SSRI an tih damdawi te hi i hria em? Hemi chungchang hi awlsam takin han sawi ila! (Serotonin Reuptake Inhibitors thlan bik - SSRIs) te hi a tha hle.

I hlim lo va, i lungngai mai a, i hlim ṭhin thilte chu i ngaihven tawh lo em ni? A nih loh leh, thil tenawm ber pawh ngaihtuah chhuak thei leh a ṭul lo taka hlauhthawn tirtu lungkhamna ang chi dinhmun i nei em? Hetiang rilru lam harsatna chi hrang hrang hi tunlai khawtlang nunah hian a hluar hle. Chutiang dinhmuna Doctor i pan chuan SSRI tih damdawi a rawn pe che a rinawm. Chuvangin vawiinah hian heng SSRI te hi eng nge an nih, engtin nge an thawh tih leh an chungchang hriat tur zawng zawng chu awlsam takin i sawi dawn nia.

A awlsam zawngin, heng SSRI te hi engte nge ni?

SSRI hi antidepressant class hman tlanglawn tak a ni a . A hming kimchang chu Selective Serotonin Reuptake Inhibitors tih a ni. A hming hi a buaithlak deuh niin a lang a, mahse an hnathawh dan erawh a awlsam hle. Heng damdawi te hian kan thluaka chemical pakhat ‘Serotonin’ an tih hnathawh hi a control ber a ni. He serotonin hi chemical messenger pawimawh tak a ni a, kan rilruah thil tam tak a nghawng a, chu chu hlimna, lungngaihna, mut leh ei duhna te hi a ni.

Antidepressant chi hrang hrang market-ah awm mahse, doctor-te chuan SSRI hi an thlang hmasa ber thin. A chhan ber chu damdawi chi dang aiin side effect an nei tlem zawk a, an nasat loh vang a ni. Chuvangin mi tam zawkin him takin an hmang thei a ni.

He damdawi hian taksa chhungah engtin nge hna a thawh?

Hei hi hrethiam tur chuan entirnan tlem han la ila. Kan thluak hi khawpui lian tak niin han ngaihtuah teh. He khawpuiah hian hmun khat atanga hmun danga thuchah phur turin palai sang tam tak an awm a. ‘Serotonin’ hi chutiang palai pawimawh tak pakhat chu a ni. Damdawi lamah chuan chutiang tirhkohte chu ‘neurotransmitters’ kan ti thin.

Hei hi a thleng tlangpui a ni: Serotonin hi thluak cell pakhat (neuron) atanga chhuakin a bul hnaia cell dang hnenah thuchah a thawn a ni. Message a thawn hnuah a tichhuaktu cell vek chuan a la lut leh a, he process hi ‘reuptake’ kan ti a ni. Mailman chuan lehkha a rawn thawn hnua post office-a a kir leh ang mai a ni.

Depression leh lungkhamna ang chi natna nei thenkhat chuan an thluaka serotonin level a tlahniam deuh thei a, chu chuan thuchah a thlen tha lo thei a ni.

SSRI hian chu reuptake chu rei lo te chhung atan a block thin. Hei hian serotonin chu cell inkarah rei zawk a awm thei a, a thuchah pawh dik zawkin a thlen thei bawk. Chutiang chuan thluaka serotonin activity a san chuan i mood chu a lo tha chho zauh zauh thin.

Serotonin hian kan taksaa heng thilte hi a thunun thei a ni:

• Mood: Hlimna, lungngaihna ang chi hriatna.
• Mut: Zan mut nuam tak neih theih nan.
• Chaw ei duhna: riltam tih hriatna.
• Hriatrengna: Thil hriat reng nan.
• Libido: Mipat hmeichhiatna hman duhna.
• Khawtlang nunphung: Midang nena inpawh tawnna.

SSRI hi eng condition atan nge hman a nih?

SSRI hi lungngaihna damdawi anga hriat ber ni mah se, doctor-te chuan rilru leh taksa lama harsatna dang engemaw zat atan pawh an pe bawk.

Tin, doctor thil tawn leh damdawi lam thil finfiahna a\angin heng damdawi te hi damdawi lam thil dang atan pawh pek theih a ni bawk. Entirnan, a hun hmaa chhuak, natna khirh tak tak, fibromyalgia, leh ei leh in lama harsatna thenkhat tan te an hmang thin.

Side effect a awm em? Mi zawng zawngah a thleng vek em?

Damdawi dang ang bawkin SSRI hian mi thenkhatah side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo tih hre reng ang che. Heng side effect tam zawk hi damdawi ei atanga kar hmasa berah a awm thin. A tam zawk chu i taksain damdawi a insiamrem avangin anmahni chauhin an bo vek thin.

Risk bik hriat tur a awm

SSRI hi a tlangpuiin damdawi him tak ni mah se, hlauhawmna lian tak tak a awm a, chu chu a thleng tlem hle a, mahse hriat tlak tak a ni ngei ang

Antidepressant damdawi tihtawp (discontinuation Syndrome) a awm

Kar 6 aia rei SSRI i ei loh chuan side effect engemaw zat i nei thei a ni. Entîr nân, luak chhuak , taksa na, luak chhuak, leh lungkhamna nasa tak. Chutiang laka invenna tha ber chu thla engemaw zat chhung, doctor kaihhruaina hnuaiah zawi zawiin a dose tihhniam hi a ni.

Serotonin Syndrome natna a ni

Hei hi natna awm lo mahse na tak a ni. Taksa a serotonin level a san lutuk chuan a thleng thin. He hlauhawmna hi SSRI hi serotonin level tichhe thei damdawi dang (e.g., khuh damdawi thenkhat, migraine damdawi) nen i ei chuan a sang thei hle.

Heng chhinchhiahnate hi ngun takin ngaihven rawh:

• Restlessness, buaina
• Lung na tak tak
• Khawsik ka nei a.
• Muscle stiffness emaw twitching emaw a awm thei
• Thaw hah lutuk

Mahni intihhlum duhna ngaihtuahna

Hei pawh hi a pawimawh hle. A bik takin SSRIs hman tan atanga kar hmasa lamah chuan kum 25 hnuai lam zingah mahni intihhlum duhna a pun theihna chance tlem a awm fo thin a, nangmah emaw i chhungte zingah emaw hetiang ngaihtuahna hi i neih chuan i doctor hnenah hrilh nghal rawh. Hei hi hun eng emaw chen atan a ni thei a, i doctor chuan i mamawh tanpuina i hmuh theih nan a pui thei che a ni.

He damdawi nena inmil lo damdawi dang

SSRI i ei a nih chuan i damdawi ei tur dang zawng zawng chu doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat chuan SSRI te nen an inzawm thei a, side effect a tipung thei a, damdawi thatna a tibuai thei bawk.

A bik takin heng damdawi te hi fimkhur rawh:

• Thisen zam venna damdawi: aspirin leh clopidogrel ang chi.
• Natna tidamtu: NSAID te hi ibuprofen leh diclofenac te an ni.
• Migraine natna atana hman tur damdawi thenkhat: Triptans.
• Antidepressant dangte pawh a awm bawk.
• Khuh damdawi thenkhat: Entirnan, dextromethorphan awmna syrup.
• Herbal thil siam: A bik takin thinghnah St. John’s Wort.

Naupai lai leh zu in ruala hengte hi hman a pawi em?

Naupai lai

Hei hi thupui sensitive tak a ni. SSRI ei lai emaw, naupai laia damdawi ei emaw chungchangah hian ngaihdan hrang hrang a awm. Zirna thenkhatah chuan nu pum chhunga naute chungah nghawng engemaw zat an nei thei tih an hmuchhuak. Mahse, naupai laia nu lungngaihna thunun loh chu nu leh naute tan pawh a hlauhawm thei hle. Chuvangin naupai emaw, nau pai tum emaw i nih chuan hemi chungchang hi i doctor nen zalen taka sawipui a pawimawh. I dinhmun azirin a hlawkna leh hlauhawmna chu a teh ang a, i tâna thu tlûkna ṭha ber siam tûrin a ṭanpui ang che.

Zu

SSRI ei lai hian zu in loh vek a tha. Zu hian depressant a ni bawk a, chu chuan i lungngaihna emaw, lungkhamna emaw a tizual thei a ni. Damdawi hman thatna a tibuai thei bawk a, mutthilh leh luak chhuak thei i ni .

Damdawi result hmuh nan eng chen nge a ngaih?

Hei hi mi tam tak tan pawh harsatna a ni. SSRI hi natna tidamtu ang maia hnathawk nghal thei damdawi a ni lo. Thluak chemical composition an nghawng a, result nghet tak siam turin hun engemaw chen an hmang thin.

A tlangpuiin, i doctor-in a pek zat i ei tan atanga kar 4 atanga kar 6 chhungin hmasawnna engemaw zat i nei tan ang. Mi thenkhat tan chuan hei hi kar 9 emaw kar 12 emaw vel a ni thei. Chuvangin, kar hmasa lamah danglamna a awm lo nia i hriat avangin damdawi ei kha bansan suh. Dawhthei la, damdawi chu hmang chhunzawm rawh. Thla hnih atanga thla thum hnuah pawh hmasawnna i nei lo a nih chuan i doctor nen inbia ang che.

Depression emaw, lungkhamna emaw damdawi ei hi mimal chak lohna a ni ngai lo. Zunthlum emaw thisen sang emaw damdawi ei ang maia thil pangngai a ni. Heng damdawi te hian i rilru leh taksa hriselnaah danglamna nasa tak a thlen thei a ni. I nun pangngaia i awm leh theih nan boost ropui tak an ni thei.