MAOIs thiab Kev Txwv Kev Noj Haus
Txawm tias tsis yog raws li lawv ib zaug los, MAOIs tseem hais kom muaj kev nyuaj siab thiab tsis pom kev ntshai. Thaum noj cov tshuaj no, muaj qee yam khoom noj muaj protein ntau thiab cov laus uas koj yuav tsum tau zam. Qhov no yuav tiv thaiv kom txhob muaj teeb meem ntawm koj cov ntshav siab thiab nws tseem ceeb heev rau koj xav txog cov kev txwv kev noj haus.
MAOIs yog dabtsi?
Ntau tus neeg uas ua rau muaj kev ntxhov siab yog qhia cov tshuaj kom txhob muaj kev ntxhov siab, muaj kev ntshai , thiab lwm yam kev mob tshwm sim. Cov tshuaj tua kab mob yuav kho tau zoo li lawv tsuas yog tsim los kho kev nyuaj siab. Txawm li cas los xij, antidepressants tau nce siv los pab daws cov tsos mob ntawm kev puas tsuaj.
Thawj cov neeg tau txais kev pabcuam hauv Tebchaws Asmesliskas thaum xyoo 1950, cov tshuaj tivthaiv monoamine oxidase (MAOIs) yog ib tus antidepressants tau qhia ntxov. MAOIs ua hauj lwm rau kev cuam tshuam dab tsi txawv neurotransmitters, los yog cov khoom tshwm sim, nyob rau hauv lub hlwb uas tswj ntau lub cev functions.
Hauv particular, MAOIs tau xav tias yuav cuam tshuam rau cov neurotransmitters ntawm serotonin, norepinephrine, thiab dopamine. Cov no yog txuam nrog kev tswj hwm, kev pw tsaug zog, lub zog, thiab kev txhawb zog. Tsis tas li ntawd, cov neurotransmitters yog tus saib xyuas qhov ntsuas qhov kev sib ntaus sib tua-lossis-davhlau cov lus teb uas yog txuas rau li cas cov neeg teb rau kev ntxhov siab thiab kev ntxhov siab.
Cov MAOIs muaj xws li:
- Nardil (phenelzine)
- Parnate (tranylcypromine)
- Marplan (isocarboxazid)
- Emsam (selegiline)
Vim licas cov zaub mov txwv tsis pub tsim nrog MAOIs
Tyramine yog ib qhov chaw muaj nyob hauv ntau cov khoom noj, dej haus, thiab lwm yam tshuaj. Qhov chaw no muaj kev nyhav ntawm ntshav siab thiab tswj hwm los ntawm MAO enzyme. MAOIs ua hauj lwm kom txwv tsis pub muaj txoj hauv kev no, uas tuaj yeem ua rau cov tsos mob ntawm kev nyuaj siab thiab ntxhov siab.
Txawm li cas los xij, thaum MAO enzyme yog inhibited (xws li thaum noj ib lub MAOI), tyramine tuaj yeem ncav cuag theem siab heev. Qhov no ua tau rau cov ntshav siab heev. Thaum noj cov tshuaj MAOI, nws yuav tsum tsis txhob noj cov zaub mov thiab haus dej hauv tyramine kom tsis txhob muaj ntshav siab.
Cov Khoom Noj Kom Tsis Txhob Ua Thaum Tuaj MAOI
Cov khoom noj muaj protein ntau muaj ntau dua tyramine. Ntxiv thiab, cov ntsiab lus tyramine tuaj yeem sawv hauv qee yam zaub mov thaum lawv tseem muaj hnub nyoog. Muaj ob peb cov khoom noj thiab dej haus uas muaj siab hauv tyramine uas koj yuav tsum tau zam kom tsis txhob siv lub MAOI.
- Nqaij Khoom. Khoom noj khoom haus kom tsis txhob muaj nqaij nyug siab, nqaij qaib, hnyuv ntxwm xws li kua txob thiab salami, thiab noj su.
- Cov Khoom Ntses. Sim ua kom tsis txhob noj cov caviar, cured ntses, qhuav los yog pickled herring, thiab txhua yam uas muaj ntses muab tshuaj.
