Nu leh pa tar tawh tak, pi leh pu, a nih loh leh i hmangaih tak Alzheimer natna vei i neih chuan, rang takin, buai tak leh thinrim takin i tawng tawh mai thei. Thusawi hmanga an inhmachhawn te, an kut an thlak te, hmun khata awm lovin an inher kual lai te pawh hian a tibuai thei bawk. Hetiang hunah hian ṭanpui theih lohvin i inhria thei bawk a, i tih tur i ngaihtuah thei lo bawk. Vawiin hian heng nungchangte hi thunun thei damdawi chungchang kan sawi dawn a ni.
Alzheimer natnaah hian he agitation lo awm hi eng nge ni?
Alzheimer natna hi hriatrengna hloh mai mai a ni lo. He natna vei thluaka inthlak danglamna hian mi nungchangah danglamna nasa tak a thlen thei bawk. Agitation hi a symptom lian ber pakhat a ni.
A awlsam zawngin, hei hi a thleng thin:
- Thusawi hmanga tihduhdahna: au chhuak reng, midang chibai buk reng reng.
- Taksa lama chetsualna: midang vuak, nawr, thil vawrh.
- Restlessness: Pacing, rilru hahdam lohna, rilru hahdam lohna.
Hetiang dinhmun hi damlo tan leh nangmah ang amah enkawltu tan chuan stressor lian tak a ni. Hetiang nungchang hi thunun nan hian hmanlai atang tawhin damdawi chi hrang hrang hman a ni tawh a. Mahse, side effect an neih theihna chance a sang hle. Mahse, tunah chuan tunlai damdawi, chutiang atana pawm tawh, side effects tlem zawk a awm tawh. Rexulti hi chutiang damdawi pakhat chu a ni.
He damdawi Rexulti an tih hian engtin nge hna a thawh?
Rexulti hi thlah thumna antipsychotic damdawi a ni a, a damdawi hi a hlawhtling hle. Okay, he thumal hi a buaithlak deuhin a ri em? A awlsam zawngin i vawng ang u.
Kan thluak hian neurotransmitters an tih chemical messenger hmangin rilru natna, nungchang, leh ngaihtuahnate chu a thunun a ni. Dopamine leh serotonin te hi palai lian ber pahnih an ni. Alzheimer natnaah chuan heng palai te hi an inthlau thei hle. Rexulti hian thluaka dopamine leh serotonin balance siam thatna kawngah a pui a ni. Hei hian mood leh behavior a titha thei a ni.
A pawimawh ber chu hei hi damdawi hlui ang a ni lo va, thluaka chemical hmanga hna a thawh nasat zawk avangin, a side effect na tak tak, khur leh taksa ruh tiharh ang chi a thlen theihna a tlem zawk a ni.
He damdawi hi engtin nge ka hman ang?
Rexulti hi ni khatah vawi khat ei tur a ni. Chaw ei hma emaw ei zawhah emaw ei theih a ni.
I doctor chuan a tlangpuiin dose hniam takah a tan tir ang che.. Tichuan, i taksain a chhan dan te, damdawi dang i ei lai te, i thin leh kal (kidney) hnathawh dan te a zirin a dose chu a tipung zauh zauh thin. Ni khata a tam ber chu milligram 3 vel a ni.
A pawimawh ber chu i doctor-in a sawi angin a hun takah, a dose dik takah damdawi ei tur a ni. Nitin damdawi ei reng reng hian result tha ber a pe ang che. Damdawi hian a nghawng a lantir theih nan kar tlemte emaw thla khat emaw a la ngai thei. Chuvangin, "A danglamna a la awm lo" tih ngaihtuahin, a chanve vel chu la chhunzawm zel suh. Doctor rawn hmasa lovin damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.
Engtin nge damdawi hian hna a thawk em tih i hriat theih ang?
Damdawi i ei tan atanga kar tlemte hnuah i hmangaih tak nungchangah inthlak danglamna tha tak tak i hmu mai thei. Heng inthlak danglamna te hi a lang zauh zauh dawn a ni.
| Inthlâk danglamna \ha tak tak hmuh theih a ni |
|---|
| - Au thawm leh chibai bukna tlahniam. |
| - Taksa lama buaina a tlahniam. |
| - Naupang enkawlna huna puihna tam zawk pek (e.g., chaw pek, inbual). |
| - Mut kawngah hmasawnna engemaw zat. |
| - Chhungte nena awm emaw, thil danga tel emaw duhna lantir. |
| - A pum puiin damlo enkawl a awlsam phah hle. |
He damdawi hi eng chen nge i ei tur tih hi mi hrang hrangah a inang lo. Mi thenkhat chuan hun rei lote chhungin an hlawkpui thei a ni. Mi dangte chuan rei tak an ei a ngai mai thei. Hei hi i doctor-in a rel ang. Thla engemaw zat hnuah pawh hmasawnna i hmuh loh chuan i doctor hnenah hrilh la.
Side effects leh engtin nge kan enkawl ang?
Damdawi dang ang bawkin Rexulti hian mi thenkhatah side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Side effects awm fo thin thenkhat leh i tih theih dan te han thlir ila.
| Side effect awm fo thin | Engtin nge kan enkawl ang |
|---|---|
| Taksa rihna sang, mutthilh, luak chhuak | Weight gain control nan thlai leh thei ei tam zawk tur a ni. Nitin kea kal ang chi exercise awlsam tak tak ti thin ang che. I mutthilh i hriat chuan doctor zawt la, zan mut hmain damdawi ei hmasa phawt ang che. I luak chhuak tih i hriat chuan ṭhut emaw, mut emaw a\angin tho thut suh. |
| Akathisia (rilru hahdam lohna) . | Hei hi enkawlna hmasa berah a thleng thei. Kea kal leh exercise light tak hian hei hi a tihziaawm thei a ni. Tea leh coffee hi tihtlem la, he effect hi a tipung thei a ni. |
| Khawsik ang chi symptoms a awm | Hengte hi ni engemaw zat chhungin a reh tlangpui. An awm reng chuan doctor hnenah hrilh rawh. |
| Kawng a vawt, chaw ei kham | I hmui a vawt chuan tui tam tak in thin ang che. Fiber tamna ei tur (spinach, kale, thei) ei leh tui tam tak in hian chaw ei kham hi a veng thei a ni. |
Pawimawh tak: Chu bakah, natna khirh tak tak, khawsik sang, taksa ruh na, buaina nasa tak, emaw, thil danglam tak, thunun theih loha chetna i neih chuan i doctor hnenah hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Enkawl lai hian eng test nge tih tur?
He damdawi hi i pek hian i doctor chuan i taksaa thil thenkhat enfiah turin thisen test thenkhat a ti thei ang. Hei hi damdawi chu i tan a tha em tih leh side effect a awm theihna tur a awm em tih hriat nan tih a ni.
- Weight leh waist circumference: Enkawl hma leh enkawl lai hian a rihna enfiah thin a ni.
- Complete Blood Count (CBC): Thisen chhunga thisen var leh thisen sen awm zat a enfiah thin.
- Chaw nghei thisen test: Cholesterol leh sugar (thisen glucose emaw HbA1c) level enfiah thin.
- Thisen sang: En reng ang che.
- AIMS test: Hei hi test ni lo, doctor-in a enfiahna a ni. Taksa chetna pangngai lo (tardive dyskinesia) a enfiah thin.
Hei hian damdawi dang nena inzawmna a siam thei em?
Ni e, hei hi thil pawimawh tak a ni. Damdawi dang i ei hian Rexulti hi a tipung thei a, a ti tlem thei bawk. A thatna a san chuan side effects a awm theihna a sang hle. A tihhniam chuan damdawi chu a hlawhtling lo ang.
Entirnan, antifungal thenkhat (e.g., fluconazole, ketoconazole), antibiotics (e.g., clarithromycin), leh antidepressant (e.g., fluoxetine, paroxetine) te hi he damdawi nena ei hian a dose tihdanglam a ngai thei. Epilepsy damdawi thenkhat (e.g., phenytoin) ah pawh harsatna a awm thei bawk.
Chuvangin i duhzawng damdawi ei zawng zawng chu i doctor hnenah hrilh la. Hei hian khawthlang lam damdawi chauh ni lovin, Ayurvedic damdawi, hnam damdawi, vitamin, herbal products, etc. te pawh a kawk a, hei hian doctor chu him taka enkawl dan tur ruahmanna siam turin a pui dawn a ni.
Take-Home Thuchah a ni
- Alzheimer natna avanga thil tibuaitu thiltih hi damlo leh enkawltu tan pawh harsatna a ni a, mahse enkawlna tur a awm.
- Rexulti (Brexpiprazole) hi he natna control nan hian doctor-in damdawi bik a pek a ni.
- I doctor-in a tih angin a hun ruatah a dose pek chu ei thin ang che. Doctor rawn hmasa lovin damdawi ei kha bansan suh emaw, eng thil vang pawh nise a dose thlak loh tur a ni.
- Side effects te chu fimkhur rawh. Symptom danglam tak tak i neih emaw, a side effects a tibuai emaw a nih chuan doctor hnenah hrilh nghal rawh.
- I damloin a hman damdawi dang zawng zawng (Ayurvedic leh traditional medicines te pawh tel) i doctor hnenah i hrilh a pawimawh hle.
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