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Dzidza kuona zviratidzo zve serotonin syndrome

Dzidza kuona zviratidzo zve serotonin syndromeDzidzo yehutano

Chii chinonzi serotonin syndrome? | Zvinokonzera | Kuwanda | Zviratidzo | Zvekuita kana iwe uchifunga kuti unayo | Kurapa | Inotora nguva yakareba sei? | Yenguva refu kukuvara | Maitiro ekuzvidzivirira





Ngatiti iwe utore mushonga antidipressant , zvakaita se Paxil (paroxetine), mazuva ese. Iwe unonzwa a migraine kuuya, saka iwe unochera kuburikidza nedhirowa uchitsvaga Imitrex (sumatriptan) piritsi.



Kana, chimwe chiitiko chakajairika-iwe unotora iyo inodzvinyirira Cymbalta (duloxetine), uye iwe unonzwa kutonhora uye kukosora kuri kuuya. Iwe unosvika kune bhodhoro re Robitussin-DM kurapa zviratidzo zvako.

Izvi zvinhu zvinoita sezvisingakuvadzi, handiti? Funga futi. Izvi zviitiko zvekusanganisa mishonga zvinogona kukonzera chimwe chinhu chinonzi serotonin syndrome, icho chinogona kutyisidzira hupenyu.

Serotonin inonzi neurotransmitter. Kushungurudzika kunowanzo sangana neakaderera maseru e serotonin. Mazhinji marapirwo e kuora mwoyo kubatsira kuwedzera maserotonin mazinga. Mimwe mishonga (yakadai semimwe migraine mishonga, inorwadza mishonga, yekukosora inodzvinyirira, uye kunyangwe zvekudya zvinowedzera) zvinogona zvakare kuwedzera mazinga e serotonin.



Kana iwe ukatora mushonga unowedzera serotonin, unogona kunzwa kungonaka. Asi, yakawandisa serotonin kubva padosi yakanyanya kukwirira, kana kubva pakutora maviri kana anopfuura mishonga inowedzera huwandu hweserotonin, inogona kukonzera serotonin syndrome.

Chii chinonzi serotonin syndrome?

Serotonin syndrome inoitika kana paine yakawandisa serotonin mune yako system. Unowana sei serotonin yakawandisa mumuviri wako?

Serotonin syndrome inogona kuitika kana mumwe munhu:



  • Inotora mishonga inopfuura imwe inokanganisa maserotonin mazinga
  • Inotanga kana inowedzera muyero wemushonga unowedzera serotonin
  • Inotora mishonga yakawandisa inowedzera serotonin (netsaona kana nechinangwa)

Kana ikasiiwa isina kurapwa, mhedzisiro yacho inogona kuve yakaoma.

Ndeapi mishonga anogona kukonzera serotonin syndrome?

Iyi inotevera mishonga inowedzera serotonin mazinga uye inogona kuve nechekuita mune zviitiko zve serotonin syndrome. Serotonin syndrome inotonyanya kuitika kana iwe ukatora mubatanidzwa wemaviri kana anopfuura emishonga iyi.

  • SSRI antidepressants: SSRIs (inosarudza serotonin reuptake inhibitors) ndiyo inowanzozivikanwa mishonga inobatanidzwa mu serotonin syndrome. Zvinosanganisira Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Celexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), uye Trintellix.
  • SNRI mishonga yekudzvinyirira: SNRIs (serotonin-norepinephrine reuptake inhibitors) inosanganisira Cymbalta (duloxetine), Effexor (venlafaxine), uye Pristiq (desvenlafaxine).
  • Mamwe antidepressants: Tricyclic antidepressant mishonga (amitriptyline, nortriptyline), bupropion, trazodone, MAOIs (monoamine oxidase inhibitors)
  • Opioid marwadzo : sePercocet, oxycodone, OxyContin, Ultram (tramadol), Demerol (meperidine), fentanyl, Vicodin
  • Kukosora zvinodzvinyirira: Chero ipi yekukosora / inotonhora mishonga ine dextromethorphan, senge Robitussin-DM, promethazine DM, Delsym, Mucinex-DM
  • Migraine mishonga: Triptans senge Amerge (naratriptan), Imitrex (sumatriptan), Relpax (eletriptan), Zomig (zolmitriptan), Axert (almotriptan)
  • Mimwe mishonga yemishonga: Metoclopramide, ondansetron, linezolid
  • Mishonga inowedzera: Ginseng, Wort St.
  • Zvinodhaka zvisiri pamutemo: Ecstasy, LSD, cocaine

Yakajairika sei serotonin syndrome?

Nyanzvi dziri handina chokwadi yehuwandu hwezviitiko zve serotonin syndrome. Izvi zvinodaro nekuti kesi nyoro dzinogona kufuratirwa kana kufuratirwa. Dzimwe nyaya dzakakomba dzinogona kuverengerwa kune chimwe chikonzero. Isu tinoziva kuti serotonin syndrome inogona kuitika muvanhu vezera ripi zvaro, uye sekushandisa kwekudzvinyirira kuri kuwedzera, zviitiko zve serotonin syndrome zvinowedzera.



Ndezvipi zviratidzo zve serotonin syndrome?

Serotonin syndrome zviratidzo zvinokurumidza kukurumidza mushure mekutora mushonga wekudonhodza-60% yematambudziko anoitika mukati maawa matanhatu. Vazhinji varwere vane zviratidzo mukati memaawa makumi maviri nemana.

