A châng chuan i bo a, hna pakhatah i rilru i pe thei lo va, a nih loh leh thil engemaw i theihnghilh reng em? Mi tam tak chuan hengte hi thil pangngaiah an ngai a. Mahse hei hi ADHD ( Attention Deficit Hyperactivity Disorder) tih natna lan chhuahna a ni thei a, chu chu sawi tam loh mahse puitling zingah chuan a awm fo thin. A tam zawkah chuan he natna hi naupan lai atang tawhin a awm tawh a, mahse hriat lohvin puitlin thlengin a awm thei a ni.
Puitling ADHD hi naupang ADHD nen a danglam em?
Ni e, eng emaw chen chu a danglam thei. Naupan laia hmuh thin hyperactivity hi puitling i nih chuan a tlahniam thei. Mahse, chu ai chuan harsatna dang a lo chhuak thei a ni.
Hetiang hian han ngaihtuah teh. Office-a hnathawh tur ngaihtuah harsa i ti a, i rilru a vakvai reng a ni. Hna pawimawh tak chu hun tiam neia tihfel tumin i bei nasa hle. A nih loh leh in lama i chabi emaw, i purse emaw i dahna hmun chu i theihnghilh fo thin. Thil felfai leh inrual taka vawn kawngah harsatna i nei thin. Thil i sawi leh i tih chu spur of the moment (impulsivity)-ah i ti thin. Chûng thilte chuan i hnathawhna, chhûngkaw nun, ṭhian nihna leh i inrintawkna thlengin nghawng lian tak a nei thei a ni.
A pawimawh ber chu ADHD hi i sualna emaw, i rilru hahna emaw a ni lo. Thluak hnathawh dan inthlak danglam avanga enkawl theih damdawi a ni.
Naupang tê tête enkawl ang bawkin puitlingah pawh enkawl a ni. Mahse, i kum, i natna lan chhuah dan leh i nunphung ang zela siam a ngai a ni. Hei hi a tlangpuiin enkawlna kawng hrang hrang (multimodal treatment) inzawmkhawm a ni. Hei hian damdawi, nungchang tihdanglam dan, nun thiamna zirtirna, leh counseling ang chi thil a kawk a ni.
Eng damdawi nge enkawl nan hman thin?
ADHD enkawlna bulpui ber chu damdawi hi a ni. Mahse i tana damdawi leh dose dik tak zawn nan hun engemaw chen a la ngai thei. Doctor nen thawh dun a, tlem tlem tea i enchhin a ngai a ni.
Damdawi chi hrang hrang
1. Thil tichaktu (stimulants) .
Hengte hi ADHD damdawi hman tlanglawn ber leh first-line damdawi an ni. Heng damdawi te hian thluaka ngaihven leh thununna kawnga inrawlh chemical (neurotransmitters) te hnathawh siamthatna hmangin eng emaw chen chu hna an thawk a ni.
- Methylphenidate a ni
- Amphetamine a ni
- Dextroamphetamine a ni
- Lisdexamfetamine tih a ni
A tlangpuiin doctorHe damdawi hi dose tlem tak atang hian i tan ang. Tichuan ni 7 danah a side effects tlem ber mahse symptoms te chu control tha tak a nih thlengin dose hi siamrem thin a ni. Puitling tan chuan hun rei tak daih damdawi hi duhthlan tur tha ber a ni fo thin. Darkar 10-14 vel an thawh avangin ni khatah vawi khat ei theih a ni.
| Stimulant damdawi ei avanga side effect leh risk te | Hrilhfiahna |
|---|---|
| Side effect awm fo thin | Chaw ei chak lohna, taksa rihna tlahniam, mut theih lohna, lu na, hmui a vawt, engemaw chen rilru hahna, lungkhamna, leh thisen sang leh heart rate sang deuh te. Chung zinga tam tak chu a dose siamrem hmangin control theih a ni. |
| Chutiang mite tan chuan a inhmeh lo | Heng damdawi te hi thinlung natna, thisen sang thunun theih loh, bipolar disorder, lungkhamna, ruihhlo ngawlvei tawh, Tourette’s syndrome ang chi natna nei te tan pek a ni lo. If you have any of these other conditions , i doctor hnenah i hrilh ngei ang. |
2. Thil tichak lo
Stimulant damdawi te hian i tan hna a thawk lo a nih chuan i doctor chuan he damdawi chi hi a rawn rawt thei ang. Entirna pakhat chu Atomoxetine (Strattera) tih hi a ni. Hengte hi hna thawh nan hun rei tak a ngai a, mahse mi thenkhat tan chuan hna tha tak a ni.
Hengte hi ADHD tan chuan duhthlanna hmasa ber a ni lo. Mahse, antidepressant thenkhat, a bik takin Bupropion (Wellbutrin) te hian ADHD symptoms control nan a pui tih hmuhchhuah a ni. I doctor chuan heng damdawi te hi a ngaihtuah thei a, a bik takin i ADHD nen hian lungngaihna emaw lungkhamna emaw i neih chuan.
Talk therapy hi engtiang chiahin nge a pawimawh?
A pawimawh hle mai! Counselling tha tak leh damdawi dik tak nena inzawm chu a chak hle. Hei hian nangmah chauh ni lovin, i chhungte pawhin ADHD hi an hrethiam ang a, a rawn thlen harsatnate pawh an hmachhawn thei ang.
Consulting hman dan tlangpui
- Cognitive Behavioral Therapy (CBT): A awlsam zawngin sawi ila, i ngaihtuahna leh thiltih dan thlak danglam dan tur, leh i nun thunun dan tur a zirtir che a ni. Hnathawh kawngah te, inlaichinnaah te, hun hman danah te, leh thil buatsaih kawngah te harsatna a awm theih nan a \angkai hle thei a ni.
- Inneihna leh Chhungkaw Therapy: Hei hian i chhungte chu heng thilte hi i bo emaw, mawhphurhna nei lo emaw avanga i tih a ni lo va, hei hi damdawi lam thil a ni tih an hrethiam thei a ni. Tin, in inbiakpawhna tha zawk leh harsatna thlentu pattern te hriatchhuahna kawngah pawh a pui thei bawk.
- ADHD Coach: Hei hi thil thar deuh a ni. He coach hian thil tangkai tak takah a pui che a ni. Chu chu ruahmanna siam dan tur, thil tum siam dan tur, hun hman dan tur leh thil inrual dan tur tips leh idea an pe che tihna a ni.
ADHD bakah hian damdawi lam harsatna dang i neih chuan engtin nge ni ang?
Hei pawh hi thil pawimawh tak a ni. ADHD vei te hian rilru lam harsatna dang, lungkhamna, lungngaihna, leh ruihhlo hmansualna te an nei tam zawk.
Chuvangin i enkawl hunah i doctor hian heng zawng zawng hi a ngaihtuah vek a ngai a, a chhan chu natna pakhat damdawi ei hian natna dang a nghawng thei a ni.
Entirnan, ADHD natna tichaktu damdawi thenkhat chuan lungkhamna a tipung thei a ni. Chuvangin condition pahnih i neih chuan i doctor chuan harsatna thlentu ber condition a zirin i enkawl dan tur a ruahman ang. Tin, zirchianna hrang hrangah chuan ADHD hi uluk taka enkawl hian ruihhlo ngawlvei i hneh thei tih a tarlang bawk.
Chuvangin, danglamna thar emaw, symptom thar emaw i hmuh chuan, chu chu i doctor nen zalen taka sawipui a pawimawh hle. I doctor hnenah information i pek tam poh leh a tan chuan enkawlna tha ber pek che a awlsam zawk ang.
Take-Home Thuchah a ni
- ADHD hi naupangte tibuaitu mai a ni lo. Puitling pawhin he natna hi an nei thei a, an hre lo pawh a ni thei.
- Hei hi rilru hahna emaw, tihsual emaw a ni lo. Damdawi lam natna enkawl theih a ni.
- Enkawlna chu damdawi chauh a ni lo. Damdawi, counseling (therapy), leh nun thiamna zirtirna te hi a inzawm khawm chuan a rah chhuah chu a hlawhtling hle.
- I tana damdawi leh dose dik tak zawn nan hun engemaw chen a ngai mai thei. Dawhthei takin doctor nen thawk ho la, a dik tak chu zawng rawh.
- Damdawi lam harsatna dang i neih (lung natna, thisen sang, lungngaihna) leh damdawi dang i ei lai te chu i doctor hnenah hrilh ngei ang che.
- Nangmah chauh i ni lo. Hetiang dinhmun hi hlawhtling taka khawsa mek an tam hle. Ṭanpuina dik zawn hi a hmasa ber a ni.
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