I fa hian hmun khata rei tak awm a harsat em? A ngaihtuahna chu a vakvai rang lutuk em ni? A nih loh leh, rilru hah tak leh rilru na takin thil a ti em? Hengte hi ADHD ( Attention-Deficit/Hyperactivity Disorder ) chhinchhiahna a ni fo thin. Hei hi chhan hrang hrang a awm a. Chung zingah chuan vawiin hian kan thluaka chemical ‘Dopamine’ an tih chungchang kan sawi dawn a ni.
Dopamine hi eng nge ni tak tak?
A awlsam zawngin sawi ila, dopamine hi chemical messenger a ni a, kan thluaka nerve cell inkara thuchah a thawn chhuak thin. Damdawi lam hawi chuan hei hi neurotransmitter kan ti a. He chemical dopamine an tih hian kan taksaah hian kan ngaihtuah aiin thil tam takah a inrawlh a.
Ngaihtuah teh, hei hi kan thluaka ‘Motivation Chemical’ ang a ni. Chu chu thil ti tura min chêttîrtu, min ti hlim a, kan rilru tibuaitu chemical a ni.
Dopamine- in a nghawng dan tlangpui thenkhat chu hetiang hi a ni:
- Kan hriatrengna
- Fuihthar
- Ngaihtuahna
- Taksa chetna (Movem ENT ) .
- Ngaihven
- Nawmna leh lawmman
- Mu
- Zir
- Nungchang
I fa hian an taksaah dopamine a neih zat tur dik tak a neih chuan a hlim fo ang a, a fimkhur ang a, a ngaihtuahna a seng ang a, thil tih a chak hle bawk ang. Mahse heng level te hi a hniam chuan an chau thei a, an lungngai a, an muhil thei bawk. Tin, hriatrengna hloh te, mut harsatna , leh ngaihtuahna seng harsa te pawh an nei thei bawk.
Mahse dopamine level a san lutuk chuan eng nge thleng ang ? Thahrui tam lutuk te, mut theih lohna te, chetsualna te, leh rilru put hmang (impulses) thunun theih lohna te a thlen thei a ni.
ADHD leh dopamine level hniam hi eng nge inzawmna?
ADHD leh dopamine inzawmna hi a buaithlak deuh a, mahse a awlsam zawngin i dah ang u.
A tlangpuiin kan thluak hian a pianphungah dopamine a siam chhuak thin. Tunah chuan kan thluaka nerve cell pahnih inkara thuchah thawn turin dopamine kan hmang ang tih han ngaihtuah teh . Thuchah a thlen hnuah dopamine la awm chu original cell-ah lak let leh a ni. Hetianga a lak chhuah theihna tura puitu protein bik a awm a, chu chu dopamine transporters kan ti a ni.
Heng transporter te hi ‘vacuum cleaner’ tlemte angin ngaihtuah rawh. Dopamine message a zawh veleh heng ‘vacuum cleaner’ te hi an rawn lut a, dopamine la awm chu an paih chhuak thin.
Scientist-te chuan ADHD nei naupangte hi an thluaka heng ‘vacuum cleaner’, a nih loh leh dopamine transporter te hi an tam lutuk emaw, an thawk nasa lutuk emaw niin an ngai Chuti a nih chuan eng nge thleng? Dopamine hian thuchah dik taka a thlen hmain transporter te chu an lo kal a, rang takin dopamine chu an la chhuak ta a ni. Chumi awmzia chu dopamine hi nerve cell-ah hian hun tlemte chauh a awm tihna a ni. Hei hi ADHD-ah hian attention leh behavioral control a nghawng chhan ber nia ngaih a ni.
ADHD hi eng enkawlna nge ni?
Stimulants hi ADHD enkawlna atana doctor-te’n damdawi an pek ber pakhat a ni. Heng damdawi te hian a hmaa kan sawi tawh dopamine transporter te hnathawh chu hun engemaw chen a tikhawlo a ni.
Chumi awmzia chu ‘vacuum cleaner’ tih hi tlem a tam zawk tihna a ni. Tichuan, dopamine chu nerve cell inkarah hun tam zawk a awm avangin thluak thuchah inthlengna chu a dik takin a thleng thei a ni. Hei hi naupang ngaihvenna tihchangtlunna leh a nungchang thunun theihna kawngah nasa takin a pui a ni .
Tin, zirchianna thenkhatah chuan DAT1 tih gene nei naupangte hian heng dopamine transporter te hi an thawk nasa zawk tih hmuhchhuah a ni a, hei hian genetic influence a awm tih a tilang bawk.
| Damdawi hming generic | Brand hman tlanglawn tak tak (Entirna) . |
|---|---|
| Methylphenidate a ni | Ritalin, Concerta, Aptensio XR, Daytrana te chuan an rawn ziak a ni |
| Amphetamine/Dextroamphetamine hmanga tihdam theih a ni | Adderall, Adderall XR, Mydayis te an ni |
| Dexmethylphenidate hman a ni | Focalin, Focalin XR tih te hi a ni |
| Lisdexamfetamine tih a ni | Vyvanse chuan a ti a |
| Dextroamphetamine a ni | Dexedrine, Dextrostat hmanga enkawl a ni |
A pawimawh ber: Heng damdawi te hi mithiamte thurawn anga naupangte chauh pek tur a ni. Doctor chuan naupang rih zawng, kum leh natna lan chhuah dan a zirin a dose dik tak chu a ruat ang. Dose dik lo a nih chuan ngaihvenna tihchangtlun ai chuan ngaihtuahna seng a harsa zawk thei.
Heng damdawi te hian side effect a nei em?
Ni e, damdawi dang ang bawkin side effect a awm thei. Mahse, lungngai suh, a tam zawkah chuan hengte hi a serious lo. I doctor chuan hengte hi a sawipui ang che a, engkim enkawl turin a pui ang che.
| Side effects leh i tih tur te | |
|---|---|
| Side effect tenau te, a tir lamah a lo awm thei a, kar tlemte chhungin a reh thei bawk | |
| Lu na | Pum a na |
| Luak chhuak thei | Kawng a vawt |
| Thisen sang tlem a sang | |
| Heng symptoms te hi a awm reng chuan doctor hnenah hriattir tur a ni. | |
| Chaw chakna | Mu thei lo |
| Rihna tihtlem | Restlessness/lungngaihna |
| Movement emaw sound emaw inang siam nawn leh (Tics) . | |
| Side effect na tak tak, damdawi lam pan vat ngai | |
| Mit hmuh a fiah lo | Allergy neiin vun natna a awm |
| Thinlung emaw thisen kalna kawng emaw lama harsatna lian tak (e.g., rilru na, thinlung na rang) . | |
I fain natna lan chhuah dan danglam tak a neih chuan i doctor hnenah hrilh nghal rawh. A tul chuan i doctor chuan a dose a siamrem ang a, damdawi dang hmangin a thlak ang che. Damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh.
Take-Home Thuchah a ni
- ADHD hi naupang rilru hah emaw, nungchang tha lo emaw chauh a ni lo. Brain chemistry nena inzawm medical condition tak tak a ni.
- Thluaka chemical dopamine hnathawh dan inthlak danglamna hi a chhan lian tak a ni.
- Hemi atan hian enkawlna tha tak tak a awm a. Damdawi dik leh nungchang lama enkawlna hian naupang chu nun hlawhtling tak a neih theih nan a pui thei a ni.
- Damdawi ei tan hnuah side effect thenkhat a awm thei bawk. Hlau suh, i doctor nen zalen takin inbiakna nei rawh . A tul anga kaihhruaina a pe ang che.
- I fain ADHD a vei nia i rinhlelh chuan naupang enkawltu emaw rilru lam doctor emaw pan rawh.
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