MAOIs uye Zvokudya Zvokudya
Kunyange zvazvo isiri yakafanana sezvaimbove yakambovapo, MAOIs achiri kunyorwa nokuda kwekuora mwoyo uye kutya kwepfungwa. Paunotora mishonga iyi, pane zvimwe zvakanyanya-protein uye zvekare zvekudya zvaunofanira kudzivisa. Izvi zvinodzivirira mapikisi anokuvadza muropa rako uye zvakakosha kuongorora izvi zvimiriro zvekudya.
Chii chiri MAOIs?
Vanhu vazhinji vanobata nekutya chirwere chinorayirwa mishonga yekurapa kunetseka, kutya kwekutya , uye zvimwe zviratidzo zvinotyisa zvinosangana nazvo. Kurapa zvinodhaka kunoratidzika sekuti zvakagadzirirwa kupedza kuora mwoyo. Zvisinei, kuora mwoyo kunowedzera kushandiswa kubatsira kuderedza zviratidzo zvekutyisa chirwere.
Kutanga kuwanika kuvatengi veUnited States muma1950, monoamine oxidase inhibitors (MAOIs) yaiva imwe yekutanga kudzvinyirira inorondedzerwa. MAOI inoshanda kuti iite zviratidzo zvakasiyana-siyana zveurourotransmitter, kana zvinhu zvinowanzoitika, muuropi dzinotungamirira mabasa akasiyana-siyana emuviri.
Kunyanya, MAOIs inofungidzirwa kuti inokanganisa neurotransmitters ye serotonin, norepinephrine, uye dopamine. Izvi zvinosanganiswa nekugadzirisa mafungiro, kurara, simba, nekukurudzira. Uyezve, idzi neurotransmitter dzinokonzera kuenzanisa kurwisana-kana-kupoteredza kunobatanidza nemaitiro anoita vanhu kudzvinyirira nekuzvidya mwoyo.
Maitiro anowirirana anosanganisira:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
- Marplan (isocarboxazid)
- Emsam (selegiline)
Chikonzero nei Zvokudya Zvigadziriswa Zvinodiwa NeMaOIs
Tyramine ishizha rinowanikwa mune zvakawanda zvekudya, zvinwiwa, nezvimwe zvinhu. Izvi zvinokonzera kuwedzera kweropa uye zvinotungamirirwa ne-MAO enzyme. MAOI inoshanda kuti ivhare iyo enzyme, iyo inogona kuguma nekuderedza zviratidzo zvekuora mwoyo nekuzvidya mwoyo.
Zvisinei, apo inonzi MAO inhibited (yakadai sekutora MAOI), tyramine inogona kusvika pangozi yakakwirira mazinga. Izvi zvinogona kuguma nekukwiridzirwa kwepamusoro kwehutano hweropa. Paunenge uchitora MAOI, zvichave zvakakosha kudzivisa kudya uye zvinwiwa zvakakwirira mu tyramine kudzivirira zvinogona kuuraya ropa zvinokonzera ropa.
Zvokudya Zvinofanira Kudzivisa Paunotora MAOI
Zvokudya zveprotein-richina zvakawanda zvakanyanya zve tyramine. Uyezve, tyramine zvakagadzikana zvinogona kusimuka pane zvimwe zvokudya sezvazvinoramba zvichikura. Pane zvokudya zvishomanana uye zvinwiwa zvinenge zvakakwirira mu tyramine iyo iwe unogona kumira pakutora MAOI.
- Meat Products. Zvokudya zvekudzivisa zvinosanganisira chiropa chechiropa, chiropa chiropa, mazamu akaviriswa sepepperoni uye salami, uye nyama yekudya.
- Fish Products. Edza kurega kudya caviar, hove dzakaporesa, dzakaomeswa kana kuti pickled herring, uye chero chinhu chine shrimp paste.
- Milk Products. Makwekwe akwegura uye mamwe mazai emucheka akaita sekizimu yakasvibirira uye yogurt ari pane urongwa hwezvokudya kuti urege.
- Zvibereko nemiriwo. High-protein yemichero inofadzawo. Izvi zvinosanganisira michero yakawanda uye avocados, pamwe nebhanana peels (kwete mabhanana pachavo). Uyewo, edza kusadya mbeu dzinotanha, nyeredzi dzemaItaly, kana mazaya echando. Zvakanakisisa kuti ugare kure nemafuta emucheka uye makedheni pamwe chete.
- Doro. Zvimwe zvinwiwa zvinodhaka zvinofanira kusiyiwa kunze kwezvokudya zvako zvakare. Izvi zvinosanganisira mazambiringa matsvuku uye Chianti, vermouth, uye sherry. Bheri ine mbiriso inofanirawo kudziviswa.
- Zvokudya zvinoviriswa. Zvinokurudzirwa kuti urege kudya izvo zvine zvakagadzirwa nembiriso uye mbiriso ye brewer. Yakabatanidzwa muboka iri zvinhu zvakadai semiso uye soy sauce.
Zvimwe Zvokufungisisa Zvokudya
Tyramine inobudiswawo mune zvekudya munguva yekupamba kana kuora. Zvakakosha kuti iwe udye chete zvinonaka uye zvakagadzirwa zvakagadzirwa uye ushandisa nzira dzakachengeteka dzekuchengetedza kudya.
- Chengetedza mapuranga ezvokudya zvekuvandudzwa uye usapedza zvishandiso kunze kwekuvandudzwa kwezuva.
- Ika zvikafu zvose kuhutano hwakakodzera.
- Chengetedza zvokudya zvinotonhora panguva yakakwana yekushisa.
- Usafuratira zvokudya zvakave zvichinyorwa.
- Dzivisa zvasara, kunyange kana zvakanatswa.
- Idya zvokudya zvakagadzirwa nokukurumidza, kuve nechokwadi kuti kudya kwakakwana kwezvokudya kunochengetedzwa.
Mishonga yePanic Disorder
Tsvaga chiremba wako nezvekudzivisa zvimwe zvekudya izvi uchitsvaka MAOI. Kunyange zvazvo MAOIs ichiri kushandiswa kugadzikana nekugadzikana kubata chirwere chinotyisa, kukwanisa kwekugadziriswa kwezvokudya kwakavaita chisarudzo chisingazivikanwi.
Pazvinorondedzera kukanganisa kwepfungwa nokuda kwekutya chirwere , vanachiremba vakawanda vanosarudza sarotonin reuptake inhibitors (SSRIs) , serotonin uye norepinephrine reuptake inhibitors (SNRIs) , kana tricyclic vanodzvinyirira ( TCAs ).
Chiremba wako angaratidzawo kuti unoedza mishonga inopesana nekuzvidya mwoyo . Zvose zvinodhaka kuzvirambidza uye zvinodhaka zvinodhaka zvinokonzera neurotransmitter nenzira inogona kubatsira kuvandudza mafungiro, kuderedza kushushikana, uye kuwedzerwa simba. Taura nachiremba wako kuti ukurukure mishonga ipi yakakunakira iwe.
> Sources:
> Kaplan MD, Harold I, Sadock MD, Benjamin J. Synopsis of Psychiatry. 11th ed. Baltimore: Williams & Wilkins; 2014.
> Silverman, Harold M. Pill Book. 15th ed. New York, NY: Bantam Mabhuku, 2012.