I damdawi ei hi a hlauhawm em? Serotonin Syndrome chungchang hi i zir dawn teh ang?

Vawiin hian kan sawi dawn a, chu chu a nasat deuh a, mahse i hriat chuan awlsam taka control theih a ni. Depression emaw, natna dang emaw damdawi i ei a ni thei. A châng chuan heng damdawite hian kan taksaah danglamna a thlen thei a, kan ngaihtuah phak loh harsatna a thlen thei bawk. Chutiang dinhmun pakhat chu serotonin syndrome a ni.

Serotonin Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Serotonin Syndrome hi damdawi lam thil a ni a, a chang chuan nunna atana hlauhawm thei a ni a, i taksaa chemical serotonin an tih tam lutuk vang a ni.

Ngaihtuah teh, serotonin hi chemical messenger pawimawh tak a ni a, kan thluak leh taksa peng dang nerve cell te hian a siam chhuak a ni. A dik tak chuan nerve cell inkara thuchah kengtu messenger a ni. Hei hi neurotransmitter kan ti a . He serotonin hian thil tam tak a nghawng a, chu chu kan rilru put hmang, mut leh ei duhna te hi a ni.

Mi tam zawk chuan serotonin nghawng thei damdawi (serotonergic) chu an doctor-in a tih angin, a dose tur angin him takin an ei thei a ni. Mahse, serotonin syndrome hi damdawi thar i hman tan emaw, i ei tawh damdawi dose i tihsan emaw hian a awm tam ber a, a bik takin damdawi hian i serotonin level a tisang a nih chuan. I taksain serotonin a hman dan a thlak danglam a nih chuan, emaw, serotonin level sang tak i tuar thei lo a nih chuan serotonin syndrome symptoms i nei thei a ni.

He natna hi natna lan chhuahna na lo tak tak , riltam leh rilru hahna atanga natna khirh zawk , khawsik sang leh seizures thlengin a awm thei. A then phei chuan serotonin syndrome na tak hi hriatchhuah leh enkawl vat loh chuan nunna atana hlauhawm tak a ni thei.

Doctor-te chuan serotonin syndrome hi kum 1960 chho khan an hmuchhuak hmasa ber a, antidepressant hmasa berte pawm a nih hnuah. Tunah chuan serotonin tichhe thei damdawi a tam chhoh zel avangin serotonin syndrome vei an awm nasa hle.

Hei hi tuin nge tipung thei ang?

Dik tak chuan tu pawhin hetiang hi an nei thei a, kum eng pawh ni se. Damdawi, over-the-counter damdawi, herbal supplement, dietary supplement, emaw, dan loa i serotonin level tichhe thei damdawi i hman chuan serotonin syndrome vei theihna i nei a ni.

Hemi chhinchhiahna langsar ber berte chu engte nge ni?

Serotonin syndrome natna lan chhuah dan leh a nasat dan hi mi hrang hrangah a inang lo thei. A na lo, a na lo, a na thei a, thihna pawh a thlen thei bawk.

Serotonin tichhe thei damdawi i ei a, heng symptoms te hi i neih chuan doctor ko nghal la, emergency room-ah kal nghal rawh.

Symptom tenau te

• Tlem a hlauthawng leh lungawi lohna.
• Nausea leh luak chhuak tih hriat.
• Pumpui na (diarrhea).
• Mit chhunga mit dum (black pupils) te chu a lian zawk (dilated pupils).
• I ke leh ke a nghing ang maia inhriatna (Tremor).

Symptoms a hniam lam (moderate) a awm

• Ka rilru a buai hle a, ka buai hle bawk.
• Muscle twitching, duh loh vanga muscle contraction, muscle spasm, muscle rigidity.
• Thaw chhuak nasa tak, khaw lum avanga khur chhuak.
• Mit chu a sir lehlamah a kal dan pangngai lo takin a kal a.

Symptom na tak tak a awm

• Buaina nasa tak, hriatna tihbuai ang maiin, a awmna leh engtik lai nge a nih tih theihnghilh (Confusion, disorientation, delirium).
• Heart rate hi nasa takin a sang (rapid heart rate).
• Thisen sang a sang.
• Taksa lumna sang hi 38.5 degree Celsius (101.3 degree Fahrenheit) aia sang a ni.
• Seizures a lo thleng dawn ta.
• Lungphu chu a mumal lo ta hle mai.
• Ka hriatna a hloh a, ka tlu ta a ni.

Engtiang chiahin nge symptoms a lo lang rang?

Heng symptoms te hi darkar tlemte chhungin a lang tan tlangpui , serotonin level tichhe thei damdawi thar i tan hnuah emaw, tuna i ei mek damdawi i tihpun hnuah emaw a ni. Mi zawng zawng deuhthaw hian serotonin tichhe thei damdawi emaw product emaw an ei atanga darkar 24 chhungin symptoms an nei vek a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Serotonin syndrome awm chhan ber chu i taksaa serotonin level a san vang a ni. Hei hi a hnuaia dinhmunteah hian a thleng thei a ni:

• Serotonin level tichhe thei damdawi pakhat aia tam hman a nih chuan.
• Serotonin-boosting damdawi thar i tan dawnin, emaw, tuna i ei mek damdawi i tihpun hunah emaw.
• Serotonin nena inzawm damdawi i ei tam lutuk chuan , accident emaw, tumruh emaw pawh a ni thei.
• Dan loa ruihhlo thenkhat, herbal products , emaw , over-the-counter drugs serotonin level tichhe thei hman hunah.

Eng damdawi leh thil dangin nge serotonin level a nghawng?

Tunah chuan eng damdawi chi nge serotonin level tichhe thei leh serotonin syndrome thlen thei tih i lo en ang u.

Antidepressant damdawi a ni

Chung zingah chuan antidepressant hi a pawimawh ber a ni. Heng damdawi te hi serotonin level tichhe bertu an ni. Hetiang dinhmun hi heng antidepressants te hi serotonin tichhe thei damdawi dang, migraines tan triptans emaw, natna tihziaawmna atana opioids emaw te nen hman dun a nih hian a thleng fo thin.

Antidepressant chi hrang hrang leh entirnan hetiang hi a ni:

• `Selective serotonin reuptake inhibitors (SSRIs): He pawlah hian damdawi `fluoxetine (Prozac®), `citalopram (Celexa®), `sertraline (Zoloft®), `paroxetine (Paxil®)` leh `escitalopram (Lexapro®) te an tel a ni.` Hengte hi hman tam ber an nih avangin serotonin syndrome nena inzawm ber an ni.
• Serotonin-norepinephrine reuptake inhibitor (SNRIs): Chungte entirnan duloxetine (Cymbalta®), venlafaxine (Effexor®), desvenlafaxine (Pristiq), levomilnacipran (Fetzima) leh milnacipran (Savella) te hi an ni.
• `Tricyclic antidepressants`: He pawlah hian damdawi `amitriptyline (Elavil®)`, `clomipramine (Anafranil®)`, leh `nortriptyline (Pamelor®)` te a tel a ni.
• `Monoamine oxidase inhibitor (MAOIs): Damdawi `phenelzine (Nardil®)`, `selegiline (Emsam®)` leh `tranylcypromine (Parnate®)` te hi he category-ah hian a awm a.
• Serotonin modulators: nefazodone leh trazodone (Desyrel®) te ang chi te.
• Hei hi entirnan `Norepinephrine reuptake inhibitor`: `bupropion (Wellbutrin®).` tih hi a ni

Damdawi dang

Antidepressant bakah hian taksaa serotonin level tichhe thei damdawi dang a awm bawk. Hengte hi serotonin tichhe thei damdawi dang nena hman dun a nih chuan a hlauhawmna a sang hle. Heng damdawi te hi:

• Natna nasa tak tan: Opioid class atanga natna tidamtu, tramadol (Ultram®), meperidine (Demerol®), tapentadol (Nucynta®), hydrocodone (Hysingla ER®), oxycodone (Oxycontin®), fentanyl (Actiq®), leh methadone te.
• Khuh: Over-the-counter (OTC) khuh leh khawsik damdawi thenkhat, dextromethorphan te hian serotonin level a tichhe thei a ni.
• Migraine lu na tan: Triptan-ah hian almotriptan (Axert®), eletriptan (Relpax®), leh sumatriptan (Imitrex®) te a tel.
• HIV/AIDS tan chuan: `ritonavir (Norvir®)`.
• Antibiotics: linezolid (Zyvox®) tih a ni.
• Nausen leh ril\am damdawi: `metoclopramide (Reglan®)`, `granisetron (Sustol®)`, `ondansetron (Zofran®)` te hi a ni.
• Mood stabilizer: lithium (Lithobid®) tih a ni.

