Kodi Serotonin Syndrome ndi chiyani? Tiyeni tidziwe izi!

Kodi mukumwa mankhwala a kuvutika maganizo, nkhawa, kapena matenda ena? Ndiye nkhaniyi ndi yofunika kwambiri kwa inu. Nthawi zina, mankhwala amodzi kapena angapo omwe timamwa angapangitse thupi lathu kupanga mankhwala ambiri otchedwa serotonin. Izi ndi zomwe madokotala amatcha serotonin syndrome . Ngakhale dzinali lingawoneke lovuta poyamba, ndi chinthu chomwe tonsefe tiyenera kudziwa. Tiyeni tiwone chomwe chili, chifukwa chake ndi choopsa, komanso momwe tingadzitetezere.

Choyamba, kodi Serotonin ndi chiyani?

Mwachidule, serotonin ndi mankhwala omwe matupi athu amapanga mkati mwathu. Kunena zoona, ali ngati kamthenga kakang'ono komwe kamanyamula mauthenga pakati pa maselo mu dongosolo lathu la mitsempha. M'mawu azachipatala, timatcha izi kuti neurotransmitter.

Imagwira ntchito zambiri zofunika m'thupi lathu. Mwachitsanzo:

• Amalamulira chisangalalo chanu ndi momwe mukumvera .
• Zimakuthandizani kugona bwino usiku .
• Zimathandiza kukumbukira bwino komanso kuphunzira bwino .
• Amalamulira kutentha kwa thupi.
• Chakudya chimalimbikitsa chilakolako cha chakudya .

Anthu ambiri amaganiza kuti serotonin imapezeka mu ubongo wokha. Koma kwenikweni, 90% ya serotonin m'thupi lathu imapezeka m'matumbo. Pafupifupi 10% yokha ndi yomwe imapangidwa mu ubongo. Ofufuza amakhulupirira kuti chimodzi mwa zifukwa zomwe zimayambitsa matenda monga kuvutika maganizo ndi kuchepa kwa serotonin mu ubongo. Komabe, ngati izi zikuwonjezeka kwambiri, zimatha kuyambitsa maselo amitsempha mopitirira muyeso ndikuyambitsa zizindikiro zoopsa. Ichi ndi chomwe timachitcha serotonin syndrome.

Kodi zizindikiro za serotonin syndrome ndi ziti?

Zizindikiro zimenezi nthawi zambiri zimawonekera mkati mwa maola ochepa mutayamba kumwa mankhwala atsopano omwe amakhudza kuchuluka kwa serotonin , kapena kuwonjezera mlingo wa mankhwala omwe alipo kale.

Kodi n’chiyani chimayambitsa vutoli?

Izi nthawi zambiri zimachitika chifukwa cha mankhwala, makamaka pamene mankhwala awiri kapena angapo omwe amakhudza kuchuluka kwa serotonin agwiritsidwa ntchito limodzi.

Zoyambitsa zazikulu: Mankhwala oletsa kuvutika maganizo

• SSRIs (Selective Serotonin Reuptake Inhibitors): Izi ndi mitundu yodziwika kwambiri ya mankhwala oletsa kuvutika maganizo. Amawonjezera kuchuluka kwa serotonin mu ubongo. Zitsanzo: `Citalopram`, ` Escitalopram (Lexapro)`, `Fluoxetine (Prozac)`, `Sertraline (Zoloft)`.
• Ma SNRI (Serotonin ndi Norepinephrine Reuptake Inhibitors): Uwu ndi mtundu wina wa mankhwala oletsa kupsinjika maganizo. Zitsanzo: `Duloxetine (Cymbalta)`, `Venlafaxine (Effexor)`.
• MAOIs (Monoamine Oxidase Inhibitors): Izi ndi mankhwala akale pang'ono, koma amphamvu kwambiri.

