Ni engemaw zat chu rin loh takin i hlim a, i phur a, i chakna a khat bawk... Mahse ni thenkhatah chuan engmah ti thei lo khawpin i lungngai a, khawvel hi i bo ang maiin i inhria... He emotional swing rang tak hi ‘mood swings’ kan ti thin. Hei hi i tawng ve tawh ngei ang. Hei hi rilru lam natna bipolar an tih chhinchhiahna lian tak a ni thei. Vawiin hian he thuziak ah hian Bipolar I Disorder leh a enkawlna atana hman thin damdawi Vraylar chungchang kan sawi dawn a ni.
Bipolar I hi eng nge ni tak tak?
A awlsam zawngin, bipolar hi i mood, i chakna leh i activity level-a inthlak danglamna nasa tak thlentu a ni. Thiltih dan lian tak pahnih hmanga hriat theih a ni.
1. Manic Episode: Hetih lai hian hlimna nasa tak, phurna leh chakna nasa tak i nei thei. Mut theih lohna, thusawi chak tak, chawlhsan lova hnathawh, leh thutlukna hlauhawm tak siam i nei thei.
2. Depressive Episode: Hetih hun chhung hian lungngaihna nasa tak i nei a, i lungngai hle a, engmah ngaihvenna i nei lo. I chau reng a, ei duhna i nei lo , i hlim em em thin thilte pawh i ti duh lo.
Bipolar nei mi pakhat chuan manic episode vawi khat tal ka tawng tawh ngei ang. A châng chuan, mixed episodes a awm a, chutah chuan manic leh depressive symptom pahnih hi a awm dun a ni. He natna hi damdawi awm lo mah se, damdawi leh enkawlna dik tak hmang chuan a natna lan chhuah dan chu thunun theih a ni a, nun pangngaia nun theih a ni .
Vraylar hi heng natna pathum (mania, depression, leh mixed) enkawlna atana hman thin a ni. A active ingredient chu cariprazine a ni. Damdawi chi khat, second-generation antipsychotics an tih zingah a tel a ni. He class of drugs hi damdawi hlui aiin a tha zawk a, a chhan chu movement-related side effects (extrapyramidal symptoms) tremors leh restlessness te a thlen tlem avangin.
He damdawi hian engtin nge hna a thawh tih hi hriat chian a la ni lo nain, thluaka chemical pahnih serotonin leh dopamine -te hnathawh chu a inthlau hle tih kan hria. Heng chemical pahnih hi kan mood control na bertu an ni.
He damdawi hi engtin nge i hman?
Vraylar hi capsule-ah a awm a. Ni khatah vawi khat i ei thei a, ei tur nen emaw ei loh pawhin i ei thei bawk. Mahse a pawimawh ber chu i doctor-in a tih ang chiah, a dose dik takah, a hun takah ei tur a ni.I doctor chuan i symptoms a zirin a dose a thlak thei bawk.
Pawimawh: Doctor rawn hmasa lovin i damdawi ei kha chawlhsan ngai suh emaw, a dose tihpun emaw tihhniam emaw ngai suh.
A hnuaia table-ah hian doctor-in he damdawi a pek dan tlangpui tarlan a ni.
| Episode chi hrang hrang | A tlangpuiin starting dose a ni | Doctor-in a thlak theih dose sang ber |
|---|---|---|
| Manic emaw Mixed Episode emaw a awm thei | Ni khatnaah 1.5mg, ni hnihna atang chuan 3mg ah tihpun theih a ni. | Ni khatah 6mg a ni |
| Depressive Episodes a awm thin | Ni khatnaah 1.5mg a ni. | Ni 15 hnuah a tul chuan ni khatah 3mg thlengin tihpun theih a ni. |
Damdawi hian eng chen nge hna a thawh theih?
Hei hi mi tam takin an zawh thin a ni. Vraylar hian hna a thawk nghal lo. Zawi zawiin i taksa a nghawng tan a. Chuvangin result hmuh nan kar tlemte a ngai thei. A pawimawh ber chu ni khat pawh tlai lova, i doctor-in a hrilh che chhung chu damdawi ei chhunzawm zel hi a ni. Damdawi i ei theihnghilh chuan pillbox i hmang thei a, i phone-ah reminder i set thei bawk.
A bik takin fimkhur tur thil!
Rilru natna eng pawh damdawi ei tan tirh hian, a bik takin thla hmasa berah leh a hman dan tur thlak danglam hian mi thenkhat chuan rilru lam a danglam thei a ni. Mahni intihhlum tumna emaw thiltih emaw a awm thei . Hei hi hlau suh, mahse i fimkhur hle tur a ni.
Nangmah emaw, i hriat miin emaw mahni inhriatthiam lohna an neih chuan tihkhawtlai lovin damdawi in hnai ber pan rawh.Emergency Department (ETU) ah kal la, doctor ko nghal rawh.
A hnuaia features te hi lo thlir reng ang che:
- Mahni intihhlum ngaihtuahna thar emaw, pung emaw.
- Mahni intihhlum tumna.
- Lungkhamna thar emaw, pung emaw , lungngaihna, a nih loh leh nungchang inthlâk danglamna danglam tak dangte.
Side effect a awm chuan engtin nge tih tur?
Damdawi zawng zawng ang bawkin Vraylar hian side effect a nei thei a ni. Mi zawng zawngin an hmu vek lo. An ti a nih pawhin enkawl theih an ni fo. A hnuaia tarlan te hi a side effects awm fo te leh i tih theih dan te tarlan a ni.
| Side Effect a awm thei | I tih theih leh i hriat tur thilte |
|---|---|
| Thunun theih loh chetna (extrapyramidal symptoms) - e.g. tremors, rigidity tih a ni | Chûngte chuan a tibuai hle thei a ni. Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh . A dose a thlak thei a, damdawi dang a pe thei bawk che. |
| Hahdam lohna (Akathisia) . | Hei hi a chunga kan sawi tawh ang chiah kha a ni. Doctor nen inbia ang che. Hemi chungchangah hian solution a pe dawn a ni. |
| Pum natna, luak chhuak, luak chhuak | Tui tam tak in la, chu chuan dehydration a veng ang. Cracker leh chhang ang chi ei tur light tak tak ei thin ang che. Chaw hriak, spicy ei loh tur. I symptoms a that loh chuan doctor hnenah hrilh rawh. |
| Mutthilh theih lohna | Damdawi hian engtin nge a nghawng tih chiang taka i hriat hma loh chuan fimkhur ngai machinery khalh emaw, hman loh emaw tur a ni. |
Vraylar hi taksaah rei tak a awm avangin side effect thenkhat chu a lang nghal lo mai thei a, mahse kar engemaw zat hnuah a lang thei. Chuvangin symptom thar a awm chuan fimkhur rawh.
Damdawi dangah harsatna a awm thei em?
Ni e, a dik tak zet. Damdawi dang i ei hian Vraylar hnathawh dan a nghawng thei a ni. Vraylar hian damdawi dang hnathawh dan pawh a thlak danglam thei bawk. Chuvangin, i damdawi ei zawng zawng (condition dang damdawi, over-the-counter pain reliever, vitamin, leh Ayurvedic damdawi thlengin) i doctor hnenah hrilh vek a pawimawh. I tana tha ber damdawi chu a pe thei che a ni.
Take-Home Thuchah a ni
- Bipolar I hi enkawlna hmanga control tha tak a ni. Vraylar hi a damdawi hmanraw tangkai tak a ni.
- He damdawi hi tan, a dose thlak leh tihtawp te hi doctor thurawn angin chauh tih tur a ni.
- Damdawi hian a nghawng kimchang hmuh theih nan kar engemaw zat a la ngai thei a, chuvangin ni khat pawh tlai lova hman chhunzawm zel a pawimawh hle.
- Enkawlna hmasa berah hian rilru lama inthlak danglamna eng pawh, mahni intihhlum duhna ang chite chu fimkhur hle ang che. Chung zinga pakhat tal i tawn chuan damdawi lam thurawn la nghal la, damdawi in emergency department (ETU) hnai ber pan rawh.
- Side effect lo awm thei chu hlau suh, mahse i doctor nen zalen takin sawipui rawh. A solution tha ber a pe ang che.
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