fayn wan fɔ ADHD fɔ lɔng lɔng tɛm.
2. Di tin dɛn we nɔ de mek pɔsin want fɔ du sɔntin
Dɛn wan ya de pan wan klas ɔf drɔgs we dɛn kɔl SNRI (Selective Norepinephrine Reuptake Inhibitors). Sɔm ɛgzampul dɛn na Atomoxetine (Strattera) ɛn Viloxazine (Qelbree). dis dεm de inkrεs di norepinephrine lεvεl in difrεnt we pas di stimulant dεm.
Fɔ tɔk am simpul wan, dɛn drɔgs ya kin mek di norepinephrine nɔ tek di nerve cells bak. dis de mek di norepinephrine we de fri bitwin di nεv sεl dεm, we de mek di bren wok fayn.
Risach dɔn sho se ɔl tu di mɛrɛsin dɛn we de mek pɔsin fil fayn ɛn we nɔ de mek pɔsin fil fayn, kin rili ɛp fɔ mek pɔsin gɛt ADHD, lɛk fɔ mɛmba, fɔ pe atɛnshɔn, ɛn fɔ kɔntrol aw pɔsin de biev.
| Tayp fɔ mɛrɛsin | Ɛgzampul dɛn we dɛn kin yuz bɔku tɛm (brand nem dɛn) . |
|---|---|
| Stimulants - Methylphenidate grup we de mek pɔsin want fɔ du sɔntin | Koncerta, Ritalin, Fokalin, Daytrana, ɛn ɔda pipul dɛn |
| Stimulants - Amfetamin grup | Adderall, Vyvanse, Dɛksdrin, Ɛvɛkeo |
| Nɔn-stimulant - SNRI grup | Strattera (Atomoxetin), Qelbree (Vilɔksazin) we gɛt di sik. |
Aw yu kin pik di rayt mɛrɛsin fɔ yu, dɔktɔ?
Di bɛst ADHD mɛrɛsin kin ridyus di sayn dɛm bay lɛk 80%. Bɔt di prɔblɛm na dat, ivin yu dɔktɔ nɔ go ebul fɔ tɛl yu ustɛm di mɛrɛsin go wok fɔ yu. Fɔ fɛn di rayt mɛrɛsin fɔ yu kin tek sɔm tɛm ɛn bɔku tray ɛn mistek .
Bɔku tɛm, di dɔktɔ go bigin wit smɔl doz fɔ wan tin we de mek pɔsin fil fayn. If dat nɔ wok, dɛn go inkrisayz di doz smɔl. If dat nɔ wok, dɛn kin chenj to ɔda mɛrɛsin.
Mɛmba se, e kin tek ɛnisay frɔm 3 to 6 mɔnt fɔ fɛn di rayt mɛrɛsin fɔ yu we de kɔntrol yu sik, nɔr gɛt big big sayd ɛfɛkt, ɛn woke fɔ yu. So nɔ panik. Dat na nɔmal tin. Peshɛnt ɛn wok wit yu dɔktɔ.
Ivin di bɛst mɛrɛsin fɔ ADHD nɔto fɔ mɛn ɔltin. Sɔntɛnde, fɔ mek yu gɛt di bɛst rizɔlt, yu nid fɔ miks mɛrɛsin wit advays, ɛksɛsayz, ɛn chenj dɛn layf.
Wetin na di bad tin dɛn we dis mɛrɛsin kin du?
Lɛk ɛni mɛrɛsin, ADHD mɛrɛsin kin gɛt sayd ɛfɛkt. Sɔm pipul dɛn nɔ kin gɛt ɛni sayd ɛfɛkt. Fɔ ɔda pipul dɛn, di sayd ɛfɛkt kin so bad dat dɛn kin mek i nɔ izi fɔ lɛ dɛn stɔp fɔ tek di mɛrɛsin. Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt ɛni sayd ɛfɛkt we yu gɛt.
| Tayp fɔ mɛrɛsin | Kɔmɔn sayd ɛfɛkt dɛn |
|---|---|
| Di tin dɛn we de mek pɔsin want fɔ du sɔntin |
|
| Nɔn-stimulant dɛn |
If yu gɛt ɛni wan pan dɛn bad bad tin ya, tɛl yu dɔktɔ. Sɔm pan dɛn go go afta sɔm dez as yu bɔdi de ajɔst to di mɛrɛsin. If dɛn kɔntinyu fɔ tek am ɛn mɔna yu, yu dɔktɔ kin chenj di doz ɔ chenj yu to ɔda mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- ADHD na wan sik we pɔsin kin trit. Nɔto yu wan, bɔku pipul dɛn de we de fes dis.
- Mɛrɛsin na wan impɔtant pat pan ADHD tritmɛnt. Dɛn kin ɛp fɔ balans di kemikal dɛn we de na yu bren ɛn mek yu pe atɛnshɔn ɛn kɔntrol bɛtɛ.
- Bɔku kayn mɛrɛsin dɛn de. If wan nɔ wok, yu kin tray ɔda wan.
- Na nɔmal tin fɔ tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu, so peshɛnt.
- I rili impɔtant: If yu gɛt ɛni kwɛstyɔn bɔt di mɛrɛsin ɔ di sayd ɛfɛkt dɛn, mek shɔ se yu tɔk to yu dɔktɔ opin wan. Nɔ mek asɔmpshɔn dɛn.
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