Ii-MAOIs kunye neZimiselo zokutya
Nangona kwakungeyona into efana nayo ngaphambili, i-MAOIs isacetywayo ukudakumba nokuphazamiseka kwengxaki. Xa uthabatha la mayeza, kukho iiprotheyini ezininzi eziphezulu kunye neeminyaka ezindala omele uziphephe. Oku kuya kuthintela iipikisi eziyingozi kwigazi lakho kwaye kubalulekile ukuqwalasela le miqobo yokutya.
Ziziphi ii-MAOIs?
Abantu abaninzi abajongene nokuphazamiseka kwentsholongwane banikwa imishanguzo yokuphatha uxhalaba, ukuphazamiseka kweentlanzi kunye nezinye iimpawu ezibangelwa ukwethuka . Amachiza anesifo sokuxhatshazwayo angathi ngathi ayenzelwe kuphela ukuphathwa kwengcinezelo. Nangona kunjalo, i- antidepressants isetyenzisiwe ekuncedeni ukunciphisa iimpawu zesifo sokuphazamiseka.
Okokuqala kufumaneka kubathengi baseMelika kuma-1950s, i- monoamine oxidase inhibitors (i-MAOIs) yayingenye yezinto zokuqala ezichasayo. I-MAOIs isebenza ukuchaphazela ama-neurotransmitter ahlukeneyo, okanye izinto ezenzeka ngokwemvelo, kwingqondo elawula imisebenzi eyahlukeneyo yomzimba.
Ngokukodwa, ii-MAOIs zicingelwa ukuba zichaphazele i-neurotransmitter ye-serotonin, i-norepinephrin, ne-dopamine. Ezi zihambelana nomgaqo-mboleko, ukulala, amandla, kunye nezizathu. Ukongezelela, la ma-neurotransmitters anesixanduva sokulinganisela impendulo yokulwa-okanye-ye-flight edibaniswa nendlela abantu abasabela ngayo ekuxinekeni nasekuxhaseni.
Ii-MAOI eziqhelekileyo ziquka:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
- Marplan (isocarboxazid)
- Emsam (selegiline)
Kutheni kufuneke ukuba izithintelo zokutya ziyimfuneko kunye nee-MAOIs
I-Tyramine yinkomfa efumaneka kwiindawo ezininzi zokutya, ukusela kunye nezinye izinto. Olu hlobo lunefuthe kwixinzelelo legazi kwaye lulawulwa yi-MAO enzyme. I-MAOIs isebenze ukukhawulela le enzyme, enokubangela ukunciphisa iimpawu zokudakumba nokuxhalabisa.
Nangona kunjalo, xa i-enzyme ye-MAO inqatshelwe (njengokuba ithatha i-MAOI), u-tyramine unokufikelela kumazinga aphezulu angengozini. Oku kungakhokelela ekubeni uxinzelelo oluphezulu lwegazi. Ngoxa uthabatha i-MAOI, kuyakufuneka ukuba ugweme ukutya kunye nokusela okuphezulu kwi-tyramine ukukhusela i-spikes yegazi.
Ukutya okukhuselekileyo xa uthatha i-MAOI
Izinto zokutya eziphathekayo zeprotheni zinamanani aphezulu e-tyramine. Ukongezelela, umxholo wesi-tyramine unokunyuka kokutya ezithile njengoko beqhubeka bekhula. Kukho ukutya okuncinci kunye neziyobisi eziphezulu kwi tyramine enokuzikhusela xa uthabatha i-MAOI.
- Iimveliso zenyama. Ukutya ukuphepha kukubandakanya isibindi sesilwanyana, isibindi sesinku, i-sausages ezivuthayo ezifana ne-pepperoni kunye ne-salami, kunye nezidlo zenyama.
- Imveliso yeentlanzi. Zama ukuyeka ukudla i-caviar, intlanzi ephilisiweyo, i-dried herring or herring, kunye nantoni na equle i-shrimp.
- Iimveliso zobisi. Iidyesi ezindala kunye nezinye iimveliso zobisi ezifana nekhilimu omuncu kunye ne yogurt ziluhlu lokutya ukuphepha.
- Izithelo kunye nemifuno. Iprotheni ephakamileyo ye-protein yinkxalabo. Oku kubandakanya iziqhamo ezingaphezulu kunye nee-avocados, kunye neebhanana zamabhanana (kungekhona amabhanana ngokwawo). Kwakhona, zama ukungadli ubhontshisi befeva, ubhontshisi obuhlaza be-Italian okanye i-peas peas. Kungcono ukuhlala kude ne-sauerkraut kunye namakhiwane anamathanga.
- Utywala. Ezinye iziselo ezinxilisayo kufuneka zishiywe ngaphandle kokutya kwakho. Oku kubandakanya iifom ebomvu kunye neChianti, vermouth, kunye neherher. Ubhiya obunemvubelo kufuneka ugwenywe.
- Ukutya okutya. Kunconywa ukuba ugweme ukutya okuqulethe imveliso yemvubelo kunye nembiliso ye-brewer. Kufakwe kweli qela izinto ezinjenge-miso kunye ne-soy sauce.
Ezinye izinto zokutya
I-Tyramine iphinda iveliswe ekudleni ngexesha lokuphanga okanye ukubola. Kubalulekile ukuba udle kuphela ukutya okuphefumlelweyo kunye nokupheka kunye nokusetyenziswa kokukhusela kokutya okufanelekileyo.
- Hlola ukutya okuphawulwe ngokutsha kwaye ungadli imveliso ngaphandle komhla wokutsha.
- Ukupheka ukutya konke ukushisa okufanelekileyo.
- Gcina ukutya okubandayo ngexesha lokushisa okufanelekileyo.
- Musa ukuhlaziya ukutya okuye kwadityaniswa.
- Gwema ukushiya, nangona sele zifrijiwe.
- Ukutya ukutya okuphekiweyo ngokukhawuleza, ukuqinisekisa ukuba ukushisa kokutya okufanelekileyo kugcinwa.
Iimpawu zoKhuseleko lwengqondo
Dibana nodokotela wakho ngokuphepha ezinye zezi zokutya ngelixa uthatha i-MAOI. Nangona i-MAOIs isasetyenziselwa ukukhusela ngokukhuselekileyo kwaye ngokufanelekileyo ukuphazamiseka kwengxaki, ukulungiswa kwezithintelo zokutya kubenze ukuba bakhethe ukuthandwa kakhulu.
Xa echaza i-anti-depressant ye-panic disorder , oogqirha abaninzi bakhetha ukukhetha i-serotonin reuptake inhibitors (SSRIs) , i- serotonin kunye ne-norepinephrine reuptake inhibitors (i-SNRIs) , okanye i-tricyclic antidepressants ( TCAs ).
Ugqirha wakho unokubonisa ukuba uzame unyango oluxhatshazayo . Zombili izidandlululo kunye neyeza ezichasene nexinzelelo zichaphazela i- neurotransmitters ngendlela enganceda ukuphucula imizwa, ukuxhalabisa okuphantsi kunye nokwandisa amanqanaba ombane. Thetha nogqirha wakho ukuba uxoxe ngeyiphi imithi elungile kuwe.
> Imithombo:
> Kaplan MD, uHarold I, uSadock MD, uBenjamin J. Ingqungquthela ye-Psychiatry. Ka 11. Baltimore: Williams & Wilkins; 2014.
> Silverman, uHarold M. I-Pill Book. 15. ENew York, NY: Amabhuku eBantam, ngo-2012.