Ritalin vs. Strattera kwa ADHD: Ndi chiyani chabwino?

Kodi dokotala wanu wakupatsani mankhwala kwa inu kapena mwana wanu chifukwa cha ADHD, kapena vuto la kusakhazikika maganizo? Mukamva mayina monga Ritalin ndi Strattera, mungasokonezeke pang'ono, n’kumadzifunsa kuti, "Ndi mankhwala amtundu wanji awa? Kodi kusiyana kwake n’kutani? Ndi ati abwino kwa ine kapena mwana wanga?" Musachite mantha. Ili ndi vuto lomwe anthu ambiri ali nalo. Lero, tikambirana za vutoli m'njira yosavuta yomwe mungamvetse.

Choyamba, kodi Ritalin ndi Strattera ndi chiyani?

Mwachidule, Ritalin ndi Strattera ndi mankhwala awiri omwe amagwiritsidwa ntchito pochiza zizindikiro za ADHD (Attention Deficit Hyperactivity Disorder). Mankhwala onsewa amathandiza kuti muzitha kuyang'ana kwambiri komanso kuganizira bwino zinthu. Komabe, amagwira ntchito m'njira ziwiri zosiyana.

Ritalin (methylphenidate):

Izi ndi zolimbikitsa . Ganizirani ubongo wanu ngati uli ndi amithenga ang'onoang'ono omwe amanyamula mauthenga mobwerezabwereza. Timatcha ma neurotransmitters awa. Chimene Ritalin amachita ndikuwonjezera kuchuluka kwa amithenga awiriwa , dopamine ndi norepinephrine, muubongo wanu. Mankhwalawa akawonjezeka, zimakhala zosavuta kuti muganizire, kuchita zinthu, ndikuchepetsa nkhawa zanu. Pafupifupi anthu 8 pa 10 omwe ali ndi ADHD amapindula ndi zolimbikitsazi.

Strattera (atomoxetine):

Ichi ndi mankhwala osayambitsa chilakolako . Sichikhudza kwambiri dopamine. M'malo mwake, chimasunga neurotransmitter yomwe yatchulidwa pamwambapa, norepinephrine, muubongo kwa nthawi yayitali. Izi zimathandizanso kulamulira chidwi chanu, kuchita zinthu mopitirira muyeso, komanso khalidwe lanu losaganizira bwino.

Strattera singagwire ntchito mwachangu kapena mwamphamvu monga Ritalin pa ADHD, koma dokotala wanu akhoza kukhala ndi zifukwa zomulembera mankhwala. Mwachitsanzo, ngati mankhwala monga Ritalin sakugwira ntchito kwa inu, kapena ngati simungathe kupirira zotsatira zake, Strattera ikhoza kukhala njira yabwino.

Kodi mankhwalawa amakhala nthawi yayitali bwanji m'thupi?

Funso ili ndi lofunika kwambiri. Nthawi yomwe mitundu iwiriyi ya mankhwala imagwira ntchito nayonso ndi yosiyana.

• Ritalin : Iyi ndi mankhwala ochepetsa mphamvu ya mankhwala . Mphamvu ya piritsi limodzi nthawi zambiri imakhala pafupifupi maola 3-4 . Izi zikutanthauza kuti mwana wopita kusukulu kapena munthu wogwira ntchito ayenera kumwa kangapo patsiku, monga limodzi m'mawa ndi limodzi masana, kuti agwire tsiku lonse. Palinso mitundu ya Ritalin yomwe imagwira ntchito kwa nthawi yayitali , monga Ritalin LA . Piritsi limodzi limatenga pafupifupi maola 6-8.

• Strattera: Ichi ndi mankhwala oletsa kubwerezabwereza kwa norepinephrine (SNRI) . Zimatenga nthawi kuti ziyambe kugwira ntchito, koma thupi likazolowera mankhwalawo , amatenga nthawi yayitali. Akamwedwa kamodzi (nthawi zina kawiri) patsiku nthawi yomweyo, amagwira ntchito kwa maola 24 .

Kodi mlingo umatsimikiziridwa bwanji?

Ichi ndi chinthu chomwe dokotala wanu yekha ndi amene angasankhe. Iye adzayang'ana zaka zanu, kulemera kwanu, ndi mtundu wa zizindikiro zanu, kuyamba ndi mlingo wochepa kwambiri, ndipo pang'onopang'ono adzawonjezera mlingo womwe ukukuyenererani. Nazi malangizo ena ambiri.

Za kuletsa Ritalin mwadzidzidzi

Musasiye kumwa Ritalin mwadzidzidzi , makamaka ngati mwakhala mukumwa mankhwala ambiri kwa nthawi yayitali. Kuchita zimenezi kungayambitse zizindikiro zosiya kumwa mankhwalawo. Chifukwa chake, ngati musiya kumwa mankhwalawo, chitani izi motsogozedwa ndi dokotala wanu, pang'onopang'ono muchepetse mlingowo. Izi zimatchedwa kuchepetsa.

Tiyeni tiphunzirenso za zotsatirapo zake.

Monga mankhwala ena aliwonse, mankhwalawa amatha kukhala ndi zotsatirapo zake. Nthawi zambiri, izi zimakhala zazing'ono ndipo zimatha thupi likayamba kuzolowera mankhwalawo. Koma zina zimakhala zoopsa.

Pa nthawi ya mimba ndi kuyamwitsa

Nkhani imeneyi ndi yovuta kwambiri. Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala wanu za kumwa mankhwala a ADHD ndikuganizira zabwino ndi zoyipa musanapange chisankho.

Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana kwa mankhwala)

Inde, ndithudi. Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena zowonjezera zomwe mukumwa. Samalani kwambiri ndi izi:

• MAOIs (Monoamine Oxidase Inhibitors): Awa ndi mankhwala akale omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Kumwa mankhwalawa ndi Ritalin kapena Strattera ndi koopsa kwambiri . Angayambitse kuthamanga kwa magazi kwambiri.
• Mankhwala ochepetsa kuthamanga kwa magazi: Ritalin ndi Strattera amatha kusokoneza momwe mankhwala ochepetsa kuthamanga kwa magazi amagwirira ntchito.
• Mowa: Kumwa mowa ndi Ritalin kungapangitse kuti pakhale zotsatirapo zoipa.

Kodi mungakhale ndi chizolowezi chomwa mankhwala awa?

Iyi ndi mantha omwe anthu ambiri ali nawo. Tiyeni timvetse bwino izi.

• Ritalin: Izi zimagawidwa m'gulu la mankhwala olamulidwa . Izi zili choncho chifukwa anthu ena amatha kukhala ndi chizolowezi chogwiritsa ntchito mankhwalawo molakwika (pofuna kusangalala). Komabe, pa ADHD, imwani monga momwe dokotala wanu wanenera pa mlingo woyenera.Chiwopsezo cha chizolowezi chimakhala chochepa kwambiri mukachigwiritsa ntchito. Zimatengera upangiri wa dokotala komanso ngati mukugwiritsa ntchito molakwika.

• Strattera: Ichi si chinthu cholamulidwa. Komanso, Strattera sananenedwe kuti ndi mankhwala osokoneza bongo kapena kuti ali ndi chizolowezi chogwiritsa ntchito molakwika. Chifukwa chake, ngati pali mantha a chizolowezi, Strattera ikhoza kukhala njira yotetezeka.