Nangmah emaw, i hriat mi emaw chu bipolar disorder vei enkawl mek i ni em? Chutiang a nih chuan a damdawi chi hrang hrang an pek te hriat a pawimawh. A chhan chu damdawi thenkhat chu he natna atan hian a tha lo hle a, thenkhat chu fimkhur hle tur a ni. Vawiin hian chutiang pakhat, a upa deuh deuh, mahse natna hrang hrang atana hman lar, class of medications tricyclic antidepressants tih kan sawi dawn a ni.
A hmasain, heng tricyclic antidepressant (TCA) te hi eng nge ni?
A awlsam zawngin, hengte hi damdawi chi khat, lungngaihna enkawlna atana hman thin aiin a upa deuh deuh a ni. Kan thluaka chemical chi hrang hrang, nerve (neurotransmitters) inkara thuchah thawn chhuaktu a awm a. Heng damdawi te hian an tih tur chu heng chemical pahnih serotonin leh norepinephrine te hnathawh a tipung a ni . Scientist-te chuan heng chemical pahnih hi kan rilru put hmang thununtu thluak circuit-te tan a pawimawh hle niin an ngai.
Mahse, heng damdawi te hian damdawi thar aiin side effect a nei tam zawk. Tin, tunah hian heng damdawi te hi doctor-te chuan depression tih loh natna dang atan an pe chhuak mek bawk. Entir nan:
- Neuropathic Pain natna a ni
- Migraines ven nan
- Mu thei lo
- Intestinal complication thenkhat ( Irritable Bowel Syndrome ) .
He damdawi chi hrang hranga tel damdawi dang engemaw zat chu a hnuaia table-ah hian tarlan a ni.
| Damdawi chi hming | Brand hming hman tlanglawn tak tak |
|---|---|
| amitriptyline hmanga siam a ni | Elavil chuan |
| imipramine tih a ni | Tofranil a ni |
| nortriptyline a ni | Pamelor a ni |
| desipramine tih a ni | Norpramin emaw Pertofrane emaw a ni |
Engvangin nge he damdawi hi bipolar disorder nei tan i pek dawnin fimkhur hle a ngai?
He thuziak hi a pawimawh ber a ni. Bipolar disorder hi mood swings dinhmun a ni a, chutah chuan lungngaihna nasa tak i nei a, thil danglam tak tak, thil tih leh phurna sang tak i neih laiin, mania an ti a ni.
Heng tricyclic (TCA) damdawi te hi depression enkawlna atan an hmang thin. Chuvangin bipolar patient pakhat chu a depressive state atan heng damdawi te chauh hi pek a nih chuan an mood chu extreme dang, chu chu mania-ah a inthlak theihna chance a sang hle. Tin, rapid cycling an tih, depressive leh manic state inkara an inthlak leh inthlakna hmun pawh a awm thei bawk.
Bipolar disorder nei mi pakhat chu depression damdawi ang chi ei tan chauh niin han ngaihtuah teh. Ni engemaw zat chhunga mut zawng zawng an hloh nghal vek a, an tawng nasa lutuk a, sum an hmang nasa lutuk a, thil mak tak tak an ti a, an hlim danglam lutuk a nih chuan chu chu manic episode a ni thei. Hei hi damdawiin nghawng a neih vang a ni.
Chuti a nih chuan hei hi eng nge a chinfel dan?
Hetiang hlauhawmna tihziaawm nan hian doctor-te chuan bipolar vei tan, a bik takin bipolar I vei tan chuan hetiang antidepressant nen hian mood stabilizer hman ve ve an rawt a ni.
Mithiamte chuan heng tricyclic damdawi te hi bipolar damlote tan chauh pek tur a ni lo, mood stabilizer, lithium emaw divalproex emaw nei lo tan chuan pek loh tur a ni.
Risk dang leh ngaihtuah tur thil dang
Mania thlen theihna bakah hian heng damdawi chungchangah hian kan hriat tur dang engemaw zat a awm bawk.
1. Lung natna hlauhawmna: He damdawi hian mi thenkhatah lungphu harsatna a thlen thei a, a tizual thei bawk. Lung lam natna i neih chuan he thil hi i doctor hnenah i hrilh ngei ang.
2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Overdose hi a hlauhawm hle: Hei hi heng damdawi te hlauhawm ber a ni. Damdawi thar zawk nena khaikhin chuan tricyclic (TCA) damdawi overdose tlemte pawh hi nunna atana hlauhawm tak a ni thei. Chuvangin heng damdawi te hi i hmang a nih chuan eng thil vang pawh nise doctor-in a pek aia tam ei loh tur a ni. Tin, hengte hi in chhunga naupang te te lakah hla takah dah la, hmun him takah dah bawk ang che. Miin he damdawi hi a ei tam lutuk nia i rinhlelh chuan damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai nghal rawh . A tul chuan Colombo National Hospital-a National Poison Information Center-ah pawh thurawn dil theih a ni.
3. Side effects tam zawk: Hengte hian damdawi thar aiin side effects, mutthilh, hmui vawt, mit fim lo, chaw ei kham, leh zun harsatna te a thlen tam zawk.
Heng avang hian doctor-te chuan bipolar vei enkawlnaah heng damdawi te hi an pe tlem hle a, fimkhur takin an pe thin.
Take-Home Thuchah a ni
- Tricyclic antidepressants (TCAs) hi damdawi chi hlui, lungngaihna enkawlna atana hman thin a ni. Tunah chuan natna dang enkawlna atan pawh an hmang tawh bawk.
- He damdawi chauh hi bipolar damlote hnena pek hian natna chu a tawp ber, mania-a a kal theihna chu nasa takin a tipung a ni.
- Chuvangin he damdawi chi hi pek a nih chuan a ruala mood stabilizer ei a pawimawh hle.
- Heng damdawi ei tam lutuk hi a hlauhawm hle a, chuvangin damdawi lam thurawn zawm a, i damdawi ei tur hi him taka vawn reng a pawimawh.
- I doctor thurawn tel lovin damdawi eng pawh hi tan ngai suh, titawp ngai suh, tidanglam ngai suh. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
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