Ingabe uthatha imithi yokucindezeleka, ukukhathazeka, noma esinye isimo sezokwelapha? Khona-ke lesi sihloko sibaluleke kakhulu kuwe. Ngezinye izikhathi, umuthi owodwa noma ngaphezulu esiwuthathayo ungabangela ukuthi imizimba yethu ikhiqize ikhemikhali eliningi kakhulu elibizwa ngokuthi i-serotonin. Yilokhu odokotela abakubiza ngokuthi i-serotonin syndrome . Nakuba igama lingase libonakale liyinkimbinkimbi ekuqaleni, kuyinto sonke okudingeka siyazi. Ake sibheke ukuthi iyini, kungani iyingozi, nokuthi singazivikela kanjani.
Okokuqala, iyini i-Serotonin?
Kalula nje, i-serotonin iyikhemikhali eyenziwa yimizimba yethu ngaphakathi kithi. Uma sikhuluma iqiniso, ifana nesithunywa esincane esithwala imiyalezo phakathi kwamaseli ohlelweni lwethu lwezinzwa. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-neurotransmitter.
Yenza imisebenzi eminingi ebalulekile emzimbeni wethu. Isibonelo:
- Ilawula injabulo yakho kanye nesimo sakho sengqondo .
- Kukusiza ukuthi ulale kahle ebusuku .
- Kuthuthukisa inkumbulo kanye nekhono lokufunda .
- Ilawula izinga lokushisa lomzimba.
- Ukudla kuvuselela isifiso sokudla .
Abantu abaningi bacabanga ukuthi i-serotonin itholakala ebuchosheni kuphela. Kodwa empeleni, ama-90% e-serotonin emzimbeni wethu atholakala emathunjini. Cishe ama-10% kuphela akhiqizwa ebuchosheni. Abacwaningi bakholelwa ukuthi enye yezimbangela zezimo ezifana nokucindezeleka ukwehla kwamazinga e-serotonin ebuchosheni. Kodwa-ke, uma lokhu kwanda kakhulu, kungavuselela amangqamuzana ezinzwa ngokweqile futhi kubangele izimpawu eziyingozi. Yilokhu esikubiza ngokuthi i-serotonin syndrome.
Ziyini izimpawu ze-serotonin syndrome?
Lezi zimpawu zivame ukuvela zingakapheli amahora ambalwa okuqala umuthi omusha othinta amazinga e-serotonin , noma ukwandisa umthamo womuthi okhona.
| Izimpawu ezivamile | |
|---|---|
| Izinguquko zengqondo nezokuziphatha | Ukudideka, ukungahlaliseki, ukukhungatheka. |
| Izinguquko zomzimba | Izikhala ezivulekile, ikhanda elibuhlungu, izinguquko zomfutho wegazi kanye nokushisa komzimba, isicanucanu, ukuhlanza, uhudo. |
| Izimpawu ezihlobene nohlelo lwezinzwa | Ukushaya kwenhliziyo okusheshayo, ukuthuthumela, ukulahlekelwa ukulawula noma ukudikiza kwemisipha, ukuqina kwemisipha, ukuzizwa ubanda futhi umanzi, kanye nokujuluka ngokweqile. |
| Qaphela: Lezi yizimpawu ezinkulu, ezingasongela impilo! | |
| Umkhuhlane omkhulu kakhulu, ukuxhuzula, ukushaya kwenhliziyo okungajwayelekile, ukuquleka . | |
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo : umkhuhlane ophakeme kakhulu, ukuxhuzula, ukushaya kwenhliziyo okungajwayelekile, noma ukulahlekelwa ukwazi , kuyisimo esiphuthumayo sezokwelapha. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha noma ushayele i-ambulensi. Lokhu kungaba yingozi uma kungelashwa ngokushesha.
Yini ebangela lesi simo?
Lokhu kuvame ukubangelwa imithi, ikakhulukazi uma kusetshenziswa imithi emibili noma ngaphezulu ethinta amazinga e-serotonin ndawonye.
Izimbangela Eziyinhloko: Ama-antidepressant
- Ama-SSRI (Selective Serotonin Reuptake Inhibitors): Lawa uhlobo oluvame kakhulu lokucindezeleka. Andisa amazinga e-serotonin ebuchosheni. Izibonelo: `Citalopram`, ` Escitalopram (Lexapro)`, `Fluoxetine (Prozac)`, `Sertraline (Zoloft)`.
- Ama-SNRI (i-Serotonin kanye ne-Norepinephrine Reuptake Inhibitors): Lolu olunye uhlobo lwe-antidepressant. Izibonelo: `Duloxetine (Cymbalta)`, `Venlafaxine (Effexor)`.
- Ama-MAOI (ama-Monoamine Oxidase Inhibitors): Lawa uhlobo oludala kancane, kodwa olusenamandla lokucindezeleka.
Eminye imithi, izithasiselo, kanye nemithi eyandisa ingozi
- Iziqeda-zinhlungu: Ezinye izidakamizwa ezinamandla zokuqeda izinhlungu, ikakhulukazi ama-opioid afana ne-Tramadol ne-Fentanyl.
- Imithi ye-migraine (Triptans): Isibonelo: `Sumatriptan (Imitrex)`.
- Eminye imithi yokukhwehlela: Ama-syrup okukhwehlela aqukethe i-`Dextromethorphan`.
- Imithi yokulwa nesicanucanu: Izibonelo: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
- Izithasiselo zemithi: Kunezingozi lapho uthatha izinto ezifana ne-St. John's wort kanye ne-Ginseng kanye nemithi yokucindezeleka.
- Izidakamizwa ezingekho emthethweni: Ukusebenzisa izidakamizwa ezifana ne-Ecstasy (MDMA), i-LSD, i-Cocaine, kanye ne-Amphetamine kanye nemithi yokucindezeleka kuyingozi kakhulu.
Udokotela uhlonza kanjani lokhu?
Akukho ukuhlolwa okukodwa okungakutshela ngokuqinisekile ukuthi kuyini lokhu. Udokotela wakho uzohlonza lesi simo ngokukubuza imibuzo nokukuhlola.
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, izithasiselo zamakhambi, ngisho nezidakamizwa ezingekho emthethweni ozithathayo. Udokotela wakho ukhona ukukusiza, hhayi ukukwahlulela. Ukuxilongwa okufanele kanye nokwelashwa kuncike olwazini olunikezayo.
Udokotela wakho angase akucele ukuhlolwa kwegazi, ukuhlolwa komchamo, kanye ne-CT scan ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha (isib. ukutheleleka, isifo sohlangothi esishisayo).
Iphathwa kanjani?
Indlela yokwelapha incike ebunzimeni bezimpawu zakho.
Into yokuqala nebaluleke kakhulu ukuyeka imithi ebangele lokhu.
- Izimpawu ezincane: Iningi labantu lizizwa lingcono zingakapheli amahora angama-24 kusukela beyeke imithi ebangele izimpawu. Udokotela wakho angakugcina esibhedlela ukuze uhlolwe.
- Izimpawu ezimaphakathi: Kungadingeka ukuthi ulaliswe esibhedlela futhi uqashwe okungenani amahora angama-24.
- Izimpawu ezibucayi: Kuleli qophelo, kungadingeka ukuthi ungeniswe egunjini lokunakekelwa okujulile (ICU) ukuze uthole ukwelashwa. Lapha, izinto ezifana nokushaya kwenhliziyo kanye nomfutho wegazi zihlala ziqashwe.
Ukwelashwa kungafaka:
- Imithi evimba ukukhiqizwa kwe-serotonin: Isibonelo, imithi efana ne-'Cyproheptadine'.
- Iziphumuli zemisipha kanye nemithi yokulwa nokukhathazeka: Ama-Benzodiazepine, njenge-Diazepam (Valium).
- Imithi elawula ukushaya kwenhliziyo kanye nomfutho wegazi.
- I-oksijini kanye nosawoti (Uketshezi olufakwa emthanjeni - oluphuma ku-IV): Ukulawula ukuphelelwa amanzi emzimbeni kanye nomkhuhlane.
Singazivikela kanjani kulesi simo?
Lokhu kuyinto engavinjelwa kaningi. Kunezinto ezimbalwa okudingeka uzenze.
- Yazisa udokotela wakho:Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo zamakhambi ozithathayo. Lokhu kubaluleke kakhulu uma uthatha imithi evela kodokotela abaningi.
- Qaphela izimpawu: Uma uphuza imithi engaphezu kweyodwa ethinta i-serotonin, qaphela izimpawu ze-serotonin syndrome. Uma kuvela izimpawu, ungazibona ngokushesha.
- Ungayeki ukuthatha imithi yakho ngokuzumayo: Ungayeki ukuthatha noma yimuphi umuthi ngokuzumayo noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho.
- Buza uma unemibuzo: Uma unemibuzo noma ukungabaza ngomuthi, buza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Serotonin syndrome yisimo esingasongela impilo esibangelwa ukwanda kakhulu kwe-serotonin yamakhemikhali emzimbeni.
- Isizathu esiyinhloko salokhu ukuhlanganiswa noma ukwanda komthamo wemithi ethile, njengemithi yokucindezeleka.
- Qaphela izimpawu ezinjengokungaphumuli, ukuthuthumela, ukujuluka ngokweqile, kanye nokushaya kwenhliziyo okusheshayo.
- Uma unezimpawu ezinkulu njengomkhuhlane ophakeme, ukuquleka, noma ukulahlekelwa ukwazi, kubheke njengesimo esiphuthumayo bese uya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Le ngozi ingagwenywa kakhulu ngokukhuluma nodokotela wakho ngokwethembeka ngayo yonke imithi kanye nezithasiselo ozithathayo.
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