Ngaba amayeza owaselayo angabeka ubomi esichengeni? Makhe sithethe ngeSerotonin Syndrome

Ngaba ungumntu othatha amayeza okudakumba, i-migraines, okanye iintlungu eziqatha? Okanye uthatha amayeza koogqirha abaninzi ngenxa yesifo esifanayo? Emva koko eli bali liza kuba libaluleke kakhulu kuwe. Namhlanje sithetha ngemeko enokwenzeka emzimbeni wethu ngenxa yeentlobo ezithile zamayeza, anokubeka ubomi esichengeni ukuba awaqondwa kakuhle. Oku sikubiza ngokuba yi-'Serotonin Syndrome' . Ungakhathazeki, ukuba siyazi kakuhle oku, sinokuphepha umngcipheko omkhulu.

Ngamafutshane, yintoni iSerotonin Syndrome?

Ukuze sikuqonde oku, kufuneka siqale sazi ukuba yintoni i-'Serotonin'. Cinga ngayo njengesithunywa esincinci esithwala imiyalezo phakathi kwengqondo yethu kunye nomzimba wethu wonke. Kwizonyango, ezi zithunywa zeekhemikhali sizibiza ngokuba 'zii-neurotransmitters'. I-Serotonin ikwayi-neurotransmitter ebaluleke kakhulu emzimbeni wethu, elawula izinto ezininzi ezifana neemvakalelo zethu, ukulala, kunye nomdla wokutya.

Ngokwesiqhelo, xa usela amayeza anikwe ngugqirha, inqanaba le-serotonin emzimbeni liyalingana. Nangona kunjalo, ukuba ngesizathu esithile le khemikhali ebizwa ngokuba yi-serotonin iyanda kakhulu emzimbeni wethu , oko kukuthi, ukuba iqokelelana ngobuninzi umzimba ongenakubuthwala, impendulo yomzimba wethu kuyo ibizwa ngokuba yi-'serotonin syndrome'. Oku kungaba yimpendulo eyingozi ebangelwa luhlobo lonyango (impendulo yamayeza).

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Enyanisweni, nabani na oneminyaka emininzi osebenzisa amayeza, izongezo, okanye iziyobisi ezingekho mthethweni ezichaphazela amanqanaba e-serotonin usengozini. Le meko ixhaphake kakhulu kwiimeko ezifana nezi:

• Xa uqala iyeza elitsha: Kwangoko nje xa uqala iyeza elitsha elonyusa amanqanaba e-serotonin.
• Xa unyusa umthamo weyeza: Ukuba ugqirha wakho unyusa umthamo weyeza osele ulisebenzisa.
• Xa usebenzisa amayeza amaninzi kunye: Le yeyona nto iyingozi nexhaphakileyo. Khawuthelekelele, uneentlungu zamalungu. Uthatha i-painkiller kugqirha omnye ngenxa yayo. Okwangoku, kuba ukhathazekile kancinci, ubona omnye ugqirha kwaye uthathe amayeza alo. Kodwa awumxeleli ugqirha wokuqala ngeyeza lesibini, okanye ugqirha wesibini ngeyeza lokuqala. Kulapho kukho ithuba elikhulu lokusebenzisa amayeza amabini anyusa i-serotonin ngokungazi kunye kwaye oku kubangele le meko.
• Ukuba uthatha amayeza amaninzi kakhulu: Ukuba uthatha amayeza amaninzi kunedosi emiselweyo, ngabom okanye ngengozi.

Zithini iimpawu? Siyibona njani le nto?

Iimpawu ze-serotonin syndrome zingahluka kumntu nomntu. Abanye abantu banokufumana iimpawu ezibuthathaka kakhulu, ngelixa abanye banokufumana iimpawu ezinzima nezisongela ubomi. Ezi mpawu zihlala ziqala kwiiyure ezimbalwa emva kokuthatha amayeza amatsha okanye ukutshintsha umthamo.

Ukuze kube lula ukuqonda, masizahlule ezi mpawu zibe ziindidi ezintathu.

Ngawaphi la mayeza anyusa amanqanaba e-serotonin?

Olu luhlu lude kancinci, kodwa kubaluleke kakhulu ukuba ukhuseleko lwakho lukwazi oku.

Amayeza okudakumba

La ngamayeza adla ngokunxulunyaniswa ne-serotonin syndrome. Umngcipheko uphezulu kakhulu xa esetyenziswa kunye namanye amayeza (umz., amayeza e-migraine).

• Ii-SSRI (i-Selective serotonin reuptake inhibitors): Amayeza afana neFluoxetine, iSertraline, iCitalopram, iEscitalopram, iParoxetine.
• Ii-SNRI (i-Serotonin-norepinephrine reuptake inhibitors): Amayeza afana neVenlafaxine, iDuloxetine, iDesvenlafaxine.
• Ii-Tricyclic antidepressants: Amayeza afana ne-Amitriptyline, i-Nortriptyline, i-Imipramine.
• Ii-MAOI (i-Monoamine oxidase inhibitors): Nangona ezi zingasasetyenziswa rhoqo, zinikwa kwezinye iimeko.

Amanye amayeza

• Amayeza eentlungu eziqatha: Iipilisi zokubulala iintlungu ezifana neTramadol, iPethidine (Meperidine), iFentanyl, kunye neMethadone.
• Amayeza okukhwehlela: Ezinye iisiraphu zokukhwehlela ezifumaneka kwiikhemesti ziqulethe into ebizwa ngokuba yiDextromethorphan . Oku kunokuchaphazela namanqanaba e-serotonin.
• Amayeza e-Migraine: Amayeza e-Triptan afana ne-Sumatriptan kunye ne-Rizatriptan.
• Amayeza okugabha: Amayeza afana neMetoclopramide kunye neOndansetron.
• Amanye amayeza okubulala iintsholongwane: I-antibiotic linezolid.
• Amayeza okulawula imood: Lithium.

Ezinye izinto

• Izongezo zezityalo: Izinto ezifana ne-St. John's wort kunye ne-Ginseng.
• Iziyobisi ezingekho mthethweni: Izinto ezifana ne-Ecstasy (MDMA), i-LSD, i-Cocaine, ii-Amphetamines.

Musa ukothuka lolu luhlu. Asinguye wonke umntu oza kuba nale meko emva kokuthatha elinye lala mayeza. Ingozi ivela kuphela xa usebenzisa amanye ala mayeza kunye, unyusa umthamo, okanye ukuba umzimba wakho uyawakhathalela.

Ugqirha uyibona njani le nto?

Akukho vavanyo lwegazi okanye iskeni ethile ukuqinisekisa i-serotonin syndrome. Ugqirha uza kuyixilonga le meko ngokusekelwe kwizinto ezahlukeneyo:

1. Iimpawu zakho: Mamela ngononophelo oko ukuvayo.

2. Uvavanyo lomzimba: Isantya sentliziyo yakho, uxinzelelo lwegazi, ubushushu bomzimba, kunye nemeko yemisipha ziya kuhlolwa.

3. Uluhlu lwamayeza owasebenzisayo: Le yeyona nto ibalulekileyo.

Ukongeza, ungenza uvavanyo lwegazi nomchamo, i-X-ray yesifuba, okanye i-CT scan ukuqinisekisa ukuba awunazo ezinye izifo (umz., usulelo) ezibangela iimpawu ezifanayo.

Zithini iindlela zonyango zoku?

Unyango luxhomekeke kubukhali beempawu zakho.

• Ukuba uneempawu ezingephi: Unyango oluqhelekileyo kukuyeka ukusebenzisa amayeza abangele iimpawu. Oku kuya kuziphelisa ngokupheleleyo iimpawu kwiiyure ezingama-24-72.
• Ukuba uneempawu eziphakathi: Uza kugcinwa esibhedlele kwaye ujongwe ubuncinane iiyure ezingama-24. Ngeli xesha, uza kunikwa i-saline (IV fluids) kunye namayeza anjenge-benzodiazepines okunceda xa uxhalabile.
• Ukuba uneempawu eziqatha: Le yingxamiseko yezonyango. Uza kungeniswa kwigumbi lonyango oluphezulu (ICU) kwaye unikwe unyango olufana nokuxhasa ubunzima bokuphefumla, ukulawula umkhuhlane ophezulu, kunye namayeza okulawula izinga lentliziyo kunye noxinzelelo lwegazi. Ngamanye amaxesha, unokunikwa iyeza elibizwa ngokuba yiCyproheptadine, elithintela ukusebenza kwe-serotonin.

Singazikhusela njani kule meko?

Kukho izinto ezimbalwa ezilula, kodwa ezibaluleke kakhulu esinokuzenza ukuze sihlale sikhuselekile kule meko iyingozi.

1. Zifundise ngamayeza akho: Gcina irekhodi yegama, idosi, kunye nenjongo yawo onke amayeza owasebenzisayo.

2. Xelela ugqirha ngamnye iinkcukacha ezipheleleyo: Ukuba unyangwa ngoogqirha abaninzi, qiniseka ukuba uxelela ugqirha omnye ngamayeza anikwe ngabanye.

3. Musa ukuyeka ukuthatha amayeza ngaphandle kokubuza ugqirha wakho: Nokuba uziva ungakhululekanga, musa ukuyeka ukuthatha amayeza okanye utshintshe umthamo ngaphandle kokuthetha nogqirha.

4. Lumka xa uthenga amayeza kwikhemesti: Xa uthenga amayeza ezinto ezifana nokukhwehlela nomkhuhlane, cela amayeza ahambelana namayeza osele uwasebenzisa.

5. Nikela ingqalelo kwiimpawu: Nikela ingqalelo kakhulu kuzo naziphi na iinguqu emzimbeni wakho, ingakumbi xa uqala amayeza amatsha okanye unyusa umthamo.