A chang chuan engkim hi i bo a, engmah tih duh loin, lungngai mai mai i nei thin em? A nih loh leh, thil tenawm ber pawh ni se, lungkhamna leh hlauhna nei duhna i nei em? Heng thilte hi ni engemaw zat hnuah a bo lo va, a awm reng a nih chuan lungngaihna emaw, lungkhamna emaw ang chi natna i nei thei a ni. Chûngte chu lungngaihna pangngai aia hla tak, enkawl ngai dinhmunte an ni. Vawiin hian antidepressant chungchang kan sawi dawn a, chu chu hetiang rilru lam harsatna nei tan doctor-te’n an rawt fo thin damdawi chi khat a ni.
Heng antidepressant te hi engte nge ni?
A awlsam zawngin sawi ila, antidepressant hi damdawi chi khat a ni a, rilru lam hriselna lama harsatna, lungngaihna, lungkhamna, leh post-traumatic stress disorder (PTSD) te enkawlna atana hman thin a ni. Tin, ei leh in lama harsatna thenkhat, natna rei tak, leh mut theih lohna te enkawlna atan pawh an hmang \hin.
Depression hi lungngaihna ringawt aiin a tam zawk. I mood, ngaihtuahna, chakna leh thil tih duhna tichhe thei, persistent condition a ni. Tûn hmaa i hlim ṭhin thilte chu i ngaihven tawh lo mai thei. Tin, thil hriatrengnaah harsatna i nei thei bawk a, ei leh in tha leh mut thatnaah pawh harsatna i nei thei bawk.
A pawimawh ber chu heng damdawi te hian i natna lan chhuah dan (lungngaihna leh hahna ang chi) chauh a tihziaawm a, mahse natna thlentu bulpui chu a ti bo lo. Chuvangin doctor-te chuan heng damdawi te nen hian psychotherapy, i.e. talk therapy an rawt fo thin.
He damdawi hi eng dinhmunah nge hman a nih?
Khawvel hmun hrang hranga doctor-te chuan heng antidepressant damdawi te hi a hnuaia natna hrang hrangte tan hian an pawm ber a ni.
| Natna dinhmun | A sawifiahna awlsam tak |
|---|---|
| Depression leh a kaihhnawih dinhmun | Major Depressive Disorder ang chi natna te. |
| Lungkhamna (anxiety Disorder) a awm | Generalized Anxiety Disorder leh Social Anxiety Disorder ang chi thil te. |
| Bipolar Disorder a ni | Mood swings nasa tak nei dinhmun. |
| Obsessive-Compulsive Disorder (OCD) tih a ni a, a rilru a buai em em a, a rilru a hah em em bawk. | Chumi atanga lo chhuak ngaihtuahna leh nungchang duh loh sawi nawn fo thin. |
| Panic Disorder a ni | Hlauhna nasa tak leh taksa lama natna lan chhuahna. |
| Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni. | Thil rapthlak tak thleng hnua rilru dinhmun. |
| Ei leh in lama harsatna nei | Bulimia Nervosa ang chi natna te. |
| Thil awmdan dang | Chronic Pain, Fibromyalgia, Diabetes kaihhnawih Nerve Pain, leh Premenstrual Dysphoric Disorder (PMDD) te a ni. |
Chu bâkah, a châng chuan doctor chuan official-a pawm loh natna pakhat atân damdawi a pe thei bawk. Hei hi "off-label hman" an ti a. Entirnan, antidepressant hlui zawk thenkhat chu mut theih lohna emaw, migraine emaw tan an pe thin.
Antidepressant chi hrang hrangte chu engte nge ni?
Heng damdawi chi hrang hrang, a nih loh leh class chi hrang hrang a awm a. An hnathawh dan chu a danglam deuh hlek a ni.
| Damdawi chi hrang hrang | A hnathawh dan hi a awlsam hle. |
|---|---|
| SSRIs (Selective Serotonin Reuptake Inhibitors) te hi a tha ber pawl a ni. | Hengte hian i thluaka chemical serotonin an tih chu a tipung a, chu chuan kan mood a control a ni. Chungte chu hman tam ber an ni. |
| SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) te hi a tha ber pawl a ni. | Chungte chuan serotonin leh chemical norepinephrine an tih chu a tipung a, chu chuan mood, stress leh alertness a tipung a ni. |
| Tricyclic Antidepressants hmanga tihdam theih a ni | Hei hian a chunga kan sawi tak chemical pahnih hi a tipung bawk. Mahse, hengte hi damdawi hlui a nih avangin side effect tlem a nei tam zawk. |
| MAOIs (Monoamine Oxidase Inhibitors) te hi a tha hle a, a man hi a to hle bawk. | Chungte chuan thluaka chemical awmte tichhe thei enzyme pakhat chu a block a, chu chemical level chu a tisang a ni. Hengte pawh hi type hlui tak an ni. |
| A chi dang (Atypical Antidepressants) te pawh a awm bawk. | Damdawi thar a chunga category-a tel lo leh hnathawh dan inang lote chu he category-ah hian an tel a ni. |
Vawi tam tak chu doctor chuan SSRI damdawi hmangin a tan hmasa ang a, a chhan chu chi dang aiin side effect an nei tlem zawk a ni.
Engtin nge he damdawi hian hna a thawh tak tak?
Hei hi hrethiam tur chuan thluak chungchang tlem kan hriat a ngai a ni. Neurotransmitters hi kan thluaka nerve cell te inbiakpawhna atana an hman chemical messenger a ni. Serotonin leh norepinephrine te hi chutiang chemical chu an ni. Depression ang chi dinhmunah chuan heng chemicals te balance hi a tibuai thin.
Antidepressant hian heng chemicals te hi control in an balance a siam tha leh a, chu chuan i mood leh behavior a ti tha thei a ni.
Tin, he damdawi hi i ei chhunzawm zel chuan thluak hian nerve cell te inkarah inzawmna thar a siam thei bawk. Kawngpui hlui, khur awmna khuh a, kawng thar, tha zawk siam ang mai a ni. Hei hi neuroplasticity kan ti a. Hei hian hun kal zelah i mood-ah hmasawnna nghet tak a thlen thei a ni.
He damdawi hi engtin nge ka hman ang?
Heng damdawi te hi pill angin a awm tlangpui. I ei tan tirh chuan i doctor chuan a dose tlem ber hmangin a tan tir fo ang che. Tichuan, an lo enkawl reng ang che a, a tul chuan zawi zawiin dose an tipung ang.
A pawimawh ber chu, hei hi paracetamol pill ei ang a ni lo. Damdawi hian hna a thawh theih nan leh i rilru a hahdam theih nan kar tlemte, thla khat emaw thla hnih emaw pawh a la ngai thei. Chuvangin i dawhtheih a ngai a ni.
I rilru a hahdam tan chuan i doctor-in a tih angin damdawi chu i ei chhunzawm tur a ni. I rilru a hahdam vang mai maia damdawi ei kha bansan nghal suh. Chutianga tih chuan natna lan chhuah dan duhawm lo (khawsik, luak chhuak, leh mut theih lohna ang chi) a thlen thei a ni. Chuvangin damdawi i ei tawh loh chuan i doctor thupek angin i ei tur a ni a, zawi zawiin a dose hi tihhniam tur a ni.
Engtin nge ka tan damdawi dik tak ka thlan ang?
Hei hi nangmah ngeiin i rel tur a ni lo. I doctor chuan i tana tha ber damdawi a thlang ang. Thil engemaw zat a ngaihtuah ang.
- I natna lan chhuah dan: I lungngai ber em? Zam? Mu thei lo?
- Side effect awm thei: Damdawi thenkhat chuan mutthilh a thlen a, a then chuan taksa rihna a tipung thung.
- I ei tawh damdawi dang nen a inzawm dawn em tih: Hengte hian damdawi dang nen a inzawm thei a ni.
- Natna dang i neih: Natna dang, Lung lam natna emaw, zunthlum emaw i neih chuan ngaihtuah a ni bawk ang.
Ngaihtuah teh, naute neih i tum a nih chuan i doctor hnenah pawh hrilh bawk ang che. Naupai lai hian damdawi him tak tak a awm avangin. Chuvangin i doctor nen i details zawng zawng sawiho a pawimawh hle.
A chang chuan damdawi pek hmasak ber che kha a thawk tha lo thei bawk. Chutiang a nih chuan lungngai suh. Chu chu thil pangngai a ni. I doctor nen inbiain a dose i thlak thei a, damdawi dang i hmang thei bawk.
Antidepressant hian eng side effect nge a neih?
Damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei a ni. Mahse, a tam zawkah chuan hengte hi a pawi lo va, damdawi i hman chhunzawm zel chuan hun kal zelah a tlahniam ang. Side effects awm tam zawk thenkhat chu:
- Luhai
- Kawng a vawt
- Mut theih lohna emaw, mut theih lohna emaw
- Luak chhuak thei
- Lu na
- Mipat hmeichhiatna lama duhna a tlahniam
- A taksa rihna a tipung
- Thawmhnaw hak
Heng side effects zinga pakhat tal i ngaihtuah chuan doctor hnenah hrilh rawh.
Risk bik hriat tur a awm
Hetah hian thil danglam bik kan sawi tur a awm. Kum 24 hnuai lam miin he damdawi hi a ei tan chuan mahni intihhlum duhna a pung thei tih hlauhawmna tlemte a awm a, a bik takin kar hmasa lamah chuan. Hetiang hi mi zawng zawngah a thleng vek lo a, mahse hei hi hriat chian a pawimawh a, hetiang ngaihtuahna i neih chuan i doctor emaw chhungte emaw hrilh nghal a pawimawh .
He damdawi ei avanga harsatna awm thei
Mi tam zawk chuan he damdawi hi harsatna nei lovin an ei a, mahse natna khirh tak tak, a tlem berah a awm thei tih hriat a tha.
| Complication awm thei | I hriat tur chu |
|---|---|
| Serotonin Syndrome natna a ni | Hei hi a tlem hle a, mahse a pawi hle. Taksaah serotonin a tam lutuk chuan a thleng thin. A lan chhuah dan chu rilru buai, taksa ruh na, khawsik sang, leh seizures te a ni thei. |
| Discontinuation Syndrome a awm thei | Damdawi i ei loh thut chuan khawsik, luak chhuak, mut theih lohna leh rilru natna te i nei thei a ni. |
| Overdose a ni | I doctor-in a rawt aia tam damdawi ei hi nunna atana hlauhawm tak a ni thei. Damdawi i ei tam lutuk nia i rinhlelh chuan damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh. |
Antidepressant ei hi i addicted thei ang em?
Ni lo, hei hi mi tam takin an zawh thin zawhna a ni. Heng damdawi te hi addiction a ni lo. Amaherawhchu, a chunga kan sawi tawh ang khan i ei tawh loh thut chuan doctor-in a tih ang chauhin i ei tur a ni.
Engtikah nge emergency treatment i zawn ang?
- Serotonin syndrome (khawsik sang, seizures, confusion) symptoms i neih emaw, overdose i rinhlelh emaw chuan hospital emergency room (ETU) hnai ber pan nghal rawh.
- Mahni intihhlum duhna i neih chuan , khawngaihin nangmah chauh awm suh. I rintlak (chhungkaw member, thian, doctor) nen inbia nghal rawh. A nih loh leh, Sri Lanka-a Sumithrayo ang pawl aṭangin ṭanpuina i zawng thei bawk. Ngaithla turin leh tanpui turin an inpeih reng a ni. I nunna hi a hlu em em a ni.
Antidepressant hian rilru hahna leh beiseina nei lo anga inhriatna chu a pui thei tak zet a ni. Mahse hun an la a ni. Chu balance chu din thar leh turin i thluak hun i pek a ngai a ni.
I doctor nen thawk ho la, i tana damdawi dik tak zawng rawh. Hei hi kalphung a ni. Kawngpuiah hian inthlâk danglamna i siam a ngai mai thei. I rilru hahna emaw, side effect emaw i neih chuan sawi rawh. Tichuan rah tha ber i hmuh theih nan a tul angin inthlak danglamna i siam thei ang.
Take-Home Thuchah a ni
- Antidepressant hi rilru natna, lungngaihna leh lungkhamna ang chi damdawi pek a ni a, lungngaihna atana ei tur chauh a ni lo.
- Hengte hian hna a thawh theih nan leh a rah chhuah i hriat theih nan kar 4-8 vel a ngai a; chuvangin dawhthei la, enkawlna chu chhunzawm zel rawh.
- I doctor thurawn tel lovin damdawi ei tan ngai suh, titawp ngai suh, tidanglam ngai suh.
- Side effect-in a tibuai che emaw, i symptoms a ṭhat loh chuan i doctor nen sawiho rawh.
- He damdawi hi addictive a ni lo.
- Results tha ber tur chuan damdawi nen hian talk therapy hman a pawimawh hle.
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