Zvinofanira Kuzivikanwa Nevabereki Nekudengenyeka muvana
Apo mwana wako anoonekwa kuti ane kuora mwoyo , inogona kuva nguva inotyisa yemhuri yose. Kusarudza kana kutanga mwana wako pamishonga yekugadzirisa kuora mwoyo kunogona kuwedzera kuwedzeresa. Zvisinei, nemigumisiro yenguva pfupi uye yakareba yekushungurudzika - kufanana nehurombo hutsva hwekugarwa kwevanhu, kushandiswa kwezvinodhaka, kusagadzirisa zvidzidzo uye kuzviuraya nemafungiro - zvinokosha kuwana chirwere chakachengeteka uye chinoshanda kumwana wako.
Kuziva njodzi nemigumisiro yemishonga uye chii chatinofanira kutarisa kunogona kukubatsira kuita chisarudzo chekutenda kumwana wako.
Kukosha Kwokurapa Kuora Mwoyo muvana
Maererano neAmerican Academy of Pediatrics (AAP), 3% yevana vose vanoonekwa kuti vane kuora mwoyo. Ruzhinji rwevana vanogashira kurapa kurasikirwa kunoderera muzviratidzo zvavo mukati pemwedzi miviri. Zvinokurudzirwa kuti vana vagamuchire kurapwa nokukurumidza nekuda kwezvingazoitika pamigumisiro yakakomba yekusagadziriswa kwepfungwa.
Iyo Mishonga Yakakodzera Yevana Vako Here?
Mhando uye kuoma kwekuora mwoyo kwemwana wako kunobatsira kana kana kwete mishonga yakakodzera.
Nokuda kwepipolar depression disorder uye kuenzanisa kuoma kukuru kunetseka kwepfungwa (MDD), mushonga unowanzoonekwa, sezvinodiwa neAmerican Academy of Pediatrics. Nokuda kwemasimba akaoma ekudengenyeka, sekushungurudzika kwekushungurudzwa nekuda kwekurasikirwa kana chiitiko chinotambudza hupenyu, kupa mazano uye kutsigirwa kwemhuri kungave kwakakwana.
Mune chidzidzo chakabudiswa muna 2007, chakatsigirwa neThe National Institute of Mental Health (NIMH), fluoxetine - inozivikanwa zvikuru sePrazac - pamwe chete nekunzwisisa kwehutano hwehutano (CBT) yakaratidza kuvandudza kwevana vanodzvinyirirwa kupfuura kungoshandisa fluoxetine kana CBT chete. Sezvo zvakadaro, chirongwa chekubatanidza kurapa chinogona kunge chiri chakanakisisa kurapwa kwemwana wako.
Ndeapi Mishonga yePacychiatric Inonyorerwa Vana?
Iye zvino, fluoxetine ndiyo chete mishonga inogamuchirwa pamucheche kuora mwoyo kukuru (MDD) muUnited States. Fluoxetine ndiyo serotonin inoshandura reuptake inhibitor (SSRI), inowedzera yakawanda ye serotonin mumuviri. Serotonin inonzi neurotransmitter (ikemikari inobata uropi hunoita) iyo inopera muvanhu vane kuora mwoyo.
Zvimwe mishonga yekurapa bipolar disorder yakadai se lithiamu, tricyclic antidepressants (TCAs) uye monoamine oxidase inhibitors (MAOIs) inogonawo kuiswa. Iyi mishonga ishoma inowanzoshandiswa kuvana nekuda kwemigumisiro yavo yakaipa uye ruzivo rushoma pamusoro pemigumisiro yevana. Zvisinei, kubvunzurudzwa naDhiyabhorosi Philip Hazell, yakabudiswa muna 2002 muDhamasiko yeCochrane yeUkuongorora kwakagadziriswa , vakaona kuti pakanga pasina kubatsirwa kwekutarisira vana vane TCA vasati vava kuyaruka. Iyi mishonga haisi kungotaridzira serotonin, asiwo norepinephrine uye dopamine, iyo inofananidzwawo nevarwere vanora mwoyo.
Manyevero nemigumisiro yakaipa
Muna 2004, FDA yakabudisa nyevero iyo SSRI inoshandisa vana ingavaisa pangozi yakawanda yekuzviuraya nemafungiro. Zvisinei, muna 2007, semugumisiro wekutsvakurudza kwavo, NIMH yakabudisa chirevo chokuti kubatsirwa kweSSSRI kune vana vakaora mwoyo kunogona kupfuuridza chero njodzi ipi zvayo.
Uyezve, FDA inotsanangura kuti kuora mwoyo pachako kunounza mwana pane ngozi yakawanda yekuzviuraya nemafungiro.
Mishonga yeSSRI inogona kukonzera zviratidzo zvevanhu mune vamwe vana (uye vanhu vakuru) vane zvinetso zvepfungwa, nyika inosanganisira yakakwirira, inogumbura kana kuti mabhasikoro. Sezvo zvakadaro, zvinokosha kutarisa vana nekuda kwezviratidzo izvi.
Migumisiro yakaipa inowanzobatwa yeSSRIs ndeye musoro, kusuruvara, zvinetso zvekurara uye kunzwa jitteri.
Zvakaipa zvinokonzerwa ne tricyclic zvinodhaka zvinogona kunge zvakaoma muromo, kusvibiswa kwemaonero, kuvhiringidzika, kunetseka kubvongodza, kuderera kwemuviri kweropa uye kuchinja kwemwoyo kushanduka.
Zvose zvinowanzoitika kana kuti zvinowedzera kuipa zvinogadzirisa zvinofanira kukurumidza kukurukurwa nechiremba wemwana wako.
Kutevera chirongwa chinotarisirwa kurapwa kunokosha. Mishonga inofanira kungotorwa sezvinorayirwa uye haina kumbomira pasina mazano ekurapa.
Zvaunotarisira
Zvinogona kutora vhiki shomanana yekurapa kushandiswa ikoko kuti zviratidzo zvekuvandudzwa uye masvondo matanhatu kusvika ku8 kuti zvive zvakakwana. Kushandisa kwenguva refu kwemishonga ingasave yakakosha. Vana pamishonga yekuodzwa mwoyo kunofanira kunyatsoongororwa kuti kuve nekuvandudzwa, zvinetso zvakashata, nekuwedzera kuzviuraya pfungwa nemafambiro.
Iwe unogona kutarisira kutora basa rakaoma mumutambo wemishonga yemwana wako. Kutsanangurira mwana wako kunyatsoziva kuti mishonga ndeyei uye kuti ingamubata sei kunogona kukonzera kushungurudzika. Kukudziridza chiito chemishonga uye kuisa chimwe chinhu chinonakidza kunogona kuderedza kusagadzikana.
Kukurukura nehutano hwehutano hwemwana wako kunokosha. Kana zvakakodzera, zvinosanganisira vadzidzisi vevana vako kana vamwe vanochengeta vakabatsiri vanogona kubatsira mukupa rubatsiro nekubatsirana kuedza kubudirira.
Sources:
Kushungurudzwa Kwemishonga yevana nevana vaduku: Mashoko kune Vabereki nevanotarisira. National Institute on Mental Health. https://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/antidepressant-medications-for-children-and-adolescents-information-for-parents-and-caregivers.shtml
Kushungurudzika Kunoshandisa Vana, Vana Vachiri Kuyaruka, uye Vakuru. US Food and Drug Administration. https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273
P. Hazell, D. O'Connell, D. Heathcote, DA Henry. "Tricyclic Drugs for Depression in Children and Adolescents." Tsvakurudzo yeZvigadziro Zveshanduro 2002 2
Prozac Mishonga Gwaro. Eri Lilly neKambani. http://www.prozac.com/Pages/index.aspx
SBEA O'Connor, Eder, M. Whitlock, EP "Kuongorora Kuda Kwemwana uye Kuyaruka Mumitambo Yenheyo Yokutarisira Pasi: Chiratidzo Chiratidziro cheSouth Preventive Services Task Force." Pediatrics 4 Apr 09 123 (4): e716-e735.
SE Mwanakomana, JT Kirchner. "Kuora mwoyo muvana nevana vaduku." American Family Physician 15 Nov 2000.