Hetiang hian a chang chuan i inhria em? Depression damdawi engzat pawh ei mah la, doctor engzat pawh thlak mah la, chu rit zawng, chu mahni chauhna, chu engmah tih duh loh rilru put hmang chu a tlahniam vek niin a lang em? "Engvangin nge keimah chauh hi hetiang thil hi a lo thlen?" i inzawt mai thei. Hriat reng tur pawimawh tak chu he zinkawngah hian nangmah chauh i ni lo tih hi a ni. Hetiang thil tawn hi kan tam hle. Vawiin hian he dinhmun chiah hi kan sawi dawn a ni. Damdawi lamah chuan hei hi ‘treatment-resistant depression’ emaw ‘Treatment-Resistant Depression’ (TRD) emaw kan ti thin.
TRD tih awmzia tak chu eng nge ni?
A awlsam zawngin, Treatment-Resistant Depression (TRD) hi i taksa leh rilruin depression enkawlna atana hman tlangpui, a bik takin damdawi ei thinte chu beisei angin a chhang lo tihna a ni.
Hei hi doctor-te’n he natna hi an hriat dan a ni:
- Depression tan hian antidepressant chi hrang hrang pahnih tal i hmang tawh a ni.
- Chu damdawi zawng zawng chu maximum tolerable dose ah pek vek tawh che a ni .
- Chu damdawi zawng zawng chu kar 6 tal ei chhunzawm zel a ni tawh .
Heng zawng zawng karah hian i lungngaihna lanchhuahna chu a lo ṭhat loh emaw, nasa taka a tlahniam emaw a nih chuan, i doctor chuan TRD i nei tih a ringhlel mai thei.
A pawimawh ber chu, hei hi i sualna a ni lo. ‘Ka damdawi ei dik lo em ni?’ tih ang chi hi ngaihtuah buai suh. emaw, 'Ka rilru chakna a tlachham em?' Hei hi damdawi lam dinhmun a ni vek. Mi thenkhat taksa leh thluak hian standard treatment an dawng lo thei a, chu chu an hnathawh dan azirin a ni.
TRD i neih chuan eng nge tih theih ang? A multifaceted approach a ni!
"Chuti a nih chuan ka dam leh tawh ngai lovang?" i ngaihtuah mai thei. Mahse chutiang chu a ni lo. TRD hi tihdam theih loh natna a ni lo. Mahse, a enkawlna hlawhtling tak zawng tura zinkawng chu a buaithlak deuh thei. Damdawi pakhat chauh hmanga tihdam a har khawp mai.
Chuvangin doctor-te chuan he thil hi multi-angled approach an hmang a ni. Chu chu, i nun leh hriselna kawng tinrengah, kawng khat chauh ni lovin, an ngaihtuah vek a, vawi khatah an enkawl vek tihna a ni. Kawngkhar lian tak pakhata nawr ai chuan, mi engemaw zatin angle hrang hrang atanga an nawr chuan kawngkhar hawn a awlsam zawk dan angin han ngaihtuah teh.
He multifaceted approach hian a tlangpuiin:
| Section of access a ni | Hrilhfiahna |
|---|---|
| Ei leh in lama inthlak danglamna | Ei leh in tha tak, rilru tha tak ei thiam. |
| Insawizawi | Taksa active taka awmtir a, thluak chemistry tihchangtlun. |
| Medical examination tihfel vek tur a ni | Taksa lam thil dang, lungngaihna thlen thei (e.g. thyroid harsatna, vitamin tlakchhamna) enfiah nan thisen hnathawh ang chi thil tih. |
| Damdawi ei tur | Damdawi chi hrang hrang pek khawm (combination) emaw, damdawi chi dang dah belh (augmenting agents) emaw. |
| Psychotherapy hmanga enkawlna | Thusawi therapy a ni. Hei hi mahni inhriatthiam lohna (negative self-talk) enkawlna kawngah a \angkai hle. |
| Neuromodulation tih a ni | Electrical emaw magnetic emaw hmanga thluaka nerve cell te hnathawh tichak a, inrem taka hnathawh tir. Hengte hi enkawlna thar, hmasawn tak tak a ni. |
| Mut a tawk | Taksa leh rilru ti hahdam thei zan mut hahdam theihna tura thil tul tih. |
| Nutritional supplement te pawh a awm bawk | Medical test-ah vitamin pakhat tlakchhamna a awm tih hmuhchhuah a nih chuan, chu chu supplement rawh. Entirnan, Vitamin D emaw Omega-3s ang chi thil hian mood a ti tha thei hle. |
Doctor nena inbiakna neih a pawimawhzia
TRD enkawlna tur ruahmanna i siam dawnin, i doctor nen in inbiakpawhna dik leh zau tak neih hi a pawimawh hle a ni . I doctor chuan i enkawlna hmasa te a zawt ang che. Chutih hunah chuan a chiang thei ang bera sawi a pawimawh.
Doctor-in a zawh theih thilte:
- Tun hmain eng damdawi nge i lo hman tawh? (Hming i hriat reng loh chuan damdawi card i neih chuan keng la.)
- Eng dose nge i ei? (Dose) 1.1.
- Chu damdawi chu eng chen nge i ei tawh?
- Chu damdawite chuan side effect a nei em? A nih chuan eng nge an nih?
- Damdawi eng emaw avanga hahdamna i nei em?
Doctor chuan he thu hi a hriat veleh, "Awle, heng damdawi te hian hna a thawk lo, damdawi chi dang emaw, enkawlna chi dang emaw i lo enchhin leh ang," tiin thutlukna a siam thei ang.
Tichuan, doctor chuan i nunphung zawng zawng a en ang. I mut chu engtin nge a awm? Engtin nge i ei thin? Exercise i ti em? Heng zawng zawng hian lungngaihna a nghawng thei a, chuvangin heng hmun tin hi a ngaihtuah thei a, i tana tha tur enkawlna ruahmanna a siam thei bawk.
Psychotherapy hian depression nena lo awm thin negative self-talk , "Engmah ka ti thei lo" leh "Ka hlutna ka nei lo" tih te pawh a enkawl thei bawk. Hei hi TRD enkawlna atana pawimawh tak a ni bawk.
A tawp berah chuan TRD hi zinkawng tawpna a ni lo va, kawng dang bul tanna mai a ni tih hre reng ang che. Support dik tak, enkawlna tur ruahmanna dik tak, leh i inpekna nen hian he dinhmun hi i hneh thei ngei ang.
Take-Home Thuchah a ni
- Treatment-Resistant Depression (TRD) hi damdawi lam dinhmun dik tak a ni a, antidepressant damdawi pangngai hian duhthusam a chhuah lo.
- Damdawi hian hna a thawk lo tih hi i sualna emaw, duhthlanna i neih loh vang emaw a ni lo. I taksa leh thluak biological process nena inzawm thil a ni.
- TRD hi hlawhtling taka enkawl theih a ni a, mahse damdawi bakah hian ei leh in, exercise, psychotherapy, leh tunlai therapies te pawh huam tel, multidisciplinary approach a ngai a ni.
- Doctor lakah hian inhawng tak leh rinawm takin awm rawh. I enkawlna tawh zawng zawng leh i rilru put hmang zawng zawng hrilh vek rawh. Chu chu enkawlna tur ruahmanna tha ber siamna kawng pawimawh ber a ni.
- Beiseina chu bansan ngai suh. Support dik tak i neih chuan hei hi i paltlang thei ngei ang.
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