Nangmah emaw, i chhungte zingah emaw "fit" emaw migraine emaw i neih chuan zawhna hrang hrang i nei thei a, chu mi atana damdawi pek chungchangah pawh hlauhna tlemte pawh i nei thei bawk. Hei hi eng damdawi nge ni? Hengte hi taksa tan a tha em? Eng chen nge i hman a ngaih? Hetiang thil hi i ngaihtuah mai thei. Chuvangin vawiin hian he fit atana damdawi pek chungchang emaw, damdawi lam tawngkam hmanga `Antiseizure Medications` emaw, awlsam takin, i hriatthiam theih tur tawng hmangin i sawi dawn nia.
A hmasain, "seizure" tih hi eng nge ni?
A awlsam zawngin, kan thluak cell, neuron tia koh te hian electrical signal fiah lo tak tak hmangin an inbiak tawn a ni. Seizure chu thluak hmun khata electric activity tihpun nghal, thunun theih loh a ni. Electrical system-a short circuit ang mai a ni. Hei hian chu thluak hmun chu a thawk nasa lutuk thei a, chu chuan natna lan chhuahna chi hrang hrang a thlen thei a ni.
- A châng chuan khur leh ke ruhte a nghing (convulsions) a awm ṭhin.
- A chang chuan ka hriatna a hloh thin.
- Vawi khat dang chu i en reng (staring spell).
- Tin, hriatna danglam tak tak i nei thei bawk.
Mi tam tak chuan "fit" i tih hian seizure i neih a ngai niin an ngai. Mahse chutiang chu a ni lo. Fit hi seizure awm lovin a thleng thei. Hei vang hian tunah chuan heng damdawi te hi a hming hmasa, "Anticonvulsants" tih ai chuan "Antiseizure Medications" tia koh an ni ta a ni.
Heng damdawi te hi engte nge ni?
Fit tan damdawi chi hrang hrang a awm a. I doctor chuan i fit dan, i kum leh damdawi dang i neih leh neih loh a zirin i tan damdawi tha ber a thlang ang. Heng damdawi te hi chi hnih ah then theih a ni.
| Ruihhlo chi hrang hrang | Sawifiahna leh entirnan |
|---|---|
| A rilru a buai em em a | Hengte hi fit condition hrang hrang atan hman theih a ni. Doctor-te chuan fit chi a hriat chian loh hunah hengte hi an rawt hmasa ber ṭhin. Entirnan: Levetiracetam, Valproate, Lamotrigine, Topiramate te hi a tha ber pawl a ni. |
| A rilru a buai em em a | Hengte hi fit chi hrang hrang (e.g. focal seizures) tan chauh hman a ni ber. Entirnan: Carbamazepine, Gabapentin, Pregabalin, Ethosuximide te hi a tha hle a, hei hi a tha hle. |
He damdawi hi fitness atan chauh hman a ni em?
Ni lo, hei hi mi tam takin an hriat loh thil a ni. Antiseizure damdawi hi seizure control bakah hian natna dang engemaw zat enkawlna atan hman a ni. Tin, thluaka nervous system tihrehawm thei an nih avangin natna dang atan pawh an tangkai hle.
- Migraines ven nan
- Neuropathic natna tan chuan
- Rilru lam natna Bipolar Disorder ang chi te
- Fibromyalgia (taksa zawng zawnga natna) .
- Lungkhamna dinhmun
- Restless Leg Syndrome (ke natna) 1.1.
A pawimawh ber chu, midang tana damdawi an pek hi hmang ngai suh. I dinhmun atana damdawi leh a dose dik tak chu i doctor chauhin a ruat tur a ni.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Fit hi thluaka electric thlipui angin ngaihtuah rawh. He damdawi hian a tih chu chu thlipui chu a ti reh a ni. Chutianga tih theih dan kawng engemaw zat a awm.
1. Ion channels controlling: Kan neurons-a electrical signal awmte hi sodium leh calcium ang chi ion te che vel atanga siam a ni. Heng damdawi te hian chu ion kalna channel-te hnathawh chu tlem a tihtlem avangin hna an thawk a ni. Hei hian neurons te chu overstimulated an nih loh nan a titawp a ni.
2. Calming chemicals (`neurotransmitters`) tihpun: Kan thluak hian a pianphungah neuron thenkhat tihlum thei chemical a nei a. `GABA` tih a ni. `Antiseizure` damdawi thenkhat chuan he `GABA` hian a nghawng tihpunna hmangin hna an thawk a ni. Tichuan thluak chu a reh ta a.
A awlsam zawngin sawi ila, heng damdawi te hian thluaka electrical activity tam lutuk chu control in, a pangngaiah a hruai kir leh thin.
Risk na tak tak leh kan hriat tur thil
Damdawi zawng zawng ang bawkin heng damdawi te hian side effect tenau leh hlauhawmna lian tham tak tak a nei thei bawk. Thil ngaihtuah tur a awm lo, mahse hei hi hriat chian a pawimawh hle.
Side effect awm fo thin
Hengte hi damdawi ei tirh lamah a lo awm tlangpui a, taksain damdawi a insiamrem chuan a bo vek a ni.
- Lu na (lu na) .
- Mut theih lohna, hahna
- Luak chhuak thei
- Mit hmuh a fiah lo
- Luhai
- Weight tihpun emaw tlahniam emaw
Chûngte chuan a awm reng emaw, a tibuai che emaw a nih chuan, damdawi ei kha titawp lovin i doctor hnênah sawi rawh .
Toxicity leh emergency a awm thei
Doctor-in a pek aia tam damdawi ei hian (accidental emaw, tumruh taka emaw) drug poisoning a thlen thei a ni. Hei hi emergency medical treatment mamawhna a ni.
| Rikrum! Heng symptoms te hi i neih chuan damdawi in pan nghal mai tur a ni. | |
|---|---|
| Ziarang |
|
| Eng nge tih tur | Damdawi in hnai ber Emergency Department (ETU) ah hruai nghal rawh . A tul chuan Colombo National Hospital-a National Poisons Information Center-ah zawhfiah theih a ni. |
Risk dang hmuh tur awm lo mahse na tak tak
Hengte hi hmuh tur a tlem hle.
- Stevens-Johnson Syndrome: Vun leh mucous membrane (kawng leh hnar chhungah) a hring nasa tak leh a hring chhuak nasa hle.
- Liver chhiatna (Liver Failure) 1.1.
- Thisen cell siamchhuahna tichhe thei (Aplastic Anemia, Agranulocytosis) .
Hetiang allergy na tak hi a tlem hle a, chuvang chuan i doctor chuan i thisen a enfiah fo ang a, hei hi a enfiah reng ang che.
Naupai laiin he damdawi hi hman a him em?
Hei hi mi tam tak tan chuan zawhna pawimawh tak a ni. Naupai laiin epilepsy damdawi ei tawh loh thut chu a hlauhawm hle . Chutianga tih chuan epilepsy chu a lo kir leh thei a, chu chuan nu leh nausen piang lai tan pawh a tichhe thei a ni.
Chuvangin, doctor-te chuan naupai laiin damdawi hi hman chhunzawm zel turin an fuih tlangpui. Mahse, fa i beisei a nih chuan i naupai hmain doctor hnenah i hrilh hmasa tur a ni .
Chumi hnuah chuan doctor chuan i naute tana hlauhawmna ti tlem thei tur damdawi leh dose him ber chu i tan a thlang thei ang. Damdawi thenkhat (e.g. `Valproic acid`) hi i naute tan a dang aiin a hlauhawm zawk thei. Chuvangin ruahmanna siam lawk a tha ber.
Take-Home Thuchah a ni
- Antiseizure damdawi hian seizure tan chauh a control a, epilepsy a tidam kim lo.
- I tana damdawi leh dose dik tak zawn nan hun engemaw chen a ngai mai thei. Dawhthei takin awm rawh.
- Doctor thurawn tel lo chuan eng thil vangin damdawi ei kha bansan suh. Chutianga tih chuan fit chu a ti na lehzual thei a ni.
- I doctor hnenah side effect i neih apiang te, damdawi dang i ei tur te, naupai i tum leh neih loh te hrilh rawh.
- Overdose symptoms te chu fimkhur rawh. Chutiang a nih chuan damdawi in pakhata Emergency Treatment Unit (ETU) pan nghal mai tur a ni.
- A chang chuan he damdawi hian lungngaihna leh mahni intihhlum duhna a thlen thei (hei hi risk a hniam hle). Hetianga i hriat chuan i doctor emaw, national mental health helpline 1926 emaw call nghal rawh.
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