Qaphela kodwa uqikelele mayelana nale Rare Syndrome
Sibutsetelo
Ukwakhiwa kwe-serotonin yamakhemikhali emzimbeni kungabangela isifo esibulalayo esibizwa ngokuthi i-serotonin syndrome. Le syndrome ayidlangalaleni kepha ikakhulukazi kwenzeka lapho isiguli sithatha isidlo semithi esandisa i-serotonin, njenge- triptan ye-migraines yabo ne-anti-depressant yokucindezeleka kwabo - kokubili okwenza ukwandisa amazinga we-serotonin ebuchosheni.
Akucaci ukuthi kungani abanye abantu behlakulela i-serotonin syndrome kanti abanye abazange bathathe i-cocktail efanayo yemithi. Ngokufanayo, akucaci ukuthi kungani abanye abantu bekhula kuphela uhlobo olumnene lwe-serotonin syndrome kanti abanye bahlakulela ifomu elibi kakhulu elisongela ukuphila.
Kunezindlela ezintathu lapho i-serotonin syndrome ingase ivele khona:
- Ukusetshenziswa kwemithi emibili noma ngaphezulu ye-serotonergic (imithi echaza ukuthi yandisa ama-serotonin amazinga)
- Ukudlula ngokweqile komuthi owodwa we-serotonergic
- Ukwandisa umthamo womuthi owodwa we-serotonergic
Izimpawu Nezibonakaliso
Izimpawu ze-serotonin syndrome ziyahlukahluka kakhulu futhi zingabandakanya:
- Ukuphumula
- Uhudo
- Ukuphunga
- Fever
- Kunzima ngokulinganisela
- Ukudideka
- Fever
- Ukuphikisana
- Umfutho wegazi ophakeme nokukala kwenhliziyo okusheshayo
- Inkulumo ecindezelweyo
Uma uhlolwa ngokomzimba, uma udokotela wakho esolwa nge-serotonin syndrome, angase afune lezi zimpawu:
- Izimpendulo ezingaphezulu (hyperreflexia)
- Ukuxubha okungahambi kahle komzimba (myoclonus)
- Abafundi abahlukunyeziwe (i-mydriasis)
Ukuthola okuvamile kwe-serotonin syndrome eyenzeka ezimweni ezimbi kubandakanya:
- Ukuphazamiseka kwemisipha
- Ukuzizwa
- Ukuhluleka kwezinso
- Ukuhluleka kokuphefumula (ukuphefumula)
- Ukufa
Imithi Ehlanganisiwe
Kunezinhlobo eziningi zemithi ehlobene ne-migraine engakwazi ukudala i-serotonin syndrome. Lezi zihlanganisa i-Reglan antiemétique (metoclopramide) kanye nemithi emibi kakhulu ye-migraine, njenge-triptans ne-dihydroergotamines.
Imithi ethile yokuvimbela imithi , njenge-valproic acid nama-anti-depressants, njenge-serotonin reuptake inhibitors (SSRIs) ekhethiwe, i-serotonin-norepinephrine reuptake inhibitors (i-SNRIs) ne-tricyclic anti-depressants, ingaholela nesifo se-serotonin.
Eminye imithi ihlanganisa ukuphumula komuthi we-prescription Tramadol (Ultram) noma i-muscle relaxant cyclobenzaprine (Flexeril). Izidakamizwa ezithile ezingekho emthethweni (i-cocaine), izithako (i-St John's wort), kanye nemithi yokushisa engaphezu kwemithi (isib. Dextromethorphan - eyaziwa njengoRobitussin) ingabangela nalesi sifo esingavamile.
Ukuvimbela
Qinisekisa ukuthi udokotela wakho uyazi zonke izidakamizwa zakho ezibandakanya noma yini engaphezu kwe-counter, the amavithamini, kanye nezithako. Ngale ndlela udokotela wakho angakugwema ukubeka imishanguzo eningi kakhulu ye-serotonin, noma okungenani ukululeka ngezimpawu uma uthatha imithi engaphezu kweyodwa eyandisa ama-serotonin amazinga.
Ngaphezu kwalokho, i-serotonin syndrome ngokuvamile ivela ngosuku olulodwa lokukhulisa umthamo wemithi noma ukufaka imishanguzo eqhubekayo ye-serotonin. Thintana nodokotela wakho ngokushesha uma ungazizwa kahle noma ukhathazekile nge-serotonin syndrome.
Ukwelapha
Izindaba ezinhle ukuthi iningi lezinkinga ze-serotonin syndrome zinomusa futhi zixazulula ngokumisa imithi noma izidakamizwa.
Ezimweni ezingathà sina, kudingwa esibhedlela.
Okubalulekile
Indima eqinile i-serotonin idlala emzimbeni yenza kube umgomo omuhle kakhulu wemithi eminingi. Ngalokho kunjalo, kuza engozini. Njengezo zonke izinto, ukulinganisela kuyisihluthulelo lapha. Ungavumeli ukwesaba kwalesi sifo kukuvimbele ekuphuzeni imithi engakusiza ngempela. Esikhundleni salokho, hlala uqaphe futhi uqonde ngokukhuluma kahle nodokotela wakho nokubika noma yiziphi izimpawu ezintsha.
Imithombo
Ables AZ. Ukuvimbela, Ukuxilongwa, Nokuphathwa Kwe-Serotonin Syndrome. Am Fam Physician. 2010 Meyi 1; 81 (9): 1139-42.
Mohammad-Zadeh LF, Moses L, & Gwaltney-Brant SM. I-Serotonin: ukubuyekezwa. J Vet Pharmacol Ther. 2008 Jun; 31 (3): 187-99.
I-Volpi-Abadie J & Kaye AD. I-Serotonin Syndrome. Ochsner J. 2013 Winter; 13 (4): 533-40.
ISICELO: Leli sayithi lenzelwe izinjongo zokwaziswa kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .