Dokotala wanu akakuuzani kuti mwana wanu ali ndi ADHD ( Attention Deficit Hyperactivity Disorder), inu, monga kholo, mwina mumakhala ndi mafunso ndi nkhawa zosiyanasiyana. Mungakhale ndi malingaliro osiyanasiyana okhudza mankhwala omwe mwana wanu adzapatsidwa komanso zotsatira zake. Nthawi zambiri, mankhwala olimbikitsa ndi omwe amasankhidwa koyamba pa ADHD. Koma mankhwala awa sagwira ntchito kwa mwana aliyense. Makolo ena amaopanso kupatsa ana awo mankhwala awa. Chifukwa chake, ngati mukuganiza za njira yosalimbikitsa, dokotala wanu angakupatseni mtundu wa mankhwala otchedwa SNRI. Lero, tiyeni tikambirane za zomwe SNRI izi ndi momwe zimagwirira ntchito.
Kodi ma SNRI ndi chiyani?
Mwachidule, ma SNRI (Serotonin-Norepinephrine Reuptake Inhibitors) ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Amagwira ntchito powonjezera kuchuluka kwa mankhwala awiri muubongo mwathu. Timatcha ma neurotransmitters awa. Mankhwala awiriwa ndi serotonin ndi norepinephrine.
Mankhwalawa savomerezedwa mwalamulo ndi FDA (Food and Drug Administration) kuti athandize odwala ADHD. Komabe, ngati madokotala akuona kuti ndi oyenera komanso othandiza kwa wodwala, akhoza kupereka mankhwalawa 'osati chizindikiro', kutanthauza matenda ena osati matenda ovomerezeka. Izi ndi zomwe zimachitika kawirikawiri pakati pa madokotala ku Sri Lanka ndi padziko lonse lapansi.
Mankhwala atsopano a SNRI awa amaonedwa kuti ndi otetezeka ndipo alibe zotsatirapo zoyipa zambiri poyerekeza ndi mankhwala oletsa kuvutika maganizo a tricyclic (TCAs) omwe ankagwiritsidwa ntchito kale.
Pali mitundu iwiri ikuluikulu ya SNRIs yomwe yayesedwa kwa ana omwe ali ndi ADHD:
1. Duloxetine: Mankhwalawa amavomerezedwa kuti athetse kuvutika maganizo ndi nkhawa mwa akuluakulu. Kuphatikiza apo, mankhwalawa amagwiritsidwanso ntchito pochiza nkhawa mwa ana azaka zopitilira 7 komanso matenda opweteka a fibromyalgia.
2. Venlafaxine: Iyi ndi mankhwala ovomerezeka kuchiza kuvutika maganizo ndi nkhawa mwa akuluakulu. Ngakhale kuti sivomerezedwa mwalamulo kwa ana osakwana zaka 18 kapena kwa ADHD, madokotala nthawi zina amalemba kuti ndi mankhwala 'osagwiritsidwa ntchito pa mankhwala'.
Kodi SNRIs zimathandiza bwanji ndi ADHD?
Tangoganizani kuti maselo amitsempha muubongo wathu akulankhulana. Amene amathandiza pa zokambiranazi, kutanthauza, kusinthana mauthenga, ndi ma neurotransmitters omwe tawatchula kale. Madokotala amakhulupirira kuti ana omwe ali ndi ADHD ali ndi mavuto ena pakupanga dopamine ndi norepinephrine ya messenger. Kafukufuku wina wapeza kuti serotonin imagwiranso ntchito.
Mankhwala olimbikitsa amawonjezera kuchuluka kwa dopamine mu ubongo. Mankhwala a SNRI amawonjezera kuchuluka kwa serotonin ndi norepinephrine. Mankhwalawa akawonjezeka, kulankhulana, kapena kusinthana mauthenga, pakati pa maselo amitsempha mu ubongo kumachitika bwino kwambiri.
Kulankhulana kumeneku kungathandize mwana kukhala ndi nthawi yokwanira yoganizira , kukulitsa ulamuliro wolamulira maganizo ake , komanso kuchepetsa kuchita zinthu mopitirira muyeso komanso khalidwe laukali. Kungathandizenso mwana kukhala womvera komanso wosadera nkhawa kwambiri.
Zinthu zofunika kudziwa mukamagwiritsa ntchito mankhwalawa
Ngati dokotala wa mwana wanu akulemberani SNRI, nthawi zambiri amayamba ndi mlingo wochepa kwambiri . Kenako, pakatha milungu ingapo, amawonjezera pang'onopang'ono mlingo mpaka mwanayo atapeza mlingo womwe umamugwirira ntchito bwino. Zingatenge milungu iwiri mpaka inayi kuti muwone zotsatira zonse za mankhwalawa. Choncho, musachite mantha ndikunena kuti, "Sindinayambe kumwa mankhwalawa." Ndikofunikira kukhala woleza mtima.
Mankhwalawa amabwera mu mawonekedwe a mapiritsi kapena makapisozi. Ngati mwana wanu akuvutika kumeza mapiritsi, mankhwala ena amatha kuphwanyidwa ndikusakanikirana ngati msuzi wa maapulo. Lankhulani ndi dokotala wanu za izi.
Ndikofunikira kwambiri kudziwa zotsatirapo zomwe zingachitike chifukwa chomwa mankhwalawa komanso zizindikiro zomwe zingachitike ngati mutasiya kumwa mwadzidzidzi.
| Zotsatira Zofala | Zizindikiro Zosiya Kusuta |
|---|---|
| |
| Chofunika kwambiri: Uzani dokotala wanu nthawi yomweyo za zotsatirapo zilizonse kapena kusintha kwa khalidwe la mwana wanu. Musasinthe mlingo kapena kusiya kumwa mankhwala mwadzidzidzi popanda kufunsa dokotala wanu kaye. | |
Kodi ma SNRI ndi othandiza bwanji pa ADHD?
Ichi ndi chinthu chomwe tiyenera kukambirana moona mtima. Pakhala kafukufuku wazaka zambiri pa mankhwala olimbikitsa ADHD, ndipo pakati pa 70% ndi 90% ya anthu omwe amagwiritsa ntchito mankhwalawa akuwonetsa kusintha kwakukulu pazizindikiro zawo.
Komabe, palibe kafukufuku wochuluka wokhudza momwe SNRIs imagwirira ntchito pa ADHD. Mu kafukufuku wochepa wa mankhwala a venlafaxine, pakati pa gawo limodzi mwa magawo atatu ndi awiri mwa atatu a ana omwe adatenga nawo mbali adawonetsa kusintha pang'ono kwa zizindikiro (makamaka kuchita zinthu mopitirira muyeso komanso kusasamala). Komabe, ambiri adasiya maphunzirowa chifukwa cha zotsatirapo zake. Kafukufuku wina wa duloxetine adawonetsanso kusintha pang'ono. Chifukwa chake, sitinganenebe kuti izi ndi zothandiza ngati zolimbikitsa.
Kodi chiopsezo chachikulu cha SNRIs ndi chiyani?
Ichi ndi chinthu chomwe muyenera kusamala nacho kwambiri monga kholo.
Mankhwalawa ali ndi chenjezo lapadera komanso loopsa kwambiri lotchedwa chenjezo la 'black box'. Izi zikutanthauza kuti, monga mankhwala onse oletsa kuvutika maganizo, mankhwalawa amatha kuwonjezera chiopsezo cha maganizo odzipha kapena zochita mwa ana ndi achinyamata, makamaka akangoyamba kumwa mankhwalawo .
Mungachite mantha kwambiri mukamva izi. Koma sizikutanthauza kuti simuyenera kupatsa mwana wanu mankhwala awa. Koma zikutanthauza kuti muyenera kusamala kwambiri komanso kukhala maso . Muyenera kusamala kwambiri ndi kusintha kwa khalidwe ndi malingaliro a mwana wanu.
Mwana wanu:
- Ngati mukuwonetsa zizindikiro za kuvutika maganizo,
- Ngati mukunena za kudzivulaza nokha,
- Ngati tikulankhula za imfa,
- Ngati mukuwonetsa kusintha kwadzidzidzi kwa khalidwe,
Imbani dokotala wanu nthawi yomweyo, mwamsanga. Kapena mupite naye ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi. Musanyoze chiopsezochi.
Uthenga Wopita Nawo Kunyumba
- Mankhwala a SNRI ndi njira ina m'malo mwa mankhwala olimbikitsa a ADHD. Ndi mtundu wa mankhwala ochizira kuvutika maganizo ndipo amagwiritsidwa ntchito 'osati chizindikiro' cha ADHD.
- Zingatenge milungu ingapo kuti mankhwala awa agwire bwino ntchito, choncho ndikofunikira kukhala oleza mtima.
- Musasinthe mlingo wa mankhwala anu kapena kusiya kumwa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse zotsatirapo zoyipa.
- Chiwopsezo chachikulu kwambiri ndi kuthekera kwa malingaliro ofuna kudzipha kumayambiriro kwa mankhwala. Samalani kwambiri ndi khalidwe la mwana wanu.
- Kambiranani momasuka ndi dokotala wanu za mafunso, nkhawa, kapena zotsatirapo zilizonse zomwe mwana wanu angakhale nazo. Kulankhulana bwino pakati pa inu ndi dokotala wanu n'kofunika kwambiri kuti mwana wanu akhale ndi thanzi labwino.
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