I doctor-in i fain ADHD a nei tih a hrilh che chuan, a dawt leh tur chu damdawi ei tan a ni thei. Mahse, engvangin nge i doctor hian damdawi dose inang chiah a pek mai loh che a, zawi zawiin a thlak danglam emaw, a chang chuan damdawi chu a thlak danglam vek emaw tih i ngaihtuah mai thei. Chu chu vawiinah hian kan sawi dawn a ni. Hei hi a pawimawh takzet a ni.
Titration chu eng nge ni? Engtin nge tih a nih?
Titration hi thumal lian tak angin a lang thei a, mahse a awlsam zawngin sawi ila, i fate hnena damdawi pek zat chu an tan a dik tawk tura siamrem turin i doctor nen thawh dun tihna a ni.
Hei hian a tum ber chu naupang ADHD symptoms, attention deficit hyperactivity disorder ang chi, a side effects nei tlem ber damdawi dose zawn chhuah hi a ni. Naupang zawng zawng hi an inang vek lo tih hre reng ang che. Chuvangin damdawi inang leh a dose inang chuan mi zawng zawng tan a thawk vek dawn lo.
Doctor chuan hetiang hian a ti tlangpui:
1. Dose hniam ber atanga tan tur: Damdawi dose tlem tak atanga tan tur.
2. Zawi zawiin tihpun: Kar tin emaw, kar thum danah emaw, i doctor-in a sawi angin damdawi ei zat tlem tal i tipung tur a ni.
3. Monitoring: Heng step tinah hian naupang natna lan chhuah dan a ṭhat leh ṭhat loh emaw, side effect a neih leh neih loh emaw chu nang leh doctor chuan ngun takin in en ang
Hetiang kalphung hi naupang natna lanchhuahna (symptoms) te chu a thunun tha hma emaw, naupangin tuar theih loh side effects a neih hma emaw chuan chhunzawm zel a ni. Doctor chuan he ruahmanna hi thil tam tak a ngaihtuah hnuah a siam a, chu chu naupang san zawng, a rih zawng, a natna lan chhuah dan leh a nitin hnathawh (school time, homework time) te hi a ni.
A pawimawh ber chu, hei hi team effort ang mai a ni. Doctor, nang leh i fa, in pathum hian he zinkawng hi in zawh dun a ngai a ni.
Hei hian eng chen nge a daih ang?
Hei hian kar engemaw zat a daih thei a, a chang chuan thla tam tak pawh a daih thei bawk. Chuvangin hlauthawng suh. Damdawi i pek hmasak ber khan hna a thawk lo a nih chuan lungngai suh. Naupang thenkhat tan chuan damdawi leh a dose dik tak hmuh nan damdawi chi hrang hrang pahnih pathum an enchhin a ngai thin hi thil pangngai tak a ni. Dawhtheihna hi a pawimawh hle.
Damdawi hian hna a thawk em tih engtin nge kan hriat ang?
ADHD natna lan chhuahna ber chu hyperactivity, impulsivity, leh inattention te hi a ni. Damdawi dose dik tak i pek chuan i fate natna lan chhuah dan chu a lo tha chho zauh zauh tih i hmu mai thei.
- Hmun khata awm theih lohna leh a hma ang bawka fidgeting chu a tlahniam ang.
- Ngaihtuah lova hnathawh hian hna thawh tur a ti tlem dawn niin ka hria.
- Zirna leh assignment-a inngaihtuahna hun hman chu a pung zel a.
- Sikula zirtirtuten naupangah danglamna an hmu thei tih an sawi bawk.
Side effects chungchangah eng nge tih tur?
Damdawi dang ang bawkin ADHD damdawi hian side effect a nei thei a ni. Chûngte chu i fate damdawi chi hrang hrang a zirin a inang lo. Hengte hi stimulant damdawi pek tam ber nena lo awm thei side effects tlanglawn thenkhat tarlan a ni.
| Side Effect awm tlangpui |
|---|
| Chaw chakna |
| Rihna tihtlem |
| Mut harsat |
| Pum a na |
| Lu na |
| Spinning a ni |
| Nungchang inthlak danglamna (lungngaihna, thinrimna, midang nena inpawh tawnna tlahniam) . |
A tha ber chu heng side effect tam zawk hi kar tlemte chhungin anmahniin an bo vek thin. Chuvangin i doctor chuan ni engemaw zat nghah leh turin a hrilh ang che.
Mahse, i lungkham em em emaw, a side effects i rinhlelhna emaw i neih chuan, a bik takin nitin a na zual zel nia a lan chuan i doctor nen inbia nghal rawh.Entirnan, i fain mitmeng emaw, mitmeng emaw, mitmeng emaw, mitmeng hrual emaw ang chi repetitive movement (tics) a neih chuan i doctor hnenah i hriattir ngei ngei tur a ni. Doctor rawn hmasa lovin mahni chauha damdawi ei kha bansan tum ngai suh. A tihtawp thut chuan a rah chhuah hlauhawm tak a nei thei a ni.
Side effects awm lo mahse na tak tak (thinlung lam harsatna, thin lam harsatna, thil awm lo hmuh/hriat, mahni intihhlum tumna) i neih chuan damdawi in hnai ber emergency room (ETU)-ah kal nghal la , i doctor hnenah hrilh rawh. Hengte hi a tlem hle tih hre reng ang che.
Nu leh pa angin i chanvo eng nge ni?
He titration process-ah hian mawhphurhna lian tak i nei a ni.
- Zawhna zawt rawh: Damdawi emaw, a tih dan emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt rawh.
- Fimkhur takin enfiah rawh: I fate nungchang a inthlak danglam dan te, a natna lan chhuah dan a lo that chhoh dan te, leh a side effect thar eng emaw zat chu uluk takin ngaihven rawh.
- Note vawng reng rawh: Chûng thilte chu diary-a ang maiin ziak rawh. Doctor chuan nang leh i fa zirtirtu te hnenah special form (rating scales) fill up turin a pe thei bawk. Hengte hi dik taka fill up a pawimawh hle.
- Regular contact: Thla khatna hnua harsatna a awm loh chuan doctor pan leh tur a ni. Chumi hnuah chuan thla 3 danah i doctor hnenah i fate tan damdawi plan chu a la thawk tha em tih enfiah tur a ni. I fa a lo thang lian a, an mamawh a inthlak danglam chuan a dose pawh siam danglam a ngai mai thei.
ADHD damdawi chi hrang hrang
ADHD damdawi hi chi hrang hrangah then theih a ni. Hengte chungchangah hian i doctor chauhvin thutlukna a siam thei ang.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Thil tichaktu a ni A hman tlanglawn ber chi. Thluaka chemical pakhat, ngaihven leh rilru put hmang tichhe thei, dopamine a tipung. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a. |
| Thil tichaktu ni lo Hengte hian hna thawh nan kar engemaw zat a daih thei. An thluaka chemical norepinephrine an nghawng a ni. | Atomoxetine (Strattera), Clonidine (Kapvay), Guanfacine (Intuniv) te hi a tha hle a, a chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle. |
| Damdawi dang A chang chuan damdawi chi dang (antidepressant, thisen sang damdawi) te pawh ngaihvenna tihpun nan an hmang thin. | A rilru a buai em em a, a rilru a hah em em bawk a. |
A tawpah chuan ADHD damdawi hi "one size fits all" tih dan a ni lo. Thawmhnaw tailoring ang mai a ni a, mi tin taksa chu mimal taka siam a ngai a ni. He titration process hmanga dawhthei taka hnathawh a, leh i doctor nena inzawmna tha tak neih hian i fate chu an theihna zawng zawng a thlen theih nan i pui thei ber ang.
Take-Home Thuchah a ni
- Titration hi dawhtheihna a ngai a ni. I fate tana dose dik tak hmuh theih nan kar tam tak emaw thla tam tak emaw a ngai thei.
- Doctor nen inbia fo ang che. I zawhna leh hlauh zawng zawng chu a hnenah hrilh rawh.
- I fa chu uluk takin enkawl rawh. Damdawi hian nghawng tha a neih bakah a nghawng tha lo awm thei te pawh chhinchhiah reng ang che.
- Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.
- I fa a lo puitlin chuan an mamawh a danglam zel a. Chuvangin, thla 3 danah tal doctor hmu la, i damdawi hman dan tur chu update rawh.
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