Ingabe wena, noma mhlawumbe ingane yakho, ninenkinga yokugxila? Ingabe uvame ukuzizwa ungakhululekile noma ungakwazi ukuhlala uthule? Lezi yizimpawu ezivamile ze -ADHD ( Attention Deficit Hyperactivity Disorder). Lapho bexoxa ngezinketho zokwelapha, odokotela bavame ukubiza i-Concerta ne -Adderall . Kungenzeka ukuthi uke wezwa la magama ngaphambili, kodwa ingabe afana? Ahluke kanjani, futhi kuthiwani ngemiphumela emibi engaba khona? Kungokwemvelo ukuba nale mibuzo, ngakho ake sixoxe ngayo ndawonye, njengoba nje abangane bebengenza.
Isebenza kanjani le mithi?
Kalula nje, i-Concerta ne-Adderall ziyingxenye yemithi ebizwa ngokuthi izikhuthazi . Ziyindlela yokwelapha evame kakhulu yezokwelapha i-ADHD.
Cabanga ngobuchopho bakho njengenethiwekhi enkulu yokuthumela imiyalezo. Ngaphakathi kwale nethiwekhi, kukhona 'izithunywa' ezaziwa ngokuthi ama-neurotransmitter . Ebuchosheni bomuntu one-ADHD, kuvame ukuba nokungalingani kwezithunywa ezimbili ezithile: i-dopamine ne -norepinephrine .
Le mithi isebenza ngokwandisa amazinga ala makhemikhali ebuchosheni bakho. La makhemikhali akusiza ukuthi uhlele, uhlale uhlelekile, futhi okubaluleke kakhulu, ugcine ukugxila kwakho. Ngokulinganisela la mazinga, uthola ikhono elingcono lokuhlala usebenza.
Cishe abantu abangu-80% abane-ADHD bathola ukuthi imithi evuselelayo ilawula ngempumelelo izimpawu zabo. Ibhekwa njengezindlela zokwelapha eziphumelela kakhulu.
Kodwa-ke, sicela ukhumbule ukuthi imithi 'ayifanelani nosayizi owodwa.' Abanye abantu basabela kangcono ku-Concerta, kanti abanye bathola i-Adderall isebenza kangcono. Lokhu kungenxa yokuthi izithako ezisebenzayo nendlela ezicutshungulwa ngayo umzimba wakho ziyahlukahluka kancane. Udokotela wakho uzonquma imithi efanele kanye nomthamo oqondile wakho ngenqubo yokuhlola ngokucophelela.
Yimiphi umehluko omkhulu?
Umehluko omkhulu usekutheni zihlala isikhathi esingakanani zisebenza ohlelweni lwakho kanye nokwakheka kwamakhemikhali azo athile.
Ukuqonda i-Concerta
I-Concerta iqukethe i-methylphenidate ngendlela yokukhululwa isikhathi eside. Lokhu kusho ukuthi umuthi ukhishwa kancane kancane emzimbeni wakho usuku lonke. Ngenxa yalokho, umthamo owodwa othathwa ekuseni ungahlala amahora ayi-10-12 , umboze usuku lwakho lwesikole noma lomsebenzi ngaphandle kwesidingo semithamo eminingi yansuku zonke.
Ukuqonda i-Adderall
I-Adderall iyinhlanganisela ye -amphetamine ne -dextroamphetamine futhi iza ngezindlela ezimbili:
1. Ukukhishwa Ngokushesha (IR): Lokhu ngokuvamile kudinga ukudonswa kabili kuya kathathu ngosuku, ngokuvamile njalo emahoreni angu-4-6 .
2. Ukukhululwa Okunwetshiwe (XR): Ngokufanayo ne-Concerta, lokhu kuthathwa kanye ngosuku futhi kunikeza ukumbozwa cishe amahora ayi-12 . I-capsule iqukethe ubuhlalu obuncane: ingxenye ikhishwa ngokushesha, kanti enye ingxenye ikhishwa kancane usuku lonke.
Ukunquma Isilinganiso Esifanele
Lokhu kubaluleke kakhulu . Ungalokothi uthathe le mithi ngaphandle kwencwadi kadokotela. Umthamo wakho unqunywa yizici ezihlanganisa iminyaka yakho, isisindo, ubukhali bezimpawu zakho, kanye nomlando wakho wezokwelapha. Uma ubhekene nesimo esiphuthumayo, sicela uxhumane no-911 noma uvakashele isibhedlela esiseduze nawe.
Amathebula alandelayo anikeza umbono jikelele. Lokhu kungenhloso yolwazi kuphela; udokotela wakho uzokwenza isilinganiso sakho esithile sibe ngcono.
| Iqembu Lobudala | Umthamo Wokuqala (Nsuku Zonke) | Ibanga Lomthamo Ojwayelekile (Nsuku Zonke) |
|---|---|---|
| Izingane (iminyaka engu-6-12) | 18 mg | 18-54 mg |
| Intsha (iminyaka eyi-13-17) | 18 mg | 18-72 mg |
| Abantu abadala (iminyaka engu-18-65) | 18 mg noma 36 mg | 18-72 mg |
| Iqembu Lobudala kanye Nohlobo | Isilinganiso Sokuqala (Nsuku Zonke) | Ibanga Lomthamo Ojwayelekile (Nsuku Zonke) |
|---|---|---|
| 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 (iminyaka engu-6-12) | 5-10 mg | 5-30 mg |
| Intsha (iminyaka eyi-13-17) | 10 mg | 10-20 mg |
| Abantu abadala | 20 mg | 20 mg |
Ukuqonda Imiphumela Engase Ibe Khona
Njenganoma yimuphi umuthi, imiphumela emibi ingenzeka. Sicela wazi ukuthi lokhu akuthinti wonke umuntu, futhi kaningi, imiphumela emibi iyaphela njengoba umzimba wakho ujwayela ukwelashwa.
Imiphumela Emibi Evamile:
- Ukulahlekelwa yisifiso sokudla
- Ikhanda elibuhlungu
- Umlomo owomile
- Isicanucanu
- Ubunzima bokulala (ikakhulukazi uma uphuzwa sekwephuzile emini)
- Ukwehlisa isisindo
- Ukungahlaliseki noma ukucasuka
- Ama-Tics
Imiphumela Engavamile Kodwa Emibi Kakhulu:
Nakuba kungavamile kakhulu, kubalulekile ukuqaphela lezi zimpawu.
- Izinkinga zenhliziyo (ubuhlungu besifuba, ukuphelelwa umoya)
- Izinguquko empilweni yengqondo (ukukhathazeka okukhulu, imibono engekho)
- Ukuquleka
- Umbono ofiphele
- Izinkinga zokujikeleza kwegazi eminweni (iminwe ephaphathekile noma engazwakali kahle)
- Kwamanye amadoda, izinguquko ekuziphatheni kabi noma ukunqamuka kokuma okuhlala isikhathi eside, okubuhlungu.
- Akuvamile kakhulu ukuthi kube nokuwohloka okukhulu kwezicubu zemisipha okwaziwa ngokuthi i-rhabdomyolysis .
Isexwayiso: Uma wena noma ingane yakho ninomlando wezimo zenhliziyo, le mithi evuselelayo ingase ingafaneleki. Kubalulekile ukuxoxa ngomlando wakho wezokwelapha ogcwele nodokotela wakho ngaphambi kokuqala ukwelashwa.
Ingabe kukhona ingozi yokuthembela kumuntu?
Lokhu kuyinto evamile ekhathazayo. Ngenxa yokuthi le mithi ikhulisa amazinga e-dopamine ebuchosheni ukuze ithuthukise ukugxila, ngezinye izikhathi ingabangela imizwa yenjabulo. Uma ithathwa njengoba nje udokotela wakho ekuyalele, ingozi yokuthembela iphansi.
Nokho,uma isetshenziswa ngendlela engafanele, ithathwa ngemithamo ephezulu, noma isetshenziswa ngendlela yokuzijabulisa, kunengozi enkulu yokuba umlutha. Uma unomlando wokusebenzisa kabi izidakamizwa, sicela uqaphele kakhulu futhi uvuleleke kumhlinzeki wakho wezempilo.
Ngokuvamile, imithi ekhishwa isikhathi eside njenge-Concerta inengozi ephansi yokusebenzisa kabi uma kuqhathaniswa nezinhlobo ezikhishwa ngokushesha ngoba zenzelwe ukukhipha imithi emzimbeni wakho kancane kancane.
Izinto Ezibalulekile Okufanele Uzithathe
- I-Concerta ne-Adderall imithi evuselelayo esetshenziselwa ukwelapha i-ADHD ngokulinganisela amakhemikhali ezinzwa ahilelekile ekugxileni nasekulawuleni.
- I-Concerta ngokuvamile iyisilinganiso somuthi esithathwa kanye ngosuku esithatha amahora ayi-10-12, kuyilapho i-Adderall iza ngezindlela zokukhululwa ngokushesha kanye nesikhathi eside.
- Umuthi ofanele kanye nomthamo kumele kunqunywe udokotela wakho kuphela . Ungalokothi wabelane ngemithi noma usebenzise umuthi womunye umuntu.
- Imiphumela emibi evamile njengokulahlekelwa yisifiso sokudla noma ukuphazamiseka kokulala ingase ivele. Kodwa-ke, uma uzwa ubuhlungu besifuba, ukushintshashintsha okukhulu kwemizwelo, noma ezinye izimpawu ezimbi, funa usizo lwezokwelapha ngokushesha noma uxhumane nezinsizakalo eziphuthumayo (911) .
- Uma isetshenziswa kahle ngaphansi kokuqashwa kwezokwelapha, le mithi iphephile futhi isebenza kahle kakhulu.
- I-ADHD iyisimo esilawulekayo. Ngokusekelwa kanye nokwelashwa okufanele kochwepheshe, ungaphila impilo ekhiqizayo nelinganiselayo neNirogi Lanka eceleni kwakho.
