Chii chinonzi Bupropion: Zvazvinoshandiswa, Mishonga, Mativi eMuviri, nezvimwe zvakawanda

Bupropion mushonga unotorwa nemurairo wechiremba unoshanda zvakasiyana nemamwe maantidepressants kubatsira kuvandudza mafungiro uye kutsigira hutano hwepfungwa. Mushonga uyu unochinjika unobva kuboka rakasiyana remishonga inonzi atypical antidepressants, izvo zvinoreva kuti inoshanda nemamwe nzira dzepfungwa kupfuura dzakajairika. Ungangoziva nemazita emhando seWellbutrin kana Zyban, uye yanga ichibatsira vanhu kudzora kuora mwoyo uye kusiya fodya kwemakumi emakore.

Chinoita kuti bupropion ive yakakosha ndeyekuti inowanzoita kuti ive nesimba kupfuura kuita kuti munhu arare, zvichiita kuti ive sarudzo yakanaka kune vanhu vanonzwa vachinetseka kana kuneta nekuora mwoyo kwavo. Inewo mativi mashoma emuviri ane chekuita nezvepabonde kana ichienzaniswa nemamwe maantidepressants mazhinji, izvo zvinogona kuve chinhu chakakosha chekufunga nezvehupenyu hwako hwese.

Chii chinonzi Bupropion?

Bupropion mushonga weantidepressant unokanganisa makemikari ari muuropi hwako anonzi neurotransmitters, kunyanya dopamine uye norepinephrine. Kusiyana nemamwe maantidepressants mazhinji ayo anonyanya kushanda pa serotonin, bupropion inotora nzira yakasiyana nekusimudzira aya makemikari e“kunzwa zvakanaka” uye “kukurudzira” muuropi hwako. Iyi nzira yakasiyana inowanzo shandura kuwedzera kwesimba uye kuvandudzwa kwekutarisisa kune vanhu vazhinji.

Mushonga uyu unouya mumhando dzakasiyana, kusanganisira mapiritsi ekuburitsa nekukurumidza aunotora kakawanda pazuva, uye shanduro dzakawedzerwa dzinoburitsa dzinoshanda zuva rese nedosi imwe kana mbiri chete. Chiremba wako achasarudza fomu rakakodzera zvichienderana nezvido zvako zvakakosha uye kuti muviri wako unopindura sei kumushonga.

Chii chinonzi Bupropion chinoshandiswa?

Bupropion inonyanya kunyorerwa kurapa chirwere chikuru chekuora mwoyo uye seasonal affective disorder (SAD), iyo iri kuora mwoyo kunoitika munguva dzakatarwa, kazhinji munguva yechando. Inobvumidzwawo semubatsiri wekusiya fodya pasi pezita rekuti Zyban, ichibatsira vanhu kuti vasununguke kubva mukubatwa ne fodya nekuderedza chido uye zviratidzo zvekusiya.

Kunze kwezvizvi zvekutanga, vanachiremba dzimwe nguva vanonyora bupropion kune mamwe mamiriro kana zvakakodzera. Izvi zvinosanganisira attention deficit hyperactivity disorder (ADHD), kunyanya muvanhu vakuru, uye sekuwedzera kurapwa kwevanhu vane kuora mwoyo kusina kupindura zvizere kune mamwe maantidepressants. Vamwe vanopa hutano vanoishandisawo kubatsira nekutarisira uremu, sezvo dzimwe nguva inogona kutungamira mukurasikirwa uremu zvishoma pane kuwedzera uremu kunobatanidzwa nemamwe maantidepressants mazhinji.

Muzviitiko zvisingawanzoitiki, bupropion inogona kufungwa yekurapa kusashanda zvepabonde kunokonzerwa nemamwe maantidepressants, kuneta kusingaperi, kana mamwe marudzi ekuora mwoyo kusingaperi. Zvisinei, izvi zvinoshandiswa hazviwanzowanikwi uye zvinoda kuongororwa zvakanyatsonaka nachiremba wako.

Bupropion Inoshanda Sei?

Bupropion inoshanda nekudzivirira uropi hwako kubva pakutora dopamine uye norepinephrine nekukurumidza, zvichibvumira aya ma neurotransmitters akakosha kuti arambe achishanda kwenguva refu. Funga nezvazvo sekuchengeta

Pakupera fodya, bupropion inoderera chido che nicotine uye zviratidzo zvekubvisa nekukanganisa nzira dzakafanana dzehuropi dzinotariswa ne nicotine. Iyi chiito kaviri pamood uye kuwedzera kunoita kuti ive inoshanda zvakanyanya kune vanhu vanopfungaira uye vanotamburawo nekuora mwoyo.

Ndingatora sei Bupropion?

Tora bupropion sezvinorairwa nachiremba wako, kazhinji kamwe kana kaviri pazuva zvichienderana nekuumbwa. Iyo vhezheni yekuburitswa nekukurumidza inowanzo torwa kaviri kana katatu pazuva, nepo mafomu ekuburitswa kwenguva yakareba anowanzo torwa kamwe kana kaviri pazuva. Isa madosi ako maawa matanhatu akaparadzana kuti uderedze njodzi yekubatwa nepfari, iyo inokosha yekuchengetedza nemushonga uyu.

Unogona kutora bupropion uine kana usina chikafu, asi kuitora nechikafu kunogona kubatsira kuderedza dumbu kana ukasangana nazvo. Medza mahwendefa ekuburitswa kwenguva yakareba ese pasina kuputsa, kutsenga, kana kuaputsa, sezvo izvi zvinogona kuburitsa mushonga wakawandisa kamwechete. Kana uine dambudziko rekumedza mapiritsi, taura nemu pharmacist wako nezvesarudzo dzako.

Edza kutora mushonga wako panguva imwechete zuva rega rega kuti uchengetedze mazinga akagadzikana muhurongwa hwako. Vanhu vazhinji vanoona zvichibatsira kutora bupropion mangwanani kana masikati nekuti inogona kupa simba uye inogona kukanganisa kurara kana ikatorwa kare kwazvo muzuva.

Ndingatora Bupropion Kwenguva Yakareba Sei?

Kureba kwekurapa kwe bupropion kunosiyana zvakanyanya zvichienderana nemamiriro ako ega uye chirwere chauri kurapa. Kune kuora mwoyo, vanhu vazhinji vanoda kutora mushonga kwemwedzi mitanhatu kusvika gumi nemiviri mushure mekunge zviratidzo zvavo zvavandudza kudzivirira kudzoka. Vamwe vanhu vangada kurapwa kwenguva refu, kunyanya kana vakave nezviitiko zvakawanda zvekuora mwoyo.

Kana uchishandisa bupropion pakurega kusvuta, nzira yekurapa inowanzoita mavhiki 7 kusvika ku12, kunyange vamwe vanhu vachibatsirwa nekurapa kwenguva refu. Chiremba wako anowanzo kuraira kutanga mushonga svondo rimwe chete usati waisa zuva rako rekurega kusvuta kuti uwedzere mazinga anoshanda mumuviri wako.

Usambofa wakamira kutora bupropion kamwe kamwe usina kutanga wataura nachiremba wako. Kunyange zvazvo isingakonzeri zviratidzo zvakafanana zvekurega sezvimwe zvinorwisa kuora mwoyo, kumira kamwe kamwe kunogona kukonzera kudzoka kwezviratidzo zvekuora mwoyo kana kuwedzera njodzi yekubata muvanhu vashoma. Chiremba wako achakubatsira kudzikisa zvishoma nezvishoma kana nguva yakwana yekumisa mushonga.

Ndezvipi Zvakaipa ZveBupropion?

Semishonga yese, bupropion inogona kukonzera mhedzisiro, kunyange vanhu vazhinji vachizvigamuchira zvakanaka. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye kuziva kana uchifanira kubata chiremba wako.

Mhedzisiro inowanzoitika yaungasangana nayo inosanganisira muromo wakaoma, kusvotwa, kuoma kurara, dzungu, uye kurwadziwa nemusoro. Mhedzisiro iyi inowanzoita nyoro uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga mumavhiki mashoma ekutanga. Kuvharika uye shanduko mukuravira zvinowanzoitika asi zvinogoneka.

Heano mhedzisiro yakarongwa nekuti inowanzoitika sei:

Mhedzisiro inowanzoitika (inoita vanhu vanopfuura 10%):

• Muromo wakaoma
• Kusvotwa
• Insomnia kana kuoma kurara
• Dzungu
• Kurwadziwa nemusoro
• Kuvharika
• Kudedera kana kudedera

Mhedzisiro isingawanzoitiki asi inocherechedzwa:

• Kuzvidya mwoyo kana kufara
• Kurasikirwa nehuremu
• Kuona kwakavhiringidzika
• Kutukisa kwakawedzera
• Kurira munzeve (tinnitus)
• Kusagadzikana mudumbu
• Shanduko muchido chekudya

Mhedzisiro isingawanzoitiki asi yakakomba inoda kutarisirwa kwekurapa nekukurumidza:

• Kutambudzika (kunowanikwa muvanhu vashoma pane 1% pamadosi anokurudzirwa)
• Maitiro akakomba ekuita allergic nemavanga, kuzvimba, kana kuoma kufema
• Kuchinja kwakanyanya kwemafungiro, kusanganisira pfungwa dzekuzvikuvadza
• Kuvhiringidzika kweropa
• Kurova kwemoyo kusingaite
• Kurwadziwa kwemusoro kwakanyanya nekuchinja kwekuona

Mhedzisiro zhinji dzinogoneka nekushandisa nzira dzakareruka senge kugara uine mvura yakakwana yemuromo wakaoma, kutora mushonga mangwanani kuti unzwe zvakanaka, kana kudya zvidiki, chikafu chinowanzoitika nekuda kwekunzwa kusvotwa. Mupi wako wehutano anogona kupa mazano chaiwo zvichienderana nezvauri kusangana nazvo.

Ndiani Asingafaniri Kutora Bupropion?

Bupropion haina kukodzera munhu wese, uye kune mamiriro chaiwo apo haikurudzirwi nekuda kwezvikonzero zvekuchengetedza. Chinhu chakakosha chinopesana ndiyo nhoroondo yekutambudzika kana mamiriro anowedzera njodzi yekutambudzika, sezvo bupropion inogona kuderedza chikumbaridzo chekutambudzika.

Haufaniri kutora bupropion kana uine chirwere chekudya chazvino kana chekare senge anorexia kana bulimia, sezvo izvi zvichikonzera njodzi yekutambudzika. Vanhu vane kukuvara kwakanyanya kumusoro, bundu rehuropi, kana avo vari kupinda mukubviswa kwedoro kana zvinodhaka vanofanirawo kudzivisa mushonga uyu.

Heano mapoka makuru avasingafaniri kutora bupropion:

Zvinopesana zvachose:

• Nhoroondo yekutambudzika kana zvirwere zvekutambudzika
• Zvirwere zvekudya zvazvino kana zvekare (anorexia, bulimia)
• Kutora MAOIs (monoamine oxidase inhibitors) kana kuvamisa mukati memazuva gumi nemana
• Maitiro akakomba ekuita allergic ku bupropion munguva yakapfuura
• Kurega kamwe kamwe doro kana ma sedatives

Mamiriro anoda kungwarira zvakanyanya:

• Chirwere chakakomba chechiropa kana itsvo
• Bipolar disorder (pasina mood stabilizer)
• Matambudziko akakomba emoyo
• Kuvhiringidzika kweropa kusingadzoreki
• Kuzvitakura kana kuyamwisa (kunoda kuongororwa kwakanyanya kwenjodzi-bhenefiti)

Kana uine chimwe chezvinhu izvi, usanetseka - kune dzimwe nzira dzakawanda dzekurapa dziripo. Chiremba wako anogona kukubatsira kuwana imwe nzira yakachengeteka uye inoshanda kune mamiriro ako chaiwo.

Mazita eBupropion Brand

Bupropion inowanikwa pasi pemazita akati wandei emhando, imwe neimwe yakagadzirirwa kushandiswa kwakasiyana uye zvirongwa zvekushandisa. Wellbutrin ndiyo inogona kunge iri zita remhando rinozivikanwa zvakanyanya, rinowanikwa mune immediate-release, sustained-release (SR), uye extended-release (XL) formulations yekurapa kuora mwoyo uye seasonal affective disorder.

Zyban ndiro zita remhando rinonyanya kutengeswa rekusiya fodya, rine chinhu chimwe chete chinoshanda seWellbutrin asi mune imwe dosing schedule. Aplenzin ndiyo imwe mhando ine bupropion hydrobromide panzvimbo yemunyu wehydrochloride unowanzoitika, izvo zvinogona kuve nyore mudumbu kune vamwe vanhu.

Mhando dzakajairika dze bupropion dzinowanikwa zvakanyanya uye dzinobata zvakanyanya semhando dzemhando. Musiyano mukuru kazhinji mutengo, ne generics ichidhura zvakanyanya ichipa mabhenefiti akafanana ekurapa.

Bupropion Alternatives

Kana bupropion isiri yako, kune dzimwe nzira dzakawanda dzekurapa dzinowanikwa dzekuora mwoyo uye kusiya fodya. Kune kuora mwoyo, dzimwe nzira dzinosanganisira SSRIs senge sertraline kana escitalopram, SNRIs senge venlafaxine, kana mamwe atypical antidepressants senge mirtazapine.

Rudzi rumwe nerumwe rweantidepressant runoshanda zvakasiyana uye rune side effect profile yayo. SSRIs anowanzoita yekutanga-mutsara kurapwa uye anowanzoita zvakanaka, nepo SNRIs inogona kunge iri yakanaka kune vanhu vane kurwadziwa kusingaperi. Tricyclic antidepressants ndiyo yekare sarudzo inogona kushanda asi kazhinji ine mamwe mativi emhedzisiro.

Kana pakurega kusvuta, dzimwe nzira dzinosanganisira kurapa nekutsiva nicotine (mapatch, chingamu, lozenges), varenicline (Chantix), kana nzira dzekurapa dzekuchinja maitiro. Vanhu vazhinji vanowana kubudirira nenzira dzinosanganisa mishonga nekutsigirwa nekupa mazano.

Dzisiri mishonga dzimwe nzira dzekurwisa kuora mwoyo dzinosanganisira psychotherapy, kunyanya cognitive-behavioral therapy (CBT), zvirongwa zvekuita maekisesaizi, maitiro ekufungisisa, uye kuchinja mararamiro. Nzira idzi dzinogona kushandiswa dzoga kana pamwe chete nemishonga zvichienderana nezvaunoda uye mamiriro ako.

Ko Bupropion Ari Nani Kudarika Sertraline?

Kufananidza bupropion na sertraline (Zoloft) hakusi pamusoro peimwe iri nani kupfuura imwe - ndezvekuti ndeipi inoshanda zviri nani kumamiriro ako chaiwo uye kemisitiri yemuviri. Zvose zviri zviviri zvinoshanda zvinorwisa kuora mwoyo, asi zvinoshanda nenzira dzakasiyana uye zvine mhedzisiro yakasiyana.

Bupropion inogona kunge iri sarudzo iri nani kana uine hanya nemhedzisiro yezvepabonde, kuwedzera uremu, kana kunzwa wakanyarara, sezvo kazhinji inokonzera zvishoma zvezvinetso izvi. Inopawo simba pane kunyaradza, zvichiita kuti ive yakanaka kune vanhu vane kuora mwoyo vanonzwa vaneta kana kunonoka. Pamusoro pezvo, bupropion inogona kubatsira pakurega kusvuta, izvo sertraline isingagadzirise.

Sertraline inogona kunge ichisarudzwa kana iwe uinewo kushushikana pamwe nekuora mwoyo, sezvo SSRIs senge sertraline kazhinji iri nani kune matambudziko ekushushikana. Yakadzidzwawo zvakanyanya panguva yekuzvitakura uye ine rekodhi refu yezvinhu zvakachengeteka. Vamwe vanhu vanowana SSRIs zviri nyore kutsungirira pakutanga, vaine mashoma mhedzisiro yekumutsa.

Sarudzo yakanakisa inoenderana nezviratidzo zvako zvakajeka, nhoroondo yako yekurapa, mamwe mishonga yaunotora, uye zvaunofarira. Chiremba wako anogona kukubatsira kuyera izvi zvinhu kuti uite sarudzo chaiyo yemamiriro ako.

Mibvunzo Inowanzo Bvunzwa Nezve Bupropion

Ko Bupropion Akachengeteka Here Kune Zvirwere Zvemoyo?

Bupropion inoda kufungwa zvakanyanya kana uine chirwere chemoyo, nekuti inogona kukanganisa ropa uye kurova kwemoyo. Mushonga uyu unogona kukwidza ropa uye dzimwe nguva unogona kukonzera kurova kwemoyo kusina kujairika, saka vanhu vane mamiriro emwoyo vanoda kuongororwa zvakanyanya pavanotanga kurapwa.

Kana uine chirwere chemoyo chakagadzikana, chinodzorwa zvakanaka, bupropion inogona kunge ichiri sarudzo nekutariswa kwakakodzera kwechiremba. Chiremba wako anogona kuda kuongorora ropa rako uye kurova kwemoyo kakawanda, kunyanya paunotanga mushonga kana kugadzirisa zviyero. Zvisinei, kana uine chirwere chemoyo chakakomba, chisina kugadzikana kana ropa rakakwira risingadzorwi, mamwe maantidepressants anogona kunge ari sarudzo dzakachengeteka.

Ndingaita Sei Kana Ndakashandisa Bupropion yakawanda netsaona?

Kana netsaona ukatora bupropion yakawanda, taura nekudzora chepfu (1-800-222-1222) kana masevhisi ekukurumidzira nekukasira, kunyanya kana wakatora zvakapetwa kaviri chiyero chako chetsika. Bupropion overdose inogona kuwedzera njodzi yekubata, saka zvakakosha kutsvaga rubatsiro rwekurapa nekukurumidza kunyangwe ukanzwa zvakanaka.

Usaedze kuzviita kurutsa kana kutora mamwe mishonga yekurwisa overdose. Pane kudaro, tora bhodhoro remushonga wako, cherechedza zvawakatora uye rini, uye tsvaga rubatsiro rwekurapa. Vapi vehutano vanogona kukutarisa uye kupa rutsigiro kana zvichidikanwa. Mazhinji maoverdose netsaona anozoguma zvakanaka nekutariswa kwakakodzera kwekurapa, asi zvirinani kuva akachengeteka.

Ndingaita Sei Kana Ndikakanganwa Dose yeBupropion?

Kana ukakanganwa dose ye bupropion, itore paunorangarira, kunze kwekunge yava nguva yechiyero chako chinotevera. Usambofa wakatora zviyero zviviri panguva imwe chete kuti ugadzirise dose yakarasika, sezvo izvi zvichikwidza njodzi yemigumisiro uye kubata.

Kana wakakanganwa kutora bupropion inoburitswa nekukasira, kana uchirangarira mukati memaawa mashoma, tora mushonga wawakakanganwa. Kune mafomu anoburitswa kwenguva yakareba, kana zvapfuura maawa matanhatu kubva pawakakanganwa kutora mushonga uye wava pedyo nenguva yekutora mushonga unotevera, ingosvetuka mushonga wawakakanganwa uye uenderere mberi nechirongwa chako chemazuva ese. Usanetseka nezve mushonga mumwe chete wawakakanganwa - ingodzoka pachirongwa chako chemazuva ese.

Ndingamira rini kutora Bupropion?

Unofanira kungomira kutora bupropion pasi pekutariswa kwechiremba, kunyangwe uchinzwa zviri nani. Kune kuora mwoyo, vanachiremba vazhinji vanokurudzira kuenderera mberi nekurapa kwemwedzi inenge mitanhatu kusvika gumi nemiviri mushure mekunge zviratidzo zvavandudzwa kudzivirira kudzoka. Vamwe vanhu vangada kurapwa kwenguva yakareba, kunyanya kana vakambove nezviitiko zvakawanda zvekuora mwoyo.

Panguva yekumira, chiremba wako anowanzoita kuti udzikise zvishoma nezvishoma muyero kwemavhiki akati wandei pane kumira kamwe kamwe. Izvi zvinobatsira kudzivirira chero zviratidzo zvekuora mwoyo uye zvinoderedza njodzi diki yekubata, iyo inogona kuitika nekumira kamwe kamwe. Shanda nemupi wako wehutano kuti ugadzire chirongwa chekuderedza chinokodzera mamiriro ako.

Ndinganwa Doro ndichitora Bupropion?

Zvakanaka kuderedza kunwa doro uchitora bupropion, sezvo doro rinogona kuwedzera njodzi yekubata uye rinogona kuwedzera zviratidzo zvekuora mwoyo. Kana ukasarudza kunwa, ita izvi zvine mwero uye ziva kuti bupropion inogona kuchinja maitiro anoita doro kwauri.

Kana wajaira kunwa nguva dzose uye wava kutora bupropion, taura nachiremba wako nezvekuti ungaderedza sei doro rako zvakachengeteka. Kubviswa kwedoro kamwe kamwe kunogona kuwedzera njodzi yekubata, saka chero shanduko dzinofanirwa kuitwa zvishoma nezvishoma uye pasi pekutariswa kwechiremba. Chiremba wako anogona kukubatsira kugadzira chirongwa chakachengeteka chinoshanda nezvinangwa zvako zvekurapa.