Amayeza e-ADHD: UVyvanse vs.Ritalin

Umxholo

• Sebenzisa
• Indlela abasebenza ngayo
• Ukusebenza ngempumelelo
• Iifom kunye nomyinge
• Vyvanse
• URitalin
• Imiphumela
• Izilumkiso
• Izinto ezilawulwayo
• Ukusebenzisana kweziyobisi
• Imiqathango yenkxalabo
• Thetha nogqirha wakho

Ushwankathelo

Amayeza okujongana nokusilela kokuphazamiseka kwengqondo (ADHD) ahlulwe aba zizinto ezikhuthazayo kunye nezinganyanzelisiyo.

Izinto ezinganyanzelisiyo zibonakala zineziphumo ebezingalindelekanga ezimbalwa, kodwa ezokunyanga lelona nyango liqhelekileyo lisetyenziswayo kunyango lwe-ADHD. Ziye zaboniswa ukuba zisebenza ngakumbi.

UVyvanse noRitalin bobabini bayazikhuthaza. Ngelixa la machiza afanayo ngeendlela ezininzi, kukho umahluko ophambili.

Funda ulwazi malunga nokufana kunye nokwahluka onokuthi uxoxe nogqirha wakho.

Sebenzisa

IVivvanse iqulethe ichiza le-lisdexamfetamine dimesylate, ngelixa iRitalin iqulethe ichiza lemethylphenidate.

Zombini iVivvanse kunye neRitalin zisetyenziselwa ukunyanga iimpawu ze-ADHD ezinje ngokugxila okungalunganga, ukunciphisa ulawulo lwempembelelo kunye noxinzelelo. Nangona kunjalo, bamiselwe ukuba baphathe ezinye iimeko.

I-Vyvanse imiselwe ukuba inyange ngokungalungelelananga ukuya kukutya kakhulu, kwaye uRitalin unikwe unyango lwe-narcolepsy.

Indlela abasebenza ngayo

La machiza omabini asebenza ngokwandisa amanqanaba eekhemikhali ezithile kwingqondo yakho, kubandakanya i-dopamine kunye ne-norepinephrine. Nangona kunjalo, amayeza ahlala emzimbeni wakho kumaxesha ahlukeneyo.

I-Methylphenidate, ichiza elikwiRitalin, lingena emzimbeni likwimo esebenzayo. Oku kuthetha ukuba ingaya kusebenza kwangoko, kwaye ayihlali ixesha elide nje nge-Vyvanse. Ke ngoko, kufuneka ithathwe rhoqo kuneVyvanse.

Nangona kunjalo, iza neenguqulelo ezikhutshiweyo ezikhutshelwa emzimbeni ngokuthe chu kwaye zinokuthathwa ngokufuthi.

I-Lisdexamfetamine dimesylate, ichiza eliseVyvanse, lingena emzimbeni wakho lingasebenzi. Umzimba wakho kufuneka ulicwangcise eli chiza ukuze usebenze. Ngenxa yoko, iziphumo zikaVyvanse zinokuthatha iiyure ezi-1 ukuya kwezi-2 ukuvela. Nangona kunjalo, ezi ziphumo zihlala ixesha elide emini.

Ungathatha iVyvanse rhoqo kunokuthatha uRitalin.

Ukusebenza ngempumelelo

Uphando oluncinci lwenziwe ukuthelekisa ngokuthe ngqo uVyvanse noRitalin. Izifundo zangaphambili ezazithelekisa ezinye iziyobisi ezikhuthazayo kunye nesithako esisebenzayo eVyvanse sifumanise ukuba sisebenza ngokulinganayo.

Uhlalutyo luka-2013 lwabantwana nolutsha lufumene into esebenzayo eVyvanse ukuba isebenze ngakumbi ekunciphiseni iimpawu ze-ADHD kunesithako esisebenzayo eRitalin.

Ngenxa yezizathu ezingaqondakali ngokupheleleyo, abanye abantu baphendula ngcono kwiVyvanse kwaye abanye abantu baphendula ngcono kwiRitalin. Ukufumana ichiza elisebenzela wena kunokuba ngumcimbi wovavanyo kunye nephutha.

