Hankany amin'ny vontoatiny

Aretin'ny tsy fahampian'ny fifantohana sy ny fihetsehana tafahoatra

Avy amin'i Wikipedia
Attention_deficit_hyperactivity_disorder
Anarana hafa: Attention-deficit disorder, hyperkinetic disorder (ICD-10)
An image of children
People with ADHD may find it more difficult than others to focus on and complete tasks such as schoolwork.
Manam-pahaizana manokana momba nyPsychiatry, pediatrics
Soritr'aretinaDifficulty paying attention, excessive activity, difficulty controlling behavior[1][2]
Fanombohana mahazatraBefore age 6–12[3]
Faharetana>6 months[3]
AntonyBoth genetic and environmental factors[4][5]
DiagnostikaBased on symptoms after other possible causes ruled out[1]
Diagnostika samihafaNormally active young child, conduct disorder, oppositional defiant disorder, learning disorder, bipolar disorder, fetal alcohol spectrum disorder[6][7]
FitsaboanaCounseling, lifestyle changes, medications[1]
FanafodyStimulants, atomoxetine, guanfacine, clonidine[8][9]
Hatetika51.1 million (2015)[10]

Ny ADHD ( Attention Deficit Hyperactivity Disorder ) dia aretina ara-tsaina amin'ny karazana fivoaran'ny atidoha.[11][12] Miavaka amin'ny fahasarotana amin'ny fifantohana, ny fanaovana zavatra tafahoatra, ary ny fihetsika tsy miraharaha ny vokany, izay tsy mety amin'ny taonan'ny olona iray raha tsy izany.[1][2] Misy olona sasany manana ADHD koa mampiseho fahasarotana amin'ny fandrindrana ny fihetseham-po na olana amin'ny fiasan'ny mpanatanteraka.[13][14][15][2] Mba hahafantarana ny aretina, dia tokony hiseho alohan'ny faha-roa ambin'ny folo taonany ny soritr'aretina, tokony ho hita mihoatra ny enim-bolana, ary mety hiteraka olana amin'ny toerana roa farafahakeliny (toy ny any an-tsekoly, any an-trano, na any amin'ny fialam-boly).[3][16] Ho an'ny ankizy, ny olana amin'ny fifantohana dia mety hiteraka vokatra ratsy any an-tsekoly.[1] Ankoatra izany, misy fifandraisana amin'ny aretina ara-tsaina hafa sy ny fidorohana zava-mahadomelina.[17] Na dia miteraka fahasimbana aza izany, indrindra amin'ny fiaraha-monina maoderina, dia maro ny olona voan'ny ADHD no afaka mifantoka tsara amin'ny asa izay hitany fa mahaliana na mahafa-po (fantatra amin'ny hoe hyperfocus ).[5][18]

Na dia io aza no aretina ara-tsaina matetika ianarana sy voamarina indrindra amin'ny ankizy sy ny zatovo, dia tsy fantatra mazava ny antony marina amin'ny ankamaroan'ny tranga.[4] Tombanana ho eo amin'ny 75% eo ho eo amin'ny risika ny anton-javatra ara-pandovan-toetra.[19] Mety hampidi-doza ho an'ny tontolo iainana ny fiparitahan'ny nikôtinina mandritra ny fitondrana vohoka.[20] Toa tsy misy ifandraisany amin'ny fomba fitaizana na ny fitsipi-pifehezana izany.[21] Mahatratra 5–7% eo ho eo amin'ny ankizy no voan'izany rehefa voamarina araka ny fepetra DSM-IV [2][22] ary 1–2% rehefa voamarina araka ny fepetra ICD-10.[23] Tamin'ny taona 2015, tombanana ho olona 51.1 tapitrisa eo ho eo no voakasik'izany maneran-tany.[10] Mitovy ny tahan'ny aretina eo amin'ny firenena tsirairay ary miankina betsaka amin'ny fomba famaritana azy.[24] Matetika avo roa heny eo ho eo ny trangan'ny ADHD amin'ny ankizilahy noho ny amin'ny ankizivavy,[2] na dia matetika aza tsy raharahiana amin'ny ankizivavy ity aretina ity satria tsy mitovy amin'ny an'ny ankizilahy ny soritr'aretiny.[25][26][27] Manodidina ny 30–50%-n'ny olona voamarina fa voan'ny aretina tamin'ny fahazazany no mbola manana soritr'aretina hatrany amin'ny fahamatorana ary eo anelanelan'ny 2–5%-n'ny olon-dehibe no voan'io aretina io.[28][29][30] Mety hitranga amin'ny olon-dehibe ny tsy fahazoana aina anatiny fa tsy ny fihetsehana tafahoatra.[31] Matetika izy ireo dia mampivelatra fahaiza-miatrika izay manonitra ny sasany na ny fahasembanana rehetra ananany.[32] Mety ho sarotra ny manavaka ity aretina ity amin'ny aretina hafa, ary koa ny manavaka azy amin'ny asa be loatra izay mbola ao anatin'ny fitondran-tena mahazatra.[16]

Miovaova arakaraka ny firenena ny tolo-kevitra momba ny fitantanana ny ADHD ary mazàna dia misy fitambaran'ny torohevitra, fanovana fomba fiaina ary fanafody.[1] Ny torolàlana Britanika dia manoro hevitra ny fampiasana fanafody ho fitsaboana voalohany ho an'ny ankizy manana soritr'aretina mafy ary tokony hodinihina ny fampiasana fanafody ho an'ireo manana soritr'aretina antonony izay mandà na tsy mihatsara amin'ny alalan'ny torohevitra, na dia fitsaboana voalohany aza ho an'ny olon-dehibe ny fanafody.[33] Manoro hevitra ny fitantanana ny fitondran-tena amin'ny voalohany amin'ny ankizy mbola tsy mianatra mialoha ny torolàlana Kanadiana sy Amerikana, raha toa ka soso-kevitra ny fampiasana fanafody sy fitsaboana fitondran-tena miaraka aorian'izay.[34][35][36] Ny fitsaboana amin'ny stimulants dia mandaitra mandritra ny 14 andro farafahakeliny volana; na izany aza, tsy mazava ny fahombiazany maharitra ary mety hisy voka-dratsy.[37][38][39][40][41][42][43]

Ny literatiora ara-pitsaboana dia efa nilazalaza soritr'aretina mitovy amin'ny an'ny ADHD hatramin'ny taonjato faha-18.[44] Ny ADHD, ny famaritana azy, ary ny fitsaboana azy dia noheverina ho iadian-kevitra hatramin'ny taona 1970.[45] Nahitana mpitsabo, mpampianatra, mpanao politika, ray aman-dreny ary ny media ireo adihevitra ireo. Anisan'ny lohahevitra hodinihina ny antony mahatonga ny ADHD sy ny fampiasana fanafody mampientanentana amin'ny fitsaboana azy.[46] Ny ankamaroan'ny mpitsabo dia manaiky ny ADHD ho aretina tena izy amin'ny ankizy sy ny olon-dehibe, ary ny adihevitra eo amin'ny vondrom-piarahamonina siantifika dia mifantoka indrindra amin'ny fomba fitiliana sy fitsaboana azy.[47][48][49] Fantatra tamin'ny anarana hoe fikorontanan'ny tsy fahampian'ny fifantohana ( ADD ) io aretina io nanomboka tamin'ny 1980 ka hatramin'ny 1987, raha fantatra kosa tamin'ny anarana hoe fihetsiky ny fahazazana hyperkinetic talohan'izay.[50][51]

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[hanova | hanova ny fango]
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