Thil dang siam chhuah

Damdawi bakah hian traditional herbs thenkhat, dietary supplement, leh dan loa ruihhlo te pawhin serotonin level a nghawng thei a, he natna hi a thlen thei bawk.

• Herbal supplement: Heng zingah hian ginseng, St. John’s wort, Syrian rue, leh nutmeg te pawh a tel thei.
• Dan loa ruihhlo: Ecstasy, LSD, cocaine, amphetamines, leh methamphetamines ang chi thil te.
• Dietary supplement hrang hrang: 1.1.Tryptophan a ni.

Damdawi lam mithiamte chuan serotonin syndrome chungchang hi an la zir nasa hle. Damdawi i ei dan leh serotonin a nghawng em tih chungchanga zawhna i neih chuan i doctor emaw, i damdawi i lakna damdawi dawr-a mi emaw nen inbia ang che.

Doctor-te hian engtin nge hei hi an hriat?

Tunah chuan doctor ten he thil hi engtin nge an diagnose tih i en ang u. A nihna takah chuan serotonin syndrome finfiah nan test bik a awm lo. I doctor chuan a tlangpuiin a enfiah che a, i natna lan chhuah dan a zawt ang a, i serotonin level tichhe thei damdawi i ei mekte a zir bawk ang.

I ei zawng zawng (damdawi, damdawi man, supplement, herbal remedies, damdawi phal loh thlengin) chiang taka sawiin i doctor i pui thei ang. (Thudik sawi rawh, hlau suh. Doctor chu pui turin a awm a, rorelsak turin a awm lo.)

I doctor pawhin hetiang test hi a ti thei bawk:

• Thisen leh zun test a, damdawi ei tur level enfiah thin.
• I taksa peng dangte chu a thawk tha em tih enfiah thin ang che.
• Taksaah natna hrik a awm em tih test a, spinal tap pawh a ni mai thei.
• Chest X-ray emaw CT scan emaw hmangin natna dang (a lan chhuah dan inang) a awm loh nan emaw, harsatna dang a awm leh awm loh enfiah emaw theih a ni.

Hei hi engtin nge enkawl a nih?

I enkawlna tur chu i natna lan chhuah dan a nasat danah a innghat ang.

• Symptoms tenau: Symptoms tenau a nih chuan damdawi tihtawp emaw, a dose thlak emaw hian darkar 24 atanga 72 chhungin a reh tlangpui . A natna lan chhuah dan a reh vat loh chuan serotonin tikhawlo thei damdawi cyproheptadine (Periactin®) te pawh pek theih a ni.
• Symptoms moderate: I symptoms moderate a nih chuan darkar 24 tal damdawi inah dah i ni ang a, enkawl a nih chuan i symptoms chu a tha lehzual em tih en a ni ang.
• Natna lan chhuah dan: A natna a nasat em avangin Intensive Care Unit (ICU)-ah dah i ni ang a, chutah chuan i taksa leh taksa peng hrang hrangte hnathawh dan uluk taka enfiah a ni ang.

A lan chhuah dan azirin a hnuaia enkawlna te hi pek theih a ni.

• Benzodiazepine ang chi sedative hian natna lan chhuahna, agitation, muscle stiffness, leh seizures te a tiziaawm thei a ni.
• Saline `(IV fluids)` hi fluid retention leh fever tihziaawm nan pek thin a ni a, oxygen hi `(mask)` hmangin hmaiah pek a ni a, thisenah oxygen level tihsan nan.
• Heart rate leh thisen sang control nana damdawi.
• Khawsik sang tak (41.1 degree Celsius / 106 degree Fahrenheit) tihziaawm nan thawk harsatna atan thawkna tube dah a ni a, sedation pek a ni a, muscle relaxant pek a ni bawk.
• Damdawi dangin a tihdam thuai loh chuan serotonin blocking drug cyproheptadine an tih chu an pe thin.

I serotonin syndrome hi antidepressant avanga lo awm a nih chuan damdawi chu i taksa atanga a chhuah vek theih nan leh i symptoms te chu a bo vek theih nan kar engemaw zat a ngai thei.

A pawimawh ber: Damdawi engmah ei khap suh la, doctor nen inbia lovin a dose pawh thlak suh. Mahse, natna lanchhuahna na tak i neih emaw, i natna a zual emaw chuan damdawi lam pan nghal vat rawh. Serotonin syndrome hi nunna atana hlauhawm tak a ni thei.

Eng harsatna nge thleng thei?

Enkawl loh chuan serotonin syndrome hian harsatna a thlen thei a, chungte chu:

• Seizures a awm thin.
• Thâwk harsa.
• Kidney tha lo a awm. Muscle breakdown products thisenah a lo awm khawm a, kidney-in a filter chuan enkawl loh chuan kal a tichhia nasa thei hle.
• Coma state ah a awm.
• Thihna pawh a thleng thei.

Engtin nge he thil lakah hian chhandam kan nih?

• Damdawi i ei apiang hi ngun taka ngaihven a pawimawh hle. Damdawi bungrua emaw, a kaihhnawih information leaflet emaw-a vaukhânna zawng zawng chhiar vek rawh. Serotonin syndrome vei theihna a awm leh awm loh a hrilh ang che.
• Doctor nen inbia lovin damdawi engmah ei khap suh.
• I damdawi ei zawng zawng (prescription damdawi, over-the-counter damdawi, traditional herbs, supplement, damdawi phal loh thlengin) i enkawltu doctor zawng zawngte chu hriattir zel ang che.
• Migraine tan triptan antidepressant (a bik takin SSRI emaw SNRI emaw) nen i ei a nih chuan i doctor chuan uluk takin a enkawl tur che a ni. Risk chu a tlem hle niin an ngai a, a awm lo pawh a ni mai thei. Mahse, mawhphurhna i nei tih hre reng ang che: He thuziaka târ lan lan dân eng emaw tal i neih chuan i doctor chu ko nghâl rawh.
• Heng fimkhur dante zawm hian nang leh i doctor te chu serotonin syndrome chhinchhiahna te chu an hre hmasa thei ang. A hmaa hriatchhuah hian natna lan chhuahna na tak a awm loh nan a pui thei a ni.

Hetiang dinhmunah hian eng nge kan beisei ang?

Hriat vat a, enkawl vat a nih chuan mi tam zawkte natna lan chhuah dan chu darkar 24 atanga darkar 72 chhungin a reh vek ang.

I dam hnuah i doctor chuan:

• Hetiang natna thlentu damdawi dose hi a effective dose hniam ber thlengin tihhniam rawh.
• Serotonin tichhe thei damdawi dose sang pahnih pek dun kha bansan rawh.
• Damdawi dang serotonin tichhe lo lam pan leh rawh.

Engtikah nge ka doctor ka biak ang ?

• Serotonin syndrome (or symptoms zual zel) i neih chuan doctor ko nghal la, emergency room-ah kal nghal rawh. A bik takin damdawi thar i ei tan a, damdawi hman mek i tihpun a nih chuan, a nih loh leh serotonin level tichhe thei nia i hriat damdawi i ei a nih chuan fimkhur hle ang che.
• Damdawi ei kha titawp suh la, doctor nen inbia lovin a dose pawh thlak suh.
• I damdawi ei zawng zawng chu i doctor zawng zawngin an hriat vek tur a ni.
• I damdawi nena rawn kal warnings leh information leaflet te chu ngun takin chhiar la.
• Serotonin syndrome natna lan chhuah dan zir rawh. A bik takin antidepressant i ei a nih chuan heng symptoms te hi hre reng ang che.
• I damdawi ei leh natna lan chhuah dan chungchanga zawhna i neih chuan i doctor emaw pharmacist emaw zawt la.
• Symptoms i hmuh chuan, emaw, i symptoms a na zual a nih chuan doctor ko nghal emaw, emergency room-a kal emaw theihnghilh suh.

He thawnthu atang hian eng thuchah nge in lama kan hruai duh?

• Serotonin Syndrome hi natna khirh tak a ni thei a, mahse uluk taka enkawl a nih chuan tihdam theih a ni .
• Damdawi i ei apiang chu i doctor nen zalen takin sawi rawh, a bik takin damdawi thar i hman tan emaw, a hman dan tur i thlak emaw a nih chuan.
• A symptoms te chu fimkhur rawh. Ringhlelna i neih chuan , hun khawhral lovin damdawi lam thurawn zawng rawh.
• I hriselna i hre chiang ber tih hre reng la, chuvangin inthlak danglamna eng pawh hriat a pawimawh.

` Serotonin syndrome, serotonin, antidepressant, damdawi side effect, thluaka chemical, neurotransmitter, damdawi reaction