Kodi mumavutika kuyang'ana pa chinthu chimodzi kwa nthawi yayitali? Kapena mumavutika kulamulira zilakolako zanu? Mwina izi ndizodziwika bwino kwa inu. Izi ndi zizindikiro zofala za matenda omwe timatcha ADHD ( Attention Deficit Hyperactivity Disorder). Mankhwala ndi gawo lofunika kwambiri pochiza vutoli. Chifukwa chake lero tikambirana za mankhwala a ADHD, makamaka omwe amakhudza mankhwala omwe ali muubongo wanu, monga momwe mungalankhulire ndi mnzanu.
Kodi ADHD ndi chiyani kwenikweni?
Mwachidule, ADHD ndi matenda amisala omwe amapezeka kwambiri ali ana. Amadziwika ndi kuvutika kumvetsera , nthawi zina chifukwa cha kuchita zinthu mopitirira muyeso, komanso chifukwa cha khalidwe losaganiza bwino.
Ana ena amakula akamakula. Koma ena angapitirize kukhala ndi zizindikirozi mpaka atakula. Nthawi zina, ADHD sizimaonekera ali ana ndipo imapezeka akakula.
Pochiza ADHD mwa akuluakulu, chimodzi kapena zingapo mwa izi nthawi zambiri zimagwiritsidwa ntchito pamodzi:
- Mankhwala
- Uphungu kapena chithandizo
- Maphunziro a luso la moyo
- Maphunziro okhudza vutoli
Mwa mankhwala awa, mankhwala ambiri operekedwa a ADHD amakhudza mwachindunji dongosolo la noradrenergic muubongo wathu. Tsopano tiyeni tiwone chomwe icho chiri.
Kugwirizana pakati pa ADHD ndi mankhwala a ubongo
Tangoganizani kuti ubongo wathu uli ngati ofesi yayikulu yokhala ndi antchito mamiliyoni ambiri ogwira ntchito. Ogwira ntchito mu ofesi iyi ndi maselo amitsempha otchedwa ma neuron. Ogwira ntchito awa amagwiritsa ntchito gulu lapadera la 'a postmen' kuti alankhulane ndikugawana mauthenga. Mu zamankhwala, timatcha awa ma postmen neurotransmitters .
Chimodzi mwa ma neurotransmitters awa ndi norepinephrine . Imapangidwa ndikugawidwa muubongo wonse ndi noradrenergic system. Ntchito yayikulu ya norepinephrine ndikukusungani tcheru, kuyang'ana kwambiri, ndikukuthandizani kuganiza bwino . Ndi mankhwala omwe amakonzekeretsa thupi lanu kuti lichitepo kanthu pomenyana kapena kuthawa mukakhala pachiwopsezo kapena pangozi.
Akatswiri amakhulupirira kuti chimodzi mwa zifukwa zomwe zimayambitsa ADHD ndi kusalinganika kwa noradrenergic system. Izi zikutanthauza kuti, ubongo ulibe mankhwala okwanira otchedwa norepinephrine. Ndiye chimachitika ndi chiyani? Prefrontal cortex, yomwe imayang'anira zinthu zofunika monga chidwi, kulamulira malingaliro, komanso kupanga zisankho, silandira mauthenga oyenera. Monga momwe manejala wa ofesi yemwe salandira mauthenga oyenera amasokonezedwa.
Amakhulupirira kuti kuchuluka kochepa kwa norepinephrine ndi dopamine, yomwe ndi neurotransmitter ina yofunika kwambiri, kungayambitse zizindikiro za ADHD, monga kuchita zinthu mopitirira muyeso , kusaganizira bwino, komanso kusachita zinthu mopitirira muyeso.
Kodi mankhwala awa amachiza bwanji ADHD?
Mankhwala a Noradrenergic a ADHD amagwira ntchito makamaka powonjezera kuchuluka kwa norepinephrine muubongo. Pali mitundu iwiri ikuluikulu ya mankhwala awa: olimbikitsa ndi osalimbikitsa .
1. Zolimbikitsa
Madokotala nthawi zambiri amalimbikitsa mankhwala olimbikitsa kuchiza ADHD. Mankhwalawa amagwira ntchito polimbikitsa maselo ena muubongo kuti apange norepinephrine ndi dopamine yambiri. Apa ndi pomwe dzina lakuti 'stimulant' limachokera. Mankhwalawa akhala akugwiritsidwa ntchito bwino kwa ADHD kwa zaka zambiri.
2. Zosalimbikitsa
Mankhwalawa ali m'gulu la mankhwala otchedwa SNRIs (Selective Norepinephrine Reuptake Inhibitors). Zitsanzo zake ndi monga Atomoxetine (Strattera) ndi Viloxazine (Qelbree). Mankhwalawa amawonjezera kuchuluka kwa norepinephrine m'njira yosiyana ndi mankhwala olimbikitsa.
Mwachidule, mankhwalawa amaletsa kubwezeretsedwa kwa norepinephrine kuchokera ku maselo amitsempha. Izi zimawonjezera kuchuluka kwa norepinephrine komwe kumakhala pakati pa maselo amitsempha, zomwe zimapangitsa kuti ubongo uzigwira ntchito bwino.
Kafukufuku wasonyeza kuti mankhwala olimbikitsa komanso osalimbikitsa amathandiza kwambiri zizindikiro za ADHD, monga kukumbukira, kusamala, ndi kuwongolera khalidwe.
| Mtundu wa mankhwala | Zitsanzo zomwe zimagwiritsidwa ntchito kwambiri (maina a makampani) |
|---|---|
| Zolimbikitsa - Gulu la Methylphenidate | Concerta, Ritalin, Focalin, Daytrana |
| Zolimbikitsa - Gulu la Amphetamine | Adderall, Vyvanse, Dexedrine, Evekeo |
| Zosalimbikitsa - gulu la SNRI | Strattera (Atomoxetine), Qelbree (Viloxazine) |
Kodi mungasankhire bwanji mankhwala oyenera, dokotala?
Mankhwala abwino kwambiri a ADHD amatha kuchepetsa zizindikiro ndi pafupifupi 80%. Koma vuto ndilakuti, ngakhale dokotala wanu sangakuuzeni mankhwala enieni omwe angakugwireni bwino. Kupeza mankhwala oyenera kungatenge nthawi komanso kuyesa ndi kulakwitsa kwambiri .
Kawirikawiri, dokotala amayamba ndi mlingo wochepa wa mankhwala olimbikitsa. Ngati sizigwira ntchito, adzawonjezera mlingo pang'ono. Ngati sizigwira ntchito, angasinthe mankhwala ena.
Kumbukirani, zingatenge miyezi itatu mpaka isanu ndi umodzi kuti mupeze mankhwala oyenera omwe amayang'anira zizindikiro zanu, opanda zotsatirapo zoyipa, komanso ogwira ntchito kwa inu. Choncho musachite mantha. Zimenezo ndi zachilendo. Khalani oleza mtima ndipo gwirani ntchito ndi dokotala wanu.
Ngakhale mankhwala abwino kwambiri a ADHD si mankhwala a matenda onse. Nthawi zina, kuti mupeze zotsatira zabwino, muyenera kuphatikiza mankhwala ndi uphungu, masewera olimbitsa thupi, komanso kusintha moyo wanu.
Kodi zotsatirapo zake ndi ziti?
Monga mankhwala ena aliwonse, mankhwala a ADHD amatha kukhala ndi zotsatirapo zake. Anthu ena sakumana ndi zotsatirapo zake. Kwa ena, zotsatirapo zake zimakhala zoopsa kwambiri moti zimapangitsa kuti zikhale zovuta kusiya kumwa mankhwalawo. Chofunika kwambiri ndikulankhula ndi dokotala wanu za zotsatirapo zake zilizonse zomwe mumakumana nazo.
| Mtundu wa mankhwala | Zotsatira zoyipa zofala |
|---|---|
| Zolimbikitsa |
|
| Zosalimbikitsa |
Ngati mukukumana ndi zotsatirapo zilizonsezi, uzani dokotala wanu. Zina mwa izo zimatha patatha masiku angapo pamene thupi lanu likuzolowera mankhwalawo. Ngati zikupitirira ndipo zikukuvutitsani, dokotala wanu angasinthe mlingo kapena kukusinthani ndi mankhwala ena.
Uthenga Wopita Nawo Kunyumba
- ADHD ndi matenda ochiritsika. Simuli nokha, pali anthu ambiri omwe akukumana ndi vutoli.
- Mankhwala ndi gawo lofunika kwambiri pa chithandizo cha ADHD. Amathandiza kulimbitsa bwino mankhwala a muubongo ndikuwongolera chidwi chanu ndi kulamulira.
- Pali mitundu ingapo ya mankhwala. Ngati imodzi sikugwira ntchito, mutha kuyesa ina.
- Ndizachibadwa kutenga nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera kwa inu, choncho khalani oleza mtima.
- Chofunika Kwambiri: Ngati muli ndi mafunso okhudza mankhwala kapena zotsatira zake, onetsetsani kuti mwalankhula momasuka ndi dokotala wanu. Musaganize molakwika.











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