I-Dexedrine yiphilisi ye-psychostimulant echanekileyo yokunyanga i- ADHD. Njengeminye imichiza evuselelayo, i-Dexedrin isebenza kwinkqubo yesantya ephakathi kunye nokwandisa inani le-neurotransmitters kwingqondo. Ukunyuka kwezi zimbini ze-neurotransmitter, i-dopamine kunye ne-norepinephrine, kunceda ukuphucula ukugxilwa komntu kunye nokugxininisa, kwaye kunciphise ukungaxhamli nokuziphatha okungathandekiyo.
Kukho amaqela amabini avuselela imithi-amphetamine kunye ne-methylphenidate. I-Dexedrine yilungu leentsapho zamachiza e-amphetamine, njengokuba zi-Adderall kunye neVivvanse. Imizekelo yeemithi ze-ADHD ezivela kwintsapho yama-methylphenidate yiRitalin ne-Focalin.
I-Dexedrin igama lorhwebo yesigqirha esakhiwa ngokupheleleyo nge dextroamphetamine. Itholakala kwiipilisi, kwaye njengama-capsules abizwa ngokuba yiDexrine Spansule:
- Iipilisi ze-Dexedrine zisebenza ngokufutshane, kwaye zisebenza ngokufanelekileyo malunga neeyure ezi-4 ukuya kwezi-6. Zivame ukuthathwa ezimbini okanye kathathu ngosuku.
- I-spansule ikhululwa ukukhululwa, kwaye ngoko kunjalo isebenza ngokufanelekileyo kwiiyure eziyi-8 ukuya kwi-10. Xa i-capsule ithathwa, i-dose yokuqala ikhutshwe ngokukhawuleza, kwaye imyeza esele ikhutshwa kancane kancane. Kuthathwa kanye ngosuku.
Imbali ye-Dexedrine
I-Dextroamphetamine yenye yeemithi ezindala kakhulu. Nanku ukujonga okukhawuleza kwimbali yayo:
- Ngama-1940- Kwiminyaka ye-1940, i-American company yemithi ebizwa ngokuba yiSmith, iKline neFransi kuqala yayithengisa imveliso ebizwa ngokuba yi-Dexedrine.
- Ema-1960s - I-United States yadlulisela umthetho owawufuna zonke iziyobisi kwimarike ukuba ziphumelele kwaye zikhuselekile. I-Food Food and Drug Administration (i-FDA) iqalile inkqubo ye-Drug Efficiency Study (I-DESI), eyavandlakanya zonke iziyobisi ezafumaneka phambi ko-1962. Inkqubo yavavanya iimveliso ezingama-3,443 kwaye yagqitywa ngo-1984. Ngethuba le-DESI, i-Dexedrin yavunywa i-narcolepsy kunye ne "hyperkinetic disorder of childhood." Le yigama libizwa ngokuba yi-ADHD.
- Ngowe- 1976 , i-Dexedrine Spansule yavunywa. Kwakufunyenwe ngaphambi kwalo mhla, kodwa kwakungazange kuvunywe ngokusemthethweni phantsi kwemigangatho yemvume ye-FDA yanamhlanje.
- Ngama-1990, ekuqaleni kwee-1990, iinkampani ezininzi zenza i-dextroamphetamine.
IiFom kunye neMilinganiselo
Iipilisi ze-Dexedrine ze-short-acting zifumaneka kwi-5-milligram (mg). I-Dexedrine Spansule iyatholakala kwi-5 mg, 10 mg, kunye ne-capsules eziyi-15 mg. Zomibini zivunyiwe yi-FDA kubantu abaneminyaka emithandathu ubudala nangaphezulu.
Ugqirha wakho uza kusebenza kunye nawe ukufumana i-dose yokwelapha efanelekileyo kuwe okanye wakho umntwana. Ngokuqhelekileyo, umthamo ophantsi ulingwa kuqala. I-dose yanda ngokunyuka ngama-milligridi amahlanu ngexesha kude kubekho umthamo ofunyenweyo owanceda iimpawu ze-ADHD. I dose ingaba ukusuka kwi-5 mg ukuya kwi-40 mg.
Iindleko
I-Dexedrin yigama lomhlaza wegama. Ukunikezelwa kwenyanga ngaphandle kwe-inshurensi kunokuhlawula i-$ 350, ngokuxhomekeka kwimizuzu kunye neqondo.
Uhlobo oluthile lwe-Dexedrine lubizwa ngokuba ngu-dextroamphetamine. Zombini iipilisi ezifutshane kunye nama-capsules ze-spansule zifumaneka kwiinguqulelo zesiqhelo. Nangona kunjalo, abanye abantu babika ukuba i-generic version ayisebenzisekanga, okanye baneempembelelo ezingenayo i-Dexedrine.
Ngaba i-Dexedrin iyanciphisa ukukhula komntwana?
Ngama-1970 kukho ukukhathazeka ukuba ukuthatha imithi evuselela inganciphisa okanye ikhuphe ukukhula komntwana.
Ngenxa yokuba i-Dexedrine yayingumuthi oqhelekileyo wamayeza e-ADHD ngelo xesha, abantu bahlala benxibelelana phakathi kwe-Dexedrine kunye neengxaki zokukhula kwabantwana.
Kwincwadi yakhe yokuthatha i-ADHD , uRussell Barkley, u-PhD, uchaza ukuba umngcipheko wokukhula ngokukhawuleza okanye ogqithisiweyo ngenxa yonyango elikhuthazayo kuncinci kunokuba bekucingelwa ukuba ngowama-1970.
Xa kukholwa ukuba i-ADHD ivuselela imithi ingathintela ukukhula, abazali bacebiswe ukuba banike iiholide zabo abantwana. Oku kuthetha ukuba abantwana baya kuthatha amachiza abo njengoko kuchazwe ngexesha lonyaka wesikolo, kodwa babeza kuphuka ngexesha leeholide zesikolo kwaye mhlawumbi ngeveki.
Namhlanje, njengokuba kunenkxalabo encinci malunga neyeza ezi-ADHD ezichaphazela ukukhula, iiholide zezilwanyana ziyisihloko ukuxoxa ngogqirha wengane yakho. Nangona unyango olushukumisayo lunceda ekufundeni, luye luncedise nezinye iinkalo zobomi bomntwana kuquka uxhumano loluntu (abahlobo kunye namalungu entsapho), kunye nokusebenza kwimisebenzi yokuzonwabisa kunye nemidlalo.
Oogqirha bahlala bejonga ukuphakama kwengane ngelixa umntwana ethatha imithi ekhuthazayo. Wena kunye nodokotela wengane wakho unokuthetha ngeenzuzo kunye nexabiso, ngokubhekiselele kumntwana wakho, ngokuthatha iyeza ngokumelene nokuphuka kwiyeza.
Ngaba i-Dexedrine Yenza Ubunzima bokulahlekelwa kwesisindo?
Ukuxuleka kunokubangela ukunqanda ukutya kwaye kubangele ukulahleka kwesisindo. Ukuba wena okanye umntwana wakho uzama ukugcina okanye ukufumana ubunzima, oku kungaba yingxaki. Kubalulekile ukuqinisekisa ukutya okunokondla okwaneleyo. Ukudla isidlo sasemini ngaphambi kokuthatha amayeza akho kunokunceda. Kwakhona, unokutya okufutshane ekufutshane xa unyango luqala ukugqoka. Soloko uthetha nogqirha wakho ngoko uyazi imeko kwaye angayijonga.
Imiphumela
Ezinye iziphumo eziqhelekileyo ze-Dexedrin ziquka intloko, ukulahleka kwesidlo, ukulahleka kwesisindo, umlomo owomileyo, ukugubha, ukusabalalisa nokugulisa isisu.
Kwabafazi: Thetha ugqirha wakho ukuba ukhulelwe, unesi, okanye uceba ukukhulelwa. I-Dexedrin iyinxalenye yeC, kwaye ingaba yingozi kumntwana ongakazalwa.
Ukusebenzisana kwezidakamizwa: Udlulise ugqirha wakho malunga nawo onke amayeza owathathayo, njengoko ayenokusebenzisana neDesrine. Oku kuthetha imithi echazwe kwaye i-over-counter-counter, kunye nezokwelapha zendalo.
Ukuba ufuna ukuyeka ukuthatha i-Dexedrine ngesizathu esithile, musa ukuyeka ngokukhawuleza. Thetha nogqirha wakho ukufumana uncedo lokufakela umthamo ukunciphisa okanye ukunciphisa imiphumo emibi.
