Ukuba wena okanye umntu osondeleyo kuwe unesifo sokudakumba, okanye njengoko sonke sisazi, isifo sokudakumba, mhlawumbi ukhe weva ngamayeza amiselwe sona. Namhlanje siza kuthetha ngelinye lala mayeza, amadala, kodwa anamandla kakhulu abizwa ngokuba yiMonoamine Oxidase Inhibitors , okanye ii-MAOIs ngamafutshane. Nangona la mayeza engasasetyenziswa rhoqo, oogqirha basawacebisa kwiimeko ezithile ezikhethekileyo. Ngoko ke kubaluleke kakhulu ukwazi ukuba ayintoni kanye kanye.
Kalula nje, yintoni le MAOI?
Ii-MAOI ziluhlobo lwamayeza asetyenziselwa ukunyanga uxinzelelo. Kukho iikhemikhali ezikhethekileyo ezithumela imiyalezo engqondweni ezilawula iimvakalelo zethu, oko kukuthi, zisigcina sonwabile kwaye sikhululekile. Ezi sizibiza ngokuba zii-neurotransmitters. Usenokuba ukhe weva ngamagama anjenge -serotonin, i-dopamine, kunye ne-norepinephrine . Lawa ngama-evangeli.
Ngoku, engqondweni yethu, sine-enzyme ebizwa ngokuba yi-Monoamine Oxidase. Kufana nesicoci sengqondo, le enzyme isusa ezo zithunywa. Kumntu oxinezelekileyo, amanqanaba ezi zithunywa engqondweni anokuba phantsi.
Ngoko ke into eyenziwa ngamayeza e-MAOI kukuba ayawumisa umsebenzi waloo enzyme yokucoca. Emva koko ezo zithunywa zivuyayo ( ii-neurotransmitters ) zihlala engqondweni ixesha elide kwaye zenze umsebenzi wazo ngokufanelekileyo. Oku kukunciphisa kancinci kancinci iimpawu zokudakumba.
Amanye amayeza akweli candelo ngala:
- I-Isocarboxazid (iMarplan)
- IPhenelzine (iNardil)
- ISelegiline (Emsam)
- I-Tranylcypromine (iParnate)
Njengamanye amayeza okudakumba , eli yeza le-MAOI lithatha iiveki ezimbalwa ukusebenza. Ngeli xesha, ugqirha wakho unokukunika amanye amayeza okunceda ukulawula ixhala lakho kunye nokungalali.
Eyona nto ibalulekileyo kukuba kufuneka ulumke kakhulu ngento oyityayo noyiselayo xa usebenzisa eli yeza. Kungenjalo, kungavela iingxaki ezinkulu. Makhe sijonge loo nto ngokweenkcukacha.
Zithini iziphumo ebezingalindelekanga eziqhelekileyo ze-MAOIs?
Njengayo nayiphi na iyeza, ezi zinokuba nemiphumo emibi. Kodwa ayinguye wonke umntu ozifumana zonke. Abanye abantu banokufumana enye okanye ezimbini, kwaye abanye basenokungafumani nto kwaphela. Ngoko ke ungoyiki ukuzibona. Thetha nogqirha wakho ngale nto.
| Imiphumela | Inkcazo |
|---|---|
| Iingxaki ezinxulumene nokulala | Ukulala emini okanye ukungalali ebusuku. |
| Ukudinwa kunye nokuquleka | Ukuziva unesizungu, ingakumbi xa uvuka ehleli phantsi. |
| Umlomo owomileyo kunye nokubona okufipheleyo | Umlomo owomileyo, umbono ofiphele kancinci. |
| Utshintsho kuxinzelelo lwegazi | Uxinzelelo lwegazi olunyukileyo okanye oluphantsi. |
| Utshintsho lomzimba | Umzimba uqaqamba, uzive ngathi utshaywe ngumbane, ukutyeba kakhulu. |
| Iingxaki zenkqubo yokugaya ukutya | Isicaphucaphu, ukudumba, okanye ukuqhina. |
| Iingxaki zesondo | Ukuncipha komnqweno wesondo okanye ubunzima bokufikelela kwi-orgasm. |
Izinto ekufuneka uziqaphele xa usebenzisa ii-MAOIs
Le yeyona nxalenye ibalulekileyo. Ezinye izinto zinokubangela iziphumo ebezingalindelekanga eziyingozi xa zidityaniswe nale mithi. Ngoko ke kubaluleke kakhulu ukuba wena nosapho lwakho nikwazi oku.
1. Iingxaki ngokutya (Ukudibana kokutya)
Ukuba utya ukutya okuthile ngelixa uthatha i-MAOI, uxinzelelo lwakho lwegazi lunokunyuka ngequbuliso nangendlela eyingozi. Oku kubizwa ngokuba yi-'Hypertensive Crisis'. Le yingxamiseko yezonyango. Ke ngoko, umntu othatha eli yeza kufunekaKufuneka ulandele ukutya okukhethekileyo.
Khawucinge ukuba uye epatini wasela iwayini encinci kunye neqhekeza letshizi. Ukuba uthatha i-MAOI, loo nto incinci inokubangela uxinzelelo lwakho lwegazi lube kwinqanaba eliyingozi le-200/110, kwaye kuya kufuneka usiwe kwiSebe leeNgxamiseko (ETU). Ngoko ke lumka kakhulu ngale nto.
Ukutya okungafanele kutyiwe:
- Iitshizi ezidala: Iitshizi ezidala nezibilisiweyo ezifana ne-cheddar, itshizi eluhlaza okwesibhakabhaka, kunye ne-mozzarella.
- Inyama ebilisiwe: izinto ezifana nesalami, isoseji, iham.
- Etshayiweyo okanye eyomileyo: Intlanzi etshayiweyo, isalmon, intlanzi eyomileyo, iisardine.
- Utywala obuthile: iwayini ebomvu, ubhiya obuthile.
- Iimveliso zesoya: i-soy sauce, tofu.
- Iziqhamo ezivuthiweyo ezifana neebhanana kunye neeavokhado (xa zivuthiwe ngokupheleleyo).
Olu luhlu aluphelelanga. Xa unikwa eli yeza, ugqirha wakho kunye nengcali yesondlo baya kukunika uluhlu olupheleleyo lokutya omele ukuphephe . Lulandele ngokuchanekileyo.
2. Iingxaki ngamanye amayeza (Ukusebenzisana kwamayeza)
Njengokutya, amanye amayeza anokuba yingozi xa esetyenziswa kunye ne-MAOIs. Oku kunokubangela ukunyuka ngequbuliso koxinzelelo lwegazi.
Xelela ugqirha wakho ngazo zonke amayeza owaselayo. Oku kuquka ipilisi yePanadol oyisela iintlungu, ipilisi yePines oyiselayo yomkhuhlane, amayeza e-Ayurvedic, izithambiso, iivithamini, kwanezongezo zemifuno. Musa ukufihla nantoni na.
Ngokukodwa, ezinye izidambisi-ntlungu, iintlungu zokuphelisa iintlungu, kunye namayeza okubangela i-allergy zinokusebenzisana nale nto.
3. Isifo seSerotonin
Le yimeko engaqhelekanga kodwa imbi kakhulu, enokuba yingozi ebomini . Yenzeka xa amanqanaba e-serotonin engqondweni eba phezulu ngendlela eyingozi. Le ngozi iyanda ukuba uthatha i-MAOI kunye nelinye iyeza elonyusa amanqanaba e-serotonin (elinye iyeza lokudakumba, iyeza le-migraine, okanye ezinye iintlungu).
Iimpawu ze-serotonin syndrome:
- Ndiziva ndingonwabanga kwaye ndixhalabile
- Ukwanda kwesantya sentliziyo, ukunyuka koxinzelelo lwegazi
- Urhudo, isicaphucaphu, ukuhlanza
- Ukubona okanye ukuva izinto ezingekhoyo (Hallucinations)
- Umkhuhlane, ukubila okugqithisileyo
- Ukungakwazi ukulawula ukutya, ukungcangcazela komzimba
Ukuba ufumana naziphi na kwezi mpawu, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. Ukuba kuyimfuneko, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
4. Iingcinga zokuzibulala
I-FDA ikhuphe isilumkiso kuzo zonke izidambisi-ntlungu. Oko kukuthi, kukho umngcipheko omncinci kakhulu wokucinga ngokuzibulala xa uqala ukuthatha la mayeza okanye xa idosi itshintshiwe. Lo mngcipheko uphezulu kakhulu kubantu abancinci. Ukuba wena okanye umntu omthandayo uneengcinga ezinjalo, xelela ugqirha wakho ngokukhawuleza.
Ukuyeka amayeza nokukhulelwa
Ukuyeka unyango
Ukuyeka amayeza e-MAOI ngequbuliso kuyingozi kakhulu. Ukwenza njalo kunokubangela iimpawu zokurhoxa.
- Iimpawu zomkhuhlane okanye umkhuhlane, ezinje ngomkhuhlane, iintlungu zomzimba, kunye nokubila
- Ukungalali
- Ukungazinzi
- Ukudideka
- Ingqondo
Ngoko ke, ukuba uziva ngathi kufuneka uyeke ukusebenzisa amayeza, thetha nogqirha wakho kuqala. Uya kukwazi ukukunika iingcebiso ngendlela yokunciphisa kancinci idosi kunye nokuyeka amayeza ngaphandle kokonakalisa impilo yakho.
Ngexesha lokukhulelwa
Akukho lwazi luninzi malunga nokhuseleko lwe-MAOIs ngexesha lokukhulelwa. Ukuba ukhulelwa ngelixa usebenzisa eli yeza, okanye ukuba uceba ukukhulelwa, xelela ugqirha wakho ngoko nangoko. Ungaze uyeke ukuthatha eli yeza ngaphandle kokuthetha nogqirha wakho kuqala.
Umyalezo Wokuya Ekhaya
- Ii-MAOI ziyindlela enamandla kakhulu yokwelapha uxinezeleko, kwaye zifuna unonophelo olukhulu.
- Ngelixa usela la mayeza, landela uluhlu lokutya olunikwa ngugqirha wakho ngqo. Ziphephe ngokupheleleyo izinto ezifana netshizi ebilisiwe, inyama ethile, kunye notywala.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka iivithamini kunye namayeza e-Ayurvedic) .
- Ukuba ufumana iimpawu ze-serotonin syndrome, ezinje ngokungakwazi ukuzibamba ngequbuliso, ukubetha kwentliziyo ngokukhawuleza, kunye nomkhuhlane, funa uncedo lwezonyango ngokukhawuleza.
- Kuphephe ukuyeka eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
- Musa ukoyika ukuthetha ngokukhululekileyo nogqirha wakho malunga nayo nayiphi na imiphumo emibi okanye ezinye iingxaki onokuhlangabezana nazo.
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