Wanga uchitora mishonga yakasiyana-siyana yekuderedza kushushikana kwako asi usingawani zororo here? Pamwe chiremba wako achangobva kukuudza nezvemushonga mutsva. Apa ndipo panowanzo nyorwa mushonga uyu unonzi Tranylcypromine. Uyu mushonga unokosha unoda kutarisirwa zvakanyanya. Saka ngatitaure nezvazvo zvakajeka uye zviri nyore.
Tranylcypromine mushonga werudzii?
Muchidimbu, uyu mushonga unoshandiswa kurapa kuora mwoyo. Unokurudzirwa zvikuru kune vanhu vasina kupindura mimwe mishonga yekudzora kuora mwoyo.
Mushonga uyu ndeweboka remishonga inonzi MAOI (Monoamine Oxidase Inhibitor) . Kunyangwe zita racho ringanzwika serakaoma, zvarinoita zviri nyore. Kune makemikari akati wandei muuropi hwedu anodzora manzwiro edu uye anoita kuti tifare uye tifare. Anonyanya kukosha iDopamine, Norepinephrine, uye Serotonin. Zvinoitwa nemushonga uyu weMAOI kudzivirira kuparara kwemakemikari aya uye kuwedzera huwandu hwawo muuropi. Ipapo kuora mwoyo kwako nekuzvidya mwoyo zvinoderera zvishoma nezvishoma.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Izvi zvakakosha zvikuru. Usati watanga kutora mushonga uyu, unofanira kuzivisa chiremba wako kana uine chimwe chezvirwere zvinotevera.
- Kana uine glaucoma
- Kana uchigara uchirwadziwa nemusoro kana migraines
- Kana uine nhoroondo yechirwere chemwoyo kana kuti kurova kwemoyo kusina kujairika
- Kana uine BP yakakwira
- Kana wakambova nestroke kare
- Kana uchinwa doro kakawanda
- Kana uine chirwere cheitsvo kana chechiropa
- Kana uine zvimwe zvirwere zvepfungwa (semuenzaniso schizophrenia-depression illness )
- Kana uine chirwere chinonzi pheochromocytoma
- Kana wakambokuvara musoro munguva pfupi yapfuura
- Kana uine pfari
- Kana iwe kana mumwe munhu mumhuri yako akambofunga, kuronga, kana kuedza kuzviuraya kare (izvi zvakakosha zvikuru)
- Kana uine allergy yemushonga uyu kana mimwe mishonga, chikafu, kana madhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri
- Kana uri amai vanoyamwisa
Ndinofanira kushandisa mushonga uyu sei?
Mushonga uyu unofanira kunwiwa nemuromo negirazi remvura. Chenjerera kuti utore mushonga wakakodzera, panguva chaiyo, sezvakarairwa nachiremba wako. Usambofa wakatora mushonga unopfuura huwandu hwakanyorwa.
Zvakakosha: Usarega kutora mushonga uyu kamwe kamwe pasina chikonzero chipi zvacho usina kurairwa nachiremba wako. Kuita izvi kunogona kuita kuti mamiriro ako ezvinhu awedzere kuipa uye kukonzera migumisiro yakaipa.
Uchagamuchira gwaro remirayiridzo yakakosha (MedGuide) kana wapihwa mushonga uyu. Gara uchiverenga nokungwarira.
Ko kana ndikanwa doro zvakanyanya?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Panguva imwe chete, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo.
Zvinhu zvisingafanirwe kushandiswa nemushonga uyu (Kupindirana)
Ichi ndicho chikamu chakakosha uye chine njodzi pamusoro pemushonga uyu. Tranylcypromine mushonga unogona kukanganisa zvakanyanya mimwe mishonga nezvimwe zvekudya. Unofanira kudzivisa kutora mushonga uyu nezvinotevera:
| Unofanira kudzivisa kutora Tranylcypromine pamwe chete neizvi! | |
|---|---|
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| Zvikafu zvine tyramine: Chizi (kunyanya chekare), waini tsvuku, doro, nyama dzakacheneswa dzakadai semasoseji nesalami, chokoreti, soy sauce, michero yakaibva zvakanaka. (Zvimwe pamusoro peizvi pazasi) | |
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini, mishonga yemishonga, uye mishonga yekuwedzera). Zvakare, udza chiremba wako kana uchisvuta kana kunwa doro.
Zvinhu zvaunofanira kungwarira paunenge uchitora mushonga
Kunyanya kutarisisa chikafu nezvinwiwa - Njodzi yeTyramine!
Iri ndiro dambudziko guru pamushonga uyu. Zvakanakisa kusadya chikafu chine amino acid tyramine uchitora tranylcypromine. Kana ukadaro, BP yako inogona kukwira kamwe kamwe uye zvakanyanya. Izvi zvinonzi dambudziko reBP. Izvi zvinogona kukonzera musoro wakakomba, kuda kurutsa, kurutsa, kurova kwemoyo nekukurumidza, uye kunyange zvirwere zvinotyisidzira hupenyu zvakaita sestroke.
Zvikafu zvikuru nezvinwiwa zvekudzivisa:
- Chizi dzakwegura
- Nyama dzakacheneswa - masoseji, salami, pepperoni, ham
- Nyama nehove zvakasvuta kana zvakabikwa muhari
- Waini tsvuku
- Doro neAle
- Soya muto
- Supu yeMiso
- Muchero wakaibva zvakanyanya (mabhanana, maavokhado, maonde)
- Chokoreti nezvinwiwa zvine caffeine zvakaita sekofi, tii, uye cola (zvishoma)
Bvunza chiremba wako kuti akupe runyoro rwakazara. Unofanira kurega kudya izvi kwemavhiki mashoma mushure mekurega kushandisa mushonga. Bvunza chiremba wako nezvenguva iyoyo zvakare.
Ngwarira mamiriro ako epfungwa.
Kana iwe kana nhengo yemhuri yako mukaona kuti muri kuwedzera kuora mwoyo, muchifunga kuzviuraya , kana kuti munongoerekana manzwa kusagadzikana, kushatirwa, kana hasha, taurai nachiremba wenyu nekukasika. Chenjererai zvikuru pamunotanga mushonga uye pamunenge muchichinja mushonga.
Dzimwe pfungwa dzakakosha
- Kurara nedzungu: Mushonga uyu unogona kuita kuti unzwe hope nedzungu. Saka, dzivisa zvinhu zvinoda kungwarira, zvakaita sekutyaira kana kushandisa michina, kusvika muviri wako wajaira mushonga wacho. Ita zvinhu izvi zvishoma nezvishoma, sezvo unganzwa dzungu paunomira kamwe kamwe kana kusimuka kubva panzvimbo yawakagara.
- Muromo wakaoma: Unogona kunzwa kuoma mukanwa. Kutsenga chingamu isina shuga uye kunwa mvura yakawanda kunogona kubatsira.
- Kuvhiyiwa: Kana uchizovhiyiwa, iva nechokwadi chekuudza chiremba wako kuti uri kutora mushonga uyu. Mushonga uyu unowanzo miswa mazuva gumi usati wavhiyiwa.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekutaurira chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuwedzera kwakanyanya kweropa | Kungoerekana kwaitika, musoro wakanyanya, kuda kurutsa, kurutsa, kuoma mutsipa, kurova kwemoyo nekukurumidza. |
| Kukuvara kwechiropa | Kurwadziwa kwedumbu kumusoro kurudyi, kurasikirwa nechido chekudya, kutsvuka kweganda kana maziso, weti yero/brown yakasviba. |
| Pfungwa dzekuzviuraya | Kuora kwepfungwa, kufunga zvekuzviuraya. |
| Zvinhu zvakajairika zvekutaurira chiremba kana zvikaramba zviripo | |
| Migumisiro yakajairika | Muromo wakaoma, kuzvimba, musoro, hope, kushaya hope, kudedera. |
Mharidzo Yekuenda Nayo Kumba
- Tranylcypromine mushonga une simba wekudzora marwadzo mukirasi yeMAOI. Unowanzo pihwa kana mimwe mishonga yakundikana kupa zororo.
- Unofanira kungwarira zvakanyanya zvaunodya uye zvaunonwa paunenge uchitora mushonga uyu.Dzivisa kudya zvine tyramine, kunyanya chizi, waini tsvuku, uye nyama dzakacheneswa.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora. Mushonga uyu unogona kukanganisa zvakanyanya nemimwe mishonga yakawanda.
- Usarega kutora mushonga kamwe kamwe pasina chikonzero chipi zvacho usina kurairwa nachiremba wako.
- Munguva yekutanga yekunwa mushonga, ziva mamiriro ako epfungwa, kunyanya pfungwa dzekuzviuraya. Kana ukaona shanduko, taurira chiremba wako nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, musatya kukurukura nezvawo nachiremba wenyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eTranylcypromine (Tranylcypromine / Parnate) anoshandiswa pai?
Uyu ndiwo mushonga wepfungwa wekare uye une simba kupfuura mimwe yose (MAOI) wakawanikwa pasi rose unogona kudzora 'Kuora Mwoyo' kwakanyanya! Unoshandiswa chete kune varwere 'vasingarapike' vasina kuwana rubatsiro/shanduko kunyangwe vakapihwa mimwe mishonga mitsva yepfungwa (SSRI/SNRI), uye vanotambura nekuora mwoyo kusingatsungiririki nekutya.
💬 Mushonga uyu (Tranylcypromine) unopinda sei muuropi hwedu uye unoshanda?
Kuora mwoyo kunokonzerwa nekudzikira kwemakemikari anofadza/anopa simba muuropi (Serotonin, Dopamine, Norepinephrine). Kazhinji, enzyme inonzi (MAO) muuropi inoputsika uye inoparadza makemikari aya nekufamba kwenguva. Chinoitwa nepiritsi iri ndechekuvhara enzyme inoparadza makemikari iwayo (MAO) 100% nekusingaperi (Irreversible MAOI). Zvadaro makemikari anofadza/anopa simba muuropi anozadzwazve uye kuora mwoyo kwemurwere kunorapwa zvachose.
💬 Sei vanhu vanotora mushonga uyu (MAOI) vachifanira kutevedzera mitemo yekudya?
Iyi ndiyo njodzi huru uye inouraya zvikuru! Kana uri kutora mushonga uyu, haufanirwe kudya zvekudya zvine Tyramine, zvakaita se'Aged Cheese', waini, soy sauce, zvidimbu zvesalmon, masoseji'! Kana ukazvidya, BP yako ichakwira kamwe kamwe kusvika padanho risingatsungiririki (Hypertensive Crisis), uye unogona kuva nesitiroko/chirwere chemwoyo wofa!
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