Nangmah emaw i hriat mi emaw chu doctor-in depression ang chi natna atan damdawi a pe tawh em? Chutiang a nih chuan SNRI tih hming hi i hre tawh ngei ang. He hming i hriat hian zawhna tam tak i rilruah a lo lang hi thil pangngai tak a ni. "SNRI hi eng nge ni? Engtin nge an hnathawh tak tak? Side effect a awm em?" Hetiang zawhna hi i nei ve ngei ang. Lungngai suh, okay, chuti a nih chuan, vawiin hian heng zawng zawng hi awlsam tak leh friendly takin sawi ila.
I en hmasa ang u, heng SNRI te hi eng nge ni?
A awlsam zawngin sawi ila, SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors) hi damdawi chi khat a ni a, rilru lam hriselna lama harsatna awm thei, depression ang chi symptoms control nan an hmang thin. Mahse, doctor-te chuan he damdawi hi depression chauh ni lovin, natna dang tam takah an pe a ni.
Sri Lanka-ah chuan he category-a tel damdawi eng emaw zat chu doctor-te’n an pe ṭhin. Entirnan, damdawi Venlafaxine, Duloxetine, leh Desvenlafaxine te hi he category-ah hian an tel ve a ni. Mahse , i doctor chauhvin eng damdawi nge i tan a tha tih leh a dose chu eng nge ni tih a rel thei.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi hrethiam tur chuan kan thluak chungchang tlem kan hriat hmasak a ngai a ni. Kan thluak hian chemical messenger bik neurotransmitters , kan taksa peng hrang hrang inkara thuchah kengtu postman ang chi a nei a.
Among these , Serotonin leh Norepinephrine te hi thil pawimawh tam tak, kan rilru put hmang, kan mut dan, kan hriatrengna, leh kan ngaihtuahna te thununtu ber pahnih an ni.
Depression ang chi dinhmunah chuan heng tirhkohte hnathawh hi a tlahniam thin. Chu chu thuchah an thlen hnuah nerve cell-ah rang takin an insiam leh ta tihna a ni (hei hi reuptake an ti a ni). Tichuan thluaka an nghawng chu a tlahniam ta a ni.
SNRIs hian serotonin leh norepinephrine pahnih reuptake te chu a titawp a ni. Chumi awmzia chu heng messenger pahnih hi thluaka active takin an awm rei zawk tihna a ni. Chumi avang chuan kan mood a lo tha chho a, depression symptoms te pawh a tlahniam zauh zauh tan thin.
Chuti a nih chuan SSRI leh SNRI hi eng nge an danglamna?
SSRI chungchang hi i hre tawh mai thei. SSRI (Selective Serotonin Reuptake Inhibitors) hian neurotransmitter serotonin chauh a target a, SNRI hian serotonin leh norepinephrine pahnih a nghawng thung.
Hei hian SNRI te hi SSRI aiin "a tha zawk" tihna a ni lo. Mi thenkhat chuan SSRI hi a hlawk zawkin an hria a, thenkhat erawh chuan SNRI hi a hlawk zawkin an ngai thung. I doctor chuan i dinhmun, i natna lan chhuah dan leh i taksain a chhan dan a zirin eng nge i tana tha ber tih a rel ang.
SNRI damdawi hi eng natna atan nge hman?
Hetiang damdawi chi hi damdawi lam harsatna chi hrang hrang enkawlna atan hman a ni. Eng nge an nih i han thlir teh ang.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Major Depressive Disorder a ni a, a rilru a hah hle | Hun rei tak chhung lungngaihna leh ngaihven lohna, nitin hnathawhna tichhe thei. |
| Generalized Anxiety Disorder (GAD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Nitin thil chungchangah chhan bik nei lovin thunun theih loh lungkhamna neih. |
| Fibromyalgia natna a ni | Taksa pumpuiah natna rei tak, hahna, leh mut harsatna te. |
| Diabetic Neuropathy natna a ni | Diabetes vanga nerve chhiat avanga natna, inflammation leh numbness ang chi. |
| Musculoskeletal Natna rei tak awm thei | Hun rei tak chhung natna, hnungzang na ang chi. |
| Khawtlang nun lungkhamna (Social Anxiety Disorder) a ni | Khawtlang dinhmunah hlauhna leh lungkham lutuk. |
Chu bâkah, doctor thiltawn leh damdawi lam rorelna a zirin, he damdawi hi menopause-a zan lama thawk hah, migraine venna, leh lungkhamna dangte atân pawh hman theih a ni bawk.
Heng damdawi te hian eng side effect nge a neih tlangpui?
Damdawi dang ang bawkin SNRI hian mi thenkhatah side effect tenau te a nei thei a ni. Mahse, hengte hi hun eng emaw chen atan a ni tlangpui . Chung zinga a tam zawk chu i taksain damdawi a insiamrem avangin kar hmasa lamah a reh vek ang.
- Nausea leh luak chhuak
- Kawng a vawt
- Ek khal
- Chauhna leh mut theih lohna
- Luak chhuak thei
- Thaw hah lutuk
- Mipat hmeichhiatna lama harsatna (e.g., duhna tlahniam) .
A pawimawh ber chu heng side effects te hian a tibuai che a nih chuan ngaihthah suh la , doctor nen inbia ang che. I dose chu a siamrem thei a, damdawi dang a pe thei bawk.
Thil awmdan hlauhawm tak tak, ngaihven bik ngai
SNRI hi damdawi tha tak ni mahse, thil awm lo, mahse hlauhawm tak tak, kan hriat tur thenkhat a awm.
1. Mahni intihhlum tumna a tipung
Zirna hrang hrangah chuan mahni intihhlum duhna a pung thei tih hmuhchhuah a ni a, a bik takin thalai kum 25 hnuai lam te, he damdawi hi an ei tan tirh emaw, a hman dan tur an thlak emaw hian a pung thei a ni. He damdawi i ei lai hian nangmah emaw, i fain emaw chutiang ngaihtuahna i neih chuan i doctor rawn nghal vat hreh suh.
2. Serotonin Syndrome natna a ni
Hei hi thil awm lo tak a ni a, mahse nunna atana hlauhawm thei a ni. Taksa a serotonin level a san lutuk chuan a thleng thin. He risk hi SNRIs hi serotonin level tisang thei damdawi dang (MAOI ang chi) nena ei a nih chuan a sang hle. Chuvang chuan i damdawi ei zawng zawng, Vitamin thlengin i doctor hnenah hriattir a pawimawh hle.
| Serotonin Syndrome natna lan chhuah dan | |
|---|---|
| Thiltih dan tlangpui | Restlessness, nausea, diarrhea, dilated pupils, taksa ruh a nghing, thawk hah, leh khawsik. |
| Thil hlauhawm tak tak | Buaina, tachycardia, thisen sang, khawsik sang, seizures, hriat lohna. |
| Heng chhinchhiahna hlauhawm tak tak te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh! | |
3. Damdawi ei khap nghal
Kar 6 aia rei SNRI i ei loh chuan symptom nuam lo tak tak i nei thei. Hei hi Antidepressant Discontinuation Syndrome an ti a. Hei hi "ruihhlo ngawlvei" a ni lo. Hei hi taksain damdawi chu a tihtawp nghal a nih chuan a insiamrem tumna mai a ni. A lan chhuah dan chu khawsik ang maia taksa na, lu na, luak chhuak, luak chhuak, leh buzz sensation te a ni thei.
Chuvangin , engtikah mah, eng vang pawhin, i doctor rawn hmasa lovin he damdawi hi ei nghal vat suh. Damdawi ei kha i chawlhsan a ngai a nih chuan i doctor thupek angin ti la, zawi zawiin a ei tur chu tihhniam rawh.
Damdawi result hmuh nan eng chen nge a ngaih?
Hei hi mi tam takin an zawh thin a ni. SNRI damdawi hian a nghawng kimchang hriat theih nan kar 6 atanga kar 8 vel a ngai tlangpui . Kar hmasa pahnih atanga kar thum hnuah chuan hmasawnna engemaw zat i nei tan ang. Chuvang chuan dawhtheihna leh damdawi hman dik a pawimawh. Hemi hun hnua danglamna i hriat loh chuan i doctor nen inbia ang che.
Take-Home Thuchah a ni
- SNRIs hi damdawi chi khat, lungngaihna, lungkhamna, leh natna khirh tak tak te enkawlna atana hmanraw tangkai tak a ni.
- He damdawi hian thluaka chemical messengers serotonin leh norepinephrine an tih level a balance a, a thawk a ni.
- A tir lama side effects hi rei lo te chhung chauh a ni tlangpui a, mahse a buaithlak a nih chuan doctor hnenah hrilh ngei ang che.
- Doctor thurawn tel lo chuan he damdawi hi ei nghal mai ngai suh.
- Serotonin syndrome (khawsik sang, buai, seizures) natna lan chhuah dan hlauhawm tak takte chu hre reng ang che. Chutiang a nih chuan emergency room (ETU)-ah kal nghal tur a ni.
- I tana damdawi dik tak zawn nan hun engemaw chen a la ngai mai thei. Chuvangin dawhthei la, i doctor nen inbiak reng rawh. I doctor chuan tanpui turin a inpeih reng a ni.
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