Tohu me te maimoatanga o te serotonin syndrome

Ko te hua koi i roto i te taumata o te serotonin - te huru kaua nui, haere tahi nei i maumaui papatipu i roto i te mahi o te rauropi katoa. Tikanga, enei huringa ko te hua o te tango etahi raau taero tuwhena rawa ranei e ngā taero. I roto i te ngaro o te tiaki hauora wā he mahi wehe ki te ati, hopearaa ētahi wā tina heke tenei āhuatanga. reira i te mea e tika ana ki te whakaaro i te mōhiohio e pā ana ki te mea e nga take me tohu o te serotonin syndrome. He aha te maimoatanga e taea whakahere rongoā hou me te ake mahi wehe ki te kore o te maimoatanga?

Serotonin syndrome: he aha te mea te reira?

I roto i te meka, kihai puta mai te kōrero tuatahi e pā ana ki tenei kāwanatanga kia roa i mua. I roto i te tau 1960 i roto i te Hau Amui no Marite i whakaputaina nga akoranga tuatahi i runga i tenei kaupapa. Ko te take i te take o te syndrome, i, i roto i te meka, tahi e te hua koi i roto i te rahinga o te taonga i roto i te pūtau io, i rerekē nekehanga, e pā ana ki pōuritanga.

Kei te mohiotia te reira e arata'i serotonin hē syndrome ki te whanaketanga o te korekore. A i roto i te rau tau whakamutunga i whakaaro ai he rongoa mo taua maumaui, mohiotia inaianei rite "pōuritanga". tauturu i ēnei taero ki te whakapiki ake i te taumata o te serotonin, paingia mohiotia rite te "taiki oaoa". I raro i to ratou mana, rohirohi ma'i me te tau'a āta ngaro, me te iwi āta hoki mai ki te ora noa. Heoi, nui rawa o te serotonin mahi rite te tāoke, he pānga tuukino i runga i ngā pūtau io, meinga he mate taimaha i roto i te rauropi. pea te syndrome rite rite ki te hua o pōuritanga, me te huinga o pōuritanga me ētahi atu taero (hei tauira, etahi o syrups mare, me te pera i runga i. D.).

I roto i te meka, i roto i te ao o teie mahana, e kore tuhia pera maha take o serotonin syndrome. Ko, kia rite ki tākuta me kairangahau, tupu te reira anake te mea te whakararuraru, ke ana rite te puranga tohu äta, e e te nuinga o whakahengia i runga i karere riaka te rohirohi ranei. reira i te mea tika ki te mohio e pā ana ki te aha kia puta syndrome serotonin, he aha te mea reira me aha nga tohu i aru.

Ko te mahi matua o te serotonin

Ko te utu ki te mohio te huarahi o te mahi o "oaoa taiki" te reira, i mua i whakaaro i te pātai o te pehea a he aha te whakawhanake serotonin syndrome. He aha te mea tenei mea? Ko te mahi matua ko te ture o ngā mahi serotonin i etahi neurons i roto i te roro. E haere ana i te kapiti synaptic i tetahi neuron, tenei taonga tauhohe ki receptors motuhake i roto i te membrane o te pūtau karere pātata, whakahohe reira me te pupuhi karere hihiko.

He maha ngā pūnaha e taea whakahaere i te nui o serotonin i te tinana. I roto i ngā, i tenei reuptake, ai hoki te rāpoi ngota ki te tukatuka i te neuron tuatahi (rokohanga, te nuinga o pōuritanga he inhibitors o serotonin reuptake) me te ture enzymatic, i roto i nei te hohe taonga piri taiki rāpoi ngota motuhake.

regulates serotonin maha tukanga i roto i te tinana, tae atu ki:

• wā o te moe, me te 'ā'ā;
• hiahia;
• whanaketanga ngaro o te mana'o o te whakapairuaki ranei;
• whanonga fakasekisualé;
• tikanga thermoregulatory;
• te tirohanga o te mamae;
• tautoko o te reo uaua;
• motility o te wahi kūnatu;
• te ture o te reo iaia;
• whakamatauria reira e he wāhi i roto i te tikanga o te migraine serotonin.

I taea te kite, "hormones hari" whakarato kore ko te mana'o noa o euphoria te tinana tangata. I muri ako i te mahi o tenei taonga, ko reira taea ki te whakaaro te tahi mau tohu o te serotonin syndrome. E te ara, te mōrahi kitea kukū o te taiaki i roto i te kakau roro, me te hanganga reticular.

Serotonin syndrome: matūora. He aha i taea e tīmata i te ofatiraa?

Ka rite ki kua whakahuatia, tenei tūkino, mo te wahi tino whakawhanakehia i tango etahi rongoā, ona he huinga ranei. Na te aha taero taea tīmata te whanaketanga o mate kino pērā i serotonin syndrome?

• "Tsipraleks" me ētahi atu inhibitors reuptake serotonin waihanga me te monoamine oxidase.
• maimoatanga tukutahi ki inhibitors monoamine oxidase me hormones thyroid, "clomipramine", "carbamazepine", "imipramine" me "Amitriptyline".
• inhibitors Mao me te huinga o te tahi mau raau taero e whakamahia ana mō te ngaronga taimaha, i roto i ngā "Dezopimona", "fepranona".
• Ko te huinga o te SSRI Mao ranei inhibitors ki teuteu kei roto L-tryptophan, tangohanga marou o St John me matakite.
• Ko te huinga o te konukōhatu ki taero raau, i roto i ngā te "Kontemnola" me "Kviloniuma".
• fariiraa tukutahi o inhibitors me dextromethorphan (he taonga i kitea e te i roto i te maha syrups mare, tae atu "Kaffetin Cold", "Glikodin", "Tussin Plus" me etahi ētahi atu.
• Ko te huinga o inhibitors reuptake serotonin ki taero pērā i "dihydroergotamine", "sumatriptan" (raau taero migraine), "Levodopa" (whakamahia i roto i te mate o Parkinson).
• He he taunakitanga e kia puta serotonin syndrome ki te whakamahi o te waipiro i runga i te whakamārama o te therapy raau.

Tonu ko reira utu kupu e matapae mehemea ki te whakawhanake i te syndrome i runga i te whakamārama o te therapy whakarite o te tākuta, he tata e taea. Te reira i katoa tei runga i te horopeta o rongoā, nga āhuatanga takitahi o te manawanui, tona tau, me te tokomaha atu āhuatanga. Heoi, ki te e whakaritea e koe pōuritanga, kia tino koe korero tou tākuta e pā ana ki te rongoa katoa e tango koe, ka kia mohio ki te kōrero i runga i te whakataki o te kaupapa hou o te therapy, ahakoa he reira ara tirikara mare noa.

Ko te āhuatanga matua o te pikitia haumanu

Kia pehea te Ko te syndrome serotonin? Tohu o te hawhe o nga take puta i muri i 2-4 haora i muri i ingestion. Ko kia puta te tohu tuatahi, me te ra. I roto i te hononga ki te mahi matua o te serotonin, kua wehea maumaui taea katoa ki ngā rōpū matua e toru:

• disorders hinengaro;
• i ngā raruraru uaua me ngā pūnaha io piringa;
• disorders autonomic.

Kua whakaahuatia i raro katoa o nga tohu ka taea, engari me mea tuatahi kia reira e kore e te ngā haurahi he pūtake motuhake mo te waihanga o te tātaritanga taua. he whakamātautau anake oti tinana, akoranga taiwhanga, a ratou i roto i etahi tohumate me āhuatanga mōrearea taea hanga reira taea ki te tātari i te serotonin te taikaha i roto i te kopa io.

disorders Mental i runga i te pūtake o te syndrome

Me pēhea te ki te ite i serotonin syndrome? te nuinga o tīmata Tohu ki disorders hinengaro, tae atu:

• mahimahi aronganui;
• tākaha, wehi noa i a manukanuka, ētahi wā ki te mata o te whakaeke aitua;
• ētahi wā i reira he tetahi pikitia - te tangata mana'o te tikanga o euphoria, koa kaha, te hiahia ki te neke, te korero ta'etuku ka mahi i te tahi mea e pā ana ki reira;
• waimaero taea o te mahara;
• I roto i te wā atu nui, i reira ko te ahua o horihori me moemoea.

E tano ia tapao e te tohu, me te tohu o te pakeke, ko te tika ti'aturi i runga i te pakeke o nga pānga paitini. Hei tauira, i ētahi wā kitea anake te excitation iti te. I roto i te tahi atu te wā i reira ko te ähua o tohu o te mate whāriki (hei tauira, te korekore), e tika ana ki te haere tonu nei te te rongoā. I roto i te wā tino nui, mamae te manawanui i disorientation, raruraru i roto i te ao, me te whaiaro, te mamae i horihori me moemoea rerekē.

Ko te tohu vegetative matua

He atu tohu e haere tahi serotonin syndrome. Tūkino i te ara koi i roto i te taumata o tenei taonga kia titiro te tahi atu ara. I roto i ngā, i te kitea a ka autonomic disorders, tae atu i te whai ake:

• dilated ākonga, ka nui haere lacrimation;
• ake i roto i auau ngakau, tachycardia;
• ake i roto i te auau romahā;
• ētahi wā i reira he kirika (te tikanga, he iti reira, engari tuhia te kirika o 42 nekehanga i roto i te tahi mau tūroro);
• he hua koi i roto i te pēhanga toto ki tohu te rere tae noa ki te ngaronga o te mahara;
• te ahua o te maroke i roto i te mangai, me te i runga i etahi atu kiriuhi mucous;
• tere motility gastrointestinal, e i roto i te tahuri ai arahi ki disorders pērā i korere, whakapairuaki nui me te ruaki, flatulence, bloating me te mamae puku o rerekē pakeke;
• ongo'i te kani;
• Pāhoahoa, ētahi wā migraines.

Ka rite ki a koutou e taea te kite, e kore e motuhake rawa i nga tohu o tenei mate, no te mea kia haere tahi te taua tohu i te tatini atu mate.

disorders uauaio i runga i te whakamārama o te syndrome

Ka rite ki kua whakahuatia, regulates serotonin te tuku o ponana karere. Ko Ko te aha te huringa i roto i te taumata o tenei taonga pānga te mahi uauaio. Tenei ko te rārangi o disorders taea:

• nui haere kaha o reflexes iohere (rawa korerotia e raro reflexes alangá);
• whakapai ake o te āhua uaua, me te ētahi wā ki runga ki te rigidity uaua;
• hukihuki pakū noa tere, me te tumu o uaua takitahi (i ētahi wā noa ngā rōpū katoa o uaua);
• wiri o nga wahi;
• nekehanga tumu o te 'Afio (mo tenei whakaaro i roto i te rongoa i te wā "nystagmus" whakamahia te);
• ētahi wā i reira ko te spasm kanohi pera-ka karanga, haere tahi nei e te awhiowhio tumu o te nenewha ake ki raro ranei;
• tuhia wā hukihuki;
• kore o te ruruku;
• raruraru ki te kupu, te peroo reira me te hē e puta tika ana ki te tumu o te uaua o te wahapū taputapu.

Kei te matau te reira e puta katoa o nga tohu i runga ake o te serotonin syndrome uaua. I roto i te nuinga o te wā, mamae tūroro anake i etahi o nga maumaui, a reira tātaritanga o mate ko rawa he tukanga cumbersome.

Ko te tohu o te mate pakeke

I roto i te rongoā hou e wehea ki toru nekehanga o te pakeke o te syndrome, pērā i:

• Kei te haere tahi te mate ngawari, rite ki te tikanga, nui haere sweating, faaati kore kaha i roto i te ringa me turi, kihai hua korerotia rawa i roto i auau ngakau. waiho ano reflexes he iti kino, ahakoa e kore e whakatika te pāmahana tinana. I te tahi taime e kite i te manawanui akonga pū. Ko reira maori anake e te iwi ki te tohu rite varavara haere ki te tākuta, ka haere tonu ki te tango i taero, no te mea he reira e taea te meinga te tohu i runga i te ahotea overexertion ranei.
• I roto i te āhua pikitia haumanu o te mate, ko te atu korerotia. tuhia tūroro he hua koi i roto i te pāmahana te tinana (i ētahi wā ki runga ki te 40 nga nekehanga), me te pēhanga toto, pū tamau o te tauira, te whakaiti o uaua, nekeneke, me te oaoa hinengaro. Tikanga, meinga enei tohu i te tangata ki te rapu i te tauturu, engari kāore, kia hoatu e kore te mea tonu e taea te tātaritanga tika.
• Ko te tino kino syndrome serotonin kino, rite taea arahi i te reira ki pōauautanga. I roto i tenei puka o te māuiuitanga kitea he tachycardia kaha, nui haere te pēhanga toto, kirika, mamae uaua noa te pakeke, disorders tailiili, disorientation. Tūroro te tikanga wheako moemoea rawa oraora. I roto i te ngaro o te āwhina wā kia pakaru uaua, ate me te tākihi. E mea pinepine, taka tūroro ki te pōroa. He wā whakawhanakehia kore okana maha, e te tikanga mutu i roto i te mate.

Ko te aha i roto i tetahi take e kore e wareware i te tohu no te mea e taea e whakaahua ke i te reira rite te māuiui serotonin syndrome noa. Me pēhea te ki te tiki i roto i tenei ahua o, a mehemea i reira he maimoatanga whai hua?

āwhina Tuatahi i roto i tenei āhua

He aha te ki te whakapae i te tangata te serotonin syndrome? te tikanga he tiaki Emergency he mutunga tonu o te raau taero, i nā tenei huru. Noatia, kia tino tango koe i te manawanui ki te hōhipera.

Te reira i lavage pekitīlia tuatahi, te taea ki te pure i te tinana o te tarukino e kore kua ano ki te kia whenumi i te wā. Ki te whakaaro ano, tūroro whakaritea taero me ētahi atu sorbents te kimi i tāoke i te tinana. I roto i te wā ngawari o taua mau ohipa he nui ki te hanga iwi ite pai. E ki raro i muri i 6-12 haora tohumate.

Kia pehea te ko te maimoatanga o te syndrome?

Kia aroha mai, e kore te mea nui tonu withdrawal tarukino, me te pure i te tinana i te para. Na he aha te therapy titau serotonin syndrome? Maimoatanga, o te akoranga, tei runga i te atamira me te pakeke. Tikanga, whakaritea he manawanui te raveraa ra receptor serotonin, tae atu "methysergide" me "Cyproheptadine". I tua atu, he therapy symptomatic, e tei runga i te aroaro o etahi disorders.

• Hei tauira, i roto i haurangi haurangi , me te uaua rigidity whakahau benzodiazepines, tae atu "lorazepam" me "Sibazon".
• I roto i te aroaro o te kirika e kawea atu rubdown makariri me etahi atu ngā tukanga. Ko te meka e te ara i roto i te pāmahana, ina serotonin syndrome kore e pā ana ki mumura, a ki nui haere contractility uaua, me te mea whai tikanga taero anti-inflammatory antipyretic me nonsteroidal kahore pānga. Ko te okotahi anake he paracetamol, ahakoa me te whakamahi i te reira āta.
• A, no te putanga mai o te pāmahana ki te 40 me te e whakahaerea atu relaxants uaua ki te manawanui. tauturu i ēnei taero ki te akaanga te uaua, te whakakore kirika, ki te ārai i te whanaketanga o ngā disorders, tae atu ki ngā raruraru ki upoo- toto.
• Hoki whakahaere whaowhia rō-uaua rite sweating nui, korere, uaua mānukanuka, me te arahi ki maroketanga.
• I tua atu, he mea e tika ana ki te aroturuki i te pēhanga toto me te auau ngakau o te manawanui, ki te tika normaliziruya enei whika ki te awhina o raau taero.

I roto i te nuinga o te wā, ka taea e therapy tika whakahaere tere te whakapai ake i te huru o te manawanui, me te ki te karo i te mau hopearaa. Kia aroha mai, i roto i ngā take onge, rawa, ki te kahore i te manawanui i whakaratohia tiaki hauora wā, serotonin syndrome kia arahi ki mimiti haere o te uaua kikokiko, ate me te kino whatukuhu, mutunga karere, a te mutunga te mate. Ko te aha i roto i tetahi take e kore e iti te tango pōuritanga me ētahi atu taero.