We di dɔktɔ tɛl yu se yu pikin gɛt ADHD ( Attention Deficit Hyperactivity Disorder) ɛn tɛl yu fɔ bigin fɔ tek mɛrɛsin fɔ am, i nɔmal fɔ mek yu as mama ɔ papa fil big lod pan yu at. "Wetin go apin if a gi mi smɔl wan mɛrɛsin?", "Dis go ambɔg am?", ɛn ɔda tin dɛn Bɔku kwɛstyɔn dɛn go mɔs kam na mi maynd. Bɔt nɔ wɔri. Insay dis atikul, wi go tɔk bɔt dis insay simpul wɔd dɛn fɔ ansa yu kwɛstyɔn dɛn. Wi go ɛksplen dɛn tin ya wan bay wan, jɔs lɛk aw yu go tɔk to yu yon padi.
Yu tink se di sem tritmɛnt kin wok fɔ ɔl pikin?
Nɔ, dis na di fɔs tin we wi nid fɔ ɔndastand. Di we aw dɛn kin trit ADHD kin difrɛn frɔm wan pikin to ɔda pikin. Imajin, ivin if tɛn pikin dɛn na di sem klas gɛt ADHD, di tritmɛnt plan we dɛn gi dɛn ɔl tɛn kin difrɛn. Di rizin fɔ dis na bikɔs di sik dɛn we ɛni pikin gɛt, di impak we dɛn kin gɛt, ɛn di tin dɛn we dɛn nid kin difrɛn.
Dɔktɔ dɛn kin plan tritmɛnt lɛk dis:
- Fɔ pikin dɛn we nɔ rich 6 ia yet: Bɔku tɛm, masta sabi pipul dɛn kin se yu fɔ bigin wit bihayvya tɛrapi bifo yu gi yu mɛrɛsin.
- Fɔ pikin dɛn we dɔn pas 6 ia: Fɔ pikin dɛn we gɛt dis ej, dɛn kin tek wan kɔmbayn mɛrɛsin ɛn bihayvya tritmɛnt as di we we go wok pas ɔl.
Di dɔktɔ we de trit yu pikin go pik di wan we go fayn fɔ yu pikin frɔm dɛn tin ya.
- Sɔntɛm na wan kayn mɛrɛsin nɔmɔ dɛn kin gi.
- Ɔ, dɛn kin gi wan kɔmbayn sɔm mɛrɛsin dɛn (wi kin kɔl dis adjɔnt tɛrapi).
- Bɔku tɛm dɛn kin advays fɔ tek bihayvya tɛrapi wit mɛrɛsin.
Di impɔtant tin na dat di dɔktɔ kin chenj di kayn mɛrɛsin ɔ di doz te i fɛn di tritmɛnt we go wok fɔ yu pikin. So nɔ wɔri.
Wetin na di men mɛrɛsin dɛn we dɛn kin yuz fɔ ADHD?
Tri men kayn mɛrɛsin de we dɛn kin yuz fɔ mɛn ADHD. Lɛ wi tek wan luk pan wetin dɛn bi.
1. Di tin dɛn we de mek pɔsin want fɔ du sɔntin
2. tin dɛn we nɔ de mek pɔsin want fɔ du sɔntin
3. Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
Naw lɛ wi tɔk bɔt ɛni wan pan dɛn kayn dɛn ya apat, ditayli.
Lɛ wi tɔk bɔt di tin dɛn we de mek pɔsin want fɔ du sɔntin fɔs.
Bɔku tɛm, yu dɔktɔ go bigin yu pikin fɔ tek smɔl doz fɔ dis kayn mɛrɛsin. Dɛn mɛrɛsin ya na mɛrɛsin dɛn we de tek lɔng tɛm, we dɛn dɔn tɛst gud gud wan fɔ ADHD. Dɛn kin rili ɛp pikin dɛn we nɔ kin izi fɔ du skul wok, homwok, ɔ fɔ spɛn tɛm wit ɔda pipul dɛn.
pan ɔl we dεn kכl dεn tin ya "stimulant", we dεn tek dεm, i nכ de mek di pikin nכfεt mכr. Infakt, di kɔmɔn tin kin apin. Dɛn mɛrɛsin ya kin ɛp fɔ mek di pikin kɔntinyu fɔ pe atɛnshɔn ɛn stɔp fɔ mek tin dɛn we nɔ nid fɔ ambɔg am .
Drug dɛn we tan lɛk stimulant
Na sɔm ɛgzampul dɛn bɔt dis kayn mɛrɛsin. Yu dɔktɔ kin gi yu wan pan dɛn tin ya. (Nɔto ɔl dɛn brand ya kin de na Sri Lanka, bɔt na dɛn wan ya na di men mɛrɛsin dɛn we dɛn kin yuz na di ɔda kɔntri dɛn.)
| Jɛnɛrik Nem fɔ di Drug | Brand Nem dɛn |
|---|---|
| Amfetamin we dɛn kɔl am | Adderall, Adderall XR, Adzenys XR-ODT, ɛn ɔda pipul dɛn |
| Dɛksmɛtilfenidate | Focalin, Fokalin XR, ɛn ɔda pipul dɛn |
| Lisdeksamfetamin we gɛt di sik | Vyvanse bin de du am |
| Methylphenidate we gɛt di sik | Koncerta, Daytrana, Jornay, Ritalin, ɛn ɔda pipul dɛn |
| sɛrdɛksmɛtilfenidat/ dɛksmɛtilfenidat | Azstarys we dɛn kɔl Azstarys |
Di tɛm we dis mɛrɛsin de wok kin difrɛn bak.
Dɛn kin sheb dɛn mɛrɛsin ya we de mek pɔsin fil fayn bak to sɔm kategori dɛn bay aw i tek di akshɔn.
- Short-akt we dɛn kin du:Dɛn tin ya kin wok kwik ɛn dɛn kin kɔmɔt na di bɔdi kwik kwik wan. So yu fɔ tek dɛn bɔku tɛm insay di de. Dɛn kin las fɔ lɛk 4 awa so.
- Intamɛdiet-aktin: Dɛn wan ya kin aktiv fɔ sɔm awa lɔng pas di wan dɛn we de akt fɔ shɔt tɛm.
- I kin wok fɔ lɔng tɛm: Dɛn kin tek dis kayn mɛrɛsin wan tɛm insay di de. I kin las fɔ lɛk 8-12 awa so. Dɛn tin ya kin rili izi fɔ pikin dɛn we dɔn rich skul ej bikɔs dɛn kin gi dɛn wan na mɔnin fɔ kɔba di wan ol de.
I rili impɔtant: If yu pikin gɛt ɔda mɛrɛsin (e.g. at sik), ɔ if ɛnibɔdi na yu famili gɛt histri bɔt dɛn kayn sik ya, yu fɔ tɛl yu dɔktɔ ɔl di ditil dɛm bifo yu gi dis mɛrɛsin.
Naw lɛ wi si wetin na tin dɛn we nɔ de mek pɔsin want fɔ du sɔntin.
Dis na mɛrɛsin dɛn we nɔ de mek pɔsin fil fayn. Dɛn kin ɛp bak fɔ mek yu pikin kɔntinyu fɔ pe atɛnshɔn ɛn fɔ kɔntrol di tin dɛn we i want fɔ du. If di mɛrɛsin dɛn we de mek pɔsin fil fayn nɔ wok fɔ yu pikin, ɔ if i de mek i gɛt bad bad sayd ɛfɛkt, yu dɔktɔ kin tɛl am fɔ tek mɛrɛsin we nɔ de mek i fil fayn.
Sɔntɛnde, dɛn kin gi dis kayn mɛrɛsin apat frɔm wan mɛrɛsin we de mek pɔsin fil fayn. Stɔdi dɔn sho se we dɛn gi am dis kayn we, di sakrifays fɔ di tritmɛnt kin ivin big.
| Nɔn-stimulant mɛrɛsin dɛn we dɛn dɔn gri fɔ fɔ ADHD | |
|---|---|
| Atomoxetin we dɛn kɔl | (Strattera) we dɛn kɔl |
| Klɔnidin haydroklɔrayd ER | (Kapvay) we dɛn kɔl |
| Guanfasin E. R., we de na di wɔl | (Intuniv) we dɛn kɔl |
| Vilɔksazin we dɛn kɔl Viloxazin | (Qelbree) we de tɔk bɔt am. |
- Atomoksɛtin (Strattera) we dɛn kɔl:Dis mɛrɛsin de wok bay we i de mek wan kemikal we dɛn kɔl norepinephrine de na di bren. Dis kin ɛp fɔ ridyus di pikin in hyperactivity ɛn impulsive behavior.
- Klɔnidin ɛn Guanfasin: Fɔs, dɛn bin mek dɛn mɛrɛsin ya fɔ mɛn ay blɔd prɛshɔn, bɔt dɛn kin afɛkt sɔm kemikal dɛn bak na di bren, we kin ɛp fɔ kɔntrol di pikin in mɛmori, pe atɛnshɔn, impulsiv, ɛn hyperactivity.
Us sityueshɔn dɛn kin gi dɛn mɛrɛsin fɔ mek dɛn nɔ gɛt pwɛl hat?
Sɔm pikin dɛm wae gɛt ADHD kin gɛt ɔda kayn maynd wɛl bɔdi prɔblɛm dɛm bak, lɛk pwɛl hat. Insay dɛn kayn tin ya, di dɔktɔ kin gi yu wan mɛrɛsin we de mek yu at pwɛl wit wan mɛrɛsin we de mek yu fil bad.
Dɛn nɔr gri fɔ dɛn mɛrɛsin ya fɔ ADHD, bɔt stɔdi dɔn sho se dɛn kin ɛp fɔ kɔntrol di sik dɛm lɛk fɔ du tin pasmak ɛn fɔ fɛt.
- Bupropion (Wellbutrin): Dis kin ɛp fɔ mek pikin dɛn we gɛt ADHD ɛn pwɛl hat, fil fayn.
- Imipramine (Tofranil) ɛn Nortriptyline (Pamelor): Dɛn tin ya na ol antidipreshan. Dɛn kin afɛkt di nyurotransmit dɛn na di bren. Bɔt dɛn nɔ kin yuz dɛn naw bikɔs ɔf di sayd ɛfɛkt dɛn.
- Venlafaxine (Effexor): Dɛn kin yuse dis fɔ pikin dɛm wae gɛt wɔri ɔr saykilɔjik prɔblɛm wit ADHD.
Yu fɔ no di bad tin dɛn we di mɛrɛsin dɛn kin du.
Bɔku mɛrɛsin fɔ ADHD kin gɛt sayd ɛfɛkt, so bifo yu bigin yu pikin fɔ tek ɛni mɛrɛsin, aks yu dɔktɔ bɔt di sayd ɛfɛkt dɛn we pɔsin kin gɛt ɛn wetin yu fɔ no bɔt.
If yu notis ɛni chenj we nɔ kɔmɔn na yu pikin in bihayvya we yu de tek mɛrɛsin, tɛl yu dɔktɔ wantɛm wantɛm. Dɔn bak, tɛl yu dɔktɔ if i tan lɛk se di mɛrɛsin nɔ de wok fayn ɔ if i tan lɛk se di sayd ɛfɛkt dɛn pasmak.
Nɔ ɛva stɔp yu pikin in mɛrɛsin we yu nɔ tɔk to yu dɔktɔ. Dis rili impɔtant.
Ɔda tin dɛm wae kin de togɛda wit ADHD
Bɔrku pikin dɛm wae gɛt ADHD kin gɛt wan ɔr mɔr ɔda tin dɛm bak, lɛk pwɛl hat ɔr wɔri. Di bɛst tin na dat dɔktɔ dɛn kin trit dɛn tu sik ya di sem tɛm. Sɔntɛnde, di sem mɛrɛsin kin kɔntrol ɔl tu di sik dɛn. So tɔk klia wan ɛn tɔk tru to yu dɔktɔ bɔt ɛni chenj we yu notis pan di we aw yu pikin de biev.
Mɛsej we dɛn kin kɛr go na os
- ADHD tritmɛnt na spɛshal ɛn na wan wan pikin fɔ ɛni pikin. Wetin kin wok fɔ wan pikin nɔ kin wok fɔ ɔda pikin.
- Mɛrɛsin na jɔs wan pat pan di tritmɛnt plan. Bɔrku tɛm, i kin fayn fɔ yuse am wit bihayvya tritmɛnt.
- Tri men kayn mɛrɛsin de wae dɛn kin yuse (Stimulants, Non-stimulants, Antidepressants). Yu dɔktɔ go pik di wan we go fayn fɔ yu pikin.
- Ɔltɛm tɔk to yu pikin in dɔktɔ bɔt aw dɛn mɛrɛsin de wok ɛn if ɛni sayd ɛfɛkt de. Wetin yu si rili impɔtant fɔ mek yu gɛt tritmɛnt plan.
- Nɔ ɛva chenj ɔ stɔp di mɛrɛsin we yu pikin de tek if yu nɔ gɛt dɔktɔ advays.
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