Adwenemhaw ano aduru: So wunim Isocarboxazid nnuru?

So ɛtɔ mmere bi a wote awerɛhow kɛse, wo ho yeraw wo, anaasɛ asetra afono wo ara kwa? Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi ``Adwenemhaw``. Enti, nnuruyɛfo kyerɛw nnuru bi ma yɛn de boa yɛn wɔ mmere a ɛte sɛɛ mu. Sɛ nhwɛso no, aduru titiriw bi a wɔde sa tebea bi a wɔfrɛ no adwenemhaw ne ``Isocarboxazid``. ``Marplan`` yɛ edin foforo a wɔde frɛ saa aduru yi.

Aduru bɛn na ɛyɛ `Isocarboxazid`?

Sɛ yɛbɛka no tiawa a, `Isocarboxazid` yɛ aduru a ɛboa ma w’awerɛhow, dadwen so tew na ɛma wo nkate tu mpɔn. Yɛn amemene no kura nnuru abɔfo a wɔfrɛ no `Dopamine`, `Norepinephrine` ne `Serotonin`. Eyinom ne nnuru a ɛboa ma yedi yɛn anigye ne awerɛhow nkate so. `Isocarboxazid` yɛ adwuma denam nnuru yi dodow a ɛkɔ soro wɔ amemene no mu no so.

Saa aduru yi ka nnuru kuw a wɔfrɛ no `MAOI` ho. `MAOI` gyina hɔ ma `Monoamine Oxidase Inhibitors`. Saa enzyme yi (`Monoamine Oxidase`) paapae nnuru a yɛadi kan aka ho asɛm te sɛ `Dopamine`, `Norepinephrine`, `Serotonin` a ɛwɔ yɛn nipadua mu. Enti, esiane sɛ `MAOI` aduru gyae saa enzyme no dwumadi nti, saa nnuru pa no tra amemene no mu kyɛ. Ɛno na ɛboa ma adwenemhaw so tew. Nanso nnuruyɛfo betumi akyerɛw saa aduru yi ama nyarewa afoforo nso. Enti sɛ wowɔ nsɛmmisa bi a, bisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase

Ansa na wobɛhyɛ aseɛ anom `Isocarboxazid` no, nneɛma kakra bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfoɔ ampa . Efisɛ saa aduru yi mfata obiara. Enti, ɛsɛ sɛ woka nneɛma yi ho asɛm kyerɛ wo duruyɛfo no nokwaredi mu paa.

• So wowɔ aniwa yare `Glaucoma`?
• So wo ti yɛ wo yaw anaa wo ti yɛ wo yaw mpɛn pii?
• So wowɔ komayare?
• So wowɔ mogya mmoroso?
• So woanya koma bɔ a ɛnteɛ pɛn?
• So woadi kan anya akisikuru?
• So woyɛ obi a ɔnom nsa daa?
• So wowɔ asaabo mu yare?
• So wowɔ mmerɛbo mu yare?
• So adwenemyare afoforo bi wɔ hɔ?
• So kokoram tebea bi wɔ adrenal gland no mu a wɔfrɛ no `Pheochromocytoma`?
• So wo ti apirae (ti a ɛyɛ wo yaw) nnansa yi?
• So akisikuru bi wɔ hɔ?
• So woanya adwene, nhyehyɛe, anaa woabɔ mmɔden sɛ wubekum wo ho pɛn? So obi wɔ w’abusua mu ayɛ saa pɛn?
• So wowɔ aduru `Isocarboxazid`, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde sie no ho adwenemhaw?
• So woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn?
• So woyɛ ɛna a ɔma nufu?

Sɛ eyinom mu biara fa wo ho a, ɛho hia paa sɛ wobɔ wo duruyɛfo amanneɛ wɔ ho.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Saa aduru yi ba wɔ aduruyɛ mu. Ɛsɛ sɛ wɔde ano a wɔde nsu kuruwa ka ho. Ɛyɛ papa sɛ wobɛfa sɛnea wo duruyɛfo akyerɛ wo no, bere koro mu da biara. Kɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.

Sɛ nnurutɔnbea no ma wo saa aduru yi a, ɛsan nso ma wo akwankyerɛ krataa titiriw bi (`MedGuide`). Ɛsɛ sɛ wokenkan saa `MedGuide` yi yie berɛ biara a wobɛnom aduru no ne berɛ a wobɛsesa aduru toa no. Nsɛm a ɛho hia paa wɔ aduru yi ho.

Kae: Saa aduru yi yɛ ma wo nkutoo. Mfa w’aduru nkyɛ afoforo, sɛ mpo wɔn nso wɔ sɛnkyerɛnne koro no ara a wote no a.

Sɛ wode saa aduru yi rema mmofra nkumaa a, ɛsɛ sɛ wohwɛ yiye titiriw. Enti, wo ne wo duruyɛfo nkasa mfa ho na nya afotu.

Sɛ wususuw sɛ woanom aduru yi pii wɔ akwanhyia mu a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo no ntɛm ara, anaa frɛ beae bi a wɔhwɛ awuduru so, a ɛnntwentwɛn wo nan ase.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien prɛko pɛ da. Saa a wobɛyɛ no betumi ama dodow a wɔde ma no akɔ soro.

Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (interactions) .

Eyi yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho . Aduru `Isocarboxazid` tumi ne nnuan bi ne nnuru afoforo di nkitaho bɔne yiye. Eyi betumi de ɔhaw ahorow a ɛyɛ hu aba.

Kwati nnuan a `Tyramine` wom!

Ɛnyɛ adwene pa sɛ wubedi nnuan a nnuru a wɔfrɛ no tyramine pii wom bere a worenom `Isocarboxazid`. Sɛ wɔka abien yi bom a, tebea horow a ɛde nkwa to asiane mu te sɛ tiyɛ a emu yɛ den mpofirim, mogya mmoroso (`Hypertensive crisis`), anaa koma a ɛbɔ a ɛnkɔ so daa betumi aba.

Nnuan bɛn na `Tyramine` dɔɔso?

• Cheese ahorow a ayɛ dedaw
• Nam a wɔayɛ ho adwuma - nneɛma te sɛ soseji, salami, pepperoni
• Beer ne ale (beer a ɛnyɛ nsa mpo) .
• Nsã (titiriw bobesa kɔkɔɔ), sherry
• Nsã a ɛyɛ den, Liqueurs
• Avocado a wɔde yɛ nneɛma
• Banana (titiriw nea abere yiye) .
• Borɔdɔma, Raisins
• Soya a wɔde yɛ aduan, Miso soup
• Mmɔkaw/protein a wɔde yɛ nneɛma
• Tofu (Bean curd) .
• Fava anaasɛ bankye a ɛtrɛw
• Aduaba biara a abere dodo

Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti bisa wo duruyɛfo, nnuruyɛfo, anaa aduannuru ho ɔbenfo ma ɔmma wo nnuan a tyramine wom no nyinaa.

Afei nso, ɛyɛ papa sɛ wobɛto anonne a caffeine wom (te sɛ tii, kɔfe, chocolate, ne cola) ano bere a worenom aduru yi.

Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wokwati saa nnuan ne anonne yi bere a woagyae aduru yi akyi.

Nnuru a ɛnsɛ sɛ wɔde ka aduru yi ho da

Nnuru a edidi so yi betumi de nneyɛe a emu yɛ den kɛse aba sɛ wɔde ka `Isocarboxazid` bom a. Enti, sɛ worenom nnuru yi mprempren a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.

• Atomoxetine a wɔde yɛ aduru
• `Buspirone`
• `Carbamazepine a wɔde yɛ aduan`
• Mogya mmoroso nnuru bi: `Guanabenz`, `Guanadrel`, `Guanethidine`, `Reserpine`
• `Kokaine`
• `Cyclobenzaprine a wɔde di dwuma`
• Dextromethorphan (ɛwɔ ɔfe aduru bi) .
• Nnuru a wɔde ma obi mu duru so tew anaa nnuru a ɛkanyan obi: Amphetamines, Ephedra
• `Diphenoxylate a wɔde yɛ ade`
• `Ephedrine a wɔde di dwuma`
• General anaa local anesthetics (sɛ worenom nnuru yi ansa na woayɛ wo oprehyɛn a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ) .
• `Genseng`
• Green tea (wɔnom boro so) .
• `Guarana`
• Linezolid (aduru a ekum ɔyare mmoawa) .
• `MAOI` ahorow afoforo: `Phenelzine` (phenelzine), `Rasagiline` (rasagiline), `Safinamide` (safinamide), `Selegiline` (selegiline), `Tranylcypromine` (tranylcypromine) .
• Nnuru a wɔde sa atiridiinini tiyɛ
• Nnuru a wɔde sa kankyee mu haw te sɛ Parkinson yare: `Entacapone`, `Levodopa`, `Selegiline`, `Tolcapone`
• Meperidine (aduru a wɔde kum ɛyaw) .
• `Methylene bruu`
• Nnuru a wɔde sa adwenemhaw, dadwen, anaa adwene mu haw afoforo
• Nnuru a wɔde sa ɛyaw a wɔkyerɛw ma obi
• `Procarbazine a wɔde yɛ adwuma`
• `SAM-e`
• `Ɔhotefo. John's Wort` (nhabannuru a nnipa binom fa ma adwene mu yiyedi) .
• `Tramadol` (aduru a wɔde kum ɛyaw) .
• `Tryptophan`
• Tyramine (wohu wɔ nnuan mu na ebia wohu wɔ nnuru bi a wɔde ka aduan ho nso mu) .
• `Viloxazine a wɔde yɛ nnuru`
• `Yohimbine`

Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho

Nnuru a edidi so yi nso betumi ne `Isocarboxazid` adi nkitaho. Enti, sɛ worenom eyinom a, ka ho asɛm nso kyerɛ wo duruyɛfo.

• Barbiturates (sɛ nhwɛso no, Phenobarbital) .
• Nnuru a ɛma nsu fi nipadua mu
• Isoniazid (aduru a wɔde sa nsamanwaw) .
• Nnuru a wɔde sa yare no ho sɛnkyerɛnne te sɛ atiridiinini, akisikuru, ne atiridiinini
• Nnuru a wɔde sa asikreyare
• Nnuru a ɛwɔ `Phenothiazines` kuw no mu (sɛ nhwɛso no, `Chlorpromazine`, `Prochlorperazine`, `Thioridazine`)

Saa list yi nwie pɛyɛ. Enti ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo (wɔakyerɛw ama wo, nea wɔtɔn wɔ aduruyɛdan mu, nhabannuru, vitamin, aduannuru a wɔde ma). Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi betumi ne aduru yi adi nkitaho.

