Nā Lapaʻau ADHD: Vyvanse vs. Ritalin

Anter

• Hoʻohana
• Pehea lākou e hana ai
• Ka hoʻokō ʻana
• Nā ʻano a me nā ana
• ʻO Vyvanse
• Ritalin
• Nā hopena ʻaoʻao
• Nā ʻōlelo aʻoaʻo
• Nā mea i kāohi ʻia
• Nā launa lāʻau
• Nā kūlana o ka hopohopo
• E kamaʻilio me kāu kauka

Hōʻike Overview

Hoʻohana ʻia nā lāʻau no ka maʻi hyperactivity deficit attention (ADHD) i nā stimulants a me nā nonstimulants.

ʻOi aku ka liʻiliʻi o nā hopena o ka Nonstimulants, akā ʻo nā stimulant ka lāʻau lapaʻau maʻamau i hoʻohana ʻia i ka mālama ʻana iā ADHD. Ua hōʻike ʻia lākou i kahi ʻoi aku ka maikaʻi.

ʻO Vyvanse lāua ʻo Ritalin nā mea hoʻoulu ʻelua. ʻOiai like kēia mau lāʻau i kekahi ʻano, aia kekahi mau ʻokoʻa nui.

E heluhelu e pili ana i ka ʻike e pili ana i nā like a me nā ʻokoʻa i hiki iā ʻoe ke kūkākūkā me kāu kauka.

Hoʻohana

Aia i loko o Vyvanse ka laikini lisdexamfetamine dimesylate, ʻoiai ʻo Ritalin i loko o ka lāʻau methylphenidate.

Hoʻohana ʻia ʻo Vyvanse a me Ritalin e mālama i nā hōʻailona ADHD e like me ka nānā maikaʻi ʻole, hoʻemi i ka kaohi impulse, a me ka hyperactivity. Eia nō naʻe, kauoha ʻia lākou e mālama i nā kūlana ʻē aʻe.

Kau ʻia ʻo Vyvanse e mālama i ke ʻano o ka maʻi ʻana o ka binge, a ua kauoha ʻia ʻo Ritalin e mālama i ka narcolepsy.

Pehea lākou e hana ai

Hana kēia mau lāʻau i ka hoʻonui ʻana i nā pae o kekahi mau kemika i kou lolo, e like me ka dopamine a me ka norepinephrine. Eia nō naʻe, noho mau nā lāʻau i kou kino no nā manawa like ʻole.

ʻO Methylphenidate, ka lāʻau i Ritalin, komo i loko o ke kino i kona ʻano hana. ʻO kēia ke hiki ke hele i ka hana i kēia manawa koke, a ʻaʻole kū lōʻihi ʻo Vyvanse. No laila, pono e lawe pinepine ʻia ma mua o Vyvanse.

Eia nō naʻe, hele mai ia i nā mana hoʻokuʻu hoʻokuʻu i hoʻokuʻu ʻia i loko o ke kino me ka lohi a hiki ke lawe ʻia ma ka liʻiliʻi.

ʻO Lisdexamfetamine dimesylate, ka lāʻau i Vyvanse, komo i kou kino i kahi ʻano hana ʻole. Pono kāu kino e hoʻoponopono i kēia lāʻau e hana. A ʻo kahi hopena, he 1 a 2 paha mau hola e ʻike ai nā hopena o Vyvanse. Eia naʻe, ʻoi aku ka lōʻihi o kēia mau hopena ma ka lā holoʻokoʻa.

Hiki iā ʻoe ke lawe iā Vyvanse ma mua o ka lawe ʻana iā Ritalin.

Ka hoʻokō ʻana

Ua hana ʻia kahi noiʻi iki e hoʻohālikelike pono iā Vyvanse a me Ritalin. ʻO nā haʻawina ma mua i hoʻohālikelike ʻia i nā lāʻau stimulant ʻē aʻe me ka mea hana i Vyvanse i ʻike ʻia e pili ana i ka hopena like.

Ua ʻike ʻia kahi anamanaʻo 2013 o nā keiki a me nā ʻōpio i ka mea hana ma Vyvanse e ʻoi aku ka maikaʻi ma ka hoʻomaha ʻana i nā ʻōuli ADHD ma mua o ka mea hana ma Ritalin.

No nā kumu i hoʻomaopopo ʻole ʻia, pane maikaʻi kekahi poʻe iā Vyvanse a pane maikaʻi kekahi poʻe iā Ritalin. ʻO ka loaʻa ʻana o ka lāʻau e kūpono loa iā ʻoe he mea ia o ka hoʻāʻo a me ka hemahema.

Nā ʻano a me nā ana

Hōʻike ka papa aʻe i nā hiʻohiʻona o nā lāʻau ʻelua:

ʻO Vyvanse

Loaʻa ʻo Vyvanse ma ke ʻano he papa ʻaihue a ma ke ʻano he capsule. Hana ʻia nā hana no ka papa mai 10 a 60 milligrams (mg), ʻoiai ʻo nā kaha no ka capsule mai 10 a 70 mg. ʻO ka mahele maʻamau no Vyvanse he 30 mg, a ʻo ka mea nui o kēlā me kēia lā he 70 mg.

Hiki i nā hopena o Vyvanse ke hala i 14 mau hola. No kēia kumu, lawe ʻia i hoʻokahi manawa i kēlā me kēia lā, i ke kakahiaka. Hiki iā ʻoe ke lawe me ka ʻai ʻole.

Hiki ke kāpīpī i nā mea o Vyvanse capsules i ka meaʻai a i ka wai. E maʻalahi paha kēia i ka lawe ʻana no nā keiki makemake ʻole e ale i nā pila.

Ritalin

Loaʻa ʻo Ritalin i nā ʻano ʻelua.

ʻO Ritalin kahi papa i hiki mai i nā kaha o 5, 10, a me 20 mg. ʻO kēia papa hana pōkole wale nō e pau i kou kino no 4 mau hola. Lawe ʻia i ʻelua a ʻekolu paha manawa i kēlā me kēia lā. ʻO ka palena kiʻekiʻe o kēlā me kēia lā he 60 mg. Pono nā kamaliʻi e hoʻomaka me ʻelua mau lā o 5 mg i kēlā me kēia lā.

ʻO Ritalin LA kahi capsule e hele mai i nā koina o 10, 20, 30, a me 40 mg. ʻO kēia capsule hoʻokuʻu hoʻokuʻu lōʻihi paha i loko o kou kino a hiki i 8 mau hola, no laila pono e lawe hoʻokahi wale nō i kēlā me kēia lā.

ʻAʻole pono e lawe ʻia ʻo Ritalin me ka meaʻai, ʻoiai ʻo Ritalin LA hiki ke lawe ʻia me ka ʻole o ka meaʻai.

Ma ke ʻano he lāʻau laulaha a ma lalo o nā inoa inoa ʻē aʻe e like me Daytrana, loaʻa pū ka methylphenidate i nā ʻano e like me ka papa chewable, oral oral, a patch.

Nā hopena ʻaoʻao

Hiki iā Vyvanse a me Ritalin ke loaʻa nā hopena ʻaoʻao like. ʻO nā hopena ʻaoʻao maʻamau no nā lāʻau ʻelua:

• nalo ʻai ʻole
• nā pilikia o ka digestive, me ka maʻi pākī, nausea, a me ka ʻōpū
• ʻūpā
• waha maloo
• nā ʻano maʻi o ke ʻano, e like me ka hopohopo, huhū, a i ʻole ka makaʻu
• pilikia hiamoe
• Kaumaha emi

Hiki i nā lāʻau ʻelua ke loaʻa nā hopena ʻē aʻe i ʻoi loa, e like me:

• hoʻonui i ka helu o ka puʻuwai a me ke kahe o ke koko
• lohi ka ulu ʻana o nā keiki
• kelika

Ua ʻike ʻia ʻo Ritalin e hōʻeha i nā poʻo o ke poʻo a ʻoi aku paha ka mea e hoʻonui ai i ka nui o ka puʻuwai a me ke koko kiʻekiʻe.

Ua hoʻopau ʻia ka loiloi 2013 o ka lisdexamfetamine dimesylate, a i ʻole ʻo Vyvanse, i kumu e loaʻa nā ʻōuli e pili ana i ka nalo ʻana o ka makemake, kahoho, a me ka hiamoe.

ʻAʻole i kuhikuhi ʻia ʻo Vyvanse a me Ritalin no ka pohō kaumaha, a ʻaʻole pono e hoʻohana ʻia kēia mau lāʻau no kēia kumu.He mana kēia mau lāʻau, a pono ʻoe e lawe iā lākou e like me ke kuhikuhi. E hoʻohana wale iā lākou inā kē kau kauka iā lākou nāu.

Nā ʻōlelo aʻoaʻo

ʻO Vyvanse lāua ʻo Ritalin nā lāʻau ikaika ʻelua. Ma mua o ka hoʻohana ʻana iā lākou, e makaʻala ʻoe i kekahi mau pilikia.

Nā mea i kāohi ʻia

ʻO Vyvanse lāua ʻo Ritalin he mau mea i kāohi ʻia. ʻO kēia ke hiki iā lākou ke hoʻohana hewa ʻia, a hoʻohana kūpono ʻole paha. Eia nō naʻe, he mea maʻamau ʻole kēia mau lāʻau i ke kaukaʻi, a aia a liʻiliʻi ka ʻike e loaʻa ai i ka mea ʻoi aku ka hopena o ka hilinaʻi.

Eia nō naʻe, inā he mōʻaukala kou a i ʻole ka hilinaʻi lāʻau, pono ʻoe e kamaʻilio me kāu kauka e pili ana ma mua o ka lawe ʻana i kekahi o kēia mau lāʻau.

Nā launa lāʻau

Hiki iā Vyvanse a me Ritalin ke launa pū me nā lāʻau ʻē aʻe. ʻO kēia ke hoʻohana ʻia me kekahi mau lāʻau ʻē aʻe, hiki i kēia mau lāʻau ke hana i nā hopena weliweli.

Ma mua o kou lawe ʻana iā Vyvanse a i ʻole Ritalin, e haʻi i kāu kauka e pili ana i nā lāʻau ʻē aʻe āpau āu e lawe ai, e like me nā huaora a me nā mea hoʻohui.

Eia kekahi, e pono e haʻi iā lākou inā ua lawe hou ʻoe a i ʻole lawe i kahi mea hōʻoki monoamine oxidase (MAOI). Inā pēlā, ʻaʻole hiki i kāu kauka ke kuhikuhi iā Vyvanse a i ʻole Ritalin nāu.

Nā kūlana o ka hopohopo

ʻAʻole kūpono ʻo Vyvanse a me Ritalin i nā mea āpau. ʻAʻole hiki iā ʻoe ke lawe i kekahi o kēia mau lāʻau inā loaʻa iā ʻoe:

• nā pilikia puʻuwai a i ʻole ka holo ʻana
• kahi maʻi āpau i ka lāʻau a i ʻole kahi hopena iā ia i ka wā i hala
• kahi moʻolelo o ka hoʻohana pono ʻole ʻana i ka lāʻau

Eia hou, ʻaʻole pono ʻoe e lawe iā Ritalin inā loaʻa iā ʻoe nā ʻano aʻe:

• hopohopo
• glaucoma
• Tourette maʻi pale

E kamaʻilio me kāu kauka

Mālama ʻo Vyvanse a me Ritalin i nā hōʻailona ADHD e like me ka noʻonoʻo ʻole, hyperactivity, a me ka lawehala impulsive.

Kūlike kēia mau lāʻau, akā ʻokoʻa i kekahi mau ʻano kī. Hoʻopili kēia mau ʻokoʻa i ka lōʻihi o ka lōʻihi o ke kino, ka manawa e pono ai lākou e lawe, a me kā lākou ʻano a me nā ana.

Ma ke ʻano holoʻokoʻa, ʻo nā mea nui nui kāu mau makemake pilikino a me nā pono. ʻO kahi laʻana, pono ʻoe a i ʻole paha i kāu keiki i ka lāʻau e mau ai ka lā holoʻokoʻa - e like me ke kula piha a i ka lā hana? Hiki iā ʻoe ke lawe i nā kau ma nā lā he nui?

Inā manaʻo ʻoe hiki i kahi o kēia mau lāʻau ke lilo i koho maikaʻi naʻu a i ʻole kāu keiki, e kamaʻilio me ke kauka. Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo i ke kumumanaʻo lapaʻau e ʻoi aku ka maikaʻi, e pili ana inā pili paha i ka lāʻau lawena, lāʻau, a i ʻole ʻelua paha.

Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo i kahi o kēia mau lāʻau, a i ʻole kahi lāʻau ʻokoʻa, e ʻoi aku paha ke kōkua.

Hiki i kahi ADHD ke ʻano huikau e hoʻokele, no laila e noʻonoʻo pono e nīnau i kāu kauka i kāu nīnau. Pili pū paha kēia:

• Pono wau a i ʻole kaʻu keiki e noʻonoʻo i ka hoʻomaʻamaʻa lawena?
• E lilo kahi mea hoʻonāukiuki a i ʻole nonstimulant i koho maikaʻi naʻu a me kaʻu keiki?
• Pehea wau e ʻike ai inā makemake kaʻu keiki i ka lāʻau?
• Pehea ka lōʻihi o ka mālama ʻana?