I period tan hma kar khat emaw kar hnih emaw chhung khawvel pum hi i bo ve bawk em? Thil tenawm ber ber pawh i thinrim em, chhan awm lovin mittui tlain i mittui a tla em, rin loh takin lungngaihna leh lungngaihna i nei em? Heng rilru put hmangte hi a chang chuan i insum thei lo khawpin a na em? Hei hi a tlangpuiin ‘Premenstrual Syndrome - PMS’ aiin a na zawk hle. Damdawi lamah chuan hei hi ‘Premenstrual Dysphoric Disorder’ emaw `(PMDD)’ emaw kan ti thin. Chuvangin he `(PMDD)` dinhmun hian nitin hnathawh, hnathawh leh chhungkaw nun a tibuai a nih chuan doctor chuan a solution atan `Fluoxetine` tih damdawi a pe thei che a ni. Vawiin hian he damdawi chungchang hi chipchiar takin sawi ila.
A awlsam zawngin Fluoxetine hi eng nge ni?
`Fluoxetine` hi `PMDD` enkawlna atana hman thin damdawi a ni. Damdawi chi khat `SSRI` (Selective Serotonin Reuptake Inhibitors) an tih zingah a tel a ni. Okay, tunah chuan heng thute hi eng nge a awmzia i ngaihtuah tawh ngei ang.
Hetiang hian ngaihtuah mai rawh. Kan thluaka chemical chi hrang hrang, nerve cell inkara inbiakpawhna atana min puitu a awm a. Hengte hi ``Neurotransmitters'' kan ti a. ``Serotonin'' hi chutiang chemical pakhat chu a ni. He ``Serotonin'' hian kan rilru put hmang thunun kawngah nasa takin a pui a, chu chu kan hlimna, lungngaihna leh rilru hahdamna te a ni. Chuvangin mi thenkhat chuan "happy hormone" an ti bawk.
PMDD vei hmeichhiate hian an period hmain serotonin an nei tlem hle niin an ngai. Chuvang chuan chu ni chhung chuan an lungngai em em a ni. Chuvangin, damdawi Fluoxetine hian thluaka serotonin awm zat a tipung a, chu level chu a balance theih nan a pui a ni. Tichuan, chutiang chhinchhiahna na tak tak, lungngaihna, thinrimna, leh lungngaihna te chu thunun a ni ta a ni.
Doctor-te chuan he damdawi hi PMDD tan chauh ni lovin, rilru lam natna dang, lungngaihna leh lungkhamna atan pawh an rawt a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Fluoxetine hi damdawi dawr atanga lei mai mai a ni lo. I hman hmain i doctor chuan i health history kimchang a hriat hmasak phawt tur a ni. Nangmah emaw, i chhungte zingah emaw a hnuaia dinhmunte hi i neih chuan i doctor hnenah hrilh ngei ang che:
He thu hi thup hian i nunna a tichhe a ni. Chuvangin i doctor nen engkim chiang takin sawi rawh.
- Rilru hriselna chungchanga harsatna: Nangmah emaw, i chhungte zinga tu emaw hian bipolar disorder i nei a nih chuan, emaw, a hmain mahni intihhlum tumna, ruahmanna, emaw, tumna emaw i neih tawh chuan hei pawh hi i sawi tel tur a ni.
- Damdawi chi dang: 1.1.Tunah hian MAOI an tih damdawi (e.g. Carbex, Eldepryl, Marplan, Nardil, Parnate) i ei a nih chuan i doctor hnenah hrilh rawh. Heng damdawi pahnih ei dun hi a hlauhawm hle.
- Thisen lama harsatna: Thisen tihthianghlimna damdawi (e.g. Warfarin) i ei a nih chuan emaw, thisen chhuahna lama harsatna i neih chuan.
- Damdawi lam natna dang: Lung natna, thin natna, seizures, glaucoma, thyroid natna, emaw taksaa sodium level hniam emaw.
- Allergy: Fluoxetine emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan.
- Naupai leh hnute pek: Naupai i nih chuan, naupai tum i nih chuan, naupai lai i nih chuan he damdawi hi i ei tan hmain i doctor i biak hmasak phawt a ngai a ni.
Engtin nge damdawi hi ka hman ang?
He damdawi hman dan hi a awlsam hle a, mahse a thupek dik tak zawm a pawimawh hle.
1. Ei dan: He damdawi hi capsule emaw tablet emaw angin a awm a. Tui glass khat nen ei la. Chaw ei rual emaw ei loh pawhin i ei thei bawk. Amaherawhchu, pum na i neih chuan chaw ei ruala ei a tha ber.
2. A hun dik tak: Nitin, i doctor-in a hrilh che chuan a dose pek ang kha ei thin ang che. Hun chu skip suh.
3. Ding thut loh tur: Hei hi a pawimawh ber a ni. He damdawi hi doctor thurawn tel lova ei khap tlat suh. Chutianga i tih chuan luak chhuak, lu na, leh luak chhuak ang chi lungawi lohna i nei thei. I PMDD symptoms pawh a ti na zual thei bawk. I chawlhsan a nih chuan i doctor-in a tih angin a dose chu zawi zawiin tihhniamin i ti tur a ni.
Damdawi dose i ei loh chuan engtin nge i tih?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur a hun tawh dawn a nih chuan missed dose kha skip la, i dose leh tur chu a hma ang bawkin ei rawh. Dose hloh tawh chu vawi khatah vawi hnih ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei tawh nia i hriat chuan damdawi in Emergency Treatment Unit (ETU)-ah kal nghal la , Colombo National Hospital-a National Poisons Information Center-ah pawh call rawh. Hei hi ngaihthah suh.
Fluoxetine nena inzawm thei damdawi dang (Drug Interactions) .
I damdawi ei zawng zawng, vitamin leh herbal product zawng zawng doctor hnenah hrilh a pawimawh hle a, fluoxetine hian damdawi dang nen a inzawm thei a, side effect hlauhawm tak a thlen thei a ni.
| Reaction chi hrang hrang | Entirna leh sawifiahna |
|---|---|
| Damdawi ei dun ngai loh tur | Heng damdawi te hi Fluoxetine nena ei dun hian nunna a tichhe thei a ni.
|
| Ei dawna fimkhur em em tur thil leh doctor hnenah eng nge hriattir tur tih te | Hengte hian Fluoxetine nen an inzawm theih avangin doctor thurawn lak a pawimawh hle.
He list hi a kim lo a, chuvangin i ei zawng zawng chu doctor hnenah hrilh rawh. |
Damdawi ei laia fimkhur tur thilte
Mood inthlak danglamna hi hre reng ang che.
Hei hi a pawimawh hle. Fluoxetine ang damdawi i ei tan tirh hian mahni intihhlum duhna emaw, nungchang emaw a pung theihna chance tlem a awm a, a bik takin thalai zingah. Chuvângin, nangmah emaw, i hriat miin emaw heng thilte hi a hriat chuan i doctor chu sawipui nghâl rawh.
- I lungngaihna leh lungngaihna a pung zel nia i hriat chuan.
- Lungkham, rilru hahdam lo, thinrim i neih chuan.
- Nungchang emaw, rilru put hmang emaw inthlak danglamna rang tak, na tak i hmuh chuan.
He damdawi hian a thawh chhuah kim theih nan kar tlemte a la ngai thei. Chuvangin, i symptoms te hi tlem a la tha lo a nih chuan lungngai suh. I doctor-in a sawi angin damdawi chu ei chhunzawm zel ang che.
A nghawng tlangpui dangte
- Mutthilh leh luak chhuak: He damdawi hian mut a tichhuak thei che a, ngaihtuahna seng harsa a ti thei a, luak a ti buai thei bawk. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machine hlauhawm tak tak hman emaw loh tur a ni.
- Kawng vawt: I hmui a vawt ang maiin i hria mai thei. Sugar tel lo gum chewing leh tui in tam hian a pui thei a ni.
- Zunthlum: Zunthlum i vei chuan he damdawi hian i thisen thlum level a tichhe thei a, chuvangin i doctor nen sawiho ang che.
Damdawi hmansualna (side effects) te
Damdawi dang ang bawkin Fluoxetine hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Mi thenkhat chuan harsatna tenau te chauh an tawng thei. A pawimawh ber chu a side effect na tak takte chu eng nge ni tih leh a side effects tlanglawn tak takte chu eng nge ni tih hriat hi a ni.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Serotonin Syndrome natna a ni | Restlessness, confusion, heartbeat rang, muscle stiffness or twitching, thawk hah lutuk, khawsik, convulsion, luak chhuak, luak chhuak. Hei hi dinhmun hlauhawm tak a ni. |
| Thisen chhuah dan pangngai lo | Thin dum emaw thisen emaw, zun sen/dark brown, thisen chhuak, vunah sen/purple, leh sawifiah theih loha hliam. |
| Heart rate a inthlak danglam thin | Lung na rang emaw, mumal lo emaw, luak chhuak, muang lo, rilru na. |
| Mit lama harsatna nei | Mit na tak tak, mit hmuhna fiah lo, leh light chhehvela halo hmuh te. |
| Taksaah sodium level a tlahniam | Muscle chak lohna, hah lutuk, lu na, buai. |
| A tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hrilh rawh) . | |
| Digestive system lama harsatna awm thei | Nausea, luak chhuak, pum na. |
| Harsatna awm fo dangte | Kawng vawt, lu na, thawk hah lutuk, mut theih lohna emaw mut theih lohna, khur, lungkhamna, mipat hmeichhiatna duhna emaw, hnathawh dan emaw inthlak danglam. |
Take-Home Thuchah a ni
- Fluoxetine hi PMDD tia hriat, lungngaihna nasa tak tan chuan damdawi tha tak a ni. Doctor rawtna ang chauha hman tur a ni.
- Damdawi i ei tan hmain i doctor hnenah damdawi dang zawng zawng, vitamin leh damdawi i ei tur zawng zawngte hrilh hmasa phawt ang che.
- He damdawi hi chawlhsan nghal mai loh tur. Chutianga tih chuan rilru hahna a thlen thei a ni. I chawlhsan a nih chuan i doctor-in a tih angin ti rawh.
- Damdawi i ei tirh lai hian i rilru dinhmun inthlak danglamnaah fimkhur hle ang che, a bik takin mahni intihhlum ngaihtuahnaah hian fimkhur hle ang che. Thil danglam i hmuh chuan doctor hnenah hrilh nghal rawh.
- Side effects na tak (allergy, serotonin syndrome, thisen chhuah dan danglam tak ang chi) a awm chuan doctor lam pan nghal tur a ni.
- PMDD hi i sualna a ni lo. Enkawl theih dinhmun a ni. Chuvângin, ṭanpuina dîl chu hlau ngai suh.
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