Ingabe kunzima ngengane yakho noma kuwena ukuhlala ugxile? Noma uzizwa ungakhululekile futhi ungakhululekile ngaso sonke isikhathi? Lokhu sikubiza ngokuthi i-ADHD ( Attention Deficit Hyperactivity Disorder). Ngakho-ke, i-Concerta ne -Adderall yimithi emibili odokotela abavame ukuyinikeza ukwelapha lesi simo. Kungenzeka ukuthi uke wezwa ngala magama amabili. Ingabe le mithi emibili iyafana? Yimiphi umehluko? Ingabe ikhona imiphumela emibi ? Imibuzo eminingi efana nale kumele ibe sengqondweni yakho. Ngakho-ke, namuhla sizokhuluma ngalokhu njengokungathi sikhuluma nomngane.
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Lomuthi usebenza kanjani?
Kalula nje, i-Concerta ne-Adderall ziyingxenye yemithi ebizwa ngokuthi izikhuthazi , okuyimithi evame ukusetshenziswa kakhulu ukwelapha i-ADHD.
Cabanga ngobuchopho bethu njengenethiwekhi enkulu yemiyalezo. Le nethiwekhi yakhiwe 'izithunywa' ezithwala imiyalezo. Sibiza lawa ma-neurotransmitter . Ebuchosheni bomuntu one-ADHD, kukhona ukungalingani emazingeni amabili alawa ma-messenger , i-dopamine ne- norepinephrine .
Lokho okwenziwa yilezi zidakamizwa ezimbili ukwandisa amazinga amakhemikhali amabili ebuchosheni abizwa ngokuthi i-dopamine kanye ne-norepinephrine. La makhemikhali amabili asisiza ukuhlela, ukuhlela, futhi okubaluleke kakhulu, ukugxila. Ngakho-ke lapho la mazinga enyuka, ikhono lethu lokugxila nokugxila liyakhula.
Abantu abangaba ngu-80 kwabayi-100 abane-ADHD bangalawula izimpawu zabo ngale mithi evuselelayo, okusho ukuthi iyindlela yokwelapha ephumelela kakhulu.
Kodwa into eyodwa okufanele uyikhumbule ukuthi i-Concerta isebenza kangcono kwabanye abantu, kanti i-Adderall isebenza kangcono kwabanye. Lokhu kungenxa yokuthi amakhemikhali asebenzayo kule mithi emibili nendlela asebenza ngayo emizimbeni yethu ahlukile kancane. Udokotela wakho uzonquma ukuthi yimuphi umuthi kanye nomthamo ofanele wena. Kuyinto okuzodingeka uyizame futhi uyithole.
Yimiphi umehluko omkhulu phakathi kwale mithi emibili?
Omunye umehluko omkhulu phakathi kwale mithi emibili ukuthi ihlala isikhathi esingakanani emzimbeni nokuthi iqukethe ini.
Ake sifunde ngeConcerta
I-Concerta iwuhlobo olude lokukhululwa kwekhemikhali i-methylphenidate . Lokhu kusho ukuthi ngemva kokuthatha iphilisi, izithako ezisebenzayo ezikulo zikhishwa kancane kancane emzimbeni. Ngakho-ke , uma uthatha iphilisi elilodwa ekuseni, lizohlala cishe amahora ayi-10-12 . Lokho kusho ukuthi lingakusiza ukuthi udlule usuku lonke enganeni eya esikoleni, noma kumuntu omdala oya emsebenzini, usuku lonke. Lokhu kulula kakhulu kubantu abakhohlwa ukuphuza imithi yabo izikhathi eziningana ngosuku.
Ake sifunde ngo-Adderall.
I-Adderall iyinhlanganisela yezikhuthazi ezimbili , i-amphetamine kanye ne-dextroamphetamine . Iza ngezindlela ezimbili:
1. Ukukhishwa ngokushesha: Lokhu kufanele kuthathwe kabili noma kathathu ngosuku, ngokuvamile njalo emahoreni angu-4-6 .
2. Ukukhululwa Okunwetshiwe (XR): NjengeConcerta, lokhu kuthathwa kanye ngosuku. Kuhlala cishe amahora ayi-12. Ngaphakathi kwaleli kapsule kukhona amabhola amancane omuthi. Ingxenye yalokhu ikhishwa ngokushesha ngemva kokuyithatha, kanti enye ingxenye ikhishwa usuku lonke.
Unganquma kanjani umthamo ofanele?
Lokhu kubaluleke kakhulu . Ungalokothi usebenzise le mithi ngaphandle kokubonisana nodokotela.Umthamo unqunywa ngokubheka izici eziningi, njengobudala bakho, isisindo somzimba, uhlobo lwezimpawu zakho, nokuthi uke waluthatha yini lolu hlobo lomuthi ngaphambili.
Ake sithole umbono omncane ngalokhu kumathebula angezansi. Lokhu kungolwazi kuphela. Umthamo wakho kufanele unqunywe udokotela wakho.
| Iqembu lobudala | Umthamo wokuqala (ngosuku) | Ububanzi bomthamo obujwayelekile (ngosuku) |
|---|---|---|
| Izingane (ezineminyaka engu-6-12 ubudala) | 18 mg | 18-54 mg |
| Izingane ezincane (ezineminyaka engu-13-17) | 18 mg | 18-72 mg |
| Abantu abadala (abaneminyaka engu-18-65 ubudala) | 18 mg noma 36 mg | 18-72 mg |
| Iqembu lobudala kanye nohlobo | Umthamo wokuqala (ngosuku) | Ububanzi bomthamo obujwayelekile (ngosuku) |
|---|---|---|
| Izingane (iminyaka engu-6+) | 5 mg (1 noma 2 ngosuku) | 5-40 mg |
| Abantu abadala | 5 mg (1 noma 2 ngosuku) | 5-60 mg |
| Izingane (ezineminyaka engu-6-12 ubudala) | 5-10 mg | 5-30 mg |
| Izingane ezincane (ezineminyaka engu-13-17) | 10 mg | 10-20 mg |
| Abantu abadala | 20 mg | 20 mg |
Masiqaphele nemiphumela emibi.
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ngisho noma itholakala, ivame ukuphela njengoba umzimba ujwayela umuthi.
Imiphumela emibi evamile abantu abaningi abangase bayizwe:
- Isifiso sokudla
- Ikhanda elibuhlungu
- Umlomo owomile
- Isicanucanu
- Ubunzima bokulala (ikakhulukazi uma uthatha imithi ebusuku)
- Ukwehlisa isisindo
- Ukungahlaliseki, intukuthelo esheshayo
- Ama-Tics
Imiphumela emibi engavamile kodwa engaba yingozi:
Nakuba lezi zingavamile kakhulu, kubalulekile ukuziqaphela.
- Isifo senhliziyo (ubuhlungu besifuba, ukuphelelwa umoya)
- Izinkinga zengqondo (ukukhathazeka okukhulu, ukubona izinto ezingekho)
- Ukuquleka
- Umbono ofiphele
- Ukuncipha kokujikeleza kwegazi eminweni (iminwe ephaphathekile, ukungakhululeki)
- Amanye amadoda angase abhekane nezinguquko esifisweni sobulili, njengokuma isikhathi eside.
- Akuvamile kakhulu ukuthi kube nesimo esibi esibizwa ngokuthi i-rhabdomyolysis , okuwukuwohloka kwezicubu zemisipha.
Isexwayiso:Uma wena noma ingane yakho ninesifo senhliziyo esingathi sína, le mithi evuselelayo akufanele ithathwe. Kubalulekile ukutshela udokotela wakho umlando wakho ophelele wezokwelapha ngaphambi kokuqala umuthi.
Ungaba umlutha wale mithi?
Lokhu kuyinkinga kubantu abaningi. Le mithi ikhulisa amazinga e-dopamine ebuchosheni, okungakhulisa ukunaka, kanye nokwenza uzizwe ujabule futhi uqabulekile. Uma uthathwa njengoba udokotela wakho ekuyalele, ingozi yokuba umlutha iphansi.
Kodwa-ke, uma lezi zisetshenziswa ngendlela engafanele, ngemithamo ephezulu, noma ngezinjongo zokuzijabulisa, kunengozi enkulu yokuba umlutha . Lokhu kuyiqiniso ikakhulukazi uma unomlando wokulutha izidakamizwa noma utshwala.
Ngokuvamile, ingozi yokulutha imithi esebenza isikhathi eside njengeConcerta iphansi kancane kunemithi esebenza isikhathi esifushane, ngoba umuthi ukhishwa emzimbeni ngokuhamba kwesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Concerta ne-Adderall ziyizinhlobo ezimbili zemithi evuselelayo esetshenziselwa ukwelapha i-ADHD. Zandisa amazinga amakhemikhali ebuchosheni asiza ekunakekeleni nasekuhleleni.
- I-Concerta umuthi osetshenziswa kanye ngosuku osebenza amahora ayi-10-12. I-Adderall iza ngezindlela ezisheshayo nezisebenza isikhathi eside.
- Udokotela wakho kuphela okufanele anqume umuthi kanye nomthamo ofanele wena noma ingane yakho. Ungalokothi usebenzise imithi noma izilinganiso zabanye abantu.
- Imiphumela emibi evamile ihlanganisa ukulahlekelwa yisifiso sokudla, ikhanda elibuhlungu, kanye nokungalali. Kodwa-ke, uma uhlangabezana nanoma yini engathi sína, njengobuhlungu besifuba noma ukushintshashintsha okukhulu kwemizwa , bheka udokotela wakho ngokushesha .
- Lo muthi uphephile kakhulu futhi usebenza kahle uma usetshenziswa ngendlela efanele ngaphansi kweseluleko sikadokotela. Kukhona ingozi yokuba umlutha uma usetshenziswa ngendlela engafanele.
- I-ADHD iyisimo esilawulekayo. Ngokwelashwa nokusekelwa okufanele, ungaphila impilo evamile nephumelelayo.
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