Inā ʻoe a i ʻole kekahi mea kokoke iā ʻoe e ʻeha nei i ke kaumaha, a i ʻole e like me kā mākou e ʻike nei, ke kaumaha, ua lohe paha ʻoe e pili ana i nā lāʻau lapaʻau i kuhikuhi ʻia no ia mea. I kēia lā e kamaʻilio mākou e pili ana i kekahi papa lāʻau lapaʻau, ʻano kahiko iki, akā ikaika loa i kapa ʻia ʻo Monoamine Oxidase Inhibitors , a i ʻole MAOI no ka pōkole. ʻOiai ʻaʻole hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau, ke paipai mau nei nā kauka iā lākou i kekahi mau hihia kūikawā. No laila he mea nui loa ka ʻike pono ʻana i ke ʻano o lākou.
I ka ʻōlelo maʻalahi, he aha kēia MAOI?
ʻO nā MAOI kahi papa o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ke kaumaha. Aia nā ʻelele kemika kūikawā i loko o ka lolo e kaohi i ko mākou ʻano, ʻo ia hoʻi, e hoʻomau i ka hauʻoli a me ka hoʻomaha. Kāhea mākou i kēia mau neurotransmitters. Ua lohe paha ʻoe i nā inoa e like me serotonin, dopamine, a me norepinephrine . ʻO kēia kēlā mau ʻelele.
I kēia manawa, i loko o ko kākou lolo, loaʻa iā kākou kahi enzyme i kapa ʻia ʻo Monoamine Oxidase. Ua like ia me ka mea hoʻomaʻemaʻe lolo, hoʻopau kēia enzyme i kēlā mau ʻelele. I kekahi kanaka me ke kaumaha, hiki ke haʻahaʻa nā pae o kēia mau ʻelele i loko o ka lolo.
No laila, ʻo ka hana a nā lāʻau MAOI, ʻo ia ke hoʻōki i ka hana o kēlā enzyme hoʻomaʻemaʻe. A laila noho kēlā mau ʻelele hauʻoli ( neurotransmitters ) i loko o ka lolo no ka manawa lōʻihi a hana pono i kā lākou hana. ʻO kēia ka mea e hōʻemi mālie ai i nā hōʻailona o ke kaumaha.
ʻO kekahi mau lāʻau lapaʻau ʻē aʻe no kēia māhele:
- ʻO Isocarboxazid (Marplan)
- ʻO Phenelzine (Nardil)
- ʻO Selegiline (ʻEmsam)
- Tranylcypromine (Parnate)
E like me nā lāʻau antidepressants ʻē aʻe, he mau pule ka lōʻihi o kēia lāʻau MAOI e hana ai. I loko o ia manawa, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe e kōkua i ka kaohi ʻana i kou hopohopo a me ka hiamoe ʻole.
ʻO ka mea nui loa , pono ʻoe e makaʻala loa i kāu mea e ʻai ai a inu ai i ka wā e hoʻohana ai i kēia lāʻau. A i ʻole, hiki ke kū mai nā pilikia koʻikoʻi. E nānā kākou i kēlā me nā kikoʻī hou aku.
He aha nā hopena ʻaoʻao maʻamau o nā MAOI?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. Akā, ʻaʻole loaʻa i nā kānaka a pau. Loaʻa paha i kekahi poʻe hoʻokahi a ʻelua paha, a ʻaʻole paha e loaʻa i kekahi. No laila, mai makaʻu e ʻike i kēia mau mea. E kamaʻilio me kāu kauka e pili ana i kēia.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ka hiamoe | Ka hiamoe i ke ao a i ʻole ka insomnia i ka pō. |
| Pōʻino a me ka nawaliwali | Ke poniuniu nei, ʻoiai ke ala aʻe mai ka noho ʻana. |
| Waha maloʻo a me ka ʻike maka pōwehiwehi | Waha maloʻo, ʻike maka pōwehiwehi iki. |
| Nā loli o ke koko | Hoʻonui a hoʻemi paha i ke koko. |
| Nā loli kino | ʻEha ke kino, me he mea lā e uila ʻia ana ʻoe, piʻi ke kaumaha. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | Ka luaʻi, ka pehu ʻana, a i ʻole ka paʻa ʻana o ka ʻōpū. |
| Nā pilikia moekolohe | Hoʻemi ʻia ka makemake i ka moekolohe a i ʻole ka paʻakikī i ka hoʻokō ʻana i ka orgasm. |
Nā mea e pono ai ʻoe e hoʻomaopopo i ka wā e hoʻohana ai i nā MAOI
ʻO kēia ka ʻāpana koʻikoʻi loa. Hiki i kekahi mau mea ke hana i nā hopena ʻino ke hui pū ʻia me kēia lāʻau lapaʻau. No laila he mea nui loa iā ʻoe a me kou ʻohana e makaʻala i kēia.
1. Nā pilikia me ka meaʻai (Nā Hana like ʻana me ka Meaʻai)
Inā ʻoe e ʻai i kekahi mau meaʻai i ka wā e lawe ana i ka MAOI, hiki i kou koko ke piʻi koke a weliweli. Ua kapa ʻia kēia he 'Hypertensive Crisis'. He pilikia olakino kēia. No laila, pono i kekahi e lawe ana i kēia lāʻau lapaʻauPono ʻoe e hahai i kahi papaʻai kūikawā.
E noʻonoʻo ʻoe ua hele ʻoe i kahi pāʻina a inu i kahi waina liʻiliʻi me kahi ʻāpana tīhi. Inā ʻoe e lawe ana i kahi MAOI, hiki i kēlā mea liʻiliʻi ke hoʻouna koke i kou koko i kahi pae weliweli o 200/110, a pono ʻoe e lawe ʻia i ka ʻOihana Pōpilikia (ETU). No laila e makaʻala loa i kēia.
Nā meaʻai pono ʻole e ʻai ʻia:
- Nā tīhi kahiko: Nā tīhi kahiko, fermented e like me ka cheddar, ka tīhi polū, a me ka mozzarella.
- ʻAi i hoʻomoʻa ʻia: nā mea e like me ka salami, sausage, ham.
- Puahi ʻia a maloʻo paha: Iʻa puhi ʻia, samona, iʻa maloʻo, sardines.
- Kekahi waiʻona: waina ʻulaʻula, kekahi pia.
- Nā huahana soy: soy sauce, tofu.
- Nā hua pala e like me ka maiʻa a me ka avocado (i ka wā e pala loa ai).
ʻAʻole i piha kēia papa inoa. Ke kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e hāʻawi kāu kauka a me ka meaʻai meaʻai iā ʻoe i kahi papa inoa piha o nā meaʻai e pale aku ai . E hahai pono iā ia.
2. Nā pilikia me nā lāʻau lapaʻau ʻē aʻe (Nā Hana like ʻana me nā lāʻau lapaʻau)
E like me ka meaʻai, hiki i kekahi mau lāʻau lapaʻau ke hoʻoweliweli i ka wā e lawe ʻia ai me nā MAOI. Hiki i kēia ke hoʻonui koke i ke koko.
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai. ʻO kēia ka pila Panadol āu e lawe ai no ka ʻeha, ka pila Pines āu e lawe ai no ke anu, nā lāʻau lapaʻau Ayurvedic, nā decoctions, nā huaora, a me nā mea hoʻohui lāʻau. Mai hūnā i kekahi mea.
ʻO keʻano kūikawā, hiki i nā antidepressants ʻē aʻe, nā painkiller, a me nā lāʻau allergy ke launa pū me kēia.
3. Ka maʻi Serotonin
He kūlana kakaikahi kēia akā koʻikoʻi, a he mea hoʻoweliweli paha i ke ola . Hana ʻia ia i ka wā e piʻi nui ai ka nui o ka serotonin i loko o ka lolo. Hoʻonui ʻia kēia pilikia inā ʻoe e lawe i kahi MAOI me kekahi lāʻau ʻē aʻe e hoʻonui ai i nā pae serotonin (kekahi lāʻau antidepressant, kahi lāʻau migraine, a i ʻole kekahi mau mea hoʻomaha ʻeha).
Nā hōʻailona o ka maʻi serotonin:
- Manaʻo nui ʻole a me ka hopohopo
- Hoʻonui ʻia ka nui o ka puʻuwai, hoʻonui ʻia ke koko
- Ka maʻi kahe, ka nausea, ka luaʻi
- Ke ʻike ʻana a lohe ʻana paha i nā mea ʻaʻole ma laila (Hallucinations)
- Kuni, hou nui
- ʻAʻole hiki ke kāohi i ka makemake, nā haʻalulu o ke kino
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Inā pono, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
4. Nā manaʻo pepehi kanaka
Ua hoʻopuka ka FDA i kahi ʻōlelo aʻo no nā antidepressants āpau. ʻO ia hoʻi, he liʻiliʻi loa ka pilikia o nā manaʻo pepehi kanaka ke hoʻomaka mua ʻoe e lawe i kēia mau lāʻau lapaʻau a i ʻole ke hoʻololi ʻia ka nui. Kiʻekiʻe loa kēia pilikia i waena o ka poʻe ʻōpio. Inā loaʻa iā ʻoe a i ʻole kekahi āu e aloha ai kēlā mau manaʻo, e haʻi koke i kāu kauka.
Ke hoʻōki ʻana i ka lāʻau lapaʻau a me ka hāpai ʻana
Ke hoʻōki nei i ka mālama ʻana
He mea weliweli loa ka hoʻōki koke ʻana i ka lāʻau MAOI. Hiki i ka hana ʻana pēlā ke hana i nā hōʻailona haʻalele.
- Nā hōʻailona o ke anu a i ʻole ka maʻi flu, e like me ke kuni, ka ʻeha kino, a me ka hou ʻana
- ʻAʻole hiki ke hiamoe
- Hoʻomaha ʻole
- Ka huikau
- ʻO ka maʻi noʻonoʻo
No laila, inā manaʻo ʻoe e pono ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e kamaʻilio mua me kāu kauka. E hiki iā ia ke aʻo iā ʻoe i kahi ʻano hana no ka hōʻemi mālie ʻana i ka nui a me ka hoʻōki ʻana i ka lāʻau lapaʻau me ka ʻole o ka hōʻeha ʻana i kou olakino.
I ka wā hāpai
He kakaikahi loa ka ʻike e pili ana i ka palekana o nā MAOI i ka wā hāpai. Inā hāpai ʻoe i ka wā e lawe ana i kēia lāʻau lapaʻau, a inā paha ʻoe e hoʻolālā ana e hāpai, e haʻi koke i kāu kauka. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau ikaika loa nā MAOI no ke kaumaha, a ʻo ia hoʻi e pono ai ke akahele nui.
- ʻOiai e lawe ana i kēia lāʻau lapaʻau, e hahai pono i ka papa inoa meaʻai a kāu kauka e hāʻawi ai iā ʻoe. E pale loa i nā mea e like me ka tīhi i hoʻoulu ʻia, kekahi mau ʻiʻo, a me ka waiʻona.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (me nā huaora a me nā lāʻau Ayurvedic) .
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi serotonin, e like me ka hoʻomaha ʻole koke, ka puʻuwai wikiwiki, a me ke kuni, e ʻimi koke i ke kōkua lapaʻau.
- E pale i ka hoʻōki koke ʻana i kēia lāʻau lapaʻau no kekahi kumu me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Mai makaʻu e kamaʻilio ākea me kāu kauka e pili ana i nā hopena ʻaoʻao a i ʻole nā pilikia ʻē aʻe āu e ʻike ai.
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