ABASEBENZI ABASEBENZI
Umntwana wam uthatha imipramine kwi-ADHD, kwaye andizange ndive ngaye nabani na othabatha le nyilisi ye-ADHD ngaphambili. Unyana wam oneminyaka eyi-16 uye wafika. Use-Adderall XR. Ndisebenzisana ne-ADD iminyaka kwaye ndandicinga ukuba umntwana wam unamayeza afanelekileyo kuba unina uthi uyindawo yokulala. Ngaba kunjalo?
Nangona i-imipramine ayithathwa njengemichiza yokuqala yomgca okanye ukhetho lokuqala oluqhelekileyo logqirha xa unyanga umntwana nge-ADHD, isenokusetyenziswa.
Ngokwezikhokelo ze- ADHD ezivela kwi-American Academy ye-Pediatrics kunye ne-American Academy of Child kunye ne-Adolescent Psychiatry, imithi yokuqala engasetyenziswa ekuphatheni abantwana abane-ADHD ibandakanya ukuvuselela, njengoRitalin no-Adderall, kunye nemithi emitsha engeyiyo imvuselelo.
Iifom zeRitalin ze-ADHD
Kukho iindidi ezininzi zeemethylphenidate okanye iRitalin, eziquka imfutshane (kabini ngosuku) kunye nokulungiselela ixesha elide (kanye kanye ngosuku). Ezinye iifom ezikhoyo ziquka:
- I-Concerta (i-methylphenidate ER) -yasebenza ixesha elide
- I-Daytrana (i-methylphenidate patch) -yasebenza ixesha elide
- I-Focalin (dexmethylphenidate) ne-Focalin XR
- I-CD yeMetadate (i-methylphenidate) -yasebenza ixesha elide
- I-Metadate ER (i-methylphenidate) -yasebenza ixesha elide
- I-Methylin (i-methylphenidate liquid) - i-short acting-acting
- I-Methylin ER (i-intermediate acting)
- Ritalin (methylphenidate) - i-short acting-acting
- Ritalin LA (methylphenidate) - ixesha elide
- Ritalin-SR (methylphenidate)
- I-Quillichew ER (i-methylphenidate ityableable) -yasebenza ixesha elide
- I-Quillivant XR (i-methylphenidate liquid) -yasebenza ixesha elide
Ngaphandle kwamachiza amasha, uStatrana, u-Quillichew ER, no-Quillivant XR, ezininzi zinokufumaneka kwiifom zendalo.
Iifomu ze-Amphetamine kwi-ADHD
Ama-stimulants ase-Amphetamine nawo afumaneka kwiifom ezahlukeneyo, kubandakanya i-short-acting (iphindwe kabini ngosuku) kunye nefom yexesha elide (kanye ngosuku), kuquka:
- Adderall (i-amphetamine isalts edibeneyo) - i-short acting-acting
- I-Adderall XR (i-amphetamine i-salts exubileyo) -yasebenza ixesha elide
- I-Adzenys XR i-ODT (i-amphetamine) -yasebenza ixesha elide
- I-Dexedrin (dextroamphetamine) - i-short acting-acting
- IproCentra (dextroamphetamine liquid) - i-short-acting
- UVavse (lisdexamfetamine) -kudala
Ngaphandle kwamachiza amasha, i-Adzenys XR ODT kunye neVavse, ezininzi zinokufumaneka kwiifom zendalo.
Ukungenzi izikhuthazo ze-ADHD
Ukongeza kwimishanguzo evuselelayo, kukho ezinye iindlela ezingenakuvuselela ukuphatha i-ADHD ngoku, kuquka:
- I-intan -release-extension-guanfacine
- I-Kapvay - i-Clonidine yokukhululwa
- Strattera
I-Strattera ayifumanekanga njengesizukulwana.
I-Second Line ADHD
Amachiza asemibini okanye eminye indlela eya kukhuthaza kunye ne-Strattera ngokuqhelekileyo zibandakanya i-anti-depressants, njenge-bupropion (Welbutrin), imipramine (eTofranil), ne-Nortriptyline (Pamelor), kunye ne-alpha-2-adrenergic agonists, njenge-clonidine (Catapres) kunye ne-guanfacine (iTenex ).
