Ke lawe nei ʻoe i ka lāʻau lapaʻau no ke kaumaha, ka hopohopo, a i ʻole kekahi maʻi olakino ʻē aʻe? A laila he mea nui loa kēia ʻatikala iā ʻoe. I kekahi manawa, hoʻokahi a ʻoi aku paha nā lāʻau lapaʻau a mākou e lawe ai e hiki ai i ko mākou kino ke hana i ka nui o kahi kemika i kapa ʻia ʻo serotonin. ʻO kēia ka mea a nā kauka e kapa nei he serotonin syndrome . ʻOiai ke ʻano paʻakikī ka inoa i ka nānā mua ʻana, he mea ia e pono ai mākou āpau e ʻike. E nānā kākou i ke ʻano o ia mea, no ke aha he mea weliweli, a pehea e hiki ai iā mākou ke pale iā mākou iho.
ʻO ka mea mua, he aha ka Serotonin?
I ka ʻōlelo maʻalahi, he kemika ka serotonin a ko kākou kino e hana ai i loko o kākou. I ka pololei, ua like ia me kahi ʻelele liʻiliʻi e lawe ana i nā leka ma waena o nā cell i loko o kā kākou ʻōnaehana nerve. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he neurotransmitter.
Hana ia i nā hana koʻikoʻi he nui i loko o ko kākou kino. Eia kekahi laʻana:
- Hoʻokele i kou hauʻoli a me kou ʻano .
- Kōkua iā ʻoe e hiamoe maikaʻi i ka pō .
- Hoʻomaikaʻi i ka hoʻomanaʻo a me ka hiki ke aʻo .
- Hoʻomalu i ka mahana o ke kino.
- Hoʻoulu ka meaʻai i ka makemake .
Manaʻo ka poʻe he nui aia wale nō ka serotonin ma ka lolo. Akā ʻo ka ʻoiaʻiʻo, 90% o ka serotonin i loko o ko kākou kino i loaʻa i loko o ka ʻōpū. Ma kahi o 10% wale nō i hana ʻia i loko o ka lolo. Manaʻo nā kānaka noiʻi ʻo kekahi o nā kumu o nā kūlana e like me ke kaumaha, ʻo ia ka emi ʻana o nā pae serotonin i loko o ka lolo. Eia naʻe, inā piʻi nui kēia, hiki iā ia ke hoʻoulu nui i nā hunaola nerve a hoʻoulu i nā hōʻailona weliweli. ʻO kēia ka mea a mākou e kapa nei he serotonin syndrome.
He aha nā hōʻailona o ka maʻi serotonin?
ʻIke pinepine ʻia kēia mau hōʻailona i loko o kekahi mau hola o ka hoʻomaka ʻana i kahi lāʻau hou e hoʻopilikia ai i nā pae serotonin , a i ʻole ka hoʻonui ʻana i ka nui o kahi lāʻau lapaʻau e kū nei.
| Nā hōʻailona maʻamau | |
|---|---|
| Nā loli noʻonoʻo a me ke ʻano | Huikau, hoʻomaha ʻole, hoʻonāukiuki. |
| Nā loli kino | Nā haumāna i hoʻonui ʻia, ʻeha poʻo, nā loli i ke koko a me ka mahana o ke kino, ka nausea, ka luaʻi ʻana, ka maʻi pākī. |
| Nā hōʻailona e pili ana i ka ʻōnaehana nerve | Ka puʻuwai wikiwiki, ka haʻalulu, ka nalowale o ke kaohi a i ʻole ka ʻūlū ʻana o nā ʻiʻo, ka ʻoʻoleʻa o nā ʻiʻo, ke anu a me ka paʻa, a me ka hou nui. |
| Hoʻolohe: He mau hōʻailona koʻikoʻi kēia, a he mea hoʻoweliweli paha i ke ola! | |
| Kuni kiʻekiʻe loa, nā maʻi ʻūlū, ka puʻuwai kūpono ʻole, a me ka nalowale ʻana o ka ʻike. | |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona : ke kuni kiʻekiʻe loa, ka hopu ʻana, ka puʻuwai kūpono ʻole, a i ʻole ka nalowale o ka ʻike , he pilikia olakino ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) a kāhea aku paha i kahi kaʻa kaʻa. Hiki i kēia ke make inā ʻaʻole mālama koke ʻia.
He aha ke kumu o kēia kūlana?
Hoʻokumu pinepine ʻia kēia e nā lāʻau lapaʻau, ʻoiai ke hoʻohana pū ʻia ʻelua a ʻoi aku paha nā lāʻau lapaʻau e hoʻopilikia ana i nā pae serotonin.
Nā mea hana hewa nui: Nā lāʻau antidepressants
- Nā SSRI (Selective Serotonin Reuptake Inhibitors): ʻO kēia ke ʻano antidepressant i kuhikuhi pinepine ʻia. Hoʻonui lākou i nā pae serotonin i loko o ka lolo. Nā laʻana: `Citalopram`, ` Escitalopram (Lexapro)`, `Fluoxetine (Prozac)`, `Sertraline (Zoloft)`.
- ʻO SNRIs (Serotonin a me Norepinephrine Reuptake Inhibitors): He ʻano antidepressant ʻē aʻe kēia. Nā laʻana: `Duloxetine (Cymbalta)`, `Venlafaxine (Effexor)`.
- MAOIs (Monoamine Oxidase Inhibitors): He ʻano kahiko iki kēia, akā he ʻano ikaika nō naʻe o ka antidepressant.
Nā lāʻau lapaʻau ʻē aʻe, nā mea hoʻohui, a me nā lāʻau lapaʻau e hoʻonui ai i ka pilikia
- Nā lāʻau hoʻopau ʻeha: ʻO kekahi mau lāʻau hoʻopau ʻeha ikaika, ʻoiai nā opioids e like me Tramadol lāua ʻo Fentanyl.
- Nā lāʻau lapaʻau migraine (Triptans): Laʻana: `Sumatriptan (Imitrex)`.
- Kekahi mau lāʻau lapaʻau no ke kuni: Nā syrup no ke kuni e loaʻa ana ka 'Dextromethorphan'.
- Nā lāʻau lapaʻau hoʻēmi i ka nausea: Nā laʻana: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
- Nā mea hoʻohui lāʻau lapaʻau: Aia kekahi mau pilikia i ka lawe ʻana i nā mea e like me ka wort a St. John lāua ʻo Ginseng me nā antidepressants.
- Nā lāʻau lapaʻau kū ʻole i ke kānāwai: ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e like me Ecstasy (MDMA), LSD, Cocaine, a me Amphetamines me nā antidepressants he mea weliweli loa ia.
Pehea e ʻike ai ke kauka i kēia?
ʻAʻohe hoʻokolohua hoʻokahi e hiki ke haʻi pololei iā ʻoe i ke ʻano o kēia. E ʻike kāu kauka i kēia maʻi ma ka nīnau ʻana iā ʻoe i nā nīnau a me ka nānā ʻana iā ʻoe.
He mea nui loa ia e haʻi aku i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, mea hoʻohui lāʻau lapaʻau, a me nā lāʻau lapaʻau kū ʻole i ke kānāwai āu e lawe nei. Aia kāu kauka ma laila e kōkua iā ʻoe, ʻaʻole e hoʻohewa iā ʻoe. ʻO ka ʻike pololei a me ka lāʻau lapaʻau e pili ana i ka ʻike āu e hāʻawi ai.
Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko, nā hoʻāʻo mimi, a me kahi scan CT paha e hōʻoia ʻaʻohe pilikia olakino ʻē aʻe (e laʻa, ka maʻi, ka hahau wela).
Pehea e mālama ʻia ai?
ʻO ke ʻano o ka mālama ʻana ma muli o ke koʻikoʻi o kāu mau hōʻailona.
ʻO ka mea mua a me ka mea nui loa, ʻo ia ka hoʻōki ʻana i ka lāʻau lapaʻau i hoʻokumu i kēia.
- Nā hōʻailona liʻiliʻi: Manaʻo ka hapa nui o ka poʻe i ka maikaʻi i loko o 24 mau hola o ka hoʻōki ʻana i ka lāʻau lapaʻau i hoʻokumu i nā hōʻailona. Hiki i kāu kauka ke mālama iā ʻoe i ka haukapila no ka nānā ʻana.
- Nā hōʻailona kaulike: Pono paha ka hoʻokipa ʻana a me ka nānā ʻana no 24 mau hola ma ka liʻiliʻi.
- Nā hōʻailona koʻikoʻi: I kēia manawa, pono paha ʻoe e komo i ka ʻāpana mālama koʻikoʻi (ICU) no ka mālama ʻana. Maanei, e nānā mau ʻia nā mea e like me ka helu o ka puʻuwai a me ke koko.
Hiki i nā lāʻau lapaʻau ke komo pū me:
- Nā lāʻau lapaʻau e ālai ai i ka hana ʻana o ka serotonin: No ka laʻana, nā lāʻau lapaʻau e like me 'Cyproheptadine'.
- Nā mea hoʻomaha ʻiʻo a me nā lāʻau anti-anxiety: Benzodiazepines, e like me Diazepam (Valium).
- Nā lāʻau lapaʻau e kaohi ai i ka helu o ka puʻuwai a me ke koko.
- ʻOkikene a me ka saline (Intravenous - IV fluids): No ka mālama ʻana i ka dehydration a me ke kuni.
Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia kūlana?
He mea kēia e hiki ke pale pinepine ʻia. Aia kekahi mau mea e pono ai ʻoe e hana.
- E hoʻomaopopo i kāu kauka:E haʻi i kāu kauka e pili ana i kēlā me kēia lāʻau lapaʻau, wikamina, a me nā mea hoʻohui lāʻau lapaʻau āu e lawe ai. He mea nui loa kēia inā ʻoe e lawe ana i nā lāʻau lapaʻau mai nā kauka he nui.
- E makaʻala i nā hōʻailona: Inā ʻoe e lawe ana ma mua o hoʻokahi lāʻau lapaʻau e hoʻopilikia ana i ka serotonin, e makaʻala i nā hōʻailona o ka serotonin syndrome. Inā ʻike ʻia kekahi mau hōʻailona, hiki iā ʻoe ke ʻike koke iā lākou.
- Mai ho'ōki koke i ka lawe ʻana i kāu lāʻau lapaʻau: Mai ho'ōki koke i ka lawe ʻana i kekahi lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
- E nīnau inā he nīnau kāu: Inā he mau nīnau a kānalua paha kāu e pili ana i kahi lāʻau lapaʻau, e nīnau i kāu kauka.
Leka Lawe-Home
- ʻO ka maʻi Serotonin kahi maʻi hoʻoweliweli e ola ai i loaʻa i ka nui o ka serotonin kemika i loko o ke kino.
- ʻO ke kumu nui o kēia ka hui pū ʻana a i ʻole ka hoʻonui ʻia ʻana o kekahi mau lāʻau lapaʻau, e like me nā antidepressants.
- E makaʻala i nā hōʻailona e like me ka hoʻomaha ʻole, ka haʻalulu, ka hou nui, a me ka wikiwiki o ka naʻau.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ke kuni nui, ka hopu ʻana, a i ʻole ka nalowale o ka ʻike, e noʻonoʻo he pilikia ia a hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Hiki ke pale nui ʻia kēia pilikia ma ke kamaʻilio pololei ʻana me kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe ai.
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