Ingabe kunzima ngengane yakho, noma mhlawumbe ngisho nakuwe, ukugxila entweni eyodwa? Ingabe uzithola uzulazula, ungakwazi ukuqeda umsebenzi, ungakwazi ukugxila? Lesi simo sibizwa ngokuthi i-Attention Deficit Hyperactivity Disorder, noma njengoba sonke sazi , i-ADHD ( Attention Deficit Hyperactivity Disorder) . Imithi emibili odokotela abavame ukuyinikeza ukwelapha lesi simo yi-Vyvanse ne-Adderall. Nakuba ingase ibonakale ifana, kunezimo ezincane. Ngakho-ke namuhla, ake sixoxe ngale mithi emibili bese sithola ukuthi yimuphi ongcono kuwe noma enganeni yakho.
Yini ngempela i-Vyvanse ne-Adderall?
Kalula nje, i-Vyvanse ne-Adderall ziyizinhlobo ezimbili ezahlukene zemithi ezingaphansi kwesigaba se-stimulant. Zombili ziqukethe ikhemikhali ebizwa ngokuthi i-amphetamine . Le mithi isebenza ngokwandisa amazinga e-neurotransmitters abizwa ngokuthi i-dopamine ne- norepinephrine ebuchosheni bethu. La makhemikhali asisiza ukugxila, ukulawula imicabango yethu, nokuhlala sigxile esikoleni noma emsebenzini. Cishe abantu abayisishiyagalombili kwabayishumi abane-ADHD bangalawula izimpawu zabo ngale mithi evuselelayo.
Kodwa le mithi emibili ayifani. Kunomehluko omncane endleleni esebenza ngayo emizimbeni yethu kanye nemiphumela emibi engayibangela.
Kufanele ukhulume nodokotela wakho ukuze uthole umuthi ofanele kanye nomthamo ofanele wena. Umuthi wokuqala owunikezwayo ungase ungasebenzi kahle. Uma lokho kwenzeka, ungazama umuthi ohlukile. Lokhu kungaba inqubo ethatha isikhathi, ngakho ungesabi.
Ezinye izindlela zokwelashwa kwe-ADHD
Ngaphezu kwe-Vyvanse ne-Adderall, kunezinye izinto ezivuselelayo eziqukethe i-methylphenidate, njenge-Ritalin ne-Concerta. Nakuba lezi zingezona i-amphetamines, zisebenza ngendlela efanayo. Ezinye izinto ezivuselelayo zisetshenziselwa ukwelapha ukuphazamiseka kokudla ngokweqile, ukukhuluphala ngokweqile, kanye ne-narcolepsy.
Izilinganiso zale mithi emibili zihluke kanjani?
Kunomehluko ocacile phakathi kwemithamo yale mithi emibili nesikhathi esithathwayo ukusebenza emzimbeni.
- I-Adderall: Empeleni lokhu kuyinhlanganisela yezikhuthazi ezimbili ezibizwa nge -amphetamine -Dextroamphetamine . Iphilisi elivamile le-Adderall lihlala cishe amahora ama-4 emzimbeni. Kodwa-ke, kukhona uhlobo olusebenza isikhathi eside olubizwa nge -Adderall XR (Extended-Release).Uhlobo okuthiwa luhlala cishe amahora angu-8-12. Isizathu salokhu ukuthi ingxenye yembewu yezokwelapha engaphakathi kwe-capsule iyancibilika ngokushesha, kanti enye ingxenye iyancibilika kancane.
- I-Vyvanse: Lokhu kuqukethe i-compound ebizwa ngokuthi i-lisdexamfetamine dimesylate . Okwenza kube okukhethekile ukuthi ihlanganisa i-amphetamine evuselelayo ne-compound ebizwa ngokuthi i-lysine . Ukuze imizimba yethu ikwazi ukumunca i-stimulant kulesi sidakamizwa, ingxenye ye-lysine kumele iqale igaywe futhi isuswe. Ngenxa yale nqubo, umthamo owodwa we-Vyvanse ungahlala usebenza emzimbeni kuze kube amahora ayi-14.
Ngezinye izikhathi, ukuze alondoloze umphumela womuthi usuku lonke, udokotela angase anikeze umuthi osebenza isikhathi eside ekuseni kanye nomuthi osebenza isikhathi esifushane kusihlwa.
Masiqaphele nemiphumela emibi.
Ngenxa yokuthi yomibili le mithi iyavuselela, imiphumela emibi ifana kakhulu. Abanye abantu bangase bangabi nalutho lwalokhu, kodwa kubalulekile ukukuqaphela.
Kubaluleke kakhulu: Uma unesifo senhliziyo, kufanele ugweme ukuthatha imithi evuselelayo. Futhi, uma unezimo ezifana ne-psychosis, i-bipolar disorder, i-hyperactivity, noma i-epilepsy, le mithi ingenza lezo zimpawu zibe zimbi kakhulu. Ngakho-ke, kubalulekile ukutshela udokotela wakho umlando wakho wezokwelapha ophelele.
Ngezansi kuneminye yemiphumela emibi engaba khona evamile kuyo yomibili le mithi.
| Imiphumela emibi evamile | Eminye imiphumela emibi engaba khona |
|---|---|
| Ikhanda elibuhlungu | Ukungalali |
| Isiyezi | Ukungahlaliseki nokucasuka |
| Umlomo owomile | I-Anorexia kanye nokwehlisa isisindo |
| Umfutho wegazi okhuphukile | Ubuhlungu besisu, ukuhlanza, isifo sohudo, noma ukuqunjelwa |
| Ukwanda kwesilinganiso senhliziyo | Ukuqhuma kwesikhumba |
| Umbono ofiphele | Ukuthuthumela |
Ake sifunde nangemiphumela emibi yocansi.