Ngokuqhelekileyo, oogqirha badla ngokuya kumachiza omgca wesibini xa umntwana engaphumeleli okanye engayinyamezelanga imithi emibini okanye ngaphezulu.
Ngokuvunyelwa kwe-FDA yeKapvay kunye ne-Intuniv ukunyanga abantwana abane-ADHD, i-American Academy ye-Pediatrics izikhokelo zamanje aziqwalaselanga imida yesibini ye-ADHD, endaweni yoko ithi:
- "kubantwana abaneminyaka engama-6 ubudala ubudala, unonophala-ntloko oyintloko kufuneka anikeze imishanguzo egunyazisiweyo ka-FDA ye-ADHD kunye / okanye utyando-olusekelwe kumzali-kunye / okanye uthatha unyango olawulwa ngumsebenzi njengonyango lwe-ADHD, ngokukhethekileyo zombini "
- kwaye ukuba "ubungqina bunamandla kakhulu kwimithi evuselelayo kwaye eyaneleyo kodwa engaphantsi kunamandla kwi-atomoxetine, i-guanfacine yokukhululwa kwandisiweyo, kunye ne-clonidine ekhululwayo (ngaloo ndlela)"
Iingcebiso zakutshanje ezivela kwi-American Academy of Child kunye ne-Adolescent Psychiatry, ukususela ngo-2007, usacacisa ukuba "ukuba akukho nanye wabasebenzi abangasentla abangela unyango olwanelisayo lwesigulane nge-ADHD, ugqirha kufuneka ahlolisise ngokuchanekileyo ukuxilongwa kwaye acinge unyango wokuziphatha kunye / okanye ukusetyenziswa kwamachiza angavunywanga yi-FDA kunyango lwe-ADHD. " Esi siphakamiso sishiya indawo evulelekileyo ukuzama amayeza afana ne-Wellbutrin kunye neMipramine, njl.
Ingaba i-stepon yakho yonyango efanelekileyo kwi-ADHD?
Oku kuxhomekeke kwindlela ayenzileyo ngayo. Ukuba iimpawu zakhe ze-ADHD ziphantsi kolawulo olufanelekileyo kwaye akanalo naluphi na umphumo, kwaye mhlawumbi unamachiza afanelekileyo, nangona ukuba akuyona imida okanye "imigca yokuqala" ye-ADHD. Ukuba ayenzi kakuhle, ngoko kufuneka ukhulume nomntwana wezilwanyana malunga nokulungelelanisa umthamo wakhe okanye ucinge ngamachiza ahlukeneyo.
Ewe, i-imipramine isetyenziselwa ukuphatha abantwana ngokulala, ngokubhekiselele ekuphatheni uxinzelelo kunye nezinye iimeko.
Into yokugqibela ukuyiqwalasela ukuba ukuba 'iimpawu zakhe ze-ADHD' zilungele imipramine kwaye akazange enze kakuhle ngokukhuthaza, mhlawumbi wayexinezelekile kwindawo yokuqala kwaye akazange abe ne-ADHD. Akunakwenzeka ukwenza isigqibo sangempela njengaye ngaphandle kolwazi oluninzi kunye novavanyo olusisiseko, kodwa into ecinga ngayo.
> Imithombo:
> I-American Academy ye-Pediatrics Guideline Practice Guideline. I-ADHD: Isikhokelo seNkcazo yokuSebenza, ukuVavanya kunye nokuPhathwa kweNkcazo-Ukulahleka / ukuxhatshazwa kwengxaki kwi-Children and Adolescents. Pediatrics. 108 (4): 1033.
> I-American Academy Yomntwana kunye ne-Adolescent Psychiatry. Yenza iParamameter yoVavanyo kunye noNyango lwaBantwana kunye ne-Adolescents nge-Attention-Deficit / Hyperactivity Disorder. J. AM. I-ACAD. CHILDADOLESC. I-PSYCHIATRY, 46: 7, JULY 2007