Serotonin Syndrome

Zvemukati

• Ndezvipi zviratidzo zve serotonin syndrome?
• Ndezvipi zvikonzero zve serotonin syndrome?
• Zvinodzvinyirira
• Migraine mishonga (triptan chikamu)
• Zvinodhaka zvisiri pamutemo
• Mishonga inowedzera
• Mishonga inotonhora uye yekukosora
• Serotonin syndrome inoonekwa sei?
• Ndeapi marapirwo eserotonin syndrome?
• Ndeapi matambudziko anosangana neserotonin syndrome?
• Ndeupi mutarisiro wenguva refu?
• Ndingaite sei kudzivirira serotonin syndrome?

Chii chinonzi serotonin syndrome?

Serotonin syndrome inogona kunge yakashata yakaipa yekuita zvinodhaka. Zvinotendwa kuti zvinoitika kana yakawandisa serotonin inovaka mumuviri wako. Tsinga maseru anowanzo gadzira serotonin. Serotonin inonzi neurotransmitter, inova kemikari. Inobatsira kudzora:

• kugaya
• kuyerera kweropa
• tembiricha yemuviri
• kufema

Inoitawo basa rakakosha mukushanda chaiko kwenzwi uye maseru ehuropi uye inofungidzirwa kukanganisa manzwiro.

Kana iwe ukatora mishonga yakatemwa yakasiyana pamwechete, unogona kupedzisira uine serotonin yakawandisa mumuviri wako. Iyo mhando yemishonga inogona kutungamira kune serotonin syndrome inosanganisira iyo inoshandiswa kurapa kushushikana uye migraine misoro, uye kugadzirisa marwadzo. Yakawandisa serotonin inogona kukonzera akasiyana ehunyoro kusvika kune akakomba zviratidzo. Zviratidzo izvi zvinogona kukanganisa huropi, mhasuru, uye zvimwe zvikamu zvemuviri.

Serotonin syndrome inogona kuitika kana iwe ukatanga mushonga mutsva unokanganisa serotonin. Izvo zvinogona zvakare kuitika kana iwe ukawedzera chipimo chemushonga wauri kutora kare. Mamiriro acho anogona kuitika kana maviri kana anopfuura madhiragi akatorwa pamwechete. Serotonin syndrome inogona kuuraya kana ukasagamuchira kurapwa nekukurumidza.

Ndezvipi zviratidzo zve serotonin syndrome?

Iwe unogona kunge uine zviratidzo mukati memaminitsi kana maawa ekutora mushonga mutsva kana kuwedzera muyero wemushonga uripo. Zviratidzo zvinogona kusanganisira:

• kuvhiringidzika
• kunyongana
• kugumbuka
• kushushikana
• mhasuru
• kuomarara kwemhasuru
• kudengenyeka
• kubvunda
• manyoka
• kukurumidza kurova kwemoyo, kana tachycardia
• BP
• kusvotwa
• kuona zvisipo
• kunyanyisa kufunga, kana hyperreflexia
• vakawedzeredzwa vadzidzi

Muzviitiko zvakanyanya, zviratidzo zvinogona kusanganisira:

• kusapindura
• coma
• pfari
• kurova kwemoyo zvisina kujairika

Ndezvipi zvikonzero zve serotonin syndrome?

Kazhinji, mamiriro acho anoitika kana iwe uchibatanidza maviri kana anopfuura mishonga, zvinodhaka zvisiri pamutemo, kana zvinowedzera zvinovaka muviri izvo zvinowedzera huwandu hweserotonin. Semuenzaniso, unogona kutora mushonga kuti ubatsire ne migraine mushure mekutora mishonga yekudzvinyirira. Mimwe mhando yemishonga yekunyorera, yakadai semishonga inorwisa mabhakitiriya, maantivirals anoshandiswa kurapa HIV neAIDS, uye mimwe mishonga yemishonga yekurapa nekurwadziwa inogona kuwedzera mwero weserotonin

Mienzaniso yemishonga uye zvinowedzera zvinosangana neserotonin syndrome zvinosanganisira:

Zvinodzvinyirira

Zvinodzvinyirira zvinosanganiswa neserotonin syndrome zvinosanganisira:

• inosarudza serotonin reuptake inhibitors (SSRIs), yakadai saCelexa naZoloft
• serotonin uye norepinephrine reuptake inhibitors (SNRIs), senge Effexor
• tricyclic antidepressants, senge nortriptyline uye amitriptyline
• monoamine oxidase inhibitors (MAOIs), senge Nardil naMarplan
• zvimwe zvekudzvinyirira

Migraine mishonga (triptan chikamu)

Migraine mishonga iri muchikamu chemishonga inonzi "triptans" inosanganisirwawo neserotonin syndrome. Izvi zvinosanganisira:

• almotriptan (Axert)
• naratriptan (Amerge)
• sumatriptan (Imitrex)

Zvinodhaka zvisiri pamutemo

Mimwe mishonga isiri pamutemo inosangana neserotonin syndrome. Izvi zvinosanganisira:

• LSD
• ecstasy (MDMA)
• cocaine
• amphetamines

Mishonga inowedzera

Mimwe mishonga yekuwedzera inosanganiswa neserotonin syndrome. Izvi zvinosanganisira:

• Wort St.
• ginseng

Mishonga inotonhora uye yekukosora

Mimwe inodarika-the-counter inotonhora uye yekukosora mishonga ine dextromethorphan inosanganisirwa neserotonin syndrome. Izvi zvinosanganisira:

• Robitussin DM
• Delsym

Serotonin syndrome inoonekwa sei?

Iko hakuna chaiwo marabhoritari bvunzo ye serotonin syndrome. Chiremba wako anogona kutanga nekuongorora nhoroondo yako yezvokurapa uye zviratidzo. Ive neshuwa yekuudza chiremba wako kana iwe uri kutora chero mishonga kana kuti wakashandisa zvisiri pamutemo zvinodhaka mumavhiki apfuura. Idzi ruzivo runogona kubatsira chiremba wako kuti aite zvakanyatso kuongororwa.

Chiremba wako anowanzoita mimwe bvunzo. Izvi zvinobatsira chiremba wako kuti aone kana dzimwe nhengo kana mabasa emuviri akanganiswa. Vanogona zvakare kubatsira chiremba wako kutonga kunze mamwe mamiriro.

Mimwe mamiriro ane zviratidzo zvakafanana neserotonin syndrome. Izvi zvinosanganisira kutapukirwa, kudarika zvinodhaka, uye matambudziko ehomoni. Mamiriro anozivikanwa seeuroleptic malignant syndrome zvakare ane zviratidzo zvakafanana. Iyo inopokana maitiro kumishonga inoshandiswa kurapa chirwere chepfungwa.

Miedzo chiremba wako anogona kuraira inosanganisira:

• huwandu hweropa hwakazara (CBC)
• tsika yeropa
• utachiona hwebasa
• zvinodhaka zvemishonga
• itsvo basa rekuyedza
• chiropa chinoshanda bvunzo

Ndeapi marapirwo eserotonin syndrome?

Kana iwe uine kesi yakapfava kwazvo yeserotonin syndrome, chiremba wako anogona kungokuraira iwe kuti urege nekukurumidza kutora mushonga unokonzera dambudziko.

Kana iwe uine zviratidzo zvakakomba, iwe uchafanirwa kuenda kuchipatara. Kuchipatara, chiremba wako achanyatsoongorora mamiriro ako. Iwe unogona zvakare kugamuchira zvinotevera kurapwa.

• kubvisa chero mushonga wakakonzera mamiriro acho
• intravenous fluid yekushaya mvura uye fever
• mishonga inobatsira kudzikamisa kuoma kwemhasuru kana kushungurudzika
• mishonga inovhara serotonin

Ndeapi matambudziko anosangana neserotonin syndrome?

Kuwedzera kwemhasuru mhasuru kunogona kutungamira mukuparara kwemhasuru yemhasuru. Kuparara kwetishu iyi kunogona kukonzera kukuvara kwakanyanya kweitsvo. Chipatara chingangoda kushandisa mishonga inoomesa mhasuru dzako kwenguva pfupi kudzivirira kumwe kukuvara. Iyo yekufema chubhu uye yekufema ichakubatsira iwe kufema.

Ndeupi mutarisiro wenguva refu?

Maonero eserotonin syndrome akanaka kwazvo nekurapwa. Iko kune kazhinji hakuna mamwe matambudziko kana serotonin nhanho dzadzokera kune zvakajairwa. Zvisinei, serotonin syndrome inogona kuuraya kana ikasarapwa.

Ndingaite sei kudzivirira serotonin syndrome?

Iwe haugone kugara uchidzivirira serotonin syndrome. Iva nechokwadi chekuti chiremba wako anoziva mishonga yauri kutora. Chiremba wako anofanirwa kunyatso kukuongorora kana iwe uri kutora musanganiswa wemishonga inozivikanwa kuwedzera mazinga eserotonin. Izvi zvinonyanya kukosha kana uchinge watanga mushonga mutsva kana chaipo uchinge wawedzera muyero wako.

Iyo FDA inoda mavara ekunyevera pane zvigadzirwa zvekuyambira varwere nezve njodzi yeserotonin syndrome.