Dambudziko reSerotonin Syndrome neSt. St. Johns Wort Plus Anodzvinyirira
Chirwere cheSt. John, chikafu chekudya, zvine zviito zvakafanana nevanorwisa zvinodhaka, saka hazvishamisi kudzidza kuti kutora mupiro wechipfuwo cheSt. John kunogona kuwirirana, kana kuwedzera kune, zvinokonzerwa nemishonga inodzvinyirira. Ngatitarisei kuti izvi zvinoshandiswa sei mumishonga, zvinosanganiswa nemishonga zvinogona kuitika, uye zviratidzo zvaungatarisira.
Izvo Zvingabatsirei St. John's Wort Work?
St.
John's wort inowedzera kudya kunovaka muviri inotengeswa kuti ibatsire nekuora mwoyo uye zvimwe zvinetso zvepfungwa. Zvinofungidzirwa kuti wechechi yaSt. John inogona kushandisa simba iri kuburikidza nekuwedzera muzinga we serotonin muuropi. Serotonin inonzi neurotransmitter (chiratidzo chemakemikari muuropi) iyo yakawanikwa isina kukwana mune vamwe vanhu vane kuora mwoyo.
Kuwedzera serotonin kunogona kukonzera kuderera kuderera, asi kana mazinga e serotonin akakwirira zvikuru mamiriro ezvinhu anozivikanwa senotononin syndrome inogona kubuda. Izvi zvinogona kuva zvakakomba zvikuru, uye ani naani anoshandisa chirwere chinoderedza mwoyo kana kuti chikafu chekunyanya kuora mwoyo anofanira kunge achiziva zviratidzo.
Ndeapi Mishonga Inodzvinyirira Inogona Kuwirirana naSt John's wort?
Chikwata cheSt. John chinokwanisa kuwirirana nemapoka akasiyana-siyana evanhu vanorwisa zvinodhaka , kusanganisira:
- Kusarudza serotonin reuptake inhibitors (SSRIs) - Iyi mishonga inobata nekuvhara reuptake ye serotonin mumasero emagetsi, zvichiwedzera kuwanda kweeti serotonin preset kusunga pamwe nekukurukura chiratidzo, kune rimwe rinotevera.
- Selective norepinephrine reuptake inhibitors (SNRIs) - Iyi mishonga inosimudza zvose serotonin uye norepinephrine mazinga muuropi.
- Tricyclics anti-depressants - Tricyclic vanodzvinyirira ndeyekare mishonga inounza zvose serotonin uye norepinephrine mazinga muuropi.
- Monoamine oxidase inhibitors (MAOIs) - MAOI yakasimudza serotonin, norepinephrine, uye dopamine mazinga muuropi.
Mishonga iyo ndeyezvikoro izvi inosanganisira:
Kusarudza serotonin reuptake inhibitors:
- Prozac (fluoxetine)
- Paxil (paroxetine)
- Zoloft (sertraline)
- Celexa (citalopram)
- Luvox (fluvoxamine)
- Lexapro (escitalopram)
- Symbyax - Symbyax inobatanidza Prozac (fluoxetine) uye Zyprexa (olanzapine)
Selective norepinephrine reuptake inhibitors:
- Cymbalta (duloxetine)
- Savella (milnacipram)
- Effexor (venlafaxine)
- Pristiq (desvenlafaxine)
Tricyclic vanodzvinyirira:
- Elavil (amitriptyline)
- Tofranil (imipramine)
- Ascendin (amoxapine)
- Anafranil (clomipramine)
- Pamelor (nortryptyline)
- Norpramin (deipramine)
- Vivactil (protryptyline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
Monoamine oxidase inhibitors:
- Parnate (tranycypromine)
- Nardil (phenelzine)
Serotonin Syndrome
Apo nhengo dze serotonin dzinokurudzirwa zvakanyanya, chirwere chisina kunaka uye dzimwe nguva chinotyisa chinonzi serotonin syndrome chinogona kuitika. Yakakura serotonin mazinga angave akakonzerwa ne:
- Kunyanya kukwirira kweruzhinji rwechirwere chimwe chinotapukisa
- Kutorazve mamwe maviri evanhu vanodzvinyirira kana anodzvinyirira pamwe nechechi yaSt. John's
- Kutora wort St. John's or anti-stressing and another medication that interacts and stimulates serotonin levels (izvi zvinosanganisira mishonga inowanikwa inotonhorera uye kugadzirisa chifukidzo uye yakanyorwa pasi apa)
Serotonin syndrome inogona kuva yakakomba, uye inogona kuva inouraya kana isingatariswi pakarepo. Kana wakanga uchishandisa zvinodhaka nehana yedu pasina zviratidzo zvakanyorwa apa, taura nemubatsiri wako wekutarisira pakarepo.
Zviratidzo zveSerotonin syndrome zvinogona kusanganisira:
- Kusanganiswa
- Hypomania
- Kushungurudzika
- Headache
- Coma
- Kudzora
- Sweating
- Fever
- High Blood pressure
- Rapid heartbeat
- Kusagadzikana kwepfungwa
- Kushungurudza mudumbu
- Diarrhea
- Kuvhiringidza kunobatsira
- Tsvina yakasimba
- Kugumburwa
- Overactive reflexes
- Kupopota
- Kurasikirwa kwekuziva
Serotonin Syndrome Treatment
Nhanho yekutanga mukurapa serotonin syndrome iri kuvhara mishonga yose uye yezvokudya zvakakwana (zvakadai saSt.
John's wort) iri kuitisa, zvichida kusvikira zviratidzo zvagadziriswa. Izvi zvinofanira kugara zvichiitwa nerubatsiro rwechiremba wezvechiremba seimwe dambudziko, SSRI discontinuation syndrome , inogona kuitika yakabatana nekuderera kuderera. Asi, nepo SSRI kuregera chirwere chinonyanya kusununguka, serotonin syndrome inogona kuva yakaipisisa.
Kurapa kunogona kusanganisira kushandiswa kwevanhu vanopikisa serotonin zvakadai se methysergide uye cyproheptadine. Benzodiazepines , yakadai seAtivan kana Valium inogona kupiwa kuitira kuti kuderedzwa kwemisumbu kuomerera.
Mune zvimwe zviitiko, zvinogona kudiwa kupa mhepo inoputika (isa mumwe munhu pamubhedha) kuti abatsire kufema kusvikira zviratidzo zvichivandudza. Kazhinji, zvinotora maawa makumi maviri nemaviri kuti zviratidzo zvipere, kunyange zvingatora chero nguva maawa 96.
Kudzivirira Serotonin Syndrome
Kuti usapinda serotonin syndrome, zvakanakisisa kuti ugare uchitevera zano rechiremba wako pamusoro pekurapa mishonga yako. Mukuwedzera, iva nechokwadi chokuti vatapi vako vezvehutano vanoziva chero mimwe mishonga yauri kutora, kusanganisira pamusoro pemiti yekugadzira mishonga yakadai saSt. John's wort, uye mishonga yepamusoro-kunyorwa (kunyanya inotonhorera uye inokonzera mishonga. )
Pakupedzisira, unofanirwa kutsvaga mazano echiremba wako pamusoro pekushandura kwakanaka kubva kune umwe unorwara nehana kune imwe kana kubva kumishonga inopesana nemishonga kumishonga kana zvimwe zvinowedzera zvinogona kuchinja serotonin. Zvinokwanisika kuti serotonin yako maitiro inogona kuramba yakasimudzirwa kwenguva yakati mushure mekunge musamira kutora mishonga yenyu saka zvinokurudzirwa kubvumira kushandiswa kwenguva isati yatanga imwe mishonga, miriwo kana kuwedzera iyo inogona kuva nemigumisiro yakafanana pane serotonin.
Zvimwe Zvinodhaka Zvichida Kutungamirira kuSerotonin Syndrome
Kana uri kutora wort St. John's or anti-depressant zvakakosha kuziva dzimwe mishonga uye izvo zvinogona kutungamirira serotonin syndrome. Zvimwe zvezvi zvinosanganisira:
- 5-HT kana 5-HPT, 5-HT kana 5-hydroxytryptophan inowedzera kudya uye ndeimwe yezvakagadziriswa pakuitwa serotonin
- Panax ginseng
- Lithium
- Selegiline
- Buspar (buspirone)
- Dextramethorphan (inowanikwa mukukanganiswa kwakawanda uye mishonga inotonhora)
- Chlorpheniramine
- Triptans (migraine medication)
- Mishonga yemarwadzo kusanganisira codeine, fentanyl, meperidine, uye tramadol
- Dopamine agonists kusanganisira levodopa, amantadine, uye bromocriptine
- Zvinodhaka zvisina kuwanikwa zvakadai secocaine, LSD, ecstasy, uye amphetamines
Zvakakosha kucherechedza kuti kushamwaridzana kwakanyorwa pane izvo zvinogona kukonzera serotonin syndrome. Chirwere cheSt. John chinogonawo kutaurirana nemimwe mishonga mune dzimwe nzira, zvakadai sokuderedza kubudirira kwezvinodhaka zvinoshandiswa mumamiriro ezvinhu zvichibva pamakemikari kusvika pakugadziriswa kurambwa.
Shoko rekuchenjerera paKushandisa Zvokudya Zvokudya
Kutaurirana kweSt. John's wort nemishonga inopesana nemishonga inongova muenzaniso mumwechete wekuti kudya kunovaka muviri-kunyange zvazvo kunotengeswa semasikirwo emiti uye zvakasikwa kana kunogona kunge kuripo-kunogona kukonzera migumisiro uye kubatana nemimwe mishonga nenzira zvakafanana nemishonga yemishonga.
Usati wagamuchira chero mishonga yemishonga kana kuwedzera kwekudya, ita nechokwadi chekuverenga iyi sumo kune kudya kwekudya kudya kwekutanga kutanga kuitira kuti iwe unogona kudzidziswa uye unopa simba rokuita sarudzo dzakanakisisa zvehutano hwako.
Pasi Panoenderana nekubatana kweSt. John's Wort uye Antidepressants
Zvakajeka kuti chikafu chinowedzera chikamu cheSt. John chinogona kusangana nemishonga yekurwisa zvinodhaka. Zvinenge zvakachenjera, kakawanda, kuti urege kubatana uku, asi zvakakoshawo kubvunza kuti sei uri kutarisa kutora mishonga iyi yose panguva imwe chete.
Panzvimbo pokuwedzera izvi zviviri pamwe chete, zvingashanda kuwedzera mazamu ako echitubu chaSt. John kana kuti chako chekudzivirira mwoyo here?
Vamwe vanhu vanosarudza kutora chikwata cheSt. John senzira yekuderedza kana kuderedza kudiwa kwavo kwekutora mishonga yemishonga, uye izvi zvinonzwisisika. Zvakakosha kuziva, zvisinei, kuti muSt. John's wort imishonga inoshanda, uye inofanira kutariswa nenzira imwechete yaungatarisa pane imwe mishonga yemishonga.
Kana iwe uri kutsvaga nzira dzisingashandisi mishonga kuti ubatsire kutarisira kuora mwoyo kwako kana kufunganya, mune zvakawanda zvingasarudzwa. Psychotherapi inogona kubatsira chaizvo kana iri yoga, kana inosanganiswa neveSt. John's wort kana kuti inorwisa mweya (kana ne 5-HT, imwe mishonga yekuwedzera iyo vamwe vanhu vanotora kuora mwoyo uye kuzvidya mwoyo.) Kune avo vari kutsvaga chisarudzo chenguva pfupi , kurapwa kwevamwe kunyanya kuora mwoyo kunogona kuva yakasarudzwa kwenguva pfupi sarudzo. Zvimwe kurapwa, zvakadai sokufungisisa kwehutano hwehutano , hutachiona hwehutano , uye hutano hwemaitiro ehutano hwehutano , zvose zvinowanikwa kubatsira vanhu vazhinji kurarama nekuora mwoyo.
Mazano ekuzvibatsira kubva kune mabhuku ekubatsira kuzvidya mwoyo kana mapoka ekutsigira kuora mwoyo , kumasangano ekutsigirwa kwepaIndaneti haafaniri kutarisirwa uye anogona kubatsira zvikuru kune vanhu vakawanda.
Tarisa mazano aya ekurarama nekutambudzika , izvo zvinosanganisira zvose kubva mazano pamusoro pezvokudya zvinogona kubatsira kuora mwoyo, kune nzira dzekubatisisa pfungwa dzako dzakaipa uye kudzidza kudzikanganwira iwe pachako nevamwe.
Sources:
Izzo, A., Hoon-Kim, S., Radhakrishnan, R., uye E. Williamson. Nzira Yakakosha yekuongorora Kubudirira Kwechipatara, Zviitiko Zvakaipa uye Kubatana Kwemishonga yeMishonga yeMishonga. Phytotherapy Research . 2016. 30 (5): 691-700.
Khalid, Z., Osuagwu, F., Shah, B., Roy, N., Dillon, J., naRobert Bradley. Celery Root Extract as an Inducer of Mania Induction mu Murwere paV Venlafaxine uye St. John's Wort. Postgraduate Medicine . 2016. 128 (7): 682-3.
National Centre for Complementary and Integrative Health. St. John's Wort uye Kuora mwoyo: Mukudzika. Updated 09/13. https://nccih.nih.gov/health/stjohnswort/sjw-and-depression.htm