He aha te Bupropion: Ngā Whakamahinga, te Inenga, ngā Pānga taha, me ētahi atu mea

Ko te Bupropion he rongoā rāpoi e mahi ana i te rerekē mai i te nuinga o ngā rongoā anti-depressant hei āwhina i te whakapai ake i te ngākau me te tautoko i te hauora hinengaro. Ko tēnei rongoā whaihua nō te kāwai rongoā ahurei e kīia ana ko ngā anti-depressant atypical, ko te tikanga e mahi ana mā ngā ara roro rerekē atu i ngā kōwhiringa tuku iho. Ka mōhio pea koe ki tēnei rongoā mā ngā ingoa waitohu pēnei i te Wellbutrin, i te Zyban rānei, ā, e āwhina ana i te iwi ki te whakahaere i te pouri me te whakamutu i te kai paipa mō ngā tau tekau.

Ko te mea e whakanui ana i te bupropion ko te mea e kaha ana ki te whakanui i te kaha atu i te whakangohe, he pai te kōwhiringa mō te iwi e pōturi ana, e ngenge ana rānei i te pouri. He iti ake hoki ngā pānga taha i te taha o te moepuku i te nuinga o ētahi atu rongoā anti-depressant, he mea nui tēnei hei whakaaro mō tō kounga o te oranga.

He aha te Bupropion?

Ko te Bupropion he rongoā anti-depressant e pā ana ki ngā matū i tō roro e kīia ana ko ngā neurotransmitters, otirā ko te dopamine me te norepinephrine. Kāore i rite ki te nuinga o ētahi atu rongoā anti-depressant e mahi ana i te serotonin, he rerekē te huarahi a te bupropion mā te whakanui i ēnei matū "pai" me te "whakatenatena" i tō roro. Ko tēnei tikanga ahurei e hua ana i te kaha ake me te arotahi pai ake mō te nuinga o te iwi.

Ka tae mai te rongoā i ngā momo rerekē, tae atu ki ngā papa tuku tonu e tangohia ana e koe i ngā wā maha i ia rā, me ngā putanga tuku roa e mahi ana puta noa i te rā me te horopeta kotahi, e rua rānei. Māu tō tākuta e whiriwhiri te momo tika i runga i ō hiahia motuhake me te pēhea te urupare o tō tinana ki te rongoā.

He aha te Bupropion e whakamahia ana mō?

Ko te bupropion te nuinga e tohua ana hei rongoa i te mate nui o te pouri me te mate o te wa (SAD), he pouri e puta ana i etahi wa, i te takurua te nuinga. Kua whakaaetia hoki hei awhina mo te whakamutu i te kai paipa i raro i te ingoa waitohu Zyban, e awhina ana i nga tangata ki te wehe i te waranga nicotine ma te whakaiti i nga hiahia me nga tohu tangohanga.

I tua atu i enei whakamahinga tuatahi, i etahi wa ka tohua e nga taakuta te bupropion mo etahi atu ahuatanga ina tika. Kei roto i enei ko te mate aro kore hyperactivity (ADHD), ina koa i roto i nga pakeke, me te rongoa taapiri mo nga tangata kaore ano kia tino pai te pouri ki etahi atu rongoa anti-depressant. Ka whakamahia ano e etahi kaiwhakarato hauora hei awhina i te whakahaere taumaha, na te mea i etahi wa ka arahi ki te ngaronga taumaha iti, kaua ki te painga taumaha e pa ana ki te maha o etahi atu rongoa anti-depressant.

I nga wa onge, ka whakaarohia te bupropion mo te rongoa i te ngoikore o te ira tangata na etahi atu rongoa anti-depressant, te ngenge mau tonu, etahi momo mamae mau tonu ranei. Heoi, he iti ake enei whakamahinga, me ata arotake e to kaiwhakarato hauora.

Me pehea te mahi a Bupropion?

Ka mahi a Bupropion ma te aukati i to roro ki te tango ano i te dopamine me te norepinephrine i te tere rawa, ka taea e enei neurotransmitters nui te noho kaha mo te wa roa. Whakaarohia he pupuri i nga tohu

Mō te whakamutu i te kai paipa, ka whakaiti a bupropion i te hiahia ki te nicotine me ngā tohumate whakawātea mā te pā ki ngā ara roro kotahi e whāia ana e te nicotine. Ko tēnei mahi rua i runga i te ngākau me te waranga ka tino whai hua mō te hunga e kai paipa ana, e raru ana hoki ki te pōuri.

Me pēhea taku tango i te Bupropion?

Tangohia te bupropion i runga i te tohutohu a tō tākuta, te nuinga kotahi, e rua rānei ngā wā i ia rā i runga i te hanganga. Ko te putanga tuku tonu ka tangohia e rua ki te toru ngā wā i ia rā, i te mea ko ngā momo tuku roa te nuinga ka tangohia kotahi, e rua rānei ngā wā i ia rā. Whakawehea ō horopeta kia 6 haora te wā i waenga i ngā horopeta kia whakaiti i te tūponotanga o te hopu, he mea nui tēnei hei whakaaro haumaru mō tēnei rongoā.

Ka taea e koe te tango i te bupropion me te kore kai rānei, engari mā te tango me te kai ka āwhina i te whakaiti i te pōhara o te puku ki te pōhara koe. Horomia ngā papa tuku roa katoa, kaua e kuru, e ngaungau, e whati rānei, nā te mea ka tuku rawa te rongoā i te wā kotahi. Ki te raru koe ki te horomia i ngā pire, kōrero ki tō kai rongoā mō ō kōwhiringa.

Whakamātau ki te tango i tō rongoā i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i tō pūnaha. He maha ngā tāngata e kite ana he āwhina ki te tango i te bupropion i te ata, i te ahiahi rānei, nā te mea ka whakahihiri, ā, ka raru pea te moe ki te tangohia i te wā roa rawa i te rā.

Kia pēhea te roa o taku tango i te Bupropion?

Ko te roa o te maimoatanga bupropion ka rerekē i runga i tō āhuatanga takitahi me te āhua e rongoatia ana e koe. Mō te pōuri, me tango te nuinga o te tāngata i te rongoā mō te 6 ki te 12 marama i muri i te whakapai ake o ō rātou tohumate kia kore ai e hoki mai. Ko ētahi tāngata ka hiahia maimoatanga wā roa, ina koa kua maha ngā wā i pōuri ai rātou.

Mēnā kei te whakamahi koe i te bupropion mō te whakamutu i te kai paipa, ko te akoranga maimoatanga noa he 7 ki te 12 wiki, ahakoa he painga ki ētahi tāngata mai i te maimoatanga roa ake. Ko te tikanga ka tūtohu tō tākuta kia tīmata te rongoā tata ki te wiki i mua i tō rā rānei e whakamahere ana koe ki te whakamutu i te kai paipa kia hanga ake ngā taumata whai hua i roto i tō pūnaha.

Kaua rawa e mutu te tango i te bupropion ohorere me te kore e kōrero tuatahi ki tō tākuta. Ahakoa kāore e puta ngā tohumate whakatā i te rite ki ētahi atu rongoā rongoā pouri, ko te whakamutu ohorere ka arahi ki te hokinga mai o ngā tohumate pouri, te piki rānei o te tūponotanga o te hopu i ngā wā onge. Ka āwhina tō tākuta i a koe ki te whakaiti haere i te wā e tika ana kia whakamutua te rongoā.

He aha ngā pānga taha o te Bupropion?

Pērā i ngā rongoā katoa, ka taea e te bupropion te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Ko te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i a koe kia pai ake te whakarite me te mōhio ki te wā hei toro atu ki tō kaiwhakarato hauora.

Ko ngā pānga taha noa ka pā ki a koe ko te waha maroke, te whakapairuaki, te uaua ki te moe, te whanoke, me te ānini. Ko te tikanga he ngawari ēnei pānga, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā i ngā wiki tuatahi. He mea noa hoki te pānga o te pāpā me ngā huringa o te reka, engari he mea whakahaere.

Anei ngā pānga taha i whakaritea e te auau o te puta:

Ngā pānga taha noa (e pā ana ki te neke atu i te 10% o ngā tāngata):

• Waha maroke
• Whakapairuaki
• Te kore moe, te uaua rānei ki te moe
• Whanoke
• Ānini
• Pāpā
• Te wiri, te rūrū rānei

Ngā pānga taha kāore i te noa, engari he mea nui:

• Manukanuka, te ohooho rānei
• Te whakaheke taumaha
• Te tirohanga pōkaikaha
• Te nui ake o te werawera
• Te tangi i roto i ngā taringa (tinnitus)
• Te pōpōtanga o te puku
• Ngā huringa o te hiahia kai

Ngā pānga taha onge, engari he mea nui e hiahia ana kia aro mai te rongoā tonu:

• Ngā pōrearea (ka puta i roto i te iti iho i te 1% o te hunga e tango ana i ngā horopeta e taunakitia ana)
• Ngā tauhohenga mate pāwera nui me te pāhēhē, te pūhi, te uaua rānei ki te hā
• Ngā huringa nui o te ngākau, tae atu ki ngā whakaaro ki te whara i a koe anō
• Te pēhanga toto tiketike
• Te ngākau pōrearea
• Te mamae nui o te upoko me ngā huringa o te tirohanga

Ko te nuinga o ngā pānga taha ka taea te whakahaere mā ngā rautaki māmā pēnei i te noho wai mō te waha maroke, te tango i te rongoā i mua i te rā mō ngā raruraru moe, te kai rānei i ngā kai iti, auau mō te whakapairuaki. Ka taea e tō kaiwhakarato hauora te tuku tohutohu motuhake i runga i tō wheako.

Ko wai e kore e tango i te Bupropion?

Kāore te Bupropion e tika ana mō te katoa, ā, he wāhi motuhake kei reira e kore e tūtohutia ana nā te āwangawanga haumaru. Ko te tino aukati he hītori o ngā pōrearea, ngā āhuatanga rānei e whakanui ana i te tūponotanga o te pōrearea, nā te mea ka taea e te bupropion te whakaheke i te paepae pōrearea.

Kāore koe e tango i te bupropion mēnā he mate kai tō nāianei, o mua rānei pēnei i te anorexia, te bulimia rānei, nā te mea ka whakanui ēnei āhuatanga i te tūponotanga o te pōrearea. Ko te hunga whai whara nui ki te upoko, ngā puku roro, te hunga rānei e haere ana i te tangohanga waipiro, rongoā rānei me karo hoki i tēnei rongoā.

Koinei ngā rōpū matua e kore e tango i te bupropion:

Ngā aukati tino:

• Hītori o ngā pōrearea, ngā mate pōrearea rānei
• Ngā mate kai o nāianei, o mua rānei (anorexia, bulimia)
• Te tango MAOIs (monoamine oxidase inhibitors) rānei, kua mutu rānei i roto i te 14 rā
• Te tauhohenga mate pāwera nui ki te bupropion i mua
• Te whakamutu ohorere i te waipiro, ngā rongoā whakamaarama rānei

Ngā āhuatanga e hiahia ana kia tūpato nui:

• Te mate ate, tākihi nui rānei
• Te mate bipolar (kāore he whakapūmau ngākau)
• Ngā raruraru ngākau nui
• Te pēhanga toto tiketike kāore i te whakahaerehia
• Te hapū, te whāngai ū rānei (e hiahia ana kia tātarihia te tūponotanga-painga)

Ki te whai koe i ētahi o ēnei āhuatanga, kaua e māharahara – he maha atu anō ngā whiringa rongoā whai hua e wātea ana. Ka taea e tō tākuta te āwhina i a koe ki te kimi i tētahi atu whiringa he haumaru, he whai hua hoki mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu o te Bupropion

E wātea ana te Bupropion i raro i ētahi ingoa waitohu, i hangaia ia mea mō ngā whakamahinga me ngā hōtaka inenga motuhake. Ko te Wellbutrin te ingoa waitohu e mōhiotia ana, e wātea ana i roto i ngā hanganga tuku tonu, tuku tonu (SR), me te tuku roa (XL) mō te rongoā i te pōuri me te mate pānga ā-wā.

Ko te Zyban te ingoa waitohu i hokona motuhake mō te whakamutu i te kai paipa, kei roto te whakauru kaha kotahi me te Wellbutrin engari i roto i tētahi hōtaka inenga rerekē. Ko te Aplenzin tētahi atu waitohu kei roto te bupropion hydrobromide hei utu mō te tote hydrochloride noa, he mea pea he māmā ake i runga i te puku mō ētahi tāngata.

E wātea whānuitia ana ngā putanga generic o te bupropion, ā, he rite tonu te whai hua ki ngā putanga waitohu. Ko te rerekētanga nui ko te utu, he iti ake te utu o ngā generic i te wā e whakarato ana i ngā painga rongoā kotahi.

Ngā Whiringa kē o te Bupropion

Ki te kore te bupropion e tika ana mōu, he maha atu anō ngā rongoā whai hua e wātea ana mō te pōuri me te whakamutu i te kai paipa. Mō te pōuri, ko ngā whiringa kē ko ngā SSRI pēnei i te sertraline, te escitalopram rānei, ngā SNRI pēnei i te venlafaxine, ētahi atu rānei o ngā rongoā anti-pōuri atypical pēnei i te mirtazapine.

He rerekē te mahi a ia momo rongoā anti-pōuri, ā, he rerekē ōna ake pānga taha. Ko ngā SSRI te nuinga o te wā ko ngā rongoā tuatahi, ā, he pai te aro, i te wā e pai ana ngā SNRI mō ngā tāngata e whai ana i te mamae tawhito. Ko ngā rongoā anti-pōuri tricyclic he whiringa tawhito ka whai hua engari te nuinga o te wā he nui ake ngā pānga taha.

Mō te whakamutu i te kai paipa, ko ngā kōwhiringa kē atu ko te rongoā whakakapi nicotine (pāti, kapia, rōrehi), varenicline (Chantix), rānei ngā huarahi rongoā whanonga. He tokomaha ngā tāngata e angitu ana ki ngā huarahi whakakotahi e uru ana te rongoā me te tautoko tohutohu.

Ko ngā kōwhiringa kē atu mō te pōuri, kāore he rongoā, ko te hinengaro rongoā, ina koa te rongoā whanonga-hinengaro (CBT), ngā hōtaka whakakori tinana, ngā mahi aroaro, me ngā whakarerekētanga o te oranga. Ka taea te whakamahi i ēnei huarahi anake, i te whakakotahitanga rānei me te rongoā i runga i ō hiahia me tō āhuatanga.

He pai ake te Bupropion i te Sertraline?

Ko te whakataurite i te bupropion ki te sertraline (Zoloft) ehara i te mea kotahi te mea pai ake i tētahi atu – e pā ana ki te mea e pai ake ana mō tō āhuatanga me te matū o tō tinana. He rongoā anti-pōuri whai hua rāua, engari e mahi ana mā ngā tikanga rerekē, ā, he rerekē ngā pānga taha.

He pai ake pea te Bupropion mēnā e māharahara ana koe mō ngā pānga taha o te moe, te pikinga o te taumaha, te pōrangi rānei, nā te mea he iti ake te take o ēnei take. He whakahihiri hoki, kaua e pōrangi, he pai mō ngā tāngata e pōuri ana, e ngenge ana, e puhoi ana rānei. I tua atu, ka taea e te bupropion te āwhina i te whakamutu i te kai paipa, kāore te sertraline e aro ki tēnā.

He pai ake pea te Sertraline mēnā he āwangawanga hoki tōu me te pōuri, nā te mea he pai ake te SSRIs pēnei i te sertraline mō ngā mate āwangawanga. Kua rangahaua hoki i roto i te hapū, ā, he roa ake te rekoata o ngā raraunga haumaru. E kite ana ētahi tāngata he māmā ake te SSRIs ki te whakawhiti i te tīmatanga, me te iti ake o ngā pānga taha whakahohe.

Ko te kōwhiringa pai rawa atu e whakawhirinaki ana ki ō tohumate, hītori rongoā, ētahi atu rongoā e tango ana koe, me ō hiahia whaiaro. Ka taea e tō tākuta te āwhina i a koe ki te whakatau i ēnei āhuatanga kia whakatau i te whakatau tika mō tō āhuatanga.

Ngā Pātai Auau mō Bupropion

He Haumaru te Bupropion mō te Mate Ngākau?

Me mātua whakaaroaro te bupropion mēnā he mate tō ngākau, nā te mea ka pā ki te pēhanga toto me te tere o te ngākau. Ka piki pea te pēhanga toto i te rongoā, ā, i ētahi wā ka pā te ngākau pōrearea, nō reira me mātakitaki tata te hunga e pā ana ki ngā mate ngākau i te wā e tīmata ana te rongoā.