Nneɛma afoforo a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi

• Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo ntɛm ara. Kɔ so ne wo duruyɛfo nni nkitaho na hwɛ sɛnea aduru no reyɛ adwuma. Ebia ebegye adapɛn pii ansa na aduru yi atumi ayɛ adwuma koraa. Enti, ɛho hia sɛ wokɔ so nom ayaresa no sɛnea wo duruyɛfo ka kyerɛ wo no.
• Adwene a ɛne sɛ obekum ne ho anaasɛ adwenemhaw a ɛreyɛ kɛse: Eyi ho hia yiye . Bere a worenom saa aduru yi, titiriw bere a worefi ayaresa no ase anaa bere a woasesa dodow no akyi no, hwɛ w’adwene yiye sɛ wubenya adwene foforo a ɛfa sɛnea wubekum wo ho anaasɛ adwenemhaw a ɛreyɛ kɛse anaa. Afei nso, sɛ wowɔ nsakrae bi mpofirim wɔ wo nkate mu, te sɛ wo ho yeraw wo, wo ho ntɔ wo, wo bo fuw, woyɛ ɔtan, woyɛ basabasa, wo tirim yɛ den, wo ho nyɛ wo hyew kɛse, wo ho yeraw wo dodo na woyɛ ade tra so, anaasɛ wo ho yɛ den wɔ nna mu a, frɛ wo duruyɛfo ntɛm ara. Ka kyerɛ w’abusua na ka kyerɛ wɔn sɛ wɔn nso wɔnhwɛ nsakrae yi.
• Ebia wobɛte nka sɛ woada anaasɛ w’adwene atu afra. Enti, kosi sɛ wubehu sɛnea aduru yi ka wo no, nka kar, mfa mfiri nni dwuma, anaa nyɛ biribiara a ɛhwehwɛ sɛ wode w’adwene si biribi so. Nsɔre anaa ntena ase ntɛm dodo, titiriw sɛ woabɔ akwakoraa a. Sɛ woyɛ saa a, ɛbɛtew hokwan a ɛwɔ hɔ sɛ obi adwene tu fra na wahwe ase no so.
• Nsã betumi asiw aduru yi a etu mpɔn no kwan, enti kwati sɛ wobɛnom nsa.
• Saa aduru yi betumi ama aniwa ayɛ kusuu na aniwa nhu ade yiye. Sɛ wohyɛ ahwehwɛ a wɔde hwɛ ahwehwɛ a, ebia wo ho bɛtɔ wo kakra. Ebia nnuru a wɔde srade gu aniwa so no bɛboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, kɔ aniwa ho oduruyɛfo nkyɛn.
• Ano a ɛyɛ nwunu betumi ayɛ ɔhaw. Gum a asikre nnim a wobɛwe, ahwiesa a ɛyɛ den a asikre nnim a wobɛnom, ne nsu pii a wobɛnom betumi aboa. Sɛ ɔhaw yi kɔ so anaasɛ emu yɛ den a, wo ne wo duruyɛfo nkasa.
• Kɔ wo duruyɛfo nkyɛn ansa na woanom nnuru biara a wode bedi dwuma wɔ nneɛma te sɛ ɔfe, atiridiinini, ne akisikuru ho. Afei nso, nnom nnuru biara a wɔde tew wo mu duru so a wo duruyɛfo no mpene so. Nneɛma a ɛwɔ saa nneɛma yi bi mu no betumi ama nea efi mu ba no ayɛ kɛse.
• Saa aduru yi betumi aka asikre dodow a ɛwɔ mogya mu. Sɛ wowɔ asikreyare a, wo ne wo duruyɛfo nkasa ansa na woasesa w’aduan anaa wo asikreyare aduru dodow.
• Sɛ worekɔyɛ oprehyɛn, aduruyɛ mu nhwehwɛmu, anaa ayaresa biara a, ka kyerɛ wo duruyɛfo sɛ worenom saa aduru yi. Mpɛn pii no, ɛsɛ sɛ wogyae saa aduru yi bɛyɛ nnafua 10 ansa na wɔayɛ oprehyɛn a wɔpaw.
• Saa aduru yi betumi ama vitamin B6 dodow akɔ fam. Enti hwɛ hu sɛ worenya vitamin B6 a ɛdɔɔso bere a worenom saa aduru yi no. Wo ne wo duruyɛfo nkasa fa nnuan ne vitamin ahorow a worenom no ho.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru nyinaa no, Isocarboxazid betumi de ɔhaw ahorow aba nnipa binom so. Ebi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo a ɛnntwentwɛn wo nan ase :

• Allergic reactions : Honam ani akisikuru, ɛyaw, nsensanee kɔkɔɔ wɔ honam ani, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon.
• Serotonin Syndrome Nsɛnkyerɛnne : Abufuw, adwene a ɛyɛ basaa, koma bɔ ntɛmntɛm anaasɛ ɛnyɛ daa, ntini a ɛyɛ den anaasɛ ɛtwetwe, fifiri a ɛboro so, atiridiinini a ano yɛ den, akisikuru, atiridiinini, ɔfe, akisikuru. Eyinom betumi ayɛ tebea bi a asiane wom a wɔfrɛ no Serotonin Syndrome ho sɛnkyerɛnne, efisɛ saa aduru yi ma serotonin dodow a ɛwɔ amemene no mu no yɛ kɛse.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo apira : Ɛyaw wɔ yafunu nifa atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hann, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko.
• Mogya mmoroso a ɛba fam : Adwene a ɛyɛ basaa, adwenemhaw, aniwa a ɛyɛ mmerɛw.
• Ntini a ɛma obi ho kyere no .
• Mogya mmoroso a ɛkɔ soro kɛse : Tiyɛ a emu yɛ den a efi ase mpofirim, akisikuru, ɔfe, kɔn a ɛyɛ den, koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ (eyi betumi ayɛ `Tyramine` adeyɛ ho sɛnkyerɛnne).
• Adwene a ɛne sɛ wubekum wo ho anaasɛ wobɛpira wo ho, adwene a ɛbɛsɛe, ne adwenemhaw a ɛkɔ soro .

Nneɛma bɔne a mpɛn pii no ɛnyɛ asiane kɛse, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo:

Mpɛn pii no, saa nsunsuanso bɔne yi nyɛ aniberesɛm, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo sɛ:

• Ayamtim
• Adwene a ɛyɛ basaa
• Ano a ɛyɛ nwunu
• Tipaeɛ
• Abofono
• Wosow a ɛwosow

Sɛ wuhu sɛnkyerɛnne bi a ɛyɛ soronko anaa foforo bere a worenom aduru yi a wɔankyerɛw din no a, ka kyerɛ wo duruyɛfo. Wubetumi nso abɔ amanneɛ akyerɛ FDA wɔ 1-800-FDA-1088.

Ɔkwan bɛn so na wode aduru yi sie?

• Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
• Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 15 kosi 30 / digrii Fahrenheit 59 ne 86 ntam). Fa nnuru toa/packet no to mu denneennen .
• Mfa nnuru a ne bere atwam nni dwuma. Tow wɔn gu.

Sɛnea wɔtow nnuru a wɔmfa nni dwuma anaasɛ ne bere atwam gu:

• Nnuru a wɔsan gye ho nhyehyɛe ahorow wɔ hɔ. Wubetumi ahu wɔn ho asɛm wɔ wo nnurutɔnbea anaa polisifo.
• Sɛ ɛno ntumi nyɛ yiye a, hwɛ nnuru a wɔakyerɛw so anaa krataa a ɛwɔ mu no mu hwɛ sɛ ɛsɛ sɛ wɔtow gu nwura mu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnye nni a, bisa wo duruyɛfo.
• Sɛ ɛyɛ nea asiane biara nni ho sɛ wobɛtow agu nwura mu a, yi aduru no fi ade no mu. Fa fra biribi foforo te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam. Fa afrafrade no gu kotoku anaa ade mu, kata so yiye, na tow gu nwura mu.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

`Isocarboxazid` yɛ aduru a ɛho hia yiye a wɔde sa adwenemhaw. Nanso, esiane sɛ ɛka `MAOI` kuw no ho nti, ebetumi ama nkitahodi a anibere wom aba aduan (titiriw nnuan a `Tyramine` wom) ne nnuru afoforo ntam.

Bere a worenom saa aduru yi no, hwɛ yiye paa wɔ nsakrae a ɛbɛba wo nkate mu, titiriw adwene a ɛne sɛ wubekum wo ho no ho. Sɛ wowɔ ɔhaw bi a, ka kyerɛ wo duruyɛfo ntɛm ara. Fa dodow a ɛfata, wɔ bere a ɛfata mu, sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ. Ɛno ansa na wubetumi anya aduru yi so mfaso kɛse na ama w’adwene atu mpɔn.

Asɛm yi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nkasa.

` Isocarboxazid, MAOI, adwenemhaw, adwenemyare, dopamine, serotonin, tyramine, nsunsuanso bɔne, nnuru a ɛne ne ho di nkitaho