Feem Ntau Cov Kev Los Ntawm Tshuaj Tiv Thaiv ntawm ADHD Cov Tshuaj thiab Yuav Tsum Tau Them Nqi
Cov me nyuam nrog ADHD tuaj yeem muaj lub siab luv thiab yuav muaj teeb meem ua kom tsis muaj zog thiab ua tsis taus pa. Qhov ntawd txhais tau hais tias lawv yuav tsis ua haujlwm zoo hauv tsev kawm ntawv, tej zaum yuav muaj teeb meem los ua phooj ywg, thiab tej zaum tseem muaj teeb meem tom tsev thiab tom qab lawb ntawv.
Qhov zoo ces, kev kho mob yuav pab tswj cov tsos mob ntawm ADHD rau ntau tus menyuam. Cov kev kho no feem ntau yog ADHD tshuaj thiab kev coj tus cwj pwm, txawm hais tias nws yog kev coj tus cwj pwm tsis zoo nrog tus kws kho mob siab lossis tus kws pab tswv yim, los yog cov kauj ruam yooj yim uas cov niam txiv thiab cov xib fwb tau kawm hloov tus me nyuam tus cwj pwm kom pab tau lawv kom muaj kev sib koom, tsis txhob cuam tshuam, thiab coj tus cwj pwm ntau dua tsim nyog.
ADHD tshuaj
Cov tshuaj ADHD tau ntev ua ib feem ntawm cov kev npaj khomob rau ntau tus menyuam nrog ADHD.
Cov tshuaj ADHD tam sim no muaj xws li:
- Cov Qib Ywj Pheej Luv Luv: Adderall, Dexedrine , Focalin, Ritalin
- Intermediate Acting Stimulants: Dexedrine Spansule, Metadate ER, Ritalin SR
- Kev Nyuaj Siab Ntev: Adderall XR, Concerta , Daytrana , Focalin XR, Metadate CD, Ritalin LA, Vyvanse
- Nonstimulants: Intuniv , Strattera
Cov ntawv teev ua rau zoo li muaj ntau hom tshuaj ADHD ntau los xaiv, tshwj xeeb tshaj yog tias koj tus me nyuam muaj mob rau ib los yog ntau dua ntawm cov tshuaj. Koj cov kev xaiv sai sai thaum koj to taub tias cov stimulants yog cov ntaub ntawv tiag tiag thiab txawv ntawm ob hom ADHD tshuaj - methylphenidate (Ritalin) thiab tshuaj amphetamine raws li:
- Methylphenidate (Ritalin) raws li ADHD tshuaj: Concerta, Daytrana, Focalin thiab Focalin XR, Metadate CD thiab Metadate ER, Ritalin LA thiab Ritalin SR
- Amphetamine-based ADHD cov tshuaj: Adderall thiab Adderall XR, Dexedrine thiab Dexedrine Spansule, Vyvanse
Vim li cas ntau yam tshuaj ADHD yog tias lawv zoo sib xws? Hauv qee qhov mob, cov tshuaj no tsuas muaj ntau hom kev kho uas ua kom lawv ntev tshaj. Piv txwv, Concerta yuav tsum tau siv 12 xuab moos, thaum Ritalin SR feem ntau tsuas kav li 8 teev, txawm tias nkawd ob leeg muaj methylphenidate ua lawv cov khoom sib txuam.
Lwm cov xwm txheej, txoj kev uas koj noj cov tshuaj no txawv dua, xws li lub Nruab Hnub Nruas lub cev.
Lwm Cov Kev Mob ntawm ADHD Tshuaj
Txawm hais tias cov tshuaj ADHD no pab tau ntau tus menyuam tswj hwm lawv tus kabmob ADHD, qee tus niamtxiv tseem tseem tos tsis tau lawv tus menyuam noj yam tshuaj xws li Ritalin lossis Adderall vim tias lawv txhawj xeeb txog cov kev mob tshwm sim.
Qee zaum, cov kev txhawj xeeb yog qhov ncaj ncees. Cov tshuaj tua kab mob uas siv los kho ADHD yog qhov tsis zoo rau qhov ua rau tsis qab los noj mov, hnyav poob, pw tsis tsaug zog, thiab mob taub hau.
Feem ntau ntawm cov kev mob tshwm sim yog ib ntus los yog tswj tau yooj yim los ntawm kev txo cov tshuaj noj kom tsawg.
Qee tus niam txiv tau txhawj xeeb txog qhov kev xav ntawm kev noj tshuaj ADHD, yog muaj kev txhawj xeeb txog Ritalin, los yog txhawj xeeb tias cov tshuaj yuav ua rau lawv cov me nyuam npau taws, muaj kev nyuab siab, los sis tsis zoo, xws li zombie. Qhov zoo tshaj, cov no tsis yog cov kev mob tshwm sim ntawm cov tshuaj ADHD, thiab yog tias lawv tshwm sim, koj tus kws kho menyuam yaus yuav tsis kam noj tshuaj lossis txo cov tshuaj noj kom tsawg.
Lwm cov kev mob tshwm sim uas niam txiv feem ntau txhawj xeeb txog thaum pib lawv tus menyuam rau ntawm ib qho tshuaj ADHD muaj xws li:
- Tics - Kev txhawj xeeb tshaj tics yuav muaj peev xwm vim tias tag nrho cov kev cai teev npe tics ua ib qho contraindication rau lawv raug sau tseg. Muaj ntau cov kws qhia ADHD tsis xav tias cov tshuaj stimulants, xws li Ritalin, ua rau los yog ua phem dua tics txawm tias, thiab ADHD thiab mob nyhav nyhav dhau los ua rau cov menyuam yaus ua ke.
- Sudden Death - Stimulants kuj tau ceeb toom tias lawv yuav ua rau muaj kev tuag ntawm cov me nyuam uas muaj teeb meem ntawm lub plawv lossis lwm yam teeb meem ntawm lub plawv, xws li kev mob plawv los yog mob plawv tsis zoo. Qhia rau koj tus kws kho mob hais txog txhua yam teeb meem ntawm lub plawv uas koj tus me nyuam tau ua ntej pib muaj qhov stimulant los saib seb puas muaj EKG lossis lwm hom tshuaj kho mob.
- Kev Tua Yus Tus Kheej - Strattera muaj kev ceeb toom txog kev pheej hmoo siab rau kev xav phem , uas yog qhov tseem ceeb rau kev saib xyuas koj tus me nyuam rau kev hloov hauv kev xav thiab tus cwj pwm thaum pib los yog hloov cov tshuaj Strattera.
Kev Tsom Ntsuas Kev Tivthaiv
Ib txoj kev zoo tshaj plaws los txo cov kev mob tshwm sim ntawm ADHD tshuaj yog kom muaj kev cia siab tiag tiag rau qhov koj xav tias cov tshuaj yuav ua rau koj tus menyuam.
Piv txwv li, yog tias koj tus me nyuam muaj qhov tsis zoo thiab tsis xav tias nws muaj teeb meem txhua hnub hauv tsev kawm ntawv, nws yuav ua li cas yog tias nws tseem muaj teeb meem me ntsis rau kev hais lus txhua ob asthiv.
Cov kws kho mob, cov niam txiv, thiab cov xib fwb qee zaum muaj teeb meem thaum lawv pheej noj cov tshuaj noj kom tau sim thiab tau tag nrho kev tswj hwm ntawm ADHD cov tsos mob, thaum lub hom phiaj tej zaum yuav tsum yooj yim txo kev coj cwj pwm, txhim kho kev kawm hauv tsev kawm ntawv, thiab txhim kho kev sib raug zoo nrog tsev neeg thiab phooj ywg.
Lwm cov tswv yim los txo cov kev mob tshwm sim los ntawm ADHD cov tshuaj:
- Pib nrog qhov uas tsis muaj hnub nyoog, pib hnub nyoog tsim nyog ntawm cov tshuaj.
- Hauv txoj kev taw qhia ntawm koj tus kws kho mob, ua rau kom noj tshuaj txhua txhua ib mus rau peb lub lis piam kom txog thaum zoo li ua hauj lwm zoo los yog koj tus me nyuam pib muaj kev mob tshwm sim.
- Xav txog qhov hloov mus rau lwm hom ADHD tshuaj yog tias koj tus menyuam pib muaj ntau yam kev mob tshwm sim uas tsis pab los ntawm kev txo tshuaj noj. Piv txwv, yog tias koj tus me nyuam noj ib qho tshuaj AMH amine raws li ADHD, xws li Vyvanse, ces koj yuav hloov mus rau methylphenidate (Ritalin) raws li ADHD tshuaj tom ntej.
- Nug koj tus menyuam lub cev yog tias koj tus menyuam tuaj yeem noj nws cov tshuaj Strattera thaum sijhawm pw los tau yog tias nws ua rau mob hnyav heev.
- Xav txog ob peb yam ntxiv cov khoom noj txom ncauj zoo thiab cov khoom noj uas muaj calorie ntau yog tias nws lub ntsiab tseem ceeb yog tsis qab los noj mov thiab poob los sis muaj teeb meem loj tuaj.
- Mus saib koj tus kws kho mob rau ADHD cov kev kuaj mob li niaj zaus, thiab tsawg kawg txhua 3 mus rau 6 lub hlis, los saib xyuas koj tus menyuam lub plawv dhia, ntshav siab, thiab siab thiab hnyav kom paub meej tias nws loj hlob zoo.
- To taub tias koj yuav tsis muaj peev xwm tswj tag nrho koj tus menyuam tus kab mob ADHD nrog kev siv tshuaj, tshwj xeeb tshaj yog tias nws muaj kev phiv tshuaj rau ntawm cov tshuaj siv ntau. Tsuas yog txo cov kev mob ntawm cov tsos mob kuj yuav yog koj lub hom phiaj, nrog rau kev coj tus cwj pwm , thiab tej zaum yuav hloov kho tom tsev kawm ntawv.
- Yog tias koj tus menyuam tsis ua haujlwm zoo tomqab nws sim ntau hom tshuaj ADHD thiab ntau npaum li cas, nws tsis ua rau nws noj ntau dua, nws yuav ua rau muaj kev phiv ntau dua, nws xav tias nws yuav tsis muaj ADHD lossis nws muaj kabmob tsis haumxeeb, xws li kev nyuaj siab lossis kev xiam hoob qhab.
Qhov chaw:
American Academy of Pediatrics. Kev Qhia Ua Txhaum Cai: Kev Kho Mob ntawm Tsev Kawm Ntawv-Hnub Nyoog Nrog Kev Ntsuam Xyuas Tsis Taus / Kev Mob Siab Tsis Taus (Hyperactivity Disorder). PEDIATRICS Vol. 108 Tsis muaj 4 Lub Kaum Hlis 2001, pp. 1033-1044.
Phau ntawv Journal ntawm American Academy of Child and Adolescent Psychiatry. Xyaum Cov Qauv Ntsuas Kev Ntsuam Xyuas thiab Kev Kho Mob ntawm Cov Menyuam Yaus thiab Cov Hluas Uas Muaj Feem Xyuam Tsis Taus / Kev Tiv Thaiv Mob Siab. Volume 46, Issue 7 (Lub Xya Hli Ntuj 2007).