Mēnā he pai te mate ngākau, ā, e whakahaere pai ana, ka waiho pea te bupropion hei kōwhiringa me te tirotiro hauora tika. Ka hiahia pea tō tākuta ki te mātakitaki i tō pēhanga toto me te tere o te ngākau i ngā wā katoa, ina koa i te wā e tīmata ana te rongoā, e whakatika ana rānei i ngā horopeta. Heoi anō, mēnā he mate ngākau kino, kāore i te pai te whakahaere, he pēhanga toto tiketike rānei kāore i te whakahaere, he pai ake pea ētahi atu rongoā whakapōuri.

Me pēhea ahau ki te whakamahi nui rawa i te Bupropion?

Mēnā i whakamahi nui rawa koe i te bupropion, whakapā atu ki te mana whakahaere paitini (1-800-222-1222) rānei ki ngā ratonga ohorere tonu, ina koa i whakamahi koe i te nui atu i te rua ō te horopeta o mua. Ka piki pea te tūponotanga o te hauhautanga i te nui rawa o te bupropion, nō reira he mea nui kia rapu āwhina hauora wawe ahakoa e pai ana koe.

Kaua e ngana ki te whakapōka, ki te tango rānei i ētahi atu rongoā hei whakakore i te nui rawa. Engari, kohia tō pounamu rongoā, tuhia te nui i tango koe me te wā, ka rapu āwhina hauora. Ka taea e ngā kaiwhakarato hauora te mātakitaki i a koe me te whakarato i te manaaki tautoko mēnā e tika ana. Ko te nuinga o te nui rawa i tūpono ka pai me te āwhina hauora tika, engari he pai ake te noho haumaru.

Me pēhea ahau ki te ngaro i te horopeta o te Bupropion?

Mēnā i ngaro koe i te horopeta o te bupropion, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka piki te tūponotanga o ngā pānga taha me ngā hauhautanga.

Mō te bupropion tuku tonu, ki te mahara koe i roto i ngā hāora torutoru, haere tonu, tangohia te horopeta i ngaro. Mō ngā puka tuku roa, ki te neke atu i te 6 hāora mai i tō horopeta i ngaro, āe, kei te tata koe ki te wā o tō horopeta e whai ake nei, waiho noa te horopeta i ngaro, ka haere tonu ki tō hōtaka auau. Kaua e māharahara mō te horopeta kotahi i ngaro – hoki mai ki te ara me tō tikanga noa.

Āhea ka taea e au te whakamutu i te tango i te Bupropion?

Me whakamutu anake e koe te tango i te bupropion i raro i te tirotiro hauora, ahakoa kei te pai ake koe. Mō te pōuri, te nuinga o ngā tākuta e tūtohu ana kia haere tonu te rongoā mō te iti rawa 6 ki te 12 marama i muri i te whakapai ake o ngā tohu hei aukati i te hokinga mai. Ētahi tāngata ka hiahia rongoā wā roa, ina koa kua maha ngā wā i pōuri ai rātou.

Ka tae ki te wā ki te whakamutu, ka whakaheke haere tō tākuta i te horopeta i roto i ngā wiki maha, kaua e whakamutu ohorere. Mā tēnei e ārai ngā tohu pōuri hoki mai, me te whakaiti i te mōrearea iti o ngā hauhautanga ka puta i te whakamutunga ohorere. Mahi tahi me tō kaiwhakarato hauora ki te waihanga i tētahi hōtaka whakaheke e tika ana mō tō āhuatanga.

Ka taea e au te inu waipiro i te wā e tango ana i te Bupropion?

He pai ake te whakaiti i te inu waipiro i te wā e tango ana i te bupropion, nā te mea ka taea e te waipiro te whakanui i te mōrearea o ngā hauhautanga, ā, ka kino pea ngā tohu pōuri. Ki te whiriwhiri koe ki te inu, me mahi i roto i te āhua ngawari, me te mōhio ka huri pea te bupropion i te pānga o te waipiro ki a koe.

Ki te mea e inu ana koe i te waipiro i ngā wā katoa, ā, kei te tīmata koe i te bupropion, kōrero ki tō tākuta mō te āhua ki te whakaiti i tō inu waipiro i runga i te haumaru. Ka taea e te tangohanga waipiro ohorere te whakanui i te mōrearea o ngā hauhautanga, nō reira me mahi ngā huringa i te āhua haere, i raro i te tirotiro hauora. Ka taea e tō tākuta te āwhina i a koe ki te whakawhanake i tētahi mahere haumaru e mahi ana me ō whāinga rongoā.