Xa ugqirha wakho ekuxelela ukuba umntwana wakho une-ADHD ( Attention Deficit Hyperactivity Disorder), wena, njengomzali, mhlawumbi uxinezelekile yimibuzo kunye neenkxalabo. Usenokuba neengcinga ezahlukeneyo malunga namayeza aza kunikwa umntwana wakho kunye nemiphumo yawo. Ngokwesiqhelo, amayeza avuselelayo lukhetho lokuqala lwe-ADHD. Kodwa la mayeza awasebenzi kumntwana ngamnye. Abanye abazali nabo bayoyika ukunika umntwana wabo la mayeza. Ngoko ke, ukuba ucinga ngokhetho olungavuseleliyo, ugqirha wakho unokucebisa uhlobo lwamayeza olubizwa ngokuba yi-SNRI. Namhlanje, masithethe malunga nokuba zezi SNRI kunye nendlela ezisebenza ngayo.
Zithini ii-SNRI?
Ngamafutshane, ii-SNRI (i-Serotonin-Norepinephrine Reuptake Inhibitors) luhlobo lwamayeza asetyenziselwa ukunyanga uxinzelelo. Zisebenza ngokunyusa amanqanaba ezithunywa ezimbini zeekhemikhali engqondweni yethu. Ezi zithunywa sizibiza ngokuba zii-neurotransmitters. Ezi khemikhali zimbini yi-serotonin kunye ne-norepinephrine.
Eli yeza alivunywanga ngokusemthethweni yi-FDA (uLawulo lokutya namayeza) ukunyanga i-ADHD. Nangona kunjalo, ukuba oogqirha bacinga ukuba lifanelekile kwaye liluncedo kakhulu kwisigulana, banokulinika eli yeza 'elingekho kwileyibhile', oko kuthetha ukuba kukho imeko engeyiyo imeko evunyiweyo. Le yindlela eqhelekileyo phakathi koogqirha eSri Lanka nakwihlabathi liphela.
Olu hlobo lutsha lweyeza le-SNRI luthathwa njengolukhuselekileyo kwaye luneziphumo ebezingalindelekanga ezimbalwa kune- tricyclic antidepressants (TCAs) ezazisetyenziswa ngaphambili.
Kukho iintlobo ezimbini eziphambili ze-SNRIs eziye zavavanywa kubantwana abane-ADHD:
1. I-Duloxetine: Le ivunyiwe ukunyanga ukudakumba kunye nokuxhalaba kubantu abadala. Ukongeza, eli yeza likwasetyenziselwa ukunyanga ukuxhalaba kubantwana abangaphezu kweminyaka esi-7 ubudala kunye nemeko ebuhlungu ye-fibromyalgia.
2. I-Venlafaxine: Eli liyeza elivunyiweyo ukunyanga ukudakumba kunye nokuxhalaba kubantu abadala. Nangona lingavunywanga ngokusemthethweni kubantwana abangaphantsi kweminyaka eli-18 okanye kwi-ADHD, oogqirha ngamanye amaxesha balinika 'elingekho kwileyibhile'.
Ii-SNRI zinceda njani kwi-ADHD?
Khawuthelekelele ukuba iiseli zemithambo-luvo ezikwingqondo yethu ziyathetha. Ezo zinceda kule ncoko, oko kukuthi, ukutshintshiselana imiyalezo, zii-neurotransmitters esizikhankanyileyo ngaphambili. Oogqirha bakholelwa ukuba abantwana abane-ADHD baneengxaki ezithile ekusetyenzisweni kwe-messenger dopamine kunye ne-norepinephrine. Olunye uphando lufumanise ukuba i-serotonin nayo ibandakanyeka.
Amayeza okuvuselela anyusa amanqanaba e-dopamine engqondweni. Amayeza e-SNRI anyusa amanqanaba e-serotonin kunye ne-norepinephrine. Xa la machiza enyuka, unxibelelwano, okanye ukutshintshiselana ngemiyalezo, phakathi kweeseli zemithambo-luvo engqondweni kwenzeka ngempumelelo ngakumbi.
Olu nxibelelwano lunokunceda ekuphuculeni ixesha lomntwana lokunikel’ ingqalelo , luphucule ulawulo lweemvakalelo , kwaye lunciphise ukusebenza kakhulu kunye nokuziphatha okurhabaxa. Lunokunceda umntwana ukuba abe ngumntwana othobelayo nongaxhalabi kangako.
Izinto ekufuneka uzazi xa usebenzisa eli yeza
Ukuba ugqirha womntwana wakho umnika i-SNRI, badla ngokuqala ngedosi ephantsi kakhulu . Emva koko, kwiiveki ezimbalwa, baya kuyinyusa kancinci idosi de umntwana afumane idosi ebalungeleyo. Kungathatha iiveki ezi-2 ukuya kwezi-4 ukubona isiphumo esipheleleyo sale mayeza. Ngoko ke, ungoyiki uthi, "Andikaqali ukuyithatha le mithi okwangoku." Kubalulekile ukuba nomonde.
La mayeza eza ngendlela yeepilisi okanye yekhaphu. Ukuba umntwana wakho unengxaki yokuginya iipilisi, amanye amayeza angatyumzwa aze axutywe abe yinto efana ne-applesauce. Thetha nogqirha wakho ngale nto.
Kubaluleke kakhulu ukuqaphela iziphumo ebezingalindelekanga zokuthatha eli yeza kunye neempawu ezinokubakho ukuba uyeka ukulisebenzisa ngequbuliso.
| Iziphumo Eziqhelekileyo Ezingalindelekanga | Iimpawu zokurhoxa |
|---|---|
| |
| Okubaluleke kakhulu: Xelela ugqirha wakho ngoko nangoko malunga nayo nayiphi na kwezi ziphumo okanye utshintsho kwindlela umntwana wakho aziphethe ngayo. Ungaze utshintshe umthamo okanye uyeke amayeza ngequbuliso ngaphandle kokubonisana nogqirha wakho kuqala. | |
Isebenza kangakanani i-SNRI kwi-ADHD?
Le yinto ekufuneka sithethe ngayo ngokunyanisekileyo. Kuye kwadlula amashumi eminyaka kuphando malunga namayeza avuselelayo e-ADHD, kwaye phakathi kwama-70% nama-90% abantu abawasebenzisayo babonisa ukuphucuka okukhulu kwiimpawu zabo.
Nangona kunjalo, uphando oluncinci kakhulu malunga nokusebenza kakuhle kwe-SNRIs kwi-ADHD. Kwiiphando ezimbalwa ezincinci zeyeza i-venlafaxine, phakathi kwesithathu nesibini kwisithathu sabantwana abathathe inxaxheba babonise ukuphucuka okuthile kwiimpawu (ingakumbi ukusebenza kakhulu kunye nokungakhathali). Nangona kunjalo, uninzi lwabantwana luye lwayeka ezi zifundo ngenxa yeziphumo ebezingalindelekanga. Olunye uphando lwe-duloxetine lubonise ukuphucuka okuthile. Ngoko ke, asinakutsho okwangoku ukuba ezi zisebenza njengezikhuthazi.
Yeyiphi ingozi enkulu ye-SNRIs?
Le yeyona nto ufanele uyinike ingqalelo kakhulu njengomzali.
La mayeza anesilumkiso esikhethekileyo nesinzima kakhulu esibizwa ngokuba yi-'black box'. Oku kuthetha ukuba, njengazo zonke izidambisi-ntlungu, la mayeza anokunyusa umngcipheko weengcinga zokuzibulala okanye izenzo zokuzibulala ebantwaneni nakubantu abancinci, ingakumbi xa beqala ukuwasela la mayeza .
Usenokoyika kakhulu xa usiva oku. Kodwa oko akuthethi ukuba akufanele umnike umntwana wakho eli yeza. Kodwa kuthetha ukuba kufuneka uqaphele kakhulu kwaye ulumke . Kufuneka unikele ingqalelo engakumbi kutshintsho kwindlela umntwana wakho aziphethe ngayo nakwimo yakhe.
Umntwana wakho:
- Ukuba ubonisa iimpawu zokudakumba,
- Ukuba uthetha ngokuzenzakalisa,
- Ukuba sithetha ngokufa,
- Ukuba ubonakalisa utshintsho olungaqhelekanga, olukhawulezileyo kwindlela oziphethe ngayo,
Fowunela ugqirha wakho ngoko nangoko, ngaphandle kokulibazisa. Okanye umse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. Musa ukuyithatha lula le ngozi.
Umyalezo Wokuya Ekhaya
- Ii-SNRI ziyindlela eyahlukileyo yamayeza avuselelayo e-ADHD. Ngokwenene luhlobo lwamayeza okudakumba kwaye asetyenziswa 'ngaphandle kweleyibhile' ye-ADHD.
- Kungathatha iiveki ezininzi ukubona isiphumo esipheleleyo sala mayeza, ngoko ke kubalulekile ukuba nomonde.
- Ungaze utshintshe umthamo wamayeza akho okanye uyeke ukuwasebenzisa ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga.
- Eyona ngozi inkulu kukuba umntwana wakho acinge ngokuzibulala kwasekuqaleni. Lumka kakhulu ngendlela aziphatha ngayo.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo, iinkxalabo, okanye iziphumo ebezingalindelekanga umntwana wakho anokuba nazo. Unxibelelwano oluhle phakathi kwakho nogqirha wakho lubalulekile kwimpilo-ntle yomntwana wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho