5 mhando dzemishonga isiri iyo inosimudzira ADHD
Nepo zvinokurudzira zvinowanzosarudzwa kushandiswa kwemishonga inoshandiswa kurapa-kutadza-kushaya chirwere (hydactivity disorder) (ADHD), kune mimwe miviri isiri iyo inogutsa iyo inogona kurongerwa. Izvi zvinosanganisira atomoxetine, tricyclic antidepressants, venlafaxine, uye bupropion. Pakati idzi, atomoxetine yakave yakanyatsodzidza zvakanyanya kuti ishandiswe mukurapa ADHD kune vanhu vakuru nevana, inoratidzika kuva nemigumisiro shomanana kupfuura tricyclic inodzvinyirira, uye inoita seinobudirira kupfuura bupropion.
Zvisizvo-zvinokurudzira zvinogona kurongerwa kana iwe usingapindure kune zvinokurudzira , kana migumisiro yemigumisiro yekukurudzira yakawanda kwazvo, kana une nhoroondo yemamwe mamiriro emwoyo, kana iwe une nhoroondo yekushandisa zvinodhaka kana bipolar disorder.
Atomoxetine
Atomoxetine (Brand Name: Strattera) ndiyo yekutanga kusingagadziri mishonga yakave iyo FDA inogamuchirwa kuitira kurapwa kweAIDS mune vanhu vakuru nevana vanopfuura makore 6. Atomoxetine iri mukirasi yemishonga inozivikanwa sekusarudza norepinephrine reuptake inhibitors. Zvidzidzo zvakawana kuti ichi chirwere chinowedzera zviratidzo zveDHD uye zvinoderedza kushorwa uye kusazvibata mufambiro uye kuzvidya mwoyo.
Atomoxetine yakasiyana nemishonga inokurudzira nenzira dzakawanda. Atomoxetine haifaniri kunge yakasvibiswa uye naizvozvo haisi kuenzaniswa sezvinhu zvinodzorwa. Inoratidzika seine nguva yakareba yekuita seyekuenzanisa neinosimudzira, iyo inoshanda pazuva ravanotorwa, zvinoreva kuti mishonga yekurapa kwekusimudzira ingave yakakurumidza kuonekwa kana ichienzaniswa neatomoxetine.
Zvinogona kutora masvondo matanhatu kuti atomoxetine isvike pakurapa kwakanyanya. Kana imwe nguva yakawanda inogadziriswa inosvika, zvisinei, inopedza maawa makumi maviri nemasere uye inogonawo kutakura zvigaro kusvika zuva rakatevera. Atomoxetine inofanira kutorwa zuva rega rega, asi maitiro emagumisiro angangodedzwa-pamusoro pemagumo, semuenzaniso.
Zvimwe zvinokonzerwa neatomoxetine zvinogona kusanganisira stomachache, kuora kurasikirwa nemhaka yekuderedza kudya, kuora mwoyo, kurutsa, dutu, kuneta, muromo wakaoma, kuwedzerwa kwemwoyo uye kuwedzerwa kweropa, kushungurudzika, nekutsamwa.
Tricyclic Anodzvinyirira
Iyo tricyclic inodzvinyirira yakawanda inowanzoshandiswa mukurapa kweDHD inosanganisira desipramine (zita rechirume: Norpramin), imipramine (Tofranil), uye amitriptyline (Elavil), uye nortriptyline (Pamelor). Izvozvo zvinodzvinyirira zvinowanzoedzwa apo iwe usina kuratidza zvakanaka kugadzirisa zvinokurudzira. Zvinogonawo kunyorwa kana iwe une zviratidzo zvekuora mwoyo kana kufunganya kunze kweAdHD. Tricyclic vanodzvinyirira, sezvinosimudzira, anofungidzirwa kuwedzera muwandu we norepinephrine muuropi. Kusiyana nekufema, zvinogona kutora mazuva anoverengeka kana kunyange mavhiki mashomanana kuti vaone rubatsiro rwechirwere chetricyclic vanodzvinyirira, asi kana ichi chiyero chasvika, zvigaro zvekupedzisira zuva rose. Tricyclic vanodzvinyirira vanoda kutorwa zuva nezuva. Kushaya chirwere kana kumira mishonga pakarepo kunogona kukonzera aches uye zvirwere zvakadai semvura, saka kana iwe uchizoenda mishonga, iwe unofanirwa kubviswa zvishoma nezvishoma pane imwe nguva.
Zvimwe zvinokonzerwa ne tricyclic zvinodhaka zvinogona kusanganisira, kurara, kuoma muromo, kuvhiringidzika, kuonekwa kwakasviba, masimba, misoro, zviratidzo zvakajeka, uye kusuruvara.
Mamwe matambudziko makuru anokwanisa kusanganisira zvinetso nemwoyo kana moyo, sezvo tricyclic inoderedza zvinoderedza zvinogona kuderedza kuendesa kwechiratidzo chegetsi kumwoyo. Kana pane mhuri yematambudziko emwoyo kana une matambudziko emwoyo, idzi mishonga inofanira kushandiswa nekuchenjerera uye pedyo nekurapa kurapwa. Tricyclic vanodzvinyirira vanogonawo kuwedzera mungozi yekutambudzwa kune varwere vane nhoroondo yekushaya chirwere. Sezvakaita nemishonga yose, kushandiswa kwe tricyclic vanodzvinyirira kunoda kuswedera pedyo uye kubvunzurudza pamwe nekurapa chiremba.
Bupropion
Bupropion (zita rekuti: Wellbutrin) rudzi rwakasiyana rwerwere anonzi antidepressant rwakaratidzwa kuderedza zviratidzo zveAdHD uye kuora mwoyo mune varwere vakawanda.
Migumisiro inogona kusanganisira kusagadzikana, kuora muviri kunokonzerwa nekuderedza chido, kusuruvara, uye kuwedzera kwemai tic aripo, uye zvinogona kuita kuti vamwe vanhu vagadzirire kupera.
Venlafaxine
Venlafaxine (zita rechipiri: Effexor) dzimwe nguva rinoshandiswa kuronga ADHD. Inobatsira nekufungisisa uye mafungiro. Migumisiro inogona kusanganisira kudengenyeka, nyaya dzekurara, yakaoma muromo, zvinetso zvepabonde kune vanhu vakuru, kushungurudzika, nekuzvidya mwoyo.
Anti-Hypertensive Drugs
Pamusoro pemishonga inotevera, Clonidine (zita rechiratidzo: Catapres) uye guanfacine (zita rechiratidzo: Tenex), dzimwe nguva rinoshandiswa kubatsira kubata zviratidzo zveDHD. Mishonga iyi yose yakashandiswa pakurapa kukwirira kweropa, asi iyo yakawanikwa ichibatsira mukuderedza kusagadzikana uye zviratidzo zvisingaiti. Hazviiti sekuti zvinobudirira pakuvandudza zviratidzo zvekusaziva uye zvinowanzoshandiswa kushandura ADHD apo iwe usingakwanisi kutsungirira kana kuti usapindura kuStrattera kana zvinokurudzira.
> Sources:
> Vana neVakuru neChirangariro-Dambudziko / Kushaya Matambudziko (CHADD). Kurapa Mishonga. National Resource Center pane ADHD. 2017.
> Cleveland Clinic. Kucherechedza Kukanganiswa Kwekushaya Matambudziko (ADHD): Nonstimulant Therapy (Strattera) & Zvimwe Zvirwere Zvinodhaka. Yakavandudzwa musi waJuly 18, 2016.