Depression i tuar rei tawh em? I doctor-in damdawi a pek eng emaw zat i lo enchhin tawh a, mahse i duh angin hmasawnna i nei lo mai thei. Vawiin hian depression na tak tuar, enkawlna dang dawng tha lote tanpui thei tur enkawlna bik kan sawi dawn a ni. Hei hi Esketamine Nasal Spray a ni.
Esketamine hi eng nge ni?
A awlsam zawngin Esketamine hi depression enkawlna atana hman thin damdawi a ni. Mahse mi zawng zawng hnena pek thin damdawi pangngai a ni lo. Doctor te chuan antidepressant damdawi dangin a puih loh laiin he damdawi hi an pe tlangpui thin . Hnar spray a ni . Market-a a hming lar tak pakhat chu Spravato a ni.
He damdawi hi depression tih loh natna dang atan pawh hman theih a ni. Hemi chungchang hi i doctor nen inbiain hriat belh duh i nei thei ang.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi i tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasak phawt a pawimawh hle . Natna tenau i neih pawh thup suh. He damdawi hi mi zawng zawng tan a tha lo. A hnuaia condition te hi i neih chuan i doctor hnenah hrilh ngei ang che.
| Thu hriat tur Condition/Type | Hrilhfiahna |
|---|---|
| Thisen kalna kawng natna | Taksa khawi hmunah pawh thisen kalna natna i neih chuan, thluak, i rilru, kut leh ke emaw i neih chuan. |
| Lung natna leh thisen sang | Thisen sang, lung natna, thinlung thawk mumal lo emaw, a hmaa heart attack nei emaw. |
| Thluak nena inzawm history | A hmaa stroke i neih tawh emaw, thluaka thisen chhuak tawh emaw, lu hliam na tak i neih tawh chuan. |
| Rilru hriselna | Rilru lam natna, rilru lam natna (schizophrenia), dementia (hriatrengna hloh), emaw, nangmah emaw, i chhungte zinga tu emaw pawhin mahni intihhlum tumna emaw, ruahmanna emaw an neih chuan. |
| Hriselna lama harsatna dangte | Liver natna, ruihhlo emaw zu emaw addiction tawhna (Substance use disorder). |
| Allergy nei te pawh a awm | Esketamine, Ketamine, emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan. |
| Naupai leh nau hnute pek | Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan. |
He damdawi hi engtin nge i hman?
Hei hi i hriat tur pawimawh ber a ni. Hei hi damdawi in lama hruai leh hman theih a ni lo .
He damdawi hi damdawi in emaw clinic emaw-ah chauh hman tur a ni a, doctor emaw trained healthcare professional emaw enkawlna hnuaiah chauh hman tur a ni.
- Nangmah ngeiin i spray ang: I doctor emaw nurse emaw chuan he hnar spray device hi hman dan tur, engzat nge i hman tur tih leh engtikah nge i hman tur tih chiang takin a rawn entir ang che. An enkawlna hnuaiah nangmah ngeiin i hnar chhungah i spray ang.
- Darkar eng emaw zat enfiah rawh: Damdawi i ei zawh chuan darkar hnih tal enfiah i ni ang.Medical team ten an lo vil reng ang che. I thisen sang leh heart rate ang chi thilte an enfiah ang a, in lama haw turin i fit em tih an rel ang.
- Driving khap a ni: Hei hi a pawimawh hle. Damdawi ei ni hian eng vangin lirthei i khalh thei lo . Tin, rilru lam ngaihvenna famkim mamawh engmah i ti thei lo bawk. Chhungte emaw, ṭhian emaw, in lama hruai tûra lo kal chu a pawimawh hle. Zan mut tha tak i neih hnuah a tuk zingah normal takin i khalh leh thei tawh ang.
- Ei leh in lamah fimkhur rawh: He damdawi hian luak chhuak leh luak chhuak a thlen thei. Chuvangin, damdawi ei hma darkar 2 tal ei kha i chawlhsan tur a ni. Tin, tui ang chi tui, minute 30 tal chu i in hma minute 30 tal i chawlhsan tur a ni .
- Hnar spray dang: Hnar corticosteroid dang emaw hnar decongestant emaw i hman chuan he Esketamine treatment hi i ei hma darkar khat tal i hmang tur a ni.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
Hei hi damdawi in hmuna pek a nih avangin hetiang thil thleng theihna chance hi a tlem hle. Mahse, engti kawng pawhin damdawi i overdose nia i hriat chuan medical team hnenah hriattir nghal rawh. In lama mi dangin he damdawi hi an ei a, hetiang hi a lo thleng a nih chuan Emergency Department (ETU) hnai ber pan nghal tur a ni. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
He damdawi nena inzawm thei thil dang (Interactions) .
I damdawi ei zawng zawng, vitamin leh hnam damdawi te pawh i doctor hnenah i hrilh tur a ni, a chhan chu thil thenkhat chuan Esketamine nen an inrem thei a, dinhmun hlauhawm tak tak a thlen thei a ni.
| Thil inhnaih thei chi hrang hrang | Entirnan |
|---|---|
| Zu | Zu chi hrang hrang hman loh tur. |
| Mut leh lungkhamna damdawi | Benzodiazepines, Alprazolam, Diazepam, Lorazepam te hi mutna damdawi a ni. |
| Antidepressant dangte pawh a awm bawk | Damdawi Amitriptyline, Trazodone, a bik takin MAOI damdawi Marplan, Nardil, Parnate te. |
| Painkiller leh khuh damdawi | Opioid group atanga natna tidamtu te. |
| Thildang | Ketamine, epilepsy damdawi (e.g. Phenobarbital), taksa ruh tichaktu, ADHD tana tichaktu. |
Damdawi ei huna fimkhur tur thil
- Regular monitoring: I doctor chuan i dinhmun a ṭhat lehzual em tih a enfiah fo ang. I natna lan chhuahnaah danglamna a awm chuan hrilh rawh.
- Mutthilh leh luak chhuak: Damdawi i ei hnu darkar engemaw zat chhung chu i muhil nasa hle thei a, i luak chhuak thei a, i muhil thei bawk. Chuvang chuan damdawi inah enfiahna hnuaiah dah i ni. Hei vang hian lirthei khalh lo tur leh machinery hmang lo turin thurawn i pe a ni.
- Addiction hlauhawmna: He damdawi hmang hian hmansual leh innghahna a awm thei. Chuvangin, chutiang atan pawh chuan i doctor chuan a lo monitor ang che.
- Naupai lai: Naupai a nih chuan he damdawi hi i ei loh tur a ni . He damdawi hian naute piansualna na tak a thlen thei a ni.
- Nau hnute pek: He damdawi hi i ei lai hian naute hnute pe suh .
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin he damdawi hian side effect a nei thei bawk. Ṭhenkhat chu a serious a, a then chu a common. A pawimawh ber chu thil danglam tak i hriat chuan i medical team hnenah hriattir nghal mai tur a ni.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| 🚨 Side effect na tak tak a awm chuan doctor emaw nurse emaw hnenah hriattir nghal tur a ni. | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Central nervous system tihchhiatna (CNS tihchhiatna) . | Thâwk zawi emaw, thawk thuk lo emaw, thawk harsa, mut tam lutuk, rilru hah, rilru buai. |
| Inthenna (Dissociation) tih hriatna . | Mahni ngaihtuahna, rilru put hmang leh a chhehvel atanga inthiarfihlim, mumang ang maia inhriatna. |
| Thisen sang a sang | Thisen sang a sang nghal vat a, nasa takin a sang chho ta a ni. |
| Rilru dinhmun a chhe zel | Mahni intihhlum tumna, depression a tipung. |
| 🙂 A tlangpuiin ngaihtuahawm tur a awm lo, mahse a side effect a awm reng chuan doctor hnenah i hrilh tur a ni. | |
| Lungkhamna, rilru hahdam lohna | Luak chhuak leh mut theih lohna |
| Nausea leh luak chhuak | Hlimna danglam tak, phurna hriatna |
| Numbness, khawih hriatna tlahniam | |
Take-Home Thuchah a ni
- Esketamine hi damdawi dang hmanga enkawl loh, lungngaihna nasa tak nei tan chauh damdawi inah chauh pek thin a ni .
- He damdawi i ei ni hian lirthei khalh emaw, ngaihven ngai thil emaw i ti tur a ni lo . In lama hruai tur che i nei ngei tur a ni.
- I damdawi lam dinhmun zawng zawng leh damdawi i ei zawng zawng engmah thup lovin i doctor hnenah hrilh rawh .
- Damdawi i ei hnuah darkar engemaw zat chu medical team-in an enkawl ang che, side effect na tak a awm thei a ni.
- He damdawi hi naupai emaw, nau hnute pe lai emaw tan a tha lo . Naupang tan pawh phal a ni lo.
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