Mankhwala a ADHD: Vyvanse vs. Ritalin

Zamkati

• Ntchito
• Momwe amagwirira ntchito
• Kuchita bwino
• Mafomu ndi mlingo
• Vyvanse
• Ritalin
• Zotsatira zoyipa
• Machenjezo
• Zinthu zolamulidwa
• Kuyanjana kwa mankhwala
• Mikhalidwe yovuta
• Lankhulani ndi dokotala wanu

Chidule

Mankhwala ochepetsa chidwi (ADHD) amagawika m'magulu olimbikitsira komanso osalimbikitsa.

Ma nonstimulants amawoneka kuti alibe zovuta zochepa, koma ma stimulants ndiwo mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza ADHD. Awonetsedwanso kuti ndi othandiza kwambiri.

Vyvanse ndi Ritalin zonse ndizolimbikitsa. Ngakhale mankhwalawa ali ofanana m'njira zambiri, pali kusiyana kwakukulu.

Pemphani kuti mumve zambiri zakufanana komanso kusiyana komwe mungakambirane ndi dokotala wanu.

Ntchito

Vyvanse ali ndi lisdexamfetamine dimesylate, pomwe Ritalin amakhala ndi mankhwala a methylphenidate.

Onse a Vyvanse ndi a Ritalin amagwiritsidwa ntchito kuthana ndi zizindikiritso za ADHD monga kusayang'ana bwino, kuchepetsa kuwongolera, komanso kusakhudzidwa. Komabe, amaperekedwanso kuti athetse mavuto ena.

Vyvanse amapatsidwa mankhwala kuti athetse vuto lakudya mopitirira muyeso mpaka kudya kwambiri, ndipo Ritalin amapatsidwa mankhwala ochizira matendawa.

Momwe amagwirira ntchito

Mankhwalawa onse amagwira ntchito ndikukulitsa kuchuluka kwa mankhwala ena muubongo wanu, kuphatikizapo dopamine ndi norepinephrine. Komabe, mankhwalawa amakhalabe mthupi lanu nthawi zosiyanasiyana.

Methylphenidate, mankhwala ku Ritalin, amalowa mthupi momwemo. Izi zikutanthauza kuti imatha kupita kukagwira ntchito nthawi yomweyo, ndipo siyikhala kwa nthawi yayitali ngati Vyvanse. Chifukwa chake, imafunika kumwedwa nthawi zambiri kuposa Vyvanse.

Komabe, imabweranso mumamasulidwe omasulidwa omwe amatulutsidwa mthupi pang'onopang'ono ndipo amatha kutengedwa pafupipafupi.

Lisdexamfetamine dimesylate, mankhwala omwe amapezeka ku Vyvanse, amalowa mthupi lanu osagwira ntchito. Thupi lanu limayenera kukonza mankhwalawa kuti agwire ntchito. Zotsatira zake, zotsatira za Vyvanse zitha kutenga 1 mpaka 2 maola kuti awonekere. Komabe, zotsatirazi zimakhalanso nthawi yayitali tsiku lonse.

Mutha kutenga Vyvanse pafupipafupi kuposa momwe mungatengere Ritalin.

Kuchita bwino

Kafukufuku wocheperako adachitika kuti afanize mwachindunji Vyvanse ndi Ritalin. Kafukufuku wam'mbuyomu yemwe amayerekezera mankhwala ena opatsa mphamvu ndi chogwirira ntchito ku Vyvanse adapeza kuti ndiwothandiza mofananamo.

Kuwunika kwa ana ndi achinyamata mu 2013 kunapeza kuti chogwirira ntchito ku Vyvanse chimakhala chothandiza kwambiri kuthana ndi zizindikiritso za ADHD kuposa zomwe zimagwira ku Ritalin.

Pazifukwa zomwe sizikumveka bwino, anthu ena amayankha bwino kwa Vyvanse ndipo anthu ena amayankha bwino kwa Ritalin. Kupeza mankhwala omwe amakugwirirani ntchito kungakhale nkhani yoyeserera.

Mafomu ndi mlingo

Gome lotsatirali likuwunikira mawonekedwe a mankhwala onsewa:

Vyvanse

Vyvanse imapezeka ngati piritsi losavuta komanso ngati kapisozi. Mlingo wa piritsi kuyambira 10 mpaka 60 milligrams (mg), pomwe Mlingo wa kapisozi umakhala pakati pa 10 mpaka 70 mg. Mlingo woyenera wa Vyvanse ndi 30 mg, ndipo kuchuluka kwake tsiku lililonse ndi 70 mg.

Zotsatira za Vyvanse zimatha mpaka maola 14. Pachifukwa ichi, amayenera kutengedwa kamodzi patsiku, m'mawa. Mutha kutenga nawo kapena wopanda chakudya.

Zomwe zili mu makapisozi a Vyvanse zitha kuwazidwa pachakudya kapena mumadzi. Izi zitha kupangitsa kuti kukhale kosavuta kutenga ana omwe sakonda kumeza mapiritsi.

Ritalin

Ritalin amapezeka m'mitundu iwiri.

Ritalin ndi piritsi lomwe limabwera muyezo wa 5, 10, ndi 20 mg. Piritsi lofupikirali limatha kukhala mthupi lanu kwa maola 4 okha. Iyenera kutengedwa kawiri kapena katatu patsiku. Pazipita tsiku mlingo 60 mg. Ana ayenera kuyamba ndi miyezo iwiri ya tsiku ndi tsiku ya 5 mg.

Ritalin LA ndi kapisozi yemwe amabwera muyezo wa 10, 20, 30, ndi 40 mg. Capsule yotulutsidwayo imatha kukhala mthupi lanu kwa maola 8, choncho imayenera kumwedwa kamodzi patsiku.

Ritalin sayenera kutengedwa ndi chakudya, pomwe Ritalin LA akhoza kutengedwa kapena wopanda chakudya.

Monga mankhwala achibadwa komanso pansi pa mayina ena monga Daytrana, methylphenidate imapezekanso m'njira monga piritsi losavuta, kuyimitsidwa pakamwa, ndi chigamba.

Zotsatira zoyipa

Vyvanse ndi Ritalin atha kukhala ndi zotsatirapo zofananira. Zotsatira zofala kwambiri zamankhwala onsewa ndi monga:

• kusowa chilakolako
• zokhudzana ndi kugaya, kuphatikizapo kutsegula m'mimba, mseru, kapena m'mimba
• chizungulire
• pakamwa pouma
• kusokonezeka kwa malingaliro, monga nkhawa, kukwiya, kapena mantha
• kuvuta kugona
• kuonda

Mankhwala onsewa atha kukhala ndi zovuta zoyipa, kuphatikiza:

• kuchuluka kwa kugunda kwa mtima ndi kuthamanga kwa magazi
• kuchepa kukula kwa ana
• masewera

Ritalin amadziwikanso kuti amayambitsa mutu ndipo amatha kuyambitsa kugunda kwa mtima komanso kuthamanga kwa magazi.

Kufufuza kwa 2013 kunatsimikiziranso kuti lisdexamfetamine dimesylate, kapena Vyvanse, imatha kuyambitsa zizindikilo zokhudzana ndi kusowa kwa njala, nseru, ndi kugona tulo.

Vyvanse kapena Ritalin sanalamule kuti achepetse kunenepa, ndipo mankhwalawa sayenera kugwiritsidwa ntchito pazinthu izi.Mankhwalawa ndi amphamvu, ndipo muyenera kuwamwa monga momwe amafunira. Ingogwiritsani ntchito ngati dokotala akukulemberani.

Machenjezo

Vyvanse ndi Ritalin onse ndi mankhwala osokoneza bongo. Musanagwiritse ntchito, muyenera kudziwa zoopsa zina.

