Imithi ye-ADHD: Vyvanse vs. Ritalin

-Delile

• Isebenzisa
• Basebenza kanjani
• Ukusebenza ngempumelelo
• Amafomu nomthamo
• UVyvanse
• URitalin
• Okuqhamuka uma udla imishanguzo
• Izexwayiso
• Izinto ezilawulwayo
• Ukusebenzisana kwezidakamizwa
• Izimo zokukhathazeka
• Khuluma nodokotela wakho

Ukubuka konke

Imishanguzo yokunaka ukusilela kokugula (ADHD) ihlukaniswe yaba izikhuthazi nezingasebenzi.

Izithambisi zibonakala zinemiphumela emibi embalwa, kepha izikhuthazi yimithi ejwayelekile esetshenziswa ekwelapheni i-ADHD. Futhi kukhonjisiwe ukuthi zisebenza kangcono.

UVyvanse noRitalin bobabili bayizikhuthazi. Yize le mithi ifana ngezindlela eziningi, kukhona umehluko omkhulu.

Funda ukuze uthole imininingwane ngokufana nokwehluka ongaxoxa ngakho nodokotela wakho.

Isebenzisa

IVyvanse iqukethe i-lisdexamfetamine dimesylate yezidakamizwa, kanti iRitalin iqukethe i-methylphenidate yezidakamizwa.

Kokubili uVyvanse noRitalin kusetshenziselwa ukwelapha izimpawu ze-ADHD njengokugxila okungafanele, ukunciphisa umfutho womoya, kanye nokusebenza ngokweqile. Kodwa-ke, futhi banqunyelwe ukuphatha ezinye izimo.

UVyvanse unqunyelwe ukuthi alaphe ukuphazamiseka kokudla ngokweqile kuya kokulingene, kanti uRitalin unikezwe ukwelapha i-narcolepsy.

Basebenza kanjani

Lezi zidakamizwa zombili zisebenza ngokwandisa amazinga amakhemikhali athile ebuchosheni bakho, kufaka phakathi i-dopamine ne-norepinephrine. Kodwa-ke, izidakamizwa zihlala emzimbeni wakho ngezikhathi ezahlukahlukene.

I-Methylphenidate, umuthi eRitalin, ungena emzimbeni usesimweni esisebenzayo. Lokhu kusho ukuthi ingaya emsebenzini ngokushesha, futhi ayihlali isikhathi eside njengoVivvanse. Ngakho-ke, idinga ukuthathwa kaningi kune-Vyvanse.

Kodwa-ke, kubuye kufike nezinguqulo zokukhishwa ezinwetshiwe ezikhishelwa emzimbeni ngokunensa futhi ezingathathwa kaningi.

ILisdexamfetamine dimesylate, umuthi oseVyvanse, ungena emzimbeni wakho ungasebenzi. Umzimba wakho kufanele ucubungule lo muthi ukuze usebenze. Ngenxa yalokhu, imiphumela yeVyvanse ingathatha ihora eli-1 kuye kwele-2 ukuvela. Noma kunjalo, le miphumela nayo ihlala isikhathi eside usuku lonke.

Ungathatha uVyvanse kaningi kunokuthatha uRitalin.

Ukusebenza ngempumelelo

Kuncane kakhulu okwenziwe ukuqhathanisa ngqo uVyvanse noRitalin. Izifundo zaphambilini ezaqhathanisa ezinye izidakamizwa ezikhuthazayo nesithako esisebenzayo eVyvanse zithole ukuthi kusebenza ngokulinganayo.

Ukuhlaziywa kwezingane nentsha ngo-2013 kutholakale ukuthi isithako esisebenza kuVyvanse sisebenza kakhulu ekunciphiseni izimpawu ze-ADHD kunesithako esisebenza eRitalin.

Ngenxa yezizathu ezingaqondakali ngokugcwele, abanye abantu baphendula kangcono kuVyvanse kanti abanye abantu baphendula kangcono kuRitalin. Ukuthola umuthi osebenzela wena kangcono kungaba yindaba yokulinga nephutha.

Amafomu nomthamo

Ithebula elilandelayo liqokomisa izici zombili izidakamizwa:

UVyvanse

IVyvanse itholakala njengethebhulethi ehlafunwayo nanjengephilisi. Imithamo yebanga lethebulethi isukela kuma-milligram ayi-10 kuye kwangama-60 (mg), ngenkathi imithamo yebanga le-capsule isuka ku-10 kuye ku-70 mg. Umthamo ojwayelekile weVivvanse ungama-30 mg, kanti umthamo omkhulu wansuku zonke ungama-70 mg.

Imiphumela yeVyvanse ingahlala amahora afinyelela kwangu-14. Ngalesi sizathu, kuhloswe ukuthi kuthathwe kanye ngosuku, ekuseni. Ungakuthatha nokudla noma ngaphandle kokudla.

Okuqukethwe kwamaphilisi weVyvanse kungafafazwa ekudleni noma kujusi. Lokhu kungenza kube lula ukuthatha izingane ezingathandi ukugwinya amaphilisi.

URitalin

URitalin utholakala ngezindlela ezimbili.

URitalin yithebhulethi eza ngemithamo ka-5, 10, no-20 mg. Le thebhulethi esebenza okwesikhashana ingahlala emzimbeni wakho amahora angu-4 kuphela. Kufanele ithathwe kabili noma kathathu ngosuku. Umthamo omkhulu wansuku zonke ngu-60 mg. Izingane kufanele ziqale ngemithamo emibili yansuku zonke engu-5 mg.

I-Ritalin LA iyi-capsule eza ngemithamo ye-10, 20, 30, ne-40 mg. Le capsule ekhishwe isikhathi eside ingahlala emzimbeni wakho amahora angafika kwangu-8, ngakho-ke kufanele ithathwe kanye ngosuku.

URitalin akufanele athathwe nokudla, kuyilapho iRitalin LA ingathathwa nokudla noma ngaphandle kokudla.

Njengesidakamizwa esijwayelekile futhi ngaphansi kwamanye amagama ezimpawu ezifana ne-Daytrana, i-methylphenidate nayo iyatholakala ngezinhlobo ezifana nethebhulethi engabhekwa, ukumiswa ngomlomo, kanye ne-patch.

Okuqhamuka uma udla imishanguzo

UVyvanse noRitalin bangaba nemiphumela emibi efanayo. Imiphumela emibi ejwayelekile kuzo zombili izidakamizwa ifaka:

• ukulahlekelwa isifiso sokudla
• izingqinamba zokugaya ukudla, kufaka phakathi isifo sohudo, isicanucanu, noma isisu
• isiyezi
• umlomo owomile
• ukuphazamiseka kwemizwelo, njengokukhathazeka, ukucasuka, noma ukwethuka
• inkathazo yokulala
• ukuncipha komzimba

Zombili lezi zidakamizwa zingaba nemiphumela emibi kakhulu, kufaka phakathi:

• ukukhuphuka kwenhliziyo nomfutho wegazi
• ukwehlisa ukukhula ezinganeni
• ama-tics

URitalin naye waziwa ngokudala ikhanda futhi maningi amathuba okuthi abangele ukushaya kwenhliziyo nomfutho wegazi ophezulu.

Ukuhlaziywa kwango-2013 kuphethe nokuthi i-lisdexamfetamine dimesylate, noma iVivvanse, kungenzeka kakhulu ukuthi ibangele izimpawu ezihlobene nokulahleka kwesifiso, isicanucanu nokuqwasha.

Akekho uVyvanse noRitalin ababekelwe ukunciphisa umzimba, futhi le mithi akufanele isetshenziselwe le njongo.Le mithi inamandla, futhi kufanele uyithathe njengoba kunqunyiwe. Zisebenzise kuphela uma udokotela wakho ekuhlolela zona.

Izexwayiso

UVyvanse noRitalin bayizidakamizwa ezinamandla zombili. Ngaphambi kokuzisebenzisa, kufanele wazi ngezingozi ezithile.

Izinto ezilawulwayo

Kokubili uVyvanse noRitalin yizinto ezilawulwayo. Lokhu kusho ukuthi banethuba lokusetshenziswa kabi, noma ukusetshenziswa ngokungafanele. Kodwa-ke, akuvamile ukuthi le mithi idale ukuncika, futhi kunolwazi oluncane umuntu angaba nengozi ethembele kakhulu kuyo.

Noma kunjalo, uma unomlando wokuthembela otshwaleni noma ezidakamizweni, kufanele ukhulume nodokotela wakho ngakho ngaphambi kokuthatha enye yalezi zidakamizwa.

Ukusebenzisana kwezidakamizwa

UVyvanse noRitalin bangaxhumana neminye imithi. Lokhu kusho ukuthi uma isetshenziswa nezinye izidakamizwa ezithile, le mithi ingadala imiphumela eyingozi.

Ngaphambi kokuba uthathe iVivvanse noma iRitalin, tshela udokotela wakho ngayo yonke eminye imishanguzo oyiphuzayo, kufaka phakathi amavithamini nezithako.

Futhi, qiniseka ukubatshela uma usanda kuthatha noma uthatha i-monoamine oxidase inhibitor (MAOI). Uma kunjalo, udokotela wakho kungenzeka angakunikezi uVyvanse noma uRitalin.

Izimo zokukhathazeka

UVyvanse noRitalin abalungele wonke umuntu. Ungahle ungakwazi ukuthatha enye yalezi zidakamizwa uma une:

• izinkinga zenhliziyo noma zokujikeleza kwegazi
• ukungezwani komzimba nomuthi noma ukusabela kuwo esikhathini esedlule
• umlando wokusetshenziswa kabi kwezidakamizwa

Ngaphezu kwalokho, akufanele uthathe i-Ritalin uma unezimo ezilandelayo:

• ukukhathazeka
• i-glaucoma
• I-Tourette syndrome

Khuluma nodokotela wakho

Kokubili uVyvanse noRitalin baphatha izimpawu ze-ADHD ezinjengokunganaki, ukungasebenzi kahle nokuziphatha ngokuxhamazela.

Le mithi iyafana, kepha yehlukile ngezindlela ezimbalwa ezibalulekile. Lokhu kwehluka kufaka phakathi ukuthi zihlala isikhathi esingakanani emzimbeni, zidinga ukuthathwa kangaki, namafomu nomthamo wazo.

Sekukonke, izinto ezibaluleke kakhulu izintandokazi zakho kanye nezidingo zakho. Isibonelo, ingabe wena noma ingane yakho niyasidinga lesi sidakamizwa ukuze sihlale usuku lonke - njengesikole esigcwele noma usuku lokusebenza? Uyakwazi ukuthatha amanani amaningi emini?

Uma ucabanga ukuthi enye yalezi zidakamizwa ingaba yisinqumo esihle kuwe noma enganeni yakho, khuluma nodokotela. Bangakusiza ukuthi unqume ukuthi yiluphi uhlelo lokwelashwa olungasebenza kahle kakhulu, kufaka phakathi ukuthi ngabe kufanele lubandakanye ukwelashwa kokuziphatha, imithi, noma kokubili.

Zingakusiza nokuthi unqume ukuthi imiphi kulezi zidakamizwa, noma umuthi ohlukile, ongasiza kakhulu.

I-ADHD ingaba yisimo esididayo ukuphatha, ngakho-ke qiniseka ukuthi ubuza udokotela wakho noma yimiphi imibuzo ongaba nayo. Lokhu kungafaka:

• Ngabe mina noma ingane yami kufanele sicabangele ukwelashwa kokuziphatha?
• Ngabe into evuselelayo noma engakhuthazi kungaba yinto engcono kimi noma enganeni yami?
• Ngazi kanjani ukuthi ingane yami idinga umuthi?
• Imithi izothatha isikhathi esingakanani?