Ingozi yeSerotonin Syndrome kunye noSt. Johns Wort Plus Abaxinzelelekileyo
I-St. John's wort, isongezelelo sokutya, unento efana nezidandathelwana, ngoko akumangalisi ukuba ukufunda ukuthatha isongezelelo se-St. John's wort kungadibanisa kunye, okanye kwongeze, umphumo wezidakamizwa ezithile ezixinzelelekayo. Makhe sijonge indlela oku kusebenza ngayo lo unyango lwezonyango, yiyiphi intsebenziswano yezidakamizwa ezenzekayo, kunye neempawu onokuzilindela.
I-Supplement yeSt John's Wort Work?
St.
I-wort kaJohn isongezelelo esondlo esithengiswayo ukuncedisa ukuxinezeleka kunye nezinye izifo zengqondo. Kucingelwa ukuba i-stort John's wort ingasebenzisa umphumo wayo ngokunyusa izinga le- serotonin kwingqondo. I-Serotonin yi- neurotransmitter (umqondiso wekhemikhali engqondweni) efunyenwe ukuba ayinalo kwabanye abantu abanexinzelelo.
Ukwandisa i-serotonin kunokubangela ukuxinezeleka kwangaphantsi, kodwa ukuba amanqanaba e-serotonin aphezulu kakhulu imeko eyaziwa ngokuba yi- serotonin syndrome . Le meko ingaba yingozi kakhulu, kwaye nabani na abasebenzisa ukuxhaswa komzimba okanye ukuncedisa ukunyamezela kufuneka baqonde iimpawu.
Ziziphi iimpawu zokuxhatshazwayo ezinokuthi zidibanise ne-St. John's wort?
I-wort yaseYt. John inokukwazi ukusebenzisana neeklasi ezahlukeneyo zezidakamizwa ezichasayo , kuquka:
- I-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo - Le miyeza isebenza ngokuvimbela ukuphindaphinda kwe-serotonin kwiiseli zesisongela, ngokunyusa ukwandisa inani le-serotonin preset ukubopha kunye nokuthetha isignali, kwiseli elandelayo.
- Ukukhethwa kwe-norepinephrine reuptake inhibitors (i-SNRIs) - Le mithi iphakamisa zombini i-serotonin kunye namazinga e-norepinephrin ebuchosheni.
- I-Tricyclics anti-depressants - I-Tricyclic antidepressants yile mithi endala ephakamisa i-serotonin kunye namazinga e-norepinephrin ebuchosheni.
- I-Monoamine oxidase inhibitors (ii-MAOIs) - i-serotonin ephakamisa i-MAOI, i-norepinephrin, namazinga e- dopamine kwingqondo.
Amachiza aphakathi kwezi klasi aquka:
I-serotonin ekhethiweyo i-reuptake inhibitors:
- Prozac (i-fluoxetine)
- Paxil (paroxetine)
- Zoloft (sertraline)
- Celexa (citalopram)
- Luvox (i-fluvoxamine)
- Lexapro (escitalopram)
- I-Symbyax - Symbyax inxulumene neprozac (i-fluoxetine) neZyprexa (i-olanzapine)
Ukukhetha i-norepinephrine reuptake inhibitors:
- I-Cymbalta (duloxetine)
- Savella (milnacipram)
- Effexor (venlafaxine)
- Pristiq (desvenlafaxine)
I-Tricyclic antidepressants:
- Elavil (amitriptyline)
- ETofranil (imipramine)
- Ascendin (amoxapine)
- I-Anafranil (i-clomipramine)
- Pamelor (nortryptyline)
- I-Norpramin (desipramine)
- Vivactil (ipro protectlessline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
I-Monoamine oxidase inhibitors:
- Parnate (tranycypromine)
- Nardil (phenelzine)
Serotonin Syndrome
Xa ama-serotonin aphakanyiswa kakhulu, i-syndrome engaxakekanga kwaye ngezinye iingozi ibizwa ngokuba yi-serotonin syndrome. Amanqanaba aseSerotonin aphakanyisiweyo angabangelwa ngu:
- Ukuthatha isantya esiphezulu kakhulu se-anti-depressant esisodwa
- Ukuthatha amanye amabini anxamnye neengxaki zokuxhatshazwa okanye ukuxhatshazwa kunye ne-St John's wort
- Ukuthatha isithwathwa sikaSt. John okanye u-anti-depressant kunye nolunye unyango olubandakanya kwaye luphakamisa amanqanaba e-serotonin (oku kuquka amachiza aqhelekileyo afumaneka ngokubandayo nokulungiswa kokukhwehlela kwaye zidweliswe ngezantsi)
I-Serotonin syndrome inokuba yinto enzulu, kwaye inakho ukubulala xa ingaphathwa ngokukhawuleza. Ukuba usebenzise i-anti-depressants yethu ngaphandle kweminye impawu echazwe apha, qha ga mshelana nomncedisi wakho ononophelo.
