Ngaba usela amayeza okudakumba, ixhala, okanye enye imeko yezonyango? Eli nqaku libaluleke kakhulu kuwe. Ngamanye amaxesha, iyeza elinye okanye ngaphezulu esilisebenzisayo linokubangela ukuba imizimba yethu ivelise ikhemikhali eninzi ebizwa ngokuba yi-serotonin. Oku kubizwa ngoogqirha ngokuba yi-serotonin syndrome . Nangona eli gama lisenokubonakala liyinkimbinkimbi ekuqaleni, yinto ekufuneka sonke siyazi. Makhe sijonge ukuba yintoni, kutheni iyingozi, kwaye sinokuzikhusela njani.
Okokuqala, yintoni iSerotonin?
Ngamafutshane, i-serotonin yikhemikhali eyenziwa yimizimba yethu ngaphakathi kuthi. Ngokuchanekileyo, ifana nesithunywa esincinci esithwala imiyalezo phakathi kweeseli kwinkqubo yethu yemithambo-luvo. Ngokwezonyango, oku sikubiza ngokuba yi-neurotransmitter.
Yenza imisebenzi emininzi ebalulekileyo emizimbeni yethu. Umzekelo:
- Ulawula ulonwabo lwakho kunye nemo yakho .
- Ikunceda ulale kakuhle ebusuku .
- Iphucula inkumbulo kunye nokukwazi ukufunda .
- Ilawula ubushushu bomzimba.
- Ukutya kuvuselela umnqweno wokutya .
Abantu abaninzi bacinga ukuba i-serotonin ifumaneka kuphela engqondweni. Kodwa eneneni, i-90% ye-serotonin emzimbeni wethu ifumaneka emathunjini. Yi-10% kuphela eveliswa engqondweni. Abaphandi bakholelwa ukuba enye yezizathu zeemeko ezifana nokudakumba kukwehla kwamanqanaba e-serotonin engqondweni. Nangona kunjalo, ukuba oku kuyanda kakhulu, kunokuvuselela iiseli zemithambo-luvo kakhulu kwaye kubangele iimpawu eziyingozi. Oku sikubiza ngokuba yi-serotonin syndrome.
Zithini iimpawu ze-serotonin syndrome?
Ezi mpawu zihlala zibonakala kwiiyure ezimbalwa emva kokuqala iyeza elitsha elichaphazela amanqanaba e-serotonin , okanye ukwandisa umthamo weyeza elikhoyo.
| Iimpawu eziqhelekileyo | |
|---|---|
| Utshintsho lwengqondo kunye nokuziphatha | Ukudideka, ukungazinzi, ukuphazamiseka. |
| Utshintsho lomzimba | Iimpundu ezivulelekileyo, intloko ebuhlungu, utshintsho kuxinzelelo lwegazi kunye nobushushu bomzimba, isicaphucaphu, ukuhlanza, urhudo. |
| Iimpawu ezinxulumene nenkqubo ye-nervous | Ukubetha kwentliziyo ngokukhawuleza, ukungcangcazela, ukulahlekelwa kukulawula okanye ukushukuma kwemisipha, ukuqina kwemisipha, ukuziva ubanda kwaye uthambile, kunye nokubila kakhulu. |
| Ingqalelo: Ezi ziimpawu ezinzulu, ezinokuba yingozi ebomini! | |
| Umkhuhlane omkhulu kakhulu, ukuxhuzula, ukubetha kwentliziyo okungahambelaniyo, ukuquleka . | |
Ukuba ufumana naziphi na kwezi mpawu zilandelayo : umkhuhlane ophakamileyo kakhulu, ukuxhuzula, ukubetha kwentliziyo okungaqhelekanga, okanye ukulahlekelwa zingqondo , yingxamiseko yezonyango. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko okanye ubize i-ambulensi. Oku kunokuba yingozi ukuba akunyangelwa ngokukhawuleza.
Yintoni ebangela le meko?
Oku kudla ngokubangelwa ngamayeza, ingakumbi xa kusetyenziswa amayeza amabini okanye ngaphezulu achaphazela amanqanaba e-serotonin kunye.
Izinto eziphambili ezibangela uxinzelelo: Ii-antidepressants
- Ii-SSRI (Selective Serotonin Reuptake Inhibitors): Ezi zezona ntlobo ze-antidepressant ezichazwe rhoqo. Zonyusa amanqanaba e-serotonin engqondweni. Imizekelo: `Citalopram`, ` Escitalopram (Lexapro)`, `Fluoxetine (Prozac)`, `Sertraline (Zoloft)`.
- Ii-SNRI (iSerotonin kunye neNorepinephrine Reuptake Inhibitors): Olu lolunye uhlobo lwe-antidepressant. Imizekelo: `Duloxetine (Cymbalta)`, `Venlafaxine (Effexor)`.
- Ii-MAOI (i-Monoamine Oxidase Inhibitors): Ezi luhlobo lwe-antidepressant oludala kancinci, kodwa olusenamandla.
Amanye amayeza, izongezo, kunye namayeza andisa umngcipheko
- Iipilisi zokubulala iintlungu: Ezinye iipilisi zokubulala iintlungu ezinamandla, ingakumbi ii-opioid ezifana neTramadol kunye neFentanyl.
- Amayeza e-Migraine (iiTriptans): Umzekelo: `iSumatriptan (Imitrex)`.
- Amanye amayeza okukhwehlela: Iisiraphu zokukhwehlela ezine-`Dextromethorphan`.
- Amayeza okulwa nesicaphucaphu: Imizekelo: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
- Izongezo zemifuno: Kukho iingozi xa uthatha izinto ezifana ne-St. John's wort kunye ne-Ginseng kunye namayeza okudakumba.
- Iziyobisi ezingekho mthethweni: Ukusebenzisa iziyobisi ezifana ne-Ecstasy (MDMA), i-LSD, i-Cocaine, kunye ne-Amphetamines kunye ne-antidepressants kuyingozi kakhulu.
Ugqirha uyixilonga njani le nto?
Akukho vavanyo lunye olunokukuxelela ngokuqinisekileyo ukuba yintoni le. Ugqirha wakho uza kuyixilonga le meko ngokukubuza imibuzo nokukuhlola.
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nayo yonke imithi, iivithamini, izongezo zezityalo, kwaneziyobisi ezingekho mthethweni ozisebenzisayo. Ugqirha wakho ukhona ukukunceda, hayi ukukugweba. Ukuxilongwa ngokuchanekileyo kunye nonyango kuxhomekeke kulwazi olunikayo.
Ugqirha wakho unokuyalela uvavanyo lwegazi, uvavanyo lomchamo, mhlawumbi ne-CT scan ukuqinisekisa ukuba akukho ezinye iimeko zempilo (umz., usulelo, ukubetha kobushushu).
Iphathwa njani?
Indlela yonyango ixhomekeke kubukhali beempawu zakho.
Into yokuqala neyona ibalulekileyo kukuyeka amayeza abangele oku.
- Iimpawu ezincinci: Uninzi lwabantu luziva lungcono kwiiyure ezingama-24 emva kokuyeka amayeza abangele ezi mpawu. Ugqirha wakho angakugcina esibhedlele ukuze ujongwe.
- Iimpawu eziphakathi: Kunokuba yimfuneko ukulaliswa esibhedlele nokujongwa ubuncinane iiyure ezingama-24.
- Iimpawu eziqatha: Ngeli xesha, unokufuna ukungeniswa kwigumbi lonyango oluphezulu (ICU) ukuze ufumane unyango. Apha, izinto ezifana nesantya sentliziyo kunye noxinzelelo lwegazi zihlala zijongwa.
Unyango lungabandakanya:
- Amayeza athintela ukuveliswa kwe-serotonin: Umzekelo, amayeza afana ne-'Cyproheptadine'.
- Iziphumzi zemisipha kunye namayeza okulwa nokuxhalaba: IiBenzodiazepines, ezifana neDiazepam (Valium).
- Amayeza alawula isantya sentliziyo kunye noxinzelelo lwegazi.
- Ioksijini kunye netyuwa (Intravenous - IV fluids): Ukulawula ukuphelelwa ngamanzi emzimbeni kunye nomkhuhlane.
Singazikhusela njani kule meko?
Le yinto enokuthintelwa rhoqo. Kukho izinto ezimbalwa ekufuneka uzenze.
- Yazisa ugqirha wakho:Xelela ugqirha wakho malunga nayo yonke imithi, iivithamini, kunye nezongezo zemifuno ozithathayo. Oku kubaluleke kakhulu ukuba usebenzisa amayeza koogqirha abaninzi.
- Qaphela iimpawu: Ukuba usela amayeza angaphezu kwelinye achaphazela i-serotonin, qaphela iimpawu ze-serotonin syndrome. Ukuba kukho naziphi na iimpawu ezibonakala, unokuzibona ngokukhawuleza.
- Musa ukuyeka ukuthatha amayeza akho ngequbuliso: Musa ukuyeka ukuthatha amayeza ngequbuliso okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho.
- Buza ukuba unemibuzo: Ukuba unemibuzo okanye amathandabuzo malunga namayeza, buza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Serotonin syndrome yimeko enokuba yingozi ebomini ebangelwa kukusetyenziswa kakhulu kweekhemikhali ze-serotonin emzimbeni.
- Isizathu esiphambili soku kukudibana okanye ukwanda komthamo wamayeza athile, anjengee-antidepressants.
- Lumkela iimpawu ezinje ngokungakwazi ukuzibamba, ukungcangcazela, ukubila kakhulu, kunye nokubetha kwentliziyo ngokukhawuleza.
- Ukuba uneempawu ezinzulu ezifana nomkhuhlane ophezulu, ukuxhuzula, okanye ukulahlekelwa zingqondo, cinga ukuba yingxamiseko kwaye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Le ngozi ingathintelwa kakhulu ngokuthetha ngokunyaniseka nogqirha wakho malunga nawo onke amayeza kunye nezongezo ozithathayo.
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