Depression enkawlna atana damdawi i ei a nih chuan hun engemaw chen hnuah, "Tun dinhmunah chuan ka rilru a nuam hle mai. He damdawi hi ei chhunzawm zel a ngai em? Tunah hian ka chawlhsan chuan eng nge thleng ang?" Hei hi mi tam takin zawhna an neih a ni. A nihna takah chuan zawhna pawimawh tak a ni a, a chhan chu mahni chauha siam tur a nih loh vang a ni.
Damdawi ei loh hun tha ber chu eng nge ni?
Antidepressant ei nghal mai hi a tha lo. Tin, a hun dik hmaa tihtawp chu thil hlauhawm tak a ni thei bawk. Heng damdawi ei hun chhung hi mi hrang hrangah a inang lo. Hei hi thil engemaw zatin a nghawng a ni.
- Damdawi chi hrang hrang an pek che
- Damdawi i ei tur dose
- Vawi engzat nge depressive episode i neih tawh?
- Relapse a awm leh theihna
A tlangpuiin, i depressive episode hmasa ber atan damdawi i ei tan a nih chuan , damdawi lam kaihhruainaah chuan i natna lan chhuah dan a reh vek hnuah thla 4 emaw thla 5 emaw tal i ei chhunzawm tur a ni tih a sawi.
Ngaihtuah teh, a chang chuan i tana tha ber tur zawng turin damdawi engemaw zat i enchhin a ngai thin. Tin, chutah chuan damdawi a thawh theih nan leh nang pawhin danglamna tlem a neih theih nan kar 2 atanga kar 3 vel a ngai a ni. I natna lan chhuah dan a lo ṭhat vek theih nan leh, "Ka lungngai tawh lo" tih ang chi i hriat theih nan thla 3 atanga thla 6 vel a ngai thei. Chuvangin heng zawng zawng hian damdawi hlawkna kimchang i hmuh theih nan kum khat tal i ei a ngai mai thei.
Mahse, hei hi i doctor-in a rel tur a ni, a chhan chu amah chauh hian i dinhmun dik tak chu a hre vek a ni.
Mahse, hun rei tak, recurring major depressive disorder (MDD) i neih emaw, a hmaa vawi thum aia tam i lo vei tawh emaw chuan doctor-te chuan kum engemaw zat enkawl chhunzawm zel turin an rawt a ni. Doctor-te pawhin natna lo lang leh theihna a sang nia an hriat chuan hun rei tak enkawl an rawt bawk .
| Damdawi hun rei tak hman theihna tur risk factors | |
|---|---|
| Chhungkaw chanchin | I chhungkuaa tu pawhin rilru lam natna nei an awm chuan (Family history of mental illness). |
| Natna dang | Hun rei tak chhung taksa emaw rilru lam natna dang i neih chuan. |
| Symptoms awm reng | Damdawi ei lai pawhin symptom thenkhat chu a bo vek lo thei. |
| Rimtawng | Stress awm reng, mut theih lohna, hnathawhna hmun emaw mimal inlaichinna lama harsatna awm te. |
Depression damdawi hian i mut, i chakna leh i inngaihhlutna ang chi thilte a tichangtlung thei tih hre reng ang che. Mahse damdawi ei hi i chhungkaw harsatna leh inlaichinna lama harsatna chhanna a ni lo. Chutiang tur chuan solution dang i zawng a ngai a ni.
Damdawi ei kha i bansan duh a nih chuan engtin nge i tih ang?
I doctor nen in inbia a, "Awle, tunah hian i damdawi ei tawh loh hun a ni," tiin thutlukna in siam tawh a nih chuan, tih dan chiang tak a awm a ni.
A pawimawh ber chu: I damdawi ei hi nangmah chauhin i ei kha titawp ngai suh. Tin, a ei nghal mai pawh kha bansan ngai suh!
I damdawi ei kha i chawlhsan thut chuan i taksaa damdawi level chu a tlahniam nghal mai ang. Hei hian i natna chu a rawn let leh (relapse) thei a ni . Tin, side effect hlauhawm tak tak, mahni intihhlum tumna te pawh a thlen thei bawk.
