I-Vyvanse ne-Adderall zombini imishanguzo ekhuthazayo enokunyangwa ukuphathwa kwe- ADHD. Izikhuthazo (ezaziwa nangokuthi i-psychostimulants) yile mgca wokuqala wemithi ngenxa yokusebenza kwabo ekuphatheni iimpawu ze-ADHD .
Zomibini iziyobisi zisebenza kwinkqubo enomdla, eyenza inani leengxaki ze-neurotransmitter ezingqondweni. Ngenxa yokwanda kwe-dopamine kunye ne-norepinephrin, kulula ukubhalela ingqalelo kunye nokugxila.
Ukongezelela, ukunyaniseka nokuziphatha okunciphisa kuncitshiswa.
Ngaba iVivisse neAdderall efanayo?
UVavse kunye neAdderall ngamachiza amabini ahlukeneyo. Nangona kunjalo, ngenxa yokuba bobabili imithi ekhuthazayo evela kwintsapho efanayo (i-amphetamine) inokudideka njengokuba yinto efanayo.
Nazi ezinye iinkcukacha malunga neziyobisi ezimbini ukukhanyisa ukufana kwazo kunye nokungafani:
Adderall
I-Adderall ligama legama lesigqirha equle dextroamphetamine kunye ne-amphetamine. Itholakala kwiifomula ezimbini: i-Adderall IR (ukukhutshwa ngokukhawuleza) kunye ne-Adderall XR (ukukhululwa okwandisiweyo).
I-Adderall IR isebenza ngokufutshane kwaye ihlala malunga neeyure ezingama-4. Ngokuqhelekileyo, xa umntu echazwe le nguqulo yokukhutshwa ngokukhawuleza, bayayithatha kabini okanye kathathu ngosuku.
Ifom ye-Adderall XR isebenza ngeeyure eziyi-10 ukuya kwi-12. Kwakuba yi-FDA evunywe ngo-1996 kwaye ivunyiwe ukuba imiselwe abantu abantu abaneminyaka engama-6 nangaphezulu.
I-Adderall iphinde ivunyiwe ukuphatha i-narcolepsy.
Vyvanse
UVavse ligama legama lesigqirha esine-lisdexamfetamine. Xa i-lisdexamfetamine ingena emzimbeni, iguqulwa ibe yi-dextroamphetamine. Itholakala kwindlela ethile kwaye isebenza malunga neeyure eziyi-14.
UVavse uvunyiwe yi-FDA ngo-2007 kwaye ivunyiwe ukuphatha abantu abaneminyaka engama-6 nangaphezulu.
Ukongezelela ekuphatheni i-ADHD, iVivanse ivunyiwe ukuphatha ingxaki yokutya .
Vyvanse vs. Adderall
Mhlawumbi ulwahlulo olukhulu phakathi kwe-Adderall neVivanse kukuba iVivanse yiprodri. Oku kuthetha ukuba kufuneka kuthathwe ngomlomo ukwenzela ukuba i-metabolised by enzyme yomzimba ukuze iphumelele.
UVivvanse udlalwa ngokubhekiselele ngokuthi 'ulula' kuneAdderall. Esinye sezizathu zezi zinto-kuba unomlinganiselo wokunciphisa ngokukhawuleza-akukho 'ikhatywe' okanye 'ijolt' kwinkqubo xa iyeza liqala ukusebenza. Ukongezelela, kukho iyeza elincinci xa iVivvanse iqala ukugqoka.
Imiphumo ye-Adderall iqalisa ukusebenza phakathi kwemizuzu engama-30. Ngokwahlukileyo, uVivanse uthatha iiyure ezi-1 ukuya kweyesi-2 ukuba asebenze.
Ekubeni i-Adderall ifumaneka kwiinguqulelo ezikufutshane kunye ezongezelelweyo, ivumela ukuba kubekho ukuguquguquka okukhulu kwindlela enokuthi ithathwe ngayo. Umzekelo, umntu unokumisela i-Adderall XR ukuba ithathe imihla ngemihla kwaye ibe ne-Adderall IR ukuba ithathe xa kuthathwa umphumo osheshayo okanye xa kunenzuzo ukuba iyeza zigugule ngaphambi kokulala.
Ngaba iVivvanse iphephile kuneAdderall?
I-Vyvanse ne-Adderall yilezi zonyango zeShedyuli II, ezithetha ukuba kunokusetyenziswa kakubi nokusetyenziswa kakubi kunokubangela ukuxhomekeka.
Bobabini bayavunyelwa ukuba bathabathe ngomlomo, kwaye ekubeni uVivvanse uthatha iiyure ezi-1 ukuya kwi-2 ngaphambi kokuba iimpembelelo zalo zivezwe, akusiyo isicatshulwa esinokukhatyathwa okanye ukujova njengendlela yokuphakama. Oku kunokuthetha ukuba akunakwenzeka ukusetyenziswa kakubi kuneAdderall kunye neminye imithi evuselelayo.
Gcina rhoqo amayeza akho ngokukhuselekileyo kwaye ungabikho kwabanye abantu.
IiFom kunye neMilinganiselo
I-Adderall IR ifumaneka kwiipilisi ezivela kwi-5mg ukuya ku-30mg. I-Adderall XR ifumaneka kumanani ayisithandathu ahlukeneyo ukusuka kwi-5mg ukuya ku-30mg.
I-Vyvanse ifumaneka kwiifomsile kunye namacwecwe amancinci amandla amaninzi kumlinganiselo we-30mg ukuya kuma-70mg.
Oogqirha babedla ukuba banike umthamo ophantsi xa uqale uthabathe imithi kwaye ukwandisa kancane uze ufumane i-dose yokwelapha efanelekileyo kuwe kunye neempawu zakho.
Iindleko
I-Adderall kunye neVivanse ngamagama amabini kunye nokubonelelwa kwenyanga ngaphandle kwe-inshurensi inokuhlawula i-$ 150 ukuya kwi-400 engadluliyo ngokuxhomekeka kwimizuzu kunye neqondo. I-Adderall ifumaneka kwiinguqu eziqhelekileyo (i-amphetamine ityuwa combo), ezinokuthi zithengise kakhulu. Abanye abantu bafumana ukuba ii-generic versions ze-Adderall azikwazi ukusebenza ngolu hlobo njengenguqu yegama.
I-Vyvanse ayifumanekanga kwifomu yobudala. Iifommasta ze-intanethi zingabhengeza iifomu eziqhelekileyo zakwaVavsse kodwa zinyamekele: I-Generic Vyvanse ayizange ivunyiwe, ibenokukwazi ukukhuseleka.
Imiphumela
NjengoVivvanse kunye neAdderall bobabini bezonyango ezikhuthazayo ezenziwe ngamanzi adibeneyo e-amphetamine, iziphumo ezichaphazelekayo zezidakamizwa nganye ziyafana kwaye ziquka:
- Intlungu zesisu
- Ukulahleka kokutya
- Uhudo
- Utywala
- Umlomo omile
- Fever
- Intloko
- Ukungabikho
- Ukutshatyalaliswa
- I sizathu
- Ukhathazeka
- Iingxaki zokulala
- Ukuvutha
- Ukuhla ukusinda
Iziphumo ezibi kakhulu kodwa zibandakanya izinga lokunyuka kwentliziyo, uxinzelelo lwegazi oluphezulu, i-hallucinations, paranoia, ukuphefumula okufutshane, ukuhlasela kwintliziyo, okanye ukubetha. Ukuba ufumana ezi okanye ezinye iziphumo zecala, qha ga mshelana nodokotela ngokukhawuleza.
Kukho ezinye iziphumo zecala ezongezelelweyo ezifuneka ziqwalaselwe ngamabhinqa namadoda.
Amadoda angase abe nesiphumo esongezelelweyo kwicala xa ethatha i-amphetamine, e- erectile dysfunction (ED). Nangona unokuba unamahloni ukuthetha ngale nto kunye nogqirha wakho, baya kukwazi ukusebenza nawe ukukunceda ukulungisa le ngxaki.
I-Adderall kunye neVivanse zizidakamizwa zeC C, oku kuthetha ukuba bangakhuselekanga umntwana ongakazalwa. Ukuba ungumfazi okhulelwe, uceba ukukhulelwa okanye ukuncelisa, uthetha nodokotela wakho.
Zomibini iziyobisi zinako ukusebenzisana namanye amayeza owathathayo. Eminye imizekelo ibandakanya i-monoamine oxidases inhibitors (ii-MAOIs), ama-acidifying agents, ama-alkalizing agents, i-anti-depressants, i-antihistamines kunye neyeza eliphezulu lokunyanga kwegazi. Khumbula ukwazisa ugqirha wakho ngokumalunga neminye imishanguzo yonyango, amayeza angaphezulu kwamayeza kunye naluphi na uncedo olungokwemvelo onokuyithatha.
Yiyiphi Imishanguzo Eyona Imnandi Kuwe?
Ukuba uyazibuza ukuba yiyiphi imithi efanelekileyo ye-ADHD yakho okanye umntwana wakho, qhagamshelana nogqirha wakho okanye udokotela wezilwanyana. Ukufumana iyeza elona xesha lihlala libandakanya kunye nogqirha wakho njengoko umntu ngamnye esabela ngokuhlukileyo kwiyeza ngalinye. Xa uqala ukuthatha iyeza elitsha, jonga indlela eyenza uzive ngayo, kuquka nemiphumo emibi. Emva koko xelela ugqirha ukuze bakwazi ukwenza utshintsho olufunekayo xa luyimfuneko.