Iimpawu zeSerotonin kakhulu
I-anti-depressants ebizwa ngokuthi i-serotonin e-reuptake inhibitors (SSRIs) ekhethiweyo ibonwa njengabagulisi bokuqala kwiinkqubo zokuphazamiseka kwesifo kunye nezinye iingxaki zokuxhalabisa . I-SSRI ikwandisa izinga le-serotonin engqondweni, okubangelwa ukunciphisa uxhalaba kunye nokuvinjelwa kweentlanzi. Umntu unokuziva ehlaziyekile kwi-serotonin eyandisiweyo, ejongene nokuhlaselwa okukodwa kunye nokuncinci.
Kodwa, ukuba amanqanaba e-serotonin anyuke kakhulu, imeko enobulunga obubizwa ngokuba yi-serotonin syndrome inokubangelwa.
Ingqondo yomntu ikholelwa ukuba isebenza kwiimeko eziyinkimbinkimbi yeekhemikhali ngeentlobo ezahlukeneyo ze- neurons kunye neurotransmitters . I-Neurons iiseli zengqondo, zibalwa kwiibhiliyoni, ezinokukwazi ukuthetha ngokukhawuleza kunye nomnye ngezithunywa zeekhemikhali ezibizwa nge-neurotransmitters. I-Serotonin yenye yezo zithunywa zeekhemikhali. Idlala indima ekwenzeni ukuxhalabisa, ukukhathazeka, ukulala, ukutya, kunye nesondo. I-Serotonin iphinda ikhiqizwe kwindlela yokutya, idlala indima ekutyeni kunye nezinye iinkqubo zomzimba.
Sibanzi
I-serotonin syndrome, okanye i-serotonin yetyhefu, yimeko engavumelekanga ebangelwa ngamazinga aphezulu aphezulu e-serotonin engqondweni. Inokuba yingozi yokuphila. Ngokuqhelekileyo kubangelwa ukuxuba amayeza amabini okanye amaninzi afaka amanqanaba e-serotonin kwingqondo.
I-SSRIs, i- SNRIs , i- tricyclic antidepressants , i- MAOIs , kunye ne-triptans zizonke iiklasi zonyango eziye zachaphazeleka ekuphuhliseni i-serotonin syndrome. Ezi zidandlululo zidlalwa ngokukhawuleza ukuphathwa kwengxaki yokuxinezeleka nokukhathazeka, kuquka ukuphazamiseka kwengxaki.
Izimpawu kunye neMpawu
Izimpawu neempawu ze-serotonin syndrome ziquka:
- Ukudideka
- Ukulahlekelwa kolawulo
- Ukuqina komzimba
- Ukungabi naso
- Hallucinations
- Ukuphazamiseka okukhulu
- Iintlukwano kwixinzelelo lwegazi
- Iintliziyo zentlungu
- Isihlunu, ukuhlanza, urhudo
- Fever
- Ukuxhamla
- Coma
Unyango
Ekubeni i-serotonin syndrome inokuba yingozi yokuphila, unyango lwezonyango luyimfuneko. Utyando luqala ngokurhoxiswa kwamachiza anomhlaza. Imiphumo echanekileyo ye-serotonin syndrome ithambekele ekuphumeni kwiiyure ezingama-24 ukuya kuma-48 emva kokuba iziyobisi ezichaphazela i-serotonin zivaliwe. Nangona kunjalo, ezinye zeengxaki ezinjenge-delirium kunye nokungazinzi kwentlawulo yesimo senhliziyo, uxinzelelo lwegazi, ukushisa kunye neminye imisebenzi ye- system ye-nerveous autonomic inokuqhubeka . Amanyathelo okuxhasa kunye nokungenelela kwisibhedlele esibalulekileyo esibhedlele kungabalulekile kwaye zibandakanya:
Ixabiso lentliziyo kunye nokulawulwa kwengcinezelo yegazi: Amachiza okunciphisa izinga leenhliziyo kunye noxinzelelo lwegazi (okt, i-esmolol okanye i-nitroprusside) kunokufuneka. Amachiza anganikwa kwakhona ukuba uxinzelelo lwegazi luphantsi kakhulu.
Ulawulo lokushisa: Kungabakho imfuneko yokunyanga iimpawu ze-fever kunye neengubo zokupholisa kunye nabalandeli bamabhedlele.
Ukuhlaliswa: I- Benzodiazepines ingasetyenziselwa ukulawula ukunyanzeliswa kwemizimba kunye nokuxhalaba okukhulu.
Ukunyuka kwamanzi: Iimfuno zamanzi ezifunekayo zingadinga ukujongana neemfuno ze-hydration.
I-Cyproheptadine: Ngamanye amaxesha kwakusetyenziselwa ukuvimba ukuveliswa kwe-serotonin emzimbeni. Kubonise ukuphumelela ekunciphiseni ubunzima beempawu ezinxulumene nesifo se-serotonin.
Thintelo
- Tshela ugqirha wakho malunga nawo onke amayeza owathatha ngoku. Oku kubandakanya izidakamizwa zonyango, amayeza amaninzi, kunye nezongezelelo.
- Ukuba uthatha imithi echaphazela amanqanaba e-serotonin, xela ugqirha wakho malunga nobungozi bokuphuhlisa i-serotonin syndrome.
- Funa unonophelo lwangonyango olukhawuleza ukuba uthatha imithi echaphazela amazinga e-serotonin kwaye uhlakulela nayiphina impawu ye-serotonin syndrome.
Imithombo:
> Umtshini, uBetina C. "uSerotonin Syndrome." I-Journal ye-Neuroscience Nursing . Epreli 2006. 38 (2): 102-105.
> Ulawulo lweZiko lokuTya kunye neDrug. Ubomi-obunobungozi beSerotonin Syndrome kunye nokusetyenziswa okuhlanganisiweyo kwama-SSRIs okanye ama-SNRIs kunye neMilptan Medication. Julayi 19, 2006.