I fain tlem a lungkham emaw, a lungngaih emaw a neih chuan doctor hnena i hruai a, damdawi an pek chuan hahdamna nasa tak i nei thei a ni. "Awle, tunah chuan ka fa chu a dam leh tawh ang" tih ngaihtuah hi thil pangngai tak a ni. Mahse, damdawi thenkhat kan hriat chian tur a awm a, a bik takin naupang rilru lam harsatna chungchangah chuan. Vawiin hian chu chu kan sawi dawn a ni. Hei hi thupui sensitive deuh a ni a, mahse nu leh pa kan nih angin he hriatna hi kan tan a pawimawh hle.
He risk hi eng nge ni tak tak?
He thawnthu hi kum 2004-a America rama thil thleng aṭanga ṭan a ni a, naupang kum 13 mi Matt-a chuan a intihlum. A hnuah a pa chuan FDA (US Food and Drug Administration) hearing-ah, "Ka fapa hi kan hriat ngai loh damdawi pek a nih hnuah a thi a, doctor-in a awm tih pawh a hriat loh condition vangin a thi a ni," a ti. Matt hi damdawi pakhat `Zoloft` tih chu pek a lo ni tawh a, chu chu depression enkawlna atana hman a ni. Doctor chuan a side effect awm thei awmchhun chu mut theih lohna leh pum natna a nih thu a lo sawi tawh a.
Hetiang thil thleng tam tak report a nih avangin FDA chuan he thil hi ngun takin an chhui tan ta a ni. An thil hmuh chuan khawvel pum a tithinur hle.
Chu chu, lungngaihna enkawlna atana hman damdawi thenkhat, a bik takin naupang leh thalai te hian an lungngaihna a tizual thei a, mahni intihhlum duhna a thlen thei a, a bik takin an hman tan tirh hian a hlauhawmna tlemte mahse a lian hle tihna a ni.
Hei vang hian United States leh Britain-a damdawi enkawltu agency-te chuan heng damdawi-te hi an bungruaah hian "black box" warning, hlauhawmna nasa tak awm thei tura vaukhânna dah tel turin thupek an siam a ni.
Heng SSRI damdawi te hi engte nge ni?
He hlauhawmna hi damdawi chi khat `SSRIs (Selective Serotonin Reuptake Inhibitors)` tih nen an sawiho fo thin. A awlsam zawngin kan thluak ah hian chemical messenger `Serotonin` tih a awm a. Hei hian kan hlimna, mut leh ei duhna thununtu chu a ni. Depression nei chuan he `Serotonin` hi a hniam thei hle. SSRI damdawi hian a tih chu thluak hian a neih `Serotonin` chu a hman tangkai zawk nan a pui a ni.
Sri Lanka rama damdawi hman tlanglawn tak tak, he category-a tel ṭhenkhat chu:
- Fluoxetine (brand name Prozac tia hriat) .
- Sertraline (brand name Zoloft tia hriat) .
- Citalopram (brand name Celexa tia hriat) .
- Escitalopram (brand name Lexapro tia hriat) .
- Paroxetine (brand name Paxil tia hriat) .
Pawimawh tak chu he hlauhawmna hi SSRI-ah chauh a awm lo. Tunah chuan he vaukhânna hi antidepressant tam zawkah pawh hman a ni tawh .
Nu leh pa i nih angin eng chhinchhiahna nge i ngaihven tur?
I fain he damdawi chi hi a ei tan a nih chuan fimkhur hle a pawimawh , a bik takin kar leh thla hmasa berah . He ngaihvenna hi doctor-in a dose a thlak apiangin a pawimawh hle.
| Inthlak danglamna fimkhur tur | Hrilhfiahna |
|---|---|
| Mahni intihhlum chungchang sawi | "Thih duhin ka inhria," "He nun hian awmzia a nei lo," tih ang chi i sawi a nih chuan, mahni intihchhiat dan tur i zawng a nih chuan. |
| Thiltih dan inthlak danglam nghal | A hma aia rilru hah lo zawk, kal leh haw reng, leh ngaihtuahna fim lo leh hlauhawm taka thil tih. |
| Thinrimna nasa tak emaw, lungkhamna emaw | A hma aiin i thinrim thuai a, hlauhna i nei reng a nih chuan, a nih loh leh panic attack (hlauhna lo awm nghal) i neih chuan. |
| Mut harsatna a awm | Mut theih lohna emaw, mut tam lutuk emaw. |
| Depression a tipung | Damdawi ei tan hnua i fate lungngaihna, lungkhamna leh mahni chauha awmte chu a pung chho niin a lang a nih chuan. |
| Hetiang thil hi i hmuh chuan engtin nge i tih ang? | |
| I fa doctor ko nghal rawh. I fate chu anmahni tihchhiat hlauhawma rinhlelhna i neih chuan damdawi in hnai ber Emergency Department (ETU) -ah hruai nghal rawh.I fa chu kalsan ngai suh. | |
Bipolar disorder chungchangah pawh fimkhur rawh.
Naupang thenkhat chuan lungngaihna pangngai an nei lo va, mahse `Bipolar Disorder` (hmanlai chuan `Manic Depression`) an tih. Hetah hian lungkhamna nasa tak (depression) leh hyperactivity (mania) te dinhmun a inthlak danglam thin. Chhungkaw zinga mi tu emaw hian he natna hi a vei chuan naupang pawh hi a hlauhawmna a sang zawk a ni. Naupang `Bipolar Disorder` vei chu lungngaihna damdawi chauh pek a nih chuan `mania` dinhmun a tichhe thei a, mahni intihhlum theihna a tipung thei bawk. Chuvang chuan Doctor hnenah chhungkaw natna chipchiar taka sawina pek a pawimawh hle a ni.
Chuti a nih chuan he damdawi hi pek hi a dik lo em ni?
Hetah hian hriatthiam tur pawimawh tak chu heng damdawi te hian mi maktaduai tam tak nunna a chhanhim a ni . Depression na tak nei tam tak chuan an hnen atangin hahdamna nasa tak an dawng thin. Buaina chu heng damdawi te hi naupang leh thalai te hnena pek a nih hian a thatna leh a hlauhawmna te uluk taka teh a ngai a ni.
Zirchianna thenkhatah chuan mahni intihhlum duhna a pun chhoh chhan chu damdawi ngei vang ni lovin, lungngaihna nasa lutuk vang a ni zawk niin an sawi. Psychotherapy hmasa berah pawh a hlauhawmna a sang tih finfiahna a awm bawk.
Mahse, damdawi siamtu company-te chuan he damdawi hi research result ṭha lo thup a, result ṭha chauh an tihchhuah avangin an hralh chhuak nia sawi a awm bawk. Hei vang hian nu leh pa kan nih angin hei hi kan hriat chian a ngai a, zawhna kan zawh a ngai a ni.
Damdawi chauh hi a chinfelna a ni em?
No. Damdawi bakah counseling emaw psychotherapy emaw pek hian rah tha ber a chhuah thin.
A bik takin Cognitive Behavioral Therapy (CBT) hi a hlawk hle. Naupang ngaihtuahna \ha lote a hriatchhuah tir a, a tidanglam a, harsatna hmachhawn dan tur a zirtir bawk.
Zirchianna lar tak TADS (Treatment for Adolescents with Depression) tih hming pu chuan Prozac leh CBT pahnih hi pek dun a nih chuan result tha ber a awm tih hmuhchhuah a ni. Mahse, he zirchianna vek hian CBT chauh aiin Prozac chauh hian a hlawk zawk tih a tarlang bawk.
Buaina chu, Sri Lanka-ah pawh hian `CBT` therapy dik taka pe thei tur trained professional hmuh a harsa hle. Mahse, hemi chungchang hi i fa doctor hnenah zawt la, mi tling hnenah refer turin i ti thei bawk.
Take-Home Thuchah a ni
- Damdawi chungchanga thutlukna chu doctor kutah dah la:Naupangin lungngaihna damdawi a mamawh leh mamawh loh chungchang, leh eng damdawi nge pek tur tih chungchanga thutlukna chu doctor thiam takin a siam tur a ni . Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen sawiho rawh.
- Thla hmasa ber hi a pawimawh hle: Damdawi i ei tan atanga kar hmasa leh thla engemaw zat chhung hian i fate nungchang hi ngun takin ngaihven rawh. Thil danglam bik a awm chuan doctor hnenah report nghal rawh.
- Damdawi ei kha titawp thut suh: Doctor thurawn tel lo chuan damdawi pek hi chawlhsan ngai suh. Chutianga tih chuan naupang dinhmun a tichhe thei a ni.
- Risk leh benefits: Damdawi zawng zawng ang bawkin risk leh benefits a awm. Enkawlna tel lova lungngaihna vei theihna chu damdawi ei avanga hlauhawmna aiin a tam zawk fo thin.
- Nangmah chauh i ni lo: Naupang rilru hriselna chungchanga harsatna hmachhawn chu thil harsa tak a ni. A tul chuan psychological counseling support zawng rawh. I rilru hriselna pawh i fa tan a pawimawh hle.











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