ADHD inowanzosanzwisiswa.
Kubvira pakuongororwa uye kuongororwa kuhutano hweDHD, vabereki vazhinji vanovhiringidzika nemashoko ose, uye zvizhinji zvemashoko asina kunaka, anowanikwa maererano neHDHD.
Kana iwe ukatora danho shure uye uchitarisa ADHD sekuita iwe unoita chero humwe huri husingaperi huri hutano hwehutano, sehmhm, chirwere cheshuga, kana kuora, ipapo iwe uchava nenguva yakareruka yekurera mwana wako neAdHD nekuwana rubatsiro.
Zviratidzo
Zviratidzo zve ADHD zvinowanzobatanidzwa mumapoka matatu makuru, kusanganisira:
- vane dambudziko kunyatsoteerera ( kusatarisira ) uye kutangiswa nyore nyore
- kuva hyperactive kana "pamba" ( kusashata )
- kuva nemwoyo murefu kana kuita zvinhu pasina kunyatsofunga nezvavo ( kusashuva )
Ramba uchiyeuka kuti vana vakawanda vanogona kutyisidzirwa pane dzimwe nguva kana kuva nehana shoperactive. Kuonekwa sechiratidzo chechokwadi cheDHD, zviratidzo izvi zvinofanirawo kunge zvichikonzera chimwe chinhu chekushaya simba, somuenzaniso, kutungamirira kumatambudziko emitemo, zvinetso zvekuchikoro , kuoma nekugadzirisa nekuchengeta shamwari, nezvimwewo.
Aina
Vana vanogona kunge vane ADHD kunyange kana vasina zviratidzo zvose zveAdHD. Izvozvo ndezvokuti kune marudzi akawanda eAdHD, kusanganisira:
- MHURI, Inattentive Type - iyo inosanganisira vana vana avo vane zviratidzo zvekusaziva, zvakadai sekusakwanisa kunyatsoteerera, kutsvaga nyore nyore, kukanganwa, nezvimwewo.
- ADHD, Hyperactive - Impulsive Type - iyo inosanganisira vana vana avo vane zviratidzo zvekushaya simba uye / kana kusagadzikana, zvakadai sokutsvaga zvakawanda, vane dambudziko kugara muchigaro chake, vachitaura zvakanyanya, vachienda, vachivhiringidza vamwe, vane dambudziko kumirira nguva yake, nezvimwewo.
- ADHD, Yakabatanidzwa Yechimiro - kana mwana ane zviratidzo zvikuru zveDHD
Vanhu vazhinji vanotaura nezveAdD uye ADHD sokunge kuti vaiva zvinhu zviviri zvakasiyana, kuchengetedza ADHD kana kucherechedza kushaya simba kwehutano hwevamwe vana vane hutachiona uye ADD kune avo vasiri. Zvose ADD neAdHD zvinongoreva mazwi ezvimwechete zveKuchenjerera Kunetseka Kwokunetseka Kwokunetseka asi uye hazvirevi kunyatsoratidza rudzi rweAdHD munhu ane.
Kuziva
Vabereki vari kutsvaga kuedza nokukurumidza kweAdHD vachazoodzwa mwoyo. Zvinosuruvarisa, hapana kuongororwa kweropa, x-ray, kana chimwe chiitiko cheDHD. Pane kudaro, chiremba wevana vako achaedza mwana wako kuti ADHD na:
- kubvunza vabereki vevabereki mibvunzo yakazaruka uye mibvunzo yakanyanyisa mubvunzurudzo
- kupa mapeji emibvunzo uye ADHD zviratidzo zvekucherechedza kana zviyero zveADHD zvevabereki nevadzidzisi
- kuongorora mwana kune mamwe mamiriro ezvinhu aripo, zvakadai sekuita mararamiro, kupikisa kusagadzikana kwepfungwa, kuora mwoyo, kuzvidya mwoyo, nekuremara kwekudzidza
Zvimwe zviongedzo zveAADH zvinowanikwa, asi zvakadaro, American Academy of Pediatrics inotaura kuti "mamwe mimwe miedzo yekuongororwa haisi kuratidzwa nguva dzose kuti ione kuongororwa kweAdHD." Izvi zvinosanganisira kuongorora nguva dzose kuenderera mberi kwepamusoro-soro, kuongororwa kwetachiona basa, kuongororwa kwepfungwa (MRI, CT, SPECT, PET Scans, nezvimwewo), electroencephalography (EEG), kana kuongororwa kushanda kusingaperi (CPTs).
Chiremba wevana vako inzvimbo yakanaka yekutanga apo iwe unonetseka kuti mwana wako ane ADHD, asi vamwe vashandi vehutano vanoedza kuongorora ADHD vanosanganisira vana vanachiremba epfungwa uye vanachiremba vepfungwa.
Kurapa
Kunyange zvazvo zvichiita seine dzakawanda zvehutano hwe ADHD dzaungashandisa kubata mwana wako neAdHD, mhando mbiri chete dzinokurudzirwa neAmerican Academy yePediatrics. Aya mazano ekurudzirwa kweHDHD mishonga yeDHD, kusanganisira zvinokurudzira uye zvisingaiti, uye maitiro ekurapa.
IAAP inotaura kuti kurapwa kwemaitiro kunogona kusanganisira "kurovedza mubereki muhutano hwekuita uye maitiro ekudzidzira maitiro ekirasi," uye funga nezve "matambudziko ehutano hwemwana uye matambudziko muhukama hwemhuri" kana pane zvaanoita mukirasi.
Zvakawanda zvekunyadzisa zvakapoteredza mishonga yeHDH , kunze kwekuti iyo inokurudzira, inotarisana nemigumisiro yavanoita. Pakutanga, kwaingova nemishonga miviri chete, Ritalin naAdderall, uye vakauya mune zvishomanana maseroji. Izvozvo zvaireva kuti mwana aifanira kubvumira chero mimwe migumisiro yaainge aine, yakadai sekurema, kurasikirwa, kana kunyange kuchinja muhupenyu kana aida kuramba achipora mishonga.
Nenzira yakanaka, pane ikozvino chisarudzo chikuru pane mishonga yeDHD uye mumwe nomumwe anowanikwa mune zvakasiyana-siyana zvemasero. Izvi zvinoita kuti zvive nyore kwazvo kutarisa mukana wevana kuti kuwedzere maitiro emishonga uye kuderedza kana kubvisa chero zvingava nemigumisiro.
Inowanzoshandiswa mishonga yeHIV inosanganisira:
- Methylphenidate- (kana kuti Ritalin ) -basi
- Concerta
- Daytrana (patch)
- Focalin na Focalin XR
- Metadate CD
- Metadate ER
- Methylin Chewable Tablets
- Methylin Oral Solution
- Methylin ER
- Ritalin
- Ritalin LA
- Ritalin SR
- Quillichew ER - iyo yakareba-iyo inoita basa ritalin
- Quillivant XR - iyo yakareba yakashandura mvura ye ritalin
- Amphetamine-based
- Adderall uye Adderall XR
- Dexedrine
- Vyvanse
- Adzenys XR ODT
- ProCentra - pfupi inoshandiswa mvura
- Non-stimulants
- Intuniv - yakawedzerwa kusunungurwa Guanfacine
- Kapvay - yakawedzerwa kusunungurwa Clonidine
- Strattera (kwete-stimulant)
Iyi mishonga inopesana nekureba kwenguva yakareba sei (nguva pfupi-inoshanda nekureba kwenguva yakaita), migumisiro yadzo (iyo inogona kusiyanisa kubva kumwana mumwe kune mumwe), uye mumhando ipi iyo iripo (capsules, patch, mapiritsi, nezvimwewo) . Kana munhu asingashande, chiremba wevana vako angangodaro agadzirisa chirwere chacho kana kuchinja kune imwe kusvikira uwana mushonga wakarurama wemwana wako.
Kana mishonga yemwana wenyu yeHDH isiri kushanda zvakanaka, unogona kudiwa rubatsiro rukuru, runogona kusanganisira:
- kuedzazve kuedza kusimbisa kuti mwana zvechokwadi ane ADHD
- kugadziriswa kuchikoro pasi peChikamu 504 cheRehabilitation Act kana vanhu Vane Disability Education Act (IDEA)
- behavioral therapy
- kuwana hope dzakanaka usiku
Kuongororwa nenyanzvi yepfungwa dzepfungwa uye / kana mwana wechiremba wepfungwa anogona kubatsira kana mwana wako ane ADHD achiri kuramba achirwisana pasinei nekurapa kwakanaka.
Sources:
AAP. Clinical Practice Guideline: ADHD: Chirongwa Chekuita Maitiro eKutsvaga, Kuongorora, uye Kuchengetedzwa kweKucherechedza-Kukanganiswa / Kushaya Matambudziko muvana nevana vaduku. Pediatrics, Nov 2011, 128 (5) 1007-1022
American Academy of Child uye Vachiri kuyaruka Psychiatry. Dzidzira Parameter yeKuongorora nekurapa kwevana nevana vaduku neKuchenjerera-Kukanganisa / Hyperactivity Disorder. J. AM. ACAD. CHILDADOLESC. PSYCHIATRY, 46: 7, JULY 2007.