Zinthu zolamulidwa

Vyvanse ndi Ritalin ndi zinthu zowongoleredwa. Izi zikutanthauza kuti ali ndi mwayi wogwiritsa ntchito molakwika, kapena kugwiritsidwa ntchito molakwika. Komabe, si zachilendo kuti mankhwalawa ayambe kudalira, ndipo palibe zambiri zomwe munthu angakhale nazo pachiwopsezo chodalira.

Ngakhale zili choncho, ngati mwakhala mukuledzera kapena kugwiritsa ntchito mankhwala osokoneza bongo, muyenera kuyankhula ndi adotolo musanamwe mankhwalawa.

Kuyanjana kwa mankhwala

Vyvanse ndi Ritalin amatha kulumikizana ndi mankhwala ena. Izi zikutanthauza kuti akagwiritsidwa ntchito ndi mankhwala ena, mankhwalawa amatha kuyambitsa mavuto.

Musanatenge Vyvanse kapena Ritalin, uzani dokotala za mankhwala ena onse omwe mumamwa, kuphatikizapo mavitamini ndi zowonjezera.

Komanso, onetsetsani kuwauza ngati mwangotenga kumene kapena mukumwa monoamine oxidase inhibitor (MAOI). Ngati ndi choncho, dokotala wanu sangakupatseni Vyvanse kapena Ritalin.

Mikhalidwe yovuta

Vyvanse ndi Ritalin sali oyenera kwa aliyense. Simungathe kumwa mankhwalawa ngati muli:

• mavuto amtima kapena kuzungulira
• ziwengo mankhwala kapena anachita izo m'mbuyomu
• mbiri yogwiritsa ntchito mankhwala osokoneza bongo

Kuphatikiza apo, simuyenera kutenga Ritalin ngati muli ndi izi:

• nkhawa
• khungu
• Matenda a Tourette

Lankhulani ndi dokotala wanu

Onse a Vyvanse ndi a Ritalin amathandizira zizindikilo za ADHD monga kusasamala, kuchita zinthu mopupuluma, komanso kuchita zinthu mopupuluma.

Mankhwalawa ndi ofanana, koma osiyana m'njira zingapo zofunika. Kusiyana kumeneku kumaphatikizapo kutalika kwa nthawi m'thupi, kuchuluka kwa nthawi yomwe amafunika kutengedwa, ndi mitundu yake ndi kuchuluka kwake.

Ponseponse, zofunikira kwambiri ndizokonda kwanu ndi zosowa zanu. Mwachitsanzo, kodi inu kapena mwana wanu mumafunikira mankhwalawa kuti azikhala tsiku lonse - monga kusukulu kwathunthu kapena tsiku logwira ntchito? Kodi mumatha kumwa mankhwala angapo masana?

Ngati mukuganiza kuti imodzi mwa mankhwalawa ndi chisankho chabwino kwa inu kapena mwana wanu, lankhulani ndi dokotala. Amatha kukuthandizani kusankha njira yamankhwala yomwe ingagwire bwino ntchito, kuphatikiza ngati ingaphatikizepo chithandizo chamakhalidwe, mankhwala, kapena zonse ziwiri.

Angakuthandizeninso kusankha kuti ndi mankhwala ati, kapena mankhwala ena, omwe angakhale othandiza kwambiri.

ADHD ikhoza kukhala yosokoneza kusamalira, choncho onetsetsani kufunsa dokotala mafunso omwe mungakhale nawo. Izi zingaphatikizepo:

• Kodi ine kapena mwana wanga tiyenera kulingalira zamankhwala?
• Kodi choyambitsa kapena chosalimbikitsa chingakhale chisankho chabwino kwa ine kapena mwana wanga?
• Kodi ndingadziwe bwanji ngati mwana wanga akufuna mankhwala?
• Kodi chithandizo chitha bwanji?