Iimpawu ze-serotonin syndrome zingaquka:
- Ukudideka
- Hypomania
- Ukutshitshiswa
- Intloko
- Coma
- Ukukhupha
- Ukuxela
- Fever
- Igazi elonyukayo
- Intliziyo esheshayo
- Intliziyo engavumelekanga
- Isisu esimoshakele
- Uhudo
- Ukuthintela ngokuzikhethela
- Ukuqina komzimba
- Ukuxhamla
- Iingcamango ezingaphezulu
- Ukugubha
- Ukulahleka kwengqondo
Ukwelashwa kweSerotonin Syndrome
Isinyathelo sokuqala ekuphatheni i-serotonin syndrome sigxina onke amayeza kunye nezondlo ezondlo (ezifana neSt.
I-wort kaJohn) ebangela ukuba, ubuncinci de kube iimpawu zisombulule. Oku kufuneka kwenziwe rhoqo ngoncedo lonyango lwezobugqirha njengenye ingxaki, isifo se-SSRI sokuyeka , sinokuthi sinxulumene nokunciphisa ngokukhawuleza. Sekunjalo, ngelixa i-SSRI yokuyeka ukugula isifo sikhulu, i-serotonin syndrome inokuba yinto enzulu kakhulu.
Unyango lwezokwelapha lungabandakanya ukulawulwa kwabamelene ne-serotonin njengemethysergide kunye ne-cyproheptadine. I-Benzodiazepines , efana ne-Ativan okanye iValium inokunikezwa ukuze kuncitshiswe ukuqina komzimba.
Kwezinye iimeko, kunokuba kunyanzelekile ukubonelela umoya wokumisa umoya (ukubeka umntu kwisipilisi) ukuncedisa ukuphefumla kude kube ngcono iimpawu. Ngokuqhelekileyo, kuthatha iiyure ezingama-24 ukuba iimpawu ziphephe, nangona zingathabatha ixesha elide iiyure ezingama-96.
Ukukhusela iSerotonin Syndrome
Ukuze ugweme i-serotonin syndrome, kukulungele ukuba ulandele isiluleko sakho ngogqirha ngokumalunga neyeza zakho. Ukongezelela, qiniseka ukuba bonke ababonelela ngempilo bakho bayayazi nayiphi na iminye imichiza oyithathayo, kubandakanywa nokulungelelaniswa kwamagalelo anjenge-St. John's wort, kunye neyeza-counter-counter-counter (ikakhulukazi amayeza abandayo abanda kubanda. ) U
Ekugqibeleni, kufuneka ufune ingcebiso ngogqirha wakho malunga nendlela yokuguquka ngokufanelekileyo ukusuka kwesinye isixinzelelo kwi-one okanye kwi-prescription yokunyanzeliswa kwezidakamizwa kwimifuno okanye kwizongezelelo ezinokuchaphazela i-serotonin. Kungenzeka ukuba amanqanaba akho ase-serotonin ahlale ephakanyisiwe ixesha elide emva kokuba uyeke ukuthabatha amayeza akho ukuba kulungele ukuvumela ixesha lokuhamba ngaphambi kokuba uqale elinye iyeza, isityalo okanye isongezelelo esinokuba nemiphumo efanayo kwi-serotonin.
Ezinye iziyobisi ezinokuthi zikhokele kwiSerotonin Syndrome
Ukuba uthatha i-St. John's wort okanye i-anti-depressant kubalulekile ukuba uqaphele ezinye iziyobisi kunye nokuba kunokukhokelela kwi-serotonin syndrome. Ezinye zezi ziquka:
- I-5-HT okanye i-5-HPT, i-5-HT okanye i-5-hydroxytryptophan isongezelelo sesondlo kwaye yenye yezinto eziphambili kwi-serotonin
- Panax ginseng
- Lithium
- Selegiline
- Buspar (buspirone)
- I-Dextramethorphan (efunyenwe kwizikhwebu ezininzi kunye neendlela ezibandayo)
- Chlorpheniramine
- I-Triptans (i-migraine amayeza)
- Amayeza obuhlungu kuquka ikhodi, fentanyl, meperidine, kunye ne-tramadol
- I-dopamine agonists kuquka i-levodopa, i-amantadine kunye ne-bromocriptine
- Iziyobisi ezingekho mthethweni ezifana ne-cocaine, i-LSD, i-ecstasy, ne-amphetamines
Kubalulekile ukuqaphela ukuba iintsebenziswano ezidweliswe zizo ezibangelwa kwisifo se-serotonin. I-wort yaseYt. John ingakwazi ukusebenzisana namanye amayeza ngezinye iindlela, njengokunciphisa ukusetyenziswa kweziyobisi ezisetyenziselwa iimeko ezivela kwimizila yokutshatyalaliswa kokutsalwa.
ILizwi lokulumkisa ekuSebenziseni izondlo
Ukusebenzisana kwe-St. John's wort kunye nemithi ethile yokuxhatshazwayo ngumzekelo omnye wendlela yokutya okunomsoco-nangona kuthengiswa njengezendalo kunye nezityalo okanye kusetyenziswe i-organic-ingabangela iziphumo ezibi kunye nokusebenzisana namanye amayeza ngendlela efana neziyobisi zemithi.
Ngaphambi kokuba uthathe nayiphi na isongezelelo semfuyo okanye isondlo, qiniseka ukuba ufunde oku kungeniswa kokusetyenziswa kokuncediswa kokutya ukuze ufundiswe kwaye unikwe amandla okwenza iinqunto ezifanelekileyo kwimpilo yakho.
Ngaphantsi kweNtsebenziswano yeSt. John's Wort kunye ne-Anti-depressants
Kucacile ukuba isondlo sondeza iSt John's wort singakwazi ukusebenzisana nemithi echasayo. Kuya kuba bubulumko, kwiimeko ezininzi, ukuphepha ukudibanisa, kodwa kubalulekile ukubuza ukuba kutheni ucinga ukuthabatha kokubili le miyeza ngexesha elifanayo.
Endaweni yokongeza ezo zibini kunye, ngaba iyakwazi ukunyusa umthamo wakho we-St. John's wort okanye u-antidepressant?
Abanye abantu banquma ukuthatha i-wort yase-St. John njengendlela yokunciphisa okanye ukunciphisa imfuno yabo yokuthatha imithi yonyango, kwaye kuyaqondakala. Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba i-wort yaseJohn iyimithi esebenzayo, kwaye kufuneka ijongwe ngendlela efanayo apho uza kukhangela nayiphi na enye imithi.
Ukuba ufuna iindlela zokungabikho zonyango ukunceda ukulawula uxinzelelo okanye ukuxhalaba, kukho ezininzi iindlela. I-Psychotherapy ingaba luncedo kakhulu okanye yodwa, okanye idibene ne-St. John's wort okanye i-anti-depressant (okanye nge-5-HT, enye incediso yemfuyo eyenziwa ngabanye abantu ukuxinezeleka nokuxhalabisa.) Kwabo bafuna ithuba elifutshane , unyango olwenziwe ngokwabelana ngoluntu oludityanisiweyo lunokuba luncedo olufutshane lwexesha elifutshane. Ezinye iindlela zokwelapha, ezifana nokunyangwa kwengqondo yokuziphatha, unyango lwendlela yokuziphatha , kunye neyonyango yokuziphatha ngendlela enengqiqo , zonke ziye zafunyanwa ukunceda abantu abaninzi banokujamelana nokuxinezeleka.
Izicwangciso zokuncedisa ukuzimela ezivela kwiincwadi zokuncedisa ngokwabo ukuxhalabisa okanye amaqela okuxhasa uxinzelelo , ukuhlaliswa koluntu kwintlalo akumele kuthatyathwe phantsi kwaye kunokuba luncedo kubantu abaninzi.
Hlola ezi ngcebiso eziphezulu zokuhlala nokuxinezeleka , okuquka yonke into evela kwiingcebiso malunga nokutya okunokukunceda uxinzelelo, kwiindlela zokubamba iingcamango zakho ezimbi kwaye ufunde ukuxolela wena nabanye.
Imithombo:
Izzo, A., Hoon-Kim, S., Radhakrishnan, R., no-E. Williamson. Indlela ePhambili yokuVavanya ukuPhathwa kweeKliniki, iziganeko ezimbi kunye nokuHlangana kweeMithi zoLungiso lwezityalo. Phytotherapy Research . 2016. 30 (5): 691-700.
Khalid, Z., Osuagwu, F., Shah, B., Roy, N., uDillon, J., noR. Bradley. I-Celery Root Extract njenge-Inducer ye-Mania Ukukhupha kwiMonde kwi-Venlafaxine kunye ne-St. John's Wort. I-Postgraduate Medicine . 2016. 128 (7): 682-3.
IZiko leSizwe leMpilo eQinisiweyo kunye neyoManyeneyo. I-St. John's Wort kunye Nokunyanzeliswa: KwiNzulu. Ukuhlaziywa 09/13. https://nccih.nih.gov/health/stjohnswort/sjw-and-depression.htm