Ngaba iziyobisi zenzelwe ukuba abantwana abangabikho kakuhle babe unyango olusebenzayo kubantu abadala abangapheliyo? Njengoko kunengqiqo njengoko kuzwakale, banokuba.
Abanye oogqirha babonelela izidakamizwa ze-ADD / ADHD kwizigulane zabo ezinezifo ezingapheliyo (i- ME / CFS ) kwaye bathi zibone iziphumo ezilungileyo. Sinomzimba wobungqina obukhulayo ukubuyisela oku, kodwa uphando olungakumbi lufunekayo.
Ezi zi yobisi zihlelwa njengezinto ezivakalayo, oku kuthetha ukuba zikhuthaza umsebenzi wengqondo. Zisetyenziselwa i-ADD / ADHD kuba, ngokukodwa, zinefuthe lokuthoba kwi-ADD / ADHD. Ngenxa yoko, kuyenza ingqiqo yokuba iya kuba luncedo kwiimeko ezichazwe ukukhathala.
Iimvumi ezithandwa kakhulu zi:
- Ritalin kunye ne- Concerta , equle i-methylphenidate
- I-Dexedrine, equle dextroamphetamine
- Adderall, equle i-amphetamine kunye ne-dextroamphetamine
- Vyvanse, equle lisdexamfetamine
Kutheni usebenzisa i-Neurostimulants?
Indlela echanekileyo yilezi ziyobisi aziwa (oko kuqheleke kakhulu kwiziyobisi ezichaphazela ingqondo), kodwa bakholelwa ukuba utshintshe ukufumaneka kwezimbini ze-neurotransmitore norepinephrin kunye ne- dopamine- okucatshulwa ukuba iyadala kwi-ADD / ADHD kunye ME / CFS.
I-norepinephrine ephantsi ixhunyaniswe nokulahlekelwa yinkathazo kunye neengxaki zeememori, ngelixa i-dopamine isweleko idibene nokukhubazeka kwengqondo kunye nokungakwazi ukugxininisa.
Ezi ziimpawu ukuba ezi zimbini ziye zifana.
Olunye uphando olutshanje lubonise ukuba, kubantu abadala, iimeko zimbini zinokwabelana nezinye iimpawu, kuquka ukukhathala okungaxeliweyo, ubuhlungu be-muscle, kunye ne- diagnosis ye- fibromyalgia , enjalo imeko efana ne-ME / CFS equka ukungqinelana kwe-norepinephrin kunye dopamine.
Abanye oogqirha baze baxhomekeke ukuba abantwana abane-ADD / ADHD bangasengozini yokuphuhlisa i-ME / CFS njengabantu abadala, kwaye isifundo esincinci se-2013 esapapashwa kwi- Postgraduate Medicine sisekela loo ngcamango. Abaphandi babhekisele kwiimeko ezintathu ze-ME / CFS apho isiguli asizange siphendule kakuhle kunyango. Bafumanisa ukuba bonke abathathu badibanisa imigaqo ye-ADHD kwaye baphendule unyango nge-neurostimulants. Baphetha ukuba i-ADHD kunye ne-ME / CFS (kwaye mhlawumbi i-fibromyalgia ngokunjalo) inokuba neendlela eziqhelekileyo, kwaye i-ADHD inokwazi ukuguquka kwi-ME / CFS okanye into efanayo.
Uphando kwi -American Journal of Medicine kwi-methylphenidate ye-ME / CFS ibonise ukuphucula okukhulu malunga neepesenti ezingama-20 zabathathi-nxaxheba. Akunzima ukuvuma.
Nangona kunjalo, abaphandi abaninzi bakholelwa ukuba i-ME / CFS ineqela elincinci elincinci ngalinye lifuna unyango oluhlukile. Ngaba abantu abaphendule kwi-methylphenidate bamele iqela elithile? Asikazi okwaneleyo ukuba sithethe nanye indlela.
Ukufundwa kwangaphambili kwe-dextroamphetamine epapashwe kwii- Psychosomatics kubonise ukuba abathathi-9 kwabangama-10 kunye ne-ME / CFS babenokukhathala kakhulu xa bethatha isiqulana xa kuthelekiswa ne-placebo.
Ngo-2015, uphando olwenziwe kwi- Clinical and Experimental Obstetrics & Gynecology efumene i-dextroamphetamine inenzuzo kwiimeko ezahlukeneyo eziqhelekileyo kubasetyhini kunamadoda, kuquka iM ME / CFS, i-fibromyalgia, ubuhlungu be-pelvic kunye ne-cystitis yangaphakathi .
Uphando lwe-2013 kwi- Psychiatry Research lucacise ukuba i-lisdexamfetamine yayisebenza ngokugqithiseleyo kune-placebo xa kufike ekuphuculeni umsebenzi wengqondo yengqondo kwi-ME / CFS. Umsebenzi oLawulayo uyisethi yezakhono zengqondo ezikunceda ukuba wenze izinto, kwaye zihlala ziphazamisekile kule meko. Isilwayo sinokuphucula intlungu yabathathi-nxaxheba, ukukhathala kunye nomsebenzi wehlabathi.
ILizwi
Ezi zonyango sele zisemarike kwaye zithengwa kakhulu, ezenza kube lula kubantu ukuba bafumane. Impendulo kukuba bathatha umngcipheko wokulutha, ngoko ke ukuba uyayithatha, unokufuneka ukhangele ugqirha wakho rhoqo.
Ukuba unomdla wokuzama ezi zi yobisi, khuluma nodokotela wakho. Gcina ukhumbule ukuba abanye oogqirha abanakho ukulungela ukucacisa la mayeza ngaphandle kweleyile kwi-ME / CFS esekelwe kuphela ubungqina esikude ngoku. Qiniseka ukuba uthetha ngohlobo lwakho olupheleleyo lweempawu, ezinye iimeko onokuba nazo, kwaye zeziphi iziyobisi kunye nezongezelelo ozithathayo.
Khumbula ukuba akukho mayeza athile asebenza kuwo wonke umntu one-ME / CFS kwaye akunakwenzeka ukuba asuse zonke iimpawu zakho.
Imithombo:
> Hlola i-JH. Izithintelo zezonyango kunye nokuhlola kunye nemigqirha. 2015; 42 (3): 267-78. > I-Sympathomimetic > i-amines yiprogram ekhuselekileyo, esebenzayo kakhulu kwiintlobo ezingapheliyo zezilwanyana ezingaphendulanga kakuhle kwiyeza eziqhelekileyo.
> Valdizán Usón JR, Idiazábal Alecha MA. Uphononongo lweengcali ze-neurotherapeutics. 2008 Juni; 8 (6): 917-27. Imingeni yokuxilonga kunye neyonyango yengxaki engapheliyo yokukhathala: indima > ye-methylphenidate ekhutshwa ngokukhawuleza.
Valdizán Usón JR, Idiazábal Alecha MA. Uphononongo lweengcali ze-neurotherapeutics. 2008 Juni; 8 (6): 917-27. Imingeni yokuxilonga kunye neyonyango yengxaki engapheliyo yokukhathala: indima yokukhululwa ngokukhawuleza kwe-methylphenidate.
JL oselula. Uphando lweengqondo. 2013 Meyi 15; 207 (1-2): 127-33. Ukusetyenziswa kwe-lisdexamfetamine dimesylate ekwenzeni ukuphulukana kokusebenza okulawulayo kunye nesifo esingapheliyo sokugula: i-double-blind, in-control-controlled study.
JL oselula. Iyeza lokugqibela. 2013 Jan; 125 (1): 162-8. Isifo sokunyamezela esingapheliyo: iimeko ezi-3 kunye nengxoxo yembali yemvelo yengqwalasela-ukungaphumeleli / ukugula ngengxaki.