Kuqhelekile ukuba oogqirha baqale banike amayeza okuvuselela umzimba ukunyanga i-ADHD. Nangona kunjalo, la mayeza awafanelekanga kuye wonke umntu. Abanye abantu banokuba nemiphumo emibi kakhulu. Kwabanye, la mayeza awasebenzi kakuhle njengoko kufanele. Ngoko ke ukuba ufuna amanye amayeza e-ADHD, uneendlela ezimbalwa onokukhetha kuzo. Ngamanye amaxesha ugqirha wakho uya kongeza isivuseleli kumayeza osele uwasebenzisa, okanye banokukuxelela ukuba uwathathe wedwa la mayeza ngaphandle kwesivuseleli.
Ziziphi amayeza angavuseleliyo i-ADHD?
Ngamafutshane, amayeza angavuseleliyo i-ADHD anokwahlulwahlulwa abe ngamacandelo amathathu aphambili.
1. Izinto ezingezizo izivuseleli ezithile ze-ADHD: Ezi zenzelwe ngokukodwa ukunyanga i-ADHD kwaye zivunyiwe ngenxa yaloo njongo.
2. Amayeza oxinzelelo lwegazi : La mayeza anceda ukulawula iimpawu ze-ADHD kwabanye abantu.
3. Amayeza okudakumba: La mayeza anceda kwi-ADHD ngokulawula iikhemikhali engqondweni. Anceda kakhulu kubantu abane-ADHD kunye nezinye izifo zengqondo, ezinje ngokudakumba kunye nokuxhalaba.
Amayeza angavuseleliyo akhethekileyo kwi-ADHD
I-Atomoxetine (Strattera) kunye neViloxazine (Qelbree) zivunyiwe ukuba zisetyenziswe kubantwana, kubantu abadala, nakwishumi elivisayo. Zisebenza ngokunyusa amanqanaba ekhemikhali ebalulekileyo engqondweni ebizwa ngokuba yi-norepinephrine. Oku kubonakaliswe ukuba kuphucula ixesha lokuqwalasela nokunciphisa ukuziphatha okungxamayo kunye nokusebenza ngokugqithisileyo .
Nangona iClonidine ER (Kapvay) kunye neGuanfacine ER (Intuniv) zivunyiwe kubantwana abaneminyaka eyi-6 ukuya kweyi-17, oogqirha bayazinika nabantu abadala. La mayeza asebenza ngokujolisa kwiindawo ezithile zobuchopho. Izifundo zibonise ukuba anciphisa ukuphazamiseka kwengqondo kwaye aphucula ingqalelo, inkumbulo yokusebenza , kunye nolawulo lweemvakalelo .
Zithini iingenelo zezi zinto ngaphezu kwamayeza avuselelayo?
Ngokungafaniyo namayeza okuvuselela ingqondo, amayeza angavuseleli ingqondo adla ngokuba nemiphumo emibi embalwa, njengokungaphumli, ukungakwazi ukulala, okanye ukuphelelwa ngumdla wokutya. Awanawo umngcipheko wokuba likhoboka.
Enye into ebalulekileyo kukuba iziphumo zamayeza avuselelayo zinokubonakala ngathi ziza ngequbuliso zize ziphele ngokukhawuleza. Nangona kunjalo, iziphumo zamayeza angavuseleliyo zihlala ixesha elide kwaye zigudile .
Masiqaphele nemiphumo emibi yamayeza angavuseleliyo.
Njengayo nayiphi na imithi, ezi zinokuba nemiphumo emibi , ngoko ke kubalulekile ukukwazi oku.
| Udidi lweziyobisi | Iziphumo ebezingalindelekanga ezinokubakho |
|---|---|
| I-Atomoxetine (iStrattera) |
|
| Iingozi ezingaqhelekanga kodwa ezinkulu ze-Atomoxetine ekufuneka zixelwe kugqirha ngoko nangoko: | |
| I-Atomoxetine (enzulu) |
|
| I-Clonidine (iKapvay), iGuanfacine (i-Intuniv), iViloxazine (iQelbree) |
|
| Iingozi ezingaqhelekanga kodwa ezinzulu zezi ziyobisi ziquka: | |
| I-Clonidine, i-Guanfacine, i-Viloxazine (enzima) |
|
Ngenxa yokuba la mayeza anokubangela ukozela, kubaluleke kakhulu ukwazi ukuba aza kukuchaphazela njani ngaphambi kokuba uqhube okanye usebenzise oomatshini abanzima .
Amayeza oxinzelelo lwegazi asetyenziselwa i-ADHD
Amayeza asetyenziswa rhoqo ukunyanga uxinzelelo lwegazi oluphezulu, njengeClonidine (Kapvay) kunye neGuanfacine hcl (Tenex), anokunceda ukulawula iimpawu ze-ADHD. Anokuthomalalisa iindawo ezithile zobuchopho.
Zikwanceda ekunciphiseni iziphumo ebezingalindelekanga, ingakumbi ezo zibangelwa ngamayeza avuselelayo, njengokungalali kakuhle kunye nokuziphatha okurhabaxa. Zingasetyenziswa zodwa okanye zidityaniswe namayeza avuselelayo.
Nangona kunjalo, kukho impikiswano malunga nokunika ezi zinto kunye namayeza avuselelayo. Kuye kwakho iingxelo zokufa kwabantwana abathathe la mayeza omabini kunye. Akucaci ukuba oku kufa kubangelwe kukudibana kwala mayeza mabini, kodwa kufuneka kuqatshelwe kakhulu xa kusetyenziswa loo mxube.
Ugqirha wakho uza kukujonga rhoqo. Uza kuthatha amanyathelo okunciphisa umngcipheko wakho ngokujonga izinga lentliziyo yakho (ECG) nokujonga uxinzelelo lwegazi lakho rhoqo. Ukuba iingenelo zingaphezulu kweengozi, ugqirha wakho unokucebisa olu nyango.
Iziphumo ebezingalindelekanga zezi zinto kunye nokuba ngubani ongafanele azithathe
Iziphumo eziphambili zezi zinto kukozela, uxinzelelo lwegazi oluphantsi, intloko ebuhlungu, kunye nesiyezi. Kunqabile kakhulu ukuba ukubetha kwentliziyo okungaqhelekanga kwenzeke. Oku kusenokungakulungeli ukuba wena okanye umntu kusapho lwakho unembali yoxinzelelo lwegazi oluphantsi okanye isifo sentliziyo.
Amayeza okudakumba asetyenziswa kwi-ADHD
Iindidi ezahlukeneyo zemithi yokudakumba zisetyenziselwa ukunyanga i-ADHD. Ezi zezona ndlela zonyango zibalaseleyo, ingakumbi kubantwana okanye kubantu abadala abanesifo sokudakumba kunye ne-ADHD.
Ezi zinokuphucula ingqalelo, ulawulo lweemvakalelo, ukusebenza ngokugqithisileyo, kunye nobundlobongela. Kodwa khumbula, azisebenzi kakuhle njengemithi evuselelayo okanye engavuseleliyo ekuphuculeni ingqalelo kunye nokugxila.
Enye inzuzo yezi zinto kukuba zinomngcipheko omncinci wokulutha. Zisebenza ngokunyusa amanqanaba ee-neurotransmitters engqondweni, ezifana ne-'norepinephrine', 'serotonin', kunye ne-'dopamine'.
Kukho iintlobo ezininzi eziphambili ezisetyenzisiweyo:
- Ii-Tricyclic antidepressants: Amayeza afana ne-`Desipramine` kunye ne-`Imipramine` akweli qela. Nangona la mayeza esebenza kakuhle, anokubangela iziphumo ebezingalindelekanga ezifana nomlomo owomileyo kunye nokuqhina.
- I-Bupropion (iWellbutrin): Le ikwaliyeza elisebenzayo kakhulu kwi-ADHD. Nangona kunjalo, inokubangela iingxaki kubantu abanexhala okanye ukuxhuzula.
- Izithinteli ze-MAO: Ezi azisetyenziswa rhoqo kuba zinokuba nemiphumo emibi eyingozi. Ziqwalaselwa kuphela ukuba akukho mayeza asebenzayo.
Kubalulekile: I-FDA ilumkisile ukuba amayeza okudakumba anokunyusa kancinci umngcipheko weengcinga zokuzibulala kunye nokuziphatha ebantwaneni nakubantu abancinci. Ngoko ke ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho.
Ziqaphele ezi zinto ngaphambi kokuba uthathe naliphi na iyeza elingavuseleliyo.
Ngaphambi kokuba uqale ukuthatha amayeza angavuseleliyo, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngale nto ilandelayo:
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa.
- Ukuba usela amayeza alo naluphi na olunye uhlobo lwesifo (umz., uxinzelelo lwegazi, amayeza okudakumba, amayeza okuthomalalisa).
- Ukuba usebenzisa izongezo zokutya, amayeza esintu, okanye amayeza athengiswa ngaphandle kwemvume kagqirha.
- Ukuba unezinye izifo (uxinzelelo lwegazi oluphezulu okanye oluphantsi, isifo sokuwa, isifo sentliziyo, i-glaucoma, iingxaki zempilo yengqondo, isifo sesibindi).
- Ukuba ukhe waba ne-allergy kwiyeza ngaphambili.
- Ukuba unembali yokulutha iziyobisi okanye utywala.
Nje ukuba wena nogqirha wakho nigqibe kwelokuba amayeza angavuseleliyo akulungele, thatha amayeza kanye njengoko kumiselweyo, ngokwedosi ecetyiswayo . Ugqirha wakho angenza izinto ezifana novavanyo lwegazi ngamanye amaxesha ukujonga ukuba amayeza asebenza kakuhle na kwaye kukho naziphi na iingxaki.
Umyalezo Wokuya Ekhaya
- I-ADHD ayipheleli nje kumayeza avuselelayo. Kukwakho neendlela ezininzi zokukhetha ezingavuseleliyo.
- Ukuze ukhethe unyango olukufaneleyo, thetha nogqirha wakho ngokunyaniseka malunga nembali yakho epheleleyo yezonyango kunye nawo onke amanye amayeza owasebenzisayo.
- Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha. Ukwenza njalo kunokubangela iingxaki ezinjengokunyuka ngequbuliso koxinzelelo lwegazi. Yeka ukulithatha kancinci kancinci.
- Kungathatha iiveki ezi-2-4 nangaphezulu ukuze uve iziphumo ezipheleleyo zala mayeza, ngoko ke yiba nomonde kwaye uqhubeke nokusebenzisa unyango.
- Xelela ugqirha wakho ngoko nangoko ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezingaqhelekanga okanye eziqatha (ingakumbi ukutyheli kolusu, utshintsho kwisantya sentliziyo, iingcinga zokuzibulala).
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