I doctor-in i fain ADHD ( Attention Deficit Hyperactivity Disorder) a vei tih a hrilh che chuan, nang, nu leh pa angin, zawhna leh ngaihtuahnain a khat tlat mai thei. I fa damdawi pek tur leh a nghawng tha lo tur chungchangah ngaihdan hrang hrang i nei thei. A tlangpuiin ADHD tan chuan stimulant damdawi hi duhthlanna hmasa ber a ni. Mahse heng damdawi te hian naupang zawng zawng tan hna a thawk lo. Nu leh pa thenkhat pawhin heng damdawi te hi an fate pek an hlau hle bawk. Chuvangin, non-stimulant option i ngaihtuah a nih chuan i doctor chuan damdawi chi khat SNRI an tih chu a rawn rawt thei ang. Vawiin hian heng SNRI te hi eng nge an nih a, engtin nge an hnathawh tih hi han sawi ila.
SNRI te hi eng nge ni?
A awlsam zawngin sawi ila, SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) hi depression enkawlna atana hman thin damdawi chi khat a ni. Kan thluaka chemical messenger pahnih level tihsanin hna an thawk a ni. Heng thuchahte hi neurotransmitter kan ti a. Heng chemical pahnih hi serotonin leh norepinephrine te an ni.
He damdawi hi ADHD enkawlna atan FDA (Food and Drug Administration) chuan official-in a pawm lo. Mahse, doctor-te chuan damlo tan a remchang ber leh \angkai ber nia an hriat chuan he damdawi hi ‘off-label’, approved condition ni lo condition dang tan an pe thei a ni. Hei hi Sri Lanka leh khawvel hmun hrang hranga doctor-te zingah chuan tih dan tlanglawn tak a ni.
He SNRI chi thar hi a him zawka ngaih a ni a, a hmaa hman thin tricyclic antidepressants (TCAs) aiin side effect a nei tlem zawk bawk .
ADHD nei naupangte tana SNRI test tawh chi hnih a awm a, chungte chu:
1. Duloxetine: Hei hi puitlingte lungngaihna leh lungkhamna enkawlna atana pawm a ni. Tin, he damdawi hi naupang kum 7 chunglam lungkhamna leh natna khirh tak fibromyalgia enkawlna atan pawh hman a ni.
2. Venlafaxine: Hei hi puitlingte lungngaihna leh lungkhamna enkawlna atana pawm a ni. Naupang kum 18 hnuai lam emaw ADHD tan emaw official-a pawm ni lo mah se, doctor-te chuan ‘off-label’-in an pe ṭhin.
Engtin nge SNRIs hian ADHD hi a puih?
Kan thluaka nerve cell te hi an inbia niin han ngaihtuah teh. He inbiakna, chu chu thuchah inthlengna atana puitu chu a hmaa kan sawi tawh neurotransmitters te hi an ni. Doctor-te chuan ADHD nei naupangte hian messenger dopamine leh norepinephrine te processing-ah harsatna engemaw zat an nei niin an ngai. Research thenkhatah chuan serotonin pawh a inrawlh tih hmuhchhuah a ni.
Stimulant damdawi hian thluaka dopamine level a tisang a. SNRI damdawi hian serotonin leh norepinephrine level a tisang a. Heng chemicals te hi an tihpun chuan thluaka nerve cells inkara inbiakpawhna emaw, thuchah inthlak danglamna emaw chu a hlawhtling zawk a ni.
He inbiakpawhna hian naupang ngaihtuahna hun a titha thei a , impulse control a ti tha thei a, hyperactivity leh aggressive behavior a ti tlem thei bawk. Naupang chu thu awih leh lungkham lo zawk ni turin a pui thei bawk.
He damdawi hman huna hriat tur thilte
I fa doctor-in SNRI a pek chuan, a dose hniam tak aṭangin an ṭan fo ang . Tichuan, kar tlemte chhungin naupangin an tana tha ber tur a hmuh hma loh chuan dose chu an tipung zauh zauh ang. He damdawi hian a nghawng kimchang hmuh theih nan kar 2 atanga kar 4 vel a ngai thei. Chuvangin, hlauthawng suh la, "Hei hi ka la ei tan lo." Dawhtheih a pawimawh.
Heng damdawi te hi pill emaw capsule emaw angin a awm thin. I fain pill a ei harsat chuan damdawi thenkhat chu chil chhak a, applesauce ang chi thila pawlh theih a ni. Hemi chungchang hi i doctor nen sawiho rawh.
He damdawi ei hian side effect a neih theih dan leh i ei loh thut chuan a symptoms awm thei te hriat a pawimawh hle.
| Side Effect awm tlangpui | Withdrawal Symptoms a awm thei |
|---|---|
| |
| A pawimawh ber: Heng side effects emaw, i fate nungchang inthlak danglamna emaw chu i doctor hnenah hrilh nghal rawh. I doctor rawn hmasa lovin a dose thlak ngai suh la, damdawi ei kha titawp nghal suh. | |
ADHD tan hian SNRI hi engtiang chiahin nge a tangkai?
Hei hi rinawm taka kan sawi a ngai a ni. ADHD damdawi tiharhtu damdawi chungchangah hian kum sawm tam tak chhung zirchianna a awm tawh a, a hmangtu zinga 70% leh 90% inkar chuan an natna lan chhuah danah hmasawnna nasa tak an nei a ni.
Mahse, ADHD tana SNRI hman tangkai dan zirchianna erawh a tlem hle. Venlafaxine damdawi chungchanga zirchianna tenau tlemteah chuan naupang tel zinga hmun thuma ṭhena hmun khat leh hmun thuma ṭhena hmun hnih inkar chuan natna lan chhuahna (a bik takin hyperactivity leh ngaihsak lohna)-ah hmasawnna engemaw zat an nei a ni. Mahse, mi tam tak chuan side effect a neih avangin zirchianna an chawlhsan ta a ni. Duloxetine chungchanga zirchianna pakhatah pawh hmasawnna engemaw zat a awm bawk. Chuvangin, hengte hi stimulant angin an thawk tha tih kan la sawi thei lo.
SNRIs natna hlauhawm ber chu eng nge ni?
Hei hi nu leh pa i ngaih pawimawh ber tur a ni .
Heng damdawi te hian risk warning bik, pawi tak tak , ‘black box’ warning an tih chu an nei a. Chumi awmzia chu, antidepressant zawng zawng ang bawkin, heng damdawi te hian naupang leh thalai te zingah mahni intihhlum duhna emaw thiltih emaw a tipung thei a, a bik takin damdawi an ei tan tirh hian
He thu i hriat hian i hlauthawng hle mai thei. Mahse chu chu i fa hnenah he damdawi hi i pe tur a ni lo tihna erawh a ni lo. Mahse fimkhur leh fimkhur hle a ngai tihna a ni . I fate nungchang leh rilru put hmang inthlak danglamna hi ngun taka i ngaihven a ngai a ni.
I fate chu:
- Depression symptoms i lantir a nih chuan, .
- Mahni inhriatthiam lohna i sawi a nih chuan, .
- Thihna chungchang kan sawi chuan, .
- I nungchang danglam tak, rang taka inthlak danglamna i lantir a nih chuan, .
I doctor call nghal la, tihkhawtlai lovin. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah hruai rawh. He risk hi ngaihthah suh.
Take-Home Thuchah a ni
- SNRIs hi ADHD tan stimulant damdawi ai chuan a danglamna a ni. A nihna takah chuan lungngaihna damdawi chi khat an ni a, ADHD tan chuan ‘off-label’-in an hmang thin.
- Heng damdawi te hian a nghawng kimchang hmuh theih nan kar engemaw zat a ngai thei a, chuvangin dawhtheih a pawimawh hle.
- I damdawi ei tur zat hi thlak ngai suh la, i doctor thurawn tel lo chuan i ei nghal mai ngai lo. Chutianga tih chuan side effect a nei thei.
- A hlauhawm ber chu damdawi ei tirh lamah mahni intihhlum tumna a awm thei hi a ni. I fate nungchangah fimkhur hle ang che.
- I fain zawhna, ngaihtuahna, a nih loh leh a nghawng ṭha lo a neih apiang chu i doctor nên zalen takin sawi rawh. Nang leh i doctor inkara inbiakpawhna tha tak chu i fa damna atan a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh