Ese wagiye ufata imiti itandukanye yo kuvura ihungabana ryawe ariko ntubone ubutabazi? Ahari muganga wawe aherutse kukubwira ibijyanye n'umuti mushya. Iki ni cyo gihe uyu muti witwa Tranylcypromine ukunze kwandikirwa. Uyu ni umuti wihariye usaba kwitabwaho cyane. Reka tubiganireho mu buryo bwumvikana kandi bworoshye.
Ni ubuhe bwoko bw'umuti Tranylcypromine?
Muri make, uyu ni umuti ukoreshwa mu kuvura indwara yo kwiheba. By’umwihariko, ni umuti usabwa abantu batakiriye indi miti yo kwiheba.
Uyu muti uri mu bwoko bw'imiti yitwa MAOI (Monoamine Oxidase Inhibitor) . Nubwo izina rishobora kumvikana nk'irigoye, icyo rikora ni cyoroshye cyane. Hari imiti myinshi mu bwonko bwacu igenzura amarangamutima yacu ikadutera kwishima no kwishima. Iy'ingenzi ni Dopamine, Norepinephrine, na Serotonin. Icyo uyu muti wa MAOI ukora ni ukurinda kwangirika kw'iyi miti no kongera urugero rwayo mu bwonko. Hanyuma kwiheba no guhangayika bigabanuka buhoro buhoro.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Ibi ni ingenzi cyane. Mbere yo gutangira gufata uyu muti, ugomba kumenyesha muganga wawe niba ufite imwe muri izi ndwara zikurikira.
- Niba urwaye glaucoma
- Niba ukunze kugira ikibazo cyo kuribwa umutwe cyangwa migraine
- Niba ufite amateka y'indwara y'umutima cyangwa umutima wawe utera nabi
- Niba ufite umuvuduko w'amaraso ukabije
- Niba warigeze kugira stroke mbere
- Niba ukunda kunywa inzoga kenshi
- Niba ufite indwara y'impyiko cyangwa umwijima
- Niba ufite izindi ndwara zo mu mutwe (urugero: indwara yo kwiheba iterwa na schizophrenia )
- Niba ufite indwara yitwa pheochromocytoma
- Niba uherutse kugira imvune ku mutwe
- Niba ufite indwara y'igicuri
- Niba wowe cyangwa umuntu wo mu muryango wawe yigeze kugira ibitekerezo byo kwiyahura, imigambi, cyangwa kugerageza kwiyahura mu bihe byashize (ibi ni ingenzi cyane)
- Niba ufite ubwivumbure kuri uyu muti cyangwa indi miti, ibiryo, cyangwa amarangi.
- Niba utwite cyangwa ugerageza gutwita
- Niba uri umubyeyi wonsa
Nigute nkwiye gukoresha uyu muti?
Uyu muti ugomba kunyobwa unywa n'ikirahure cy'amazi. Witondere cyane gufata igipimo gikwiye, mu gihe gikwiye, nk'uko muganga wawe yabigutegetse. Ntukigere ufata ikirenze urugero rwatanzwe.
Icy'ingenzi cyane: Ntugahagarike gufata uyu muti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga ataguhaye inama. Kubikora bishobora gutuma indwara yawe irushaho kuba mbi kandi bigatera ingaruka mbi zikomeye.
Uzahabwa agapapuro k'amabwiriza yihariye (MedGuide) igihe uhawe uyu muti. Buri gihe usome witonze.
Bite ho nindamuka nkoresheje imiti irenze urugero?
Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo . Muri icyo gihe, jya mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe vuba bishoboka.
Bite ho nintakaza urugero rw'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe kugira ngo wishyure dose yabuze.
Ibintu bitagomba gukoreshwa n'uyu muti (Interactions)
Iki ni cyo gice cy'ingenzi kandi giteje akaga kuri uyu muti. Tranylcypromine ni umuti ushobora kwangirika cyane hamwe n'indi miti n'ibiribwa bimwe na bimwe. Ugomba kwirinda gufata uyu muti hamwe n'ibi bikurikira:
| Ugomba kwirinda gufata Tranylcypromine hamwe n'ibi! | |
|---|---|
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| Ibiribwa birimo tyramine: foromaje (cyane cyane ishaje), divayi itukura, byeri, inyama zivuwe neza nka sosiso na salami, shokora, isosi ya soya, imbuto zeze neza. (Byinshi kuri ibi hepfo) | |
Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo vitamine, ibyatsi, n'inyongeramusaruro). Nanone, bwira muganga wawe niba unywa itabi cyangwa unywa inzoga.
Ibintu ugomba kwitondera mu gihe ufata imiti
Kwita cyane ku biribwa n'ibinyobwa - Akaga ka Tyramine!
Iki ni cyo kibazo gikomeye kuri uyu muti. Ni byiza kutarya ibiryo birimo aside amine tyramine mu gihe ufata tranylcypromine. Iyo ubikoze, umuvuduko w'amaraso yawe ushobora kwiyongera mu buryo butunguranye kandi bukomeye. Ibi byitwa ikibazo cy'umuvuduko ukabije w'amaraso. Ibi bishobora gutera kuribwa umutwe cyane, isesemi, kuruka, umutima wihuta, ndetse n'indwara zishobora gushyira ubuzima mu kaga nko gucika kw'imitsi.
Ibiryo n'ibinyobwa by'ingenzi ugomba kwirinda:
- Foromaje zishaje
- Inyama zivuwe - sosiso, salami, pepperoni, jambon
- Inyama n'amafi byatetse cyangwa byahiye
- Divayi itukura
- Inzoga na Ale
- Isosi ya soya
- Isupu ya Miso
- Imbuto zeze cyane (imineke, avoka, imbuto z'umutini)
- Shokora n'ibinyobwa birimo kafeyine nka ikawa, icyayi, na cola (birekere aho)
Baza muganga wawe urutonde rwuzuye. Ugomba kwirinda ibi biribwa mu byumweru bike nyuma yo guhagarika imiti. Baza muganga wawe nawe kuri icyo gihe.
Witondere uko imitekerereze yawe imeze.
Niba wowe cyangwa uwo mu muryango wawe mubonye ko urimo kwiheba cyane, mukagira ibitekerezo byo kwiyahura , cyangwa mukumva mutuje, murakaye, cyangwa murakaye, vugana na muganga wawe ako kanya. Witondere cyane cyane mu gihe utangira imiti no mu gihe uhindura ingano yayo.
Izindi ngingo z'ingenzi
- Gusinzira no kuzungera: Uyu muti ushobora gutuma uzungera no kuzungera. Kubwibyo, irinde ibikorwa bisaba kwitonda, nko gutwara imodoka cyangwa gukoresha imashini, kugeza igihe umubiri wawe umenyera umuti. Kora ibi bikorwa buhoro buhoro, kuko ushobora kumva uzungera iyo uhagurutse mu buryo butunguranye cyangwa uhagurutse wicaye.
- Umunwa wumye: Ushobora kugira umunwa wumye. Guhekenya shimmon idafite isukari no kunywa amazi menshi bishobora gufasha.
- Kubagwa: Niba ugiye kubagwa, menya neza ko wabwiye muganga wawe ko ufata uyu muti. Uyu muti akenshi ugomba guhagarikwa iminsi 10 mbere yo kubagwa.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ingaruka mbi | Ibisobanuro |
|---|---|
| Ibintu ugomba kubwira muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ubwiyongere bukabije bw'umuvuduko w'amaraso | Kuribwa umutwe cyane, isesemi, kuruka, ijosi rigakomera, umutima utera vuba. |
| Kwangirika k'umwijima | Kubabara mu nda yo hejuru iburyo, kubura ubushake bwo kurya, uruhu cyangwa amaso bihinduka umuhondo, inkari z'umuhondo wijimye/umukara. |
| Ibitekerezo byo kwiyahura | Kurushaho kuba bibi mu mutwe, ibitekerezo byo kwiyahura. |
| Ibintu bisanzwe byo kubwira muganga niba bikomeje | |
| Ingaruka zisanzwe | Kuma mu kanwa, kuribwa mu nda, kuribwa umutwe, gusinzira, kudasinzira neza, guhinda umushyitsi. |
Ubutumwa bwo kujyana mu rugo
- Tranylcypromine ni umuti ukomeye wo kurwanya indwara mu itsinda rya MAOI. Akenshi utangwa iyo indi miti yananiwe kugabanya ububabare.
- Ugomba kwitondera cyane ibyo urya n'ibyo unywa mu gihe ufata uyu muti.Irinde ibiryo birimo tyramine, cyane cyane foromaje, divayi itukura, n'inyama zavuwe.
- Bwira muganga wawe indi miti yose ufata. Uyu muti ushobora kugira ingaruka zikomeye ku yindi miti myinshi.
- Ntugahagarike gufata umuti mu buryo butunguranye nta mpamvu iyo ari yo yose muganga ataguhaye inama.
- Mu gihe cyo gutangira gufata imiti, menya neza uko imitekerereze yawe ihagaze, cyane cyane ibitekerezo byo kwiyahura. Nubona impinduka, bwira muganga wawe ako kanya.
- Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, ntutinye kukiganiraho na muganga wawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ibinini bya Tranylcypromine (Tranylcypromine / Parnate) bikoreshwa mu ki?
Uyu ni wo muti w’indwara zo mu mutwe wa kera cyane kandi ukomeye cyane (MAOI) wavumbuwe ku isi ushobora kurwanya 'Depression' ikomeye! Ukoreshwa gusa ku barwayi 'badakira' batabonye ubutabazi cyangwa impinduka nubwo bahawe indi miti mishya yose yo mu mutwe (SSRI/SNRI), kandi bafite ikibazo cy’ihungabana n’ubwoba bidasanzwe.
💬 Ni gute uyu muti (Tranylcypromine) winjira mu bwonko bwacu ugakora?
Ihungabana riterwa no kugabanuka kw'ibinyabutabire bitera imbaraga mu bwonko (Serotonin, Dopamine, Norepinephrine). Ubusanzwe, enzyme yitwa (MAO) mu bwonko irasenyuka ikangiza ibi binyabutabire uko igihe kigenda gihita. Icyo iki gipimo gikora ni ukubuza enzyme isenya iyo chemical (MAO) 100% burundu (Irreversible MAOI). Hanyuma ibinyabutabire bitera imbaraga mu bwonko byongera imbaraga kandi ihungabana ry'umurwayi rigakira burundu.
💬 Kuki abantu bafata uyu muti (MAOI) bagomba kugengwa n'imirire yihariye?
Iki ni cyo kibazo gikomeye kandi cyica cyane! Niba ufata uyu muti, ntugomba na rimwe kurya ibiryo birimo Tyramine, nka 'Aged Cheese', divayi, sosi ya soya, ibice bya salmon, sosiso! Iyo ubiriye, umuvuduko w'amaraso yawe uzazamuka mu buryo butunguranye ukagera ku rugero rutari kwihanganirwa (Hypertensive Crisis), kandi ushobora kugira stroke/indwara y'umutima ugapfa!
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