Nangmah emaw i hriat emaw hian bipolar disorder i nei em ? Chutiang a nih chuan i doctor chuan damdawi chi khat ‘Antipsychotic’ an tih chu a lo pe tawh mai thei. He hming i hriat hian i hlau deuh mai thei. ‘Eng atan nge psychosis damdawi ka mamawh?’ tiin i ngaihtuah mai thei. Mahse a nihna takah chuan he damdawi hian bipolar disorder control-na kawngah nasa takin a pui thei a ni. Hei hi i zinkawng zawh tur dang chauh a ni. Chuvangin vawiinah hian hemi chungchanga zawhna leh hlauhna zawng zawng hi dah bo ila, awlsam takin sawi ila.
Engvangin nge bipolar disorder tan hian ‘Antipsychotic’ damdawi hi pek a nih?
Hetiang hian han ngaihtuah teh: bipolar disorder nei mi pakhat rilru put hmang chu seesaw ang mai a ni. Vawi khat chu, sang atanga hniam (hei hi mania an ti) ah hniam atanga sang (hei hi depression an ti) ah an kal thin. Antipsychotic damdawi hian seesaw extreme pahnih balance turin a pui a, a swing chak tak takte chu a control thei a ni.
A awlsam zawngin, he damdawi hian a pui ber a ni:
- Control mania: Chûngte chuan ngaihsak lohna , thil tih tam lutuk, thutlukna siam duh lo, leh mut theih lohna episode-te chu control-naah a ṭanpui a ni.
- Psychotic symptoms control: A châng chuan, mania emaw, depression na tak emaw i neih chuan, hallucinations leh delusions i nei thei bawk. Heng symptoms te hi rang taka control turin heng damdawi te hi a pawimawh hle.
- Relapse ven: He damdawi hi hun rei tak hman hian nakin lawka mania emaw depression emaw a thlen theihna a ti tlem thei a ni.
- Thil dang pawh a ṭanpui: A châng chuan doctor-te chuan mut theih lohna, lungkham lutuk , a nih loh leh rilru hahna atân he damdawi hi a tlem berah an pe thei a ni.
He damdawi hian engtin nge hna a thawh?
Kan thluak hian thluak circuit a nei a, chu chuan kan ngaihtuahna te, kan rilru put hmang te, leh thil kan hmuh dan te a thunun a ni. Heng damdawite hian chu circuit-te hnathawh dan chu a tidanglam a ni. Chutiang thil thleng dik tak chu zirchianna stage-ah la awm mah se, heng damdawi te hian manic symptoms chu rang takin a control thei tih a chiang hle.
Heng damdawi te hi damdawi dang, mood stabilizer lithium te nen an ei dun fo thin. Heng antipsychotic damdawi te hian damdawi dangte hnathawh that tan hma loh chuan symptoms control rang turin a pui thin.
Mahse, lithium ang damdawi te hian mi thenkhat tan hna a thawk lo a nih chuan doctor chuan heng antipsychotic damdawi te hi amah chauhin hun rei tak hman a tum mai thei. A bik takin antipsychotic damdawi thar zawk (atypicalAntipsychotics hian hna a thawk rang hle. Kar tlemte chhungin i ngaihtuahna chu a pangngaiin a lo awm tan tur a ni.
Bipolar disorder tan hian eng damdawi nge hman thin?
Sri Lanka leh khawvel hmun hrang hrangah bipolar disorder tan hian ‘Antipsychotic’ damdawi chi hrang hrang hman a ni. I doctor chuan i tana tha ber damdawi a thlang ang. A hnuaia table-ah hian damdawi hman tlanglawn tak tak thenkhat tarlan a ni.
| Damdawi hming Generic | Brand hming tlanglawn tak |
|---|---|
| Aripiprazole a ni | Abilify rawh |
| Asenapine a ni | Saphris-i chuan |
| Cariprazine a ni | Vraylar a ni |
| Clozapine a ni | Clozaril chuan a rawn ti a |
| Lurasidone a ni | Latuda a ni |
| Olanzapine a ni | Zyprexa tih a ni |
| Quetiapine a ni | Seroquel a ni |
| Risperidone a ni | Risperdal chuan a rawn ti a |
| Ziprasidone a ni | Geodon chuan a rawn ti a |
Mi zawng zawngin kan hlauhthawn ber thawnthu: Side effects i zir ang u
Awle, tunah chuan mi tam takin an hlauh em em thupui pakhat i sawi dawn nia. Chu chu side effects a ni. Damdawi eng pawh hian side effect tenau tak a nei thei tih hre reng ang che. A pawimawh ber chu he thil hi hlau lo tur a ni a, hre reng tur a ni a, eng thil pawh i doctor nen zalen taka inbiakna neih hi a ni.
Antipsychotic damdawi thenkhat chuan taksa rihna a tipung thei a, thisenah cholesterol a tisang thei bawk , leh zunthlum vei theihna a tipung thei bawk. Hei hi mi tam tak ngaihtuahawm tak a ni. Chuvangin i doctor chuan heng damdawi te hi i ei tan hmain i rihna, i san zawng, i thisen sugar leh cholesterol level te a enfiah hmasa ang. Hengte hi enkawl chhungin enfiah reng an ni ang.
Side effects awm fo dangte
- Mit hmuh a fiah lo
- Kawng leh kawr a vawt
- Nilengin mutthilh a ni
- Muscle twitching emaw, a nghing emaw
- Rihna a sang chho zel
Special Note: Clozapine (Clozaril) hi hman a ni lo a, a chhan chu a side effects awm lo, nunna atana hlauhawm thei (thisen var cell count tlahniam) vang a ni. He damdawi hi i ei a nih chuan i doctor-in a tih angin kar tin emaw, kar hnih danah emaw thisen test hmangin uluk taka enfiah tur a ni. Ziprasidone (Geodon) hi vun natna hmuh tur awm lo, na tak a ni bawk. I doctor hian he thil hi a hre vek a, chuvangin lungngai suh. Amah emaw chuan ngun takin a lo vil reng ang che.
Antipsychotics hlui zawkte pawh kan zir tur em ni?
Damdawi hlui zawk, Chlorpromazine (Thorazine) leh Haloperidol (Haldol) te pawh a awm bawk. Mahse, hengte hi bipolar disorder enkawlna atana first-line treatment atan an rawt tawh lo. A chhan ber chu heng damdawi hlui zawkte hi hun rei tak hman hian tardive dyskinesia tih hming pu side effect na tak a thlen theihna a tipung a ni.
Tardive Dyskinesia hi duh loh zawnga chetna i neih thin a ni a, chu chu hmui hrual, lei chhuak, hmai hrual, leh kut leh ke thunun theih loha tihngheh te a ni.
Mahse lungngai suh, he risk hi a hmaa kan sawi tawh damdawi thar (atypical antipsychotics) te tan chuan a hniam zawk hle.Chuvangin tunah chuan doctor-te chuan chutiang damdawi chu an dah pawimawh ber a ni. Hetiang dinhmun hi a lo awm tak tak a nih chuan tunah chuan a enkawlna tur damdawi Deutetrabenazine (Austedo) leh Valbenazine (Ingrezza) te a awm tawh a ni.
Take-Home Thuchah a ni
- Bipolar disorder-a mania leh psychotic symptoms control nan antipsychotic damdawi hi damdawi pawimawh tak leh tangkai tak a ni.
- He damdawi hi i hman tan hma leh i hman lai hian i doctor nen a side effects chungchang, a bik takin i taksa rihna sang leh zunthlum vei theihna te chu zalen takin sawipui thin ang che.
- I doctor thurawn tel lo chuan i damdawi pek kha bansan ngai suh la, a dose pawh thlak ngai suh. Chutianga i tih chuan i symptoms te chu a ti na zual thei a ni.
- Side effect danglam tak tak (a bik takin taksa chetna thunun theih loh, mut tam lutuk emaw, thil dang emaw) i hmuh chuan doctor hnenah hriattir nghal rawh.
- He damdawi hi i rilru hriselna siam\hatna tura puitu a ni. Chuvangin, hlauhna leh rinhlelhna nei lovin doctor nen engkim sawiho la, inrintawkna nen enkawl rawh. He zinkawngah hian i kal thei ang.
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