Yog vim li cas abusing no cov tshuaj stimulant siv los kho ADHD tuaj yeem ua rau quav tshuaj
Ritalin muaj ntau rau cov me nyuam thiab cov neeg laus uas muaj ADHD, tiam sis nws kuj muaj kev tsim txom - thov nug cov lus nug, "Is Ritalin addictive?" Hmoov tsis, lo lus teb tsis yog ib qho yooj yim. Ntawm no yog vim li cas.
Cas Ua Haujlwm Ritalin
Ritalin, los yog hu ua methylphenidate, yog ib hom tshuaj uas yuav siv los kho cov teeb meem hauv cov laus thiab cov menyuam yaus, ntau tus neeg tau piav txog cov teeb meem ntawm cov tshuaj zoo.
Nws ua haujlwm feem ntau los ntawm kev ua kom cov neurotransmitter hu ua dopamine hauv lub hlwb. Ntawm lwm lub zog, dopamine yog txuam nrog Library, txav thiab saib xyuas.
Thaum noj cov tshuaj loj dua li kws kho mob, Ritalin ua rau kev zoo siab , ua rau kom muaj kev tiv thaiv rau qee tus neeg. Adderall, ib qho amphetamine, feem ntau kuj tau qhia rau ADHD, thiab ua haujlwm rau Ritalin.
Cov tshuaj yeeb dej caw feem ntau raug tsim txom txhawm rau ua kom tau zoo los ntawm kev ua haujlwm ntawm kev puas siab ntsws thiab kev siv lub cev, ua kom muaj kev zoo siab lossis ua kom muaj kev xav tau. Lawv tuaj yeem hais lus rau cov neeg uas muaj kev noj mov, kev quav yeeb quav tshuaj los yog teeb meem nrog kev rog, vim kev muaj zog los ntawm kev noj mov thiab kev tso dej. Cov tub ntxhais hluas qhia hais tias nws pab lawv txoj kev kawm ntawv thiab qee cov niam txiv tab txawm tseem lees paub nws. Cov neeg uas siv yeeb tshuaj rau cov laj thawj no tej zaum yuav muaj kev puas siab ntsws uas muaj peev xwm ua rau muaj kev tiv thaiv .
Yog tias noj npaum li cas raws li cov tshuaj uas tau muab, Ritalin feem ntau tsis suav tias yog hom tshuaj. Raws li tsis muaj cov koob tshuaj Ritalin, thiab cov tshuaj feem ntau pib qis qis thiab nce mus txog thaum ADHD cov tsos mob raug tswj, cov kev quav tshuaj tiv thaiv rau Ritalin tsis paub. Ib daim ntawv tshawb fawb txog cov kawm qib 12, tau qhia tias ntau tshaj 3 feem pua tau txais kev koom tes nrog Ritalin yam tsis tau muaj ntawv sau rau xyoo dhau los.
Ritalin tuaj yeem ua tshuaj yoojyim rau qee cov neeg, uas mus noj lwm yam tshuaj. Kev Ritalin tuaj yeem tsim cov kev paub ntxov txog kev siv yeeb tshuaj rau qee cov tub kawm ntawv. Thiab yog tias cov tshuaj no tau txhaj tshuaj ntau dua, los yog los ntawm cov kev uas ua kom qhov teeb meem loj tuaj - xws li nqus cov tshuaj los ntawm lub qhov ntswg los yog hno nws - qhov kev pheej hmoo ntawm kev tiv thaiv yuav ua rau.
Lwm cov teebmeem ntawm Ritalin
Txawm hais tias Ritalin feem ntau xam tau hais tias muaj kev nyab xeeb, muaj ntau yam kev nyuaj siab tsis zoo los xij thiab muaj peev xwm ua tau ntev ntev rau kev kho mob. Cov no suav nrog:
- Insomnia
- Nervousness
- Mob taub hau
- Txo kev noj qab haus huv
- Mob plab thiab lwm yam kev mob plab
- Cov kev mob tshwm sim hauv plawv (tachycardia thiab palpitations)
- Tsawg me ntsis nce hauv ntshav siab
Qee tus neeg mob siab rau kev kho mob rau kev kho mob ADHD tau sib cav hais tias qhov kev pheej hmoo ntawm cov kev mob tshwm sim tsis tsim nyog, thiab cov ntawv sau ntawm Ritalin, Adderall thiab lwm cov yeeb tshuaj tsis zoo rau cov me nyuam tshwj xeeb tshaj yog nyob rau hauv ntau qhov qauv uas lawv tau sau tseg hauv Tebchaws Meskas - thaum Kev coj tus cwj pwm ua tau qee zaum yuav tsum muaj kev cuam tshuam cov tsis muaj kev tawm tsam rau kev ua rau me nyuam yaus es tsis txhob kheesxawj.
Txawm hais tias cov tshuaj yog feem ntau thawj kab kev kho mob uas tau tswj kom tswj cov tsos mob ntawm ADHD, Ritalin thiab lwm yam tshuaj tsis yog kev kho mob nkaus xwb rau ADHD .
Thiab cov kws kho mob sib txawv muaj ntau yam kev pom zoo: hauv UK, piv txwv li, National Institute of Clinical Excellence (NICE) cov txheej txheem qhia tawm tias tsuas yog cov me nyuam uas muaj cov tsos mob ntawm ADHD xwb yuav tsum raug suav hais tias yog siv tshuaj kho thawj kab kho. Cov kab mob kuj yuav pom tau tias yog cov neeg tsis tshua mob hnyav rau cov neeg uas tsis tuaj yeem tawm tswv yim txog cov kev xav psychotherapeutic.
Cov kev kho mob uas tsis haum rau ADHD muaj xws li ntau ntawm cov kev pab cuam ntawm kev sib raug zoo, kev xav thiab kev coj tus cwj pwm. Feem ntau ntawm cov kev pab cuam no yuav ua haujlwm ncaj nraim nrog tus menyuam, tab sis qee cov koom nrog niam txiv, cov saib xyuas thiab cov xib fwb.
Cov kev pabcuam kev noj haus kuj yuav pab tau thaum qee cov khoom noj ua rau hnyav heev. Piv txwv, neurotherapy tau qhia rau hauv kev tshawb fawb kom zoo, ntev, tsis pub muaj kev xaiv tshuaj rau kev kho mob.
Cov niam txiv feem ntau tsis totaub los ntawm kev siv cov stimulants kom siab nqig tus menyuam nrog ADHD. Qhov kev txiav txim siab pes tsawg ntawm qhov no yog txoj thiab tsis paub tseeb, tab sis cov stimulants txhim kho kom zoo thiab ua haujlwm ntawm lub hauv ntej cortex nyob rau hauv lub hlwb, tso cai zoo dua ntawm tus cwj pwm thiab impulsivity.
Qhov chaw:
Alhambra, MA, Fowler, TP, & Alhambra, AA "EEG biofeedback: Ib qho kev xaiv tshiab rau ADD / ADHD." Cov Ntawv Teev Tseg Zuaj Siab , 1: 39-43. 1995.
Baughman, Jr., MD, F. & Hovey, C. ADHD Kev Dag Zog: Yuav Ua Li Cas Psychiatry Ua Tau "Cov Neeg Mob" ntawm Cov Menyuam Me Nyuam. Victoria, BC: Trafford Publishing. 2005.
Fuchs, T., Birbaumer, N., Lutzenberger, W., Gruzelier, J., & Kaiser, J. "Neurofeedback kev kho mob tsis meej / qhov tsis zoo ntawm cov menyuam yaus: Ib qho kev sib piv nrog methyphenidate." Applied Psychophysiology thiab Biofeedback , 28: 1-12. 2003.
Kaiser, DA, & Othmer, S. "Kev cuam tshuam ntawm neurofeedback rau zog ntawm kev ua haujlwm nyob rau hauv ntau qhov chaw sib hais loj." Phau Tshuaj ntawm Cov Chaw Kho Mob Neurotherapy , 4: 5-15. 2000.
Linden, M., Habib, T, & Radojevic, V. "Ib txoj kev kawm tswj hwm ntawm EEG biofeedback txog kev paub thiab kev coj tus cwj pwm ntawm cov menyuam uas muaj kev paub tsis meej thiab kev xiam oob khab." Biofeedback thiab Kev Tswj Tus Kheej , 21: 35-49. 1996.
Kev ntsuam xyuas ntawm kev ua haujlwm ntawm EEG neurofeedback rau ADHD hauv qhov chaw kho mob raws li ntsuas los ntawm kev hloov ntawm TOVA cov qhab nia, kev ntsuam xyuas tus cwj pwm, kev ntsuam xyuas tus cwj pwm, thiab WISC- "Lubar, J., Swartwood, M., Swartwood, J. & O'Donnell, P." R ua tau zoo. " Biofeedback thiab Kev Tswj Tus Kheej , 20: 83-99. 1995.
Monastra, V., Monastra, D. & George, S. "Cov teebmeem ntawm txoj kev kho stimulant, EEG biofeedback, thiab kev ua niam txiv nyob rau ntawm cov thawj cov tsos mob ntawm qhov muaj kev txhawj xeeb-tsis meej / kev tsis taus." Applied Psychophysiology thiab Biofeedback , 27: 231-249. 2002.
National Institutes of Health. "NIDA InfoFacts: Kev Noj Tshuaj ADHD Stimulant - Methylphenidate thiab Amphetamines." Tshawb nrhiav 29 Lub Kaum Ib Hlis 2009.
National Institute for Health and Clinical Excellence (NICE). "Methylphenidate, atomoxetine thiab dexamfetamine rau kev paub tsis meej hyperactivity teeb meem (ADHD) hauv cov menyuam yaus thiab tub ntxhais hluas." 2006.
Rossiter, T. & La Vaque, T. "Ib qho kev sib piv ntawm EEG biofeedback thiab psychostimulants nyob rau hauv kev kho mob tshaj qhov muaj peev xwm / mob siab." Phau Ntawv Muab Hom Tshuaj Neurotherapy, 1: 48-59. 1995.
Swingle, P. Biofeedback rau lub paj hlwb: Yuav ua li cas cov Neurotherapy Effectively Treats Depression, ADHD, Autism thiab Ntau . New York: Rutgers University Xovxwm. 2008.