- Mis Khoom. Aged cheese thiab lwm yam khoom noj xws li qaub cream thiab yogurt nyob rau ntawm daim ntawv teev cov khoom noj kom tsis txhob muaj.
- Txiv Hmab Txiv Ntoo thiab Zaub. Cov khoom noj protein kuj yog kev txhawj xeeb. Qhov no muaj xws li txiv hmab txiv ntoo thiab avocados overripe, as well as banana peels (tsis yog bananas lawv tus kheej). Tsis tas li ntawd, sim tsis txhob noj fava taum, Italis ntsuab taum, los yog daus peas. Nws yog qhov zoo tshaj plaws kom nyob deb ntawm sauerkraut thiab cov kaus poom hauv qab zib thiab.
- Cawv. Tej dej haus fermented dej cawv yuav tsum tau tawm ntawm koj txoj kev noj haus thiab. Qhov no muaj xws li liab cawv thiab Chianti, vermouth, thiab sherry. Ib lub npias uas muaj poov xab kuj yuav tsum raug zam.
- Cov khoom noj muag. Nws pom zoo kom koj tsis txhob noj cov khoom noj uas muaj concentrated poov khoom thiab cov txiv hmab txiv ntoo brewer. Muaj nyob rau hauv pab pawg no yog cov khoom xws li miso thiab soy sauce.
Lwm Yam Kev Ntsuas Kev Noj Haus
Tyramine kuj tseem muaj nyob rau hauv cov khoom noj thaum lub sij hawm tawg lossis ua kom cov hniav lwj. Nws yog ib qho tseem ceeb uas koj tsuas noj cov zaub mov thiab freshly siav thiab siv cov zaub mov kev ruaj ntseg zoo.
- Tshawb xyuas cov zaub mov tom qab rau kev noj qab haus huv thiab tsis txhob haus cov khoom tshaj dhau hnub ntawm freshness.
- Noj tag nrho cov khoom noj kom sov zoo.
- Ceev cov zaub mov txias ntawm qhov kub zoo.
- Tsis txhob rov qab txhuam cov khoom noj uas tau yaj.
- Tsis txhob tshuav, txawm tias lawv tau tso rau hauv tub yees.
- Noj cov zaub mov siav kom sai, txiav txim siab kom sov zoo txaus.
Cov tshuaj rau kev puas tsuaj
Nrog koj tus kws kho mob tham txog kev tshem tej co zaub mov no thaum noj cov tshuaj MAOI. Txawm tias MAOIs tseem siv kom muaj kev nyab xeeb thiab siv tshuaj kho tsis zoo, cov kev txwv rau kev noj zaub mov tsis tau ua rau lawv tsis nyiam xaiv ntau dua.
Thaum sau cov tshuaj tua kabmob antidepressant rau kev phais siab , ntau tus kws kho mob nyiam cov tshuaj serotonin reuptake inhibitors (SSRIs) , serotonin thiab norepinephrine reuptake inhibitors (SNRIs) , lossis tricyclic antidepressants ( TCAs ).
Koj tus kws kho mob kuj tseem tuaj yeem hais tias koj sim tshuaj tiv thaiv kev ntxhov siab . Cov tshuaj tiv thaiv kev noj qab haus huv thiab tshuaj tiv thaiv kev ntxhov siab cuam tshuam rau cov tshuaj neurotransmitters nyob rau hauv ib txoj hau kev uas tuaj yeem pab txhim kho mus ob peb vas, txo kev ntxhov siab, thiab nce zog. Tham nrog koj tus kws kho mob los tham txog cov tshuaj twg yog txoj cai rau koj.
> Qhov chaw:
> Kaplan MD, Harold I, Sadock MD, Benjamin J. Synopsis ntawm Psychiatry. 11th ed. Baltimore: Williams & Wilkins; 2014.
> Silverman, Harold M. Lub Ntsiav tshuaj. 15th ed. New York, NY: Phau ntawv Bantam, 2012.