Koj puas noj tshuaj rau kev nyuaj siab, kev ntxhov siab, lossis lwm yam mob? Yog li tsab xov xwm no tseem ceeb heev rau koj. Qee zaum, ib lossis ntau yam tshuaj uas peb noj tuaj yeem ua rau peb lub cev tsim cov tshuaj hu ua serotonin ntau dhau. Qhov no yog qhov uas cov kws kho mob hu ua serotonin syndrome . Txawm hais tias lub npe yuav zoo li nyuaj thaum xub thawj, nws yog ib yam dab tsi uas peb txhua tus yuav tsum paub. Cia peb saib seb nws yog dab tsi, vim li cas nws thiaj txaus ntshai, thiab peb yuav tiv thaiv peb tus kheej li cas.
Ua ntej tshaj, Serotonin yog dab tsi?
Hais yooj yim xwb, serotonin yog ib yam tshuaj uas peb lub cev tsim tawm hauv peb. Yog hais kom meej, nws zoo li ib tug neeg xa xov me me uas nqa cov lus ntawm cov hlwb hauv peb lub paj hlwb. Hauv kev kho mob, peb hu qhov no ua neurotransmitter.
Nws ua ntau yam haujlwm tseem ceeb hauv peb lub cev. Piv txwv li:
- Tswj koj txoj kev zoo siab thiab koj lub siab .
- Pab koj tsaug zog zoo hmo ntuj .
- Txhim kho kev nco qab thiab kev kawm .
- Tswj qhov kub ntawm lub cev.
- Khoom noj ua rau lub siab xav noj mov .
Muaj coob tus neeg xav tias serotonin tsuas pom nyob hauv lub hlwb xwb. Tiam sis qhov tseeb, 90% ntawm serotonin hauv peb lub cev pom nyob hauv plab hnyuv. Tsuas yog li ntawm 10% xwb uas tsim tawm hauv lub hlwb. Cov kws tshawb fawb ntseeg tias ib qho ua rau muaj mob xws li kev nyuaj siab yog qhov txo qis ntawm serotonin hauv lub hlwb. Txawm li cas los xij, yog tias qhov no nce ntau dhau, nws tuaj yeem ua rau cov hlwb ntawm lub paj hlwb ua haujlwm ntau dhau thiab ua rau muaj cov tsos mob txaus ntshai. Qhov no yog qhov peb hu ua serotonin syndrome.
Cov tsos mob ntawm serotonin syndrome yog dab tsi?
Cov tsos mob no feem ntau tshwm sim li ntawm ob peb teev tom qab pib siv tshuaj tshiab uas cuam tshuam rau cov theem serotonin , lossis nce qhov koob tshuaj ntawm cov tshuaj uas twb muaj lawm.
| Cov tsos mob feem ntau | |
|---|---|
| Kev hloov pauv ntawm lub hlwb thiab tus cwj pwm | Kev tsis meej pem, kev tsis nyob twj ywm, kev ntxhov siab. |
| Kev hloov pauv ntawm lub cev | Cov qhov muag qhib, mob taub hau, kev hloov pauv ntawm cov ntshav siab thiab qhov kub ntawm lub cev, xeev siab, ntuav, raws plab. |
| Cov tsos mob ntsig txog lub paj hlwb | Lub plawv dhia ceev ceev, tshee hnyo, tsis tswj tau cov leeg nqaij lossis co, cov leeg nqaij tawv, xav tias txias thiab ntub dej, thiab tawm hws ntau dhau. |
| Ceeb Toom: Cov no yog cov tsos mob loj heev, uas yuav ua rau tuag taus! | |
| Kub taub hau heev, qaug dab peg, lub plawv dhia tsis xwm yeem, thiab tsaus muag. | |
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no : kub taub hau heev, qaug dab peg, lub plawv dhia tsis xwm yeem, lossis tsis nco qab , nws yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) tam sim ntawd lossis hu rau lub tsheb thauj neeg mob. Qhov no tuaj yeem ua rau tuag taus yog tias tsis kho sai.
Dab tsi ua rau muaj tus mob no?
Qhov no feem ntau yog tshwm sim los ntawm cov tshuaj, tshwj xeeb tshaj yog thaum siv ob lossis ntau cov tshuaj uas cuam tshuam rau cov theem serotonin ua ke.
Cov neeg ua txhaum loj: Cov tshuaj Antidepressants
- SSRIs (Cov Tshuaj Xaiv Serotonin Reuptake Inhibitors): Cov no yog hom tshuaj antidepressant uas feem ntau siv. Lawv ua rau cov serotonin ntau ntxiv hauv lub hlwb. Piv txwv li: 'Citalopram', ' Escitalopram (Lexapro)', 'Fluoxetine (Prozac)', 'Sertraline (Zoloft)'.
- SNRIs (Serotonin thiab Norepinephrine Reuptake Inhibitors): Qhov no yog lwm hom tshuaj antidepressant. Piv txwv li: `Duloxetine (Cymbalta)`, `Venlafaxine (Effexor)`.
- MAOIs (Monoamine Oxidase Inhibitors): Cov no yog cov tshuaj antidepressant uas laus dua me ntsis, tab sis tseem muaj zog heev.
Lwm cov tshuaj, cov tshuaj ntxiv, thiab cov tshuaj uas ua rau muaj kev pheej hmoo ntxiv
- Tshuaj Tua Kab Mob: Qee cov tshuaj tua kab mob muaj zog, tshwj xeeb yog cov tshuaj opioids xws li Tramadol thiab Fentanyl.
- Cov tshuaj kho mob migraine (Triptans): Piv txwv li: 'Sumatriptan (Imitrex)'.
- Qee cov tshuaj hnoos: Cov tshuaj hnoos uas muaj 'Dextromethorphan'.
- Cov tshuaj tiv thaiv kev xeev siab: Piv txwv li: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
- Cov tshuaj ntsuab ntxiv: Muaj kev pheej hmoo thaum noj cov khoom xws li St. John's wort thiab Ginseng nrog cov tshuaj antidepressants.
- Cov tshuaj yeeb tsis raug cai: Kev siv cov tshuaj xws li Ecstasy (MDMA), LSD, Cocaine, thiab Amphetamines nrog cov tshuaj antidepressants yog qhov txaus ntshai heev.
Tus kws kho mob kuaj mob li cas?
Tsis muaj ib qho kev kuaj mob twg uas qhia tau tseeb tias qhov no yog dab tsi. Koj tus kws kho mob yuav kuaj mob no los ntawm kev nug koj cov lus nug thiab kuaj koj.
Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj, vitamin, tshuaj ntsuab, thiab txawm tias cov tshuaj txhaum cai uas koj noj. Koj tus kws kho mob nyob ntawd los pab koj, tsis yog los txiav txim rau koj. Kev kuaj mob thiab kev kho mob kom raug yog nyob ntawm cov ntaub ntawv koj muab.
Koj tus kws kho mob yuav hais kom kuaj ntshav, kuaj zis, thiab tej zaum yuav ua CT scan kom paub tseeb tias tsis muaj lwm yam mob (piv txwv li, kev kis kab mob, kub hnyiab).
Yuav kho li cas?
Txoj kev kho mob nyob ntawm seb koj cov tsos mob hnyav npaum li cas.
Qhov ua ntej thiab qhov tseem ceeb tshaj plaws yog tsum tsis txhob noj cov tshuaj uas ua rau muaj qhov no.
- Cov tsos mob me me: Feem ntau cov neeg yuav zoo dua hauv 24 teev tom qab tso tseg cov tshuaj uas ua rau muaj cov tsos mob. Koj tus kws kho mob yuav cia koj nyob hauv tsev kho mob kom soj ntsuam.
- Cov tsos mob nruab nrab: Tej zaum yuav tsum tau pw hauv tsev kho mob thiab soj ntsuam tsawg kawg 24 teev.
- Cov tsos mob hnyav: Thaum lub sijhawm no, tej zaum koj yuav tsum tau mus rau chav kho mob hnyav (ICU) kom tau kev kho mob. Ntawm no, tej yam xws li lub plawv dhia thiab ntshav siab raug saib xyuas tas li.
Cov kev kho mob yuav muaj xws li:
- Cov tshuaj uas thaiv kev tsim cov serotonin: Piv txwv li, cov tshuaj zoo li 'Cyproheptadine'.
- Cov tshuaj ua kom cov leeg so thiab cov tshuaj tiv thaiv kev ntxhov siab: Benzodiazepines, xws li Diazepam (Valium).
- Cov tshuaj uas tswj lub plawv dhia thiab ntshav siab.
- Cov pa oxygen thiab saline (Intravenous - IV fluids): Txhawm rau tswj kev qhuav dej thiab kub taub hau.
Peb yuav tiv thaiv peb tus kheej li cas ntawm qhov xwm txheej no?
Qhov no yog ib yam uas feem ntau tuaj yeem tiv thaiv tau. Muaj ob peb yam koj yuav tsum ua.
- Qhia rau koj tus kws kho mob:Qhia rau koj tus kws kho mob txog txhua yam tshuaj, vitamin, thiab cov tshuaj ntsuab uas koj noj. Qhov no tseem ceeb heev yog tias koj noj tshuaj los ntawm ntau tus kws kho mob.
- Paub txog cov tsos mob: Yog tias koj noj ntau tshaj ib yam tshuaj uas cuam tshuam rau serotonin, paub txog cov tsos mob ntawm serotonin syndrome. Yog tias muaj cov tsos mob tshwm sim, koj tuaj yeem paub lawv sai sai.
- Tsis txhob tsum noj koj cov tshuaj tam sim ntawd: Tsis txhob tsum noj tshuaj tam sim ntawd lossis hloov qhov ntau npaum li cas yam tsis tau nrog koj tus kws kho mob tham.
- Nug yog tias koj muaj lus nug: Yog tias koj muaj lus nug lossis kev tsis ntseeg txog tshuaj, nug koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Serotonin syndrome yog ib qho mob uas yuav ua rau tuag taus los ntawm kev tsim cov tshuaj serotonin ntau dhau hauv lub cev.
- Qhov laj thawj tseem ceeb rau qhov no yog kev sib xyaw ua ke lossis kev nce ntxiv ntawm cov tshuaj, xws li cov tshuaj antidepressants.
- Saib xyuas cov tsos mob xws li tsis nyob twj ywm, tshee hnyo, tawm hws ntau dhau, thiab lub plawv dhia ceev.
- Yog tias koj muaj cov tsos mob hnyav xws li kub taub hau heev, qaug dab peg, lossis tsis nco qab, suav tias qhov no yog xwm txheej ceev thiab mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Qhov kev pheej hmoo no feem ntau yuav zam tau los ntawm kev tham ncaj ncees nrog koj tus kws kho mob txog txhua yam tshuaj thiab cov tshuaj ntxiv uas koj noj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus