Indwara ya Serotonin ni iki? Reka tubimenye!

Ese ufata imiti yo kuvura indwara yo kwiheba, guhangayika, cyangwa indi ndwara? Noneho iyi nkuru ni ingenzi cyane kuri wewe. Hari igihe, umuti umwe cyangwa myinshi dufata ishobora gutuma umubiri wacu ukora ikintu kinini cyitwa serotonin. Ibi nibyo abaganga bita serotonin syndrome . Nubwo izina rishobora kugaragara nk'irigoye mu buryo bwa mbere, ni ikintu twese dukeneye kumenya. Reka turebe icyo ari cyo, impamvu ari kibi, n'uko twakwirinda.

Mbere na mbere, serotonin ni iki?

Muri make, serotonin ni shimi umubiri wacu ukora imbere muri twe. Mu by'ukuri, ni nk'ubutumwa buto bujyana ubutumwa hagati y'uturemangingo mu mitsi yacu. Mu buvuzi, ibi tubyita neurotransmitter.

Ikora imirimo myinshi y'ingenzi mu mubiri wacu. Urugero:

• Igenzura ibyishimo byawe n'amarangamutima yawe.
• Bigufasha gusinzira neza nijoro .
• Yongera ubushobozi bwo kwibuka no kwiga .
• Igenzura ubushyuhe bw'umubiri.
• Ibiryo bitera ubushake bwo kurya .

Abantu benshi batekereza ko serotonin iboneka mu bwonko gusa. Ariko mu by'ukuri, 90% bya serotonin mu mubiri wacu iboneka mu mara. Hafi 10% ni byo bikorerwa mu bwonko. Abashakashatsi bemeza ko imwe mu mpamvu zitera indwara nko kwiheba ari ukugabanuka k'urugero rwa serotonin mu bwonko. Ariko, iyo ibi byiyongere cyane, bishobora gukangura uturemangingo tw'imitsi no guteza ibimenyetso bibi. Ibi nibyo twita serotonin syndrome.

Ni ibihe bimenyetso by'indwara ya serotonin?

Ibi bimenyetso bikunze kugaragara mu masaha make uhereye igihe utangiye gufata umuti mushya ugira ingaruka ku rugero rwa serotonin , cyangwa kongera urugero rw'umuti usanzwe.

Ni iki gitera iyi ndwara?

Ibi bikunze guterwa n'imiti, cyane cyane iyo imiti ibiri cyangwa myinshi igira ingaruka ku rugero rwa serotonin ikoreshejwe hamwe.

Impamvu nyamukuru: Imiti igabanya kwiheba

• SSRIs (Selective Serotonin Reuptake Inhibitors): Iyi ni yo miti ikunze kwandikirwa cyane mu ndwara zo kwiheba. Yongera urugero rwa serotonin mu bwonko. Urugero: `Citalopram`, ` Escitalopram (Lexapro)`, `Fluoxetine (Prozac)`, `Sertraline (Zoloft)`.
• SNRIs (Serotonin na Norepinephrine Reuptake Inhibitors): Ubu ni ubundi bwoko bw'imiti igabanya ubukana bw'indwara. Urugero: `Duloxetine (Cymbalta)`, `Venlafaxine (Effexor)`.
• MAOIs (Monoamine Oxidase Inhibitors): Izi ni ubwoko bwa kera, ariko buracyafite imbaraga mu kurwanya indwara zifata imitsi.

Indi miti, inyongeramusaruro, n'imiti byongera ibyago

• Imiti igabanya ububabare: Imiti imwe ikomeye igabanya ububabare, cyane cyane iyitwa opioid nka Tramadol na Fentanyl.
• Imiti ivura migraine (Triptans): Urugero: `Sumatriptan (Imitrex)`.
• Imiti imwe n'imwe yo gukorora: Sirupe y'inkorora irimo `Dextromethorphan`.
• Imiti igabanya isesemi: Ingero: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
• Inyongeramusaruro z'ibimera: Hari ingaruka zishobora kubaho iyo ufashe ibintu nka St. John's wort na Ginseng hamwe n'imiti igabanya ubukana bw'indwara.
• Ibiyobyabwenge bitemewe n'amategeko: Gukoresha ibiyobyabwenge nka Ecstasy (MDMA), LSD, Cocaine, na Amphetamine hamwe n'imiti igabanya ubukana bw'indwara zo kwiheba ni bibi cyane.

Ni gute umuganga asuzuma ibi?

Nta kizamini na kimwe gishobora kukubwira neza icyo ari cyo. Muganga wawe azasuzuma iyi ndwara akubaza ibibazo kandi akagusuzuma.

Muganga wawe ashobora gutegeka ko upimwa amaraso, upimwa inkari, ndetse wenda no gupimwa na CT scan kugira ngo arebe neza ko nta zindi ndwara (urugero: kwandura, ubushyuhe bukabije).

Ivurwa ite?

Uburyo bwo kuvura buterwa n'uburemere bw'ibimenyetso byawe.

Ikintu cya mbere kandi cy'ingenzi ni uguhagarika imiti yateye ibi.

• Ibimenyetso bito: Abantu benshi bumva bameze neza mu masaha 24 nyuma yo guhagarika imiti yateye ibimenyetso. Muganga wawe ashobora kugushyira mu bitaro kugira ngo agukurikirane.
• Ibimenyetso biri hagati: Kujya mu bitaro no kwitabwaho byibuze amasaha 24 bishobora kuba ngombwa.
• Ibimenyetso bikomeye: Muri iki gihe, ushobora gukenera kujya mu cyumba cy’indembe (ICU) kugira ngo uvurwe. Aha, ibintu nk'umutima n'umuvuduko w'amaraso bihora bigenzurwa.

Uburyo bwo kuvura bushobora kuba burimo:

• Imiti ibuza ikorwa rya serotonin: Urugero, imiti nka `Cyproheptadine`.
• Imiti igabanya imitsi n'imiti igabanya guhangayika: Benzodiazepines, nka Diazepam (Valium).
• Imiti igenzura umuvuduko w'umutima n'umuvuduko w'amaraso.
• Ogisijeni n'umunyu (Iva mu mitsi - Amazi yo mu muyoboro wa IV): Kugabanya umwuma n'umuriro.

Ni gute twakwirinda iki kibazo?

Iki ni ikintu gishobora kwirindwa kenshi. Hari ibintu bike ugomba gukora.

• Bibwire muganga wawe:Bwira muganga wawe ibyerekeye imiti yose, vitamine, n'inyongeramusaruro ufata. Ibi ni ingenzi cyane cyane niba ufata imiti ivuye ku baganga benshi.
• Menya ibimenyetso: Niba ufata imiti irenze imwe igira ingaruka kuri serotonin, menya ibimenyetso bya serotonin syndrome. Niba hari ibimenyetso bigaragara, ushobora kubimenya vuba.
• Ntuhagarike gufata imiti yawe mu buryo butunguranye: Ntuhagarike gufata imiti iyo ari yo yose mu buryo butunguranye cyangwa ngo uhindure ingano yayo utabanje kuvugana na muganga wawe.
• Baza niba ufite ikibazo: Niba ufite ikibazo cyangwa gushidikanya ku muti, baza muganga wawe.