I-Wellbutrin yipilisi echasayo i-anti-depressant edlalwa ngamanye amaxesha ukuphathwa kweempawu ze-ADHD.
I-Wellbutrin inokumiselwa ngokubambisana kunye neyeza ezikhuthazayo, ezifana no-Adderall okanye uRitalin, ukuba umntu une-ADHD kunye nemeko esele ikhona yokudakumba, okanye inokumiselwa njengeyeza elilodwa ukuzama ukujongana neemeko zombini.
Imishanguzo ekhuthazayo yile ndlela yokuqala yonyango njengoko beyaziwa ngokuba yimpilisi efanelekileyo kakhulu ekunciphiseni iimpawu ze- ADHD ezifana nokunyanzelisa, ukunyanzeliswa, nokungahloniphi.
Imishanguzo engeyiyo imvuselelo yinkqubo yesibini yonyango ye-ADHD. I-Wellbutrin, i-Strattera ne- Clonidine yimizekelo yeendlela ezingenakuvuselela unyango lwe-ADHD.
Kutheni Uthabatha Uluhlu Lwemibini Yogqirha?
Ukuba izikhuthazi ziyaziwa ngokuba yinkqubo enonophelelo yokwenza unyango, kutheni umntu angathatha imithi yesibini? Kukho izizathu ezintathu eziqhelekileyo zokuba kutheni umntu ohlala ne-ADHD uya kukhankanywa imithi yesibini:
- Akuyena wonke umntu othabatha imithi ekhuthazayo ufumana imiphumo yezifo ze-ADHD. Ukuba ngaba kunjalo kuwe okanye wakho othandekayo, ugqirha wakho uza kuhlolisisa ukhetho lwamayeza emibini kunye nawe.
- Awukwazi ukunyamezela unyango olushukumisayo kwaye unokuba nemiphumo emibi kakhulu.
- Ngamanye amaxesha kukho imeko yonyango eyenza ukusetyenziswa kwemichiza evuselela ingxaki. Ngokomzekelo, imeko yeentliziyo, ukuphazamiseka kokulala, imbali yokulutha , kunye nezinye izimo zengqondo ezifana nengxaki yokuguquguquka kwe-bipolar.
Imbali ye-Wellbutrin
I-Wellbutrin ligama lokurhweba leziyobisi. Yavunywe yi-FDA ukuphatha uxinzelelo ngo-1985. Ukususela ngo-1986 ukuya ku-1989 kwasuswa kwi-market ngenxa yeengxelo zokuthintela i-stroke. Ukubanjwa kwamatye kwafunyaniswa kwinto ehambelana nomyinge, ngoko ke xa uWelbutrin ebuya kwi-market in 1989 i-dose enkulu yanciphisa.
I-Wellbutrin SR, i-version-release-release, yavunywa ngowama-1996, kunye ne-Wellbutrin XL, inguqulo yokukhululwa, ngo-2003. Ngo-2006 yaba yipilisi yokuqala evunyiweyo yokunyanga i-disad disorder disorder (SAD).
I-FDA ayifumanga i-Wellbutrin kwonyango lwe-ADHD. Nangona kunjalo, kunqunywe oogqirha njengendlela yokukhethwa kwileyibhile.
Uphando lwe-Wellbutrin kwi-ADHD lwenziwa. Ngokomzekelo, uphando oluthile lufumene ukuba luncipha kakhulu impawu ze-ADHD xa kuthelekiswa ne-placebo. Olunye uphando malunga nokuphumelela kwe-Wellbutrin ekuncediseni iimpawu ze-ADHD kubantu abadala baye ba thembisa.
Umthamo kunye neFomu
I-Wellbutrin iza kwiifom ezi-3:
- Wellbutrin
- I-Wellbutrin SR (ukukhululwa okuqhubekayo)
- I-Wellbutrin XL (ukukhululwa okwandisiweyo)
Ngokuqhelekileyo i-Wellbutrin XL imiselwe i-ADHD ukwenzela ukuba loo mayeza asebenze yonke imihla kwaye ukuba nemiphumo emibi iyancitshiswa.
Umthamo wemihla ngemihla kumntu oneminyaka eli-12 nangaphezulu u-3 ukuya ku-6 mg ngeekhi yesisindo somzimba ngosuku, nangona umthamo wokuqala uvame ukuhla.
Ngokuchasene nemithi evuselelayo, eqala ukusebenza ngaphakathi malunga neyure, i-Wellbutrin (njengabanye abacindezelekayo) inokuthabatha malunga neentsuku ezi-3-7 ngaphambi kokuba uqaphele izibonelelo.
Ukongeza, kungathabatha iiveki ezi-4 ukuya ku-6 ukuya kufumanekileyo. Oku kuthetha ukuba kuthatha iiveki eziliqela ukufumana i-dose yokwelapha efanelekileyo kuwe okanye umntwana wakho.
Uphi umehluko phakathi kwe-XL kunye ne-SR?
Bobabini i-Wellbutrin SR kunye ne-Wellbutrin XL yimiyalelo yokukhululwa ngexesha. Oku kuthetha ukuba isicatshulwa sikhutshwa ngokukhawuleza emzimbeni kwiiyure ezininzi, kwaye kukho ukuhambelana kwezilwanyana kwigazi.
I-Form Sustain Release yahlala iiyure eziyi-12 kwaye ithathwa kabini ngosuku, ngelixa i-XL inguqulelo ihlala iiyure ezingama-24 kwaye ithathwa kanye ngosuku. Ukuthatha i-XL ingcaciso ngokuqhelekileyo kuthetha ukuthobela ukuthobela isigxina njengoko kunethuba elingaphantsi lokulahlekelwa idosi.
Umsebenzi we-Wellbutrin njani?
I-Wellbutrin iyi-norepinephrine kunye ne-dopamine reuptake inhibitor (i-NDRI), kwaye isebenza ngokugcina i-neurotransmitter norepinephrine kunye ne-dopamine ekhoyo kwi-neurons yengqondo ixesha elide. Oku kunceda ukuphucula uxinzelelo, ukugxila kunye nezinye iimpawu ze-ADHD.
Ekubeni u-Wellbutrin engathinti i-serotonin, isebenza ngokuhlukileyo kunezinye ezininzi izidandlululo. Ngokomzekelo, i-serotonin reuptake inhibitors (i-SSRIs) ikhetha i-serotonin kanti i-tricyclic antidepressants [TCAs] ikhulisa i-norepinephrine kunye namazinga e-serotonin kunye nokuvimbela i-acetylcholine engakhokelela kwimiphumo emibi. I-Monoamine oxidase inhibitors (ii-MAOIs) -i-anti-depressants yokuqala-ukwandisa i-norepinephrin, i-serotonin kunye ne-dopamine ngokunciphisa i-enzyme i-monoamine oxidase.
Imiphumela
Iziphumo ezikhoyo ezinokuthi ziquka ukuxhalaba, ukuvuya, ukunyanzeliswa, ukunyuka kwemoto, ukusabalalisa, ukugubha, ukugubha, umlomo, umlomo oomileyo, intloko, kunye neentlanzi. Kukho umngcipheko onokunyusa ukuxhatshazwa kubantu abachaphazelekayo okanye abaneembali zokuphazamiseka kokutya.
I-Wellbutrin iyilwayo yeCandelo C, oko kuthetha ukuba kuthathwa njengongaphephile ukuthatha ngexesha lokukhulelwa okanye ngexesha lokuncelisa. Kubalulekile ukuthetha nodokotela wakho ukuba ukhulelwe okanye uceba ukukhulelwa.
Isilumkiso seBlack Black
I-FDA ibeka isilumkiso sebhokisi emnyama kwiibhile zamachiza ezonyango zonyango ukuze zenze ingqalelo kuyo nayiphi na ingozi ebalulekileyo okanye yobomi omele uyiqaphele.
I-Wellbutrin, njengabanye abantu abahlukumezayo, ithwala isilumkiso somnyama ebomvu ngenxa yengozi yokuzibulala okanye intshukumo kubantwana, intsha kunye nabantu abadala. Kubalulekile ukuthetha nodokotela wakho ukuxoxa ngezibonelelo ngokubhekiselele kumngcipheko ale mayeza kwaye uhlale uxolo kunye nabo ngelixa uthabatha u-Wellbutrin. Ukongeza, abazali kunye nabanakekeli bayakhuthazwa ukuba bagcine iliso malunga naluphi na utshintsho olunokwenzeka kwimpilo yomntwana.
Ngaba I-Wellbutrin Ingandinceda Ndiyeke Ukubhema?
I-Wellbutrin kunye neZyban zizo zombini amagama e-brand for the bupropion drug. I-Wellbutrin ivunyiwe yi-FDA njengesixinzelelo, kwaye iZyban ivunyiwe ukunceda abantu bayeke ukutshaya. Ukuba utshaya ugqabi kwaye u-Wellbutrin umiselwe, unokufumanisa ukuba kusebenza njengesicatshulwa sokuyeka ukutshaya. Ayinayo i-nicotine; Nangona kunjalo, abanye ababhemayo babika ukuba kususa umdla wabo okanye umnqweno wokutshaya.
ILizwi
Ngelixa i-Wellbutrin ingeyona yonyango imithi ye-ADHD, kunokunceda ekuphatheni iimpawu ze-ADHD, ingakumbi ukuba unemiqathango yokuxinezeleka kunye nexhala. Inokumiselwa ngokuhlanganisana namanye amayeza e-ADHD okanye njengendlela yokuzimelela.
Ukuba unomdla kwi-Wellbutrin njengenxalenye yonyango lwe- ADHD, xubusha nodokotela wakho. Baya kuba nako ukuncedisa ukuba unqume ukuba ngaba kukho okulungileyo kuwe.
> Imithombo:
Hamedi, M., M. Mohammdi, A. Ghaleiha, Z.Keshavarzi, M. Jafarnia, R. Keramatfar kunye no-2014 Bupropion kwi-Adulths Ukunyamekela-Ukulahleka / Ukungaxhatshazi kakuhle Ingxaki: Ukufundisisa okungaqhelekanga, okuphindileyo. I-Acta Medica i-Iranica 52 (9): 675-680
IManeeton, N., B. Maneeton, M. Srisurapanont, kunye ne-SD Martin. Ngo-2011 iBupropion kubantu abadala abanokukhathazeka-ukungaphumeleli kwimeko yokugula. Uhlalutyo lwe-Meta lweendlela ezilawulwa yindawo ye-placebo. I-Psychiatry ne-Clinical Neurosciences 65 (7): 611-617