Depression i nei tih i hriat hnuah doctor i hmu a, damdawi i ei tan ta a ni mai thei. Tunah chuan i dam chho zel niin i hria mai thei. Chu phurrit rit tak leh nawrna i neih chu tunah chuan a tlem tawh hle. Chuvangin tunah chuan, "Awle, tunah chuan ka dam tawh a, chuvang chuan he damdawi hi ka ei tawh lo thei ang," tiin i ngaihtuah mai thei. Mahse i doctor chuan, "He damdawi hi rei vak lo kan hmang chhunzawm dawn a ni," a ti mai thei. Engvangin nge chutiang chu i sawi? Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.
Engvangin nge ka dam hnuah pawh damdawi ei chhunzawm zel a ngaih?
Hriatthiam hmasak tur chu antidepressant hi khawsik leh khuh damdawi ang a ni lo tih hi a ni. Khawsik kan neih chuan natna hi a dam kim theih nan ni engemaw zat damdawi kan ei thin. Mahse depression hi a danglam bik a ni. Heng damdawi te hian depression symptoms te chu control in i rilruah hahdamna a pe thin.
Zunthlum emaw thisen sang emaw damdawi ei ang maiin han ngaihtuah teh. Chu damdawite chuan natna chu tihbo vek ai chuan, a thunun theih nân a ṭanpui a, nun pangngaia i nun theih nân a ṭanpui bawk. Depression hi a châng chuan natna khirh tak a ni thei a, hun rei tak enkawl ngai a ni .
Depression i neih hmasak ber a nih chuan American Psychiatric Association chuan thla li atanga thla nga vel damdawi ei chhunzawm zel turin a rawt a ni , i natna lan chhuah dan nasa taka a lo ṭhat hnuah leh i rilru a hahdam hnuah pawh. Vawi tam tak depression i neih tawh chuan, damdawi i ei rei a ngai mai thei a, i dam chhung zawng pawhin i ei a ngai mai thei.
Hei hi a chhan chu damdawi i ei loh thuai chuan natna lo lang leh theihna a sang zawk hle. Hetianga natna control nan damdawi ei chhunzawm zel hi "Maintenance Treatment" an ti a.
Depression damdawi hman tlanglawn tak takte chu engte nge ni?
Depression enkawlna atan hian damdawi chi hrang hrang hman a ni. Heng zawng zawng hian kawng hrang hrangin hna an thawk vek a ni. I doctor chuan i dinhmun, i natna lan chhuah dan leh i hriselna dinhmun dangte a zirin i tana tha ber tur damdawi a thlang ang.
Antidepressant thar zawk
Kum sawmhnih kalta chhung khan damdawi tha zawk tam tak, side effect tlem zawk nei te chu an rawn chhuak ta a ni.
| Ruihhlo chi hrang hrang | A hnathawh dan hi a awlsam hle. | Side effect awm thei te |
|---|---|---|
| SSRIs (Selective Serotonin Reuptake Inhibitors) te hi a tha ber pawl a ni. Ex: Fluoxetine, Sertraline, Citalopram, Escitalopram te hi a awm a, a chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle | Kan rilru put hmang thununtu thluaka chemical messenger serotonin , hnathawh a tichak a ni. | Pum natna, mipat hmeichhiatna lama harsatna, mut theih lohna, luak chhuak, taksa rihna inthlak danglam, lu na. (A tam zawk chu mild) . |
| SNRIs (Serotonin leh Norepinephrine Reuptake Inhibitors) te hi a tha hle. Ex: Venlafaxine, Duloxetine tih te hi a awm a | Chemical messenger pahnih serotonin leh norepinephrine tih te hnathawh a tipung a ni . | Pum natna, mut buai, mipat hmeichhiatna lama harsatna, lu na, lungkham, luak chhuak, chak lohna. |
| NDRIs (Norepinephrine leh Dopamine Reuptake Inhibitors) te hi a tha hle. Ex: Bupropion (Wellbutrin) tih hi a tha hle. | Chemical messenger norepinephrine leh dopamine te hnathawh a nghawng a ni . | Pum na, lu na, mut harsatna, khur, lungkham. (Sexual side effects leh weight gain hi a tlem hle. ) He damdawi hi tun hmaa seizure nei tawh tan chuan a tha lo. |
| NaSSAs (Noradrenergic leh Serotonergic Antidepressant bik) te hi a tha hle. Ex: Mirtazapine (Remeron) tih hi a ni. | Serotonin leh norepinephrine te hi a nghawng dan a inang lo. | Pum natna, mutthilh, taksa rihna sang, lungkham, luak chhuak. |
Kum upa zawk Antidepressant
Tun hmaa depression enkawlna atana hman thin damdawi te pawh a awm bawk. Chungte chu Tricyclic Antidepressant leh MAOIs (Monoamine Oxidase Inhibitors) te an ni.Hengte hian thluaka chemical messengers (neurotransmitters) te chu nghawngin hna an thawk a ni.
Heng damdawi te hi mi thenkhat tan chuan tha viau mahse, side effect tam tak a nei a ni. Tin, damdawi dang leh ei tur thenkhatah harsatna an thlen theih avangin doctor-te chuan duhthlanna hmasa ber atan an rawt tawh lo. Mahse, heng damdawi hlui zawkte hi damdawi thar zawk dawng lo mi thenkhat tan chuan duhthlan tur tha tak a ni thei.
Damdawi dang
A châng chuan, doctor chuan lungngaihna damdawi nên damdawi dang pêk a rel thei bawk.
- Lungkhamna emaw mut theih lohna damdawi: Hengte hian lungngaihna nena lo awm lungkhamna leh mut harsatnate chu a thunun thei a ni.
- Atypical Antipsychotics: Damdawi Aripiprazole (Abilify) leh Quetiapine (Seroquel) te hi schizophrenia emaw bipolar disorder emaw tan pek thin a ni a, antidepressant a tlem hunah a thatna a tipung thei a ni.
- L-methylfolate (Deplin): FDA chuan damdawi anga dah ni lo mah se, "damdawi chaw" anga ngaih a ni. Hei hi B vitamin chak tak, folate an tih chu a ni. Thluak chhunga chemical messenger awmte, mood control tu te chu a regulate thei a ni. Enkawlna dang dawng lo depression enkawlnaah a tangkai hle.
Engtin nge i tan damdawi dik tak i hmuh theih?
Vanduaithlak takin i tan damdawi leh dose dik tak hmuh chu thil awlsam a ni lo. Damdawi inang chiah ei hian mi tinin an chhan dan a inang lo. I doctor pawhin damdawi pakhatin i tan eng angin nge a thawh that ang tih chiang takin a sawi thei lo.
Chuvangin hei hi dawhtheihna engemaw chen nena tih ngai a ni . Damdawi hrang hrang inthlak danglam i tum a ngai mai thei. A tlangpuiin antidepressant i ei tan atanga kar tlemte chhungin hahdamna engemaw chen i nei tan ang a, mahse a nghawng kimchang i hriat theih nan thla engemaw zat a ngai thei. Chuvangin beidawng thuai suh. Hun a kal zel a, i doctor chuan i dinhmun a zirin i dose a tipung emaw, a tihhniam emaw thei bawk.
Damdawi i ei rei tawh a, a \angkai lo a nih chuan i doctor nen pawh sawipui ngei ang che. Damdawi dang enchhin a rawt mai thei. Hun a kal zel a, i tana tha tur damdawi emaw, damdawi inkawp emaw i hmu mai thei.
A pawimawh ber chu, tunah hian i rilru a hahdam viau a nih pawhin, doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh. Chutianga tih chuan i lungngaihna chu a lo kir leh thei a, damdawi thenkhat nen chuan flu ang chi natna, luak chhuak, leh luak chhuak ang chi side effect a awm thei bawk. Chuvangin, i damdawi ei kha i chawlhsan a nih chuan, i doctor thupek zawmin, zawi zawiin ti thin ang che.
I doctor chuan a hmu fo tur a ni a, a bik takin damdawi thar i hman tan tirh hian a hmu fo tur a ni. Hemi chhung hian damdawi ei avanga i rilru hahna emaw, harsatna emaw i neih apiang chu tlang takin sawi rawh.
Take-Home Thuchah a ni
- Depression hi chak lohna a ni lo va, damdawi lam thila enkawl ngai, zunthlum ang bawka enkawl ngai a ni.
- I rilru a hahdam a nih pawhin i damdawi ei chhunzawm zel tur chuan i doctor-in a natna a lo let leh loh nan a tih che chhung chu i ei chhunzawm zel ang. Hei hi "maintenance treatment" an ti a.
- I tana damdawi leh a dose dik tak zawn nan hun engemaw chen a ngai mai thei a, chuvangin i enkawlnaah dawhthei takin awm rawh.
- I doctor phalna la hmasa lovin damdawi ei kha titawp ngai suh, a dose pawh thlak ngai suh.
- Damdawi chungchanga zawhna emaw, harsatna i tawh emaw i neih chuan i doctor nen zalen takin sawipui rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh