Xa ugqirha wakho ekuxelela ukuba umntwana wakho une-ADHD, inyathelo elilandelayo lisenokuba kukuqala amayeza. Kodwa usenokuzibuza ukuba kutheni ugqirha wakho enganiki nje idosi efanayo yamayeza, kodwa etshintsha kancinci kancinci, okanye ngamanye amaxesha atshintshe amayeza ngokupheleleyo. Leyo yinkqubo esiza kuthetha ngayo namhlanje. Oku kubaluleke kakhulu.
Yintoni i-titration? Yenziwa njani?
Ukuthetha ngokuthi "titration" kusenokubonakala ngathi ligama elikhulu, kodwa ngokufutshane, kuthetha ukusebenzisana nogqirha wakho ukulungisa umthamo wamayeza anikwe umntwana wakho ukuze abe semgangathweni kuye.
Injongo ephambili yoku kukufumana idosi yamayeza elawula ngcono iimpawu ze-ADHD zomntwana, ezifana nesifo sokungakwazi ukunikel’ ingqalelo, kwaye ineziphumo ebezingalindelekanga ezimbalwa. Khumbula, ayingomntwana ngamnye ofanayo. Ke ngoko, iyeza elifanayo kunye nedosi efanayo azizukusebenza kuye wonke umntu.
Ugqirha uhlala esenza oku:
1. Qala ngedosi ephantsi kakhulu: Qala ngedosi ephantsi kakhulu yamayeza.
2. Nyusa kancinci kancinci: Iveki nganye okanye iiveki ezintathu, kufuneka wonyuse umthamo wamayeza kancinci, njengoko ugqirha wakho ekuxelela.
3. Ukubeka esweni: Kwinyathelo ngalinye kula, wena nogqirha niza kube nijonge ngenyameko ukuze nibone ukuba iimpawu zomntwana ziyaphucuka na okanye ukuba ufumana naziphi na iziphumo ebezingalindelekanga .
Le nkqubo iyaqhubeka de iimpawu zomntwana zilawulwe kakuhle, okanye de umntwana abe nemiphumo emibi enganyamezelekiyo. Ugqirha wenza esi sicwangciso emva kokuqwalasela izinto ezininzi, njengobude bomntwana, ubunzima bakhe, uhlobo lweempawu zakhe, kunye nemisebenzi yakhe yemihla ngemihla (ixesha lesikolo, ixesha lomsebenzi wesikolo).
Eyona nto ibalulekileyo kukuba, oku kufana nomzamo weqela. Ugqirha, wena nomntwana wakho, nobathathu, kufuneka nihambe kunye kolu hambo.
Kuza kuthatha ixesha elingakanani oku?
Oku kungathatha iiveki ezininzi, ngamanye amaxesha kwaneenyanga. Ngoko ke ungoyiki. Ungakhathazeki ukuba iyeza lokuqala olinikayo alisebenzi. Kuqhelekile ukuba abanye abantwana bazame amayeza amabini okanye amathathu ahlukeneyo ukuze bafumane amayeza afanelekileyo kunye nomlinganiselo. Umonde ubaluleke kakhulu.
Sazi njani ukuba iyeza liyasebenza?
Iimpawu eziphambili ze-ADHD kukusebenza ngokugqithisileyo, ukungabi namdla, kunye nokungakhathali. Ngomthamo ofanelekileyo wamayeza, ungabona iimpawu zomntwana wakho ziphucuka kancinci kancinci.
- Ukungakwazi ukuhlala kwindawo enye nokushukuma njengangaphambili kuya kuncipha.
- Ndicinga ukuba ukusebenza ngaphandle kokucinga kuya kunciphisa umthwalo womsebenzi.
- Ixesha elichithwa ekugxileni kwizifundo nakwimisebenzi liyakhula.
- Ootitshala esikolweni nabo bathi banokubona umahluko kumntwana.
Yintoni omawuyenze ngeziphumo ebezingalindelekanga?
Njengayo nayiphi na imithi, amayeza e-ADHD anokuba nemiphumo emibi. Oku kuyahluka ngokuxhomekeke kuhlobo lwamayeza umntwana wakho awanikwayo. Nazi ezinye zeziphumo ebezingalindelekanga eziqhelekileyo ezinokubakho ngamayeza avuselelayo aqhelekileyo anikwayo.
| Iziphumo Eziqhelekileyo Ezingalindelekanga |
|---|
| Umnqweno wokutya |
| Ukuhla ukusinda |
| Ubunzima bokulala |
| Isisu esibuhlungu |
| Intloko ebuhlungu |
| Ukujikelezisa |
| Utshintsho kwindlela yokuziphatha (usizi, ukucaphuka, ukuncipha kokunxibelelana nabantu) |
Eyona nto ingcono kukuba uninzi lwezi ziphumo bezingalindelekanga ziyaphela zodwa kwiiveki ezimbalwa. Ngoko ke ugqirha wakho uza kukuxelela ukuba ulinde ezinye iintsuku ezimbalwa.
Nangona kunjalo, ukuba ukhathazekile kakhulu okanye unamathandabuzo malunga naziphi na iziphumo ebezingalindelekanga, ingakumbi ukuba zibonakala zisiba mandundu imihla ngemihla, thetha nogqirha wakho ngoko nangoko.Umzekelo, ukuba umntwana wakho uqalisa ukunyakaza okuphindaphindeneyo (ukungcangcazela) okufana nokuqhwanyaza okanye ukufinga iintshiya, ngokuqinisekileyo kufuneka wazise ugqirha wakho. Ungaze uzame ukuyeka ukuthatha amayeza wedwa ngaphandle kokubonisana nogqirha wakho. Ukuwayeka ngequbuliso kunokuba nemiphumo eyingozi.
Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezingaqhelekanga kodwa ezinzulu (iingxaki zentliziyo, iingxaki zesibindi, ukubona/ukuva izinto ezingekhoyo, iingcinga zokuzibulala), yiya kwigumbi likaxakeka lesibhedlele esikufutshane (ETU) ngokukhawuleza kwaye uxelele ugqirha wakho. Khumbula ukuba ezi azixhaphakanga kakhulu.
Iyintoni indima yakho njengomzali?
Unoxanduva olukhulu kule nkqubo yokulinganisa amagama.
- Buza imibuzo: Buza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onazo malunga namayeza okanye inkqubo.
- Jonga ngononophelo: Nika ingqalelo kutshintsho kwindlela umntwana wakho aziphethe ngayo, indlela iimpawu zakhe eziphucuka ngayo, kunye nazo naziphi na iziphumo ebezingalindelekanga ezintsha.
- Gcina amanqaku: Zibhale phantsi ezi zinto, njengakwidayari. Ugqirha angakunika wena nootitshala bomntwana wakho iifomu ezikhethekileyo (izikali zokulinganisa) ukuze nizizalise. Kubaluleke kakhulu ukuzigcwalisa ngokuchanekileyo ezi zinto.
- Uqhagamshelwano oluqhelekileyo: Ukuba akukho ngxaki emva kwenyanga yokuqala, bona ugqirha wakho kwakhona. Emva koko, kufuneka ubonane nogqirha wakho malunga neenyanga ezi-3 ukuqinisekisa ukuba isicwangciso samayeza sisasebenza kumntwana wakho. Njengoko umntwana wakho ekhula kwaye iimfuno zakhe zitshintsha, umthamo unokufuneka ulungiswe.
Iindidi eziphambili zamayeza e-ADHD
Amayeza e-ADHD anokwahlulwahlulwa abe ngamacandelo aliqela aphambili. Ngugqirha wakho kuphela onokwenza izigqibo malunga nala mayeza.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Izinto ezikhuthazayo Uhlobo olusetyenziswa kakhulu. Yonyusa i-dopamine, ikhemikhali yobuchopho echaphazela ingqalelo kunye neemvakalelo. | I-Methylphenidate (iConcerta, iRitalin), iDexmethylphenidate (iFocalin), iDextroamphetamine (iAdderall) |
| Izinto ezingezizo ezivuselelayo Ezi zingathatha iiveki ezininzi ukusebenza. Zichaphazela ikhemikhali yobuchopho i-norepinephrine. | I-Atomoxetine (Strattera), iClonidine (iKapvay), iGuanfacine (i-Intuniv) |
| Amanye amayeza Ngamanye amaxesha nezinye iindidi zamayeza (iziyobisi zokudakumba, amayeza oxinzelelo lwegazi oluphezulu) nazo ziyasetyenziswa ukwandisa ingqalelo. | Bupropion (Wellbutrin), Venlafaxine (Effexor) |
Ekugqibeleni, amayeza e-ADHD ayilondlela "yokulinganisa ubungakanani obunye". Kufana nokuthunga impahla, kwaye umzimba womntu ngamnye kufuneka ulungiselelwe ngokwahlukeneyo. Ngokusebenza ngomonde kule nkqubo yokulinganisa, nokugcina ubudlelwane obuhle nogqirha wakho, ungamxhasa ngcono umntwana wakho ukuba afikelele kumandla akhe apheleleyo.
Umyalezo Wokuya Ekhaya
- Ukunciphisa umthamo womntwana yinkqubo efuna umonde. Kungathatha iiveki okanye iinyanga ukufumana idosi efanelekileyo kumntwana wakho.
- Thetha nogqirha wakho rhoqo. Yabelana naye ngayo yonke imibuzo yakho kunye noloyiko lwakho.
- Jonga umntwana wakho ngokusondeleyo. Bhala phantsi iziphumo ezilungileyo zamayeza kunye nazo naziphi na iziphumo ebezingalindelekanga.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Njengoko umntwana wakho ekhula, iimfuno zakhe ziyatshintsha. Ngoko ke, bona ugqirha wakho ubuncinci rhoqo emva kweenyanga ezi-3 ukuze uhlaziye isicwangciso sakho samayeza.
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