Uma udokotela wakho ekutshela ukuthi ingane yakho ine-ADHD, isinyathelo esilandelayo kungaba ukuqala imithi. Kodwa ungase uzibuze ukuthi kungani udokotela wakho engagcini nje ngokukunika umthamo ofanayo wemithi, kodwa ewushintsha kancane kancane, noma ngezinye izikhathi ewushintsha ngokuphelele umuthi. Yileyo nqubo esizokhuluma ngayo namuhla. Lokhu kubaluleke kakhulu.
Kuyini i-titration? Kwenziwa kanjani?
I-Titration ingase ibonakale njengegama elikhulu, kodwa kalula nje, kusho ukusebenza nodokotela wakho ukulungisa umthamo wemithi enikezwa ingane yakho ukuze ifaneleke kahle.
Umgomo oyinhloko walokhu ukuthola umthamo wemithi olawula kangcono izimpawu ze-ADHD zengane, njengokuphazamiseka kokunaka, futhi onemiphumela emibi emincane kakhulu. Khumbula, akuwona wonke umntwana ofanayo. Ngakho-ke, umuthi ofanayo kanye nomthamo ofanayo ngeke kusebenzele wonke umuntu.
Udokotela uvame ukwenza lokhu:
1. Qala ngomthamo ophansi kakhulu: Qala ngomthamo ophansi kakhulu wemithi.
2. Khulisa kancane kancane: Njalo ngesonto noma emavikini amathathu, kufanele wandise inani lemithi kancane, njengoba udokotela wakho ekutshela.
3. Ukuqapha: Kuzo zonke lezi zinyathelo, wena nodokotela nizobe nibhekisisa ngokucophelela ukuze nibone ukuthi izimpawu zengane ziyathuthuka noma ukuthi ibhekene nanoma yimiphi imiphumela emibi .
Le nqubo iyaqhubeka kuze kube yilapho izimpawu zengane sezilawulwa kahle, noma kuze kube yilapho ingane iba nemiphumela emibi engabekezeleleki. Udokotela wenza lolu hlelo ngemuva kokucabangela izici eziningi, njengokuphakama kwengane, isisindo, uhlobo lwezimpawu, kanye nemisebenzi yayo yansuku zonke (isikhathi sesikole, isikhathi somsebenzi wesikole).
Into ebaluleke kakhulu ukuthi, lokhu kufana nomzamo weqembu. Udokotela, wena nengane yakho, nobathathu, kufanele nihambe lolu hambo ndawonye.
Kuthatha isikhathi esingakanani lokhu?
Lokhu kungathatha amasonto amaningana, ngezinye izikhathi ngisho nezinyanga. Ngakho-ke ungesabi. Ungakhathazeki uma umuthi wokuqala owunikezayo ungasebenzi. Kujwayelekile ukuthi ezinye izingane zidingeke zizame imithi emibili noma emithathu ehlukene ukuze zithole umuthi ofanele kanye nomthamo. Ukubekezela kubaluleke kakhulu.
Sazi kanjani ukuthi umuthi uyasebenza?
Izimpawu eziyinhloko ze-ADHD ukusebenza ngokweqile, ukungazimiseli, kanye nokunganaki. Ngomthamo ofanele wemithi, ungase ubone izimpawu zengane yakho zithuthuka kancane kancane.
- Ukungakwazi ukuhlala endaweni eyodwa nokuzulazula njengakuqala kuzoncipha.
- Ngicabanga ukuthi ukusebenza ngaphandle kokucabanga kuzonciphisa umthwalo womsebenzi.
- Isikhathi esichithwa sigxile ekufundeni nasemisebenzini siyanda.
- Othisha esikoleni nabo bathi bayawubona umehluko enganeni.
Yini okufanele uyenze ngemiphumela emibi?
Njenganoma yimuphi umuthi, imithi ye-ADHD ingaba nemiphumela emibi. Lokhu kuyahlukahluka kuye ngohlobo lomuthi ingane yakho enikezwa wona. Nazi ezinye imiphumela emibi evamile engenzeka ngemithi evuselelayo evame ukunqunywa.
| Imiphumela Emibi Evamile |
|---|
| Isifiso sokudla |
| Ukwehlisa isisindo |
| Ubunzima bokulala |
| Isisu esibuhlungu |
| Ikhanda elibuhlungu |
| Ukuphotha |
| Izinguquko zokuziphatha (ukudabuka, ukucasuka, ukwehla kokuxhumana nabantu) |
Ingxenye engcono kakhulu ukuthi iningi lale miphumela emibi iyaphela yodwa phakathi namasonto ambalwa. Ngakho udokotela wakho uzokutshela ukuthi ulinde ezinye izinsuku ezimbalwa.
Kodwa-ke, uma ukhathazekile kakhulu noma ungaqiniseki nganoma yimiphi imiphumela emibi, ikakhulukazi uma ibonakala iba yimbi kakhulu usuku nosuku, khuluma nodokotela wakho ngokushesha.Isibonelo, uma ingane yakho iqala ukunyakaza okuphindaphindiwe (ukudlikiza) njengokucwayiza noma ukufinya, kufanele nakanjani wazise udokotela wakho. Ungalokothi uzame ukuyeka ukuthatha imithi wedwa ngaphandle kokubonisana nodokotela wakho. Ukuyiyeka ngokuzumayo kungaba nemiphumela eyingozi.
Uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile kodwa emibi kakhulu (izinkinga zenhliziyo, izinkinga zesibindi, ukubona/ukuzwa izinto ezingekho, imicabango yokuzibulala), iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha bese utshela udokotela wakho. Khumbula ukuthi lokhu akuvamile kakhulu.
Uyini umsebenzi wakho njengomzali?
Unomthwalo wemfanelo omkhulu kule nqubo yokulinganisa.
- Buza imibuzo: Buza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka onakho mayelana nomuthi noma inqubo.
- Qaphela ngokucophelela: Nakisisa izinguquko ekuziphatheni kwengane yakho, indlela izimpawu ezithuthuka ngayo, kanye nanoma yimiphi imiphumela emibi emisha.
- Gcina amanothi: Bhala lezi zinto phansi, njengasedayarini. Udokotela angakunika wena nothisha bengane yakho amafomu akhethekile (izikali zokulinganisa) okufanele uwagcwalise. Kubaluleke kakhulu ukugcwalisa lezi zinto ngendlela efanele.
- Ukuxhumana njalo: Uma kungekho zinkinga ngemva kwenyanga yokuqala, bona udokotela wakho futhi. Ngemva kwalokho, kufanele ubonane nodokotela wakho cishe njalo ezinyangeni ezi-3 ukuqinisekisa ukuthi uhlelo lwemithi lusasebenza enganeni yakho. Njengoba ingane yakho ikhula futhi izidingo zayo zishintsha, umthamo ungadinga ukulungiswa.
Izinhlobo eziyinhloko zemithi ye-ADHD
Imithi ye-ADHD ingahlukaniswa ngezigaba eziningana eziyinhloko. Udokotela wakho kuphela ongenza izinqumo ngalezi.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Izikhuthazi Uhlobo oluvame ukusetshenziswa kakhulu. Lukhulisa i-dopamine, ikhemikhali yobuchopho ethinta ukunaka kanye nesimo sengqondo. | I-Methylphenidate (i-Concerta, i-Ritalin), i-Dexmethylphenidate (i-Focalin), i-Dextroamphetamine (i-Adderall) |
| Izinto ezingezona ezikhuthazayo Lokhu kungathatha amasonto ambalwa ukusebenza. Kuthinta ikhemikhali yobuchopho i-norepinephrine. | I-Atomoxetine (Strattera), i-Clonidine (i-Kapvay), i-Guanfacine (i-Intuniv) |
| Eminye imithi Ngezinye izikhathi ezinye izinhlobo zemithi (imithi yokucindezeleka, imithi yomfutho wegazi ophakeme) nazo ziyasetshenziswa ukwandisa ukunaka. | I-Bupropion (Wellbutrin), i-Venlafaxine (Effexor) |
Ekugcineni, imithi ye-ADHD akuyona indlela "efanele wonke umuntu". Kufana nokuthunga izingubo, futhi umzimba womuntu ngamunye udinga ukuhlelwa ngokwehlukile. Ngokusebenza ngesineke kule nqubo yokulinganisa, nokugcina ubuhlobo obuhle nodokotela wakho, ungayisekela kangcono ingane yakho ukuze ifinyelele amandla ayo aphelele.
Umlayezo Wokuya Nawe Ekhaya
- Ukushintshashintsha kwesisindo kuyinqubo edinga isineke. Kungathatha amasonto noma izinyanga ukuthola umthamo ofanele ingane yakho.
- Khuluma nodokotela wakho njalo. Yabelana naye ngayo yonke imibuzo yakho kanye nokwesaba kwakho.
- Gada ingane yakho ngokucophelela. Bhala phansi imiphumela emihle yemithi kanye nanoma yimiphi imiphumela emibi.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Njengoba ingane yakho ikhula, izidingo zayo ziyashintsha. Ngakho-ke, bona udokotela wakho okungenani njalo ezinyangeni ezi-3 ukuze ubuyekeze uhlelo lwakho lwemithi.
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