Ngaba i-Dexrinrine isacacisiwe?
Ewe, i-Dexedrin isacetywayo. Nangona kunjalo, kuthathwa njengamayeza adala ase-ADHD. Akunjalo ngokubanzi njengoko kuchazwe njengamachiza amaninzi avuselelayo anjengo-Adderall noVivvanse .
Amachiza amatsha kunye neendlela ezizodwa zonyango zingakhululwa okanye zikhutshwe emzimbeni ziphuhliswa ngawo onke amaxesha. Olu phuhliso lwakuthetha ukuba amava omguli kunye nomgangatho wobomi ziphuculwe.
Ngokomzekelo, i-Dexedrin neVivvanse bobabini i-100% ye-dextroamphetamine. Nangona kunjalo, bahluke kwindlela yokuhambisa. UVavse uyisisiphelo. Iqukethe lisdexamfetamine, eguqulela kuphela kwi-dextroamphetamine xa ithatyathwa ngomlomo kwaye isetyenziswe ngama-enzymes omzimba. Le nkqubo ithatha malunga neeyure eziyi-1 ukuya kwezi-2. Akukho ukukhaba ngokukhawuleza okanye i-jolt emzimbeni xa unyango luqala ukusebenza. Ngenxa yoko, iVivanse idla ngokuchazwa nje ngeziyobisi eziphathekayo. Ukongezelela, kunokubakho ngaphantsi kwezahlulelo zonyango njengoko iziphumo zeziyobisi ziqala ukugqithisa.
Enye inzuzo kaVivvanse njengomdaka wecala kukuba akunakusetyenziswa kakubi. Ayikwazi ukuxinwa okanye ukujova njengendlela yokuphakama.
Abanye abantu, abaye bathatha i-Dexedrin ngexesha elidlulileyo baya kutshintshela kwisixhobo esitsha se-ADHD, kodwa kungekhona wonke umntu. Ugqirha wakho unokumisela i-Dexedrine ukuba uzame amayeza e-ADHD amasha kwaye awuzange ufumane ukukhululeka kwiimpawu ze-ADHD.
Ngaba i-Dexedrine iya kuba yinto ehlukile kuneRitalin?
Kungadanisa xa uzama unyango kwaye awusebenzi ngendlela othemba ngayo. Umntu ngamnye uya kuphendula ngokuthe ngqo kwiyeza ngalinye. Kwiincwadi zabo 'Iimpendulo Zokuphazamiseka,' oogqirha u-Edward Hallowell noJohn Ratey bathi uRitalin anganika ukuphaphama, amandla kunye nokukhuthazeka , ngelixa i-Dexedrin ilinganisela imizwa, inceda ekugxileni, kwaye ibonakala ikhumule.
I-klinikhi enolwazi uza kuphulaphula iimpawu zakho ze-ADHD uze ukhethe amayeza angcono kuwe. Umntu ngamnye ufumana iintlobo ezahlukeneyo kunye nemiphumo echaphazelekayo ngamachiza abo e-ADHD. Yingakho kukho ukuphindaphindiwe emva kokuba ufike kunye nogqirha wakho ukufumana unyango olufanelekileyo kunye nomyinge.
Ngaba i-Dexedrine ikhuselekile?
Abantu abanenkxalabo enkulu kunayo imithi ekhuthazayo kukuba ingaba ikhuselekile. I-Dexedrine yipilisi yeShedyuli II, kwaye oku kuthetha ukuba kunokusetyenziswa kakubi. Njalo thabatha amayeza akho njengoko kuchaziwe. Ukuba unembali yokusetyenziswa kakubi kweziyobisi, khuluma ngale nto kunye nogqirha wakho. Ugqirha wakho uya kuba nako ukunceda ufumane unyango olungileyo lwe-ADHD. Gcina amayeza akho kwindawo ephephile, kude nabanye abantu kwaye ungaze wabelane ngamayeza akho.
> Imithombo:
> Barkley, R. Ukunyanzelisa i-ADHD: Isiqulatho esigqibeleleyo, esigunyazisiweyo sabazali . I-Guilford Press, ngo-2013.
> Hallowell E, Ratey J. Uphendule Ukuphazamiseka , I-Anchor. 2010.
> Imeyili yokubambisana ne-FDA 17 ka-Epreli 2017.