txheem
Kev tshem tawm syndrome - qhov no yog ib qho nyuaj ntawm lub cev cov tshuaj tiv thaiv uas tshwm sim hauv kev teb rau kev tso tseg ntawm kev noj tshuaj (lossis nrog kev txo qis) ntawm cov tshuaj uas tuaj yeem ua rau muaj kev quav tshuaj. Kev rho tawm tuaj yeem tshwm sim thaum koj tsis kam noj tshuaj, tshuaj narcotic, psychostimulants. Nws yog ib qho ua tau los tsim ib qho kev cuam tshuam tsis zoo txawm tias tom qab qhov txo qis ntawm kev noj cov tshuaj pathognomonic rau hauv lub cev.
Cov tsos mob ntawm kev rho tawm tuaj yeem sib txawv hauv qhov hnyav, nyob ntawm qhov koob tshuaj thiab lub sijhawm ntawm cov tshuaj, nrog rau nws cov muaj pes tsawg leeg thiab cov nyhuv uas nws muaj rau lub cev. Nws yog ib qho ua tau tsis tsuas yog rov qab cov kev xav tsis zoo uas, piv txwv li, cov tshuaj thaiv, tab sis lawv qhov kev siv zog thiab qhov tshwm sim ntawm qhov tsis zoo tshiab tshwm sim.
Hormone tshem tawm syndrome
Hormone rho tawm syndrome yog ib yam mob uas txaus ntshai tsis tsuas yog rau kev noj qab haus huv, tab sis kuj rau tib neeg lub neej.
glucocorticoid tshem tawm syndrome
Tshwj xeeb tshaj yog txaus ntshai yog kev kho mob glucocorticoid, uas yuav tsum tau ua tshwj xeeb hauv kev saib xyuas kev kho mob. Kev mob hnyav dua ntawm cov tsos mob ntawm tus kab mob uas tau qhia txog kev kho tshuaj hormonal yog ib qho tshwm sim tsis tu ncua thaum cov ntsiab lus ntawm kev kho mob tsis raug soj ntsuam, nrog rau thaum cov koob tshuaj ntau tshaj plaws.
Raws li txoj cai, glucocorticoid tshem tawm syndrome tsuas yog tshwm sim yog tias tus neeg mob tau noj nws tus kheej. Cov kws kho mob muaj cov lus pom zoo hais txog kev siv cov tshuaj hormonal no rau kev kho mob ntawm ib tus kab mob. Qhov hnyav ntawm glucocorticoid tshem tawm syndrome nyob ntawm seb qhov adrenal cortex khaws cia zoo npaum li cas hauv tus neeg mob:
Cov kev mob me me ntawm corticosteroid hormone tshem tawm syndrome yog tshwm sim nyob rau hauv cov tsos ntawm kev tsis muaj zog, malaise, nce qaug zog. Tus neeg tsis kam noj mov vim nws tsis qab los. Tej zaum yuav muaj mob nqaij, exacerbation ntawm cov tsos mob ntawm tus kab mob hauv qab thiab nce hauv lub cev kub.
Kev mob hnyav ntawm corticosteroid hormone tshem tawm syndrome yog tshwm sim nyob rau hauv txoj kev loj hlob ntawm Addisonian ntsoog. Qhov tshwm sim ntawm ntuav, spasms, lub cev qhuav dej yog ua tau. Yog tias koj tsis nkag mus rau cov tshuaj hormones ntxiv rau tus neeg mob, ces muaj kev pheej hmoo ntawm kev tuag.
Hauv qhov no, kev kho nrog glucocorticosteroid cov tshuaj hormones raug lees paub los ntawm cov kws kho mob tias nyuaj thiab txaus ntshai, txawm tias tag nrho cov kev ua tiav ntawm cov tshuaj niaj hnub no. Cov kws kho mob hais tias kev kho mob zoo li no yooj yim pib dua li ua kom tiav. Txawm li cas los xij, muaj peev xwm ua tau raws li kev tswj hwm kev noj tshuaj ntawm pab pawg no ua rau nws muaj kev nyab xeeb rau tus neeg mob noj qab haus huv. Ua ntej pib kho, tag nrho cov contraindications ua tau, cov kev mob tshwm sim ntawm kev noj tshuaj hormonal yuav tsum raug coj mus rau hauv tus account yam tsis tau poob. Nws yog ib qho tseem ceeb rau kev npaj "npog" lub tswv yim rau cov neeg muaj kev pheej hmoo, piv txwv li, hloov los ntawm glucocorticoids mus rau insulin hauv ntshav qab zib mellitus, muaj peev xwm siv cov tshuaj tua kab mob hauv kev kho mob ntawm cov kab mob foci ntawm cov tshuaj hormones, thiab lwm yam.
Hormonal contraceptive rho tawm syndrome
Nrog rau kev tshem tawm cov tshuaj tiv thaiv hormonal, muaj qhov nce hauv kev tsim cov tshuaj luteinizing thiab follicle-stimulating hormones hauv lub cev. Nyob rau hauv gynecology, xws li hormonal surge yog hu ua "rebound effect", uas yog feem ntau siv los kho infertility.
Tom qab peb lub hlis ntawm kev noj cov tshuaj tiv thaiv qhov ncauj, lawv qhov kev tshem tawm yam tsis poob yuav pib ua rau ovulation thiab tso tawm ntawm poj niam lub cev cov tshuaj hormones. Nws tsis suav nrog kev hloov pauv ntawm qhov ntev ntawm lub voj voog, lossis ncua sijhawm ntawm kev coj khaub ncaws rau ntau lub voj voog, uas tshwm sim tsis tshua muaj.
Txawm li cas los xij, tus kws kho mob gynecologist yuav tsum pab xaiv cov tshuaj tiv thaiv qhov ncauj tom qab kuaj tag nrho. Yog tias, tawm tsam keeb kwm yav dhau los ntawm kev tshem tawm cov tshuaj no, tus poj niam pom cov tsos mob tsis zoo hauv nws tus kheej, kev thov rov hais dua rau tus kws kho mob tshwj xeeb yog qhov yuav tsum tau ua.
Antidepressant rho tawm syndrome
Antidepressants yog cov tshuaj uas siv los txo tus neeg muaj kev nyuaj siab. Lawv muaj cov txiaj ntsig zoo, lawv txoj kev siv dav hauv kev puas siab puas ntsws yog qhov ncaj ncees. Cov tshuaj nyob rau hauv pab pawg no tuaj yeem txhim kho cov kev mob tshwm sim ntawm cov neeg uas muaj kev nyuaj siab loj, thiab tseem ua rau nws muaj peev xwm txo qis kev tua tus kheej.
Txawm li cas los xij, antidepressant rho tawm syndrome yog ib qho mob nyuaj uas yuav tsum tau saib xyuas kev kho mob thiab kho. Feem ntau, tus mob no tshwm sim nrog rau txoj hauv kev tsis muaj txiaj ntsig los teeb tsa kev kho mob nrog cov tshuaj ntawm pab pawg no. Tseeb tiag, niaj hnub no tsuas yog tus tub nkeeg xwb tsis txo qhov kev nyuaj siab - cov no yog txhua yam ntawm cov kws qhia, thiab cov kws qhia kev xav, thiab cov kws kho mob ib txwm muaj, thiab cov kws txawj ua khawv koob thiab ntau lwm tus kws qhia ntawm tib neeg lub siab. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias yog tias koj muaj cov tsos mob ntawm kev nyuaj siab, koj tsuas yog yuav tsum hu rau tus kws kho mob hlwb lossis kws kho hlwb. Tsuas yog lawv muaj peev xwm sau tau cov kev kho mob antidepressant txaus thiab xaiv ib txoj cai kom tsis muaj kev tshem tawm tom qab kev kho mob.
Antidepressant rho tawm syndrome hem nrog kev txhim kho ntawm cov xwm txheej hauv qab no:
Ua tsaug ntau.
Qhov tshwm sim ntawm cov leeg tsis muaj zog.
Inhibition ntawm cov tshuaj tiv thaiv.
Tes tshee.
Kev poob ntawm kev sib koom tes, tsis ruaj khov mus.
Hais lus tsis meej.
Kev tso zis tsis tso zis.
Txo tsawg libido.
Kev nyuaj siab ntau ntxiv.
Kiv taub hau.
Ua txhaum hmo ntuj.
Suab nrov hauv pob ntseg.
Exacerbation ntawm rhiab heev rau lub suab, hnov tsw thiab lwm yam stimuli sab nraud.
Ntxiv nrog rau cov kab mob physiological saum toj no, lub hom phiaj tseem ceeb - tshem tawm kev nyuaj siab, yuav tsis ua tiav. Ntawm qhov tsis sib xws, qhov kev tshem tawm cov tsos mob tuaj yeem ua rau muaj kev tsis sib haum xeeb hauv kev nkag siab ntawm kev muaj tiag thiab muaj kev ntxhov siab ntau ntxiv.
haus cawv haus cawv qaug cawv
Kev haus cawv tshem tawm syndrome yog ib qho kev sib txuam ntawm cov kab mob hauv lub cev uas tshwm sim hauv cov neeg uas muaj kev haus cawv tom qab tsis kam haus cawv.
Cov tsos mob tshem tawm tuaj yeem zoo li hangover, tab sis nws ntev dua nyob rau lub sijhawm thiab muaj ntau yam ntxiv. Kev tshem dej cawv yuav tsis tsim nyob rau hauv ib tus neeg uas tsis muaj cawv. Nws tsis txaus haus cawv rau ib lub lim tiam tom qab tsim cov tsos mob tshem tawm. Lub sijhawm ntawm lub sijhawm tsim nyog rau kev tsim cov cawv cawv sib txawv ntawm 2 txog 15 xyoos. Thaum muaj hnub nyoog me me, lub sijhawm no raug txo mus rau 1-3 xyoos.
Feem ntau, peb qib ntawm qhov hnyav ntawm kev haus cawv tshem tawm syndrome yog qhov txawv, uas yog yam ntxwv ntawm theem 2 cawv:
Thawj degree Kev haus cawv tshem tawm syndrome tuaj yeem pom tom qab kev sib tw luv luv ntawm 2-3 hnub. Nyob rau tib lub sijhawm, ib tug neeg muaj kev nce hauv lub plawv dhia, raug kev txom nyem los ntawm hws ntau dhau, thiab dryness tshwm nyob rau hauv lub qhov ncauj. Muaj cov tsos mob ntawm asthenic syndrome nrog nce qaug zog, tsis muaj zog, pw tsaug zog thiab autonomic teeb meem (tachycardia, lub zos hyperhidrosis, deterioration ntawm potency).
Qib thib ob cawv tshem tawm syndrome tshwm sim tom qab ntev bines rau ib lub sij hawm ntawm 3-10 hnub. Cov tsos mob ntawm lub paj hlwb, nrog rau cov teeb meem hauv kev ua haujlwm ntawm cov kab mob hauv nruab nrog cev, koom nrog cov kab mob vegetative. Cov tsos mob hauv qab no tuaj yeem ua tau: hyperemia ntawm daim tawv nqaij, qhov muag liab, lub plawv dhia, dhia hauv ntshav siab, xeev siab, ntuav, hnyav hauv lub taub hau, clouding ntawm tsis nco qab, tshee tshee, tus nplaig, daim tawv muag, gait. cuam tshuam.
Peb degree tshem tawm syndrome tshwm sim tom qab binges, lub sij hawm ntawm uas yog ntau tshaj ib lub lim tiam. Ntxiv nrog rau cov kab mob somatic thiab vegetative ntshawv siab, kev puas siab puas ntsws raug pom, uas nyob rau hauv cov ntaub ntawv no tuaj txog. Tus neeg mob raug kev txom nyem los ntawm kev pw tsaug zog, raug kev txom nyem los ntawm npau suav phem, uas feem ntau yog tiag tiag. Lub xeev ntawm ib tug neeg muaj kev ntxhov siab, nws raug kev txom nyem los ntawm kev txhaum, nyob rau hauv ib tug dreary thiab kev nyuaj siab mus ob peb vas. Coj aggressively rau lwm tus neeg.
Nws kuj tseem tuaj yeem txuas cov tsos mob uas cuam tshuam nrog kev ua haujlwm ntawm lub cev hauv nruab nrog cev, txij li kev haus cawv ntev ntev cuam tshuam rau lawv qhov xwm txheej tsis zoo.
Kev rov pib dua ntawm kev haus dej cawv softens lossis tshem tawm tag nrho cov kev tshem tawm. Qhov kev tsis pom zoo tom ntej no ua rau muaj kev nce ntxiv hauv tsev kho mob ntawm tus mob, thiab tseem ua rau kev ntshaw rau cawv ntau dua irresistible.
Kev kho mob ntawm cawv tshem tawm syndrome yog nyob rau hauv lub peev xwm ntawm ib tug narcologist. Cov neeg mob uas muaj daim ntawv me me ntawm cov kab mob tsis zoo tuaj yeem tau txais kev saib xyuas hauv tsev lossis hauv chaw kho mob sab nraud. Kev mus pw hauv tsev kho mob yog qhov tsim nyog thaum qaug zog, lub cev qhuav dej, ua npaws, lub cev kub, kev tshee tshee, kev loj hlob ntawm hallucinations, thiab lwm yam. Kev puas siab puas ntsws nyob rau hauv daim ntawv ntawm tus mob schizophrenia, qaug dej qaug cawv thiab manic-depressive psychosis kuj txaus ntshai.
Hauv cov mob me me, cawv tshem tawm cov tsos mob daws nws tus kheej, qhov nruab nrab, tom qab 10 hnub. Cov chav kawm ntawm kev tsis quav ntsej hnyav nyob ntawm qhov hnyav ntawm somatic pathology, kev puas siab puas ntsws thiab autonomic mob.
nicotine tshem tawm syndrome
Nicotine tshem tawm syndrome tshwm sim thaum tus neeg txiav luam yeeb. Cov txheej txheem ntawm kev ua kom tiav ntawm lub cev yuav kav ntev li 3 lub hlis thiab hu ua nicotine detoxification.
Kev txiav luam yeeb ua rau tsis yog rau kev puas siab puas ntsws, tab sis kuj ua rau kev txom nyem ntawm lub cev thiab tau tshwm sim hauv cov tsos mob hauv qab no:
Muaj lub siab xav haus luam yeeb.
Ib tug neeg muaj kev ntxhov siab, khaus khaus, muaj peev xwm ua rau muaj kev aggression tsis tsim nyog.
Nws tsis suav nrog kev loj hlob ntawm kev nyuaj siab, qhov tshwm sim ntawm kev xav ntawm kev ntxhov siab thiab kev ntxhov siab.
Concentration raug kev txom nyem.
Hmo ntuj pw tsis tsaug zog.
Tej zaum yuav muaj kev xav xeev siab, qhov sib ntxiv ntawm chills thiab kiv taub hau.
Lub plawv dhia ntau zaus, ua pa luv, tawm hws nce. Cov neeg yws tias lawv tsis muaj cua txaus.
Lub degree ntawm qhov hnyav ntawm nicotine tshem tawm syndrome nyob ntawm tus kheej yam ntxwv ntawm ib tug neeg, ntawm nws tus cwj pwm, nyob rau lub sij hawm ntawm lub neej ntawm tus cwj pwm phem. Qee lub sij hawm, nyob rau hauv kev sib zog los daws qhov kev xav ntawm kev puas siab puas ntsws tsis xis nyob, tib neeg pib noj ntau dua, yog li inhibiting lub siab xav haus luam yeeb. Qhov no tuaj yeem ua rau hnyav nce. Yog li, kev noj zaub mov yuav tsum tau npaj kom raug, thiab cov khoom noj hloov pauv yuav tsum tsis txhob xaiv cov calories. Nws yog qhov zoo tshaj yog tias nws yog txiv hmab txiv ntoo lossis zaub.
Kev rho tawm tshwm sim li ib teev tom qab nicotine tsis nkag mus rau hauv cov hlab ntsha. Qhov no yog qhia nyob rau hauv lub siab xav haus luam yeeb tshiab. Nws tsis muaj zog heev nyob rau hauv thawj theem, tab sis heev intrusive. Qhov kev xav ntawm qhov tsis xis nyob maj mam nce ntxiv, tom qab 8 teev kev ntxhov siab, kev ntxhov siab nce, teeb meem nrog kev sib koom ua ke. Lub ncov ntawm nicotine tshem tawm syndrome yog nce rau peb hnub tom qab txiav luam yeeb. Tom qab lub sij hawm no, maj mam poob qis ntawm traction thiab kev txhim kho ntawm tus mob pib. Tom qab ib hlis, cov tsos mob tsis xav tau raug txo kom tsawg, txawm hais tias qhov kev xav kom haus luam yeeb yuav nyob twj ywm ntev.
Yuav kom txo tau koj tus kheej tus mob, koj yuav tsum muaj peev xwm ua rau muaj kev cuam tshuam. Txhawm rau ua qhov no, nws yog qhov txaus los nrhiav qee yam kev nthuav dav uas tso cai rau koj tsis txhob mloog cov kev xav txog luam yeeb. Cov kws tshaj lij pom zoo ua raws li kev haus dej haus cawv, ua pa tob tob, ua si kis las, siv sijhawm ntau sab nraum zoov.
Nws yog ib qho tseem ceeb uas cov neeg nyob ib puag ncig muaj kev khuv leej rau qhov kev txiav txim siab ntawm ib tug neeg kom tshem tawm tus cwj pwm phem thiab tsis txhawb nws kom haus luam yeeb dua. Txhawm rau txo cov tsos mob ntawm nicotine tshem tawm, ntau thaj ua rau thaj tuaj yeem siv, lossis siv cov nicotinic receptor antagonists. Txawm li cas los xij, ua ntej siv ib qho kev pab, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb.