Serotonin yog tshuaj lom neeg tsim los ntawm lub cev. Nws ua haujlwm ua tus xa xov neurotransmitter, uas yog cov khoom siv xa xov nruab nrab ntawm cov paj hlwb (neurons) hauv lub hlwb thiab thoob plaws lub cev. Nws tau pom feem ntau hauv cov txheej txheem zom zaub mov, lub hlwb, thiab cov platelets. Hauv cov kab mob serotonin, muaj qib txaus ntshai ntawm serotonin, tshwm sim los ntawm cov tshuaj, cuam tshuam nrog tshuaj, lossis tsis tshua muaj, los ntawm qee yam tshuaj ntxiv. Cov tsos mob tshwm sim suav nrog kev ntxhov siab, tsis meej pem thiab tsis meej pem, lub plawv dhia nrawm, ua daus no, tawm hws ntau, thiab ntau ntxiv. Yog tias koj ntseeg tias koj muaj tus mob serotonin syndrome, kawm paub yuav kho nws li cas thiaj li tuaj yeem noj qab nyob zoo thiab nyab xeeb.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Kho Serotonin Syndrome
Kauj Ruam 1. Nres cov tshuaj
Yog tias koj tau pib noj tshuaj tshiab lossis sib xyaw tshuaj tshiab thiab ntsib ib qho ntawm cov tsos mob me me uas tau teev tseg, hu rau koj tus kws kho mob tham txog kev siv tshuaj. Yog tias koj tsis tuaj yeem ntsib nrog koj tus kws kho mob, tso tseg cov tshuaj kom txog thaum koj tham nrog koj tus kws kho mob. Rau mob me me serotonin syndrome, cov teebmeem feem ntau ploj mus li ntawm ib mus rau peb hnub.
- Koj yuav tsum hu rau koj tus kws kho mob kom qhia rau nws paub tias koj tsis tau noj tshuaj lawm. Koj tus kws kho mob yuav xav hloov koj mus rau lwm yam tshuaj.
- Koj yuav tsum tso tseg cov tshuaj qaib txias yog tias koj tau noj tshuaj tsawg dua li ob peb lub lis piam.
Kauj Ruam 2. Hu rau koj tus kws kho mob yog tias koj tau noj koj cov tshuaj ib pliag
Yog tias koj tau noj koj cov tshuaj ntau dua li ob peb lub lis piam, koj yuav tsum hu rau koj tus kws kho mob ua ntej yuav rho tshuaj. Ntau yam tshuaj tiv thaiv kev nyuaj siab thiab lwm yam tshuaj uas ua rau mob serotonin syndrome muaj cov kev mob tshwm sim loj yog tias koj tsis noj tshuaj sai li sai tau.
Koj tus kws kho mob yuav tsum tham nrog koj lwm txoj hauv kev yog li koj yuav paub tias yuav noj tshuaj yam xav tau zoo tshaj plaws li cas
Kauj Ruam 3. Noj tshuaj anti-serotonin
Yog tias koj cov tsos mob tsis ploj mus tom qab ob peb hnub, koj tau noj cov tshuaj uas ua rau mob serotonin rau lub sijhawm ntev, lossis koj tab tom muaj cov tsos mob txaus ntshai rau mob hnyav serotonin syndrome (ntshav siab heev, hloov pauv kev xav, thiab lwm yam), koj yuav tsum nrhiav kev kho mob tam sim. Tej zaum koj yuav tsum tau noj tshuaj anti-serotonin los pab kho tus mob. Tus kws kho mob tuaj yeem sau cov tshuaj no.
- yog tias kho sai thiab tsim nyog, cov tsos mob ntawm serotonin syndrome feem ntau daws hauv 24 teev.
- Koj tus kws kho mob tuaj yeem tshuaj xyuas koj cov tsos mob kom ntseeg tau tias koj tau zoo dua.
- Ib qho piv txwv ntawm cov tshuaj anti-serotonin yog cyproheptadine.
Kauj Ruam 4. Hu rau cov kev pabcuam thaum muaj xwm txheej yog tias koj pom cov tsos mob hnyav
Yog tias koj tau pib noj tshuaj tshiab lossis sib xyaw cov tshuaj tshiab thiab ntsib ib qho ntawm cov tsos mob hnyav dua uas tau teev tseg, nres cov tshuaj tam sim thiab hu rau cov kev pabcuam thaum muaj xwm ceev. Kev paub txog cov tsos mob hnyav tuaj yeem txhais tau tias koj tab tom ntsib teeb meem kev phom sij rau lub neej. Cov tsos mob hnyav no tuaj yeem tshwm sim sai.
- Cov tsos mob hnyav suav nrog kub taub hau, qaug dab peg, lub plawv dhia tsis xwm yeem, thiab tsis nco qab.
- Tej zaum koj yuav xav tau kev kho mob hauv tsev kho mob rau cov tsos mob hnyav. Tej zaum koj yuav tau txais cov tshuaj los thaiv qhov kev ua ntawm serotonin, so cov leeg, thiab tswj lub plawv dhia thiab ntshav siab. Koj kuj tseem yuav tau txais kev kho oxygen thiab IV kua, nrog rau lwm yam kev pab ua pa.
Kauj Ruam 5. Ua ib qho kev xeem ntxiv
Tsis muaj ib qho kev sim sim kuaj mob serotonin syndrome. Nws feem ntau kuaj mob raws li koj cov tsos mob thiab cov tshuaj uas koj tab tom noj; txawm li cas los xij, lwm yam teeb meem yuav tsum raug tshem tawm, xws li tshem tawm yeeb tshuaj, ua rau lub cev ua rau lub cev tsis zoo, noj ntau dhau, thiab lwm yam.
Txhawm rau tsis suav nrog lwm qhov xwm txheej no, koj tus kws kho mob lossis kws kho mob hauv tsev kho mob tuaj yeem txiav txim siab kuaj mob txhawm rau txheeb xyuas lwm yam kev tsis zoo
Txoj Kev 2 ntawm 3: Paub txog Cov tsos mob ntawm Serotonin Syndrome
Kauj Ruam 1. Txheeb xyuas cov tsos mob ntawm kev ntxhov siab
Serotonin syndrome yog qhov tseem ceeb tshaj ntawm kev ua haujlwm ntawm lub paj hlwb, yog li cov tsos mob cuam tshuam qhov no. Tej zaum koj yuav hnov kev ntxhov siab, nyob tsis tswm, lossis chim siab. Vim li no, koj yuav ntsib kev nce lub plawv dhia thiab ua rau lub plawv dhia. Koj cov tub ntxhais kawm kuj tseem tuaj yeem nthuav dav thiab koj tuaj yeem nce ntshav siab.
Kauj Ruam 2. Saib xyuas kom tsis meej pem lossis tsis muaj kev sib koom tes
Lwm cov tsos mob tshwm sim ntawm serotonin syndrome yog kev tsis meej pem thiab tsis meej pem. Koj kuj tseem tuaj yeem pom qhov tsis meej pem. Koj cov leeg yuav hnov tsis sib haum, ua rau nws nyuaj rau taug kev, tsav tsheb, lossis ua haujlwm txhua hnub.
Koj cov leeg nqaij kuj tseem tuaj yeem xav tias nruj heev. Koj kuj tseem yuav pom cov leeg nqaij ntshiv lossis cov leeg nqaij tics
Kauj Ruam 3. Saib rau lwm qhov kev hloov pauv hauv lub cev
Yog tias koj muaj serotonin syndrome, koj kuj tseem yuav muaj kev tawm hws ntau. Hloov chaw ntawm kev tawm hws, koj yuav ntsib kev tshee tshee lossis muaj goosebumps tawg tawm ntawm koj lub cev.
Koj kuj tseem yuav mob plab los yog mob taub hau
Kauj Ruam 4. Txheeb xyuas cov tsos mob hnyav
Muaj qee cov tsos mob cuam tshuam nrog serotonin syndrome uas qhia tias koj tab tom muaj kev cuam tshuam loj heev. Cov tsos mob no tuaj yeem ua rau muaj kev phom sij rau lub neej, thiab yog tias koj tau ntsib lawv, koj yuav tsum hu rau cov kev pabcuam xwm txheej tam sim. Cov tsos mob no suav nrog:
- Kub taub hau
- Qaug dab peg
- Lub plawv dhia tsis xwm yeem
- Tsis nco qab
- Ntshav siab
- Hloov pauv hauv kev puas siab puas ntsws
Kauj Ruam 5. Paub tias cov tsos mob tuaj yeem pib hauv ob peb teev
Cov tsos mob ntawm serotonin syndrome feem ntau pib hauv ob peb teev tom qab noj tshuaj, tshuaj OTC, lossis tshuaj ntsuab ntxiv. Cov tsos mob no tshwm sim ntau dua thaum ib lossis ntau ntawm cov tshuaj no sib xyaw ua ke.
- Feem ntau ntawm cov mob serotonin syndrome tshwm sim tsis pub dhau rau rau 24 teev tom qab hloov pauv koob tshuaj lossis pib siv tshuaj tshiab.
- Serotonin syndrome tuaj yeem ua rau mob hnyav thiab txaus ntshai rau lub neej, yog li yog tias koj tab tom noj ib yam tshuaj uas tau teev tseg lossis nyuam qhuav pib siv tshuaj tshiab thiab ntsib ib qho ntawm cov tsos mob, hu rau koj tus kws kho mob, kev pabcuam xwm txheej ceev, lossis mus rau chav kho mob sai sai.
