ADHD Basics
Mwana wangu anotora imipramine kune ADHD, uye handina kunzwa nezvomunhu anotora iyi mishonga yeDHD kare. Mwanakomana wangu ane makore 16 ane ADD. Ari kuAdderall XR. Ndakatarisana neDAD kwemakore uye ndakanga ndichitsvaga kana mwana wangu aine mishonga yakarurama nokuti amai vake vanoti ndeyemubhedha wekunyura. Izvi ndizvo here?
Kunyange zvazvo imipramine isingatariswi mishonga yekutanga yemishonga kana kuti chiremba chinowanzosarudzwa chisarudzo pakubata mwana ane ADHD, rinogona kushandiswa.
Maererano neDHD Guidelines kubva kuAmerican Academy of Pediatrics uye American Academy of Child neAdolescent Psychiatry, mishonga yokutanga yemishonga inogona kushandiswa kubata vana vane ADHD inosanganisira zvinokurudzira, saRitalin neAdderall, uye mishonga isiri iyo inoita kuti munhu asashandise.
Mafomu aRitalin eAdHD
Ikozvino pane zvakawanda zvakasiyana-siyana zvemashylphenidate kana Ritalin, kusanganisira pfupi (kaviri pazuva) uye kwenguva refu-kuita (kamwe kamwe pazuva) kugadzirira. Mamwe mafomu akawanikwa anosanganisira:
- Concerta (methylphenidate ER) - kwenguva refu-kuita
- Daytrana (methylphenidate patch) - kwenguva yakareba
- Focalin (dexmethylphenidate) uye Focalin XR
- Metadate CD (methylphenidate) - yakareba-kuita
- Metadate ER (methylphenidate) - yakareba-kuita
- Methylin (methylphenidate liquid) - pfupi-kuita
- Methylin ER (pakati pemakore)
- Ritalin (methylphenidate) - pfupi-kuita
- Ritalin LA (methylphenidate) - kwenguva refu-kuita
- Ritalin-SR (methylphenidate) - pakati-kuita
- Quillichew ER (methylphenidate chewable) - kwenguva yakareba
- Quillivant XR (methylphenidate liquid) - yakareba-kuita
Kunze kwemishonga mitsva, Daytrana, Quillichew ER, uye Quillivant XR, dzakawanda dzinowanikwa mune maitiro akasiyana siyana.
Mafomu eAmphetamine kune ADHD
Amphetamine stimulants anowanikwawo nenzira dzakasiyana-siyana, kusanganisira nguva shoma (kaviri pazuva) uye kwenguva refu-kuita (kamwe pazuva) mafomu, kusanganisira:
- Adderall (yakasanganiswa amphetamine salts) - pfupi-kuita
- Adderall XR (yakavhenganiswa amphetamine salts) - yakareba-yakabata
- Adzenys XR ODT (amphetamine) - kwenguva yakareba
- Dexedrine (dextroamphetamine) - pfupi-kuita
- ProCentra (dextroamphetamine mvura) - pfupi-kuita
- Vyvanse (lisdexamfetamine) - kwenguva yakareba
Kunze kwemishonga mitsva, Adzenys XR ODT naVivvanse, vazhinji varipo mune maitiro evanhu.
Zvisiri-Zvinokurudzira zveDHD
Mukuwedzera kune mishonga inokurudzira, pane zvimwe zvisingaiti zvisingagadzirisi kutora ADHD ikozvino, kusanganisira:
- Intuniv - yakawedzerwa-kusunungurwa Guanfacine
- Kapvay - yakawedzerwa-kubudiswa Clonidine
- Strattera
Strattera haichiri kuwanika seyero.
Second Line ADHD Mishonga
Mushonga wemutsara wechipiri kana zvimwe zvinoshandiswa kune zvinokurudzira uye Strattera zvakagara zvichibatanidza zvinodzvinyirira, sebupropion (Welbutrin), imipramine (Tofranil), uye Nortriptyline (Pamelor), uye alpha-2-adrenergic agonists, yakafanana ne clonidine (Catapres) uye guanfacine (Tenex ).
Nenzira yakawanda, vanachiremba vanowanzoenda kumushonga wemutsara wechipiri apo mwana anenge akundikana kana asingatenderi mishonga miviri kana kupfuura yemitambo yekutanga.
Nechibvumirano che FDA chaKapvay neIntuniv yekurapa vana vane ADHD, yakapedzisira kuAmerica Academy yePediatrics mirayiridzo haina kutarisa mutsara wechipiri mishonga yeHDH, pane kutaura kuti:
- "kune vana vekuchikoro chepuraimari (makore 6-11), chiremba wepamusoro anofanira kupa mishonga inogamuchirwa neDAA yeDHD uye / kana kuti uchapupu hunotungamirirwa nemubereki-uye / kana mudzidzisi-hutano hwehutano hwekuita sehutano hweHADH, zvichida zvose "
- uye kuti "uchapupu hunonyanyove hwakasimba pamishonga inokurudzira uye yakakwana asi yakasimba kudarika yeatomoxetine, yakawedzerwa-release guanfacine, uye yakawedzerwa-kusunungurwa clonidine (nenzira iyoyo)"
Mazano ekupedzisira anobva kuAmerican Academy of Child uye Adolescent Psychiatry, kubva muna 2007, ichitaura kuti "kana hapana wevanoronga pamusoro apa achigadzira kurapa kunogutsa kwomurwere ane ADHD, chiremba anofanira kunyatsoongorora zvekuongorora uye ozofunga maitiro therapy uye / kana kushandiswa kwemishonga isingabvumirwi neDAA mukurapa kweDHD. " Izvi zvinokurudzirwa munzvimbo yakazaruka kuedza mishonga yakadai seWelbutrin neImipramine, nezvimwewo.
Ndizvo zvakaitawo mwana wako paanorapwa mishonga yeDHD?
Izvi zvinonyanya kubva pane zvaanoita zvakanaka. Kana zviratidzo zvake zve ADHD zviri pasi pekutonga kwakanaka uye iye asina kuve nemigumisiro, ipapo anogona kunge ari mishonga yakarurama, kunyange kana isiri yemirairo kana kuti "mutsara wokutanga" weDHD. Kana iye asiri kuita zvakanaka, iwe unofanira kunge uchitaura nevana vako nezvekugadzirisa chirwere chake kana kuongorora mishonga yakasiyana.
Uye hongu, imipramine inoshandiswawo kubata vana vane marara, pamwe nekurapa kuora mwoyo uye mamwe mamiriro.
Chinhu chokupedzisira chokufungisisa ndechekuti kana 'zviratidzo zvake zveHADH' zviri nani nemipirinine uye haana kuita zvakanaka neinosimudzira, zvino zvichida akanga achingoodzwa mwoyo pakutanga uye asina kumbobvira aine ADHD. Hazvibviri kuita mhedziso chaiye seyo pasina ruzivo rwakanyanya uye kuongorora kwakakwana, asi chimwe chinhu chokufunga nezvazvo.
> Sources:
> American Academy of Pediatrics Clinical Practice Guideline. ADHD: Clinical Practice Guideline yeKutsvaga, Kuongororwa, uye Kuchengetedzwa kweKucherechedza-Kukanganiswa / Kushaya Matambudziko muvana nevana vaduku. Pediatrics. 108 (4): 1033.
> American Academy of Child and Adolescent Psychiatry. Dzidzira Parameter yeKuongorora nekurapa kwevana nevana vaduku neKuchenjerera-Kukanganisa / Hyperactivity Disorder. J. AM. ACAD. CHILDADOLESC. PSYCHIATRY, 46: 7, JULY 2007