Une dambudziko here rekugara wakatarisa pane chimwe chinhu kwenguva yakareba? Kana kuti unoomerwa here kudzora mafungiro ako? Pamwe izvi zvinozivikanwa kwauri. Izvi zviratidzo zvinowanzoonekwa zvechirwere chatinodaidza kuti ADHD ( Attention Deficit Hyperactivity Disorder). Mishonga chikamu chakakosha pakurapa chirwere ichi. Saka nhasi tichataura nezvemishonga yeADHD, kunyanya iyo inokanganisa makemikari ari muuropi hwako, sekunge waizotaura neshamwari.
Chii chaizvo chinonzi ADHD?
Zvichitaurwa zviri nyore, ADHD chirwere chepfungwa chinowanzoitika muhudiki. Chinoratidzwa nekuomerwa nekuteerera , dzimwe nguva nekunyanyisa kuita zvinhu, uye nekuita zvinhu zvisina kurongeka.
Vamwe vana vanokura vachikura vachisiya chirwere ichi pavanenge vachikura. Asi vamwe vanogona kuramba vaine zviratidzo izvi kusvika vakura. Dzimwe nguva, ADHD haionekwi vachiri vadiki uye inowanikwa chete pavanenge vakura.
Pakurapa ADHD muvanhu vakuru, chimwe kana kupfuura chezvinotevera chinowanzo shandiswa pamwe chete:
- Mishonga
- Kupa mazano kana kurapwa
- Kudzidziswa kwehunyanzvi hwehupenyu
- Dzidzo nezvechirwere ichi
Pakurapa uku, mishonga yakawanda inopiwa yeADHD inokanganisa zvakananga system ye noradrenergic muuropi hwedu. Iye zvino ngatitarisei kuti chii ichocho.
Kubatana kuripo pakati peADHD nemakemikari europi
Fungidzira kuti uropi hwedu hwakaita sehofisi hombe ine mamiriyoni evashandi vanoshanda mairi. Vashandi vari muhofisi iyi masero etsinga anonzi ma neuron. Vashandi ava vanoshandisa boka rakakosha re'postmen' kuti vataurirane uye vagotaurirana mameseji. Mukurapa, tinoti idzi postmen neurotransmitters .
Imwe yeiyi neurotransmitters i norepinephrine . Inogadzirwa uye inoparadzirwa muuropi hwese ne noradrenergic system. Basa guru re norepinephrine nderekuti urambe wakamuka, wakatarisa, uye kukubatsira kufunga zvakajeka . Ndiyo zvakare kemikari inogadzirira muviri wako kupindura kwehondo-kana-kutiza paunenge uri munjodzi kana kuti panjodzi.
Nyanzvi dzinotenda kuti chimwe chikonzero cheADHD kusarongeka mu noradrenergic system. Kureva kuti, uropi hauna kemikari yakakwana inonzi norepinephrine. Chii chinoitika ipapo? Prefrontal cortex, iyo inodzora zvinhu zvakakosha sekutarisisa, kudzora manzwiro, uye kuita sarudzo, haigamuchiri meseji dzakakodzera. Kungofanana nemaneja wehofisi asingagamuchiri meseji dzakakodzera anokanganiswa.
Zvinotendwa kuti huwandu hwakaderera hwe norepinephrine uye imwe neurotransmitter inokosha , dopamine, zvinogona kukonzera zviratidzo zveADHD, zvakaita sekushanda zvakanyanya , kushaya hanya, uye kukurumidza kuita zvinhu.
Mishonga iyi inorapa sei ADHD?
Mishonga yeNoradrenergic yeADHD inoshanda zvakanyanya nekuwedzera huwandu hwenorepinephrine muuropi. Kune mhando mbiri huru dzemishonga iyi: mishonga inosimudzira muviri neisina zvinokurudzira muviri .
1. Zvinokurudzira
Vanachiremba vanowanzo kurudzira mishonga inosimudzira pfungwa yekurapa ADHD. Iyi inoshanda nekukurudzira mamwe masero muuropi kuti agadzire norepinephrine yakawanda uye dopamine. Apa ndipo panobva zita rekuti 'stimulant'. Mishonga iyi yave ichishandiswa zvinobudirira kweADHD kwemakumi emakore.
2. Zvinhu zvisingakurudziri
Izvi zviri muboka remishonga inonzi SNRIs (Selective Norepinephrine Reuptake Inhibitors). Mienzaniso inosanganisira Atomoxetine (Strattera) neViloxazine (Qelbree). Izvi zvinowedzera huwandu hwenorepinephrine nenzira yakasiyana nezvinosimudzira muviri.
Zvichitaurwa zviri nyore, mishonga iyi inovhara kudzoserwa kwe norepinephrine kubva mumasero etsinga. Izvi zvinowedzera huwandu hwe norepinephrine huri pakati pemasero etsinga, zvichivandudza mashandiro ehuropi.
Tsvagiridzo yakaratidza kuti mishonga inokurudzira uye isingakurudziri inovandudza zvikuru zviratidzo zveADHD, zvakaita sekurangarira, kutarisisa, uye kudzora maitiro.
| Rudzi rwemushonga | Mienzaniso inowanzoshandiswa (mazita emhando) |
|---|---|
| Zvinokurudzira - Boka reMethylphenidate | Concerta, Ritalin, Focalin, Daytrana |
| Zvinokurudzira - Boka reAmphetamine | Adderall, Vyvanse, Dexedrine, Evekeo |
| Zvisiri zvinokurudzira - boka reSNRI | Strattera (Atomoxetine), Qelbree (Viloxazine) |
Unosarudza sei mushonga wakakunakira, chiremba?
Mishonga yakanakisisa yeADHD inogona kuderedza zviratidzo ne80%. Asi dambudziko nderekuti, kunyangwe chiremba wako haakwanise kukuudza kuti ndeipi mishonga chaiyo inoshanda zvakanyanya kwauri. Kuwana mushonga wakakunakira kunogona kutora nguva uye kuedza nekukanganisa kwakawanda .
Kazhinji, chiremba anotanga nedosi shoma yemushonga unomutsa muviri. Kana izvozvo zvikasashanda, vanozowedzera dosi zvishoma. Kana izvozvo zvikasashanda, vanogona kuchinja kune mumwe mushonga.
Yeukai kuti zvinogona kutora chero nguva kubva pamwedzi mitatu kusvika mitanhatu kuti muwane mushonga wakakodzera kwamuri unodzora zviratidzo zvenyu, usina migumisiro yakaipa, uye unoshanda kwamuri. Saka musavhunduka. Izvozvo zvakajairika. Iva nemwoyo murefu uye shandai nachiremba wenyu.
Kunyangwe mishonga yakanakisisa yeADHD haisi mushonga wezvose. Dzimwe nguva, kuti uwane mhedzisiro yakanaka, unofanirwa kusanganisa mishonga nekupa mazano, kurovedza muviri, uye kuchinja mararamiro.
Ndeipi migumisiro yemushonga uyu?
Kufanana nemishonga yese, mishonga yeADHD inogona kuva nemigumisiro yakaipa. Vamwe vanhu havasangani nemigumisiro yakaipa. Kune vamwe, migumisiro yakaipa inogona kuva yakanyanya zvekuti inoita kuti zviomere kurega kutora mushonga. Chinhu chakakosha kutaura nachiremba wako nezvemigumisiro yakaipa yaunosangana nayo.
| Rudzi rwemushonga | Migumisiro yakajairika |
|---|---|
| Zvinokurudzira |
|
| Zvisiri zvinokurudzira |
Kana ukasangana nedambudziko iri, udza chiremba wako. Mamwe acho anozopera mushure memazuva mashoma muviri wako pauchajaira mushonga wacho. Kana zvikaramba zvichikunetsa, chiremba wako anogona kuchinja mushonga wacho kana kukuchinjira kune mumwe mushonga.
Mharidzo Yekuenda Nayo Kumba
- ADHD chirwere chinorapika. Hausi wega, kune vanhu vazhinji vanosangana neizvi.
- Mishonga chikamu chakakosha chekurapa ADHD. Inobatsira kudzikamisa makemikari emuuropi uye kuvandudza kutarisisa kwako uye kudzora.
- Kune mhando dzakasiyana dzemishonga. Kana imwe isingashande, unogona kuedza imwe.
- Zvakajairika kutora nguva kuti uwane mushonga wakakodzera uye mwero wakakodzera, saka iva nemoyo murefu.
- Zvakakosha: Kana muine mibvunzo nezvemushonga kana migumisiro yawo, iva nechokwadi chekutaura pachena nachiremba wenyu. Musafungidzire.
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