Txoj Kev 3 ntawm 3: Nkag Siab Serotonin Syndrome
Kauj Ruam 1. Kawm paub qhov ua rau mob serotonin syndrome
Txhua yam tshuaj lossis tshuaj uas ua rau kom muaj cov serotonin ntau ntxiv hauv lub cev (lossis txo qis kev sib tsoo ntawm serotonin hauv lub cev) tuaj yeem ua rau muaj qib txaus txaus ntawm serotonin hauv koj cov ntshav thiab muaj peev xwm ua rau muaj serotonin syndrome. Muaj ntau tus tshuaj, feem ntau yog cov tshuaj tiv thaiv kev nyuaj siab, uas tuaj yeem ua qhov no. Qhov no tuaj yeem tshwm sim tshwj xeeb tshaj yog siv dhau los txhob txwm lossis tsis txhob txwm ua. Serotonin syndrome feem ntau tshwm sim thaum siv tshuaj los ntawm cov chav sib txawv. Cov no suav nrog:
- Selective serotonin reuptake inhibitors (SSRIs): Cov no yog cov tshuaj tiv thaiv kev nyuaj siab thiab suav nrog cov tshuaj xws li citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil), thiab sertraline (Zoloft).
- Serotonin thiab norepinephrine reuptake inhibitors (SNRIs): Cov no yog chav kawm ntawm cov tshuaj tiv thaiv kev nyuaj siab zoo ib yam li SSRIs thiab suav nrog tshuaj xws li trazodone, duloxetine (Cymbalta), thiab venlafaxine (Effexor).
- Monoamine oxidase inhibitors (MAOIs): Pawg no suav nrog cov tshuaj tiv thaiv kev nyuaj siab zoo li isocarboxazid (Marplan) thiab phenelzine (Nardil).
- Lwm yam antidepressants: Cov no tuaj yeem suav nrog tshuaj xws li Bupropion (Wellbutrin, Zyban), thiab Tricyclic antidepressants, suav nrog amitriptyline thiab nortriptyline (Pamelor).
- Cov tshuaj rau mob taub hau: Chav kawm no suav nrog triptans (Axert, Amerge, Imitrex), carbamazepine (Tegretol), thiab valproic acid (Depakene).
- Cov tshuaj kho mob: Cov no suav nrog cov tshuaj xws li cyclobenzaprine (Amrix thiab Fexmid), fentanyl (Duragesic), meperidine (Demerol), thiab tramadol (Ultram).
- Mood stabilizers: Cov tshuaj tseem ceeb hauv pawg no yog Lithium (Lithobid).
- Tshuaj tiv thaiv xeev siab: Cov no suav nrog cov tshuaj granisetron (Kytril), metoclopramide (Reglan), droperidol (Inapsine), thiab ondansetron (Zofran).
- Tshuaj tua kab mob thiab tshuaj tua kab mob: Cov chav kawm no suav nrog Linezolid (Zyvox), uas yog tshuaj tua kab mob thiab Ritonavir (Norvir). Ritonavir yog tshuaj tua kab mob siv los kho HIV/AIDS.
- OTC hnoos thiab mob khaub thuas uas muaj dextromethorphan: Pawg no suav nrog Delsym, Mucinex DM, thiab lwm yam tshuaj OTC.
- Cov tshuaj ua si lom zem: Pab pawg no suav nrog LSD, Ecstasy, cocaine, thiab amphetamines.
- Tshuaj ntsuab: St. John's wort, ginseng, thiab nutmeg nyob hauv pab pawg no.
Kauj Ruam 2. Tiv thaiv serotonin syndrome
Txhawm rau tiv thaiv serotonin syndrome, ib txwm cia txhua tus kws kho mob uas koj ua haujlwm nrog paub txhua yam tshuaj thiab tshuaj ntxiv uas koj tab tom noj. Cov tshuaj ntxiv xws li St John's wort tuaj yeem cuam tshuam nrog tshuaj noj. Cov tshuaj kws kho mob tuaj yeem cuam tshuam nrog ib leeg. Kev noj tshuaj raws tus kws kho mob uas tsis muaj txhua qhov tseeb tuaj yeem ua rau muaj teeb meem.
- Piv txwv li, yog tias koj tus kws kho mob tsis paub tias koj tab tom noj Lithium vim tias nws tau sau los ntawm lwm tus kws kho mob, thiab sau ntawv rau koj SSRI, qhov no yuav ua rau koj muaj kev pheej hmoo rau mob serotonin syndrome.
- Tsuas yog noj cov tshuaj raws li tau hais tseg. Tsis txhob sim tswj koj tus kheej los ntawm kev noj ntau dua li qhia los ntawm koj tus kws kho mob.
Kauj Ruam 3. Txheeb xyuas leej twg muaj kev pheej hmoo
Cov tib neeg uas siv ntau hom tshuaj los ntawm chav kawm tshuaj uas feem ntau ua rau mob serotonin syndrome yog qhov pheej hmoo siab rau tus mob. Feem ntau tshwm sim thaum koj nce ntau npaum li cas lossis pib noj tshuaj tshiab. Yog tias koj noj ntau yam tshuaj los ntawm cov chav kawm no, nco ntsoov ua tib zoo saib xyuas koj cov tsos mob, tshwj xeeb tshaj yog tias koj nyuam qhuav pib siv tshuaj tshiab.
