Created at:1/13/2025
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Ko te Maprotiline he rongoā rongoā anti-depressant e pā ana ki te kāwai rongoā e kiia nei ko te tetracyclic antidepressants. E mahi ana mā te āwhina i te whakahoki i te taurite o ētahi matū taiao i roto i tō roro, ina koa ko te norepinephrine, e taea ai te whakapai ake i tō āhua me ō kare-ā-roto.
Kua āwhina tēnei rongoā i te tangata ki te whakahaere i te pouri mō ngā tau tekau, ā, ahakoa kāore pea i te whakahauhia i te nuinga o te wā pērā i ngā anti-depressants hou, kei te noho tonu he whiringa rongoā whai hua mō te maha o ngā tāngata. Mā te māramatanga ki te mahi a te maprotiline me te aha e tūmanakohia ana ka āwhina koe ki te whai i te māia ake mō tō haerenga rongoā.
Ko te Maprotiline he tetracyclic antidepressant ka whakahauhia e tō tākuta hei rongoā i te mate pouri nui. Kāore i rite ki ētahi anti-depressants hou, e aro ana ki te norepinephrine, he matū roro e whai wāhi nui ana ki te whakahaere i te āhua.
I whakawhanakehia tēnei rongoā i ngā tau 1960, ā, he roa te hītori o te āwhina i te tangata ki te hinga i te pouri. E kiia ana he anti-depressant whakatupuranga tuarua, ko te tikanga i whakawhanakehia i muri i ngā tricyclic antidepressants tuatahi engari i mua i ngā inhibitors reuptake serotonin whiriwhiri (SSRIs) hou ake.
Ka whakaaro pea tō tākuta ki te maprotiline mēnā kāore ētahi atu anti-depressants i pai mōu, mēnā rānei ka pai ō tohu motuhake mō tō mahere rongoā. E wātea ana anake mā te whakahau, ā, ka tae mai i roto i te puka papa mō te whakamahi waha.
Ko te Maprotiline te mea nui e whakahauhia ana hei rongoā i te mate pouri nui, he āhuatanga hauora hinengaro nui e pā ana ki te āhua o tō kare, te whakaaro, me te whakahaere i ngā mahi o ia rā. Ka taea e ia te āwhina ki te hiki i te pōuri tonu, te kore tūmanako, me te kore kaha e āhuatanga ana i te pouri.
Ka whakaaro pea tō tākuta ki te maprotiline mō ētahi atu āhuatanga, ahakoa he iti noa iho ēnei whakamahinga. I ētahi wā ka tohua mō ngā mate āwangawanga e puta ana i te taha o te pōuri, mō ētahi momo āhuatanga mamae roa rānei i te wā e whai wāhi ana te pōuri.
He tino whai hua te rongoā mō te hunga e pā ana ki te pōuri me ngā tohumate pēnei i te iti o te kaha, te uaua ki te arotahi, me ngā raruraru moe. Ka roa pea te wiki e hiahiatia ana kia rongo i ngā painga katoa, nō reira he mea nui te manawanui i te wā e urutau ana tō tinana ki te rongoā.
Ka mahi te maprotiline mā te aukati i te urunga anō o te norepinephrine i roto i tō roro. Ko te tikanga tēnei ka ārai i ō pūtau roro mai i te ngongo tere i tēnei neurotransmitter nui, ka tuku kia nui ake te noho hei āwhina i te whakahaere i tō āhua.
Whakaarohia me te whakatika i te rōrahi i runga i te reo irirangi - mā te pupuri i te nui ake o te norepinephrine e kaha ana i roto i tō roro, ka āwhina te maprotiline ki te whakanui i ngā tohu e whai wāhi ana ki te āhua pai me te taurite o te kare-ā-roto. Kāore tēnei tukanga e puta i te pō, koinei te take e hiahiatia ana te 2-4 wiki kia kite i te whakapai ake nui.