Amanye amadoda asebenzisa i-Adderall angase abhekane nezinguquko ekumeni kwawo, njengobunzima bokuma , ukuqina kaningi, noma ukuhlala eqondile isikhathi eside ngokungavamile. Iphesenti elincane lamadoda asebenzisa i-Vyvanse nalo libike izinkinga ngokuma kanye nokwehla kwesifiso socansi. Uma uhlangabezana nalokhu, ungabi namahloni futhi ukhulume nodokotela wakho.
Ungaba umlutha wale mithi?
Yebo, lo ngumbuzo obaluleke kakhulu. Izikhuthazi zibhekwa njengezinto ezilawulwayo . Lokhu kusho ukuthi zithwala ingozi yokusetshenziswa kabi kanye nokulutha. Ngenxa yalesi sizathu, amanye amazwe anemingcele enanini elingathengwa ngesikhathi esisodwa.
Kodwa-ke, izidakamizwa ezisebenza isikhathi eside njenge-Adderall XR kanye ne-Vyvanse zenzelwe ukukhipha amakhemikhali azo kancane kancane emzimbeni, ngakho-ke zinomngcipheko ophansi kakhulu wokulutheka. Ngokuqondene ne-Vyvanse ikakhulukazi, ingxenye ye-lysine kufanele isuswe ngaphambi kokuba umzimba ukwazi ukumunca lesi sikhuthazi, okunciphisa kakhulu amathuba okusetshenziswa kabi.
Kodwa-ke, ngaphambi kokusebenzisa noma yimuphi umuthi, kubalulekile ukuxoxa ngezingozi nezinzuzo eziphelele nodokotela wakho.
Ingabe i-Vyvanse noma i-Adderall inamandla kakhulu?
Kunezifundo ezilinganiselwe eziqhathanisa ngqo le mithi emibili. Kodwa-ke, ukuhlaziywa kwezifundo ezingu-20 kuthole ukuthi nakuba yomibili imithi isebenza kahle ekulawuleni izimpawu ze-ADHD kubantu abadala, i-Vyvanse yayisebenza kangcono kancane .
Kodwa, "okunamandla" akusho ngaso sonke isikhathi ukuthi "okungcono kakhulu." Ufuna amakhemikhali akho obuchopho abe sezingeni lawo elifanele.Kuyindlela yokunakekela impilo, hhayi ukuvusa inkanuko ngokweqile. Ngezinye izikhathi ukuvusa inkanuko ngokweqile kungenza izimpawu zibe zimbi kakhulu.
Isibonelo, izingane zesikole zingadinga umuthi osebenza isikhathi esifushane ukuze zilale ubusuku bonke. Ayikho inguqulo ye-Vyvanse esebenza isikhathi esifushane. Ngakho-ke, udokotela wakho ungumuntu ongcono kakhulu wokunquma ukuthi yini engcono kakhulu kuwe noma enganeni yakho.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana kwezidakamizwa)
Lokhu futhi kuyinto okufanele uyicabangele nakanjani. Lo muthi we-ADHD ungasebenzisana neminye imithi wena noma ingane yakho eniyithathayo. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Ngezansi kunezinhlobo zemithi ezingase zihlangane nayo yomibili le mithi.
| Izidakamizwa ezidinga ukunakwa okukhethekile (Ukusebenzisana Okungaba Khona) | |
|---|---|
| Ama-MAOI (ama-inhibitor e-Monoamine oxidase) | Le mithi, esetshenziselwa ukwelapha izimo ezifana nokucindezeleka, akufanele ihlanganiswe nezinto ezivuselelayo. Izivuseleli akufanele ziqalwe izinsuku ezingu-14 ngemva kokuyeka i-MAOI. |
| Imithi ye-Serotonergic | Imithi evamile yokukhathazeka nokucindezeleka. |
| Ama-antidepressant e-Tricyclic | Olunye uhlobo lwemithi yokucindezeleka. |
| Ama-antihistamine | Imithi yokwelapha ukungezwani komzimba. |
| Imithi yokucindezela kwegazi | Njengoba le mithi ingakhuphula umfutho wegazi, kubalulekile ukwazisa udokotela wakho uma uthatha imithi yomfutho wegazi ophezulu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Vyvanse ne-Adderall yimithi emibili ekhuthazayo ephumelela kakhulu esetshenziselwa ukwelapha i-ADHD.
- I-Vyvanse ngokuvamile ihlala isikhathi eside emzimbeni kune-Adderall, futhi inengozi encane yokulutha.
- Yomibili le mithi ingabangela imiphumela emibi evamile njengekhanda elibuhlungu, ukuqwasha, kanye nokulahlekelwa yisifiso sokudla. Abantu abanesifo senhliziyo kufanele bagweme ukuyithatha.
- Umuthi "onamandla" awuhlali "ungcono." Kubalulekile ukukhetha umuthi kanye nomthamo ofanelana kahle nomzimba wakho, indlela ophila ngayo, kanye nezimpawu zakho.
- Ekugcineni, ukwelashwa okungcono kakhulu kuwe kufanele kunqunywe nguwe nodokotela wakho ngemva kwengxoxo. Ungaziniki imithi noma ushintshe umthamo.
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