Kumvetsetsa Kusagwirizana pakati pa Kusokonezeka ndi Zizindikiro Zofanana
Kodi pali mgwirizano wotani pakati pa vuto la kuchepa kwa matenda (ADHD) ndi kugona? Ana omwe ali ndi vuto la kugona ndi kusamala-kutaya kwa matenda (ADHD) akhoza kukhala ndi zizindikiro zofanana, monga kusamvera, kuchitapo kanthu komanso kusadziletsa. Kuphatikizana pakati pa matenda awiriwa a ADHD ndi matenda ogona ndi ofunika ndipo wina akhoza kusokonezedwa monga wina chifukwa cha zizindikiro za matenda.
Kufotokozera ADHD
ADHD ndi matenda a neurodevelopmental okhudza pafupifupi 5 peresenti ya anthu, onse ana ndi akulu. Omwe akukhudzidwa amakhala opanda chidwi, osasamala, oiwala, osadziletsa kapena osasamala. Zonsezi zikhoza kusonyeza m'njira zosiyanasiyana, monga:
- Kusamala: zopanda pake , zosamvetsetsa, zovuta kusamalira ntchito, osati kutsatira malangizo, kukonza zovuta, kupeŵa kuganiza mozama kwa nthawi yaitali, kutayika zinthu, kusokonezeka mosavuta kapena kuiwala
- Kusayenerera-kutengeka: kusokoneza, kudandaula, kudzuka, kuthamanga mozungulira, vuto lokhala ndi nthawi yopuma chifukwa nthawi zambiri "akupita" kapena kuyankhula mopitirira muyeso
- Kutengeka: kusokoneza mayankho, vuto lodikira nthawi yawo, kusokoneza kapena kulowerera
Ubale wa ADHD ku Matenda Ogona
Pali mavuto ambiri ogona omwe angakhudze ana. Matenda ambiri omwe amapezeka mwa akuluakulu amatha kupezeka mwa ana, kuphatikizapo kusowa tulo , bruxism , matenda osokoneza bongo nthawi zina , somniloquy , obstructive sleep apnea , somnambulism ndi matenda a circadian .
Ana ambiri amakhala ndi zoopsa usiku kusiyana ndi akuluakulu.
Ana omwe ali ndi ADHD akhoza kuyembekezera kugona. Pali chigawo chokhala ndi makhalidwe kuti agone, ndipo mavuto oleredwa ndi makolo nthawi zambiri amapita kukagona mu ana omwe ali ndi ADHD. Kuphatikiza apo, pakhoza kukhala zizindikiro za maganizo, monga nkhawa kapena kupanikizika, zomwe zingasokoneze tulo.
Kafukufuku akhala akuwonetsa mavuto apamwamba a kugona pakati pa ana omwe ali ndi ADHD.
Mavuto ogona angagwirizane ndi ADHD mwa njira imodzi:
- Matenda ogona akugwirizana kwambiri ndi ADHD
- Matenda ogona akugwirizana ndi matenda ena omwe amapezeka ndi ADHD, mwachitsanzo, nkhawa
- Matenda a tulo amayamba chifukwa cha mankhwala opatsa mphamvu
- Matenda ogona sali ogwirizana, wamba wamba
Ana oposa 25%, osati onse omwe ali ndi ADHD, adzakhala ndi vuto la kugona nthawi ina. Izi zimakhudza kwambiri miyoyo ya banja, kupambana kusukulu ndi zina zaumoyo.
Zingwe Zing'ono Zosasunga
Ana omwe ali ndi ADHD amayamba kudandaula za zizindikiro zofanana ndi matenda a peribodic movement (PLMS), kapena monga amatchedwa nthawi zina, kupuma kwa miyendo (RLS) . Zizindikiro izi zimaphatikizapo kumverera kovuta , monga mimbulu zikukwawa pakhungu, zomwe zimamasulidwa ndi kuyenda. Chodabwitsa ichi chimakhala chamadzulo madzulo kapena usiku pamene ali pogona ndipo chimakhudza chilakolako chosatsutsika chosuntha. Kafukufuku wasonyeza kuti 24% mpaka 26 peresenti ya anthu omwe ali ndi ADHD ali ndi RLS, poyerekeza ndi 5% okha a maulamuliro. Chiwerengero cha kusokonezeka usiku kumagwirizanitsidwa kwambiri ndi mlingo wa kusayenerera patsiku.
Kusinthana, Kugonana ndi Aperezi ndi Kusayeruzika
Ana angakhale akuvutika kupuma usiku, kuyambira kufooka mpaka kufika ku mpweya wokwanira wogona . Zotsatirazi ndizo:
- matani owonjezera ndi adenoids
- matenda osokoneza bongo
- kunenepa kwambiri
- matenda a neuromuscular
- chifuwa
Apanso, ana omwe ali ndi vuto la kugona sakhala akugona mokwanira. M'malo mwake, iwo adzakhala ndi madontho , kutukuta, kuchedwa kwachitukuko komanso mavuto kapena kuphunzira. Chizoloŵezi chodyera chimapezeka pakati pa 1/3 mwa ana omwe ali ndi ADHD poyerekezera ndi maulamuliro 10 okha.
Chiyanjano pakati pa chiwerengero cha kupweteka kwa kupuma ndi kutaya mpweya wa okosijeni m'magazi ndi kusakhudzidwa sikukhazikitsidwe; Komabe, kafukufuku wina akusonyeza kuti 81 peresenti ya ana omwe amawombera ana omwe ali ndi ADHD akhoza kukhala ndi ADHD awo atachotsedwa ngati kuponyedwa kwabwino kukuchitidwa bwino.
Kodi Kusokonezeka Kwogona Kuli Kofala Kwambiri mu ADHD?
Gawo limodzi ndi theka la makolo omwe ana awo ali ndi ADHD amawauza kuti akugona m'mabanja awo. Pofufuza zofalitsa zachipatala zomwe zilipo, pali zochitika mu deta yomwe imasonyeza kuti matenda ena ogona angakhale ofala mu ADHD. Poyerekeza ana omwe ali ndi ADHD omwe sali kuchizidwa ndi mankhwala kwa ana opanda ADHD, pali njira zochepa zomwe zingakhale zowona:
- Maphunziro ambiri samasonyeza kusiyana kwa nthawi ya kugona kwathunthu kapena nthawi yomwe zimatengera kugona
- Kafukufuku wambiri amasonyeza kusagwedezeka komanso kusuntha kwa miyendo nthawi yomwe wagona ana omwe ali ndi ADHD
- Pakati pa nthawi yomwe amagwiritsidwa ntchito mofulumira (REM) kugona kungakhale kuchepa kwa ana omwe ali ndi ADHD
- Zochitika za parasomnias , zopweteketsa zokhazokha ndi zinyama zingaperekedwe kwa ana omwe ali ndi ADHD
Udindo wa Zolimbikitsa
Kugwiritsa ntchito mankhwala osokoneza bongo, monga Ritalin (methylphenidate), kuchiza ADHD kukhoza kuwonjezera njira ina yovuta kumvetsa. Zopatsa mphamvu zimagwiritsidwa ntchito pochiza ADHD, komanso matenda osokoneza bongo komanso matenda otopa . Makolo a ana omwe amachiritsidwa amawoneka kuti ali ndi vuto lalikulu la kugona (29% peresenti ya 10%), ndipo izi ndizoti nthawi zambiri amagona . Zotsatirazi zimadziwika makamaka pamene mankhwala ali pafupi kwambiri ndi nthawi yogona. Momwe mankhwalawa angakhudzire mbali zina za kugona sizimveka bwino.
Kufunika kwa Chithandizo
ADHD yosadziwika imayambitsa vuto lalikulu m'maboma aumwini, ntchito ndi zogwirizana, kuphatikizapo nzeru za quotient (IQ) ziwerengero ndi zotsatira zoyesera zopambana zomwe zili zochepa kuposa maulamuliro. Ndikofunika kuti ana omwe amatha kukhala osayenerera, kukhudzidwa ndi kusaganizira bwino ayesedwe kwa ADHD ndipo, ngati n'koyenera, matenda okhudza kugona.
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