A châng chuan depression an tih dinhmun hi do a harsa hle. Damdawi i ei hnu leh doctor-in a sawi zawng zawng i tih zawh hnu pawha i dinhmun a danglamna a awm loh chuan i rilruah lungawi lohna leh mahni chauhna lo lang chu tawngkam hmanga sawi chhuah theih a ni lo. Nang pawh chutiang thil tawn tuar tu i nih chuan he thuziak hi i tan a pawimawh hle ang. Vawiin hian damdawi bik kan sawi dawn a, chu chu antidepressant an pek tlangpuiin relief a pe lo a, chu chu Esketamine Nasal Spray a ni.
A awlsam zawngin Esketamine chu eng nge ni?
Esketamine (brand name Spravato tia hriat bawk) hi depression enkawlna atana hman thin damdawi a ni. Mahse, mi zawng zawng tan enkawlna pakhat chauh a ni lo. I doctor chuan he enkawlna hi depression i neih a, antidepressant dang pahnih tal i ei tawh a, i duh angin an puih loh che chauhvin a ngaihtuah ang. Chu chu enkawlna dang dawng lote tan enkawlna bik a ni tihna a ni .
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi i tan hmain i doctor hnenah i hriselna dinhmun kimchang taka sawi hmasak a pawimawh hle . A hnuaia condition te hi i neih chuan hrilh ngei ang che.
| Dinhmun | Hrilhfiahna |
|---|---|
| Lung leh thisen sang | Thisen sang, thinlung natna, heart attack, emaw heartbeat mumal lo emaw nei tawh. |
| Thluak leh thisen kalna kawngte | Thluak thisen chhuak, stroke, lu hliam emaw, thluak, rilru, ke leh ke leh hmun dangah thisen kalna kawng natna nei. |
| Rilru hriselna | Rilru natna dang, rilru lam natna, rilru lam natna, mahni intihhlum tumna emaw, mahni intihhlum tumna emaw (nangmah emaw, i chhungte zingah emaw). |
| Thil awmdan dang | Liver natna, ruihhlo emaw zu emaw addiction tawh, Esketamine, Ketamine emaw damdawi dang, ei tur emaw, dye emaw allergy nei tawh. |
| Naupai lai | Tunah hian naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan min hriattir ngei ang che. |
He damdawi hi engtin nge i hman? Hei hi a danglam bik hle mai!
Hetah hian i hriatthiam tur pawimawh ber chu hei hi damdawi in lama i hruai theih tur a ni lo tih hi a ni . He damdawi hi doctor enkawlna hnuaiah chauh hman a ni a, damdawi inah emaw, damdawi inah emaw hman a ni.
- Damdawi lam enkawlna hnuaiah: He hnar spray hi doctor emaw, damdawi lam thawktu trained emaw enkawlna hnuaiah i hmang tur a ni. A hman dan tur leh engzat nge hman tur tih chiang takin an zirtir ang che.
- Darkar hnih chhunga enfiah hun chhung: Damdawi i ei hnuah darkar hnih tal damdawi lam thawktute’n an enkawl ang che . I thisen sang leh dinhmun dangte an enfiah ang a, in lama haw turin i dam tha em tih an rel ang.
- Driving kha khap tlat a ni: Hei hi a pawimawh hle. Damdawi ei ni hian eng vangin pawh i khalh thei lo . Chu mai pawh ni lovin, machinery i hmang tur a ni lo va, ngaihtuahna seng ngai thil pawh i ti tur a ni lo. Chuvangin, in lama hruai tur che chhungte emaw, thian emaw rawn hruai a pawimawh hle. Zan mut tha tak i neih hnu chuan a tuk ah chuan thil pangngaiah i kir leh thei tawh ang.
- Ei leh in lamah fimkhur rawh: He damdawi hian luak chhuak leh luak chhuak a thlen thei. Hei hi pumpelh tur chuan damdawi ei hma darkar 2 ah engmah ei loh tur a ni. Tin, damdawi ei hma minute 30 chhungin tui, tui telin in kha bansan rawh.
- Hnar spray dang: Hnar steroid dang (corticosteroids) emaw decongestants emaw i hman chuan Esketamine spray hma darkar khat tal hmang ang che.
Dose i miss a, chu chu i scheduled appointment i tel thei lo tihna a nih chuan i doctor hnenah hriattir nghal rawh. He enkawlna hi a tih angin chhunzawm zel a pawimawh hle.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
Hei hi medical supervision hnuaia pek a nih avangin hetiang thil thleng theihna chance a tlem hle. Mahse, hetiang thil hi a thleng a nih chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh . A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
He damdawi nena inzawm thei thil dang
Damdawi, vitamin, nutritional supplement, leh herbal products i ei zawng zawngte chu doctor hnenah hrilh vek a pawimawh hle. Thil thenkhat chu he damdawi nen hian a inzawm thei a ni. A bik takin heng thilte hi fimkhur hle ang che:
- Zu
- Rilru ti thlamuangtu leh mut tirtu damdawi
- Khawsik, khuh, leh allergy damdawi thenkhat (Antihistamines) .
- Lungngaihna tihdamna damdawi dang (e.g. Amitriptyline, Fluoxetine, Sertraline) .
- Epilepsy damdawi thenkhat (e.g. Phenobarbital) .
- General anesthetics hmanga tihdam theih a ni
- Surgery neih chhunga muscle relaxant hman thin
- Narcotic damdawi na tak tak tan
- Antidepressant chi hrang hrang MAOIs an tih hi a ni
- Rilru lam tichaktu (e.g. Amphetamines, Methylphenidate) .
He list hi a kim lo a, chuvangin i ei zawng zawng chu doctor hnenah hrilh rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei bawk. Ṭhenkhat chu a serious a, a then chu a common. Hengte hi hriat chian a pawimawh.
| Side effects te chu i medical team hnenah hriattir nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Inthenna (dissociation) a ni | Mahni ngaihtuahna, rilru put hmang, taksa leh a chhehvel atanga inthiarfihlim, tui chunga awm ang maia inhriatna. Thil tak tak atanga inlakhran (detachment) tih hriatna. |
| Thisen sang a sang | Damdawi ei hnua thisen sang nasa taka tihsan. |
| Rilru dinhmun inthlak danglamna | Mahni intihhlum duhna, lungngaihna zual zel, buaina. |
| I doctor hnena hrilh tur thilte chu a awm reng emaw, a buaithlak emaw a nih chuan | |
| Thil hriat fo thinte | Luak chhuak, mutthilh, luak chhuak, luak chhuak, lungkham. |
| Thil dang a nghawng dan | Thil ngaihtuah harsa, hriatrengna emaw, thusawi emaw lama harsatna, taksaa rilru hahna, hlimna nasa tak nei. |
Take-Home Thuchah a ni
- Esketamine hi damdawi dang la dawng lo, lungngaihna nasa tak enkawlna bik a ni a, damdawi lam enkawlna hnuaiah chauh pek a ni.
- Hei hi damdawi in lama hruai leh hman theih a ni lo . Damdawi inah emaw, damdawi inah emaw pek thin a ni.
- Damdawi ei ni hian tu emaw in in lama hruai che a pawimawh hle . Zan mut nuam tak i neih hma loh chuan lirthei khalh emaw, ngaihtuahna seng ngai thil eng pawh tih loh tur a ni.
- I doctor hnenah damdawi dang i ei zawng zawng te, natna awm tawh te, leh allergy te kimchang takin pe rawh.
- Side effect na tak tak (a bik takin rilru lam inthlak danglamna, thisen sang, allergy) te chu hre reng la, chutiang symptom i hmuh chuan medical team te hriattir nghal rawh.
- Doctor thupek zawm fo ang che. Enkawlna chu a chanve vel chu titawp suh.
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