Uma udokotela wakho ekutshela ukuthi ingane yakho ine-ADHD ( Attention Deficit Hyperactivity Disorder), wena, njengomzali, cishe ukhungathekiswa yimibuzo nokukhathazeka. Ungase ube nemicabango ehlukene ngemithi ingane yakho ezonikwa yona kanye nemiphumela yayo emibi. Ngokuvamile, imithi evuselelayo iyona ekhethwa kuqala yi-ADHD. Kodwa le mithi ayisebenzi kuwo wonke umntwana. Abanye abazali bayesaba nokunikeza ingane yabo le mithi. Ngakho-ke, uma ucabanga ngenketho engavuseleli, udokotela wakho angase asikisele uhlobo lomuthi olubizwa ngokuthi i-SNRI. Namuhla, ake sixoxe ngokuthi ayini lawa ma-SNRI nokuthi asebenza kanjani.
Ayini ama-SNRI?
Kalula nje, ama-SNRI (i-Serotonin-Norepinephrine Reuptake Inhibitors) uhlobo lwemithi esetshenziselwa ukwelapha ukucindezeleka. Asebenza ngokwandisa amazinga ezithunywa ezimbili zamakhemikhali ebuchosheni bethu. Sibiza lezi zithunywa ngokuthi ama-neurotransmitters. La makhemikhali amabili yi-serotonin ne-norepinephrine.
Lo muthi awuvunyelwe ngokusemthethweni yi-FDA (Food and Drug Administration) ukwelapha i-ADHD. Kodwa-ke, uma odokotela benomuzwa wokuthi ufaneleka kakhulu futhi uwusizo esigulini, bangawunikeza lo muthi 'ongafakwanga ilebula', okusho ukuthi ungasetshenziswanga esimweni esingesona isimo esivunyelwe. Lona umkhuba ovamile phakathi kodokotela eSri Lanka nasemhlabeni jikelele.
Lolu hlobo olusha lwemithi ye-SNRI lubhekwa njengoluphephile futhi lunemiphumela emibi embalwa kunemithi yokucindezeleka ye-tricyclic (TCAs) eyayisetshenziswa ngaphambilini.
Kunezinhlobo ezimbili eziyinhloko zama-SNRI ezihlolwe izingane ezine-ADHD:
1. I-Duloxetine: Lokhu kuvunyelwe ukwelapha ukucindezeleka nokukhathazeka kubantu abadala. Ngaphezu kwalokho, lo muthi usetshenziselwa nokwelapha ukukhathazeka ezinganeni ezingaphezu kweminyaka engu-7 ubudala kanye nesimo esibuhlungu se-fibromyalgia.
2. I-Venlafaxine: Lona umuthi ovunyelwe ukwelapha ukucindezeleka nokukhathazeka kubantu abadala. Nakuba ungavunyelwe ngokusemthethweni ezinganeni ezingaphansi kweminyaka engu-18 noma ze-ADHD, odokotela ngezinye izikhathi bawunikeza 'ongavunyelwe'.
Ama-SNRI asiza kanjani nge-ADHD?
Cabanga nje ukuthi amangqamuzana ezinzwa ebuchosheni bethu ayakhuluma. Labo abasiza kule ngxoxo, okungukuthi, ukushintshana kwemiyalezo, yi-neurotransmitters esikhulume ngayo ekuqaleni. Odokotela bakholelwa ukuthi izingane ezine-ADHD zinezinkinga ezithile ngokucubungula i-messenger dopamine kanye ne-norepinephrine. Ucwaningo oluthile luthole ukuthi i-serotonin nayo ihilelekile.
Izidakamizwa ezikhuthazayo zandisa amazinga e-dopamine ebuchosheni. Izidakamizwa ze-SNRI zandisa amazinga e-serotonin kanye ne-norepinephrine. Uma la makhemikhali ekhuliswa, ukuxhumana, noma ukushintshana kwemiyalezo, phakathi kwamangqamuzana ezinzwa ebuchosheni kwenzeka kahle kakhulu.
Lokhu kuxhumana kungasiza ekuthuthukiseni isikhathi sokunaka kwengane , kuthuthukise ukulawula ukushukuma , futhi kunciphise ukuxhamazela kanye nokuziphatha okunolaka. Kungasiza futhi ingane ukuba ilalele futhi ingakhathazeki kakhulu.
Izinto okufanele uzazi uma usebenzisa lo muthi
Uma udokotela wengane yakho ekunika i-SNRI, ivame ukuqala ngomthamo ophansi kakhulu . Ngemuva kwalokho, emavikini ambalwa, izokwandisa kancane kancane umthamo kuze kube yilapho ingane ithola umthamo osebenza kahle kuyo. Kungathatha amasonto amabili kuya kwamane ukubona umphumela ogcwele walo muthi. Ngakho-ke, ungesabi uthi, "Angikaqali ukuwuthatha." Kubalulekile ukubekezela.
Le mithi iza ngesimo samaphilisi noma se-capsule. Uma ingane yakho inenkinga yokugwinya amaphilisi, eminye imithi ingachotshozwa bese ixutshwa ibe yinto efana ne-applesauce. Khuluma nodokotela wakho ngalokhu.
Kubaluleke kakhulu ukuqaphela imiphumela emibi engaba khona yokuphuza lo muthi kanye nezimpawu ezingase zivele uma uyeka ukuwuthatha ngokuzumayo.
| Imiphumela Emibi Evamile | Izimpawu Zokuhoxa |
|---|---|
| |
| Okubaluleke kakhulu: Tshela udokotela wakho ngokushesha nganoma yimiphi yale miphumela emibi noma izinguquko ekuziphatheni kwengane yakho. Ungalokothi ushintshe umthamo noma uyeke umuthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho kuqala. | |
I-SNRIs iphumelela kangakanani kwi-ADHD?
Lokhu kuyinto okudingeka sikhulume ngayo ngokwethembeka. Sekuphele amashumi eminyaka ucwaningo ngemithi evuselelayo ye-ADHD, futhi phakathi kuka-70% no-90% wabantu abayisebenzisayo babonisa intuthuko enkulu ezimpawini zabo.
Kodwa-ke, kuncane kakhulu ucwaningo mayelana nokusebenza kahle kwe-SNRIs ye-ADHD. Ezifundweni ezimbalwa ezincane zomuthi i-venlafaxine, phakathi kwengxenye eyodwa kwezintathu nezingxenye ezimbili kwezintathu zezingane ezahlanganyela zibonise ukuthuthuka okuthile ezimpawini (ikakhulukazi ukusebenza ngokweqile kanye nokunganaki). Kodwa-ke, abaningi bayeke izifundo ngenxa yemiphumela emibi. Ucwaningo olulodwa lwe-duloxetine lubonise nokuthuthuka okuthile. Ngakho-ke, asikwazi ukusho okwamanje ukuthi lokhu kusebenza kahle njengezikhuthazi.
Iyiphi ingozi enkulu kakhulu ye-SNRIs?
Lena yinto okufanele uyinake kakhulu njengomzali.
Le mithi inesixwayiso esikhethekile nesibucayi kakhulu esibizwa ngokuthi isixwayiso 'sebhokisi elimnyama'. Lokhu kusho ukuthi, njengazo zonke izidakamizwa zokucindezeleka, le mithi ingandisa ingozi yemicabango noma izenzo zokuzibulala ezinganeni nakubantu abasha, ikakhulukazi lapho beqala ukuthatha imithi .
Ungase wesabe kakhulu uma uzwa lokhu. Kodwa lokho akusho ukuthi akufanele unike ingane yakho lo muthi. Kodwa kusho ukuthi udinga ukuqaphela kakhulu futhi uqaphele . Udinga ukunaka kakhulu izinguquko ekuziphatheni nasemizweni yengane yakho.
Ingane yakho:
- Uma ubonisa izimpawu zokucindezeleka,
- Uma ukhuluma ngokuzilimaza,
- Uma sikhuluma ngokufa,
- Uma ubonisa izinguquko ezingavamile, ezisheshayo ekuziphatheni,
Shayela udokotela wakho ngokushesha, ngaphandle kokulibala. Noma umyise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Ungawuthathi kalula lo mngcipheko.
Umlayezo Wokuya Nawe Ekhaya
- Ama-SNRI ayindlela ehlukile yemithi evuselelayo ye-ADHD. Empeleni awuhlobo lwemithi yokucindezeleka futhi asetshenziswa 'ngaphandle kwelebula' le-ADHD.
- Kungathatha amasonto ambalwa ukubona umphumela ophelele wale mithi, ngakho-ke kubalulekile ukuba nesineke.
- Ungalokothi ushintshe umthamo wemithi yakho noma uyeke ukuyithatha ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi.
- Ingozi enkulu kakhulu ukuthi ingane yakho ingase icabange ukuzibulala ezigabeni zokuqala zokusebenzisa umuthi. Qaphela kakhulu indlela eziphatha ngayo.
- Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo, ukukhathazeka, noma imiphumela emibi ingane yakho engase ibe nayo. Ukuxhumana okuhle phakathi kwakho nodokotela wakho kubalulekile enhlalakahleni yengane yakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho