Noqo kuwo la fahmi karo laakiin macquul ah oo ku saabsan Xaaladdan Jirrada ah
Guudmarka
Kordhinta serotonin kiimikada ee jirka ku jirta ayaa sababi karta cudur halis ah oo loo yaqaanno serotonin syndrome. Xanuunkan waa mid dhif ah, laakiin inta badan wuxuu dhacaa marka bukaanku qaato daaweyn cocktail ah oo kordhiya serotonin, sida triptan ee ay hijroodyadooda iyo antidepressant for depression - labaduba waxay u dhaqmaan inay kordhiyaan heerarka serotonin ee maskaxda.
Ma cadda sababta ay dadka qaarkiis u saameeyeen cudurka serotonin syndrome qaarkoodna maaha marka ay qaataan isla cocktail daawooyinka. Sidoo kale, ma cadda sababta ay dadka qaarkood u koraan oo kaliya qaab khafiif ah oo ah serotonin syndrome iyo kuwa kale waxay yeeshaan qaabab aad u daran oo nolol-halis ah.
Waxaa jira saddex siyaabood oo cudurka serotonin syndrome uu dhici karo:
- Isticmaalka laba ama wax ka badan daawooyinka serotonergic (macnaheedu waa daawooyinka kordhiya heerarka serotonin)
- Xaddiga xad dhaafka ah ee dawada serotonergic
- Kordhinta qiyaasta dawada serotonergic oo keliya
Calaamadaha iyo Calaamadaha
Calaamadaha cudurka 'serotonin syndrome' waa kuwa aad u kala duwan, waxaana ka mid noqon kara:
- Nasasho la'aan
- Shuban
- Dhidid
- Qandho
- Dhibaato Balance
- Jahwareer
- Qandho
- Iskuday
- Cadaadiska dhiigga oo sarreeya iyo garaaca wadnaha oo degdeg ah
- Hadalka hadalka ah
Imtixaanka jirka, haddii dhakhtarkaagu uu ka shakiyo cudurka serotonin, wuxuu raadsan karaa calaamadahaas:
- Dareen-celinta maqaar la'aanta (hyperreflexia)
- Dhaqdhaqaaq qasab ah oo muruqa ah (myoclonus)
- Ardayda la laayo (maskaxda)
Calaamadaha cudurka serotonin syndrome ee ku dhaca xaaladaha daran waxaa ka mid ah:
- Dhibaatada muruqa
- Qalalaasaha
- Kelyaha oo shaqo la'aan ah
- Neefsasho (neefsasho) shaqo la'aan
- Dhimasho
Daawooyinka La Xiriira
Waxaa jira tiro ka mid ah daawooyinka ku saabsan xannuunnada maskaxda ee la xiriira xanuunka dhimirka ee qaba xanuunka 'serotonin syndrome'. Kuwaas waxaa ka mid ah Reglan (metoclopramide) iyo dawooyinka migreed ee daran, sida triptans iyo dihydroergotamines.
Daawooyinka madax-xanuunka ee ka hortagga ah , sida valproic acid iyo anti-depressants, sida serotonin-reguptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), iyo tricyclic antidepressants, waxay sidoo kale horseedi kartaa cudurka serotonin.
Daawooyinka kale waxaa ka mid ah xanuunka loo yaqaan 'Tramadol' (Ultram) ama cyclobenzaprine (Flexeril). Daroogooyinka sharci-darrada ah (cocaine), daawooyinka dheeraadka ah (johannesört St. John), iyo daawooyinka hargabka (tusaale, dextromethorphan - oo loo yaqaan Robitussin) ayaa sidoo kale horseedi kara dhibaatadan dhifka ah.
Ka hortagga
U hubso in dhakhtarkaaga uu ogaado dhammaan daawooyinkaaga oo ay ku jiraan wax kasta oo ka soo raynaya, fitamiinada, iyo dheefaha. Tani habkan dhakhtarku wuxuu ka hortagi karaa inuu kuu qoro daawooyin badan oo serotonin-kordhiya, ama ugu yaraan kugula talin kara astaamaha haddii aad qaadato wax ka badan hal daawo oo kordhiya heerarka serotonin.
Intaa waxaa dheer, cudurka 'serotonin syndrome' wuxuu caadiyan ku dhacaa hal maalin gudaheed oo kordhiya daawada qiyaasta daawada ama ku darista daawada serotonin-kordheysa. Isla markiiba la xiriir dhakhtarkaaga haddii aanad fiicnayn ama aad ka walaacsan tahay cudurka serotonin syndrome.
Daaweynta
Warka fiicani waa in inta badan cudurka cudurka 'serotonin syndrome' uu yahay mid khafiif ah oo lagu xalliyo joojinta daawada (daawooyinka).
Xaaladaha khatarta ah, isbitaalada ayaa loo baahan yahay.
Khadadka hoose
Serotonin doorka xooggan ee jirka ku jira wuxuu ka dhigayaa ujeedo aad u fiican daawooyinka badan. Iyadoo taasi jirto, khatarta soo socota. Sida wax waliba, dhexdhexaadintu waa furaha halkaan. Ha u ogolaan baqdinta cilladdani inay kaa joojiso qaadashada daawooyinka dhab ahaan kaa caawin kara. Beddelka, iska ilaali oo macquul ah adoo wacaya dhakhtarkaaga oo ka warbixi calaamadaha cusub.
Ilaha
Ables AZ Ka Hortagga, Diagnosis, iyo Maareynta Serotonin Syndrome. Am Dr. Dhakhtarka. 2010 May 1; 81 (9): 1139-42.
Mohammad-Zadeh LF, Muuse L, & Gwaltney-Brant SM. Serotonin: dib u eegis. J Vet Pharmacol Ther. 2008 Jun; 31 (3): 187-99.
Volpi-Abadie J & Kaye AD. Serotonin Syndrome. Ochsner J. 2013 Winter; 13 (4): 533-40.
DIB LOOGU: Boggani waxa loogu talagalay ujeedooyinka macluumaadka kaliya. Waa inaan loo isticmaalin beddelka daryeelka shakhsi ahaaneed ee dhakhtar shati leh. Fadlan u tag dhakhtarkaaga si loo ogaado iyo daaweynta wixii astaamo ah ama xaaladda caafimaad .