Ngaba kufuneka uthathe i-Wellbutrin ukuyeka ukutshaya?

Ulwazi lweziyobisi

Ukutshaya icuba linoxanduva Ukufa kwabantu abangama-480,000 ngonyaka e-US , ngokutsho kwamaziko e-U.S. okuLawula nokuThintela izifo (CDC). Kubangela uninzi lweengxaki zempilo, ezinjenge-emphysema, isifuba, usulelo lwasentla lwomoya, isifo sentliziyo, isifo esinganyangekiyo semiphunga (COPD), kunye nomhlaza wemiphunga, womqala, okanye womlomo — phakathi kwezinye. Nangona ukusetyenziswa kwecuba bekukho ukwehla ngokuthe chu ukusukela ekuqaleni kweminyaka yoo-2000 , engaphezulu kwe 34.3 yezigidi Abantu abadala baseMelika basatshaya.

Isizathu sokuba abantu baqhubeke ukutshaya iisigarethi (ngaphandle kweziphumo ezibi zempilo) silula: likhoboka. Kunzima kakhulu ukuyeka ukutshaya — nokuba usebenzisa unyango lweNicotine okanye uyeke ukubanda. Usenokuba ukhe weva ngoNicorette okanye uCantix ukunceda ngeempawu zokurhoxa kodwa ekugqibeleni ndakhaba umkhwa ngawo Wellbutrin , kwaziwa njenge bupropion , iyeza elenziwa kancinci elenzelwa ukutshaya.

Yintoni iWellbutrin (bupropion)?

I-Bupropion-ifumaneka ngamagama egama i-Wellbutrin SR, i-Wellbutrin XL, kunye ne-Zyban-yi-antidepressant esetyenziselwa ikakhulu ukunyanga uxinzelelo olukhulu lokudakumba kunye nokuphazamiseka kwonyaka. Oogqirha bayakumisela ukuba kuyekwe ukutshaya, kunye neelebheli engekhoyo njengonyango lweemeko zonyango ezifana ne-ADHD.

I-Bupropion isebenza ngokuthintela ukufunxeka kwe-dopamine kwingqondo yakho-kukhokelela kumanqanaba aphezulu, anokuthi anyuse imood okanye abe nezinye iziphumo eziluncedo, ngokukaNakia Eldridge, Pharm.D., Isalathiso sokuSebenza kweFarmacy IZiko lezoNyango leNceba eBaltimore.

I-Dopamine yi-neurotransmitter elawula inkqubo yomvuzo ehambelana nokutshaya, utshilo uGqirha Eldridge. Kukholelwa ukuba i-dopamine isishukumisi kwimivuzo ezayo. Ngokuthintela ukuphinda uthathe i-dopamine, kukholelwa ukuba i-bupropion iyanciphisa umqondiso womvuzo oza ngokutshaya icuba.

UGqirha Eldridge uphawula ukuba i-Wellbutrin kunye neZyban zinesithako esinye esisebenzayo, kwaye zombini zenziwe nguGlaxoSmithKline (GSK). Ukuqulunqwa kwazo kwahluke kancinci, nangona kunjalo. I-Zyban yindlela yokugcina ekhutshiweyo ye-bupropion ethengiswa ngokukodwa ekuyekeni ukutshaya. Inezinto ezibonisa uxinzelelo olukhulu kunye nokuphazamiseka kwonyaka. I-Wellbutrin ifumaneka ngokukhutshwa kwangoko kunye neendlela ezandisiweyo zokukhutshwa. Zininzi izinto ezibonisa i-FDA kwi-Wellbutrin.

Ezinxulumene : I-Wellbutrin ye-ADHD

Ngaba ufuna elona xabiso lilungileyo kwi-Wellbutrin?

Bhalisela izilumkiso zamaxabiso e-Wellbutrin kwaye ufumane ukuba amaxabiso atshintsha nini!

Fumana izilumkiso zamaxabiso

Ngaba i-Wellbutrin inokukunceda uyeke ukutshaya?

Impendulo emfutshane nguewe, kodwa ixhomekeke kwinani lezinye izinto. Izifundo zeklinikhi zibonisa ukuba i-bupropion lunyango olusebenzayo lokuyeka ukutshaya kwaye inceda abantu ukuba bangatshayi, ngokuka Katie Taylor, Pharm.D., Usokhemesti oyintloko Gore kunye neNkampani .

Kuvavanyo lweklinikhi, abaguli abakwiZyban 300mg / ngemini babenenqanaba lokuyeka iiveki ezine ezingama-36, iipesenti ezingama-25 ngeveki ye-12, kunye neepesenti ezili-19 ngeveki yama-26, utshilo uGqirha Taylor. La manani anyuke ngokubonakalayo ukuba abaguli basebenzise i-bupropion ecaleni kwee-nicotine patches. Ngaphezu kwesiqingatha sabathathi-nxaxheba bahlala ngaphandle kwecuba kwiiveki ezili-10.

Kukho uvavanyo lweklinikhi olucwangcisiweyo kwiDyunivesithi yaseCalifornia eLos Angeles (UCLA) ukumisela ukuba iWellbutrin XL iyasebenza ngakumbi kwiidosi eziphezulu kubantu abaneengxaki zempilo yengqondo abafuna ukuyeka ukutshaya. Ugqirha Taylor ukholelwa ukuba u-Wellbutrin unokusebenza ngcono ekuyekeni ukutshaya kubantu abanoxinzelelo, nanjengoko oko kungumboniso ophambili weziyobisi.

Kuba i-Wellbutrin kunye neZyban zinesithako esinye esisebenzayo, uGqirha u-Eldridge uyacacisa, akubangakho nentloko yokufunda kwizifundo phakathi kwamagama amabini e-brand ukubona ukuba yeyiphi esebenza ngcono.

Usebenzisa njani iWellbutrin ukuyeka ukutshaya?

I-Wellbutrin isebenza ngcono kubantu abatshaya i-10 okanye ngaphezulu iisigarethi ngosuku-isiqingatha sepakethi okanye ngaphezulu. Ukuba ukhetha ukusebenzisa i-bupropion ukuyeka ukutshaya, ugqirha wakho uya kugqiba ngeyona dosi ilungileyo. Iyafumaneka kwezi zilandelayo iifom kunye neendlela zokukhetha :

• Ithebhulethi yeBupropion hydrochloride, ukukhutshwa kwangoko: 75 mg, 100 mg
• Ithebhulethi yeBupropion hydrochloride, ukukhutshwa okuzinzileyo kweyure ye-12: 100 mg, 150 mg, 200 mg
• Ithebhulethi yeBupropion hydrochloride, ikhululwe iyure engama-24: 150 mg, 300 mg, 450mg
• Ithebhulethi yeBupropion hydrobromide, ukukhutshwa okwandisiweyo kweeyure ezingama-24: 174 mg, 348 mg, 522 mg

Uyithatha yonke imihla, ukuqala kwiveki enye okanye ezimbini ngaphambi komhla wokuyeka. Oku kunika amayeza ixesha lokwakha emzimbeni wakho, kunye nokufikelela ekusebenzeni ngokupheleleyo. Kwezi veki zokuqala, uyaqhubeka nokutshaya.

Xa umhla wakho wokuyeka ufika, uyeka ukutshaya kunye. Ungaqhubeka nokuthatha iWellbutrin kangangeenyanga ezi-6 ukuya kunyaka ukukunceda uyeke ukutshaya kwaye uyeke ukulunga.

Ziziphi iziphumo ebezingalindelekanga zeWellbutrin?

Uninzi lwezigulana azinazo naziphi na iziphumo ebezingalindelekanga. Iziphumo eziqhelekileyo ze-bupropion zibandakanya:

• Isicaphucaphu
• Ukuqunjelwa
• Ukuhlanza
• Usulelo
• Ingxaki yokulala
• Intlungu yezihlunu okanye edibeneyo
• Amaphupha angaqhelekanga
• Intloko ebuhlungu
• Umlomo owomileyo
• Ukuba nesiyezi
• Utshintsho kwindlela yokuziphatha
• Ukutyeba okanye ukunciphisa umzimba
• Iipalpitations

Kwiimeko ezinqabileyo, la machiza anokuba neziphumo ezibi kakhulu ezinjengobutshaba, iingcinga zokuzibulala, umngcipheko wokubanjwa, okanye ukubetha kwentliziyo okungaqhelekanga. Kukho umngcipheko ophantsi weengxaki zentliziyo, ngakumbi kubantu abanexinzelelo lwegazi okanye isifo sentliziyo. Akufanele uthathe i-bupropion ukuba uthatha i-monoamine oxidase inhibitor (MAOI), inokuba nokuhlangana okuyingozi kweziyobisi. Ayivunyelwanga kwizigulana ezinesifo sokuphazamiseka kwengqondo ngenxa yengozi eyandayo ye-mania.

Olu aluluhlu olupheleleyo lweziphumo ebezingalindelekanga. Kubalulekile ukuba uthethe nomboneleli wakho ukuba ufumanise ukuba usemngciphekweni wazo naziphi na iziphumo ebezingalindelekanga ezibi ngaphambi kokuba uqalise naziphi na iziyobisi.

Zeziphi ezinye iziyobisi ezikhoyo zokuyeka ukutshaya?

Ngaphambi kwee-1980's, ekuphela kwamayeza okwenyani ayekhona ekupheliseni ukutshaya yayizindlela ezahlukeneyo zonyango lweNicotine, kubandakanya:

• inicotine patch
• Intshongo
• inhaler ye-nicotine
• Ukufafaza impumlo
• iilozenji

La machiza ayanceda ukunciphisa inkanuko kunye neempawu zokurhoxa kwe-nicotine okuhlala kwenzeka emva kokuba umntu eyekile ukutshaya. Ngoku kukho ezinye iindlela.

Ukongeza kwi-Wellbutrin kunye neZyban, oogqirha banokukhetha ukumisela Chantix (varenicline) kwizigulana ezifuna ukuyeka ukutshaya. NgokukaGqirha Taylor, uChantix usebenza kwii-nicotine receptors kwingqondo yakho kwaye unceda ukuthintela umnqweno.

Ikhadi lesaphulelo sokumiselwa

Leliphi ichiza onokuthi ukhethe ukuyeka ukutshaya?

Ukhetho lweziyobisi luchaza isigulana ngokuthe ngqo, utshilo uGqirha Taylor. Uninzi lwezigulana ziqhuba kakuhle ngeemveliso ze-nicotine kwaye kukho izinto ezahlukeneyo onokukhetha kuzo, ngenxa yoko ukuthanda isigulana kungasikhokela eso sigqibo. Indlela amayeza achaphazela ngayo umntu ngamnye inokwahluka.

Ukusebenza ngempumelelo

Ewe kunjalo, njengawo onke ama-anti-depressants, ichiza linokusebenza ngokwahlukileyo kwisigulana esinye. I-Bupropion SR inokunceda isiguli esinye siyeke ukutshaya kumzamo wokuqala, ngelixa singenampembelelo komnye.

Imiphumela

Ukongeza, abaguli baya kuba neziphumo ebezingalindelekanga ngokwahlukileyo. Iziphumo eziqhelekileyo zeWellbutrin, iZyban, kunye neCantix ziyafana.

Iindleko kunye ne-inshurensi yokugubungela

Kukho amaxabiso ahlukeneyo okuqwalaselwa ngokutshaya amayeza okuyeka. I-inshurensi yakho inokugubungela iyeza elinye ngendlela eyahlukileyo kunenye. Iimveliso zokutshintsha izinto zeNicotine ziyafumaneka ekhawuntareni, ke ngoko ziya kuthengiswa amaxabiso ngokwahlukileyo kunommiselo.

Ukutshaya kunye nezinye iimeko zempilo

Isimo sengqondo somguli ngokuyeka isenokuba yeyona nto ibalulekileyo, nangona. Amayeza asebenza kakhulu kubantu abatshayayo abaceba ukuyeka okanye abakulungeleyo ukuyeka, utshilo uGqirha Eldridge. Unyango kufuneka lube lolomntu ngamnye ukulungiselela ubunzima bokutshaya kunye nasiphi na isifo esichazayo njenge-coronary syndromes kunye nesifo sentliziyo. Ukwaphawula ukuba izifundo zifumanise ukuba unyango oludibeneyo, njengokusebenzisa i-bupropion hydrochloride okanye i-varenicline kunye nokutshintshwa kwe-nicotine, zisebenza ngakumbi kunalo naluphi na unyango olunye olusetyenziswayo.

Zonke ezi zinto zithathelwa ingqalelo ziyasebenza, kwaye umntu ngamnye kufuneka azilinganisele kwaye axoxe ngesigqibo kunye nomboneleli wezempilo.

Kufuneka wena Sebenzisa iWellbutrin ukuyeka ukutshaya?

Unokukhetha okuninzi ukukunceda uyeke ukutshaya. Ke unokugqiba njani ukuba i-Wellbutrin lukhetho olufanelekileyo kuwe?

Mhlawumbi ufuna ukuzama amayeza endalo ukuyeka ukutshaya. Ungenelelo lokuziphatha okungasetyenziswa kwamayeza lusebenzisa ubuchule bokuziphatha kunyango lokuziphatha kunye nenkuthazo eyahlukeneyo yokukhuthaza kunye nokomeleza utshintsho kwindlela yokuziphatha, utshilo uGqirha Eldridge. Injongo yolu ngenelelo kukomeleza ukuzithiba ekutshayeni ngokulungiselela iinzame zokutshintsha indlela otshaya ngayo. Udliwanondlebe lokukhuthaza okanye ukucebisa kunceda abantu abatshayayo baphonononge kwaye basombulule iindlela zokucinga ezingalunganga malunga nokuyeka ukutshaya. Ezinye iindlela zibandakanya ukucamngca, i-hypnotherapy, i-yoga, i-acupuncture kunye ne-tai chi.

Abanye abantu abakhetha ukunqanda ukuthatha amayeza kagqirha, ezi ndlela zingezizo ezamayeza kunokuba kufanelekile ukuba ziphononongwe. Ngapha koko, nokuba uthatha i-Wellbutrin, kunokukunceda ukuzama ezi ngcebiso.

Nguwe kuphela nogqirha wakho onokugqiba ukuba yeyiphi indlela yokuyeka ukuyeka kukulungele. Ingcebiso ebaluleke kakhulu yile: Ungaze uyeke ukuzama ukuyeka. Ndizamile amatyeli asixhenxe phambi kokuba ndiphumelele. Ke ukuba enye indlela yokuyeka ayisebenzi kuwe, zama enye. Zama ezimbalwa ngokudibeneyo. Intliziyo yakho kunye nemiphunga yakho iya kukubulela!