Ese wowe, cyangwa wenda umwana wawe, muragorwa no gukomeza kwibanda ku kintu runaka? Ese ukunze kumva udatuje cyangwa udashobora kwicara? Ibi ni ibimenyetso bisanzwe bya ADHD ( Attention Deficit Hyperactivity Disorder). Iyo abaganga baganira ku buryo bwo kuvura, bakunda kuvuga Concerta na Adderall . Ushobora kuba warigeze kumva aya mazina mbere, ariko se ni amwe? Atandukanye ate, kandi bite ku ngaruka zishobora kubaho? Ni ibisanzwe kuba ufite ibi bibazo, reka tubiganireho hamwe, nk'uko inshuti zibikora.
Iyi miti ikora ite?
Mu magambo make, Concerta na Adderall byombi biri mu bwoko bw'imiti yitwa stimulants . Ni yo miti ikunze kuvura ADHD.
Tekereza ubwonko bwawe nk'umuyoboro munini wo kohereza ubutumwa. Muri uru rusobe, hari 'intumwa' zizwi nka neurotransmitters . Mu bwonko bw'umuntu urwaye ADHD, akenshi haba hari ubusumbane mu ntumwa ebyiri zihariye: dopamine na norepinephrine .
Iyi miti ikora mu kongera urugero rw'ibi bintu bya shimi mu bwonko bwawe. Iyi miti igufasha gutegura, gukomeza gushyira ibintu kuri gahunda, kandi ikiruta byose, gukomeza kwibanda ku byo ukora. Iyo ushyize hamwe ibi byiciro, urushaho kugira ubushobozi bwo gukomeza gukora.
Hafi 80% by'abantu bafite ADHD basanga imiti itera imbaraga ivura indwara zabo neza. Iyo miti ifatwa nk'uburyo bwiza bwo kuvura.
Ariko, nyamuneka ibuka ko umuti 'utari umwe ukwiriye bose.' Hari abantu bakira neza Concerta, abandi basanga Adderall ari yo ifite akamaro kanini. Ibi biterwa nuko ibintu bikora n'uburyo umubiri wawe ubikora bitandukanye gato. Muganga wawe azagena umuti ukubereye n'ingano nyayo ikwiriye binyuze mu isuzuma ryimbitse.
Itandukaniro nyamukuru ni irihe?
Itandukaniro ry'ibanze riri mu gihe zimara zikora mu mubiri wawe ndetse n'imiterere yazo yihariye.
Gusobanukirwa Concerta
Concerta irimo methylphenidate mu buryo bwo kurekura imiti igihe kirekire. Ibi bivuze ko umuti usohorwa buhoro buhoro mu mubiri wawe umunsi wose. Kubera iyo mpamvu, dose imwe ufata mu gitondo ishobora kumara amasaha 10-12 , ikagukorera ku ishuri cyangwa ku munsi w'akazi nta mpamvu yo gukoresha dose nyinshi ku munsi.
Gusobanukirwa Adderall
Adderall ni uruvange rwa amfetamine na dextroamphetamine kandi iza mu buryo bubiri:
1. Gusohora umuti ako kanya (IR): Ibi akenshi bisaba ko ufata doze inshuro ebyiri cyangwa eshatu ku munsi, akenshi buri masaha 4-6 .
2. Gusohora mu buryo bwa Extended-Release (XR): Kimwe na Concerta, iyi ifatwa rimwe ku munsi kandi igatanga ubwishingizi mu gihe cy'amasaha agera kuri 12. Agapfukamunwa karimo udusaro duto: igice kimwe kivamo ako kanya, mu gihe ikindi gice kivamo buhoro buhoro umunsi wose.
Kumenya Igipimo Gikwiye
Ibi ni ingenzi cyane . Ntuzigere ufata iyi miti udafite uruhushya rwa muganga. Igipimo ukoresha kigenwa n'ibintu birimo imyaka yawe, ibiro byawe, uburemere bw'ibimenyetso byawe, ndetse n'amateka yawe y'uburwayi. Niba uhuye n'ikibazo cyihutirwa, nyamuneka hamagara 911 cyangwa usure ibitaro bikwegereye.
Imbonerahamwe zikurikira zitanga incamake. Izi ni iz'amakuru gusa; muganga wawe azaguhindurira urugero rw'umuti wawe.
| Itsinda ry'imyaka | Igipimo cyo gutangira (Ku munsi) | Ingano isanzwe y'igipimo (Ku munsi) |
|---|---|---|
| Abana (imyaka 6-12) | 18 mg | 18-54 mg |
| Ingimbi n'abangavu (imyaka 13-17) | 18 mg | 18-72 mg |
| Abantu bakuru (imyaka 18-65) | 18 mg cyangwa 36 mg | 18-72 mg |
| Itsinda ry'imyaka n'ubwoko bwayo | Igipimo cyo gutangira (Buri munsi) | Ingano Isanzwe y'Igipimo (Ku munsi) |
|---|---|---|
| Abana (imyaka 6+) | 5 mg (inshuro 1 cyangwa 2 ku munsi) | 5-40 mg |
| Abantu bakuru | 5 mg (inshuro 1 cyangwa 2 ku munsi) | 5-60 mg |
| Abana (imyaka 6-12) | 5-10 mg | 5-30 mg |
| Ingimbi n'abangavu (imyaka 13-17) | 10 mg | 10-20 mg |
| Abantu bakuru | 20 mg | 20 mg |
Gusobanukirwa ingaruka mbi zishobora kubaho
Nk’uko bimeze ku miti iyo ari yo yose, ingaruka mbi zishobora kubaho. Menya ko izi zitagira ingaruka kuri buri wese, kandi akenshi ingaruka mbi zigabanuka uko umubiri wawe umenyera kuvurwa.
Ingaruka zisanzwe:
- Kubura ubushake bwo kurya
- Umutwe
- Umunwa wumye
- Isesemi
- Kugorwa no gusinzira (cyane cyane iyo bifashwe ku manywa)
- Kugabanya ibiro
- Kubura amahoro cyangwa kurakara
- Tiki
Ingaruka mbi zidasanzwe ariko zikomeye:
Nubwo bidakunze kubaho cyane, ni ngombwa kumenya ibi bimenyetso.
- Ibibazo by'umutima (kubabara mu gituza, guhumeka nabi)
- Impinduka mu buzima bwo mu mutwe (guhangayika cyane, kubona ibintu nk'aho nta bwenge bifite)
- Indwara zo mu mutwe
- Kureba nabi
- Ibibazo byo gutembera kw'amaraso mu ntoki (intoki zishaje cyangwa zidafite ibinya)
- Ku bagabo bamwe, habaho impinduka mu mubyimba cyangwa igihe kirekire cyo guhagarara kibabaza.
- Ni gake cyane, imitsi ishobora kwangirika cyane izwi nka rhabdomyolysis .
Icyitonderwa: Niba wowe cyangwa umwana wawe mufite amateka y'indwara z'umutima, iyi miti itera imbaraga ishobora kuba idakwiye. Ni ngombwa kuganira na muganga wawe ku mateka y'ubuzima bwawe bwose mbere yo gutangira kuvurwa.
Ese hari ibyago byo kuba umuntu uhejwe n'ibintu runaka?
Iki ni ikibazo gikunze kugaragara. Kubera ko iyi miti yongera urugero rwa dopamine mu bwonko kugira ngo yongere ubushobozi bwo kwibanda ku bintu, rimwe na rimwe ishobora gutera ibyishimo. Iyo uyifashe neza nk'uko muganga yabigutegetse, ibyago byo kuyikoresha biba bike.
Ariko,Iyo bikoreshejwe nabi, bifatwa ku gipimo kiri hejuru, cyangwa bikoreshejwe mu kwidagadura, hari ibyago bikomeye byo kuba imbata y'ibiyobyabwenge. Niba ufite amateka yo gukoresha ibiyobyabwenge nabi, nyamuneka witondere cyane kandi uvugishe neza umuganga wawe.
Muri rusange, imiti irekurwa igihe kirekire nka Concerta ifite ibyago bike byo kuyikoresha nabi ugereranije n’iy’irekurwa ako kanya kuko yagenewe kurekura imiti mu mubiri wawe buhoro buhoro.
Ibintu by'ingenzi byatekerejweho
- Concerta na Adderall ni imiti itera imbaraga ikoreshwa mu kuvura ADHD binyuze mu kuringaniza imiti y’ubwonko ikoreshwa mu kwibanda no kugenga.
- Ubusanzwe, Concerta ni dose imwe ku munsi imara amasaha 10-12, mu gihe Adderall iza mu buryo bwihuse ndetse n'ubwo kurekurwa igihe kirekire.
- Umuti ukwiye n'ingano yawo bigomba kugenwa na muganga wawe gusa . Ntukigere usangira imiti cyangwa ngo ukoreshe imiti yanditswe n'undi muntu.
- Ingaruka mbi zikunze kugaragara nko kubura ubushake bwo kurya cyangwa gusinzira nabi zishobora kubaho. Ariko, niba ubabara mu gituza, ukagira impinduka zikomeye mu byiyumvo, cyangwa ibindi bimenyetso bikomeye, shaka ubufasha bwihuse cyangwa uhamagare serivisi zihutirwa (911) .
- Iyo ikoreshejwe neza iyobowe na muganga, iyi miti iba ifite umutekano kandi ifite akamaro kanini.
- ADHD ni indwara ishobora gukemuka. Uramutse uhawe ubufasha n'ubuvuzi bukwiye, ushobora kugira ubuzima bwiza kandi bufite ireme hamwe na Nirogi Lanka iruhande rwawe.
