Phunzirani kuwona zizindikiro za matenda a serotonin
Maphunziro a ZaumoyoKodi serotonin syndrome ndi chiyani? | Zoyambitsa | Kukula | Zizindikiro | Zoyenera kuchita ngati mukuganiza kuti muli nacho | Chithandizo | Zimatenga nthawi yayitali bwanji? | Kuwonongeka kwanthawi yayitali | Momwe mungapewere
Tinene kuti mumalandira mankhwala antidepressant , monga Paxil (paroxetine), tsiku lililonse. Mumamva a mutu waching'alang'ala akubwera, ndiye mumakumba kabati posaka fayilo ya Zamgululi (sumatriptan) piritsi.
Kapena, chochitika china chofala-mumatenga mankhwala opondereza Cymbalta (duloxetine), ndipo mumamva chimfine ndi chifuwa chikubwera. Mumafikira botolo la Zamgululi kuchiza matenda anu.
Zinthu izi zikuwoneka ngati zopanda vuto, sichoncho? Ganiziraninso. Zochitika izi zosakaniza mankhwala zimatha kuyambitsa china chotchedwa serotonin syndrome, chomwe chitha kupha moyo.
Serotonin ndi neurotransmitter. Matenda okhumudwa nthawi zambiri amakhala ndi serotonin yochepa. Mankhwala ambiri a kukhumudwa amathandizira kuwonjezera milingo ya serotonin. Mankhwala ena (monga mankhwala ena a migraine, mankhwala opweteka, opondereza chifuwa, komanso zowonjezera zakudya) amathanso kukulitsa kuchuluka kwa serotonin.
Mukamwa mankhwala omwe amachulukitsa serotonin, mutha kumva bwino. Koma, serotonin yochulukirapo kuchokera pamlingo wokwera kwambiri, kapena kumwa mankhwala awiri kapena kupitilira apo omwe amachulukitsa kuchuluka kwa serotonin, kumatha kuyambitsa matenda a serotonin.
Kodi serotonin syndrome ndi chiyani?
Matenda a Serotonin amapezeka pomwe alipo serotonin yochuluka kwambiri m'dongosolo lanu. Kodi mumakhala bwanji ndi serotonin wambiri mthupi lanu?
Matenda a Serotonin amatha kuchitika ngati wina:
- Amamwa mankhwala angapo omwe amakhudza ma serotonin
- Iyamba kapena imakulitsa mlingo wa mankhwala omwe amachulukitsa serotonin
- Amamwa mankhwala ochulukirapo omwe amawonjezera serotonin (mwangozi kapena mwadala)
Ngati sanalandire chithandizo, zotsatira zake zimakhala zoyipa.
Ndi mankhwala ati omwe angayambitse matenda a serotonin?
Mankhwala otsatirawa amachulukitsa milingo ya serotonin ndipo amatha kutenga nawo mbali pamagulu a serotonin. Matenda a Serotonin amatha kupezeka ngati mutenga mankhwala awiri kapena angapo.
- Mankhwala opatsirana pogonana a SSRI: SSRIs (serotonin reuptake inhibitors) ndi mankhwala omwe amapezeka kwambiri mu serotonin syndrome. Amaphatikizapo Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Celexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), ndi Trintellix.
- SNRI antidepressants: SNRIs (serotonin-norepinephrine reuptake inhibitors) imaphatikizapo Cymbalta (duloxetine), Effexor (venlafaxine), ndi Pristiq (desvenlafaxine).
- Mankhwala ena opatsirana pogonana: Mankhwala opatsirana pogonana a tricyclic (amitriptyline, nortriptyline), bupropion, trazodone, MAOIs (monoamine oxidase inhibitors)
- Mankhwala opha tizilombo opioid : monga Percocet, oxycodone, OxyContin, Ultram (tramadol), Demerol (meperidine), fentanyl, Vicodin
- Cough suppressants: Mankhwala aliwonse a chifuwa / ozizira omwe amakhala ndi dextromethorphan, monga Robitussin-DM, promethazine DM, Delsym, Mucinex-DM
- Mankhwala a Migraine: Ma Triptan monga Amerge (naratriptan), Imitrex (sumatriptan), Relpax (eletriptan), Zomig (zolmitriptan), Axert (almotriptan)
- Mankhwala ena akuchipatala: Metoclopramide, ondansetron, mzerezolid
- Zitsamba zowonjezera: Ginseng, Wort St.
- Mankhwala osokoneza bongo: Chisangalalo, LSD, cocaine
Kodi matenda a serotonin amafala motani?
Akatswiri ali simukutsimikiza kuchuluka kwa milandu ya serotonin syndrome. Izi ndichifukwa choti milandu yofatsa itha kunyalanyazidwa kapena kunyalanyazidwa. Milandu yayikulu kwambiri imatha kukhala chifukwa china. Tikudziwa kuti matenda a serotonin amatha kupezeka mwa anthu amisinkhu iliyonse, ndipo momwe ntchito yogwiritsira ntchito mankhwala opanikizika ikuchulukirachulukira, matenda a serotonin amawonjezeka.
Kodi zizindikiro za matenda a serotonin ndi ziti?
Zizindikiro za matenda a Serotonin zimakula msanga mutamwa mankhwalawa - 60% ya milandu imachitika pakadutsa maola asanu ndi limodzi. Odwala ambiri amakhala ndi zizindikiro mkati mwa maola 24.
Zizindikiro zimatha kusiyanasiyana kuchokera pakufatsa mpaka pangozi ya moyo ndipo zingaphatikizepo:
- Kusokonezeka
- Kuda nkhawa
- Kusakhazikika
- Kusintha / kusintha kwamaganizidwe
- Kusokonezeka kapena kusokonezeka
- Kutayika kwa kulumikizana kwa minofu
- Kutuluka thukuta kapena kunjenjemera
- Khungu lofewa
- Malungo
- Hyperthermia (kutenthedwa)
- Kuchuluka kwa kugunda kwa mtima, kuthamanga kwa magazi
- Nseru, kusanza, kutsegula m'mimba
- Kugwedezeka
- Kuuma kwa minofu, kuuma kwa minofu, kapena kugwedezeka kwa minofu, makamaka m'miyendo
- Zosokoneza maganizo
- Ophunzira opunduka
Zizindikiro zowopsa za serotonin zimaphatikizapo kutentha thupi, kugwa, kugunda kwamtima mosasinthasintha, komanso kukomoka.
ZOKHUDZA: Kodi kutentha thupi kotani komwe kumatengedwa ngati malungo?
Zoyenera kuchita ngati mukuganiza kuti muli ndi matenda a serotonin
Ngati mumamwa mankhwala omwe amakhudza kuchuluka kwa serotonin ndikukumana ndi zizindikilo zili pamwambazi, pitani kuchipatala mwachangu kapena kuchipatala. Milandu yayikulu imawopseza moyo ndipo imatha kupita patsogolo mpaka kufa.
Wopereka chithandizo chamankhwala omwe mumamuwona amatha kudziwa ngati ali ndi matenda a serotonin kuchipatala, pofufuza zizindikiro zanu ndikuwunikanso mankhwala omwe mumamwa (zonse zomwe mumalemba ndi zomwe mumalemba). Madokotala ena amagwiritsa ntchito Hunter Serotonin Zowopsa Kuthandiza kupeza matenda a serotonin.
Kodi chithandizo cha serotonin syndrome ndi chiani?
Funsani chithandizo mwachangu pazizindikiro za serotonin syndrome.
Ngati muli ndi zizindikilo zazing'ono, omwe amakuthandizani paumoyo wanu angakulimbikitseni kuti musiye mankhwalawa kapena mankhwala omwe amachititsa kuti achitepo kanthu nthawi yomweyo. Ngati muli ndi zambiri zokhudzana ndi matendawa, muyenera kuthandizidwa ndikuyang'aniridwa kuchipatala. Chithandizo cha matenda a serotonin chimadalira pazizindikiro komanso kuopsa kwa zizindikilo zake.
Mankhwala ena kale kuchiza zizindikiro monga:
- Benzodiazepines (monga diazepam ) kuthandiza kupwetekedwa, kugwidwa, ndi kuuma
- Cyproheptadine kuletsa kupanga serotonin
- Mankhwala ochepetsa kuthamanga kwa mtima kapena kuthamanga kwa magazi (kapena kukweza kuthamanga kwa magazi ngati kutsika kwambiri)
Mwinanso mungafunike madzi amadzimadzi a IV chifukwa cha kuchepa kwa madzi m'thupi ndi malungo, kapena oxygen yowonjezera.
Kodi matenda a serotonin amatenga nthawi yayitali bwanji?
Kutalika kwa nthawi yomwe mutha kukhala ndi matenda a serotonin kumasiyanasiyana. Ngati muli ndi mtundu wofatsa wa matenda a serotonin, mutha kumva bwino mkati mwa tsiku limodzi kapena atatu. Nthawi zina zimatha kutenga milungu ingapo kuti zitheke, kutengera kuti ndi mankhwala ati omwe amachititsa kuti achitepo kanthu komanso kuti mankhwalawo amakhala nthawi yayitali bwanji mthupi lanu.
American Family Physician akufotokoza kuti inu angathe achire kwathunthu ku matenda a serotonin, bola ngati azindikiridwa mwachangu komanso zovuta zimayendetsedwa bwino.
Kodi matenda a serotonin angayambitse kuwonongeka kwanthawi yayitali?
Pulogalamu ya nkhani yabwino ndikuti pafupifupi nthawi zonse, ngati matendawa agwidwa msanga, sipangakhale zotsatira zoyipa zazitali, malinga ndi akatswiri azachipatala.
Chifukwa chakufunika kochiza matenda a serotonin koyambirira, ndikofunikira kupeza chithandizo chamankhwala mwachangu ngati muli ndi zizindikiro.
Momwe mungapewere matenda a serotonin
Aliyense amene amamwa mankhwala omwe amachulukitsa serotonin ali pachiwopsezo cha matenda a serotonin.
- Kuti mukhale otetezeka, pezani mankhwala anu onse ku mankhwala amodzi. Mwanjira imeneyi, wazamalonda akhoza kukudziwani ndikukhala ndi mndandanda wathunthu wamankhwala kuti muwone momwe angayanjanitsire mankhwala.
- Ngati mungasinthe mtundu uliwonse wamankhwala, monga kuyambitsa mankhwala atsopano, nthawi zonse funsani wamankhwala wanu kuti muwonetsetse kuti simukubwerezabwereza serotonin.
- Ngati mumamwa mankhwala omwe amachulukitsa serotonin, dziwani za matenda a serotonin. Pitani kuchipatala mwachangu ngati muli ndi zizindikiro.
- Ngati mukufuna mankhwala ozizira / akutsokomola ndipo mukumwa kale mankhwala omwe amachulukitsa kuchuluka kwa serotonin, yang'anani zosakaniza, ndi kupewa dextromethorphan. Wosunga mankhwala anu akhoza kukuthandizani kusankha chinthu choyenera.
- Mankhwala osiyanasiyana amakhudza serotonin. Kusintha kwa mlingo kapena kuphatikiza mankhwala awiri omwe amawonjezera serotonin amatha kuyambitsa matenda a serotonin, omwe amatha kupha moyo.
Nthawi zonse funsani omwe amakuthandizani kuti muwone ngati mankhwala omwe mukumwa ndi ofanana.











