Kodi mankhwala osokoneza bongo angapangitse ana kukhala opanda thanzi kukhala chithandizo choyenera kwa achikulire olefuka? Zosamveka ngati zikumveka, zikhoza kukhala.
Madokotala ena amapereka mankhwala osokoneza bongo ADD / ADHD kwa odwala awo omwe ali ndi matenda otopa ( ME / CFS ) ndipo amati awona zotsatira zabwino. Tili ndi umboni wochuluka wokhudzana ndi izi, koma kufufuza kwina n'kofunika.
Mankhwalawa amatchulidwa ngati neurostimulants, kutanthauza kuti amachititsa ubongo kuchita. Amagwiritsidwa ntchito kwa ADD / ADHD chifukwa, chodabwitsa, amakhala ndi zotsatira zowononga ADD / ADHD. Chifukwa chake, zimakhala zomveka kuti zingakhale zothandiza pamkhalidwe wotanthauzira ndi kutopa.
Matenda otchuka kwambiri ndi:
- Ritalin ndi Concerta , omwe ali ndi methylphenidate
- Kutsekemera, komwe kuli dextroamphetamine
- Adderall, yomwe ili ndi amphetamine ndi dextroamphetamine
- Vyvanse, yomwe ili ndi lisdexamfetamine
N'chifukwa Chiyani Mukugwiritsa Ntchito Neurostimulants?
Njira yeniyeni ya mankhwalawa siidadziwike (yomwe imakhala yowonongeka mu mankhwala omwe amakhudza ubongo), koma amakhulupirira kuti kusintha kwapezeka kwa mavoti awiri a neurotransmitter- norepinephrine ndi dopamine -omwe amalingaliridwa kuti ali osokonezedwa mu ADD onse awiri / ADHD ndi ME / CFS.
Norepinephrine yochepa imalumikizidwa ndi vuto la kusamala ndi kukumbukira, pamene kusowa kwa dopamine kumagwirizana ndi kufooka kwa chidziwitso ndi kusakhoza kuika chidwi.
Izi ndizizindikiro kuti zinthu ziwirizi zimagwirizana.
Phunziro limodzi laling'ono linasonyeza kuti, akuluakulu, zinthu ziwirizi zimagwirizana ndi zizindikiro zambiri, kuphatikizapo kutopa, kufalikira kwa minofu, ndi matenda a fibromyalgia , omwe ndi ofanana ndi ME / CFS omwe amatanthauzanso kuchepetsa norepinephrine ndi dopamine.
Madokotala ena amaganiza kuti ana omwe ali ndi ADD / ADHD akhoza kukhala pangozi yopanga ME / CFS monga akulu, ndipo phunziro laling'ono la 2013 lomwe linatulutsidwa mu nyuzipepala ya Postgraduate Medicine limachirikiza lingalirolo. Ochita kafukufuku adawunika milandu itatu ya ME / CFS imene wodwalayo sanayankhe bwino. Iwo adapeza kuti onse atatuwa adakumana ndi chiwerengero cha ADHD ndipo adachitapo kanthu pa mankhwalawa ndi mavotitimulants. Anaganiza kuti ADHD ndi ME / CFS (komanso mwina fibromyalgia) mwachidziwikire amakhala ndi njira zowonongeka, komanso kuti ADHD ikhoza kusintha mu ME / CFS kapena zofanana.
Kafukufuku mu The American Journal of Medicine pa methylphenidate kwa ME / CFS inasonyeza kusintha kwakukulu kwa pafupifupi makumi awiri peresenti ya ophunzira. Izi sizowonjezereka kwambiri.
Komabe, ofufuza ambiri amakhulupirira kuti ME / CFS ili ndi magulu angapo omwe aliyense amafunikira chithandizo chosiyana. Kodi anthu omwe adayankha mankhwala a methylphenidate amaimira gulu linalake? Sitinadziwe zokwanira kunena njira iliyonse.
Kufufuza koyambirira kwa dextroamphetamine yofalitsidwa mu Psychosomatics kunasonyeza kuti anthu 9 mwa khumi aliwonse omwe ali ndi ME / CFS anali atatopa kwambiri pamene adamwa mankhwala poyerekeza ndi malo a placebo.
Mu 2015, kafukufuku wina anatuluka mu Clinical and Experimental Obstetrics & Gynecology yomwe inapeza dextroamphetamine inali yopindulitsa m'mikhalidwe yofala kwambiri mwa amayi kuposa amuna, kuphatikizapo ME / CFS, fibromyalgia, kupweteka kwa mtima , komanso kupweteka kwa m'mimba .
Kafukufuku wa 2013 mu Psychiatry Research adanena kuti lisdexamfetamine inali yothandiza kwambiri kuposa placebo pokhapokha pokonza ubongo woyang'anira ntchito mu ME / CFS. Ntchito Yogwirizanitsa ndiyiyi ya malingaliro omwe amakuthandizani kuti zinthu zitheke, ndipo nthawi zambiri zimasokonekera. Mankhwalawa amathandizanso ululu, kutopa, ndi ntchito padziko lonse.
Mawu Ochokera
Mankhwalawa ali kale pamsika ndipo ndi otchipa, zomwe zimawapangitsa kukhala zosavuta kuti anthu apeze. Chovuta ndi chakuti amakhala ndi chizoloŵezi choledzera, kotero ngati muwatenga, muyenera kuwona dokotala wanu kawirikawiri.
Ngati mukufuna kuyesa mankhwalawa, lankhulani ndi dokotala wanu. Kumbukirani kuti madokotala ena sangakhale okonzeka kugawira mankhwalawa pa ME / CFS chifukwa cha umboni wokha umene tili nawo pano. Onetsetsani kuti mukuyankhula za zizindikiro zanu zonse, zina zomwe mungakhale nazo, ndi mankhwala omwe mumalandira nawo.
Kumbukirani kuti palibe mankhwala amodzi omwe amagwira ntchito kwa aliyense ndi ME / CFS komanso kuti sangathe kuchotsa zizindikiro zanu zonse.
Zotsatira:
> Yang'anani JH. Zomwe zimayambitsa matenda ndi kuyesera ndi matenda okhwima. 2015; 42 (3): 267-78. > Sympathomimetic > amines ndi mankhwala otetezeka, othandiza kwambiri kwa amayi ambiri odwala matenda aakulu omwe sagwirizana ndi mankhwala ochiritsira.
> Valdizán Usón JR, Idiazábal Alecha MA. Kufufuza kwa akatswiri a matenda a ubongo. 2008 Jun; 8 (6): 917-27. Matenda ozindikira komanso odwala matenda osokoneza maganizo omwe ali nawo: gawo > lamashyphenidate.
Valdizán Usón JR, Idiazábal Alecha MA. Kufufuza kwa akatswiri a matenda a ubongo. 2008 Jun; 8 (6): 917-27. Matenda odziwa matenda ndi matenda omwe amatha kudwala matendawa: gawo la kutulutsa mchere wa methylphenidate.
Young JL. Kafukufuku wamaganizo. 2013 May 15; 207 (1-2): 127-33. Kugwiritsira ntchito lisdexamfetamine dimesylate pochiza machitidwe akuluakulu ogwira ntchito ndi matenda otopa aakulu: maphunziro opangidwa ndi awiri omwe ali osawona, omwe amachititsa malo.
Young JL. Mankhwala apamwamba. 2013 Jan; 125 (1): 162-8. Matenda otha msanga matenda: 3 milandu ndi kukambirana za mbiri yakale ya vuto-kuchepa / matenda osokoneza bongo.