Uma wena noma othile oseduze nawe ehlushwa ukucindezeleka, noma njengoba sonke sikwazi, ukucindezeleka, kungenzeka ukuthi uke wezwa ngemithi enikezwa yona. Namuhla sizokhuluma ngelinye lala mithi, elidala kancane, kodwa elinamandla kakhulu elibizwa ngokuthi i-Monoamine Oxidase Inhibitors , noma ama-MAOI ngamafuphi. Nakuba le mithi ingasasetshenziswa njalo, odokotela basayincoma kwezinye izimo ezikhethekile. Ngakho-ke kubaluleke kakhulu ukwazi ukuthi iyini ngempela.
Kalula nje, iyini le MAOI?
Ama-MAOI ayizinhlobo zemithi esetshenziswa ukwelapha ukucindezeleka. Kunezithunywa zamakhemikhali ezikhethekile ebuchosheni ezilawula imizwa yethu, okungukuthi, zisigcina sijabule futhi siphumule. Sibiza lezi zinto ngokuthi ama-neurotransmitter. Kungenzeka ukuthi uke wezwa ngamagama anjenge -serotonin, i-dopamine, ne-norepinephrine . Lawa yizo lezo zithunywa.
Manje, ebuchosheni bethu, sine-enzyme ebizwa ngokuthi i-Monoamine Oxidase. Kufana nesihlanzi sobuchopho, le enzyme isusa lezo zithunywa. Kumuntu ocindezelekile, amazinga alezi zithunywa ebuchosheni angaba phansi.
Ngakho-ke lokho okwenziwa yimithi ye-MAOI ukuthi iyeka umsebenzi waleyo enzyme yokuhlanza. Bese lezo zithunywa ezijabule ( ama-neurotransmitter ) zihlala ebuchosheni isikhathi eside futhi zenze umsebenzi wazo ngendlela efanele. Yilokhu okunciphisa kancane kancane izimpawu zokucindezeleka.
Eminye imithi engaphansi kwalesi sigaba yile:
- I-Isocarboxazid (Marplan)
- I-Phenelzine (i-Nardil)
- I-Selegiline (Emsam)
- I-Tranylcypromine (i-Parnate)
Njengeminye imithi yokucindezeleka , lo muthi we-MAOI uthatha amasonto ambalwa ukusebenza. Phakathi naleso sikhathi, udokotela wakho angase akunike eminye imithi ukusiza ukulawula ukukhathazeka kwakho nokungalali.
Into ebaluleke kakhulu ukuthi udinga ukuqaphela kakhulu ukuthi udlani futhi uphuzani uma usebenzisa lo muthi. Ngaphandle kwalokho, kungavela izinkinga ezinkulu. Ake sibheke lokho ngokuningiliziwe.
Yimiphi imiphumela emibi evamile ye-MAOIs?
Njenganoma yimuphi umuthi, lokhu kungaba nemiphumela emibi. Kodwa akuwona wonke umuntu okuthola konke. Abanye abantu bangase bathole eyodwa noma ezimbili, kanti abanye bangase bangatholi lutho nhlobo. Ngakho ungesabi ukubona lokhu. Khuluma nodokotela wakho ngalokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izinkinga ezihlobene nokulala | Ukulala emini noma ukuqwasha ebusuku. |
| Isiyezi kanye nokuquleka | Ukuzizwa unesizungu, ikakhulukazi uma uvuka lapho uhleli. |
| Umlomo owomile kanye nokungaboni kahle | Umlomo owomile, umbono ofiphele kancane. |
| Izinguquko zomfutho wegazi | Umfutho wegazi ophakeme noma ophansi. |
| Izinguquko zomzimba | Ubuhlungu bomzimba, ukushaqeka ngogesi, ukukhuluphala. |
| Izinkinga zesistimu yokugaya ukudla | Isicanucanu, ukuqunjelwa, noma ukuqunjelwa. |
| Izinkinga zocansi | Ukuncipha kwesifiso sobulili noma ubunzima bokufinyelela i-orgasm. |
Izinto okufanele uziqaphele uma usebenzisa ama-MAOI
Lena yingxenye ebaluleke kakhulu. Ezinye izinto zingabangela imiphumela emibi eyingozi uma zihlanganiswa nalo muthi. Ngakho-ke kubaluleke kakhulu ukuthi wena nomndeni wakho niqaphele lokhu.
1. Izinkinga ngokudla (Ukusebenzisana Kokudla)
Uma udla ukudla okuthile ngenkathi uthatha i-MAOI, umfutho wegazi lakho ungakhuphuka ngokuzumayo nangendlela eyingozi. Lokhu kubizwa ngokuthi 'i-Hypertensive Crisis'. Lesi yisimo esiphuthumayo sezokwelapha. Ngakho-ke, umuntu othatha lo muthi kufaneleUdinga ukulandela ukudla okukhethekile.
Ake sithi uye ephathini waphuza iwayini elincane noshizi. Uma uthatha i-MAOI, leyo nto encane ingase ithumele umfutho wegazi lakho ezingeni eliyingozi elingu-200/110, bese kudingeka uyiswe eMnyangweni Wezimo Eziphuthumayo (ETU). Ngakho-ke qaphela kakhulu ngalokhu.
Ukudla okungafanele kudliwe:
- Ushizi osukhulile: Ushizi osukhulile, ovutshiwe njenge-cheddar, ushizi oluhlaza okwesibhakabhaka, kanye ne-mozzarella.
- Inyama ebilisiwe: izinto ezifana nesalami, isoseji, i-ham.
- Okubhemayo noma okomisiwe: Inhlanzi ebhemayo, i-salmon, inhlanzi eyomisiwe, ama-sardine.
- Utshwala obuthile: iwayini elibomvu, ubhiya obuthile.
- Imikhiqizo ye-soy: i-soy sauce, i-tofu.
- Izithelo ezivuthiwe njengobhanana no-avokhado (uma sezivuthiwe ngokuphelele).
Lolu hlu aluphelele. Uma unikezwa lo muthi, udokotela wakho kanye nochwepheshe wezokudla bazokunikeza uhlu oluphelele lokudla okufanele ukugweme . Lulandele kahle.
2. Izinkinga ngeminye imithi (Ukusebenzisana Kwemithi)
Njengokudla, eminye imithi ingaba yingozi uma ithathwa ngama-MAOI. Lokhu kungabangela ukwanda okungazelelwe komfutho wegazi.
Tshela udokotela wakho ngayo yonke imithi oyiphuzayo. Lokhu kufaka phakathi iphilisi le-Panadol oliphuzayo ngenxa yobuhlungu, iphilisi le-Pines oliphuzayo ngenxa yomkhuhlane, imithi ye-Ayurvedic, ama-decoction, amavithamini, ngisho nezithasiselo zamakhambi. Ungafihli lutho.
Ikakhulukazi, eminye imithi yokucindezeleka, imithi yobuhlungu, kanye nemithi yokungezwani komzimba ingathintana nalokhu.
3. Isifo se-Serotonin
Lesi yisimo esingavamile kodwa esibucayi, esingasongela impilo . Senzeka lapho amazinga e-serotonin ebuchosheni ephakama ngendlela eyingozi. Le ngozi iyanda uma uthatha i-MAOI nomunye umuthi okhulisa amazinga e-serotonin (omunye umuthi wokucindezeleka, umuthi we-migraine, noma umuthi othile wokudambisa izinhlungu).
Izimpawu ze-serotonin syndrome:
- Ukuzizwa ungakhululekile futhi ukhathazekile
- Ukwanda kwesilinganiso senhliziyo, ukwanda komfutho wegazi
- Uhudo, isicanucanu, ukuhlanza
- Ukubona noma ukuzwa izinto ezingekho (i-Hallucinations)
- Umkhuhlane, ukujuluka ngokweqile
- Ukungakwazi ukulawula isifiso sokudla, ukuthuthumela komzimba
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Uma kudingeka, ungashayela ne-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
4. Imicabango yokuzibulala
I-FDA ikhiphe isixwayiso sazo zonke izidakamizwa zokucindezeleka. Okusho ukuthi, kunengozi encane kakhulu yokucabanga ngokuzibulala uma uqala ukuthatha le mithi noma lapho umthamo ushintshwa. Le ngozi iphezulu kakhulu phakathi kwentsha. Uma wena noma othile omthandayo enemicabango enjalo, tshela udokotela wakho ngokushesha.
Ukuyeka imithi nokukhulelwa
Ukuyeka ukwelashwa
Ukuyeka imithi ye-MAOI ngokuzumayo kuyingozi kakhulu. Ukwenza kanjalo kungabangela izimpawu zokuhoxa.
- Izimpawu zomkhuhlane noma umkhuhlane, njengomkhuhlane, izinhlungu zomzimba, nokujuluka
- Ukungalali
- Ukungahlaliseki
- Ukudideka
- I-Psychosis
Ngakho-ke, uma uzizwa sengathi udinga ukuyeka ukuthatha umuthi, khuluma nodokotela wakho kuqala. Uzokwazi ukukweluleka ngendlela yokunciphisa kancane kancane umthamo nokuyeka umuthi ngaphandle kokulimaza impilo yakho.
Ngesikhathi sokukhulelwa
Kunolwazi oluncane kakhulu mayelana nokuphepha kwama-MAOI ngesikhathi sokukhulelwa. Uma ukhulelwa ngenkathi uthatha lo muthi, noma uma uhlela ukukhulelwa, tshela udokotela wakho ngokushesha. Ungalokothi uyeke ukuthatha umuthi ngaphandle kokukhuluma nodokotela wakho kuqala.
Umlayezo Wokuya Nawe Ekhaya
- Ama-MAOI ayimithi enamandla kakhulu yokucindezeleka, futhi edinga ukuqaphela okukhulu.
- Ngesikhathi uthatha lo muthi, landela uhlu lokudla olunikezwa udokotela wakho ngqo. Gwema izinto ezifana noshizi obilisiwe, inyama ethile, notshwala ngokuphelele.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic) .
- Uma ubona izimpawu ze-serotonin syndrome, njengokungaphumuli okungazelelwe, ukushaya kwenhliziyo okusheshayo, kanye nomkhuhlane, funa usizo lwezokwelapha ngokushesha.
- Gwema ukuyeka lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho.
- Ungesabi ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imiphumela emibi noma ezinye izinkinga ongase ubhekane nazo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho