Umuti Mushya Uvura Ihungabana: Ibyo Ugomba Kumenya Ku bijyanye n'Ubuvuzi

Umuti Mushya Uvura Ihungabana: Ibyo Ugomba Kumenya Ku bijyanye n'Ubuvuzi | Nirogi Lanka

Physician Reviewed — Not Medical Advice
Ihungabana rishobora kumera nk'igicucu gikomeye ku buzima bwawe, bigatuma ibintu byose bisa n'aho biremereye. Niba wumva ko uburyo uvura ubu budatanga ubutabazi ukeneye, menya ko hari icyizere—iterambere rishya mu buvuzi riri guhindura imiterere y'ubuvuzi bw'ihungabana. Uyu munsi, turashaka kuvuga kuri 'Auvelity', umuti wazanye icyizere gishya kuri benshi. Wemejwe na FDA yo muri Amerika mu 2022, wagenewe by'umwihariko kuvura indwara ikomeye yo kwiheba (MDD).

Auvelity ni iki kandi ikora ite?

Mu magambo make, 'Auvelity' ni umuti uvanze. Uhuza ibintu bibiri bikomeye mu kinini kimwe: 'dextromethorphan' na 'bupropion'. Tekereza nk'ikipe ikorana—mu guhuza ibi bintu bibiri, ubuvuzi buba bwiza kurusha uko kimwe muri byo cyaba cyonyine.
  • Bupropion : Uyu ni umuti uzwi cyane wo kurwanya indwara. Ukora mu kongera urugero rwa 'dopamine' na 'norepinephrine', ari byo bintu by'ingenzi mu bwonko bigenga uko umuntu yumva ameze.
  • Dextromethorphan : Ushobora kumenya ko iki kintu gikunze kuba mu miti igabanya inkorora. Ariko, muri ubu buryo bwihariye, byagaragaye ko iki kintu kinagira ingaruka ku buryo ubwonko bukoresha mu kugenga amarangamutima.
Iyo iyi miti yombi ihujwe , itanga ihumure ryiza cyane ku bimenyetso by'indwara yo kwiheba kurusha "bupropion" yonyine.

Uyu muti wasuzumwe ute?

Mbere yuko umuti uwo ari wo wose ugera ku baturage, ukorerwa ibizamini bikomeye byo kwa muganga kugira ngo harebwe umutekano n'imikorere yawo. `Auvelity` yageragejwe binyuze mu bushakashatsi burambuye bwo kwa muganga. Abashakashatsi bapimye ubukana bw'ihungabana bakoresheje `Montgomery-Asberg Depression Rating Scale (MADRS)`. Tekereza ibi nk'isuzuma rirambuye ry'ibibazo 10 risuzuma ibyiyumvo byawe by'agahinda, ibibazo byo gusinzira, kwicira urubanza, n'ibindi byiyumvo byawe, aho amanota ari hagati ya 0 na 60. Amanota menshi agaragaza ihungabana rikomeye , mu gihe kugabanuka kw'amanota yawe nyuma yo kuvurwa bigaragaza ko ukize neza. Ubu bushakashatsi bwari bukubiyemo abitabiriye bari hagati y'imyaka 18-65 bafite indwara ikomeye yo kwiheba. By'umwihariko, abantu bafite izindi ndwara zo mu mutwe (nk'indwara ya 'bipolar' cyangwa 'indwara yo mu mutwe'), abafite ibyago byinshi byo kwiyahura, cyangwa abafite amateka yo kurwara ibicurane ntibashyizwe muri ubu bushakashatsi bwa mbere.

Ni ibihe bisubizo by'ubushakashatsi?

Ibisubizo byari bishimishije cyane. `Auvelity` yagaragaye ko ifite akamaro kanini mu kugabanya ibimenyetso by'indwara yo kwiheba kurusha placebo na `bupropion` ubwabyo, bigaragaza ko amanota ya `MADRS` yagabanutse cyane ku bakoresha `Auvelity`.
Kugereranya uburyo bwo kuvura Impuzandengo yo kugabanuka kw'amanota ya MADRS (nyuma y'ibyumweru 6)
Ubuhanga Amanota 16
Placebo Amanota 12
Ubuhanga Amanota 14
Bupropion gusa Amanota 9

Ese Auvelity ikorana n'indi miti? (Imikoreshereze y'imiti)

Ibi ni ingenzi cyane . Yego, 'Auvelity' ishobora kugira ingaruka ku yindi miti ushobora kuba ufata. Ugomba kubwira muganga wawe imiti yose, harimo imiti igurishwa mu kigo, vitamine, n'inyongeramusaruro z'ibimera.

Ingaruka zo kurwara indwara ya Serotonin

Iyo 'Auvelity' ihujwe n'indi miti igabanya ubukana bw'imitsi yongera urugero rwa serotonin, bishobora gutuma serotonin izamuka cyane mu bwonko, indwara ishobora gushyira ubuzima mu kaga izwi nka 'Serotonin Syndrome'.
Ibimenyetso: Kubira ibyuya byinshi , umuriro, gushyuha cyangwa kubura ituze , umutima utera cyane, isesemi, kuruka , impiswi, gucika intege, cyangwa imitsi ikagira imitsi/guhinda umushyitsi.
Niba ubonye ibi bimenyetso, shakisha abaganga byihutirwa mu ishami rishinzwe ubutabazi bwihuse (ER) . Byongeye kandi, hagomba kubaho iminsi 14 yo kwiyuhagira hagati yo gukoresha imiti igabanya ubukana bwa MAOI no gutangira 'Auvelity'.

Ibindi by'ingenzi bigomba kwitabwaho

  • Imiti yongera dopamine: Kubera ko 'Auvelity' igira ingaruka ku rugero rwa dopamine, kuyifata hamwe n'indi miti isa nayo (urugero, imwe mu miti ya Parkinson) bishobora gutera dopamine nyinshi, bishobora gutera guhindagurika, guhinda umushyitsi, cyangwa ingorane mu migendere .
  • Inzoga: Ugomba kwirinda burundu cyangwa kugabanya cyane inzoga mu gihe ufata `Auvelity`, kuko ibi bivanze byongera ibyago byo kurwara ibisebe .
  • Imiti y'umutima: Imiti nka 'digoxin' ishobora kugira ingaruka mbi ku ndwara ya 'Auvelity'. Nyamuneka menya neza ko muganga wawe azi uburyo bwose bwo kuvura indwara z'umutima.
  • Ihindagurika ry'imikorere y'umwijima: Umwijima wawe ni wo utuma imiti ikoreshwa hakoreshejwe imisemburo nka `cytochrome P450 (CYP450)`. `Auvelity` ishobora kugira ingaruka kuri ubu buryo, igahindura uburyo indi miti yawe ikora mu mubiri wawe.

Uyu muti ufatwa ute kandi ni izihe ngaruka mbi?

`Auvelity` iboneka ku muganga gusa. Igipimo gisanzwe gikunze gutangirira ku kinini kimwe buri munsi mu minsi itatu ya mbere, hanyuma ikinini kimwe kabiri ku munsi (hagati y'amasaha 8 hagati y'umuti n'umuti).
Icyitonderwa: Ntuzigere uhindura ingano yatanzwe cyangwa ngo uhagarike gufata uyu muti mu buryo butunguranye utabanje kugisha inama muganga wawe.

Ingaruka mbi zishobora kubaho no gukurikirana

  • Ubwiyongere bw'umuvuduko w'amaraso: Muganga wawe ashobora kukugira inama yo kugenzura umuvuduko w'amaraso yawe buri gihe mu gihe ufata uyu muti.
  • Isereri:Uyu muti ushobora gutera isereri. Mwitondere mu gihe mutwaye imodoka, mukoresha imashini, cyangwa mukora imirimo aho hari ibyago byo kugwa.
  • Ingaruka z'amaso: Vugana na muganga wawe niba ugize ububabare bw'amaso, ukagira umutuku, cyangwa hari impinduka iyo ari yo yose mu maso yawe.
  • Impinduka mu myitwarire: Hari abantu bashobora kugira urujijo, kubona ibintu bitabaho (kubona cyangwa kumva ibintu bitabaho), cyangwa kugorwa no kumenya ukuri.
  • Indwara zo mu mutwe: Ingaruka zo kurwara indwara zo mu mutwe ziba nyinshi iyo uyu muti ufashwe hamwe n'inzoga. Niba ugize indwara zo mu mutwe uri kuri uyu muti, hagarika kuwufata ako kanya hanyuma uhamagare muganga wawe.
  • Gutwita no Konsa: Uyu muti ntabwo utekanye mu gihe utwite cyangwa mu gihe wonsa. Niba uteganya gutwita, usanzwe utwite, cyangwa urimo konsa, menyesha muganga wawe ako kanya.

Inama z'ingenzi ku birebana n'ibitekerezo byo kwiyahura

Kimwe n'indi miti igabanya ubukana bw'indwara zo kwiheba, 'Auvelity' ishobora kongera gato ibyago byo gutekereza kwiyahura cyangwa imyitwarire kuri bamwe, cyane cyane mu ntangiriro z'ubuvuzi. Ibi bikunze kugaragara cyane ku bantu bakiri bato. Niba wowe cyangwa umwe mu bagize umuryango wawe mufite ibitekerezo nk'ibyo, ntugume wenyine.
  • Hamagara serivisi zihutirwa (911) cyangwa terefone ifasha abahuye n'ibibazo by'ingorabahizi mu gace utuyemo ako kanya.
  • Ubundi buryo, jya mu ishami rishinzwe ubutabazi bw’ibanze ry’ibitaro biri hafi yawe.
  • Bimenyesha muganga wawe ako kanya ibijyanye n'izi mpungenge.
Ibi si ibintu byo guhisha. Gushaka ubufasha bwihuse ni ingenzi cyane.

Ubutumwa bwo kujyana mu rugo

  • `Auvelity` ni umuti ugezweho kandi ufite akamaro ku ndwara ikomeye yo kwiheba. Ugomba gufatwa gusa hakurikijwe ubuyobozi bw'abaganga ba Nirogi Lanka.
  • Ni ngombwa kumenyesha muganga wawe indi miti yose, vitamine, n'inyongeramusaruro urimo gufata ubu.
  • Irinde kunywa inzoga burundu mu gihe ufata `Auvelity`.
  • Witondere ingaruka mbi zikomeye nka Serotonin Syndrome, impinduka zikomeye mu myitwarire, cyangwa ibitekerezo byo kwiyahura. Niba ubonye kimwe muri ibi, shaka ubufasha bwa muganga byihutirwa.
  • Ntukarenze urugero rw'umuti wahawe cyangwa ngo uhagarike gufata umuti mu buryo butunguranye utabanje kugisha inama muganga wawe.
Ubunararibonye, ​​kwiheba, ubuzima bwo mu mutwe, imiti igabanya ubukana bw'indwara zo kwiheba, dextromethorphan, bupropion, serotonin syndrome, imiti yo kwiheba, ingaruka mbi

👩🏽‍⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)

💬 Ni iyihe ndwara Auvelity ikoreshwa mu kuvura?

Auvelity ni umuti ugezweho ukoreshwa ku bantu barwaye indwara ikomeye yo kwiheba (MDD). Nubwo ufatwa nk'ikinini kimwe, ni uruvange rw'imiti ibiri: dextromethorphan na bupropion.

💬 Ni iki gitandukanya ibi n'indi miti igabanya ubukana bw'indwara?

Ubusanzwe, imiti isanzwe yo kurwanya indwara zo mu mutwe ishobora gufata ibyumweru bigera kuri bine kugira ngo itangire kugaragaza iterambere rigaragara. Akamaro ka mbere ka Auvelity ni ubushobozi bwayo bwo kugaragaza ibisubizo byihuse, akenshi mu cyumweru cya mbere cy'ubuvuzi.

💬 Ni nde ukwiye kwirinda gufata uyu muti?

Muri rusange abaganga bakugira inama yo kudakoresha uyu muti niba ufite amateka yo kurwara indwara zo mu mutwe, kuko ushobora kuba udakwiriye ubuzima bwawe.