Kodi zimavuta kuti mwana wanu kapena inuyo mukhalebe osamala? Kapena nthawi zonse mumakhala osakhazikika komanso osakhazikika? Timatcha izi ADHD ( Attention Deficit Hyperactivity Disorder). Chifukwa chake, Concerta ndi Adderall ndi mankhwala awiri omwe madokotala nthawi zambiri amapereka pochiza vutoli. Mwina mudamvapo mayina awiriwa. Kodi mankhwala awiriwa ndi ofanana? Kodi kusiyana kwake ndi kotani? Kodi pali zotsatirapo zina ? Mafunso ambiri ngati awa ayenera kukhala m'maganizo mwanu. Chifukwa chake, lero tikambirana izi ngati kuti tikulankhula ndi mnzanu.
Kodi mankhwalawa amagwira ntchito bwanji?
Mwachidule, Concerta ndi Adderall onse ali m'gulu la mankhwala otchedwa stimulants , omwe ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza ADHD.
Taganizirani ubongo wathu ngati netiweki yayikulu ya mauthenga. Netiweki iyi imakhala ndi 'amithenga' omwe amanyamula mauthenga. Timatcha ma neurotransmitters awa. Mu ubongo wa munthu yemwe ali ndi ADHD, pali kusalingana kwa milingo ya awiri mwa amithenga awa , dopamine ndi norepinephrine .
Chomwe mankhwala awiriwa amachita ndikuwonjezera kuchuluka kwa mankhwala awiri muubongo otchedwa dopamine ndi norepinephrine. Mankhwala awiriwa amatithandiza kukonzekera, kulinganiza, komanso chofunika kwambiri, kuyang'ana kwambiri. Chifukwa chake pamene kuchuluka kumeneku kukukwera, luso lathu loyang'ana kwambiri ndikuganizira kwambiri limawonjezeka.
Anthu pafupifupi 80 mwa 100 omwe ali ndi ADHD amatha kuwongolera zizindikiro zawo ndi mankhwala olimbikitsa awa, zomwe zikutanthauza kuti ndi mankhwala othandiza kwambiri.
Koma chinthu chimodzi choyenera kukumbukira ndichakuti Concerta imagwira ntchito bwino kwa anthu ena, ndipo Adderall imagwira ntchito bwino kwa ena. Izi zili choncho chifukwa mankhwala omwe ali mu mankhwalawa ndi momwe amagwirira ntchito m'thupi lathu ndi osiyana pang'ono. Dokotala wanu adzasankha mankhwala ndi mlingo womwe uli woyenera kwa inu. Ndi chinthu chomwe muyenera kuyesa nacho ndikupeza.
Kodi kusiyana kwakukulu pakati pa mankhwala awiriwa ndi kotani?
Kusiyana kwakukulu pakati pa mankhwala awiriwa ndi nthawi yomwe amakhala akugwira ntchito m'thupi komanso zomwe zili mkati mwake.
Tiyeni tiphunzire za Concerta
Concerta ndi mankhwala otchedwa methylphenidate omwe amatulutsidwa nthawi yayitali. Izi zikutanthauza kuti mutamwa piritsi, zosakaniza zake zimatuluka pang'onopang'ono m'thupi. Chifukwa chake , ngati mumwa piritsi limodzi m'mawa, limatenga pafupifupi maola 10-12 . Izi zikutanthauza kuti lingakuthandizeni kuti mwana amene akupita kusukulu, kapena munthu wamkulu amene akupita kuntchito, azitha tsiku lonse. Izi ndizothandiza kwambiri kwa anthu omwe amaiwala kumwa mankhwala awo kangapo patsiku.
Tiyeni tiphunzire za Adderall.
Adderall ndi kuphatikiza kwa zinthu ziwiri zolimbikitsa , amphetamine ndi dextroamphetamine . Imabwera m'njira ziwiri:
1. Kutulutsa nthawi yomweyo: Izi ziyenera kumwedwa kawiri kapena katatu patsiku, nthawi zambiri maola 4-6 aliwonse .
2. Kutulutsa kwa nthawi yayitali (XR): Monga Concerta, mankhwalawa amatengedwa kamodzi patsiku. Amatha kwa maola pafupifupi 12. Mkati mwa kapisozi iyi muli timibulu tating'ono ta mankhwala. Hafu ya mankhwalawa imatulutsidwa nthawi yomweyo mutamwa, ndipo theka lina limatulutsidwa tsiku lonse.
Kodi mungadziwe bwanji mlingo woyenera?
Izi ndizofunikira kwambiri . Musagwiritse ntchito mankhwalawa popanda kufunsa dokotala.Mlingo wake umatsimikiziridwa poganizira zinthu zambiri, monga zaka zanu, kulemera kwa thupi lanu, mtundu wa zizindikiro zanu, komanso ngati mudamwapo mankhwala amtunduwu kale.
Tiyeni timvetse bwino izi kuchokera pa matebulo omwe ali pansipa. Izi ndi za chidziwitso chokha. Mlingo wanu uyenera kutsimikiziridwa ndi dokotala wanu.
| Gulu la zaka | Mlingo woyambira (pa tsiku) | Mlingo wamba (patsiku) |
|---|---|---|
| Ana (zaka 6-12) | 18 mg | 18-54 mg |
| Ana aang'ono (zaka 13-17) | 18 mg | 18-72 mg |
| Akuluakulu (zaka 18-65) | 18 mg kapena 36 mg | 18-72 mg |
| Gulu la zaka ndi mtundu wake | Mlingo woyambira (pa tsiku) | Mlingo wamba (patsiku) |
|---|---|---|
| Ana (zaka 6+) | 5 mg (kamodzi kapena kawiri patsiku) | 5-40 mg |
| Akuluakulu | 5 mg (kamodzi kapena kawiri patsiku) | 5-60 mg |
| Ana (zaka 6-12) | 5-10 mg | 5-30 mg |
| Ana aang'ono (zaka 13-17) | 10 mg | 10-20 mg |
| Akuluakulu | 20 mg | 20 mg |
Tiyeni tidziwenso za zotsatirapo zake.
Monga mankhwala ena aliwonse, mankhwalawa amatha kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Ngakhale atalandira, nthawi zambiri amatha thupi likayamba kuzolowera mankhwalawo.
Zotsatira zoyipa zomwe anthu ambiri angakumane nazo:
- Chilakolako cha chakudya
- Mutu
- Pakamwa pouma
- Kusanza
- Kuvuta kugona (makamaka ngati mumwa mankhwala usiku)
- Kuchepetsa thupi
- Kusakhazikika, kukwiya msanga
- Tics
Zotsatira zoyipa zomwe sizichitika kawirikawiri koma zomwe zingakhale zoopsa:
Ngakhale izi sizichitika kawirikawiri, ndikofunikira kuzidziwa.
- Matenda a mtima (kupweteka pachifuwa, kupuma movutikira)
- Mavuto amisala (nkhawa yaikulu, kuona zinthu zisilu)
- Kugwidwa ndi khunyu
- Maso osawoneka bwino
- Kuchepa kwa magazi m'zala (zala zotumbululuka, dzanzi)
- Amuna ena amatha kusintha chilakolako chogonana, monga kutopa nthawi yayitali.
- Nthawi zambiri, vuto lalikulu lotchedwa rhabdomyolysis , lomwe ndi kusweka kwa minofu, limatha kuchitika.
Chenjezo:Ngati inu kapena mwana wanu muli ndi vuto lalikulu la mtima, mankhwala olimbikitsa awa sayenera kumwedwa. Ndikofunikira kuuza dokotala wanu mbiri yanu yonse yachipatala musanayambe kumwa mankhwalawo.
Kodi mungakhale ndi chizolowezi cha mankhwala awa?
Ili ndi vuto kwa anthu ambiri. Mankhwalawa amawonjezera kuchuluka kwa dopamine muubongo, zomwe zingawonjezere chidwi, komanso zimakupangitsani kukhala osangalala komanso otsitsimula. Mukamwedwa monga momwe dokotala wanu wanenera, chiopsezo cha chizolowezi chimakhala chochepa.
Komabe, ngati izi zikugwiritsidwa ntchito molakwika, pa mlingo waukulu, kapena pa zosangalatsa, pali chiopsezo chachikulu cha chizolowezi . Izi ndi zoona makamaka ngati muli ndi mbiri ya chizolowezi cha mankhwala osokoneza bongo kapena mowa.
Kawirikawiri, chiopsezo chogwiritsa ntchito mankhwala ogwiritsidwa ntchito nthawi yayitali monga Concerta ndi chocheperako pang'ono poyerekeza ndi mankhwala ogwiritsidwa ntchito nthawi yochepa, chifukwa mankhwalawa amatulutsidwa m'thupi pakapita nthawi.
Uthenga Wopita Nawo Kunyumba
- Concerta ndi Adderall ndi mitundu iwiri ya mankhwala olimbikitsa omwe amagwiritsidwa ntchito pochiza ADHD. Amawonjezera kuchuluka kwa mankhwala muubongo omwe amathandiza kusamala ndi kukonza zinthu.
- Concerta ndi mankhwala omwe amaperekedwa kamodzi patsiku omwe amagwira ntchito kwa maola 10-12. Adderall imapezeka nthawi yomweyo komanso nthawi yayitali.
- Dokotala wanu yekha ndiye ayenera kusankha mankhwala ndi mlingo woyenera kwa inu kapena mwana wanu. Musagwiritse ntchito mankhwala kapena mlingo wa anthu ena.
- Zotsatirapo zoyipa zomwe zimachitika nthawi zambiri ndi kusowa chilakolako cha chakudya, mutu, komanso kusowa tulo. Komabe, ngati mukukumana ndi vuto lalikulu, monga kupweteka pachifuwa kapena kusintha kwakukulu kwa malingaliro , pitani kwa dokotala nthawi yomweyo .
- Mankhwalawa ndi otetezeka komanso ogwira mtima kwambiri akagwiritsidwa ntchito moyenera motsatira upangiri wa dokotala. Pali chiopsezo cha chizolowezi ngati atagwiritsidwa ntchito molakwika.
- ADHD ndi vuto lomwe limatha kuthetsedwa. Ndi chithandizo choyenera komanso chithandizo choyenera, mutha kukhala ndi moyo wabwinobwino komanso wopambana.
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