Ngaba kukhuselekile ukuthatha iVivvanse ngexesha lokukhulelwa?

Ulwazi loLwazi lweMicimbi yoBasetyhini

Abasetyhini abaninzi bathatha amayeza amiselweyo ngexesha lokukhulelwa ukunyanga imeko eziqhubekayo zempilo. Ngelixa uninzi lukhuselekile, abanye banomngcipheko wokulimaza usana olungekazalwa okanye ukubangela iziphene zokuzalwa. Ngaba uVavvanse ngexesha lokukhulelwa ukhuselekile?

Uphando lubonisa ukuba uninzi lwabasetyhini bathatha amayeza ngenjongo yokujongana ne-ADHD, enje ngeVivvanse, ngelixa ukhulelwe. Isifundo esivela kwi Amaziko oLawulo lweZifo noThintelo (CDC) ifumanise ukuba malunga ne-1 kwabasetyhini abakhulelweyo bathatha la mayeza, inani eliphindwe kabini kwisithuba seminyaka eli-13.

Vyvanse (lisdexamfetamine) lunyango olusetyenziselwa ukunyanga i-ADHD kubantu abadala nasebantwaneni abadala kuneminyaka eyi-6. Ikwangunyango lwamayeza lokuqala olwamkelwe yi-FDA ukunyanga iingxaki zokutya kakhulu. I-Vyvanse ivuselela inkqubo ye-neva esembindini kwaye ichaphazela imichiza esengqondweni nakwimithambo-luvo ekhokelela kuxinzelelo kunye nokusilela kolawulo lwempembelelo.

Ngaba abantu basetyhini kufuneka bayeke ukuthatha iVivvanse ngexesha lokukhulelwa?

Akukho mpendulo ewe okanye hayi ukuba ngaba abafazi mabayeke ukuthatha iVivvanse ngexesha lokukhulelwa. Ulawulo lokutya kunye neziyobisi (FDA) ibeka amayeza ngomngcipheko wawo kusana olungekazalwa okanye umntu oncancisayo. Ezinye zihlelwa njengezikhuselekileyo, ngelixa ezinye zibeka emngciphekweni omkhulu. I-FDA ithi izifundo zeVivvanse kwizilwanyana zibonisa iziphumo ezinokubakho, kodwa izifundo zabantu emngciphekweni wezinto ezinje ngeziphene zokuzalwa kunye nokuphuma kwesisu kunqongophele.

Zimbini iintlobo zamayeza e-ADHD: i-methylphenidate, ebandakanya iziyobisi ze-ADHD ezifana URitalin , Kunye neeamphetamines ezifana Vyvanse kwaye Adderall .Abaphandi abafundanga ngokubanzi ukhuseleko lweklasi ngexesha lokukhulelwa kodwa baqokelele idatha ukuze bafunde ngayo nayiphi na imiphumo emibi.

Abaphandi badibanise amayeza kwiklasi ye-methylphenidate ukuya kwintliziyo engaqhelekanga kwiintsana. Idatha esinayo kumayeza e-amphetamine anje ngeVyvanse, sikholelwa ukuba ikhuselekile, ucacisa uNavid Mootabar, MD, uSihlalo we-Obstetrics kunye neGynecology, Isibhedlele saseMntla Westchester . Nangona kunjalo, siyabakhuthaza abaguli ukuba bathethe noogqirha babo malunga nomngcipheko ngokuchasene nezibonelelo.

Uphononongo lweCDC lubonisa ukuba kukho umngcipheko ophantsi kakhulu wokuba ukuthatha amayeza e-ADHD ngexesha lokukhulelwa kwasekuqaleni kuphakamisa ithuba lomfazi lokuba nomntwana oneziphene ezithile zokuzalwa zodonga lwesisu kunye namalungu omzimba. Uphononongo lwaluluncinci, kwaye izazinzulu ziyasamkela isidingo sokwenza uphando ngakumbi. Ngaphandle kweziphene zokuzalwa, kukho ithuba lokuba uVyvanse anokubangela ukuzalwa ngaphambi kwexesha, ubunzima bokuzalwa obuphantsi, ezantsi Amanqaku ka-Apgar , kunye neempawu zokurhoxa.

Ngenxa yedatha encinci, akukho mgangatho usemgangathweni weVyvanse othathwa ngokuba ukhuselekile kubafazi abakhulelweyo. Ukuba amayeza amayeza e-ADHD ayingozi ngaphezu kwezibonelelo zawo, iingcali zincomela abaguli nokuba bayeke ukuwuthatha kwiiveki ezili-12 zokuqala zokukhulelwa okanye bathathe ichiza elahlukileyo. Sijonge nonyango olungelulo olonyango lwe-ADHD njengonyango lokuziphatha, ukutya, kunye nokuzilolonga, utshilo uGqirha Mootabar.

Ngaba uVyvanse ukhuselekile ukuba angathathwa xa encancisa?

Iwela ngaphaya kobisi lwebele, utshoUDanielle Plummer, Pharm.D., Umseki we Usokhemesti ka-HG .Umntwana emva koko unokuhamba ngokurhoxa xa ubalumla ebuncinaneni.
Abakhathaleli kufuneka babukele ngononophelo abantwana abazelwe okanye abancanciswa ngoomama abathatha uVyvanse ngeempawu zokurhoxa njengokutya, ukungakhathali, uxinzelelo kunye nokozela okugqithisileyo. Ezinye iingcali zincomela ukuba abafazi baphephe ukuncancisa ngelixa besebenzisa eli yeza.

Eyona nto iphambili: Ngaba uVyvanse ukhuselekile ngexesha lokukhulelwa?

Isenokuba sisigqibo esinzima malunga nokuba ungayithathi okanye ungayithathi iVivvanse okanye enye amayeza amiselweyo ngexesha lokukhulelwa . Xa kuziwa kwiVivvanse kunye nezinye iziyobisi ze-ADHD: Ukuba umama uyayidinga le med kwaye uya kuba nenqanaba elifanelekileyo lobomi kunye nokukhulelwa okunempilo, ke kungcono ukuba aqhubeke nokuthatha, uGqirha Plummer ucebisa. Kodwa ukuba akadingi kuba kuyo, akufuneki ayithathe.

Abasetyhini abakhulelweyo kunye nabo bacinga ngokuba nomntwana kufuneka bathethe nomboneleli wezempilo owamisela uVyvanse kunye no-OB-GYN wabo okanye umbelekisi ngaphambi kokuqala okanye ukuyeka amayeza-kubandakanya nesicwangciso sokulawula kakuhle iimpawu zabo ze-ADHD.