Iimpawu ze-ADH zidibene kakhulu nomngcipheko wokutshaya
Iintsholongwane kunye nabantu abadala abanenkinga yokunqongophala / ukuxhatshazwa komzimba ( ADHD ) banako ukutshaya umsila kunye nokuba yi-nicotine kuxhomekeke kunontanga yabo abangenayo i-ADHD. Kananjalo banokuthi baqale ukutshaya ngexesha elidlulileyo kwaye babe nexesha elinzima kakhulu ukuyeka ukuphumelela xa kuthelekiswa noluntu jikelele. Oku kubonakala ukuba inkxalabo yempilo yoluntu kuba ukusetyenziswa rhoqo kweegayibha kudibene nemiphumo emibi yempilo.
Ukongezelela, kubantu abaninzi, ukusetyenziswa kwesigarethi kungayifaka indlela yokusetyenziswa kweziyobisi.
Ubudlelwane phakathi kwe-ADHD kunye noTshwala
Kukho inani lezinto ezibonakala zifaka isandla kule mngcipheko wokubhema / ukusetyenziswa kwecuba ngabo ba-ADHD. I-Genetics inokudlala indima enkulu. Zombili i-ADHD kunye nokutshaya kukhulu kakhulu . Uphando lufumene inani labamaki abafake imfuyo efana ne-ADHD kunye nokutshaya. Ezi ziphumo zibonisa ukuba kukho izinto eziqhelekileyo ze-neurobiological ezinokubangela ukuphuhliswa kwe-ADHD kunye nomngcipheko womntu wokusetyenziswa kwecuba.
Izifundo eziye zahlolisana ubudlelwane phakathi kwamagciwane, ukutshaya kunye ne-ADHD zibonise ukuba iimpawu ze-ADH zidibanisa namajeni ukwenyusa umngcipheko wokutshaya. Ukongezelela, ukutywala ukutshaya ukubhema kunokusebenzisana namajeni ukwenzela ukwandisa iingxaki ze-ADHD. Nangona asiqondi kakuhle ngokupheleleyo iinkqubo eziphathekayo, zombini iimeko ze-neurobiological kunye nezokuziphatha zibonakala zinegalelo kule mizinga ephezulu yokutshaya kwabaselula kunye nabantu abadala abane-ADHD.
Iimpembelelo ezentlalo ezifana nokutywala ukutshaya ngamalungu entsapho kunye noontanga nazo ziphakamisa umngcipheko wokusetyenziswa kwecuba.
Iingxaki ngokulawulwa ngentsingiselo zingachaza nokuba kutheni abatsha nabaselula abane-ADHD banakho amathuba okubandakanya imikhwa engozi njengokutshaya. I-ADH ingenza kube nzima ukujonga ngokucacileyo kwixesha elizayo kwaye ucinge ngemiphumo emibi yempilo yezenzo zangoku.
I-Nicotine kunye noNyango
I-Nicotine yindlela eyaziwayo yentsholongwane evuselelayo kwaye ibonakala isebenza kwingqondo ngendlela efana ne-psychostimulants, i-methylphenidate kunye ne-dextroamphetamine esetyenziswa ngokuqhelekileyo ekuphatheni i-ADHD. Kwabanye abantu, i- nicotine (into ephambili yokulutha i-cigarettes) inokuthi isebenze njengendlela yokuzihlaziya izifo ze-ADHD. Funda ngokubanzi malunga nendlela ezikhuthazayo zisebenza ngayo ukuphatha i-ADHD .
Izifundo ezininzi ziye zafumanisa ukuba iicicin inokuphucula ingqalelo. "I-Nicotine inegalelo eluncedo kwiinkalo zeenkqubo ziyazi ukuba ziphazamiseke kubantu abane-ADHD, kubandakanywa ingqwalasela, ukulawulwa kokungavimba, kunye nokusebenza kwememori," kubhala uDkt. Scott Collins, uprofesa onxulumene nokugula kwengqondo kunye neengqondo zezokwelapha kwiDuke University School of Medicine kunye nomlawuli we-Duke ADHD Programme. "Ngaloo ndlela, bekuye kucetyiswa ukuba abo banesifo se-ADHD banomngcipheko ophezulu wokubhema ngenxa yemiphumo emihle ye-nicotine kwiinkqubo zeengcamango."
Kungenzeka ukuba i-nicotine inokunceda abanye ababhemayo nge-ADHD bahlawulela amanqanaba abo aphantsi, ukuvusa kunye nokugxininisa. Uphando olongezelelweyo lufunekayo kule ndawo ukuqonda ngokubanzi umphumo we-nicotin kwiimpawu ze-ADHD kwaye ukuba oku kunokwandisa umngcipheko wokutshaya kwabaselula kunye nabantu abadala abane-ADHD .
Ukunciphisa Ingozi yokuSuba
Siyazi ukuba abantu abane-ADHD ubumnyama kwizinga eziphezulu kakhulu kuneqela labo labangengabo-ADHD. Kucatshulwa ukuba ukutshaya abo abane-ADHD kunokunxibelelana kunye neyeza ngokwazo kwiimpawu ze-ADHD. Ngoko ke, kunokwenzeka ukuba ukuchonga nokuphatha i-ADHD kwangaphambili kunokuthintela ukuqala ukutshaya.
Uphando olupapashwe kwi- Journal of Pediatrics (kwi-intanethi: Agasti 2012) lubonisa isithembiso sokuba unyango lwe-ADHD lunokubangela ukuba kubekho umngcipheko wokutshaya kubaselula abane-ADHD . Abaphandi baseMassachusetts General Hospital kunye neHarvard Medical School baqhuba unyaka oneminyaka emibili, ukuvavanywa kwekliniki yokuxilwa kwe-methylphenidate ekukhuseleni ukutshaya kwintsholongwane.
Baqhathanisa nezifundo zecilisi ze-ADHD ezifumana i-methylphenidate ekhululwayo (Ritalin) kunye nesampula "yezifundo zemvelo" ze-ADHD ezisemncinane - ezinye zazo zazifumana izikhuthazo - kunye nabantwana abaselula abangazange bafumane i-ADHD. Isantya sokutshaya ekupheleni kweso sifundo sasingaphantsi kakhulu kwizifundo ze-ADHD ezazifumana unyango olushukumisayo kunokuba zikho kwizifundo ze-ADHD ezingekho, kwaye akukho mvelaphi ephawulekayo phakathi kwezifundo ze-ADH ezifumana unyango olukhuthazayo kunye nezifundo ezingezizo ze-ADHD.
"Nangona ziqwalaselwa kwangaphambili ukuya kuphinda zichazwe kwiimvavanyo zonyango ezizayo, iziphumo ezivela kule ndawo enye, ukufundwa kwelebula ezivulekileyo zibonisa ukuba unyango olukhuthazayo lunokubangela ukuba umngcipheko wokubhema kubantwana abane-ADHD," kusho abaphandi. "Ukuba kuqinisekiswa, oku kufumana kuya kuba neempembelelo ezibalulekileyo zezempilo kunye noluntu."
Uphando lwexesha elizayo lufunekayo ukuze kusinceda siqonde ngakumbi ukudibanisa phakathi kwe-ADHD kunye nokutshaya ukwenzela ukuba izicwangciso zendlela yokukhusela kunye nezonyango zingaphuhliswa ngakumbi, ngokukodwa iinkqubo zokuthintela ulutsha nge-ADHD.
Izinto Ezintshumi Ezinganeni Zakho Zifuna Ukwazi Nge-ADHD
> Umthombo:
> Francis Joseph McClernon noScott Haden > Kollins > ; 'I-ADHD kunye noTshaba: Ukusuka kwiGenesis ukuya ekubeni nokuziphatha,' Iingxelo zeNew York Academy of Sciences , ngo-Oktobha 2008; 1141: 131-147.
> Ubunzima beP, uJoshi G, uDoyle R, uGeorgiopoulos A, uGeller D, uSpencer T, oMncinci CR, uNikeone SV, uBeederman J; 'Ngaba izikhuthazo zokunciphisa umngcipheko > weCigarette Ukutshaya kwiNtshisekelo yolutsha kunye neNkcazo-Ukulahleka / ukuxhalabisa? IsiPhulo esiPhezulu, IsiKhathi esiPhezulu, IsiTyhulwa seTayitile sokuKhululwa kweMethylphenidate, i- Journal of Pediatrics, ngo- 2012 Agasti 7.
> UKenneth P. Tercyak; Caryn Lerman; UJanet Audrain; 'Umbutho weNkcazo-Ukulahleka / Ukungaxhatshazi kakuhle Iimpawu zeMigodi yeCigarette Ukubhema kwintlalo Umzekelo wabantwana abaselula,' J. Am. Acad. I-Child Adolescent Psychiatry , 41: 7, Julayi 2002.
> Scott > Kollins > , 'Kuphi Umsi, Kukhona ... .ADHD: Into ethi iNzululwazi ithi, Abantwana kunye nabantu abadala abakhathalelayo-Ukulahleka / ukuxhatshazwa kwengozi, ngo-Oktobha 2012.