Kana iwe kana mumwe munhu ari pedyo newe achitambura nekuora mwoyo, kana kuti sezvatinozviziva tose, kuora mwoyo, pamwe wakanzwa nezvemishonga inonyorerwa chirwere ichi. Nhasi tichataura nezveimwe yemishonga yakadaro, yekare, asi ine simba inonzi Monoamine Oxidase Inhibitors , kana kuti MAOIs muchidimbu. Kunyangwe mishonga iyi isingachashandiswi zvakanyanya, vanachiremba vachiri kuikurudzira mune dzimwe nguva. Saka zvakakosha kuziva kuti chii chaizvo.
Zvichitaurwa zviri nyore, chii chinonzi MAOI iyi?
MAOIs imhando yemishonga inoshandiswa kurapa kushungurudzika. Kune mishonga yakakosha muuropi inodzora manzwiro edu, ndiko kuti, inoita kuti tifare uye tive vakasununguka. Tinodaidza kuti ma neurotransmitters. Ungave wakambonzwa nezvemazita akadai se serotonin, dopamine, uye norepinephrine . Aya ndiwo ma missions iwayo.
Zvino, muuropi hwedu, tine enzyme inonzi Monoamine Oxidase. Zvakafanana nemushonga wekuchenesa uropi, enzyme iyi inobvisa vatumwa ivavo. Mumunhu ane kuora mwoyo, huwandu hwevatumwa ava muuropi hunogona kunge hwakaderera.
Saka zvinoitwa nemishonga yeMAOI ndezvekuti inomisa basa re enzyme iyoyo yekuchenesa. Zvadaro, mishonga iyi ( neurotransmitters ) inogara muuropi kwenguva yakareba uye inoita basa rayo nemazvo. Izvi ndizvo zvinoderedza zviratidzo zvekuora mwoyo zvishoma nezvishoma.
Mimwe mishonga iri muchikamu ichi ndeiyi:
- Isocarboxazid (Marplan)
- Phenelzine (Nardil)
- Selegiline (Emsam)
- Tranylcypromine (Parnate)
Kufanana nemimwe mishonga yekuora mwoyo , mushonga uyu weMAOI unotora mavhiki mashoma kuti ushande. Munguva iyoyo, chiremba wako anogona kukupa mimwe mishonga yekubatsira kudzora kuzvidya mwoyo kwako uye kushaya hope.
Chinhu chakakosha ndechekuti unofanira kungwarira zvakanyanya nezvekudya nekunwa kwaunoita mushonga uyu. Kana zvisina kudaro, matambudziko akakomba anogona kumuka. Ngatizviongororei zvakadzama.
Ndezvipi migumisiro inowanzo konzerwa neMAOIs?
Kufanana nemushonga upi zvawo, izvi zvinogona kuva nemigumisiro yakaipa. Asi havasi vese vanoiwana yese. Vamwe vanhu vanogona kuwana imwe kana mbiri, uye vamwe vangasawana chero chinhu zvachose. Saka musatya kuona izvi. Taurai nachiremba wenyu nezvenyaya iyi.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Matambudziko ane chekuita nekurara | Kurara masikati kana kushaya hope husiku. |
| Dzungu uye kupera simba | Kunzwa dzungu, kunyanya kana uchisimuka kubva pawakagara. |
| Muromo wakaoma uye kuona zvisipo | Muromo wakaoma, kuona zvisinganzwisisike zvishoma. |
| Kuchinja kweropa | Kukwira kana kudzikira kweBP. |
| Kuchinja kwemuviri | Kurwadziwa kwemuviri, kunzwa sekunge uri kubatwa nemagetsi, kuwedzera uremu. |
| Matambudziko ekugaya chikafu | Kusvotwa, kuzvimba, kana kuvimbiwa. |
| Matambudziko epabonde | Kudzikira kwechido chebonde kana kuoma kusvika pakusvika pakusvika pabonde. |
Zvinhu zvekuziva kana uchishandisa MAOIs
Ichi ndicho chikamu chakakosha. Zvimwe zvinhu zvinogona kukonzera migumisiro yakaipa kana zvikasanganiswa nemushonga uyu. Saka zvakakosha kuti iwe nemhuri yako muzive izvi.
1. Matambudziko nechikafu (Kudyidzana Kwechikafu)
Kana ukadya zvimwe zvekudya paunenge uchitora MAOI, BP yako inogona kukwira kamwe kamwe uye zvine njodzi. Izvi zvinonzi 'Hypertensive Crisis'. Iyi idambudziko rehutano. Saka, munhu anotora mushonga uyu anofaniraUnofanira kutevedzera kudya kwakakosha.
Fungidzira waenda kumafaro wonwa waini shoma nechizi. Kana uri kutora MAOI, chinhu chidiki ichocho chinogona kungoerekana chaendesa BP yako padanho rine njodzi re200/110, wobva waendeswa kuEmergency Department (ETU). Saka chenjerera izvi.
Zvikafu zvisingafanirwe kudyiwa:
- Chizi dzakwegura: Chizi dzakwegura, dzakaviriswa dzakadai secheddar, blue cheese, uye mozzarella.
- Nyama dzakaviriswa: zvinhu zvakaita sesalami, soseji, ham.
- Yakasvuta kana yakaomeswa: Hove yakasvuta, salmon, hove dzakaomeswa, sardine.
- Doro: waini tsvuku, mamwe madoro.
- Soy zvigadzirwa: soy muto, tofu.
- Michero yakaibva yakaita semabhanana nemaavokhado (kana yaibva zvakwana).
Rondedzero iyi haina kukwana. Kana wanyorerwa mushonga uyu, chiremba wako nenyanzvi yezvekudya vanokupa runyorwa rwakazara rwezvekudya zvekusashandisa . Tevedzera zvakanyatsonaka.
2. Matambudziko nemimwe mishonga (Kudyidzana Kwemishonga)
Kungofanana nechikafu, mimwe mishonga inogona kuva nengozi kana ikatorwa neMAOIs. Izvi zvinogona kukonzera kuwedzera kweBP kamwe kamwe.
Udza chiremba wako nezvemishonga yese yaunotora. Izvi zvinosanganisira piritsi rePanadol raunotora rekurwadziwa, piritsi rePines raunotora redzihwa, mishonga yeAyurvedic, mishonga inonwiwa, mavhitamini, uye kunyange mishonga yemishonga. Usavanza chero chinhu.
Zvikuru sei, mimwe mishonga inorwisa kushushikana kwepfungwa, mishonga inoderedza marwadzo, uye mishonga yeallergy inogona kukanganisa izvi.
3. Chirwere cheSerotonin
Ichi chirwere chisingawanzoitiki asi chakakomba, chinogona kuisa hupenyu panjodzi . Chinoitika kana huwandu hweserotonin muuropi hwakwira zvine njodzi. Njodzi iyi inowedzera kana ukatora MAOI nemumwe mushonga unowedzera huwandu hweserotonin (mumwe mushonga unorwisa kushushikana kwepfungwa, mushonga wemigraine, kana mimwe mishonga inoderedza marwadzo).
Zviratidzo zve serotonin syndrome:
- Kunzwa kusagadzikana uye kunetseka
- Kumhanya kwemwoyo kwakawedzera, kukwira kweropa kwakawedzera
- Manyoka, kuda kurutsa, kurutsa
- Kuona kana kunzwa zvinhu zvisipo (Hallucinations)
- Fivha, kudikitira zvakanyanya
- Kusakwanisa kudzora nzara, kudedera kwemuviri
Kana ukaona chimwe chezviratidzo izvi, enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. Kana zvichidikanwa, unogona zvakare kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
4. Pfungwa dzekuzviuraya
FDA yakapa yambiro kune ese mishonga yekuora mwoyo. Kureva kuti, pane mukana mudiki wekufunga kuzviuraya paunotanga kutora mishonga iyi kana kana mushonga wacho wachinja. Njodzi iyi yakanyanya kukwira pakati pevechidiki. Kana iwe kana mumwe munhu waunoda aine pfungwa dzakadaro, udza chiremba wako nekukurumidza.
Kurega mishonga uye pamuviri
Kumisa kurapwa
Kurega kushandisa mushonga weMAOI kamwe kamwe kune njodzi huru. Kuita izvi kunogona kukonzera zviratidzo zvekurega kushandisa mushonga weMAOI.
- Zviratidzo zvechikosoro kana furuu, zvakaita sefivha, kurwadziwa kwemuviri, uye kudikitira
- Kushaya hope
- Kusagadzikana
- Kuvhiringidzika
- Kufunga kwepfungwa
Saka, kana uchinzwa sekuti unofanira kurega kutora mushonga, taura nachiremba wako kutanga. Iye achakwanisa kukupa mazano ekuderedza zvishoma nezvishoma mushonga uye kurega mushonga wacho pasina kukanganisa hutano hwako.
Panguva yekuzvitakura
Hapana ruzivo rwakawanda nezvekuchengetedzwa kweMAOIs panguva yekuzvitakura. Kana ukaita pamuviri uchitora mushonga uyu, kana kuti uri kuronga kuva nepamuviri, udza chiremba wako nekukasika. Usamborega kutora mushonga usati watanga wataura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- MAOIs mushonga une simba kwazvo wekuderedza kushungurudzika, uye unoda kungwarira kukuru.
- Paunenge uchitora mushonga uyu, tevera runyoro rwezvekudya rwaunopihwa nachiremba wako. Dzivisa zvinhu zvakaita sechizi chakaviriswa, dzimwe nyama, uye doro zvachose.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yeAyurvedic) .
- Kana ukaona zviratidzo zve serotonin syndrome, zvakaita sekungoerekana washaya zororo, kurova kwemoyo nekukurumidza, uye fivha, tsvaga rubatsiro rwechiremba nekukasika.
- Dzivisai kurega mushonga uyu kamwe kamwe pasina chikonzero chipi zvacho musina kubvunza chiremba wenyu.
- Usatya kutaura pachena nachiremba wako nezvemigumisiro ipi zvayo kana mamwe matambudziko aungasangana nawo.
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