Thil pakhata rei lutuk ngaihtuah reng chu harsatna i nei em? A nih loh leh, i rilru put hmang thunun harsa i ti em? Hengte hi i hriat chian a ni mai thei. Hengte hi ADHD ( Attention Deficit Hyperactivity Disorder) kan tih natna lan chhuah dan tlangpui an ni. He natna enkawlna atan hian damdawi hi a pawimawh hle. Chuvangin vawiin hian ADHD damdawi chungchang kan sawi dawn a, a bik takin i thluaka chemical awmte tichhe thei damdawi te, i thianpa i biak ang bawkin.
ADHD hi eng nge ni tak tak?
A awlsam zawngin sawi ila, ADHD hi naupan laia rilru lam hriselna lama harsatna awm fo a ni. It is characterized by difficulty paying attention , a châng chuan hyperactivity, leh impulsive behavior.
Naupang thenkhat chuan an upat deuh deuh chuan he natna hi an outgrow thin. Mahse ṭhenkhat chuan puitlin thlengin heng chhinchhiahnate hi an nei chhunzawm thei a ni. A châng chuan ADHD hi naupan laia hriat a ni lo va, puitlingah chauh hmuhchhuah a ni.
Puitling ADHD enkawlnaah hian a hnuaia mi pakhat emaw a aia tam emaw hi hman dun a ni tlangpui:
- Damdawi ei tur
- Counselling emaw therapy emaw pek a ni
- Nun thiamna zirtirna
- He dinhmun chungchangah hian zirtirna
Heng enkawlna zingah hian ADHD damdawi pek tam tak hian kan thluaka noradrenergic system chu direct-in a nghawng a ni. Tunah chuan chu chu eng nge a nih i han thlir teh ang.
ADHD leh thluaka chemical inzawmna
Kan thluak hi office lian tak, hnathawk maktaduai tam tak awmna ang mai a ni ang tih han ngaihtuah teh. He office-a thawktute hi neuron an tih nerve cell an ni. Heng hnathawkte hian ‘postmen’ pawl bik an hmang a, an inbia a, thuchah an inthleng thin. Damdawi lamah chuan heng postmen te hi neurotransmitters kan ti a.
Heng neurotransmitters zinga pakhat chu norepinephrine a ni . Noradrenergic system hmanga thluak zawng zawngah siam chhuah leh sem darh a ni. Norepinephrine hna ber chu i fimkhur reng a, i ngaihtuahna a seng reng a, i ngaihtuahna fiah taka a puih che hi a ni . Hlauhawm emaw, hlauhawm emaw i nih hunah i taksa chu fight-or-flight response atana buatsaihtu chemical a ni bawk.
Mithiamte chuan ADHD thlentu pakhat chu noradrenergic system-a inthlauhna a ni an ti. Chu chu thluak hian chemical norepinephrine an tih hi a nei tling lo tihna a ni. Chuti a nih chuan eng nge thleng? Thil pawimawh tak tak, attention, emotion regulation, leh decision-making te control tu prefrontal cortex hian thuchah dik tak a dawng lo. Office manager-in message dik tak a dawng lo ang bawkin a hnathawh pawh a buai hle.
Norepinephrine leh neurotransmitter pawimawh dang , dopamine level hniam hian ADHD symptoms, hyperactivity , unattention, leh impulsivity te a thlen thei niin an ngai.
Heng damdawi te hian engtin nge ADHD hi an enkawl?
ADHD damdawi Noradrenergic hian thluaka norepinephrine awm zat tihpunna hmangin hna a thawk ber a ni. Heng damdawi hi chi hnih a awm a, chungte chu: stimulant leh non-stimulant .
1. Thil tichaktu (stimulants).
Doctor-te chuan ADHD enkawlna atan hian stimulant damdawi an rawt fo thin. Chungte chuan thluaka cell thenkhat chu norepinephrine leh dopamine tam zawk siam chhuak turin an tichak a ni. Hei hi ‘stimulant’ tih hming lo chhuahna a ni. Heng damdawi te hi kum sawm tam tak chhung chu ADHD tan hlawhtling takin an lo hmang tawh a ni.
2. Thil tichak lo
Hengte hi SNRIs (Selective Norepinephrine Reuptake Inhibitors) tih damdawi chi khata tel an ni. Entirnan, Atomoxetine (Strattera) leh Viloxazine (Qelbree) te hi a ni. Hengte hian stimulant aiin norepinephrine level a tisang zawk a ni.
A awlsam zawngin, heng damdawi te hian nerve cell atanga norepinephrine lakluh lehna chu a tikhawlo a ni. Hei hian nerve cell inkara norepinephrine free a tipung a, thluak hnathawh a ti tha hle.
Research atanga a lan dan chuan stimulant leh non-stimulant damdawi te hian ADHD symptoms, hriatrengna, ngaihvenna leh nungchang control te chu nasa takin a tichangtlung a ni.
| Damdawi chi hrang hrang | Entirna hman tlanglawn tak tak (brand names) . |
|---|---|
| Thil tichaktu - Methylphenidate group | Concerta, Ritalin, Focalin, Daytrana te a ni |
| Thil tichaktu - Amphetamine group | Adderall, Vyvanse, Dexedrine, Evekeo te an ni |
| Non-stimulants - SNRI group-ah hian a awm a | Strattera (Atomoxetine) te, Qelbree (Viloxazine) te hi a tha hle. |
Engtin nge i tan damdawi dik tak i thlan ang, doctor?
ADHD damdawi tha ber berte hian symptoms chu 80% velin a tihziaawm thei a ni. Mahse buaina chu, i doctor pawhin eng damdawi nge i tan a tha ber ang tih chiang takin a hrilh thei lo che a ni. I tana damdawi dik tak zawn hian hun engemaw chen leh trial and error tam tak a mamawh thei a ni .
A tlangpuiin doctor chuan stimulant dose tlemte hmangin a tan ang. Chu chuan hna a thawk lo a nih chuan a dose chu tlem an tipung ang. Chu chuan a hlawhtlin loh chuan damdawi dang an hmang leh mai thei.
I natna lan chhuah dan control thei tur, side effect lian tham nei lo, i tana tha thei tur damdawi dik tak i hmuh theih nan thla 3 atanga thla 6 vel a ngai thei tih hre reng ang che. Chuvangin hlauthawng suh. Chu chu thil pangngai a ni. Dawhthei takin doctor nen thawk ho rawh.
ADHD damdawi tha ber pawh hi damdawi a ni lo. A châng chuan, rah ṭha ber i hmuh theih nân, damdawi leh counseling, exercise, leh nunphung tihdanglamnate chu i inzawm khawm a ngai a ni.
He damdawi hian eng side effect nge a neih?
Damdawi dang ang bawkin ADHD damdawi hian side effect a nei thei a ni. Mi thenkhat chuan side effect engmah an tawk lo. Midang tan chuan a side effects a nasat em avangin damdawi ei khap a harsa thei hle. A pawimawh ber chu i doctor nen side effect i neih apiang sawipui hi a ni.
| Damdawi chi hrang hrang | Side effect awm fo thin |
|---|---|
| Thil tichaktu a ni |
|
| Thil tichaktu ni lo |
Heng side effects te hi i neih chuan doctor hnenah hrilh rawh. Ṭhenkhat chu i taksain damdawi a insiamrem avangin ni engemaw zat hnuah a bo vek ang. An awm reng a, an tihbuai che chuan i doctor chuan a dose a thlak thei a, damdawi dang a thlak thei bawk.
Take-Home Thuchah a ni
- ADHD hi enkawl theih a ni. Nangmah chauh i ni lo, hei hi hmachhawn mi tam tak an awm.
- ADHD enkawlna atan hian damdawi hi a pawimawh hle. Thluak chemicals te balance turin an pui a, i ngaihtuahna leh control a tichak bawk.
- Damdawi chi hrang hrang a awm a. Pakhatin hna a thawk lo a nih chuan a dang i lo enchhin thei bawk.
- I tana damdawi leh dose dik tak zawng turin hun engemaw chen i hman hi thil pangngai a ni a, chuvangin dawhthei rawh.
- Pawimawh tak: Damdawi emaw, a side effects emaw chungchanga zawhna i neih chuan i doctor nen zalen takin inbiakna nei ngei ang che. Assumption siam suh.
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