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ଅଧିକ ତ‌ଥ୍ୟ ଦିଆଗଲା
ଅଧିକ ତ‌ଥ୍ୟ ଦିଆଗଲା
୨୩ କ ଧାଡ଼ି:
 
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ଦେଶ ଅନୁସାରେ [[ଧ୍ୟାନାଭାବ ଓ ଅତିସକ୍ରିୟତା ବିକାର ଚିକିତ୍ସା|ଏଡିଏଚଡି ଚିକିତ୍ସା]]ରେ ପରିବର୍ତ୍ତନ ହୁଏ ଓ ସାଧାରଣତଃ [[ସାଇକୋଥେରାପି]], ଜୀବନ ଚର୍ଯ୍ୟାର ପରିବର୍ତ୍ତନ ଓ ଔଷଧ ମାନଙ୍କ ସାହାଯ୍ୟରେ ଚିକିତ୍ସା କରାଯାଏ ।<ref name=NIH2016>{{cite web|title=Attention Deficit Hyperactivity Disorder|url=http://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml|website=National Institute of Mental Health|accessdate=5 March 2016}}</ref> ବ୍ରିଟିଶ୍ ମାର୍ଗଦର୍ଶନ ଅନୁସାରେ ସାଂଘାତିକ ରୋଗ ଥିଲେ ବା ମଧ୍ୟମ ଧରଣର ରୋଗ ଥିଲେ ମଧ୍ୟ ଉପଦେଶ ଅନୁସାରେ କିଛି ଉନ୍ନତି ପରିଲକ୍ଷିତ ନ ହେଉଥିଲେ ପ୍ରଥମ ଧାଡ଼ି ଚିକିତ୍ସା ଅନୁସାରେ ପ୍ରଥମେ ଔଷଧ ଦିଆଯାଏ ।<ref name="NICE 2009">{{cite book | title=Attention Deficit Hyperactivity Disorder: Diagnosis and Management of ADHD in Children, Young People and Adults | author=National Collaborating Centre for Mental Health | publisher=British Psychological Society | isbn=9781854334718 | date=2009 | pages = 19–27, 38, 130, 133, 317}}</ref> କାନାଡ଼ା ଓ ଆମେରିକା ମାର୍ଗଦର୍ଶନ ଅନୁସାରେ ସ୍କୁଲ ପୂର୍ବ ବୟସର ପିଲାଙ୍କୁ ଛାଡ଼ି ଅନ୍ୟ ସମସ୍ତଙ୍କୁ ଔଷଧ ଓ ବ୍ୟବ‌ହାରିକ ଥେରାପି ଦିଆଯାଏ ।<ref name="CADDRA">{{cite web|title=Canadian ADHD Practice Guidelines|url=http://www.caddra.ca/cms4/pdfs/caddraGuidelines2011Introduction.pdf|work=Canadian ADHD Alliance|accessdate=4 February 2011}}</ref><ref name="CDC guideline">{{cite web|title=Attention-Deficit / Hyperactivity Disorder (ADHD): Recommendations|url=http://www.cdc.gov/ncbddd/adhd/guidelines.html|publisher=Centers for Disease Control and Prevention|accessdate=13 July 2015|date=24 June 2015}}</ref> ଏହି ଦୁଇ ମାର୍ଗଦର୍ଶନ ଅନୁସାରେ ସ୍କୁଲ ପୂର୍ବ ପିଲାଙ୍କୁ ଉତ୍ତେଜକ ଥେରାପି ଦେବାକୁ ସୁପାରିସ କରାଯାଏ ନାହିଁ ।<ref name="NICE 2009"/><ref name="CDC guideline" /> ୧୪ ମାସ ପର୍ଯ୍ୟନ୍ତ ଉତ୍ତେଜକ ଚିକିତ୍ସା ପ୍ରଭାବଶାଳୀ ହୁଏ କିନ୍ତୁ ଦୀର୍ଘକାଳୀନ ଚିକିତ୍ସାର ଫଳ ଜଣାଯାଇ ନାହିଁ ।<ref name="NICE 2009"/><ref name="Long-Term Outcomes Medications">{{cite journal |last1= Huang |first1= YS |last2= Tsai |first2= MH | title = Long-term outcomes with medications for attention-deficit hyperactivity disorder: Current status of knowledge | journal = CNS Drugs | volume = 25 | issue = 7 | pages = 539–554 |date=July 2011 | pmid = 21699268 | doi = 10.2165/11589380-000000000-00000 | url = }}</ref><ref name="Long-term 2015">{{cite journal | last1= Arnold |first1=LE |last2= Hodgkins |first2= P |last3= Caci |first3= H |last4= Kahle |first4= J |last5= Young |first5= S |displayauthors= 4 | title = Effect of treatment modality on long-term outcomes in attention-deficit/hyperactivity disorder: A systematic review | journal = PLoS ONE | volume = 10 | issue = 2 | pages = e0116407 | date = February 2015 | pmid = 25714373 | pmc = 4340791 | doi = 10.1371/journal.pone.0116407}}</ref><ref name="Long-term 36">{{cite journal | authors = Parker J, Wales G, Chalhoub N, Harpin V | title = The long-term outcomes of interventions for the management of attention-deficit hyperactivity disorder in children and adolescents: a systematic review of randomized controlled trials | journal = Psychol. Res. Behav. Manag. | volume = 6 | issue = | pages = 87–99 | date = September 2013 | pmid = 24082796 | doi = 10.2147/PRBM.S49114 | quote = Results suggest there is moderate-to-high-level evidence that combined pharmacological and behavioral interventions, and pharmacological interventions alone can be effective in managing the core ADHD symptoms and academic performance at 14 months. However, the effect size may decrease beyond this period.&nbsp;... Only one paper53 examining outcomes beyond 36 months met the review criteria.&nbsp;... There is high level evidence suggesting that pharmacological treatment can have a major beneficial effect on the core symptoms of ADHD (hyperactivity, inattention, and impulsivity) in approximately 80% of cases compared with placebo controls, in the short term.22 | pmc=3785407}}</ref> କିଶୋର ଓ ଯୁବାବସ୍ଥା ଲୋକ ଅବସ୍ଥାର ମୁକାବିଲା ଶକ୍ତି ଆସିଯାଇଥିବାରୁ କେତେକ ଅଭାବ ପୂରଣ ହୋଇଯାଏ । <ref name="Art.218">{{cite journal | author = Gentile JP, Atiq R, Gillig PM | title = Adult ADHD: Diagnosis, Differential Diagnosis, and Medication Management | journal = Psychiatry (Edgmont) | volume = 3 | issue = 8 | pages = 25–30 | date = August 2006 | pmid = 20963192 | pmc = 2957278 | doi = | url = }}</ref>
 
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