Chuvangin i tih tur chu i doctor nen thawk hovin i damdawi ei zat tihtlem dan tur ruahmanna siam (tapering) . A awlsam zawngin, vawi khatah tihtawp vek ai chuan dose chu i tihtlem zauh zauh a ni. Damdawi hrang hrang chu i taksa atangin rate hrang hrangin a clear chhuak thin. Chuvangin an ei tawh loh vek theih nan kar tam tak emaw, thla tam tak emaw a ngai thei. Hemi chhung hian doctor nen in inbiak reng tur a ni a, symptom thar emaw side effect thar emaw a awm leh awm loh enfiah reng tur a ni.
Additional support pawh a pawimawh hle.
Damdawi tapering off hian counselor nena inbiakna neih hi a \angkai hle thei. Counselling hi lungngaihna, mahni inngaihsakna hniam, leh engkim a tha lo zawnga en thin ang chi thilte enkawl dan tha tak a ni thei. A bik takin Cognitive Behavioral Therapy ang chi hmanrua te hian i rinna dik lo, tha lo tak takte chu enfiah leh leh siamthat leh turin a pui thei che a ni.
Tin, i nitin nunphung pawh ngaihtuah bawk ang che.
- Mut tha rawh.
- Chaw tha tak tak ei
- Exercise neih fo thin
- Stress tihziaawmna hmanrua (meditation, yoga ang chi) hman .
Hetiang tih dan tha hian taksa chu damdawi a tihtlem hunah a insiamrem theih nan nasa takin a pui ang.
Damdawi tapering off hunah eng nge i beisei theih ang?
Mi thenkhat chuan damdawi ei tlem hian harsatna tenau leh side effect an nei thei bawk. Hengte hi a pawi lo tlangpui.
- Luak chhuak thei
- Chau
- Flu ang chi, khawsik emaw taksa na emaw ang chi te
Heng symptoms zinga pakhat tal i neih chuan a nasat dan leh engtikah nge a lo awm tih ziak la, i doctor hnenah hrilh rawh. A natna tihziaawmna turin i damdawi chu a siamrem thei a, a natna lan chhuah dan tur damdawi dang a pe thei bawk.
Mahse, doctor thurawn tel lova i damdawi ei kha i chawlhsan nghal a nih chuan "Antidepressant Discontinuation Syndrome" tih natna i nei thei a ni. Hetiang hlauhawmna hi a bik takin thla hnih aia rei damdawi i ei tawh chuan a sang hle.
| Antidepressant Discontinuation Syndrome natna lan chhuah dan tlangpui | |
|---|---|
| Rilru lam mizia | Lungkhamna, thinrimna |
| Mut harsatna a awm | Mut theih lohna, mumang mak tak tak |
| Taksa mizia | Lu na, luak chhuak, luak chhuak, khur |
| Sensations danglam tak tak te | Electric shock sensation, a bik takin lu hawi lai hian. |
Heng symptoms te hi i tawn chuan hlau suh. A pawimawh ber chu doctor hnenah hrilh nghal mai tur a ni. Chumi hnuah chuan a natna lan chhuah dan chu a lo lang leh emaw, damdawi ei tihtawp avanga hun rei lote chhunga awm emaw a nih leh nih loh a hre thei a, i taksain dinhmun thar a insiamrem hma loh chuan a natna tihziaawmna tur solution tha ber a pe thei bawk.
Take-Home Thuchah a ni
- Eng chen nge antidepressant ei tur tih leh engtikah nge mahni chauha ei tawh loh tur tih hi thutlukna siam ngai suh. Chu thutlukna i siam hmain i doctor nen inbia fo ang che.
- Damdawi i chawlhsan a nih chuan titawp nghal suh . A hlauhawm thei hle.
- A him ber chu doctor thurawn angin dose (tapering) tihhniam zauh zauh hi a ni.
- Damdawi tapering off laiin, psychological counseling leh nunphung tha (mut tha, ei leh in tha, exercise) vawn reng hian a pui hle ang che.
- I damdawi tapering off hian harsatna engemaw zat a awm thei. Anmahni chu hlau suh, i doctor hnenah hriattir mai rawh. Thunun theih an ni.











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