I hlim lo va, i bo a, i lungngai reng em? I doctor chuan depression i nei tih a hrilh che a, chu chu damdawi ei tan a ngai tih a hrilh che pawh a ni mai thei. A nih loh leh khawi emaw laiah "antidepressants" tih thumal hi i hre tawh a, i hlau emaw, i ringhlel emaw pawh a ni thei. Vawiin hian he lungngaihna control nana damdawi pek thin, antidepressant te hi i hriatthiam theih tur angin kan sawi dawn a ni.
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A hmasa berah chuan depression chu eng nge ni?
A awlsam zawngin, lungngaihna hi rilru natna (mood disorder) a ni . Hun rei tak chhung lungngaihna leh beiseina nei lo anga inhriatna a ni. Tûn hmaa i hlim ṭhin thilte chu i ngaihven tawh lo mai thei. I ngaihtuahna te, hriatrengna te, ei duhna te, leh mutna te a nghawng thei bawk.
Depression chi hrang hrang a awm a. Entir nan:
- Clinical depression / Lungngaihna lian tak a awm
- Bipolar depression a awm a
- Lungngaihna natna (PDD) .
- Premenstrual dysphoric disorder (PMDD) a awm chuan a chhuak leh thin.
- Seasonal depression a awm thin
Antidepressants hi heng symptoms te control theitu enkawlna pakhat a ni. Mahse, heng damdawite chauh hian natna bulpui ber chu a tidam kim lo mai thei tih hre reng ang che. Chuvangin doctor-te chuan heng damdawi te nen hian psychotherapy emaw talk therapy emaw an rawt fo thin.
He damdawi hi depression tan chauh hman a ni em?
No. Antidepressant tih hming pu mah se, heng damdawi te hi rilru leh taksa lam natna dang engemaw zat enkawlna atan hman a ni. Ngaihtuah teh, doctor-in a chang chuan taksa na damdawi ang chiah kha khawsik damdawi a pek che ang kha a ni.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Generalized Anxiety Disorder (GAD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Thil chi hrang hrang ngaihtuah reng reng, tul lo taka lungkhamna leh thunun theih loh hlauhna rilru put hmang. |
| Obsessive-Compulsive Disorder (OCD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a. | Obsessions leh chu chu thunun tura thiltih nawn fo (compulsions). |
| 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 hnua lo awm thin stress. |
| Khawtlang nun lungkhamna (Social Anxiety Disorder) a ni | Mihringte nena inpawh leh mi hmaa awm hlauhna. |
| Thil dang (Off-label hman) . | Doctor-te chuan he damdawi hi natna rei tak, mut theih lohna, leh migraine ang chi natna atan an pe ṭhin. |
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A awlsam zawngin kan thluak chhungah hian kan rilru put hmang leh nungchang ang chi thilte thunun thei chemical messenger an awm a. Hengte hi neurotransmitter kan ti a . Serotonin leh norepinephrine te hi a lian ber pahnih an ni.
Depression ang chi dinhmunah chuan heng chemical messenger te hnathawh danah hian inthlauhna a awm thin. Antidepressant hian heng chemical messengers level te hi rebalance leh thluak cell te inbiakpawhna tha zawk siamin hna a thawk a ni. Hei hian i mood leh symptoms control nan a pui thin.
A pawimawh ber chu hei hi zan khat thil thuah a thleng lovang. Damdawi hian hna a thawh theih nan leh danglamna i hriat theih nan kar engemaw zat (kar 4-8 vel pawh a ni thei) a ngai thei. Chuvangin dawhtheih a pawimawh hle.
Damdawi hman huna fimkhur tur thil
I doctor-in antidepressant a pe che a nih chuan a dose hniam berin an tan tir ang che. Hun a kal zel a, i symptoms a zirin a tul angin dose chu tihdanglam a ni ang.
Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.Damdawi hi hun bituk chhung zawng ei a pawimawh a, i rilru a hahdam a nih pawhin. I natna lan chhuah dan a reh hnuah thla 6 tal damdawi ei chhunzawm zel a tha tlangpui. Hei hian natna a lo let leh tawh loh nan a pui dawn a ni.
Damdawi i ei loh thut chuan eng nge thleng ang?
Damdawi pakhat kar 6 aia rei i ei a, a hnua i chawlhsan thut chuan symptoms duhawm lo engemaw zat i nei thei. Hei hi Antidepressant Discontinuation Syndrome kan ti a . Hengte hi a symptoms te chu a ni:
- Fever ang chi natna (rilru na, hah, thawk hah) .
- Mu thei lo
- Nausea leh luak chhuak
- Taksaah electric shock ang maia hriatna a awm
- Lungkhamna, thinrimna
Heng symptoms te hi kar khat emaw kar hnih emaw chhungin a reh tlangpui. Mahse, he harsatna hi pumpelh dan tha ber chu doctor-in a tih angin damdawi chu taper off hi a ni.
Mi tam takin an hlauh thin side effects
Damdawi dang ang bawkin antidepressant hian side effect engemaw zat a nei thei a ni. Mahse, hengte hi a tlangpuiin a nalh lo hle a, ni engemaw zat damdawi ei hnuah a bo vek a, taksain a thiam tawh thin.
| Side effect awm fo thin | |
|---|---|
| 🤢 Pum natna, luak chhuak, luak chhuak | 😴 Mut hahdamna |
| 🤕 Lu na | 💑 Mipat hmeichhiatna hman dan inthlak danglam (e.g., duhna tlahniam) . |
Heng side effects te hi i hmachhawn theih loh lutuk a nih chuan i doctor nen sawiho rawh. Dose thlak danglam emaw, damdawi dang hman emaw hmanga enkawl theih an ni thei.
Heng damdawi te hian a tipung tak tak ang em?
Hei hi mi tam takin an zawh thin a ni. Antidepressant thenkhat chuan taksa rihna engemaw zat a tipung thei bawk. Mahse, taksa rihna tihpun chhan dang pawh a awm bawk. Ngaihtuah:
- Mi thenkhatin lungngaihna an neih chuan ei duhna an hloh a, an taksa rihna an tlahniam bawk. Damdawi an ei hian an rilru a hahdam a, an ei duhna chu a pangngaiin a lo kir leh a, mahse an thau zual thei.
- Kan upat deuh deuh chuan kan rihna hi a pung deuh tlangpui.
Hemi chungchangah hian i lungkham a nih chuan i doctor nen inbia ang che. Damdawi ei avanga rilru hahdamna i hmuh chu i taksa rihna tlemte aiin a hlu zawk mai thei.
Complication na tak tak, ngaihven nghal ngai
Hengte hi an tlem hle a, hmuh tur an tlem tihna a ni. Mahse hei hi hriat chian a pawimawh hle.
1. Serotonin Syndrome natna a ni
Hei hi taksaa chemical serotonin a san lutuk chuan a thleng thin. Hei hi thil awm lo mahse nunna atana hlauhawm thei tak a ni. He hlauhawmna hi a bik takin antidepressant damdawi dang thenkhat (migraine damdawi thenkhat ang chi) nena ei a nih chuan a sang thei hle. Natna:
- Restlessness, lungkhamna
- Nausea, luak chhuak, luak chhuak
- Thinlung thawk chak, thisen sang
- Khur, thawk hah lutuk, khawsik
- Muscle tight emaw, twitching emaw a awm thei
- A nasat chuan, buaina, seizures, emaw, hriatna hloh emaw
Heng symptoms zinga pakhat tal i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
2. Mahni intihhlum tumna a pung
Mahni intihhlum duhna a pung thei a, a bik takin thalai kum 25 hnuai lam, damdawi ei tan emaw, a dose thlak emaw a nih chuan. Hei hi a tlem hle nachungin, nu leh pa leh damlote tan chuan hriat chian a pawimawh hle. Nangmah emaw, i fain emaw chutiang ngaihtuahna i neih chuan i doctor nen inbia nghal rawh.
3. Dose tam lutuk
Damdawi dang ang bawkin hengte hi ei tam lutuk chuan a hlauhawm thei hle. Chuvangin, i doctor-in a sawi ang chiah chiah damdawi hi ei fo ang che. Damdawi hi naupangte hmuh theih lohna hmun him takah dah tur a ni. Miin overdose a ei nia i rinhlelh chuan doctor thurawn la nghal rawh. A tul chuan Colombo National Hospital-a National Poisons Information Center-ah pawh i call thei bawk .
Take-Home Thuchah a ni
- Antidepressant hi lungngaihna leh lungkhamna ang chi natna enkawlna atana hmanraw tangkai tak a ni.
- He damdawi hi ruihhlo ngawlvei a ni lo va, a chawlhsan hunah chuan doctor thupek zawmin zawi zawiin tih tur a ni.
- Damdawi hian a nghawng kimchang a hmuh theih nan kar engemaw zat a la ngai thei a, chuvangin dawhthei la, enkawl chhunzawm zel rawh.
- I rilru hahna emaw, side effect emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
- Damdawi bakah psychotherapy ei hian result tha zawk a awm thei.
- Damdawi eng pawh hi nangmah chauhin tan ngai suh, titawp ngai suh, tidanglam ngai suh. Doctor thupek zawm fo ang che.
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