We yu dɔktɔ tɛl yu se yu pikin gɛt ADHD ( Attention Deficit Hyperactivity Disorder), yu, as mama ɔ papa, go mɔs gɛt bɔku kwɛstyɔn dɛn ɛn tin dɛn we de mɔna yu. Yu kin tink difrɛn tin bɔt di mɛrɛsin dɛn we dɛn go gi yu pikin ɛn di bad tin dɛn we go apin to yu. Bɔku tɛm, di mɛrɛsin dɛn we de mek pɔsin fil fayn na di fɔs tin we pɔsin kin pik fɔ gɛt ADHD. Bɔt dɛn mɛrɛsin ya nɔ kin wok fɔ ɔl pikin. Sɔm mama ɛn papa dɛn kin fred bak fɔ gi dɛn pikin dɛn mɛrɛsin ya. So, if yu de tink bɔt wan opshɔn we nɔ de stimulant, yu dɔktɔ kin gi yu wan kayn mɛrɛsin we dɛn kɔl SNRI. Tide, lɛ wi tɔk bɔt wetin na dɛn SNRI ya ɛn aw dɛn de wok.
Wetin na SNRI dɛn?
Fɔ tɔk am simpul wan, SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) na wan kayn mɛrɛsin wae dɛn kin yuse fɔ trit pwɛl hat. Dɛn kin wok bay we dɛn de mek tu kemikal mɛsenja dɛn na wi bren go ɔp. Wi kin kɔl dɛn mɛsenja ya nyurotransmitta. Dɛn tu kemikal ya na sɛrotonin ɛn norepinephrine.
Dis mɛrɛsin nɔ gɛt ɔfishal aprɔval frɔm di FDA (Food and Drug Administration) fɔ trit ADHD. Bɔt if dɔktɔ dɛn fil se i fayn pas ɔl ɛn i go ɛp pɔsin we sik, dɛn kin gi dis mɛrɛsin ‘ɔf-lɛbul’, we min fɔ ɔda sik pas di kɔndishɔn we dɛn dɔn gri fɔ. Dis na tin we dɔktɔ dɛn na Sri Lanka ɛn ɔlsay na di wɔl kin du.
Dɛn kin tek dis nyu SNRI kayn mɛrɛsin se i sef ɛn i nɔ gɛt bɛtɛ sayd ɛfɛkt pas di trisayklik antidipreshan (TCA) dɛn we dɛn bin de yuz trade.
Tu men kayn SNRI de we dɛn dɔn tɛst fɔ pikin dɛn we gɛt ADHD:
1. Duloxetine: Dɛn dɔn gri fɔ dis fɔ mɛn pwɛl hat ɛn wɔri we big pipul dɛn gɛt. Apat frɔm dat, dɛn kin yuz dis mɛrɛsin bak fɔ trit wɔri wɔri na pikin dɛn we dɔn pas 7 ia ɛn di penful kɔndishɔn we dɛn kɔl fibromyalgia.
2. Venlafaxine: Dis na mɛrɛsin we dɛn dɔn gri fɔ mɛn pwɛl hat ɛn wɔri we big pipul dɛn gɛt. Pan ɔl we dɛn nɔ ɔfishal wan gri fɔ pikin dɛn we nɔ rich 18 ia ɔ fɔ ADHD, sɔntɛnde dɔktɔ dɛn kin gi am ‘ɔf-lɛbul’.
Aw SNRI dɛn kin ɛp fɔ gɛt ADHD?
Imajin se di nɛv sɛl dɛn na wi bren de tɔk to dɛnsɛf. di wan dεm we de εp wit dis tכk, dat na di εksεnch fכ mεsej, na di nyurotransmit dεm we wi bin dכn tכk bכt. Dɔktɔ dɛn biliv se pikin dɛn we gɛt ADHD kin gɛt sɔm prɔblɛm wit di we aw di mɛsenja dɛn we dɛn kɔl dopamine ɛn norepinephrine de wok. Sɔm risach dɔn sho se sɛrotonin bak de insay dis.
Stimulant drɔgs dɛn de mek di dopamin lɛvɛl dɛn na di bren go ɔp. SNRI drog dεm de inkrεs di sεrotonin εn norepinephrine lεvεl. we dεn kεmεkal dεm ya de bכku, di kכmyunikeshn, כ mεsej εkshεnj, bitwin di nεv sεl dεm na di bren de apin mכr εfεktiv.
Dis kɔmyunikeshɔn kin ɛp fɔ mek di pikin ebul fɔ pe atɛnshɔn mɔ , i kin mek i ebul fɔ kɔntrol di tin dɛn we i want fɔ du , ɛn i kin mek i nɔ ebul fɔ du bɔku tin ɛn i nɔ kin biev bad. I kin ɛp pikin bak fɔ bi pikin we de obe ɛn nɔ de wɔri tumɔs.
Tin dɛn fɔ no we yu de yuz dis mɛrɛsin
If yu pikin in dɔktɔ gi yu SNRI, bɔku tɛm dɛn go bigin wit wan rili smɔl doz . Dɔn, fɔ sɔm wiks, dɛn go inkrisayz di doz smɔl smɔl te di pikin fɛn di doz we go wok fɔ dɛn. I kin tek 2 to 4 wiks fɔ si di ful ɛfɛkt fɔ dis mɛrɛsin. So, nɔ panik ɛn se, "A nɔ bigin fɔ tek dis yet." I impɔtant fɔ peshɛnt.
Dɛn mɛrɛsin ya kin kam insay pil ɔ kapsul. If i nɔ izi fɔ yu pikin fɔ swɛla pils, yu kin krɔs sɔm mɛrɛsin dɛn ɛn miks am to sɔntin lɛk apul sos. Tɔk to yu dɔktɔ bɔt dis.
I rili impɔtant fɔ no bɔt di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i tek dis mɛrɛsin ɛn di sayn dɛn we kin apin if yu stɔp fɔ tek am wantɛm wantɛm.
| Di Kɔmɔn Sayd Ɛfɛkt dɛn | Di Simptom dɛn we pɔsin kin gɛt we i de lɛf fɔ drink |
|---|---|
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| Di tin we impɔtant pas ɔl: Tɛl yu dɔktɔ wantɛm wantɛm bɔt ɛni wan pan dɛn sayd ɛfɛkt ya ɔ chenj dɛn we de apin to yu pikin. Nɔ ɛva chenj di mɛrɛsin ɔ stɔp di mɛrɛsin wantɛm wantɛm if yu nɔ go to yu dɔktɔ fɔs. | |
Aw SNRI dɛn kin wok fɔ ADHD?
Dis na sɔntin we wi nid fɔ tɔk bɔt ɔnɛs wan. Dɛn dɔn de du risach fɔ lɔng lɔng tɛm bɔt mɛrɛsin wae de mek pɔrsin fil fayn fɔ ADHD, ɛn bitwin 70% ɛn 90% pan di pipul dɛm wae de yuse dɛm de sho se dɛn dɔn gɛt bɛtɛ impɔtant tin fɔ du.
Bɔt, na smɔl risach nɔmɔ de bɔt di ɛfɛktiv we SNRI dɛn de du fɔ ADHD. Insay sɔm smɔl smɔl stɔdi dɛm bɔt di drɔg venlafaxine, bitwin wan-tɛd ɛn tu-tɛd pan di pikin dɛm we tek pat sho sɔm impɔtant improvement pan di simptom dɛm (especially hyperactivity ɛn inattention). Bɔt bɔku pan dɛn bin lɛf fɔ du di stɔdi dɛn bikɔs dɛn bin gɛt di sayd ɛfɛkt dɛn. Wan stɔdi we dɛn bin du pan duloxetine bin sho bak se sɔm tin dɛn dɔn bɛtɛ. So, wi nɔr kin se yet se dɛn tin ya kin woke lɛk stimulant.
Wetin na di mɔs siriɔs risk fɔ SNRI?
Dis na di tin we yu fɔ pe atɛnshɔn to pas ɔl as mama ɔ papa.
Dɛn mɛrɛsin ya gɛt spɛshal, rili siriɔs risk wɔnin we dɛn kɔl ‘blak bɔks’ wɔnin. Dis min se, lɛk ɔl di mɛrɛsin dɛn we de mek pɔsin fil bad, dɛn mɛrɛsin ya kin mek pikin ɛn yɔŋ pipul dɛn tink ɔ du sɔntin fɔ kil dɛnsɛf, mɔ we dɛn fɔs bigin fɔ tek di mɛrɛsin .
Yu kin rili fred we yu yɛri dis. Bɔt dat nɔ min se yu nɔ fɔ gi yu pikin dis mɛrɛsin. Bɔt i min se yu nid fɔ rili tek tɛm ɛn wach . Yu nid fɔ pe atɛnshɔn gud wan to di chenj dɛn we yu pikin de biev ɛn di we aw i de fil.
Yu pikin:
- If yu de sho sayn dɛm fɔ pwɛl hat, .
- If yu de tɔk bɔt fɔ du bad to yusɛf, .
- If wi tɔk bɔt day, .
- If yu de sho se yu de chenj di we aw yu de biev we nɔ kɔmɔn, wantɛm wantɛm, .
Kɔl yu dɔktɔ wantɛm wantɛm, ɛn nɔ de te. Ɔ kɛr am go na di ɔspitul we de nia am na di Imejɛnsi Dipatmɛnt (ETU). Nɔ ɔndastand dis risk.
Mɛsej we dɛn kin kɛr go na os
- SNRI na ɔltɛrnativ to stimulant mɛrɛsin fɔ ADHD. Dɛn na rili wan kayn mɛrɛsin fɔ pwɛl hat ɛn dɛn kin yuse am ‘ɔf-lɛbul’ fɔ ADHD.
- I kin tek sɔm wiks fɔ si di ful ɛfɛkt fɔ dɛn mɛrɛsin ya, so i impɔtant fɔ peshɛnt.
- Nɔ ɛva chenj di doz fɔ yu mɛrɛsin ɔ stɔp fɔ tek am wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek yu gɛt bad bad tin dɛn.
- Di prɔblɛm we siriɔs pas ɔl na we pɔsin kin tink bɔt fɔ kil insɛf we i bigin fɔ tek di mɛrɛsin. Tek tɛm bad bad wan bɔt aw yu pikin de biev.
- Tɔk wit yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, wɔri, ɔ sayd ɛfɛkt we yu pikin go gɛt. Gud kɔmyunikeshɔn bitwin yu ɛn yu dɔktɔ impɔtant fɔ mek yu pikin gɛt wɛlbɔdi.
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