Tûn hmaa hlim taka i tih ṭhin thilte, ṭhiante nêna inbiak te, hla ṭha ngaihthlâk te, chaw tui tak ei te hi tûnah chuan hna thawh tûr ang maiin i inhria em? Nunnaah engmah hlimna emaw, nawmna emaw hmu thei lo leh hlimna leh lawmna hmu thei lo niin i inhria em? Chutiang a nih chuan nangmah chauh i ni lo. Hei hi rilru lam natna a ni a, mi tam tak a nghawng a, mahse sawi tam loh a ni. Vawiin hian sawi ila.
A awlsam zawngin, anhedonia chu eng nge ni?
Anhedonia chu tun hmaa hlimna, lawmna leh lungawina min thlentu thil tawn atanga hlimna kan hmuh tawh loh hi a ni. Hun kal zelah kan duh zawng a inthlak hi thil pangngai a ni. Mahse anhedonia hi a danglam. Heta thil thleng hi, i hlimpui thin thilte atang pawhin nuam tihna tam tak i hloh thin.
Hei hi chi hnih a awm a, chungte chu:
- Social Anhedonia: Hei hi midang, thiante leh chhungte nena hun hman duhna i hloh hian a ni. Mite bula awm chu phurrit leh phurrit ang maiin a inhriat tan thin.
- Physical Anhedonia: Hei hi taksa hriatna atanga hlimna hloh a awm hian a ni. Entirnan, chaw tui tak ei te, rimtui rim te, music ngaihthlak te, sex hman te hi a nuam lo.
Ngaihtuah teh, tun hmaa i ngaihsan em em hla pakhat chu vawiinah hian a play a, mahse engmah emotion i nei lo. A ri mai mai a ni. Chu chu anhedonia nihna chu a ni.
Anhedonia hi eng ang nge a nih?
Anhedonia vei mi pakhatin a hriat ber chu "emptiness" a ni. Emotion awmna tur hmunah chuan void a awm ang maiin a lang. I lu chungah chhum dum a innghat ang mai a ni a, ni êng chu a block chhuak ta a ni. Hei hi hetiang hian a lang thei:
- Numbness: Hlimna emaw, lungngaihna emaw ang chi rilru natna engmah hriat lohna dinhmun.
- Boredom: Engkim boreh anga inhriatna leh engmah ngaihvenna nei lo anga inhriatna.
- Apathy: Eng thil pawh ti tura chêttîrna emaw, chakna emaw neih loh.
- Negativity: Engkim hi a tha lo zawnga ngaihtuah.
Hei bakah hian mut harsatna pawh i nei thei bawk . Hei hian nitin i mood leh i hnathawh theihna a nghawng nghal thei a ni. Libido tlahniam chhan pawh a ni thei bawk .
Mi dangte nêna hun hman chu harsa i ti mai thei. Hmangaihna, hmangaihna leh ngaihhlutna kawngah engmah pek tur i nei lo ang maiin i inhria mai thei. Hei hian social isolation emaw social anxiety disorder emaw a thlen thei a ni.
| Nihna | A awmzia mai mai |
|---|---|
| Anhedonia a ni | Thil pakhat a\anga nawmna emaw, hlimna emaw hmuh theih lohna. |
| Apathy a ni | Thil tih tura chakna emaw, chêttîrna emaw tlakchhamna. |
Eng thilin nge anhedonia hi a thlen?
Anhedonia hi a takin natna a ni lo. Natna dang chhinchhiahna a ni. Hei hian a chhan bulpui (underly cause) avanga lo awm tihna a ni. Anhedonia thlen thei dinhmun lian ber berte chu:
- Lungngaihna Schizophrenia natna (Schizophrenia) natna a ni
- Bipolar Disorder a ni
- Substance hmansualna (Substance Use Disorder) a ni
- Parkinson natna a ni
- Post-Traumatic Stress Disorder (PTSD) avanga harsatna awm thei hi a ni.
- Thluak Hliam Natna (Traumatic Brain Injury) a awm
Science lamah eng thil nge thleng?
Hei hi zirchian mek a ni. Mahse tuna kan ngaihdan chuan hei hi kan thluak hmun ‘pleasure center’ an tih hnathawh a tlahniam vang a ni. He center hian ‘feel-good hormone’ dopamine tih chu a dawng a, a siam chhuak bawk. He dopamine system hnathawh hi eng emaw vanga tihbuai a nih chuan kan hlim lo va, kan lungawi lo hle bawk. Hei hi anhedonia-ah chuan a thleng thin.
Engtin nge he natna hi hriatchhuah leh enkawl a nih?
Heng symptoms te hi i neih chuan doctor i pan ngei ngei tur a ni . Doctor chuan i rilru put hmang leh i rilru put hmang chungchang zawhna zawtin i natna chu hriat chian a tum ang. Tin, taksa enfiahna an nei bawk ang a, a chhan dang an enfiah ang.
Anhedonia hi depression ang chi natna nen a inzawm avangin i doctor chuan thisen test vawi engemawzat neih a rawt thei ang. Entir nan:
- Vitamin tlakchham (a bik takin vitamin D) .
- Thyroid hormone inthlauhna (Hypothyroidism) .
Enkawlnate chu engte nge ni?
Anhedonia hi enkawlna bik a awm lo. Doctor-te chuan a chhan bulpui (underlying condition) chu hriatchhuah leh enkawl an tum thin. Chu dinhmun chu a ṭhat chhoh zêl chuan anhedonia chhinchhiahna chu a bo zauh zauh a ni. Enkawlna kawng hrang hrangte chu:
- Damdawi: Antidepressant ang chi damdawi, a bik takin SSRI.
- Counselling: A bik takin Cognitive Behavioral Therapy (CBT) ang chi hmanrua te.
- Enkawlna dang: A then phei chuan doctor-te chuan electroconvulsive therapy (ECT) emaw Transcranial Magnetic Stimulation (TMS) emaw ang chi enkawlna bik an rawt thei a ni.
A pawimawh ber chu doctor thupek zawm hi a ni. A chang chuan damdawi leh counseling te hi i inzawmkhawm a ngai thin. Damdawi thar i tan dawnin side effect eng emaw, a bik takin mahni intihhlum duhna i neih chuan doctor hnenah i hrilh nghal tur a ni.
Enkawl loh chuan eng hlauhawmna nge awm?
Anhedonia leh a chhan bulpui (underlying condition) enkawl loh chuan i rilru leh taksa hriselnaah nghawng lian tak a nei thei a ni.
- Major Depressive Disorder ang chi natna a zual zel.
- Khawtlang atanga inthiarfihlim vek.
- Lungkhamna a tipung.
- Inlaichinna vawn nun harsat.
- Mahni intihhlum tumna.
- Taksa chakna hloh leh hahna awm reng.
- Ei duh loh vanga ei leh in lama harsatna (malnutrition) a awm.
Pawimawh tak: Engtik lai pawha mahni intihhlum tumna i neih chuan nangmah chauhin hrehawm tuar suh. Doctor hmu nghal emaw, i damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh. I tanpui thei tur mi tam tak an awm a.
Take-Home Thuchah a ni
- Anhedonia hi boredom emaw, ngaihven lohna emaw chauh a ni lo. Nun nawmna tawn theihna hlohna a ni.
- Hei hi rilru lam emaw taksa lam thil dang, lungngaihna ang chi chhinchhiahna a ni fo thin.
- He natna hi a mah chauhin a bo lo va, enkawl dan dik a nih chuan a dam vek thei a ni.
- Nangmah emaw, i hriat miin emaw heng symptoms te hi an nei a nih chuan Doctor hnenah thurawn dil turin zak leh hlau suh. Ṭanpuina i hmuh hma poh leh i dam thuai thei.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Anhedonia hi eng ang rilru natna hlauhawm tak nge ni?
Hei hi lungngaihna/beidawnna pangngai mai a ni lo! ‘Anhedonia’ tih hi i nunah i tih duh ber thil (e.g. hlim taka awm, music ngaihthlak, sex hman, thiante nena hlim taka awm, chaw ei) atanga i hmuh ‘hlimna i hriat theih lohna’ kha a ni a, mahse tunah chuan 100% velin i hre tawh lo a, nunah engmah ah hlimna/ awmzia a awm lo ang maiin i inhria!
💬 Miten nun hlimna 100% an hloh thut (Anhedonia) chhan lian ber berte chu engte nge ni?
Hei hi a chhan ber chu kan thluaka chemical system ‘Dopamine reward system’ an tih chu a chhiat/deactivation vek a, chu chuan nuam a ti hle! Hei hi, 1) Major Depressive Disorder (Depression) ah a thleng fo thin. 2) Schizophrenia (Heng damlote hian an hmaiah emotion an nei lo). 3) Ruihhlo khauh (Heroin/Meth) hman atanga inhnukdawk. 4) Stress avanga thluak na lo (Chronic stress / PTSD).
💬 Engvangin nge nunah hlimna nei lo (Anhedonia) mi pakhat chauh/in lama kalsan chu a pawi? Hei hi tihdam theih a ni em?
Hlauhawm ber leh thihna thlentu ber chu nunah hlimna zawng zawng i hloh chuan i thluaka thuchah lo thleng ngei tur chu ‘There’s no point in living, Marian (High risk of Suicide)’ tih hi a ni! Chumi avang chuan chutiang mite chu engtikah nge an intihhlum dawn tih sawi theih a ni lo. Hei hi damdawi (Antidepressants / Therapy / rTMS) hmanga 100% tihdam theih a ni a, a hmaa i hlim ang kha i ni leh thei bawk a, chuvangin rilru lam doctor pan nghal vat tur a ni!
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