Kodi mwana wanu amavutika kukhala maso? Kodi nthawi zonse amasinthasintha ndi kusinthasintha? Izi zitha kukhala zizindikiro za matenda omwe timatcha ADHD ( Attention-Deficit/Hyperactivity Disorder ). Monga kholo la mwana ngati uyu, chinthu chimodzi chomwe nthawi zambiri mumaganizira ndi ichi, "Kodi palibe njira yothetsera vutoli kupatula mankhwala?" Lero tikambirana za chithandizo chatsopano chomwe chingathandize kuwongolera zizindikiro za ADHD popanda kugwiritsa ntchito mankhwala.
Kodi kukondoweza kwa mitsempha ya trigeminal (TNS) n'chiyani?
Mwachidule, uwu ndi mankhwala omwe amathandiza ubongo wathu kugwira ntchito bwino pang'ono. Pali mitsempha m'mutu mwathu yomwe imalumikizana mwachindunji ndi ubongo. Timaitcha kuti mitsempha ya trigeminal. Asayansi amakhulupirira kuti polimbikitsa mitsempha iyi, titha kuwonjezera ntchito ya ziwalo za ubongo zomwe zimalamulira chidwi, khalidwe, ndi malingaliro.
Chithandizochi chimagwiritsa ntchito chipangizo chaching'ono choyendetsedwa ndi batire chotchedwa External Trigeminal Nerve Stimulation, kapena eTNS mwachidule. Chithandizo chofananachi chimagwiritsidwanso ntchito pa matenda ena, monga kuvutika maganizo ndi nkhawa.
Chofunika kwambiri, mu 2019, bungwe la US Food and Drug Administration (FDA) linavomereza chithandizochi kwa ana azaka zapakati pa 7 ndi 12 omwe sakumwa mankhwala ena a ADHD. Ndi mankhwala oyamba osagwiritsa ntchito mankhwala omwe amavomerezedwa kuti agwiritsidwe ntchito pa ADHD. Komabe, simungagule chipangizochi ku pharmacy. Kuti mupeze chipangizochi, muyenera kupatsidwa mankhwala kuchokera kwa dokotala. Nthawi zambiri amalimbikitsidwa kwa ana omwe ali ndi zizindikiro zochepa za ADHD .
Kodi chithandizochi chimachitidwa bwanji?
Izi n'zosavuta kwenikweni. Zili ndi udindo wa makolo kapena wina amene akusamalira mwanayo kuti achite izi.
1. Mwana asanagone usiku , kachidutswa kakang'ono kayenera kuyikidwa pamphumi pa mwanayo, pamwamba pa nsidze. Kachidutswa aka kali ndi ma electrode ang'onoang'ono.
2. Chigamba ichi chalumikizidwa ku chipangizo cha eTNS chomwe tatchula kale ndi waya. Chipangizochi ndi cha kukula kwa foni yam'manja.
3. Chipangizocho chikayamba kugwira ntchito, ma pulse amagetsi otsika kwambiri amadutsa mu chigamba chomwe chimayikidwa pamphumi ndikulimbikitsa mitsempha ya trigeminal.
4. Pa nthawiyi, mwana akhoza kumva kunjenjemera pang'ono pansi pa khungu. Izi ndi zachilendo.
5. Mankhwalawa amagwira ntchito maola onse 8 omwe mwana akugona .
Kawirikawiri, patatha milungu 4 yopitilira chithandizo motere, dokotala amamuyang'ananso mwanayo kuti awone momwe izi zayendera bwino komanso ngati pali kusintha kwa zizindikiro za mwanayo.
Kodi izi zikugwiradi ntchito? Kodi pali umboni wotani?
Mu kafukufuku wochitidwa pankhaniyi, ana 62 azaka zapakati pa 8 ndi 12 adagwiritsidwa ntchito. Anagawidwa m'magulu awiri.
- Gulu loyamba: linapatsidwa chipangizo cha eTNS chomwe chimagwiradi ntchito.
- Gulu lachiwiri: Anapatsidwanso chipangizo chongoyerekeza chomwe chimawoneka chimodzimodzi koma sichinalimbikitse chilichonse ( placebo ). Ichi chimatchedwa 'placebo'. Izi zimachitika kuti ayesere molondola zotsatira zenizeni za chithandizocho.
Kwa milungu inayi, makolo ndi ofufuza adayang'anira khalidwe ndi zizindikiro za ADHD za ana awa. Zotsatira zake zinali zosangalatsa kwambiri.
Ana omwe adagwiritsa ntchito chipangizo chenicheni cha eTNS adachepetsa zizindikiro za ADHD ndi 31% . Pakadali pano, ana omwe adagwiritsa ntchito chipangizo cha placebo adachepetsa zizindikiro ndi 18% yokha.
Koma pali chinthu chofunikira kumvetsetsa apa. Sichikhala ndi zotsatirapo mwachangu monga mankhwala ena olimbikitsa a ADHD. Mankhwala amenewo nthawi zina angayambe kusintha mwana wanu mkati mwa maola ochepa. Zingatenge milungu inayi kuti muwone zotsatira ndi chithandizo cha eTNS. Komanso, kusinthako sikungakhale kwakukulu ngati mankhwala amenewo. Ofufuza amati zotsatira zake zikufanana ndi za mankhwala osalimbikitsa a ADHD.
Kuphatikiza apo, kusanthula ubongo wa ana asanayambe komanso pambuyo pa kafukufukuyu kunawonetsa kuti ana omwe adalandira chithandizo cha eTNS anali ndi ntchito yowonjezereka m'malo a ubongo omwe amakhudzidwa ndi ADHD.
Zinthu zoti mufufuze zina
Ngakhale kuti zotsatirazi ndi zabwino, pali zambiri zoti tiphunzire zokhudza mankhwalawa. Makamaka,
- Kodi zotsatira za chithandizochi zimatenga nthawi yayitali bwanji?
- Kodi izi zikufanana bwanji ndi mankhwala ena ndi mankhwala amisala?
- Kodi izi ndi zothandiza kwa ana osakwana zaka 8 ndi kupitirira 12?
- Kodi izi zimathandiziradi ntchito ya kusukulu, maubwenzi, ndi khalidwe?
- Kodi zotsatira zake za nthawi yayitali ndi ziti?
Kufufuza kwakukulu kukufunika kuti tipeze mayankho a mafunso awa.
Kodi izi zingayambitse zotsatirapo zoyipa?
Inde, monga momwe zimakhalira ndi chithandizo chilichonse, pali zotsatirapo zina zazing'ono zomwe zanenedwa. Komabe, izi sizowopsa kwambiri ngati zotsatirapo za mankhwala ena a ADHD. Mutha kuziyerekeza mu tebulo ili m'munsimu.
| Zotsatira zoyipa za chithandizo cha eTNS | Zotsatirapo zoyipa za mankhwala opatsa mphamvu | Zotsatirapo zoyipa za mankhwala osalimbikitsa |
|---|---|---|
| Kugona tulo | Chilakolako cha chakudya | Kusanza m'mimba (nseru) |
| Mutu | Kusowa tulo | Mutu |
| Kutopa | Kusakhazikika | Kugona tulo |
| Kuvutika kugona | Kuchepetsa thupi | Kusowa tulo |
| Kukukuta mano | - | - |
| Kuwonjezeka kwa njala | - | - |
Kodi chithandizochi n'choyenera kwa mwana wanga?
Funso lofunika kwambiri ndi ili. Mankhwala a ADHD sagwira ntchito mofanana kwa mwana aliyense. Mankhwala amagwira ntchito bwino kwa ana ena, ndipo chithandizo cha khalidwe chimagwira ntchito bwino kwa ena. Chifukwa chake ndikofunikira kupeza chithandizo chomwe chimagwira ntchito bwino kwa mwana wanu.
Chithandizo cha eTNS chingakhale njira yabwino pazochitika ngati izi:
- Ngati mwana wanu sakupeza zotsatira zabwino kuchokera ku mankhwala a ADHD.
- Ngati mankhwala amenewo amayambitsa zotsatirapo zoyipa kwambiri .
- Ngati inu, monga kholo , simukufuna kupatsa mwana wanu mankhwala.
Koma izi sizikugwirizana ndi aliyense.
Chofunika: chithandizo cha eTNS sichili choyenera ana awa:
* Ana omwe ali ndi zida za mtima monga pacemaker.
* Ana akugwiritsa ntchito zipangizo zina zachipatala zomwe zimayikidwa m'thupi, monga mapampu a insulin.
* Komanso, musayike mafoni a m'manja pafupi ndi chipangizochi mukamachigwiritsa ntchito, chifukwa zizindikiro zochokera pafoni zingasokoneze chithandizocho.
Chinanso n'chakuti chipangizochi changoyesedwa ngati chithandizo chimodzi chokha mpaka pano. Chifukwa chake, ngati mwana wanu akumwa mankhwala a matenda ena, sitikudziwa kuti ndi kotetezeka bwanji kugwiritsa ntchito mankhwalawa ndi mankhwala amenewo. Komanso, palibe deta yokhudza zotsatira za kugwiritsa ntchito mankhwalawa ndi mankhwala omwe amagwiritsidwa ntchito pa ADHD.
Pomaliza, popeza iyi ndi ukadaulo watsopano, inshuwaransi yanu yazaumoyo singakulipireni ndalamazo. Mtengo wa chipangizochi ndi pafupifupi $1,000 (pafupifupi ma rupee 300,000 aku Sri Lanka).
Uthenga Wopita Nawo Kunyumba
- eTNS ndi mankhwala atsopano osagwiritsa ntchito mankhwala omwe avomerezedwa kwa ana azaka zapakati pa 7-12 omwe ali ndi ADHD.
- Izi zingatenge milungu ingapo kuti ziwonekere zotsatira, ndipo zotsatira zake sizingakhale zolimba ngati mankhwala opatsa mphamvu.
- Izi zingayambitse mavuto ang'onoang'ono monga kugona tulo ndi mutu.
- Mankhwalawa si oyenera ana omwe ali ndi zipangizo monga pacemakers.
- Chofunika kwambiri: Muyenera kusankha ngati chithandizochi chili choyenera kwa mwana wanu mutakambirana bwino ndi dokotala wanu. Musayesere zinthu izi popanda upangiri wa dokotala.











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