Zviratidzo zvinogona kusiyana kubva pakapfava kusvika kune ngozi-uye zvinogona kusanganisira:



  • Kusagadzikana
  • Kufunganya
  • Kusadzikama
  • Maitiro anochinja / shanduko muhutano hwepfungwa
  • Kuvhiringidzika kana kuvhiringidzika
  • Kurasikirwa kwekubatana kwemhasuru
  • Kudikitira kana kubvunda
  • Ganda rakatsetseka
  • Kupindwa nechando
  • Hyperthermia (kupisa)
  • Yakawedzera kurova kwemoyo, yakakwira BP
  • Kusvotwa, kurutsa, manyoka
  • Kudedera
  • Kuomesa kwetsandanyama, kuomarara kwemhasuru, kana mhasuru, kunyanya mumakumbo
  • Hyperactive mafungiro
  • Dilated vadzidzi

Zvimwe zvakanyanya serotonin syndrome zviratidzo zvinosanganisira kupisa kwakanyanya, kufenda, kurova kwemoyo zvisina kujairika, uye kusaziva.

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Zvaunofanira kuita kana iwe uchifunga kuti une serotonin syndrome

Kana iwe ukatora mushonga unokanganisa maserotonin mazinga uye ukasangana nechimwe chezviratidzo zviri pamusoro, tsvaga kurapwa nekukurumidza mune yekukurumidzira nzvimbo yekutarisira kana imba yekukurumidzira. Mhosva dzakakomba dzinotyisidzira hupenyu uye dzinogona kukurumidza kufambira mberi kusvika kurufu.

Wehutano uyo waunoona anogona kazhinji kuongorora serotonin syndrome kiriniki, nekuongorora zviratidzo zvako uye kuongorora mishonga yaunotora (zvese zvakanyorwa uye nepamusoro-pe-counter). Vamwe varapi vanoshandisa iyo Hunter Serotonin Toxicity Criteria kubatsira mukuongororwa kweserotonin syndrome.



Chii chinonzi kurapwa kweserotonin syndrome?

Tsvaga kurapwa nekukurumidza kwezviratidzo zve serotonin syndrome.
Kana uine zviratidzo zvidiki, wako mupi wezvehutano anogona kukuraira kuti usiye mushonga kana zvinodhaka zvinokonzeresa mhinduro ipapo. Kana iwe uine zvimwe zvine chekuita kana zvakakomba zviratidzo, iwe unofanirwa kurapwa uye kuongororwa muchipatara. Kurapa kweserotonin syndrome kunoenderana nezviratidzo uye kuomarara kwezviratidzo.

Mimwe mishonga yaiwanzo kurapa zviratidzo zvinosanganisira:

  • Benzodiazepines (senge diazepam kubatsira kubatsira kushungurudzika, kubatwa, uye kuomarara
  • Cyproheptadine kuvhara kugadzirwa kweserotonin
  • Mishonga yekudzora moyo wako kurovera kana kuwedzerwa kweropa (kana kukwidza yako BP kana yakanyanya kuderera)

Iwe unogona zvakare kuda IV emvura yekushaya mvura uye fever, kana yekuwedzera okisijeni.

Inguva yakareba sei serotonin syndrome?

Kureba kwenguva iwe yaunogona kuona serotonin syndrome inosiyana. Kana iwe uine fomu yakapfava yeserotonin syndrome, unogona kunzwa zvirinani mukati mezuva rimwe chete kana matatu. Zvimwe zviitiko zvinogona kutora mavhiki akati kuti zviende, zvichienderana nekuti ndeapi mishonga (s) akakonzera maitiro uye kuti mishonga (s) inogara kwenguva yakareba sei mumuviri wako.

American Family Chiremba anotsanangura ndiwe unokwanisa kupora zvachose kubva kuSerotonin syndrome, chero bedzi ichizivikanwa nekukurumidza uye matambudziko anonyatso chengetwa.

Ko serotonin syndrome inogona kukonzera kukuvara kwenguva refu here?

Iyo Nhau dzakanaka ndeyekuti munenge mune zvese zviitiko, kana chirwere chikabatwa nekukurumidza, hapafanire kuve nemhedzisiro-yakareba mhedzisiro, sekutaura kwenyanzvi dzezvipatara.

Nekuda kwekukosha kwekurapa serotonin syndrome kutanga, zvakakosha kutsvaga kurapwa nekukasira kana uine zviratidzo.

Nzira yekudzivirira serotonin syndrome

Chero ani anotora mushonga unowedzera serotonin ari panjodzi yeserotonin syndrome.

  1. Kuti uwane kuchengetedzeka, tora mishonga yako yese pane imwe kemesi. Nenzira iyi, wemishonga anogona kusvika kukuziva iwe uye uine yako yakazara mishonga runyorwa kutarisisa kusangana kwezvinodhaka.
  2. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge
  3. Kana iwe ukatora mishonga inowedzera serotonin, ziva nezve zviratidzo zve serotonin syndrome. Tsvaga kurapwa nekukurumidza kana iwe uine zviratidzo.
  4. Kana iwe uchida mushonga wekutonhora / wekukosora uye uri kutotora mushonga unowedzera maserotonin mazinga, tarisa izvo zvinoshandiswa, uye dzivirira dextromethorphan. Wemishonga wako anogona kukubatsira kusarudza chakakodzera chigadzirwa.
  5. Mishonga yakawanda yakasiyana inokanganisa maserotonin mazinga. Shanduko muyero kana musanganiswa wemishonga miviri iyo yese inowedzera serotonin inogona kukonzera serotonin syndrome, inogona kutyisidzira hupenyu.

Gara uchitarisa nemupi wako wezvehutano kuti uone kuti mishonga yaunotora inoenderana.