Depression, lungkhamna, a nih loh leh damdawi lam natna dang damdawi i ei em? Tichuan he thuziak hi i tan a pawimawh hle a ni. A châng chuan damdawi pakhat emaw a aia tam emaw kan ei hian kan taksain chemical serotonin an tih chu a siam tam lutuk thei a ni. Hei hi doctor ten serotonin syndrome an tih chu a ni . A hming hi a hmasa berah chuan buaithlak tak angin lang mah se, kan hriat vek a ngai a ni. Eng nge a nih, engvangin nge a hlauhawm a, engtin nge kan inven theih ang tih hi han thlir ila.
A hmasa berin Serotonin chu eng nge ni?
A awlsam zawngin sawi ila, serotonin hi kan taksain kan chhunga chemical a siam a ni. A dik tak chuan kan nervous system-a cell inkara thuchah kengtu messenger te tak te ang mai a ni. Damdawi lam hawi chuan hei hi neurotransmitter kan ti a.
Kan taksaah hna pawimawh tak tak a thawk a. Entir nan:
- I hlimna leh i rilru put hmang a thunun .
- Zan mut that theihna turin a pui che .
- Hriatrengna leh zirlai thiamna a tichak .
- Taksa lum leh vawt a control .
- Chaw ei hian ei duhna a tichak a .
Mi tam tak chuan serotonin hi thluaka awm chauh niin an ngai. Mahse a nihna takah chuan kan taksaa serotonin 90% chu gut-ah a awm a ni. 10% vel chauh thluaka siam chhuah a ni. Zirchiangtute chuan depression ang chi natna thlentu pakhat chu thluaka serotonin level tlahniam vang niin an ngai. Mahse, hei hi a pung lutuk chuan nerve cells te a tichak lutuk thei a, symptom hlauhawm tak tak a siam thei bawk. Hei hi serotonin syndrome kan tih chu a ni.
Serotonin syndrome natna lan chhuah dan chu engte nge ni?
Heng symptoms te hi serotonin level tichhe thei damdawi thar ei tan atanga darkar tlemte chhungin a lang tlangpui a, a nih loh leh damdawi awmsa dose tihpun a nih hnuah pawh a lang tlangpui.
| A lan chhuah dan tlangpui | |
|---|---|
| Rilru leh nungchang inthlak danglamna | Buaina, rilru hahdam lohna, buaina. |
| Taksa lam inthlak danglamna | Dilated pupils, lu na, thisen sang leh taksa lumna inthlak danglam, luak chhuak, luak chhuak, luak chhuak. |
| Nervous system nena inzawm symptoms te | Lung na rang, khur, taksa ruh control hloh emaw, hrual emaw, taksa ruh a nghet lo, khaw vawt leh clammy tih hriatna, leh thawk hah lutuk. |
| Ngaihtuah tur: Hengte hi natna khirh tak tak, nunna atana hlauhawm thei tak tak an ni! | |
| Khawsik sang tak, seizures, thinlung thawk mumal lo, passing out. | |
A hnuaia symptoms : khawsik sang tak, seizures, heartbeat mumal lo, emaw hriatna hloh , i neih chuan medical emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal la, ambulance pawh ko rawh. Hei hi enkawl vat loh chuan thihna thlen thei a ni.
Eng thilin nge he dinhmun hi a thlen?
Hei hi damdawi avanga lo awm a ni fo a, a bik takin serotonin level tichhe thei damdawi pahnih emaw a aia tam emaw hman dun a nih chuan a ni.
Thil tisualtu ber chu: Antidepressants
- SSRIs (Selective Serotonin Reuptake Inhibitors): Hengte hi antidepressant chi hrang hrang an pek tam ber a ni. Thluaka serotonin level an tisang thin. Entirnan: `Citalopram`, ` Escitalopram (Lexapro)`, `Fluoxetine (Prozac)`, `Sertraline (Zoloft)` te hi a ni.
- SNRIs (Serotonin leh Norepinephrine Reuptake Inhibitors): Hei hi antidepressant chi dang a ni. Entirnan: `Duloxetine (Cymbalta)`, `Venlafaxor (Effexor)` tih te hi a ni.
- MAOIs (Monoamine Oxidase Inhibitors): Hengte hi antidepressant chi khat hlui deuh, mahse chak tak a la ni.
Damdawi dang, supplement leh damdawi dang, risk tipung thei te
- Painkillers: Painkillers chak tak tak thenkhat, a bik takin opioids Tramadol leh Fentanyl te.
- Migraine damdawi (Triptans): Entirnan: `Sumatriptan (Imitrex)`.
- Khuh damdawi thenkhat: Khuh syrup `Dextromethorphan` awmna.
- Nausen dona damdawi: Entirna: `Metoclopramide (Reglan)`, `Ondansetron (Zofran)`.
- Herbal supplement: St. John’s wort leh Ginseng ang chi thil hi antidepressant nena ei hian hlauhawmna a awm.
- Dan lova ruihhlo: Ecstasy (MDMA), LSD, Cocaine, leh Amphetamines ang chi damdawi te chu antidepressant nena hman hi a hlauhawm hle.
Engtin nge doctor hian hei hi a hriat chian?
Hei hi eng nge a nih chiang taka hrilh thei tur test pakhat mah a awm lo. I doctor chuan he natna hi zawhna zawtin a enfiah ang che.
Damdawi zawng zawng, vitamin, herbal supplement, leh ruihhlo dan loa i ei zawng zawng pawh doctor hnenah hrilh vek a pawimawh hle. I doctor chu nangmah tanpui turin a awm a, rorelsak turin a awm lo. Diagnosis leh treatment dik tak chu i information pek danah a innghat a ni.
I doctor chuan damdawi lam thil dang (e.g., infection, heat stroke) a awm loh nan thisen test, zun test, leh CT scan pawh a ti thei bawk.
Engtin nge enkawl a nih?
Enkawl dan chu i natna lan chhuah dan nasat danah a innghat a ni.
A hmasa ber leh pawimawh ber chu he thil thlentu damdawi ei kha tihtawp hi a ni.
- Symptoms tenau: Mi tam zawk chuan an natna thlentu damdawi an chawlhsan atanga darkar 24 chhungin an dam tha hle. I doctor chuan damdawi inah enfiah turin a dah thei che a ni.
- Symptoms moderate: Damdawi inah dah leh darkar 24 tal enkawl a ngai thei.
- A lan chhuah dan na tak: Hetih lai hian intensive care unit (ICU)-ah enkawl i ngai mai thei. Hetah hian heart rate leh blood pressure ang chi thilte chu enfiah reng a ni.
Enkawlna hrang hrangte chu:
- Serotonin siam chhuah tikhawlotu damdawi: Entirnan, `Cyproheptadine` ang chi damdawi.
- Muscle relaxants leh anti-anxiety damdawi: Benzodiazepines, Diazepam (Valium) ang chi te.
- Heart rate leh thisen sang control thei damdawi.
- Oxygen leh saline (Intravenous - IV fluids): Tui tlakchham leh khawsik control nan.
Hetiang dinhmun lakah hian engtin nge kan inven theih ang?
Hei hi ven theih fo a ni. I tih tur tlemte a awm a.
- I doctor hnenah hriattir rawh:Damdawi, vitamin leh herbal supplement i ei zawng zawng chu i doctor hnenah hrilh rawh. Hei hi doctor tam tak hnen atanga damdawi i ei a nih chuan a pawimawh hle.
- A natna lan chhuah dan fimkhur rawh: Serotonin tichhe thei damdawi pakhat aia tam i ei a nih chuan serotonin syndrome chhinchhiahna hriat reng tur a ni. Symptom eng emaw a lo lan chuan i hre thuai thei.
- Damdawi ei kha bansan nghal suh: Damdawi engmah ei kha bansan lo la, doctor nen inbia lovin a dose thlak danglam suh.
- Zawhna i neih chuan zawt rawh: Damdawi chungchanga zawhna emaw rinhlelhna emaw i neih chuan doctor zawt rawh.
Take-Home Thuchah a ni
- Serotonin syndrome hi taksaa chemical serotonin tam lutuk avanga nunna atana hlauhawm tak a ni.
- Hei hi a chhan ber chu damdawi thenkhat, antidepressant ang chi te inzawmkhawm emaw, a dose tihpun emaw vang a ni.
- A natna lan chhuah dan chu, rilru hah, khur, thawk hah lutuk, leh thinlung na chak lutuk te hi en reng ang che.
- Khawsik sang, seizure, hriatna hloh ang chi symptom na tak tak i neih chuan emergency-ah ngai la, damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- He hlauhawmna hi a tam zawkah chuan i doctor nen i damdawi leh supplement i ei zawng zawng chungchang dik taka i sawi dun chuan i pumpelh thei a ni.
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