I rit, lungngai, a nih loh leh mahni chauha awm i ni fo em? I doctor chuan depression i nei tih a hmuchhuak che a, chu chu damdawi ei tan turin a hrilh che a ni mai thei. Mi thenkhat chuan he damdawi hi an hriat hian an hlau deuh thin. Zawhna "Hei hi ka addicted dawn em?" leh "Side effect tam tak a awm em?" rilruah lo lang rawh. Chuvangin vawiin hian heng depression damdawi, emaw `(Antidepressants)` te hi awlsam takin, i hriatthiam theih angin i sawi dawn nia.
Depression damdawi hi eng nge ni?
A awlsam zawngin, hengte hi i doctor-in depression enkawlna atana a pek damdawi te an ni. I doctor-in depression hniam lam atanga na tak i nei tih a hriat hnu chuan heng damdawi te hi a mah chauhin emaw, talk therapy/counseling nen emaw pek theih a ni.
Tin, heng damdawi te hi depression atan chauh ni lovin, rilru lam harsatna dang engemaw zat atan pawh hman a ni.
- Obsessive-Compulsive Disorder (OCD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.
- Social Phobia a ni
- Panic Disorder a ni
- Generalized Anxiety Disorder (GAD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.
- Posttraumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
A châng chuan doctor-te chuan heng damdawite hi an pawmpui tawhte aia hriselna lama harsatna dang atan an hmang ṭhin. Entirnan, antidepressant chi hlui zawk (Tricyclic Antidepressants) thenkhat chu natna, mut theih lohna, leh migraine thlengin an pe thin.
Heng damdawi chi hrang hrangte hi engte nge ni?
Heng damdawi te hi chi hrang hrangah an inthen a. Category tin hian kawng hrang hrangin hna an thawk a. A chi hrang hrang hi han thlir ila.
1. SSRIs (Selective Serotonin Reuptake Inhibitors) te hi a tha ber pawl a ni.
Hei hi tuna khawvela doctor tam zawkin damdawi an pek tam ber a ni. Heng damdawi zinga pakhat hi pek hmasak i nih a rinawm a, a chhan chu side effect na tak tak a neih tlem vang a ni.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Hnathawh dan tur | Thluaka chemical messenger serotonin level a tisang a, chu chuan mood a ti tha hle. |
| Side effect awm fo thin | Pum natna, luak chhuak, lu na, mut theih lohna emaw mut theih lohna, mipat hmeichhiatna lama duhna a tlahniam. (Hengte hi kar hmasa ber hnuah a reh tlangpui). |
| Entirnan | Fluoxetine, Sertraline, Citalopram, Escitalopram te a awm bawk |
2. SNRIs (Serotonin leh Norepinephrine Reuptake Inhibitors) te hi a tha hle.
Hei hi damdawi chi dang a ni a, SSRI ang bawkin first-line treatment anga pek fo thin a ni.
Heng damdawi atanga nausea tihziaawm nan hian damdawi ei ruala ei hi a tha hle.
- Action: Hengte hian thluaka chemical messenger pahnih serotonin leh norepinephrine level a tisang a.
- Side effects awm tlangpui: luak chhuak, hmui vawt, thawk hah, luak chhuak, lu na.
- Entirnan: Venlafaxine, Duloxetine, Desvenlafaxine te hi a ni.
3. TCAs (Tricyclic Antidepressants) te hi a tha ber pawl a ni.
Hengte hi damdawi chi khat hlui deuh a ni. Tunlai hian Doctor ten an hmang tam vak lo. A chhan chu side effect tlemte an nei leh a, a dose tihpun a nih chuan overdose hlauhawmna a sang hle.
A tlangpuiin doctor chuan he damdawi chi hi depression na tak nei, SSRI leh SNRI ang damdawi ei lote tan a ngaihtuah thin.
- Side effects awm tlangpui: hmui a vawt, mit a fiah lo, chaw ei kham, zun harsatna, mutthilh, taksa rihna sang.
- Entirnan: Amitriptyline, Imipramine, Clomipramine tih te hi a ni.
4. MAOIs (Monoamine Oxidase Inhibitors) te hi a tha ber pawl a ni.
Hei hi antidepressant hmuhchhuah hmasak ber a ni. Hengte pawh hi tunah chuan hman a tlem hle. A chhan ber chu heng damdawi ei lai hian ei leh in chungchangah dan khauh tak tak i zawm a ngai a ni.
Chaw hman tlanglawn thenkhat (e.g. cheese, sausage chi thenkhat, soy sauce) te hian he damdawi nen hian an inrem thei a, rang tak leh hlauhawm takin thisen sang a tisang thei tih hre reng ang che. Chuvangin he damdawi hi pek i nih chuan i doctor chuan ei tur tha leh tha lo list rei tak a pe ang che. Tin, he damdawi hi antidepressant dang nen pawh pek a ni lo.
Engtin nge damdawi hian hna a thawh tan?
Hei hi zawhna ngaihnawm tak a ni. Scientist te hian he damdawi hian engtin nge hna a thawh tih chiang takin 100% in an la hre lo. Mahse hei hi tuna kan hriatthiamna tha ber a ni.
Neurotransmitters hi kan thluaka nerve cells inkara thuchah thawntu a ni.Chemical neurotransmitter an tih hmangin. Chûngte chu tirhkoh tê tê angin ngaihtuah rawh. Depression nei mi thluak ah hian heng mood-regulating messenger thenkhat (e.g., Serotonin, Norepinephrine, Dopamine) te hnathawh hi a tlahniam thei a ni.
Antidepressant damdawi hian heng messenger te hi nerve cell (the synapse) inkar space-ah rei zawk awm tirin hna a thawk a ni. Chu chu chu tirhkohte hlawhtlinna an tipung tihna a ni. Hei hian zawi zawiin mood a titha a, depression symptoms a ti tlem bawk.
A pawimawh ber chu he damdawi hmang hian result i hmu nghal lo. Damdawi tam zawk hian a taka a thawh theih nan kar 6-8 vel a ngai thei. Chuvangin dawhthei taka awm a, i doctor-in a sawi angin i damdawi ei chhunzawm zel a pawimawh.
Risk lian ber ber leh fimkhur tur thilte
Heng damdawi tam zawk hi a him viau nachungin, kan hriat chian tur thil tlemte a awm.
| Thil bik hriat tur pawimawh tak tak | |
|---|---|
| Mahni intihhlum duhna (Suicide Risk) . | Hei hi a pawimawh ber a ni. Antidepressant thenkhat, a bik takin kum 25 hnuai lam thalai te chuan damdawi an ei tan tirh kar tlemteah emaw, a dose an thlak emaw hian mahni intihhlum duhna a tipung tih hmuhchhuah a ni Hei vang hian ‘Black Box Warning’ an nei a ni. Nangmah emaw, i hriat miin emaw heng ngaihtuahnate hi i neih chuan i doctor hnenah hrilh nghal la, a nih loh leh hospital emergency department (ETU) hnai ber pan rawh. National mental health helpline number 1926 ah pawh tanpuina dil theih a ni bawk. |
| Discontinuation Syndrome a awm thei | Doctor thurawn tel lo chuan he damdawi hi ei nghal mai ngai suh. Chutianga tih chuan luak chhuak, luak chhuak, lu hah, mut theih lohna, leh electric shock sensation te a thlen thei a ni. Condition pawh a lo kir leh thei bawk. He damdawi hi i ei tawh loh chuan i doctor enkawlna hnuaiah ti la, zawi zawiin a dose chu tihhniam rawh. |
| Serotonin Syndrome natna a ni | Hei hi a thleng tlem hle. Mahse a hlauhawm hle mai. Hei hi thluaka serotonin level a tul lo taka a san chuan a thleng thin. Khawsik sang, taksa khur, sawifiah theih loha lungkhamna, thawk hah, leh thinlung na chak tak ang chi symptoms a awm chuan emergency a ni. ETU pakhatah i kal nghal tur a ni. |
| Nu naupai leh nau hnute pe mek | Naupai i tum emaw, nau i pai emaw, nau hnute i pe a nih chuan he damdawi hi i hman hmain i doctor nen sawiho hmasa phawt ang che. Thutlukna tha ber chu nang leh i naute tana hlauhawm leh hlawkna sawiho hi a ni. |
Engtin nge ka tan damdawi dik tak ka thlan ang?
Hei hi mi tam takin harsatna an neih chu a ni. Damdawi dik tak i hmu nghal lo mai thei. Kekawr pahnih thlan ang mai a ni. Ṭhenkhat chu a tight lutuk a, ṭhenkhat chu a lian lutuk a, a dik tak i hmuh hma loh chuan tlemte i enchhin a ngai bawk.
I doctor chuan thil tam tak a ngaihtuah hnuah damdawi a thlang hmasa ang a, chu chu i natna lan chhuah dan te, damdawi dang i neih dan te, damdawi dang i ei te, leh a nghawng tha lo i tuar thiam dan te hi a ni.
Kar 6-8 hnuah pawh i la dam lo a nih chuan, emaw, side effects buaithlak tak tak i neih chuan, i doctor hnenah hrilh zak lo la, hlau suh. A dose chu a siamrem thei a, damdawi dang a dah belh thei a, a nih loh leh damdawi dangah a thlak vek thei che a ni. Hei hi thil pangngai a ni.
Take-Home Thuchah a ni
- Antidepressant hi depression hniam lam atanga na tak tan chuan damdawi tha tak a ni. Addiction an ni lo.
- He damdawi hi doctor rawtna ang chauha hman tur a ni. I thianpain damdawi a ei lai emaw, damdawi dawr atanga lei emaw chu mitdel ang maiin ei suh.
- I tana damdawi dik tak zawn nan hun engemaw chen a la ngai mai thei. Chuvângin , dawhthei takin awm la, i doctor nên inhawng takin sawi la, i enkawlna chu vawng tlat rawh.
- Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh. I chawlhsan a nih chuan zawi zawiin ti rawh.
- Damdawi ei tan tirh laia mahni intihhlum tumna i neih chuan thup tum suh.Damdawi lam thurawn zawng nghal la emaw 1926 ah call la, nangmah chauh i ni lo, tanpuina a awm.
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