Nangmah emaw, i hriat miin emaw lungngaihna a neih chuan i doctor-in damdawi chi hrang hrang a rawn pe che a ni mai thei. Tunlai hian damdawi thar hman tam viau mah se, a chang chuan damdawi hlui zawk, mahse pawimawh tak tak hman a ngai thin. Mi thenkhat chuan heng atang hian result an hmu thin. Vawiin hian chutiang damdawi chi khat, hlui deuh, mahse hman loh theih loh, tricyclic leh tetracyclic antidepressant te chu kan sawi dawn a ni.
Heng tricyclic leh tetracyclic antidepressant te hi engte nge ni?
A awlsam zawngin, hengte hi depression enkawlna atana damdawi hmuhchhuah hmasak ber thenkhat an ni. Kum 1950 chho atang khan an hmang tan tawh a ni. Heng hming pahnih danglamna chu an chemical structure a ni. Tricyclics hian an chemical structure-ah ring pathum (tri = pathum) an nei a, tetracyclics erawh chuan ring pali (tetra = pali) an nei thung. Mahse an pahnih hian taksaah hna inang an nei ve ve a.
Tunlai hian heng damdawi te hi Doctor ten an recommend vak lo. Hei hi a chhan chu SSRI (Selective Serotonin Reuptake Inhibitors) ang chi damdawi thar zawk, side effect tlem zawk nei an lo chhuak tawh a ni. Mahse, damdawi thar pakhat aia tam i ei tawh a, a hlawhtling lo tih han ngaihtuah teh. Chutiang a nih chuan, i doctor chuan heng damdawi hlui zawk pakhat hi a enchhin mai thei che a ni.
Engtin nge heng damdawi te hian thluak a nghawng?
Kan thluak ah hian chemical bik a awm a, chu chuan mood a control a ni. Hengte hi neurotransmitter kan ti a. Serotonin leh norepinephrine te hi neurotransmitter lian ber pahnih an ni. Hengte hi depression nei mi thluak-ah hian a hniam thei hle.
Tricyclic antidepressants (TCA) hian thluaka serotonin leh norepinephrine level tihsanin hna a thawk a. Mahse, heng damdawi te hian neurotransmitter dang pawh a nghawng avangin SSRI ang damdawi thar zawk aiin side effect an nei sang zawk a ni. Tin, overdose hi a hlauhawm hle bawk.
| Tricyclic antidepressant (TCA) hman tlanglawn tak takte chu . |
|---|
| Amitriptyline hmanga siam a ni |
| Amoxapine a ni |
| Clomipramine a ni |
| Desipramine a ni |
| Doxepin a ni |
| Imipramine a ni |
| Nortriptyline hmanga siam a ni |
| Protriptyline a ni |
| Trimipramine hmanga siam a ni |
He damdawi hian eng side effect nge a neih?
Kan sawi tawh ang khan heng damdawi te hian side effect tam tak a nei a. Chuvang chuan mi tam takin an hmang duh lo. Mahse heng side effects zawng zawng hi mi zawng zawng hian kan nei vek lo.
A pawimawh ber chu i doctor nen side effect i neih apiang sawipui hi a ni. Damdawi ei kha bansan nghal suh.
Side effects awm fo thin thenkhat chu hetiang hi a ni:
- Mutthilh theih lohna
- Mit hmuh a fiah lo
- Ek khal
- Kawng a vawt
- Ding atanga i ding nghal vanga thisen sang tlahniam (hei hian i lu a ti buai thei) .
- Lungphun mumal lo emaw, rang tak emaw
- Tarte zingah buaina a awm a, a bik takin dose sang tak ei a nih chuan
- Zun kim loh (Urine retention) .
- Ei duhna a tipung a, chuvang chuan taksa rihna a tipung
- Thawmhnaw hak
- Tremor a ni
- Sexual arousal emaw duhna tlahniam emaw
- Seizure disorder nei te hi seizure vei theihna a sang hle .
Amitriptyline, Doxepin, Imipramine, leh Trimipramine te hian a tlangpuiin mutthilh leh taksa rihna a thlen tam zawk. Mahse, Nortriptyline leh Desipramine te hian a dangte aiin side effect an nei tlem zawk.
Damdawi lam thil dang leh TCA damdawi te
A hnuaia damdawi lam harsatna i neih chuan he damdawi hi i ei hmain i doctor hnenah i hrilh ngei ang.
- Glaucoma natna (Glaucoma) a awm
- Prostate lian tak a awm
- Lung natna
- Zunthlum
- Liver natna te
- Mesentery hi a hmain a lo awm tawh a nih chuan
Tin, nang pawhNaupai emaw, naupai tum emaw i nih chuan i doctor nen inbia ngei ang che.
Overdose leh a hlauhawmna te
Hei hi heng damdawi te hi kan fimkhur a tul ber a ni. TCAs overdose tlemte pawh hi nunna atan a hlauhawm hle thei. Chuvangin, mahni intihhlum tumna nei mi tu emaw hnenah heng damdawi te hi pek an hreh fo thin. An tih pawhin a tlem hle a, kar khatah vawi khat ang chiah hian an pe thin.
| TCA Overdose a nihna lan chhuah dan | |
|---|---|
| Heartbeat mumal lo a awm | Thisen sang hniam (Hypotension) . |
| Kawng a vawt lutuk | Zun theih lohna |
| Thâwk zawi zawiin | Tremors leh seizures te a awm |
| Coma ah a awm | |
Attention: Miin he damdawi hi a ei tam lutuk nia i rinhlelh chuan medical emergency a ni. 1990 Ambulance Service chu tihkhawtlai lovin call la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh. Tin, a theih chuan Colombo National Hospital-a National Poisons Information Center- ah thurawn dil turin phone la. Damdawi inah i kal dawnin chu miin damdawi a ei tawh hming sawi theihnghilh suh ang che.
Damdawi ei kha bansan nghal mai hi a hlauhawm em?
Ni e, a dik tak zet. I rilru a hahdam emaw, side effects in a tibuai emaw pawh nise, doctor rawn hmasa lovin he damdawi hi ei nghal mai suh.Chutianga i tih chuan i taksain a chhân lêtna (withdrawal symptoms) avângin hrehawmna nasa tak i nei thei a ni.
Hei hi ruihhlo ngawlvei i nih vang a ni lo. He damdawi hi addictive a ni lo. Mahse, i taksa leh thluak hian chu chemical chu a lo thiam tawh a, chuvang chuan a bo thut chuan taksain a insiamrem theih nan hun a mamawh a ni.
Damdawi ei khap a nih chuan symptoms lo awm thei
- Thinrimna, thinrimna
- Luhai
- Thawmhnaw hak
- Taksa na, khawsik tih hriat
- Mu thei lo
- Nunna nei lo taksa
- Lu na
Chuvangin, damdawi ei kha i chawlhsan a ngai a nih chuan, i doctor thupek zawm chungin, zawi zawiin tihtlem la, i tih tur a ni .
Take-Home Thuchah a ni
- Tricyclic antidepressants (TCA) hi depression damdawi chi hlui zawk a ni a, mahse mi thenkhat tan chuan a tangkai hle.
- Hengte hian damdawi thar zawk aiin side effect an neih theihna a sang deuh hlek a ni. Hemi chungchang hi i doctor nen zalen takin sawipui rawh.
- Damdawi dang (thinlung natna, glaucoma ang chi) i neih chuan he damdawi hi i ei hmain doctor hnenah hriattir hmasa phawt ang che.
- Doctor rawn hmasa lovin he damdawi hi ei nghal vat ngai suh. Chutianga tih chuan i taksaah harsatna a thlen thei a ni.
- Overdose hi a hlauhawm hle. Damdawi lam emergency a ni. Chutiang thil i rinhlelh chuan damdawi in pan nghal rawh.
- I rilru hriselna kha uluk takin enkawl rawh. Thil ngaihtuah tur i neih chuan i doctor nen inbia ang che.
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