Mankhwala ena, zowonjezera, ndi mankhwala omwe amawonjezera chiopsezo

• Mankhwala opha ululu: Mankhwala ena amphamvu opha ululu, makamaka ma opioid monga Tramadol ndi Fentanyl.
• Mankhwala a mutu waching'alang'ala (Triptans): Chitsanzo: `Sumatriptan (Imitrex)`.
• Mankhwala ena a chifuwa: Madzi a chifuwa okhala ndi `Dextromethorphan`.
• Mankhwala oletsa nseru: Zitsanzo: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
• Zakudya zowonjezera ku zitsamba: Pali zoopsa mukatenga zinthu monga St. John's wort ndi Ginseng pamodzi ndi mankhwala ochepetsa nkhawa.
• Mankhwala osaloledwa: Kugwiritsa ntchito mankhwala monga Ecstasy (MDMA), LSD, Cocaine, ndi Amphetamines pamodzi ndi mankhwala oletsa kuvutika maganizo n'koopsa kwambiri.

Kodi dokotala amazindikira bwanji izi?

Palibe mayeso amodzi omwe angakuuzeni motsimikiza kuti ichi ndi chiyani. Dokotala wanu adzazindikira vutoli mwa kukufunsani mafunso ndikukuyesani.

Dokotala wanu angakupatseni mayeso a magazi, mayeso a mkodzo, komanso mwina CT scan kuti atsimikizire kuti palibe matenda ena (monga matenda opatsirana, kutentha).

Kodi chimachiritsidwa bwanji?

Njira yochizira imadalira kuopsa kwa zizindikiro zanu.

Choyamba komanso chofunika kwambiri ndikuletsa mankhwala omwe amayambitsa izi.

• Zizindikiro zazing'ono: Anthu ambiri amamva bwino mkati mwa maola 24 kuchokera pamene anasiya kumwa mankhwala omwe anayambitsa zizindikirozo. Dokotala wanu angakusungeni kuchipatala kuti akuwoneni.
• Zizindikiro zocheperako: Kugonekedwa m'chipatala ndi kuyang'aniridwa kwa maola osachepera 24 kungakhale kofunikira.
• Zizindikiro zoopsa: Pakadali pano, mungafunike kulowetsedwa ku chipinda chosamalira odwala kwambiri (ICU) kuti mukalandire chithandizo. Pano, zinthu monga kugunda kwa mtima ndi kuthamanga kwa magazi zimawunikidwa nthawi zonse.

Mankhwala angaphatikizepo:

• Mankhwala omwe amaletsa kupanga serotonin: Mwachitsanzo, mankhwala monga `Cyproheptadine`.
• Mankhwala opumulira minofu ndi mankhwala oletsa nkhawa: Benzodiazepines, monga Diazepam (Valium).
• Mankhwala oletsa kugunda kwa mtima ndi kuthamanga kwa magazi.
• Mpweya ndi mchere (Madzimadzi olowa m'mitsempha - IV): Kuchepetsa kutaya madzi m'thupi ndi kutentha thupi.

Kodi tingadziteteze bwanji ku vutoli?

Ichi ndi chinthu chomwe nthawi zambiri chingapewedwe. Pali zinthu zingapo zomwe muyenera kuchita.

• Uzani dokotala wanu:Uzani dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zitsamba zomwe mumamwa. Izi ndizofunikira makamaka ngati mukumwa mankhwala ochokera kwa madokotala angapo.
• Dziwani zizindikiro: Ngati mukumwa mankhwala oposa limodzi omwe amakhudza serotonin, dziwani zizindikiro za serotonin syndrome. Ngati zizindikiro zilizonse zikuwonekera, mutha kuzizindikira mwachangu.
• Musasiye kumwa mankhwala anu mwadzidzidzi: Musasiye kumwa mankhwala aliwonse mwadzidzidzi kapena kusintha mlingo popanda kulankhula ndi dokotala wanu.
• Funsani ngati muli ndi funso: Ngati muli ndi mafunso kapena kukayikira kulikonse pa mankhwala, funsani dokotala wanu.