Iifom kunye nomyinge

Olu luhlu lulandelayo lubonisa amanqaku omabini amachiza:

Vyvanse

I-Vyvanse iyafumaneka njengecwecwe elinokuhlafunwa nanjengephilisi. Imithamo yoluhlu lwethebhulethi ukusuka kwi-10 ukuya kwi-60 milligrams (mg), ngelixa idosi yoluhlu lwecapsule ukusuka kwi-10 kuye kwi-70 mg. Umthamo oqhelekileyo weVivvanse yi-30 mg, kwaye eyona idosi yemihla ngemihla yi-70 mg.

Iziphumo zikaVyvanse zinokufikelela kwiiyure ezili-14. Ngesi sizathu, yenzelwe ukuba ithathwe kube kanye ngosuku, kusasa. Ungayithatha kunye okanye ngaphandle kokutya.

Umxholo weeVyvse capsules unokufefa ngokutya okanye kwijusi. Oku kunokwenza kube lula ukuthatha abantwana abangathandi ukugwinya iipilisi.

URitalin

URitalin ufumaneka ngeendlela ezimbini.

URitalin yicwecwe eliza ngeedosi ze-5, 10, kunye ne-20 mg. Le thebhulethi isebenza mfutshane inokuhlala emzimbeni wakho kangangeeyure ezi-4. Kufuneka kuthathwe kabini okanye kathathu ngosuku. Elona dosi liphezulu lemihla ngemihla ngama-60 mg. Abantwana kufuneka baqale ngeedosi ezimbini zemihla ngemihla ye-5 mg.

URitalin LA yicapsule eza ngeedosi ezili-10, 20, 30, nama-40 mg. Le philisi ikhutshiweyo inokuhlala emzimbeni wakho ukuya kuthi ga kwiiyure ezisi-8, ke kuya kufuneka ithathwe kube kanye ngosuku.

URitalin akufuneki athathwe nokutya, ngelixa iRitalin LA ingathathwa kunye okanye ngaphandle kokutya.

Njengechiza elenziwe lafana nalawo aveliswe ngumenzi naphantsi kwamanye amagama aziwayo njengeDaytrana, imethylphenidate ikwafumaneka kwiifom ezinje ngecwecwe elihlafunwayo, ukumiswa ngomlomo kunye nepatch.

Imiphumela

UVyvanse noRitalin banokuba neziphumo ebezingalindelekanga ezifanayo. Iziphumo eziqhelekileyo eziqhelekileyo kuzo zombini iziyobisi zibandakanya:

• Ukuphelelwa ngumdla wokutya
• Imicimbi yokugaya ukutya, kubandakanya urhudo, isicaphucaphu, okanye isisu esibuhlungu
• isiyezi
• umlomo owomileyo
• ukuphazamiseka kwemood, njengokuxhalaba, ukuba nochuku, okanye ukoyika
• ingxaki yokulala
• ukuhla ukusinda

Omabini la machiza anokuba neziphumo ebezingalindelekanga ezibi, kubandakanya:

• ukwanda kwentliziyo kunye noxinzelelo lwegazi
• ukukhula okucothayo ebantwaneni
• tics

URitalin ukwaziwa ngokubangela iintloko kwaye kunokwenzeka ukuba abangele ukunyuka kwentliziyo kunye noxinzelelo lwegazi.

Uhlalutyo luka-2013 lwaye lwagqitywa kwelokuba i-lisdexamfetamine dimesylate, okanye iVivvanse, yayinokubangela iimpawu ezinxulumene nokuphulukana nomdla, isicaphucaphu kunye nokungalali.

Nokuba uVyvanse noRitalin abamiselwanga ukunciphisa umzimba, kwaye la machiza akufuneki asetyenziselwe le njongo.La mayeza anamandla, kwaye kuya kufuneka uwathathe ngokuchanekileyo njengoko kumiselwe. Zisebenzise kuphela ukuba ugqirha wakho ukumisele zona.

Izilumkiso

UVyvanse noRitalin bobabini banamandla iziyobisi. Ngaphambi kokuzisebenzisa, kufuneka uqaphele iingozi ezithile.

Izinto ezilawulwayo

Zombini iVivvanse kunye neRitalin zizinto ezilawulwayo. Oku kuthetha ukuba banakho ukusetyenziswa gwenxa, okanye ukusetyenziswa gwenxa. Nangona kunjalo, akuqhelekanga ukuba la machiza abangele ukuxhomekeka, kwaye kukho ulwazi oluncinci apho umntu anokuba nomngcipheko wokuxhomekeka.

Nangona kunjalo, ukuba unembali yotywala okanye yokuxhomekeka kwiziyobisi, kuya kufuneka uthethe nogqirha ngaphambi kokuba uthathe elinye lala machiza.

Ukusebenzisana kweziyobisi

UVyvanse noRitalin banokusebenzisana namanye amayeza. Oku kuthetha ukuba xa esetyenziswa namanye amayeza, la mayeza anokubangela iziphumo eziyingozi.

Ngaphambi kokuba uthathe uVyvanse okanye uRitalin, xelela ugqirha wakho ngawo onke amanye amayeza owathathayo, kubandakanya iivithamini kunye nezongezo.

Kwakhona, qiniseka ukubaxelela ukuba usandula ukuthatha okanye uthatha i-monoamine oxidase inhibitor (MAOI). Ukuba kunjalo, ugqirha wakho akanako ukukumisela uVyvanse okanye uRitalin.

Imiqathango yenkxalabo

UVivvanse noRitalin abalunganga kuye wonke umntu. Awunakho ukuthatha elinye lala machiza ukuba unayo:

• iingxaki zentliziyo okanye zokuhamba
• nokwaliwa liyeza okanye impendulo kuyo kwixa elidlulileyo
• Imbali yokusetyenziswa gwenxa kweziyobisi

Ukongeza, awufanele uthathe iRitalin ukuba unale miqathango ilandelayo:

• ixhala
• iglaucoma
• Isifo seTourette

Thetha nogqirha wakho

Zombini uVyvanse kunye noRitalin banyanga iimpawu ze-ADHD ezinje ngokungakhathalelwa, ukungasebenzi kakuhle, kunye nokuziphatha okungxamisekileyo.

La machiza ayafana, kodwa ahlukile ngeendlela ezimbalwa eziphambili. Lo mahluko ubandakanya ukuba bahlala ixesha elingakanani emzimbeni, kufuneka bathathwe kangaphi, kunye neefom kunye nedosi yabo.

Ngokubanzi, ezona zinto zibalulekileyo zizinto ozikhethayo kunye neemfuno zakho. Umzekelo, ngaba wena okanye umntwana wakho niyalifuna ichiza ukuze nihlale kulo lonke usuku- njengesikolo esipheleleyo okanye usuku lomsebenzi? Ngaba uyakwazi ukuthatha amanani amaninzi emini?

Ukuba ucinga ukuba elinye lala machiza lingalukhetho olufanelekileyo kuwe okanye kumntwana wakho, thetha nogqirha. Banokukunceda uthathe isigqibo sokuba loluphi uhlobo lonyango olunokusebenza ngokukuko, kubandakanya nokuba kufuneka lubandakanye unyango lokuziphatha, amayeza, okanye zombini.

Banokukunceda ukuba uthathe isigqibo sokuba leliphi kula machiza, okanye ichiza elahlukileyo, elinokuba luncedo ngakumbi.

I-ADHD inokuba yimeko yokudideka ukulawula, ke qiniseka ukuba ubuze ugqirha wakho nayiphi na imibuzo onokuba nayo. Oku kunokubandakanya:

• Ngaba mna okanye umntwana wam kufuneka ayithathele ingqalelo indlela yokuziphatha kunyango?
• Ngaba into evuselelayo okanye engavuseleliyo inokukhetha ngcono kum okanye kumntwana wam?
• Ndiyazi njani ukuba umntwana wam ufuna amayeza?
• Luza kuthatha ixesha elingakanani unyango?