I doctor chuan lungngaihna emaw, lungkhamna emaw damdawi a pe che em? Damdawi hming i hmuh chuan hlauthawng deuh i nei mai thei a, a ṭangkai tak tak ang em tih i ngaihtuah pawh a ni thei. Chutianga inhriat chu thil pangngai tak a ni. Vawiin hian damdawi chi khat SSRI tih kan sawi dawn a, chu chu Sri Lanka bakah khawvel hmun hrang hrangah pawh rilru lam natna, depression ang chi damdawi atana pek thin a ni. Hemi chungchang i hriat belh chuan i rilrua zawhna tam tak i neihte chu a chhang ang.
A awlsam zawngin, heng SSRI te hi engte nge ni?
SSRI tih hming hi Selective Serotonin Reuptake Inhibitors tihna a ni a . A hming hi thil lian tak angin a lang thei a, mahse a kalphung erawh a awlsam hle. Hengte hi depression enkawlna atana damdawi chi khat an ni. Depression tan chauh ni lovin, rilru lam hriselna lama harsatna dang engemaw zat, lungkhamna, panic disorder, leh OCD te tan pawh hman a ni. Antidepressant chi dang nena khaikhin chuan a him tawk lo nia ngaih an ni a, side effect an nei tlem zawk bawk .
Chuti a nih chuan he damdawi hian engtin nge kan rilru a nghawng? Kan thluak hi khawpui lian tak angin han ngaihtuah teh. He khawpuiah hian hmun khat atanga hmun danga thuchah kengtute an awm a. Kan thluaka heng messenger te hi neurotransmitter an ti a. Chutiang palai bik pakhat chu Serotonin hi a ni. Serotonin hian kan rilru put hmang, hlimna leh mutthilh ang chi thilte thunun theitu a ni.
Depression ang chi natna neiah chuan he "thuchah hlim tak" kengtu serotonin level hi thluaka a tlahniam thei a ni. Tichuan thluak cell inkara inbiakpawhna chu a thawk tha lo. SSRI damdawi hian a tih chu he serotonin messenger hian message a thawn zawh hnuah a lakluh leh hun tur a tikhawtlai a ni. Tichuan serotonin chu cell pahnih inkar gap ah hian rei zawk a awm thin . Chutah chuan messenger chu rei vak lo awm phalsak an nih ang mai a ni. Chumi avang chuan thluaka inbiakpawhna a \ha a, lungngaihna lanchhuahna chu zawi zawiin a tlahniam tan ta a ni.
SSRI damdawi hi eng dinhmunah nge hman a nih?
International agency, United States-a FDA te chuan SSRI damdawi hi natna hrang hrang tan an pawm a ni. Tin, a châng chuan doctor-te chuan damlo dinhmun a zirin pawm loh (off-label use) natna dang atan an pe thei bawk.
| Thil awm dan tlangpui (Approved Uses) . | Off-Label hmanga hman dan |
|---|---|
| Major Depressive Disorder a ni a, a rilru a hah hle | Taksa inthlak danglamna (Body Dysmorphic Disorder) a ni |
| Generalized Anxiety Disorder a ni a, a rilru a hah hle | Fibromyalgia natna a ni |
| Panic Disorder a ni | A hun hmaa ejaculation |
| Obsessive-Compulsive Disorder (OCD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a. | Binge Eating Disorder a awm thei |
| Khawtlang nun lungkhamna (Social Anxiety Disorder) a ni | Raynaud-a Phenomenon a ni |
| Posttraumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni. | Autism nena inzawm symptom thenkhat |
| Premenstrual dysphoric disorder (PMDD) a awm chuan a chhuak leh thin. | Menopausal Hot Flashes a awm thin |
SSRI hman tlanglawn ber berte chu engte nge ni?
Heng damdawi te hi Sri Lanka ramah hian tablet, capsule, liquid angin ei theih a ni. I doctor chuan heng zinga pakhat hi a rawn pe tawh mai thei.
- Citalopram tih hi a ni
- Escitalopram tih a ni
- Fluoxetine a awm bawk
- Fluvoxamine a ni
- Paroxetine tih hi a ni
- Sertraline hmanga siam a ni
Side effects chungchanga hriat tur awmte
SSRI ei zawng zawng hian side effect lian tak tak an nei vek dawn lo. Mahse damdawi dang ang bawkin hlauhawmna engemaw zat a awm. Chung zinga ṭhenkhat chu damdawi ei aṭanga kar hmasa berah a thleng a, a bo leh ṭhin.
A pawimawh ber chu i doctor nen i rilru hahna thar i neih apiang chu zalen taka inbiakna neih hi a ni.
Side effects awm tlangpui:
- Mut theih lohna emaw, mutthilh lutuk emaw
- Lu na
- Vun a hring chhuak
- Mit hmuh a fiah lo
- Kawng a vawt
- Restlessness emaw, buaina emaw
- Luak chhuak thei
- Joint emaw muscle emaw natna
- Pum natna, luak chhuak emaw, luak chhuak emaw
- Mipat hmeichhiatna lama duhna a tlahniam
- Erection lama harsatna emaw orgasm thlen harsatna emaw
- Weight loss emaw tihpun emaw
Heng side effect thenkhat hi ni khata damdawi i ei hun thlak danglam hian control theih a ni. Entirnan, i rilru a na a nih chuan damdawi chu chaw ei rualin ei la, mut i duh chuan mut hmain ei la, mut harsatna i neih chuan zing lamah ei thin ang che. Hemi chungchang hi i doctor nen sawiho la, thurawn la rawh.
Points ngaihven bik tur
1. Mahni intihhlum duhna: SSRI hman tan tirh lamah hian mahni intihhlum duhna (1-2% atanga 2-4%) a pung tlem hle a, a bik takin naupang leh thalai kum 25 hnuai lamte zingah Chuvangin, damdawi i ei tan dawna mahni intihhlum tumna i neih chuan chhungte leh i doctor hnenah hrilh nghal rawh . A nasat chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che .
2. Serotonin Syndrome: Hei hi a awm lo hle a , mahse a na thei hle. Taksa a serotonin level a san lutuk chuan a thleng thin. He hlauhawmna hi a bik takin serotonin tipung thei damdawi pahnih ei dun a nih chuan a sang hle. Heng symptoms te hi zawng rawh:
- Hahdam lohna leh buaina nasa tak
- Thaw hah lutuk leh khur nasa lutuk
- Nausea, luak chhuak, pum na
- Mitmeng - mitmeng tla , mitmeng lian zawk
- Muscle a rawn inher chhuak, a rawn inher chhuak
- Thisen sang, khawsik
- Thil hriatna hloh, convulsions
Heng symptoms pakhat emaw a aia tam emaw i neih chuan hun khawhral suh la, doctor hmu la, ETU-ah kal nghal rawh .
Naupai lai leh nau hnute pek laiin SSRI hman a ni
Naupai lai hian depression hi a awm fo thin. Depression enkawl loh chuan nu leh naute a nghawng thei a ni. Tin, SSRI damdawi ei hian naute tan hlauhawmna engemaw zat a thlen thei bawk.
Chuvangin, hei hi i doctor nen in inrem dun tur a ni a, a thatna leh tha lo zawng zawng uluk taka in sawiho hnuah.
Depression enkawl loh chuan nu-ah preeclampsia a tipung thei a, nausen rihna hniam leh nau piang hmaa nau neih theihna a tipung bawk. SSRI hmang hian nauteah hian hun eng emaw chen atana harsatna, thawk harsatna leh hahdam lohna te a awm theihna a tlem hle.
SSRI hi naupai laiin hman a him nia ngaih a ni tlangpui. Mahse, naute ṭhenkhat chuan hahdam lohna leh mut harsatna engemaw zat an nei thei a ni. Chuvangin, naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan, he thu hi i doctor nen inbia ngei ang che.
Damdawi hian eng chen nge hna a thawh theih?
Hei hi mi tam takin harsatna an neih chu a ni. SSRI hi i ei lai chauha hnathawk thei damdawi a ni lo va, natna tidamtu ang mai a ni.
Dawhtheihna hi a pawimawh hle. It can take 4-6 weeks, or even a few months , damdawi hman dan kimchang hriat theih nan.
Kar hmasa pahnih emaw kar thum emaw chhunga danglamna i hriat loh vang mai maia damdawi ei kha bansan suh. I doctor chuan dose hniam takah a tan tir ang che a, zawi zawiin a tipung ang. Kar 6-8 hnuah pawh hmasawnna a awm loh chuan damdawi dang hman dan tur emaw, a dose thlak dan tur emaw chungchangah doctor nen inbiakna neihpui theih a ni.
Engvangin nge SSRI damdawi ei kha tihtawp nghal mai hi a tha lo?
Heng damdawi te hi addiction a ni lo. Mahse, doctor thurawn tel lova damdawi ei khap nghal mai chu a hlauhawm hle. Chutianga tih chuan "discontinuation syndrome" tih natna a thlen thei. Chu chu damdawi i ei tawh loh huna lungawi lohna lo awm thin kha a ni.
- Luhai
- Luak chhuak thei
- A rilru hah lutuk
- Nunna nei lo taksa
- A khur leh thawk hah
Chuvangin damdawi i ei tawh loh chuan i doctor thupek angin i ei tur a ni a, zawi zawiin a ei tur chu tihhniam tur a ni.
Take-Home Thuchah a ni
- SSRI hi lungngaihna leh lungkhamna ang chi natna enkawlna tlanglawn leh tangkai tak a ni. Hei hi hlau suh.
- He damdawi hian i thluaka chemical serotonin awm chu a balance a, hna a thawk a ni.
- Damdawi a nghawng dan hmuh nan kar engemaw zat a la ngai thei a, chuvangin dawhthei takin awm rawh. Damdawi chu i doctor-in a hrilh ang chiah chiahin ei la, ni khat pawh tlai lo.
- Side effects a awm thei a, mahse a tam zawk chu rei lo te chhung chauh a ni. I doctor nen harsatna i neih chuan sawipui rawh.
- Doctor thurawn tel lo chuan eng thil vang pawha damdawi ei kha bansan nghal suh.
- Damdawi dang, vitamin, Ayurvedic herbs i ei tur awm apiang chu doctor hnenah hriattir a pawimawh hle.
- SSRI i ei lai hian zu leh ruihhlo dang ei loh tur a ni a, depression symptoms a tizual thei a ni.











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