Khalani Wodziwa Koma Wokwanira pa Nkhaniyi Yachilendo
Mwachidule
Mankhwala otchedwa serotonin m'thupi angayambitse matenda oopsa omwe amatchedwa sytotic serotonin. Matendawa ndi osowa koma nthawi zambiri amapezeka pamene wodwalayo amamwa mankhwala omwe amachititsa serotonin, monga triptan kwa migraines komanso kupsinjika maganizo chifukwa cha kuvutika maganizo kwawo - zomwe zimawonjezera kuwonjezeka kwa serotonin mu ubongo.
Palibe chifukwa chake anthu ena amakhala ndi matenda a serotonin komanso ena samakhala ndi mankhwala omwewo. Chimodzimodzinso, sizikudziwika bwino chifukwa chake anthu ena amapanga mtundu wochepa wa matenda a serotonin ndipo ena amakhala ndi mawonekedwe oopsa kwambiri omwe akuwopsya moyo.
Pali njira zitatu zomwe syotonin imayambira:
- Kugwiritsidwa ntchito kwa mankhwala awiri kapena kuposa (serotonergic) mankhwala (amatanthauza mankhwala omwe amachulukitsa mayendedwe a serotonin)
- Kuchuluka kwa mankhwala osakaniza a serotonergic
- Kuchulukitsa mlingo wa mankhwala amodzi a serotonergic
Zizindikiro ndi Zizindikiro
Zizindikiro za matenda a serotonin zimasiyana kwambiri ndipo zingaphatikizepo izi:
- Kupuma
- Kutsekula m'mimba
- Kukwapula
- Fever
- Zovuta ndi Kusamala
- Kusokonezeka
- Fever
- Kusokoneza
- Kuthamanga kwa magazi komanso kuthamanga kwa mtima
- Mawu Opanikizika
Pa kafukufuku wamthupi, ngati dokotala akukayikira matenda a serotonin, akhoza kuyang'ana zizindikiro izi:
- Zosokoneza kwambiri (hyperreflexia)
- Kusokoneza mwadzidzidzi kwa minofu (myoclonus)
- Kusintha kwa ophunzira (mydriasis)
Kafukufuku wambiri wa matenda a serotonin amene amapezeka pa milandu yoopsa ndi awa:
- Kusokonezeka kwa minofu
- Kugonjetsa
- Kulephera kwa impso
- Kupuma (kupuma) kulephera
- Imfa
Mankhwala Ogwirizana
Pali mankhwala angapo okhudza migraine omwe angathe kuyambitsa matenda a serotonin. Izi zikuphatikizapo Reglan (metoclopramide) ndi mankhwala ovuta a migraine, monga triptans ndi dihydroergotamines.
Mankhwala ena oteteza mthupi, monga valproic acid ndi anti-depressants, monga serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), komanso tricyclic zowonongeka, zingathenso kutengera matenda a serotonin.
Mankhwala ena amaphatikizapo kupweteka kwa mankhwala a Tramadol (Ultram) kapena minofu yopumula cyclobenzaprine (Flexeril). Mankhwala ena osayenera (cocaine), mavitamini (St. John's wort), ndi mankhwala omwe amadziwika kwambiri (monga dextromethorphan - odziwika ndi dzina lakuti Robitussin) angathenso kuwatsogolera ku matendawa.
Kupewa
Onetsetsani kuti dokotala amadziwa mankhwala anu onse kuphatikizapo chilichonse choposa-vitamini, mavitamini, ndi zowonjezereka. Momwemo dokotala wanu angapewe kukupatsani mankhwala ochuluka kwambiri a serotonin, kapena kukuchenjezani inu zizindikiro ngati mutenga mankhwala oposa limodzi omwe amachititsa ma serotonin.
Kuonjezera apo, matenda a serotonin amapezeka nthawi imodzi patsiku lowonjezereka mlingo wa mankhwala kapena kuwonjezera mankhwala owonjezera a serotonin. Lembani dokotala wanu nthawi yomweyo ngati simukumva bwino kapena mukudandaula ndi matenda a serotonin.
Chithandizo
Nkhani yabwino ndi yakuti nthawi zambiri matenda a serotonin ndi ofatsa ndipo amakonza ndi kusiya mankhwala omwe amachititsa kuti awonongeke.
Pa milandu yowopsa kwambiri, malo osowa kuchipatala amafunika.
Mfundo Yofunika Kwambiri
Udindo wamphamvu womwe serotonin umasewera mu thupi umapangitsa kuti umve bwino kwambiri mankhwala ambiri. Ndili choncho, amabwera pangozi. Monga muzinthu zonse, kuchepetsa ndizofunikira pano. Musalole kuopa matendawa kukulepheretseni kumwa mankhwala omwe angakuthandizeni. M'malo mwake, khala wochenjera komanso woganiza bwino polankhulana bwino ndi dokotala ndikufotokozera zizindikiro zatsopano.
Zotsatira
Ables AZ. Kupewa, Kuzindikira, ndi Kulamulira kwa Serotonin Syndrome. Am Phys Physician. 2010 May 1; 81 (9): 1139-42.
Mohammad-Zadeh LF, Moses L, & Gwaltney-Brant SM. Serotonin: ndemanga. J Vet Pharmacol Ther. 2008 Jun; 31 (3): 187-99.
Volpi-Abadie J & Kaye AD. Serotonin Syndrome. Ochsner J. 2013 Zima; 13 (4): 533-40.
KUDZIZIRANI: Tsamba ili ndi lodziwika bwino. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .