Serotonin syndrome: nws yog dab tsi, cov tsos mob, ua rau thiab kho

Zoo Siab

• Cov tsos mob zoo li cas
• Cov teeb meem muaj peev xwm
• Cov tshuaj uas ua rau muaj serotonin ntau ntxiv hauv lub cev
• Yuav kho tus mob li cas

Serotonin syndrome muaj kev nce ntxiv hauv cov kev ua ntawm serotonin hauv nruab nrab cov hlab ntsha, vim los ntawm kev siv tsis tsim nyog ntawm qee yam tshuaj, uas tuaj yeem cuam tshuam rau lub hlwb, cov leeg thiab cov leeg hauv lub cev, uas tuaj yeem ua rau tuag taus.

Serotonin yog cov neurotransmitter uas ua rau lub hlwb, tseem ceeb rau kev ua haujlwm ntawm lub cev, txij li nws tswj txoj kev xav, pw tsaug zog, qab los noj mov, lub plawv dhia, lub cev kub thiab lub luag haujlwm. Txawm li cas los xij, cov koob tshuaj serotonin ntau dua tuaj yeem rhuav tshem txoj haujlwm ntawm lub cev thiab ua rau lub cev tshwm sim ntawm cov tsos mob hnyav. Saib ntau serotonin zog.

Kev kho mob ntawm serotonin syndrome yuav tsum tau ua nyob rau hauv tsev kho mob, kom sai li sai tau, los ntawm kev tswj hwm ntawm cov ntshav dej, ncua kev muab tshuaj uas ua rau muaj kev kub ntxhov thiab siv tshuaj los daws cov tsos mob.

Cov tsos mob zoo li cas

Ntxhov siab vim, txob taus, mob pob txha, tsis meej pem thiab pom kev zoo, tshee tshee thiab tshee, xeev ntuav thiab zawv plab, ntshav nce siab thiab lub plawv dhia, nce reflexes, dilated cov tub ntxhais kawm, yog cov tsos mob tshwm sim feem ntau.

Nyob rau ntawm cov mob hnyav dua thiab yog tias tsis kho kom sai, cov mob serotonin yuav ua rau mob hnyav ntxiv, xws li lub plawv dhia tsis xwm yeem, tsis nco qab, qaug dab peg, tsis xeev thiab tsis tuag.

Cov teeb meem muaj peev xwm

Serotonin syndrome yog tshwm sim los ntawm kev siv tsis tsim nyog ntawm cov tshuaj uas ua rau muaj ntau qib ntawm serotonin hauv lub cev. Yog li, nce qhov ntau ntxiv ntawm cov tshuaj uas ua rau muaj cov serotonin ntau dua, kev sib xyaw ntawm cov tshuaj no nrog lwm tus uas txhim kho lawv cov kev ua, lossis kev siv cov tshuaj no ib txhij nrog tshuaj, tuaj yeem ua rau tshwm sim ntawm tus mob no.

Cov tshuaj uas ua rau muaj serotonin ntau ntxiv hauv lub cev

Qee cov tshuaj uas ua rau nce serotonin hauv lub cev yog:

• Cov tshuaj tiv thaiv kab mob, xws li imipramine, clomipramine, amitriptyline, nortriptyline, fluoxetine, paroxetine, citalopram, sertraline, fluvoxamine, venlafaxine, duloxetine, nefazodone, trazodone, bupropion, mirtazapine, tranylcypromine thiab moclob;
• Cov Lus Txog Tshais Mob Migraine cov pab pawg ntawm triptans, xws li zolmitriptan, naratriptan lossis sumatriptan, piv txwv;
• Tshuaj ntsuab hnoos uas muaj dextromethorphan, uas yog ib qho tshuaj uas ua rau lub hauv nruab nrab cov hlab hlwb txhawm rau txhawm rau hnoos hnoos;
• Kev Siv Opioids siv los kho mob, xws li codeine, morphine, fentanyl, meperidine thiab tramadol, piv txwv;
• Kev daws rau xeev siab thiab ntuav, xws li metoclopramide thiab ondansetron;
• Anticonvulsants, xws li sodium valproate thiab carbamazepine;
• Tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob, xws li erythromycin, ciprofloxacin, fluconazole thiab ritonavir;
• Tshuaj txhaum cai, xws li cocaine, amphetamines, LSD thiab ecstasy.

Tsis tas li ntawd, qee qhov kev pabcuam ntuj, xws li tryptophan, St. John lub wort (St. John lub wort) thiab ginseng, thaum ua ke nrog cov tshuaj tiv thaiv kab mob, kuj tseem tuaj yeem ua rau muaj serotonin syndrome.

Yuav kho tus mob li cas

Kev kho cov mob serotonin syndrome nyob ntawm qhov mob hnyav ntawm cov tsos mob. Hauv nruab nrab txog rau mob hnyav, yuav tsum ua kom sai li sai tau, hauv tsev kho mob, qhov chaw tus neeg tau saib xyuas thiab tuaj yeem tau txais cov ntshav thiab cov tshuaj los kho cov tsos mob, xws li kub taub hau, ntxhov siab thiab mob pob txha, piv txwv. Hauv ntau qhov xwm txheej loj, nws yuav tsum tau noj tshuaj uas thaiv qhov kev txiav txim ntawm serotonin.

Ntxiv rau, cov tshuaj uas tus neeg noj yuav tsum tau tshuaj xyuas thiab kho los ntawm tus kws kho mob, nrog rau cov koob tshuaj uas kws kho mob muab.