Ngaba umntwana wakho une-ADHD ( Attention-Deficit/Hyperactivity Disorder )? Ngaba ugqirha ukhe wamcebisa amayeza okulawula ukungakwazi kwakhe ukunikel’ ingqalelo, ukungazinzi, kunye nokuziphatha kwakhe ngokungxama? Oogqirha badla ngokumcebisa izinto ezivuselela ingqondo kuqala. Kodwa abanye abantwana abasabeli kakuhle kula mayeza. Anokubangela iziphumo ebezingalindelekanga. Namhlanje, siza kuthetha ngamayeza asetyenziswa kwiimeko ezinjalo.
La ngamayeza angavuseleliyo. Makhe sijonge ngokusondeleyo amayeza akweli qela, iGuanfacine kunye neClonidine. La mayeza akwabizwa ngokuba yiAlpha-2 Agonists. La mayeza anokuba luncedo kakhulu kwabanye abantwana.
Zithini iGuanfacine kunye neClonidine?
Enyanisweni, omabini la mayeza aqala ukwaziswa ukunyanga uxinzelelo lwegazi oluphezulu, okanye uxinzelelo lwegazi oluphezulu. Asebenza kwimithambo-luvo yethu kwaye aphumze imithambo yegazi, nto leyo ethoba uxinzelelo lwegazi. Kodwa izazinzulu kamva zafumanisa ukuba la mayeza achaphazela nenxalenye yengqondo yethu elawula ingqalelo kunye nokuziphatha ngokuzithandela .
Uphando lubonisa ukuba phakathi kwama-55% nama-60% abantwana abane -ADHD bayazuza kula mayeza e-'Alpha-2 Agonist'.
Ugqirha udla ngokucebisa la mayeza ukuba amayeza avuselelayo anikwe umntwana aqala ukungasebenzi. Uphando lubonise ukuba amayeza avuselelayo asebenza ngakumbi ekulawuleni iimpawu ze-ADHD kunala mayeza e-'Alpha-2 Agonist'.
Kodwa kwabanye abantwana, olu khetho lulungile ukuba baneziphumo ebezingalindelekanga ezininzi ezivela kwamanye amayeza. I-FDA, emele i-Food and Drug Administration, ivumile la mayeza kubantwana abaneminyaka ephakathi kwe-6 ne-17. Kodwa ngamanye amaxesha oogqirha bayawasebenzisa kubantwana abangaphantsi koko.
Kuphantsi kweziphi iimeko apho oogqirha banika eli yeza?
Iyeza le- 'ALP ha-2 Agonist' linokuba lolona khetho lulungileyo kumntwana wakho. Makhe sibone ukuba liza kufumaneka nini kweli tafile.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukuba amayeza okuvuselela umzimba awasebenzi kakuhle | Xa amayeza okuqala engenzi mahluko mkhulu kwiimpawu ze-ADHD zomntwana. |
| Ukuba awukwazi ukunyamezela iziphumo ebezingalindelekanga | Ukuba umntwana akakwazi ukunyamezela imiphumo yeminye imithi, efana nokungalali, ukwehla kobunzima, iintloko ezibuhlungu, kunye nokuphelelwa ngumdla wokutya. |
| Ukuba unezinye iingxaki zempilo | Ukuba umntwana unengxaki yemithambo-luvo efana ne-tics okanye isifo sentliziyo, amayeza avuselelayo awafanelekanga. |
| Ukuba kukho umngcipheko wokusetyenziswa gwenxa kwamayeza | Ingakumbi ukuba abantwana abancinci basengozini yokusebenzisa kakubi izinto ezivuselela ingqondo. |
Ngamanye amaxesha, kunye namayeza avuselelayo, ugqirha wakho unokukunika i-'Guanfacine' okanye i-'Clonidine' ukuze aphucule ngakumbi imiphumo yayo.
Zisetyenziswa njani ezi ziyobisi?
Omabini la mayeza afumaneka kwiipilisi ezisebenza ixesha elide. Ugqirha uza kuqalisa umntwana ngedosi ephantsi kangangoko aze emva koko anyuse idosi kancinci kancinci ngokusekelwe kwindlela umntwana asabela ngayo.
- I-Guanfacine : Yithathe kanye ngemini. Ingathathwa kusasa okanye ngokuhlwa. Ifumaneka kwiidosi ze-1, 2, 3, kunye ne-4 milligrams (mg).
- I-Clonidine: Yithathe kabini ngemini, kanye ekuseni nakanye ngexesha lokulala. Ifumaneka kwi-0.1 mg kunye ne-0.2 mg yeedosi.
Eyona nto ibalulekileyo kukuba akulunganga ukuqhekeza, ukutyumza, okanye ukuhlafuna ezi pilisi. Ipilisi kufuneka iginywe yonke. Buza ugqirha wakho ukuba akunike imiyalelo ethile ngale nto.
Kungathatha iiveki ezi-4 ukuya kwezi-8 ukubona iziphumo ezipheleleyo zala mayeza , ngoko ke kufuneka ube nomonde.
Enye into ebalulekileyo kukuba akulunganga ukuyeka ukusebenzisa eli yeza ngequbuliso. Ukwenza njalo kunokubangela iimpawu zokurhoxa emntwaneni, ezifana noxinzelelo lwegazi oluphezulu kunye neengxaki zentliziyo.Ukuba uyayeka ukusebenzisa amayeza, kufuneka wenze njalo ngokwemiyalelo kagqirha wakho, ngokunciphisa idosi kancinci kancinci (ukunciphisa umthamo).
Zithini iziphumo ebezingalindelekanga kunye neengozi ezinokubakho?
Njengalo naliphi na elinye iyeza, la mayeza e-`Alpha-2 Agonist` anokubangela ezinye iziphumo ebezingalindelekanga.
- Ukozela
- Ukudinwa
- Isiyezi
- Intloko ebuhlungu
- Ukucaphuka
- Umlomo owomileyo
- Intlungu yesisu
- Uxinzelelo lwegazi oluphantsi
Ezi ziphumo bezingalindelekanga zihlala zixhaphake kakhulu kwizigaba zokuqala zokuthatha amayeza, kwaye ziyancipha kancinci kancinci njengoko umzimba uqhelana namayeza.
Amanqaku ekufuneka aqwalaselwe ngokukodwa
Ezinye izifundo zibonisa ukuba la mayeza anokunyusa umngcipheko wezifo ezithile zentliziyo. Ke ngoko, ukuba kukho umntu kusapho lwakho okhe waba nesifo sentliziyo, qiniseka ukuba wazise ugqirha wakho ngaphambi kokuba uqale amayeza.
Eli yeza kufuneka linikwe ngononophelo olukhulu kubantwana abanazo okanye abasemngciphekweni wezi meko zilandelayo:
- Uxinzelelo lwegazi oluphantsi
- Isantya sentliziyo esicothayo (bradycardia)
- Ukuquleka rhoqo (Ukuquleka)
- Ukuvalwa kwentliziyo, imeko apho kukho ingxaki ngemiqondiso yombane yentliziyo
Ungayikhetha njani iyeza elifanelekileyo le-ADHD?
Kunzima ukutsho ngokuqinisekileyo ukuba loluphi unyango olulungele umntwana one-ADHD. Esi sisigqibo ekufanele nisenze kunye nogqirha wenu, nijongane nezinto ezilungileyo nezingalunganga zokhetho ngalunye lonyango.
Iyeza elinye alisebenzi kuwo wonke umntu. Ngoko ke kusenokufuneka uzame amayeza amaninzi ude ufumane elilungele umntwana wakho. Kusenokufuneka ulungise umthamo okanye utshintshele kwelinye iyeza njengoko umntwana wakho ekhula.
Njengabazali, nina nootitshala bomntwana wenu ninendima enkulu ekufuneka niyidlale kolu hambo. Kubaluleke kakhulu ukujonga ngononophelo indlela umntwana wenu aziphethe ngayo, iimpawu zakhe, kunye nemiphumo emibi aze ayixele kugqirha.
Okokugqibela, khumbula ukuba amayeza edwa awanakunyanga ngokupheleleyo i-ADHD. Oku kufezekiswa ngcono xa kuhlanganiswa nonyango lokuziphatha, inkxaso yabazali kunye neyootitshala. Nangona amayeza afana neGuanfacine kunye neClonidine esenokunganyangi imeko yomntwana, anokumnceda ukuba akwazi ukumelana nemisebenzi yemihla ngemihla esikolweni nasekhaya.
Umyalezo Wokuya Ekhaya
- Amayeza e-Alpha-2 Agonist (iGuanfacine, iClonidine) lukhetho olufanelekileyo kubantwana abane-ADHD abaye bangaphumelelanga kumayeza avuselelayo.
- La mayeza anokubangela iziphumo ebezingalindelekanga ezifana nokozela kunye noxinzelelo lwegazi oluphantsi, ngoko ke lumka kumntwana wakho.
- Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho. Ukwenza njalo kunokubangela iimpawu zokurhoxa emntwaneni wakho.
- Ukufumana amayeza afanelekileyo kumntwana wakho luhambo olunzima. Sebenzisana ngokusondeleyo nogqirha wakho kolu hambo.
- Ukuze kufunyanwe iziphumo ezilungileyo ze-ADHD, amayeza, unyango lokuziphatha, kunye nenkxaso yabazali/ootitshala kufuneka zonke ezi zinto zihlangane.
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