I chhûngte emaw, i ṭhiante emawa inthlâk danglamna mak tak, hlimna nasa tak, chakna nasa tak, ni tam tak muthilh loha hnathawh, an sum zawng zawng hmanral, leh ngaihsak lo taka nungchang ang chi hi i hmu ngai em? A châng chuan hei hi rilru lam natna "mania" an tih sang ber a ni thei bawk. A dik tak chuan hei hi mood chu a sang atanga hniam lam a pan nghal mai thin state a ni. Mahse lungngai suh, hei hi thunun thei tur enkawlna a awm. Vawiin hian he state of mania enkawlna tur hi han sawi ila.
Mania tan hian eng damdawi nge hman thin?
Manic episode i neih chuan a control nghal vat theih nan damdawi i ei tan a ngai mai thei. I doctor chuan "mood stabilizer" tih damdawi a pe fo ang. Chungte chu "antimanic" damdawi an ti bawk.
Heng damdawi te hian i mood sang leh hniam te chu a control thei a, normal level ah a awm tir thei bawk. Heng damdawi te hi rei tak i ei a ngai mai thei a, i dam chhung zawng pawh a ni mai thei. Zunthlum emaw thisen sang emaw damdawi ei ang mai a ni. I dinhmun i thunun thei a, nun pangngaia i awm theih nan a pui bawk.
Hemi atana damdawi hman tam ber chu lithium , leh anti-epileptic damdawi thenkhat carbamazepine leh valproate te hi a ni. Heng damdawi te hi i ei lai hian i doctor-in uluk taka a enkawl che a ngai dawn a ni. Tin, thisen test neih reng a ngai bawk ang.
Lithium - hun rei tak chhunga damdawi hman ber a ni
Lithium hi bipolar disorder enkawlna atana hman lar ber leh hun rei tak atanga hman tawh a ni. Manic episodes nasatzia a tiziaawm a, a lo let lehna pawh a ti tlem bawk. Zirna hrang hrangah pawh lithium hian bipolar disorder vei zingah mahni intihhlum theihna a tihziaawm tih a tarlang bawk.
A awlsam zawngin sawi ila, lithium hi thluak tichhe thei damdawi a ni a, i rilru natna, i mut, i chakna leh i nungchang dik lote thunun theitu a ni.
He damdawi hi i ei dawnin eng nge i beisei ang?
Lithium hian hna a thawh kim theih nan kar engemaw zat a ngai thei. He damdawi i ei lai hian i doctor chuan thisen test a ti ang a, a chhan chu lithium hian i kal leh thyroid gland hnathawh a nghawng thei a ni.
Lithium hian i taksaa damdawi level inang a nih chuan hna a thawk tha ber. Chuvang chuan i doctor chuan ni khatah tui glass 8-12 in tur a ti fo ang che a, a hma ang bawkin i eitur ah chi telh turin a ti fo ang che. Heng thilte hian i taksaa lithium level awm chu a nghet reng thei dawn a ni.
A pawimawh ber chu doctor zawt lovin a dose thlak ngai lo tur emaw, damdawi ei tawh loh tur a ni.
| Lithium hian side effect a neih tlangpui | Point pawimawh tak tak |
|---|---|
| Rihna a sang chho zel | I doctor nen ei leh in leh exercise chungchang sawipui rawh. |
| Kut a nghing | Hei hi a awm fo a, mahse a nasat chuan doctor hnenah hrilh rawh . |
| Tuihalna leh zun tam lutuk | Hei hi thil pangngai a ni a, tui tam tak in rawh. |
| Hriatrengna lama harsatna, mut theih lohna | Chungte chu hun kal zelah a tlahniam thei a ni. Motor khalh dawnin fimkhur rawh. |
| Acne emaw sam tlakchham emaw | Hei hi i doctor hnenah pawh hrilh bawk ang che. |
| I doctor hnenah hrilh nghal rawh: | |
| Persistent diarrhea i nei a.I natna lan chhuah dan, luak chhuak, luak chhuak, khawsik, kal harsa, khur na tak, hriatna hloh, buai, tawng harsa, emaw, thinlung na tak tak i neih chuan doctor ko nghal emaw, damdawi in Emergency Department (ETU)-ah kal nghal rawh. | |
Engtin nge anticonvulsants hian a puih?
A chang chuan doctor-te pawhin bipolar symptoms control nan seizure venna damdawi an hmang bawk. Chungte chu "anticonvulsants" an ti a. Carbamazepine , lamotrigine, leh valproate (Depakote) te hi heng damdawi thenkhat hi an ni.
Hengte hi a chang chuan lithium nen emaw, damdawi dang nen emaw, amah chauh pawhin an hmang thin. A bik takin "rapid cycling" tih natna nei tan chuan an pui thei hle a, kum khatah vawi li aia tam mania leh depression hun chhung an inthlak thin.
Heng damdawi te hian thluaka hyperactivity tih reh nan hna a thawk bawk. A chang chuan heng damdawi ei lai hian thisen test a ngai thin.
Pawimawh tak: Hmeichhe naupai emaw, nau pai tum emaw chuan damdawi thenkhat, valproate (Depakote) leh carbamazepine (Tegretol) te ei loh tur a ni a, a chhan chu naute piansualna a thlen thei a ni. Chuvang chuan nau pai i tum emaw, nau i pai tih i hriat chuan doctor hnenah hrilh nghal rawh.
Antipsychotic damdawi hman tur a ni
Antipsychotic drugs hi damdawi chi khat a ni a, a hmain hun rei lote chhunga pek thin a ni a, chu chu mania laia hallucination emaw delusions emaw ang chi symptom na tak tak control nan a ni.
Mahse tunlai hian heng antipsychotic damdawi thar zawkte hi mood stabilizers nen an hmang dun a, chu chuan symptoms te chu rang taka control nan leh a lo let leh tur ven nan an hmang a ni. Anni hian thluaka chemicals "neurotransmitters" an tih, dopamine leh serotonin te hnathawh control-in hna an thawk a ni.
Heng damdawi te hian mania nena inzawm, ngaihtuahna fim lo, rilru na tak takte chu a thunun thei a, kar khat vel chhungin ngaihtuahna pangngai i neih tan theih nan a pui bawk.
| Antipsychotic damdawi hmansualna (side effects) te |
|---|
| - Mit hmuh theih loh (blurred vision). |
| - Kawng a vawt |
| - Mut theih lohna |
| - Muscle khauh emaw, khur emaw |
| - I taksa rihna sang leh cholesterol level sang (hei hi side effect pawimawh tak a ni) . |
Antipsychotic damdawi thar zawk ṭhenkhat chuan taksa rihna a tipung thei a, cholesterol a tisang thei a, thisenah sugar a tisang thei bawk . Chuvangin, i doctor chuan he damdawi hi i ei tan hmain thinlung natna leh zunthlum i vei theihna tur a enfiah hmasa ang.
Electroconvulsive Therapy (ECT) hmanga enkawl theih a ni.
"Shock treatment" tih hi i hre tawh mai thei. Chu chu a medical term chu ECT tih a ni. Movie-a a lan angin a hlauhawm lo. ECT hi a him hle a, controlled treatment a ni a , full anesthesia (muthilh theihna tur damdawi nen) hmanga pek thin a ni .
Hetiang enkawl dan hi a tlangpuiin, .
- Symptom na tak tak nei tan
- Damdawi ei \ha lote tan
- Mahni inenkawl thei lo, emaw, mahni intihhlum tum lutuk te tan
- Naupai laiin ruihhlo hman hi chutiang tan chuan a hlauhawm hle
ECT hi damdawi tha tak a ni a, mania emaw depression na tak emaw symptoms te chu rang takin a ti reh thei a ni. He enkawlna chhung hian engmah i hre lovang. I harh hunah i buai deuh a, lu na i nei thei a, mahse hei hi rei vak lo hnuah a reh mai ang.
Bipolar hi i sualna emaw, i chak lohna emaw a ni lo tih hre reng ang che. Thluaka chemical inthlauhna avanga enkawl theih a ni.
Take-Home Thuchah a ni
- Bipolar mania hi enkawlna hmanga enkawl that theih a nih avangin hlau suh.
- Doctor-in damdawi a pekte hi a hun takah leh a dose dik takah ei a pawimawh hle.
- Eng thil vang pawha doctor rawn hmasa lovin damdawi ei kha bansan suh la, a dose pawh thlak suh. Chutianga i tih chuan i natna lan chhuahna chu a tizual thei a ni.
- I damdawi ei avanga side effect i neih chuan i doctor nen sawiho rawh. Amah hian a chinfel dan tur dik ber a pe thei ang che.
- Ni ruat saah clinic-ah kal a, a tul anga test neih a pawimawh hle.
- Chhungte leh \hiante \anpuina leh inhriatthiamna hi he natna dona kawngah chakna nasa tak a ni.
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