Kana chiremba wako akakuudza kuti mwana wako ane ADHD ( Attention Deficit Hyperactivity Disorder), iwe, semubereki, ungangove wakazadzwa nemibvunzo nezvinokunetsa. Ungave nepfungwa dzakasiyana nezvemishonga ichapihwa mwana wako uye migumisiro yayo. Kazhinji, mishonga inokurudzira ndiyo sarudzo yekutanga yeADHD. Asi mishonga iyi haishande kumwana wese. Vamwe vabereki vanotyawo kupa mwana wavo mishonga iyi. Saka, kana uri kufunga nezvesarudzo isingakurudziri, chiremba wako anogona kukupa mhando yemushonga unonzi SNRI. Nhasi, ngatitaurei nezveidzi SNRI uye kuti dzinoshanda sei.
Chii chinonzi SNRIs?
Zvichitaurwa zviri nyore, maSNRI (Serotonin-Norepinephrine Reuptake Inhibitors) imhando yemishonga inoshandiswa kurapa kushungurudzika. Anoshanda nekuwedzera huwandu hwemakemikari maviri muuropi hwedu. Tinodaidza ma neurotransmitters aya kuti ma neurotransmitters. Makemikari maviri aya ndiwo serotonin ne norepinephrine.
Mushonga uyu haubvumidzwe zviri pamutemo neFDA (Food and Drug Administration) kurapa ADHD. Zvisinei, kana vanachiremba vachifunga kuti wakakodzera uye unobatsira murwere, vanogona kunyora mushonga uyu 'off-label', zvichireva kuti kune chimwe chirwere chisiri chirwere chakatenderwa. Uyu muitiro wakajairika pakati pevanachiremba muSri Lanka nepasi rose.
Rudzi urwu rwemishonga rutsva rweSNRI runoonekwa serwakachengeteka uye rune migumisiro mishoma pane mishonga ye tricyclic antidepressants (TCAs) yaimboshandiswa.
Kune mhando mbiri huru dzeSNRI dzakaedzwa pavana vane ADHD:
1. Duloxetine: Iyi inotenderwa kurapa kushungurudzika uye kuzvidya mwoyo muvanhu vakuru. Pamusoro pezvo, mushonga uyu unoshandiswawo kurapa kuzvidya mwoyo muvana vane makore anopfuura manomwe uye chirwere chinorwadza chefibromyalgia.
2. Venlafaxine: Uyu mushonga unotenderwa kurapa kushungurudzika uye kuzvidya mwoyo muvanhu vakuru. Kunyangwe usingatenderwe zviri pamutemo kuvana vari pasi pemakore gumi nemasere kana kune ADHD, dzimwe nguva vanachiremba vanoupa 'kunze kwechiratidzo'.
SNRIs dzinobatsira sei neADHD?
Fungidzira kuti masero etsinga ari muuropi hwedu ari kutaurirana. Anobatsira pakukurukurirana uku, kureva, kutaurirana kwemashoko, ndiwo ma neurotransmitters atambotaura. Vanachiremba vanotenda kuti vana vane ADHD vane mamwe matambudziko pakugadzirwa kwe dopamine ne norepinephrine kubva ku messengers. Imwe tsvakurudzo yakawana kuti serotonin inobatanidzwawo.
Mishonga inosimudzira muviri inowedzera huwandu hwedopamine muuropi. Mishonga yeSNRI inowedzera huwandu hweserotonin nenorepinephrine. Kana makemikari aya akawedzerwa, kutaurirana, kana kutaurirana kwemashoko, pakati pemasero etsinga muuropi kunoitika zviri nani.
Kutaurirana uku kunogona kubatsira mwana kuti anyatsoteerera , kuvandudza kudzora mafungiro ake , uye kuderedza kushingaira uye hunhu hwehasha. Kunogonawo kubatsira mwana kuti ave mwana anoteerera uye asinganyanyi kunetseka.
Zvinhu zvekuziva kana uchishandisa mushonga uyu
Kana chiremba wemwana wenyu akanyorera SNRI, anowanzotanga nedosi shoma kwazvo . Zvadaro, mukati memavhiki mashoma, vanozowedzera dosi zvishoma nezvishoma kusvika mwana awana dosi rinonyatsomubatsira. Zvinogona kutora mavhiki maviri kusvika mana kuti vaone kushanda kwemushonga uyu zvizere. Saka, musavhunduka moti, "Handisati ndatanga kuutora." Zvakakosha kuva nemwoyo murefu.
Mishonga iyi inouya muchimiro chemapiritsi kana capsule. Kana mwana wako achinetseka nekumedza mapiritsi, mimwe mishonga inogona kupwanywa yosanganiswa kuita chimwe chinhu chakaita se applesauce. Taura nachiremba wako nezvenyaya iyi.
Zvakakosha zvikuru kuziva migumisiro inogona kuitika kana ukatora mushonga uyu uye zviratidzo zvinogona kuitika kana ukarega kuutora kamwe kamwe.
| Migumisiro Yakajairika | Zviratidzo zveKurega |
|---|---|
| |
| Chinonyanya kukosha: Udza chiremba wako nekukasika nezvechero yemigumisiro iyi kana shanduko muhunhu hwemwana wako. Usambofa wakachinja dosi kana kurega mushonga kamwe kamwe usina kutanga wabvunza chiremba wako. | |
SNRIs dzinoshanda sei pakurapa ADHD?
Ichi chinhu chatinofanira kutaura nezvacho zvechokwadi. Kwave nemakumi emakore tichiongorora mishonga inokurudzira ADHD, uye pakati pe70% ne90% yevanhu vanoishandisa vanoratidza kuvandudzika kukuru muzviratidzo zvavo.
Zvisinei, hapana tsvakurudzo yakawanda pamusoro pekushanda kweSNRIs pakurapa ADHD. Muzvidzidzo zvidiki zvishoma zvakaitwa pamushonga wevenlafaxine, pakati pechikamu chimwe muzvitatu nezvikamu zviviri muzvitatu zvevana vakatora chikamu vakaratidza kuvandudzika kwezviratidzo (kunyanya kusagadzikana uye kusateerera). Zvisinei, vazhinji vakasiya zvidzidzo nekuda kwemigumisiro yakaipa. Imwe ongororo yeduloxetine yakaratidzawo kuvandudzika. Saka, hatigone kutaura kuti izvi zvinoshanda semishonga inosimudzira muviri.
Ndeipi njodzi huru yeSNRIs?
Ichi ndicho chinhu chaunofanira kunyanya kutarisisa semubereki.
Mishonga iyi ine yambiro yakakosha, yakakomba zvikuru inonzi 'black box'. Izvi zvinoreva kuti, semishonga yese yekuora mwoyo, mishonga iyi inogona kuwedzera njodzi yekufunga kuzviuraya muvana nevechidiki, kunyanya pavanotanga kutora mushonga .
Unogona kutya zvikuru paunonzwa izvi. Asi izvi hazvirevi kuti haufanirwe kupa mwana wako mushonga uyu. Asi zvinoreva kuti unofanira kungwarira uye kungwarira . Unofanira kunyatsoteerera kuchinja kwemaitiro nemanzwiro emwana wako.
Mwana wako:
- Kana uri kuratidza zviratidzo zvekuora mwoyo,
- Kana uri kutaura nezvekuzvikuvadza,
- Kana tichitaura nezverufu,
- Kana uri kuratidza shanduko dzisinganzwisisike, dzinongoerekana dzaitika mumaitiro ako,
Fonera chiremba wako nekukasika, pasina kunonoka. Kana kuti muendese kuchipatara chiri pedyo neEmergency Department (ETU). Usarerutsa njodzi iyi.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeSNRI inotsiva mishonga inosimudzira ADHD. Chaizvoizvo imhando yemishonga yekuderedza kushungurudzika uye inoshandiswa 'isina label' yeADHD.
- Zvinogona kutora mavhiki akati wandei kuti mishonga iyi ishande zvizere, saka zvakakosha kuva nemwoyo murefu.
- Usambofa wakachinja mushonga wako kana kurega kuutora kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera migumisiro yakaipa.
- Njodzi huru ndeyekugona kufunga zvekuzviuraya pakutanga kwemushonga. Chenjererai maitiro emwana wenyu.
- Taura pachena nachiremba wako nezvemibvunzo, zvinonetsa, kana migumisiro ingave iri kusangana nemwana wako. Kutaurirana kwakanaka pakati pako nachiremba wako kwakakosha pakugara zvakanaka kwemwana wako.
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