Spravato (Esketamine) - Damdawi hmanga tihdam loh lungngaihna damdawi thar!

Depression hi lungngaihna chauh a ni lo va, damdawi lam harsatna a ni a, enkawl ngai a ni. A chang chuan antidepressant damdawi chi hrang hrang an hman hnuah pawh mi thenkhat depression chu a reh lo. Hetiang dinhmun hi treatment-resistant depression kan ti a. Vawiin hian hetiang mite leh lungngaihna nasa tak tuar te, mahni intihhlum tumna neia tanpui thei tur, tunlai enkawlna hmanraw kan sawi dawn a ni.

Spravato chu eng nge ni? Engtin nge a thawh?

Spravato hi hnar atanga spray a ni a , damdawi esketamine a awm a . Kum 2019-a US FDA-in a pawmpui enkawlna a ni.

Ketamine tih hming hi i lo hre tawh ngei ang. Ketamine hi damdawi inah natna tidamtu leh anesthetic atan thisen kal tlanga (IV) pek thin a ni. Veterinary clinic-ah pawh hman a ni. Mi thenkhatin high an neih theih nan leh hallucination an tawn theih nan an hman dik loh avangin a hming hi i hre tawh mai thei.

Spravato hi ketamine chi khat bik a ni. A awlsam zawngin, he damdawi hian kan thluaka receptor N-methyl D-aspartate (NMDA) receptors -ah hna a thawk a ni. Hei hmang hian kan mood-a chemical awmte a thlak danglam a, depression symptoms a tihziaawm thei a ni.

Engtin nge he damdawi hian a thawh hlawkzia i hriat?

Spravato hi a him leh him loh enfiah nan clinical study pali neih a ni tawh bawk. Heng zirchiannaah hian puitling kum 18 leh 64 inkar te an tel a ni.

Depression nasat dan leh symptoms a that dan tehna atan special scoring system an hmang a ni. Montgomery-Asberg Depression Rating Scale (MADRS) tih a ni. Zawhna 10 awmna a ni. Mood, sualna, mut dan, leh mahni intihhlum duhna ang chi thilte a zawt a ni. Score hi 0 atanga 60 inkar a ni a, score sang zawk chuan depression na zawk a lantir a ni . Enkawl zawhah MADRS score negative a tam poh leh score a hniam zawk a, hei hian symptoms a ti tha zawk tih a tilang.

Heng zirchiannate hian eng nge a rah chhuah?

Heng results te hian Spravato hmangtute hian depressive symptoms an nei tlem hle tih a tarlang. He zirchiannaah hian Spravato hmang chhunzawm zelte chu an natna lan chhuah dan a tlai deuh tih hmuhchhuah a ni bawk.

Hemi chungchanga thil danglam bik chu Spravato hian a hman atanga darkar 24 chhungin symptoms a tlahniam nasa hle tih hi a ni . Antidepressant pangngai hian result a lan theih nan kar engemaw zat a hmang thin. Chuvangin hei hi emergency-ah chuan a pawimawh hle thei a ni.

Spravato hian damdawi dang nen a inzawm thei em?

Ni e, Spravato i ei hian damdawi dang lakah fimkhur a ngai a ni.

• Thisen sang damdawi: Spravato hian rei lo te chhungin thisen sang a tisang thei. Hetiang hlauhawmna hi antidepressant chi dang, monoamine oxidase inhibitor (MAOI) , emaw, ngaihtuahna lama harsatna nei tura stimulant emaw i ei a nih chuan a sang hle. Chuvangin heng damdawi te hi i ei a nih chuan i thisen sang enfiah fo tur a ni.
• Mut hahna leh luak chhuak thei damdawi: Spravato hian mutthilh leh luak chhuak thei a ni. Heng side effects te hi central nervous system tichhe thei damdawi, benzodiazepines (e.g., alprazolam, clonazepam), opioids (painkillers), leh zu te i hman chuan a na zual thei a ni

Engtin nge Spravato enkawlna ka hmuh theih ang?

Hei hi damdawi dawr atanga lei a, in lama i hman theih tur damdawi a ni lo .

Spravato hian a side effects leh hman dik loh a hlauhawm avangin he enkawlna hi certified treatment center-ah chauh pek theih a ni . Heng centre te hi Spravato REMS (Risk Evaluation and Mitigation Strategy) tih hming pu programme bik hnuaiah registered an ni tur a ni.

1. Doctor nen inbia: Hetiang enkawlna hi i ngaihven a nih chuan i chhungte doctor emaw, rilru lam doctor emaw nen inbia ang che.

2. Referral: I doctor-in Spravato hi i tan a tha nia a hriat chuan certified treatment center-ah a refer ang che.

3. Consultation: Chumi hnuah chuan treatment centre-ah consultation pek i ni ang. Chutah chuan doctor-te pawhin i dinhmun an enfiah ang a, hei hi i tan a tha em tih an rel leh ang.

4. Enkawl tan: Engkim a tha a nih chuan i tlawh vawi hnihnaah enkawl tan theih a ni.

Engtin nge Spravato hi i hman thin?

Hei hi kar khatah vawi khat emaw vawi hnih emaw, certified center-ah, medical staff-te enkawlna hnuaiah lak thin a ni .

• Dosage leh hman dan: I doctor chuan i mamawh zat a rel ang. Nasal spray hman dan tur an zirtir bawk ang che.
• Chaw leh tui: Damdawi hian rilru hahna leh luak chhuak a thlen theih avangin enkawl hma darkar 2 ei loh leh minute 30 hmaa tui in loh a tha
• Enfiahna hun chhung: 1.1.Spravato i ei hnuah darkar 2 tal i doctor-in a enkawl ang che, i thisen sang inthlak danglamna leh side effect dangte a awm leh awm loh a enfiah ang.
• Driving: He damdawi hian enkawl ni-a i ngaihtuahna leh thutlukna siam theihna a nghawng thei a ni. Chuvangin, enkawlna hmun atanga in lama hruai haw turin mi pakhatin ruahmanna i siam tur a ni . Zan lama i mut that hnua a tuk zingah lirthei khalh emaw, ngaihtuahna seng ngai hna dang emaw tih a tha ber.

A side effects te chu engte nge ni a, engtin nge kan pumpelh theih ang?

Spravato hian side effect na tak a nei thei a, chuvang chuan doctor enkawlna hnuaiah chauh pek a ni.

• Mutthilh leh ngaihtuahna buai: Mutthilh lutuk, luak chhuak, muthilh leh inthenna a awm thei.
• Thâwk harsa: Thâwk hi a slow emaw, a thuk lo emaw thei. Hei hi thawk lama harsatna dang i neih emaw, thawk tikhawtlai thei damdawi dang i ei emaw a nih chuan a dik hle.
• Thisen sang sang: Damdawi ei atanga darkar 4 vel chhung chu rei lo te chhungin thisen sang a sang thei. I rilru na, thawk harsa, lu na nasa tak, mit a danglam, emaw, i rilru a buai a nih chuan i doctor hnenah hrilh nghal rawh .
• Mahni intihhlum duhna a pung: Antidepressant thenkhat ang bawkin, mi thenkhatin Spravato an ei tirh lai khan mahni intihhlum duhna emaw, thiltih emaw an tipung thei tih hlauhawmna tlemte a awm. I nungchang emaw ngaihtuahnaah inthlak danglamna thar emaw, na tak emaw i neih chuan i doctor hnenah hrilh nghal rawh .

Emergency a nih chuan Suwa Saryya Ambulance Service 1990 ah call la, mental health helpline 1926 ah call la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal rawh .