Tuhinga
Te puru metilīni, te tairamīni, me ngā kai whakarewena: te tikanga o ngā whakatūpato MAOI

Ka aukati te puru metilīni i te whākōkī monoamine oxidase, nō reira he pūtake ā-mahi rongoā tō ngā pātai mō te tīhi kua roa e whakamaoa ana, ngā huawhenua whakarewena, me ētahi atu kai whai tairamīni. Heoi, kāore taua kitenga e whakatū i tētahi rārangi kai hei karo mā te katoa e whakamahi ana i te puru metilīni, i tētahi wā tatari haumaru rānei. Kāore e tika kia tāruatia noa ngā tohutohu kai mō tētahi atu pūārai MAO.
E rua ngā pātai me whakautu wehe: mā te hekenga o te wāwāhitanga o te tairamīni e kaha ake ai te urupare pēhanga toto ki te kai, ā, mā te hekenga o te wāwāhitanga o te serotonin e hua ai te tāoke ina whakamahia ngātahitia me ngā rongoā whakapiki i te mahi serotonin? Kāore te karo i ngā kai whakarewena e whakatau i te pātai tuarua.
He aha i uru ai te tairamīni ki te kōrero
He amine ka hua i ngā tukanga koiora te tairamīni, ā, ka hangaia e ētahi moroiti mai i te waikawa amino e kīia nei ko te tairohīni. E whakaahua ana te kaupapa a ETH Zurich mō te tairamīni i ngā kai whakarewena i tēnei tukanga i roto i te tīhi me te mīti whakarewena. Nō reira, e hāngai ana te whakarewena ki tēnei take, engari kāore te kupu “whakarewena” e whakaatu i te nui o te tairamīni kei roto i tētahi tohanga kai.
Ka pā ngā momo moroiti, ngā kai whakauru, te whakamaoa, te rokiroki, me te rahi o te tohanga ki te nui ka uru ki te tinana. I tētahi rangahau whakamātau mō te tīhi pata Olomouc, i ine ngā kairangahau i ngā amine ka hua i ngā tukanga koiora mā te tikanga wehe matū chromatography, me te whakarerekē i te pāmahana me te roa o te rokiroki. I tino rerekē ngā kukū tairamīni i waenga i ngā āhuatanga i whakamātauria. E whakaahua ana aua inenga i taua whakamātau tīhi, kāore e whakarato i tētahi uara pono mō ia tīhi, kāpeti whakarewena, miraka tepe rānei kei tētahi kīhini.
I te nuinga o te wā, ka āwhina te monoamine oxidase i te ara nakunaku ki te wāwāhi i ngā amine kua horomia i mua i te taenga o ngā rahinga nui ki te rerenga toto. Ki te tino heke taua whakamarumaru, ka taea e te tairamīni kua ngongo te whakaoho i te tukunga o te noradrenaline mai i ngā io o te pūnaha sympathetic, me te whakapiki i te pēhanga toto. E whakamārama ana ngā mōhiohio mō te whakahau EMSAM i tēnei tikanga mahi a te tairamīni. E whakaatu ana hoki i tētahi wehewehenga matua: mā te tikanga mahi e whakamārama he aha ka taea ai tētahi pāhekoheko; mā ngā rangahau mō te rongoā ake e whakatau te pānga o taua tikanga ki ngā tohutohu mō taua rongoā.
Kāore te “MAOI” e tohu ana i te ture kai kotahi
E rua ngā momo monoamine oxidase, ko MAO-A me MAO-B. He rerekē ngā rongoā mō te momo ka aukatia e rātou, te kaha o te aukati i tētahi taumata pānga ki te tinana, me te āhei rānei o te aukati ki te hoki whakamuri. He rerekē hoki te tukunga ki te whēkau, te ate, me ētahi atu kiko.
He rerekē ngā pūārai MAO tawhito e aukati ana i ngā momo e rua, ā, kāore e hoki whakamuri te aukati, pērā i te tranylcypromine, i tētahi pūārai MAO-A ka hoki whakamuri tōna aukati, pērā i te moclobemide. Ka taea e te aukati ka hoki whakamuri te whakaiti i te whakakaha o te pānga tairamīni, engari kāore te “hoki whakamuri” e tohu ana i te korenga o ngā pāhekoheko. Kāore ngā mōhiohio hua mō te moclobemide e whakahau ana i tētahi kai motuhake i te nuinga o te wā, engari e tohutohu tonu ana kia karohia ngā rahinga nui o ngā kai whai tairamīni nui.
I tētahi rangahau matapōrua, he rōpū whakataurite rongoā horihori tōna, i roto i ngā tūao hauora 16, i whakatauritea tikatia te moclobemide me te tranylcypromine i te wā o te maimoatanga tāruarua. I hoatu e ngā kairangahau ngā rahinga tairamīni e piki haere ana me tētahi kai, ā, i ine i te rahinga e hiahiatia ana kia piki ai te pēhanga toto i te kūkūtanga o te manawa mā te 30 mmHg neke atu. I tino kaha ake te whakakaha a te tranylcypromine i te urupare whakapiki pēhanga toto i tō te moclobemide. He whakamātau whakawero tēnei i raro i ngā tikanga whakahaere, kāore i te whakamātau kai i te kāinga, kāore hoki i te rangahau puru metilīni.
He mea nui hoki te ara tuku me te nui ka pā ki te tinana i roto i te rongoā kotahi. E wehewehe ana te tapanga mō te papaki selegiline i ōna kaha kua whakamātauria: e tautoko ana ōna taunakitanga i te korenga o te hiahia ki te whakarerekē i te kai mō te 6 mg ia 24 hāora, engari he here kai mō ngā pūnaha 9 me te 12 mg ia 24 hāora. Nō taua papaki aua tau. Kāore e taea te whakamahi hei paepae mō te puru metilīni ka horomia.
He aha ka whakatauria e te rangahau puru metilīni
I te rangahau whākōkī a Ramsay me ōna hoa i te tau 2007, i whakamātauria e ngā kairangahau te MAO tangata kua purea, mā ngā tikanga ine tere tauhohenga me ngā tikanga tātari tūāwhiorangi. I kaha te aukati a te puru metilīni i te MAO-A, ā, i taea taua aukati te hoki whakamuri; i hiahiatia ngā kukū teitei ake hei aukati i te MAO-B. Ka whakatauria e tēnei he pāhekoheko i te taumata rāpoi ngota. Kāore e ine ana i te urupare pēhanga toto ki tētahi kai whakarewena i roto i ngā tāngata e whakamahi ana i tētahi hua ka horomia.
He taunakitanga whakamātau tawhito anō e pā ana ki te tairamīni ake. I ngā whakamātau kiko nō ngā ia tuku toto o te mesentery o te kurī, i whakaiti te puru metilīni i te tangohanga o te rōpū amine i te tairamīni i roto i ngā ranunga kiko kua wāwāhia, ā, i whakarerekē i te tukatuka o te noradrenaline. Ko taua ranunga he kiko kua wāwāhia, ka rangahaua ki waho i te kararehe. Kāore e taea te huri i tōna kukū kua inea hei rahinga haumaru ka horomia, hei tohanga kai rānei.
I roto i ngā puna i tirohia i konei, kāore au i kite i tētahi hua whakamātau whakawero kai i te tangata e whakamana ana i tētahi tikanga kai whānui, i tētahi wā karo rānei, mō ngā hua puru metilīni noa. He herenga tēnei o ngā taunakitanga i kitea, kāore i te taunakitanga he haumaru ia whakakotahitanga kai, kāore rānei he rangahau hāngai. Me aromatawai takitahi te hāngaitanga o tētahi hanga rongoā e pā ana, o tētahi ara tuku rerekē, o tētahi whakamātau whākōkī rānei.
Ripanga taunakitanga: te kai, ngā rongoā, me te ara tuku
Pānuitia ia haupae mai i tētahi taha ki tētahi taha. Kāore ngā taunakitanga mō tētahi putanga e whakautu aunoa i te pātai kei tōna taha.
| Te pānga ki te tinana, te pātai rānei | Ngā taunakitanga e wātea ana | He aha e tautokona ana | He aha kāore anō kia whakatauria |
|---|---|---|---|
| Te tairamīni me ngā rongoā MAOI tawhito mō te pōuritanga | Ngā tapanga mō ngā rongoā ake me ngā whakamātau whakawero tairamīni i te tangata i raro i ngā tikanga whakahaere | Ka whai hiranga haumanu tētahi pāhekoheko whakapiki pēhanga toto e pā ana ki te kai | Kāore aua tohutohu e whakatū i tētahi tikanga kai mō te puru metilīni |
| Te puru metilīni me te tairamīni i ngā pūnaha taiwhanga | Ngā whakamātau whākōkī kua purea me ngā whakamātau kiko kararehe kua whakaahuatia i runga ake nei | He pūtake whaitake mō te āwangawanga mō te hekenga o te wāwāhitanga amine | Te urupare o te tangata ki te kai, ngā here kai, me te roanga e ai ki te hanga rongoā me te ara tuku |
| Te puru metilīni ka tukuna ki te ia whakahoki toto me ngā rongoā whakapiki i te mahi serotonin | Ngā pūrongo haumanu me te whakatūpato kei roto i te pouaka o PROVAYBLUE | He pāhekoheko tāoke serotonin taumaha, ka mate pea te tangata | Kāore ēnei pūrongo e ine i te mōrea o ngā kai whai tairamīni |
| Te rongoā whai puru metilīni ka horomia me ngā rongoā whakapiki i te mahi serotonin | He pūrongo take takitahi kua whakaputaina | Kāore e tika kia whakaarohia mā te horomi e whakakore te mōrea tāoke serotonin | Te auau me te hononga i waenga i te nui ka pā ki te tinana me te urupare puta noa i ngā hua ka horomia |
| Te pani ki te kiri, te pānga ki te kiko i tētahi wāhi anake, ngā hua rānei e whakaahuatia ana he “horopeta iti” | Kāore ngā puna i arotakengia i konei i whakatū i tētahi ture whānui mō te haumaru kai | Me aromatawai wehe te ara tuku, te hanga rongoā, te ngongo, te rahinga, me te whakamahi tāruarua | He wā karo kai kua whakamana, he paepae rānei kāore he pāhekoheko |
E pā ana te tapanga PROVAYBLUE o nāianei ki tētahi werohanga ki te ia whakahoki toto. E pā ana tōna whakatūpato kei roto i te pouaka ki te mate serotonin i te whakamahinga me ngā rongoā whakapiki i te mahi serotonin me ngā opioid. Kāore e whakarato ana i tētahi hōtaka kai tairamīni. Kāore e tika kia hurihia taua korenga, ōna tohutohu rānei mō te wā whakamahi rongoā, hei whakaū i te haumaru kai.
He hiranga haumanu hoki tō te horomi: i pūrongo a Zuschlag me ōna hoa i te tāoke serotonin i muri i te tīmatanga o tētahi rongoā whakamāmā mamae o te ara mimi ka horomia, he puru metilīni kei roto, i tētahi tangata e whakamahi ana i ngā rongoā maha whakapiki i te mahi serotonin. Kāore e taea e te take kotahi te whakatau tata i te auau o ngā take hou, te wehe rānei i ia āhuatanga i whai wāhi. Heoi, e whakahē ana taua take i te whakapae mā te horomi e kore ai tēnei pāhekoheko e whai take.
He pātai rerekē ngā tohumate pēhanga toto me te tāoke serotonin
E pā ana te urupare whakapiki pēhanga toto nā te tairamīni ki te nui rawa o te mahi adrenergic me te pēhanga toto tino teitei pea. E pā ana te tāoke serotonin ki te nui rawa o te mahi serotonin, ā, ka uru pea ko te ohooho, te kirikā, te werawera, te mārō, te hukihuki rānei o ngā uaua, me te pēhanga toto kāore e pūmau. Ka īnaki pea ō rāua tohumate. Kāore e taea e te ānini i muri i te kai te tautuhi i te tikanga nāna taua ānini, ko ia anake.
Rapua he āwhina hauora ohotata mō te ānini taumaha ka puta ohorere, te mamae uma, te ngoikore hou, te uaua rānei ki te kōrero, te hinganga, te kirikā rānei me te rangirua me te tino mārō, te hukihuki rānei o ngā uaua i muri i tētahi pāhekoheko e whakapaetia ana. Kaua e tatari kia tautuhia te kai, kia puta anō rānei taua urupare. Mauria te ipu hua me te rārangi rongoā mēnā e wātea tata ana.
Mō te whakamahinga kua whakamaheretia, me tauwhāiti te pātai whaihua: “Mō tēnei hanga rongoā, ara tuku, rahinga, me te roanga maimoatanga, he aha ngā tohutohu kai e hāngai ana, ā, he aha ngā taunakitanga e tautoko ana i te roanga o aua tohutohu?” Kaua e whakamutu i ngā rongoā kua whakahaua kia whai ai i tētahi hōtaka whakamahi rongoā nō te ipurangi, kaua hoki e whakatau he haumaru nā te kupu “horopeta iti.”
Whakamahia te rārangi arowhai mō te kōrerorero ki te mātanga hauora hei tuhi i te hua me ngā mea ka pā ki te tinana. Ka whakamārama hōhonu ake ngā aratohu motuhake mō ngā pāhekoheko o te puru metilīni me ngā rongoā me ngā pānga ki te pēhanga toto i aua pātai haumanu. He tikanga mahi anō e whai wāhi ana ki ngā pātai mō te waipiro, te kawheīni, me ngā tāpiringa, ā, ka whakamārama te rangahau matū kaikawe io he aha e kore ai tētahi hua whakamātau whākōkī e matapae i ngā taumata matū kaikawe io o tētahi tangata.