A châng chuan lungngai, lungngai, leh engmah loin i inhria em? Chu ni chu kan nunah kan nei vek a. Mahse heng rilru put hmangte hi a awm reng a nih chuan, nitin hna i tih theih loh khawpa a thunun che chuan depression an tih dinhmun a ni thei. A tha ber chu, enkawl theih a ni. I doctor nen in enkawl dun tura in rel a nih chuan antidepressants hian a pui thei hle ang.
Heng antidepressant te hi engte nge ni?
A awlsam zawngin sawi ila, hengte hi kan thluaka chemical (neurotransmitter) thenkhat hnathawh dan inthlauhna siamtu leh kan rilru put hmang tichaktu damdawi an ni. Mahse thil pakhat hriat reng tur chu heng damdawi te hian result a siam nghal lo tih hi a ni. Results kimchang hmuh theih nan kar engemaw zat a ngai thei. Chuvangin dawhtheih a pawimawh hle.
Tin, lungngaihna enkawlna tha ber chu damdawi chauh ni lovin , counseling emaw talk therapy emaw leh nunphung thlak danglam (exercise pangngai ang chi) te hi a ni. Heng zawng zawng hi i doctor nen in sawiho tur a ni.
Mi zawng zawng tan solution pakhat chauh a awm lo tih hre reng ang che. Mi pakhat tana hna tha tak chu mi dang tan chuan a thawk tha lo mai thei. I tâna solution dik tak zawn chhuah nân hun engemaw chen a la ngai mai thei. Chu chu thil pangngai a ni.
Tunah chuan doctor-te’n damdawi chi hrang hrang an rawt tlangpui chu eng nge ni tih i lo en ang u.
1. SSRI (Selective Serotonin Reuptake Inhibitors) chi damdawi chi hrang hrang
Hei hi tunlai khawvela depression damdawi class pek tam ber a ni. Damdawi hman tan hmasak ber a ni tlangpui.
Chûngte chuan engtin nge hna an thawh?
Kan thluak hian chemical messenger ‘Serotonin’ tih hi a nei ang tih han ngaihtuah teh. Hei hian kan hlimna te, kan rilru put hmang te, kan mutna te ang chi thil tam tak a thunun a ni. Depression kan neih hian he serotonin level hi a tlahniam thei a ni. SSRI damdawi hian thluaka serotonin reabsorption a tihtawp avangin hna a thawk a ni. Tichuan, thluaka serotonin awm zat a pung a, kan rilru put hmang pawh a lo tha chho zauh zauh bawk.
Side effect awm thei te
Damdawi dang nena khaikhin chuan SSRI hian side effect a nei tlem hle a, mahse mi thenkhat chuan:
- Mut harsat
- Lu na
- Rihna inthlak danglam (gain or loss) .
- A tir lamah chuan lungkhamna hi a pung deuh thei.
- Luak chhuak thei
- Nausea leh luak chhuak
- Kawng a vawt
- Mipat hmeichhiatna hman dan inthlak danglamna
Heng side effect tam zawk hi i taksain damdawi a insiamrem chuan a bo vek ang. Mahse an awm reng chuan doctor hnenah hrilh ngei ang che.
He damdawi nena ei loh tur thilte
SSRI i ei dawn a nih chuan i doctor hnenah damdawi dang i ei tur zawng zawng hrilh vek a pawimawh hle. A bik takin, serotonin level tisangtu damdawi dang (e.g. antidepressant dang, natna tidamtu thenkhat) hian natna hlauhawm tak , serotonin syndrome tih chu a thlen thei a ni. Chuvangin damdawi engmah mahni chauhin ei suh.
2. SNRI (Serotonin leh Norepinephrine Reuptake Inhibitors) chi damdawi chi hrang hrang
Hengte hi SSRI nen an inang hle a, mahse a danglamna tlem a awm.
Chûngte chuan engtin nge hna an thawh?
SNRI hian serotonin level a tisang mai bakah thluaka chemical messenger dang norepinephrine tih a tisang bawk. Norepinephrine hian kan ngaihvenna leh kan fimkhurna ang chi thil a nghawng bawk. Mi thenkhat tan chuan SSRI chauh a tawk lo a nih chuan an doctor chuan SNRI-ah a thlak thei a ni.
Side effect awm thei te
SSRI-te ang bawka side effect (nausea, hmui vawt, luak chhuak ang chi) bakah hian hengte hi a thleng thei bawk:
- Sweating a tam zawk
- Chau lutuk
- Ek khal
- Chaw chakna
- SNRI thenkhat chuan thisen sang tlem a tisang thei.
3. TCA (Tricyclic Antidepressants) chi damdawi chi hrang hrang
Hengte hi damdawi class hlui zawk, depression atana hman tan hmasak berte an ni. SSRI leh SNRI aiin side effect an neih tam zawk avangin chutiang chuan hman an ni tawh lo. Mahse, damdawi dang ei lo mi thenkhat tan chuan a \angkai thei hle.
TCA damdawi hman hian side effects, hmui vawt, constipation, blurred vision, leh orthostatic hypotension (ding laia thisen sang hniam) leh luak chhuak te a awm thei.
4. MAOI (Monoamine Oxidase Inhibitors) chi damdawi chi hrang hrang
Hei hi antidepressant class hlui ber a ni. An hlawk hle thei a, mahse heng damdawi ei lai hian ei leh in chungchangah dan khauh tak tak a awm a. Chuvangin thil dangin hna a thawh loh chuan chauh hman an ni tlangpui.
MAOI ei laiin ei loh tur
MAOI damdawi ei lai hian ‘Tyramine’ an tih chemical chi khat ei loh hi a tha ber. Chutianga tih chuan thisen sang hlauhawm tak a thlen thei a ni. Chuvangin he damdawi ei hian a hnuaia ei tur te hi a pumpelh ngei tur a ni.
| Chaw chi hrang hrang | Entirnan |
|---|---|
| Cheese humhalh, fermented tak tak te | Cheese chu Parmesan ang chi a ni |
| Sa leh sangha humhalh, smoked | Sausage, salami, ham, sangha zuk leh hmuam te |
| Chaw hmin (fermented foods) te | Pickles, soy sauce, tofu te pawh a awm bawk |
| Thlai leh thlai thenkhat | Banana puitling tak tak, avocado, leh raisins te |
| Zu | A bik takin beer leh red wine te hi a ni |
He list hi a kim lo. MAOI pek i nih chuan i doctor chuan chipchiar zawkin a hrilhfiah ang che.
Thil awm dan na tak, ngaihven bik ngai
Antidepressant i hman hian a side effect tlangpui bakah hian thil awm lo, mahse hlauhawm tak tak, lo awm thei thenkhat i hriat a pawimawh hle.
| Nihna | Eng nge tih tur |
|---|---|
| Mahni intihhlum tumna Heng ngaihtuahnate hi a bik takin thalai kum 25 hnuai lam tan chuan damdawi ei tan atanga kar hmasa berah a lo awm thei a ni. | I doctor hnenah hrilh nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh. Hei hi sawn hlat suh. |
| Serotonin Syndrome natna a ni Taksaah serotonin level hlauhawm tak a awm. A lan chhuah dan chu thawk hah lutuk, thinlung na rang, buai leh khur te a ni. | Hei hi medical emergency a ni. ETU ah kal nghal rawh. |
| Discontinuation Syndrome a awm thei Doctor thurawn tel lova damdawi ei kha i chawlhsan thut a nih chuan a lo awm thin. A lan chhuah dan chu khawsik, luak chhuak, luak chhuak, mut theih lohna te a ni. | Nangmah chauhin damdawi ei kha bansan ngai suh. I doctor-in a sawi angin zawi zawiin i tihtlem tur a ni. |
| Overdose a ni Damdawi ei tam lutuk emaw, tumruh emawa ei. | Hei hi nunna atana hlauhawm emergency a ni. Damlo chu damdawi in ETU-ah hruai nghal rawh. A tul chuan Colombo National Hospital-a National Poisons Information Center- ah biak la, thurawn la rawh. |
Engtin nge i tan damdawi dik tak i thlan?
Hei hi i doctor nen in inrem dun tur a ni. I doctor chuan i tan damdawi a thlan hunah a hnuaia thilte hi a ngaihtuah ang:
- I symptoms awm dan.
- Side effect awm thei te.
- Damdawi lam harsatna dang i neih (e.g. thinlung natna, zunthlum).
- Damdawi dang i ei lai te.
- Naupai emaw, nau hnute i pe emaw pawh nise.
- Damdawi man a ni.
I lam atang chuan i doctor nen hian side effect i neih apiang leh damdawi ei avanga hahdamna i neih leh neih loh chungchangah rinawm taka inbiakna neih a pawimawh hle. Chumi hnuah chauh chuan a dose chu thlak theih a ni a, a tul chuan damdawi dang pawh thlak theih a ni bawk.
Take-Home Thuchah a ni
- Depression hi zah tur leh chak lohna a ni lo. Enkawlna hmanga tihdam theih dinhmun a ni.
- I tana damdawi dik tak zawn nan hun engemaw chen a la ngai mai thei. Dawhtheihna a ngai a ni. I doctor nen inzawmna nei reng rawh.
- Damdawi ei zawh veleh result beisei nghal suh. A dam kim tawh tih hriat nan kar engemaw zat a ngai thei.
- Engtik lai pawhin, engvangin nge i doctor rawn hmasa lovin damdawi ei kha chawlhsan la, a dose pawh thlak ngai suh.
- Damdawi leh counseling leh nunphung hrisel (exercise, ei leh in tha) te inzawmkhawm hian rang tak leh nghet taka damna i nei thei a ni.
- Mahni intihhlum tumna i neih chuan i rilruah dah suh. Damdawi lam thurawn zawng nghal rawh. Nangmah chauh i ni lo.
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