E kiia ana he rongoā anti-pōuri kaha te maprotiline. Kāore i te kaha pērā i ētahi rongoā tawhito pēnei i te MAOIs, engari he nui ake te whai hua i ngā taapiri otaota ngawari. Ko te kaha ka pai mō te pōuri ngawari ki te kaha, engari ko te tikanga me mātakitaki koe i te taha o tō kaiwhakarato hauora.
Tangohia te maprotiline kia rite ki tā tō tākuta i tohutohu ai, te nuinga kotahi i te rā, ka wehea rānei ki ngā inenga iti ake puta noa i te rā. Ka taea e koe te tango me te kore kai rānei, engari mā te tango me te kai ka āwhina i te whakaiti i te puku puku ki te pā ana koe ki te korenga o te kōhauhau.
He pai ake te tango i te maprotiline i te wa kotahi i ia ra kia mau tonu nga taumata i roto i to punaha. He maha nga tangata e kite ana he awhina ki te tango i te ahiahi na te mea ka puta te hiamoe, tera pea ka awhina i te moe mena kua pa te pouri ki to okiokinga.
Horomia nga papa katoa me te karaihe wai - kaua e kuru, e ngaungau, e wawahi ranei. Mena ka hiahia koe ki te wehe i te horopeta, me mahi anake mena ka tohutohu motuhake to taakuta ki a koe, me te whakamahi i te tapahi pire kia tika ai te horopeta.
I muri i te korero, karohia te inu waipiro i te wa e tango ana i te maprotiline, na te mea ka piki ake te hiamoe me etahi atu paanga taha. Waihoki, kia tupato ki nga mahi e hiahia ana kia mataara, ina koa i te wa tuatahi ka timata koe i te rongoa, mena ka whakatikahia to horopeta.
Ko te nuinga o nga tangata me tango maprotiline mo te 6-12 marama i muri i te pai ake o nga tohu pouri ki te awhina i te aukati i te hokinga mai. Ka mahi tahi to taakuta me koe ki te whakatau i te roanga tika i runga i to ahuatanga takitahi me te pehea e urupare ana koe ki te maimoatanga.
I nga wiki tuatahi, kare pea koe e kite i te pai ake - he mea noa tenei. Ko nga rongoa anti-depressant penei i te maprotiline te tikanga e 2-4 wiki ki te timata ki te mahi, a tera pea ka roa ki te 6-8 wiki ki te wheako i nga painga katoa.
Ko etahi tangata ka hiahia ki te maimoatanga mo te wa roa, ina koa kua maha nga wahanga pouri, mena he mate hauora hinengaro ano. Ka tirotirohia koe e to taakuta i nga wa katoa ki te arotake i to ahua me te whakatau mena e tika ana nga whakatikatika ki to mahere maimoatanga.
Kaua rawa e mutu te tango maprotiline ohorere, ahakoa kei te pai koe. Ka awhina to taakuta ki a koe ki te whakaiti i te horopeta i te wa e tae ana ki te whakamutu i te rongoa kia kore ai e puta nga tohu tangohanga.
Pērā i ngā rongoā katoa, ka pānga ngā taha pānga o te maprotiline, ahakoa kāore e pā ana ki te katoa. Ko te nuinga o ngā taha pānga he ngawari, ā, ka pai ake i te wā e whakatika ana tō tinana ki te rongoā i ngā wiki tuatahi.
Me titiro ki ngā taha pānga tino noa ka pā ki a koe, me te mahara he maha ngā tāngata e pai ana ki te maprotiline:
Ko ēnei taha pānga noa e taea ana te whakahaere, ā, he iti ake te raruraru i te wā e urutau ana tō tinana ki te rongoā. Ka taea e tō kaiwhakarato hauora te tuku rautaki hei whakaiti i te raruraru.
Ko ngā taha pānga kāore i te noa engari he nui ake te kino e hiahia ana kia tere te rongoā. Ahakoa he onge ēnei, he mea nui kia mōhio koe ki a rātou:
Mēnā ka pā ki a koe ētahi o ēnei taha pānga kino, whakapā atu ki tō tākuta tonu, rapu rānei i te rongoā ohorere. He mea onge ēnei tauhohenga engari e hiahia ana kia tere te aro.
Ka pā ki ētahi tāngata ngā huringa o te ngākau, o ngā whakaaro rānei, ina koa i ngā wiki tuatahi o te rongoā. He mea tēnei ka mātakitaki tata tō tākuta, ina koa kei raro koe i te 25 tau te pakeke.
E kore e tika ana te maprotiline mō te katoa, ā, ka āta tātari tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Ko ētahi āhuatanga me ngā wāhi ka kore e haumaru, ka iti rānei te whai hua o tēnei rongoā.
Kaua koe e tango i te maprotiline mēnā he mate pāwera tōna ki te rongoā, ki ngā rongoā rānei e rite ana ki te rongoā whakapōuri. Ka tūpato anō tō tākuta ki te whakahau i tēnei rongoā mēnā he āhuatanga hauora ōna ka kino ake i te rongoā:
Me āta whakaaro tō tākuta ki ngā tūponotanga me ngā painga mēnā he āhuatanga ōna pēnei i te mate huka, ngā raruraru thyroid, he hītori rānei o te whakamahi i ngā matū kino. He take anō te pakeke - ka nui ake te tairongo o ngā pakeke ki ngā pānga taha, ā, me iti ake ngā horopeta.
Me whakaaro nui ki te hapū me te whāngai u. Ahakoa ka whakamahia te maprotiline i te wā e hapū ana mēnā he nui ake ngā painga i ngā tūponotanga, ka hiahia tō tākuta ki te kōrero ki a koe mō ngā kōwhiringa katoa e wātea ana kia mōhio ai koe ki te kōwhiringa haumaru mō koe me tō pēpi.
E wātea ana te maprotiline i raro i ētahi ingoa waitohu, ahakoa ka whakahaua nuitia anō hei rongoā whānui. Ko te ingoa waitohu tino rongonui ko Ludiomil, koinei te waitohu taketake i te wā i whakaurua tuatahitia ai te rongoā.
Ka kite pea koe i te hoko i raro i ētahi atu ingoa waitohu i runga i tō wāhi me te whare rongoā. E wātea whānui ana te maprotiline whānui, ā, kei roto i te matū kaha kotahi me ngā putanga ingoa waitohu, e waiho ana hei kōwhiringa whai hua mō te maha o ngā tūroro.
Ahakoa ka whiwhi koe i te momo waitohu-ingoa, i te momo rongoa ranei, he rite tonu te mahi o te rongoa. Ka taea e tō kai rongoā te āwhina i a koe ki te mārama ko tēhea te momo kei te whiwhi koe, me te whakautu i ngā pātai mō ngā rerekētanga o te ahua, te pōkai rānei.
Mēnā kāore a maprotiline i te pai mōu, he maha atu ngā kōwhiringa rongoā anti-pōuri e wātea ana. Ka whakaaro pea tō tākuta ki ngā rongoā hou pēnei i te SSRIs (pēnei i te sertraline, te fluoxetine rānei) i te SNRIs (pēnei i te venlafaxine, te duloxetine rānei) hei kōwhiringa kē.
Ko ētahi atu rongoā anti-pōuri tetracyclic, tricyclic rānei, ka waiho pea hei kōwhiringa, i runga i ō tohumate motuhake me te hītori hauora. Kei roto i ēnei ngā rongoā pēnei i te amitriptyline, nortriptyline, mirtazapine rānei, he rerekē ō rātou painga me ō rātou pānga taha.
Ko te kōwhiri i te rongoā anti-pōuri e whakawhirinaki ana ki te maha o ngā āhuatanga, tae atu ki ō tohumate, ētahi atu āhuatanga hauora, ngā pānga rongoā pea, me ō hiahia whaiaro. Ka mahi tō tākuta ki a koe ki te kimi i te rongoā e whakahere ana i te taurite pai o te whai huatanga me te manawanui mō tō āhuatanga.
Ko ngā maimoatanga kore-rongoā pēnei i te hinengaro, ngā huringa o te oranga, me ētahi atu wawaotanga ka waiho hoki hei wāhanga nui o te maimoatanga pōuri, ahakoa anake, i te tahi rānei me te rongoā.
He rongoā anti-pōuri whai hua a maprotiline me amitriptyline, engari he rerekē te mahi, ā, he rerekē ō rātou pānga taha. Kāore tētahi i te
E pā ana ki ngā pānga taha, he iti ake pea ngā pānga anticholinergic a te maprotiline (pēnei i te waha maroke me te pāpā), ki te whakataurite ki te amitriptyline, engari he nui ake te tūponotanga ki te pā mai i te hopu i ētahi tāngata. He maha tonu te amitriptyline e whakangāwari ana, he mea whai hua tēnei ki te raru koe i ngā raruraru moe.
Ka whakaaro tō tākuta ki ō tohu motuhake, te hītori rongoā, me ētahi atu āhuatanga i te wā e whiriwhiri ana i waenga i ēnei rongoā. Ko te mea e pai ana mō tētahi tangata, kāore pea i te kōwhiringa pai mō tētahi atu, nō reira me whai takitahi tonu te whakatau.
Me whakaaro nui te maprotiline mēnā he raruraru tō ngākau. Ahakoa ka taea te whakamahi i ētahi tāngata e pā ana ki te ngākau, ka pā pea ki te manawataki me te pēhanga toto, nō reira me mātakitaki tata tō tākuta i a koe.
Mēnā he hītori tō i te whakaeke ngākau, te manawataki kōaro, ētahi atu āhuatanga ngākau nui rānei, ka kōwhiri pea tō tākuta i tētahi rongoā anti-depressant rerekē he haumaru ake mō tō pūnaha cardiovascular. Me kōrero tonu ki tō tākuta mō ngā raruraru ngākau i mua i te tīmatanga i te maprotiline.
Mēnā ka inu koe i te nui rawa o te maprotiline i te mea i whakaritea, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei, ahakoa e pai ana koe. He nui pea te horopeta nui, ā, ka pā mai ngā tohu pēnei i te moe nui, te rangirua, te manawataki kōaro, te hopu rānei.
Kaua e tatari kia puta mai ngā tohu - rapua tonu te āwhina rongoā. Mēnā ka taea, kia mau te pounamu rongoā ki a koe kia mōhio ai ngā kaiwhakarato hauora ki te aha me te nui i inumia e koe.
Mēnā ka ngaro koe i tētahi horopeta, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua wā, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau - kaua e tango i ngā horopeta e rua i te wā kotahi.
E kore e puta he raruraru nui ki te ngaro i te horopeta kotahi i etahi wa, engari ngana ki te pupuri i te wa tika kia mau tonu nga taumata o te rongoa i roto i to punaha. Ma te whakarite i nga whakamaharatanga waea, te whakamahi ranei i te kaiwhakarite pire ka awhina koe kia noho i runga i te ara.
Kaua rawa e whakamutu i te tango maprotiline ohorere, me te kore ranei i te tohutohu a to taakuta. Ahakoa kei te pai ake koe, ko te whakamutu ohorere ka puta he tohu tangohanga me te whakanui ake i te tupono ka hoki mai te pouri.
Ma to taakuta koe e awhina ki te whakaiti i te horopeta i te wa e tika ana kia whakamutua te rongoa. Ko tenei tukanga, e kiia nei ko te whakaiti, te tikanga ka maha nga wiki ka awhina i to tinana kia urutau marie ki te kore e tango i te rongoa.
He pai ake te karo i te waipiro i te wa e tango ana i te maprotiline. Ka taea e te waipiro te whakanui ake i te hiamoe me etahi atu paanga taha, a tera pea ka pokanoa ki te whai huatanga o te rongoa ki te rongoa i to pouri.
Mena ka whiriwhiria e koe te inu i etahi wa, me mahi marie, me te aro ki te ahua o to ahua. Me matapaki tonu to whakamahi waipiro ki to taakuta kia taea e ratou te whakarato tohutohu whaiaro i runga i to ahuatanga.