Ingabe ubulokhu uthatha imithi ehlukahlukene yokucindezeleka kwakho kodwa ungakatholi impumuzo? Mhlawumbe udokotela wakho usanda kukutshela ngomuthi omusha. Yilapho lo muthi obizwa ngokuthi iTranylcypromine uvame ukunikezwa khona. Lona umuthi okhethekile odinga ukunakekelwa okukhulu. Ngakho ake sixoxe ngawo ngokucacile nangokulula.
Uhlobo luni lomuthi iTranylcypromine?
Kalula nje, lo umuthi osetshenziselwa ukwelapha ukucindezeleka. Unconywa kakhulu kubantu abangazange baphendule eminye imithi yokucindezeleka.
Lo muthi ungowesigaba semithi ebizwa ngokuthi i-MAOI (i-Monoamine Oxidase Inhibitor) . Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, lokho elikwenzayo kulula kakhulu. Kunamakhemikhali amaningana ebuchosheni bethu alawula imizwa yethu futhi asenze sizizwe sijabule futhi sijabule. Ayinhloko yi-Dopamine, i-Norepinephrine, ne-Serotonin. Lokho okwenziwa yilo muthi we-MAOI ukuvimbela ukuwohloka kwala makhemikhali nokwandisa amazinga awo ebuchosheni. Khona-ke ukucindezeleka nokukhathazeka kwakho kwehla kancane kancane.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuba uqale ukuthatha lo muthi, kufanele nakanjani wazise udokotela wakho uma unezinye zezimo ezilandelayo.
- Uma une-glaucoma
- Uma uphathwa yikhanda njalo noma i-migraines
- Uma unomlando wesifo senhliziyo noma isigqi senhliziyo esingajwayelekile
- Uma une-high blood pressure
- Uma uke waba nesifo sohlangothi ngaphambilini
- Uma uphuza njalo
- Uma unesifo sezinso noma sesibindi
- Uma unezinye izifo zengqondo (isib. isifo sokucindezeleka kwengqondo )
- Uma unesifo esibizwa ngokuthi i-pheochromocytoma
- Uma usanda kulimala ekhanda
- Uma unesifo sokuwa
- Uma wena noma othile emndenini wakho wake waba nemicabango, amacebo, noma imizamo yokuzibulala esikhathini esidlule (lokhu kubaluleke kakhulu)
- Uma une-allergy kulo muthi noma eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa
- Uma ungumama oncelisayo
Ngingawusebenzisa kanjani umuthi?
Lo muthi kufanele uphuzwe ngomlomo kanye nengilazi yamanzi. Qaphela kakhulu ukuthi uphuze umthamo ofanele, ngesikhathi esifanele, njengoba udokotela wakho ekuyalele. Ungalokothi uthathe okungaphezu kwesilinganiso esibekiwe.
Kubaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho futhi kubangele imiphumela emibi kakhulu.
Uzothola incwajana yemiyalelo ekhethekile (i-MedGuide) uma unikezwa lo muthi. Yifunde ngokucophelela njalo.
Kuthiwani uma ngisebenzisa ngokweqile?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Ngesikhathi esifanayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Izinto okungafanele zisetshenziswe nalo muthi (Ukusebenzisana)
Lena yingxenye ebaluleke kakhulu neyingozi ngalo muthi. I-Tranylcypromine umuthi ongasabela kabi kakhulu ngeminye imithi nokudla okuthile. Kufanele ugweme ukuthatha lo muthi ngalokhu okulandelayo:
| Kufanele ugweme ukuthatha iTranylcypromine nalezi! | |
|---|---|
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| Ukudla okuqukethe i-tyramine: Ushizi (ikakhulukazi osemdala), iwayini elibomvu, ubhiya, inyama eyomisiwe njengesoseji nesalami, ushokoledi, isosi yesoya, izithelo ezivuthiwe kahle. (Okunye ngalokhu ngezansi) | |
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo). Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha imithi
Ukunaka okukhethekile ekudleni naseziphuzweni - Ingozi ye-tyramine!
Lena inselele enkulu ngalo muthi. Kungcono ukungadli ukudla okuqukethe i-amino acid tyramine ngenkathi uthatha i-tranylcypromine. Uma wenza kanjalo, umfutho wegazi wakho ungakhuphuka ngokuzumayo nangokubi kakhulu. Lokhu kubizwa ngokuthi inkinga yomfutho wegazi ophakeme. Lokhu kungabangela ikhanda elibuhlungu, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, ngisho nezimo ezisongela ukuphila njengesifo sohlangothi.
Ukudla okuyinhloko neziphuzo okufanele uzigweme:
- Ushizi osukhulile
- Inyama eyomisiwe - amasoseji, isalami, i-pepperoni, i-ham
- Inyama nenhlanzi ebhemayo noma eqoshiwe
- Iwayini elibomvu
- Ubhiya ne-Ale
- I-soy sauce
- Isuphu ye-Miso
- Izithelo ezivuthiwe kakhulu (ubhanana, u-avokhado, amakhiwane)
- Iziphuzo zetshokolethi ne-caffeine njengekhofi, itiye, ne-cola (zinciphise lokhu)
Cela udokotela wakho uhlu oluphelele. Kufanele ugweme lokhu kudla amasonto ambalwa ngemva kokuyeka imithi. Buza udokotela wakho nangaleso sikhathi.
Naka isimo sakho sengqondo.
Uma wena noma ilungu lomndeni wakho niqaphela ukuthi niqala ukucindezeleka, nicabanga ukuzibulala , noma nizizwa ningenaso isifiso, nicasukile, noma ninolaka, khuluma nodokotela wakho ngokushesha. Qaphela kakhulu lapho uqala umuthi nalapho ushintsha umthamo.
Amanye amaphuzu abalulekile
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqaphela, njengokushayela noma ukusebenzisa imishini, kuze kube yilapho umzimba wakho usujwayele umuthi. Yenza le misebenzi kancane, njengoba ungase uzizwe unesiyezi uma usukuma ngokuzumayo noma uvuka endaweni yokuhlala.
- Umlomo owomile: Ungase ube nomlomo owomile. Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
- Ukuhlinzwa: Uma uzohlinzwa, qiniseka ukuthi utshela udokotela wakho ukuthi uphuza lo muthi. Lo muthi uvame ukudinga ukuyekwa cishe ezinsukwini eziyi-10 ngaphambi kokuhlinzwa.
Imiphumela emibi engase ivele ngenxa yemithi
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukwanda okukhulu komfutho wegazi | Ikhanda elibuhlungu ngokuzumayo, elinzima, isicanucanu, ukuhlanza, intamo eqinile, ukushaya kwenhliziyo okusheshayo. |
| Ukulimala kwesibindi | Ubuhlungu besisu esingenhla kwesokudla, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Imicabango yokuzibulala | Ukuwohloka kwesimo sengqondo, imicabango yokuzibulala. |
| Izinto ezivamile okufanele uzibike kudokotela uma ziqhubeka | |
| Imiphumela emibi evamile | Umlomo owomile, ukuqunjelwa, ikhanda elibuhlungu, ukozela, ukuqwasha, ukuthuthumela. |
Umlayezo Wokuya Nawe Ekhaya
- I-Tranylcypromine iyisidakamizwa esinamandla sokucindezeleka esigabeni se-MAOI. Ngokuvamile inikezwa lapho eminye imithi yehlulekile ukuletha impumuzo.
- Kudingeka uqaphele kakhulu ngalokho okudlayo nokuphuzayo lapho uthatha lo muthi.Gwema ukudla okuqukethe i-tyramine, ikakhulukazi ushizi, iwayini elibomvu, kanye nenyama eyomisiwe.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Lo muthi ungathintana kakhulu neminye imithi eminingi.
- Ungayeki ukuthatha imithi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
- Ngesikhathi sokuqala kokuthatha umuthi, qaphela isimo sakho sengqondo, ikakhulukazi imicabango yokuzibulala. Uma ubona noma yiziphi izinguquko, tshela udokotela wakho ngokushesha.
- Uma unemibuzo mayelana nalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Zisetshenziswa ngani amaphilisi e-Tranylcypromine (Tranylcypromine / Parnate)?
Lona umuthi wezifo zengqondo omdala kakhulu futhi onamandla kunayo yonke (MAOI) otholakale emhlabeni ongalawula 'Ukucindezeleka' okukhulu! Usetshenziswa kuphela ezigulini 'ezingamelani nokwelashwa' ezingazange zithole impumuzo/ushintsho naphezu kokunikezwa yonke eminye imithi emisha yezifo zengqondo (SSRI/SNRI), futhi ezihlushwa ukucindezeleka nokwesaba okungabekezeleleki.
💬 Lo muthi (i-Tranylcypromine) ungena kanjani ebuchosheni bethu futhi usebenze?
Ukucindezeleka kubangelwa ukwehla kwamakhemikhali ajabulisayo/anika amandla ebuchosheni (iSerotonin, iDopamine, iNorepinephrine). Ngokuvamile, i-enzyme ebizwa ngokuthi (i-MAO) ebuchosheni iyaphuka futhi ibhubhise la makhemikhali ngokuhamba kwesikhathi. Okwenziwa yileli philisi ukuvimba i-enzyme ebhubhisa lelo khemikhali (i-MAO) ngo-100% unomphela (i-Irreversible MAOI). Ngemuva kwalokho amakhemikhali ajabulisayo/anika amandla ebuchosheni ayagcwaliswa futhi ukucindezeleka kwesiguli kuyaphela ngokuphelele.
💬 Kungani abantu abasebenzisa lo muthi (MAOI) kufanele babhekane nemikhawulo yokudla okukhethekile?
Lena ingozi enkulu nebulalayo kakhulu! Uma uthatha lo muthi, akufanele neze udle ukudla okuqukethe i-Tyramine, njenge-'Aged Cheese', iwayini, isosi yesoya, izingcezu ze-salmon, amasoseji! Uma uzidla, umfutho wegazi lakho uzokhuphuka ngokuzumayo ufike ezingeni elingabekezeleleki (i-Hypertensive Crisis), futhi ungase ube nesifo sohlangothi/uhlaselwe yinhliziyo bese ushona!
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