Nā Hōʻailona Serotonin

ʻO ka serotonin syndrome he hopena lāʻau koʻikoʻi loa ia. Hoʻokumu ʻia ia e nā lāʻau lapaʻau e hoʻoulu ai i nā kiʻekiʻe kiʻekiʻe o ka serotonin i loko o ke kino.

ʻO ka serotonin kahi kemika i hana kūlohelohe ʻia e ke kino. Pono ia no ka hana ʻana o nā pūnaewele nerve a me ka lolo. Akā, ʻo ka nui o ka serotonin e hoʻokumu ai i nā hōʻailona a me nā hōʻailona e hiki ke piʻi mai ka māmā (hāʻalulu a me ka luaʻi) a hiki i ka nui (paʻakikī o nā ʻiʻo, kuni a me nā hoʻoulu). Hiki i ka serotonin syndrome nui ke hoʻopilikia i ka make inā ʻaʻole i mālama ʻia.

Hiki ke loaʻa ka serotonin syndrome i ka wā e hoʻonui ai ʻoe i ka nui o kekahi mau lāʻau lapaʻau a i ʻole e hoʻomaka e lawe i kahi lāʻau hou. Hoʻokumu pinepine ʻia ia e ka hui ʻana o nā lāʻau lapaʻau e loaʻa ai ka serotonin, e like me ka lāʻau lapaʻau migraine a me ka antidepressant. Hoʻopili ʻia kekahi mau lāʻau lapaʻau kūʻē a me nā mea hoʻohui meaʻai me ka serotonin syndrome.

Hiki i nā ʻano māmā o ka serotonin syndrome ke hala i loko o hoʻokahi a ʻelua lā paha ma hope o ka hoʻōki ʻana i nā lāʻau lapaʻau e hoʻokumu ai i nā hōʻailona a, i kekahi manawa, ma hope o ka lawe ʻana i nā lāʻau lapaʻau e pale ai i ka serotonin.

ʻO ka maʻi serotonin maʻamau ka hōʻailona i loko o kekahi mau hola ma hope o ka lawe ʻana i ka lāʻau hou a i ʻole ka hoʻonui ʻana i ka nui o ka lāʻau āu e lawe nei.

ʻO nā hōʻailona a me nā hōʻailona e komo pū ana:

• Hoʻonāukiuki a i ʻole hoʻomaha ʻole
• Insomnia
• Huikau
• Hoʻoulu koke o ka naʻau a me ke koko kiʻekiʻe
• Nā haumāna ākea
• Nāwaliwali o ka hoʻohuihui o nā ʻiʻo a i ʻole nā ​​ʻiʻo e wiliwili ana
• Ke koko kiʻekiʻe
• Paʻakikī o nā ʻiʻo
• Ke kaumaha nui
• Diarrhea
• Headache
• Haʻalulu
• Goose bumps

Hiki i ka maʻi serotonin koʻikoʻi ke hoʻoweliweli i ke ola. ʻO nā hōʻailona e komo pū ana:

• Ke kuni kiʻekiʻe
• Tremor
• Nā hoʻoulu
• ʻO ka naʻau kūpono ʻole
• Nalowale o ka ʻike

Inā manaʻo ʻoe ua loaʻa paha iā ʻoe ka serotonin syndrome ma hope o ka hoʻomaka ʻana i ka lāʻau hou a i ʻole ka hoʻonui ʻana i ka nui o ka lāʻau āu e lawe nei, e kāhea koke i kāu mea mālama ola a i ʻole e hele i ka lumi ulia. Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi a i ʻole nā ​​hōʻailona e wikiwiki ana, e ʻimi koke i ka mālama pilikia.

ʻO ka hōʻiliʻili nui o ka serotonin i loko o ke kino e hana ai i nā hōʻailona o ka serotonin syndrome.

ʻO ka mea maʻamau, hana nā pūnaewele nerve i loko o ka lolo a me ke kua i ka serotonin e kōkua i ka hoʻoponopono ʻana i ka nānā, ka hana a me ka mahana o ke kino.

ʻO nā pūnaewele nerve ʻē aʻe i loko o ke kino, ma ka nui ma nā ʻōpū, hana pū kekahi i ka serotonin. He kuleana ko ka serotonin i ka hoʻoponopono ʻana i ke kaʻina hana ʻai, ka holo koko a me ka hanu.

ʻOiai he hiki ke lawe wale i hoʻokahi lāʻau e hoʻonui ai i nā pae serotonin e hiki ai ke hana i ka serotonin syndrome i kekahi poʻe, hana pinepine kēia kūlana i ka wā e hui pū ai nā kānaka i kekahi mau lāʻau lapaʻau.

No ka laʻana, hiki ke hana ka serotonin syndrome inā lawe ʻoe i kahi antidepressant me ka lāʻau migraine. Hiki nō hoʻi ke hana inā lawe ʻoe i kahi antidepressant me ka lāʻau ʻeha opioid.

ʻO ke kumu ʻē aʻe o ka serotonin syndrome ʻo ia ka overdose manao o nā lāʻau antidepressant.

He nui nā lāʻau lapaʻau over-the-counter a me nā lāʻau lapaʻau i hiki ke pili i ka serotonin syndrome, ʻoi aku nā antidepressants. Hiki nō hoʻi ke pili nā lāʻau kūʻē a me nā mea hoʻohui meaʻai i ke kūlana.

ʻO nā lāʻau lapaʻau a me nā mea hoʻohui e hiki ke hoʻokumu i ka serotonin syndrome:

• Nā mea hoʻopaʻa serotonin reuptake (SSRIs), nā antidepressants e like me citalopram (Celexa), fluoxetine (Prozac), fluvoxamine (Luvox), escitalopram (Lexapro), paroxetine (Paxil, Pexeva, Brisdelle) a me sertraline (Zoloft)
• Nā mea hoʻopaʻa serotonin a me norepinephrine reuptake (SNRIs), nā antidepressants e like me desvenlafaxine (Pristiq), levomilnacipran (Fetzima), milnacipran (Savella), duloxetine (Cymbalta, Drizalma Sprinkle) a me venlafaxine (Effexor XR)
• Bupropion (Zyban, Wellbutrin SR, Wellbutrin XL), kahi antidepressant a me ka lāʻau lapaʻau no ka ʻōlelo paka
• Nā antidepressants tricyclic, e like me amitriptyline a me nortriptyline (Pamelor)
• Nā mea hoʻopaʻa monoamine oxidase (MAOIs), nā antidepressants e like me isocarboxazid (Marplan) a me phenelzine (Nardil)
• Nā lāʻau lapaʻau anti-migraine, e like me carbamazepine (Tegretol, Carbatrol, nā mea ʻē aʻe), valproic acid a me nā triptans, e komo pū ana me almotriptan, naratriptan (Amerge) a me sumatriptan (Imitrex, Tosymra, nā mea ʻē aʻe)
• Nā lāʻau ʻeha, e like me nā lāʻau ʻeha opioid e komo pū ana me codeine, fentanyl (Duragesic, Abstral, nā mea ʻē aʻe), hydrocodone (Hysingla ER), meperidine (Demerol), oxycodone (Oxycontin, Roxicodone, nā mea ʻē aʻe) a me tramadol (Ultram, ConZip)
• Lithium (Lithobid), kahi mea hoʻoponopono manaʻo
• Nā lāʻau kūʻē, e komo pū ana me LSD, ecstasy, cocaine a me amphetamines
• Nā mea hoʻohui mea kanu, e komo pū ana me St. John's wort, ginseng a me nutmeg
• Nā lāʻau lapaʻau over-the-counter no ka maʻi ʻūhū a me ke anu e komo pū ana me dextromethorphan (Delsym)
• Nā lāʻau lapaʻau anti-nausea e like me granisetron (Sancuso, Sustol), metoclopramide (Reglan), droperidol (Inapsine) a me ondansetron (Zofran)
• Linezolid (Zyvox), kahi antibiotic
• Ritonavir (Norvir), kahi lāʻau lapaʻau anti-retroviral i hoʻohana ʻia e mālama i ka maʻi human immunodeficiency virus (HIV).

ʻOi aku ka nui o ka pilikia o kekahi poʻe i nā lāʻau a me nā mea hoʻohui e hoʻoulu ai i ka serotonin syndrome ma mua o nā poʻe ʻē aʻe, akā hiki ke loaʻa kēia kūlana i kekahi.

ʻOi aku ka nui o kou pilikia i ka serotonin syndrome inā:

• Hoʻomaka koke ʻoe e lawe a hoʻonui paha i ka nui o ka lāʻau lapaʻau i ʻike ʻia e hoʻonui i ka nui o ka serotonin
• Lawe ʻoe i ʻoi aku ma mua o hoʻokahi lāʻau lapaʻau i ʻike ʻia e hoʻonui i ka nui o ka serotonin
• Lawe ʻoe i nā mea hoʻohui mea kanu i ʻike ʻia e hoʻonui i ka nui o ka serotonin
• Hoʻohana ʻoe i ka lāʻau lapaʻau kūʻē i ke kānāwai i ʻike ʻia e hoʻonui i ka nui o ka serotonin

ʻO ka maʻi serotonin maʻamau, ʻaʻole ia e hoʻoulu i kekahi pilikia ke hoʻi hou nā pae serotonin i ko lākou pae mua.

Inā waiho ʻia me ka mālama ʻole, hiki i ka maʻi serotonin koʻikoʻi ke alakaʻi i ka nalowale o ka ʻike a me ka make.

ʻO ka lawe ʻana i nā lāʻau lapaʻau he nui ma mua o hoʻokahi e pili ana i ka serotonin, a i ʻole ka hoʻonui ʻana i kāu nui o ka lāʻau lapaʻau e pili ana i ka serotonin, e hoʻonui ai i kou pilikia o ka serotonin syndrome. E ʻike i nā lāʻau lapaʻau āu e lawe nei a e kaʻana like i ka papa inoa piha o kāu mau lāʻau lapaʻau me kāu kauka a i ʻole ka lāʻau lapaʻau. E ʻōlelo pono i kāu kauka inā ua ʻike ʻoe a i ʻole kekahi o kou ʻohana i nā hōʻailona ma hope o ka lawe ʻana i kahi lāʻau lapaʻau. E kamaʻilio pū me kāu kauka e pili ana i nā pilikia e hiki mai ana. Mai haʻalele i ka lawe ʻana i nā lāʻau lapaʻau ma kāu iho. Inā kuhikuhi kāu kauka i kahi lāʻau lapaʻau hou, e hōʻoia ʻo ia a i ʻole ʻo ia e ʻike e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoi aku inā loaʻa iā ʻoe nā kuhikuhi mai nā kauka he nui ma mua o hoʻokahi. Inā hoʻoholo ʻoe a me kāu kauka e ʻoi aku ka nui o nā pono o ka hui ʻana i kekahi mau lāʻau lapaʻau e hoʻopilikia ana i ka pae serotonin ma mua o nā pilikia, e makaʻala i ka hiki ke loaʻa ka serotonin syndrome.

ʻAʻohe hōʻoia hoʻokahi e hiki ke hōʻoia i ka maʻi serotonin syndrome. E hōʻoia kāu kauka i ke kūlana ma ka kāpae ʻana i nā mea ʻē aʻe.

E hoʻomaka paha kāu kauka ma ka nīnau ʻana e pili ana i kāu mau hōʻailona, moʻolelo lapaʻau a me nā lāʻau āu e lawe nei. E hana pū kāu kauka i kahi nānā kino.

No ka hōʻoia ʻana ua hoʻokumu ʻia kāu mau hōʻailona e ka serotonin syndrome a ʻaʻole ma muli o ke kumu ʻē aʻe, hiki i kāu kauka ke hoʻohana i nā hoʻokolohua e:

He nui nā kūlana e hiki ke hoʻokumu i nā hōʻailona like me nā hōʻailona o ka serotonin syndrome. Hiki i nā hōʻailona liʻiliʻi ke hoʻokumu ʻia e nā kūlana he nui. Hiki i nā hōʻailona waena a me nā hōʻailona koʻikoʻi e like me nā hōʻailona o ka serotonin syndrome ke hoʻokumu ʻia e:

Hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aku e kāpae i nā kumu ʻē aʻe o kāu mau hōʻailona. Hiki i nā hoʻokolohua ke komo:

• Ana i nā pae o nā lāʻau āu e hoʻohana nei

• E nānā i nā hōʻailona o ka maʻi

• E nānā i nā hana o ke kino e hiki ke hoʻopilikia ʻia e ka serotonin syndrome

• Kahi pane koʻikoʻi i kekahi mau lāʻau lapaʻau, e like me kekahi mau anesthetics, nā lāʻau antipsychotic a me nā mea ʻē aʻe i ʻike ʻia e hoʻopuka i kēia mau pane koʻikoʻi

• Kahi overdose o nā lāʻau lapaʻau kūʻē, nā lāʻau lapaʻau antidepressant a i ʻole nā ​​​​lāʻau ʻē aʻe e hoʻonui i nā pae serotonin

• Ka pōʻino e pili ana i ka hoʻohana ʻana i nā lāʻau lapaʻau kūʻē

• Ka wehe ʻana o ka waiʻona nui

• Nā hoʻokolohua koko a me ka mimi

• X-ray umauma

• Computerized Tomography (CT) scan

• Spinal tap (lumbar puncture)