I hmangaih tak chuan eng thil pawh a ngaihven tawh lo em ni? Apathy dinhmun hi i zir dawn nia!

I nu, i pa, a nih loh leh i hnaih tak takte kha han ngaihtuah teh. Hmanlaia thawkrim em em leh engkim ngaihven em em thin chu rang takin inactive lo leh eng thil pawh ti duh lo a lo ni ta em ni? An hmelah chuan a hma ang rilru put hmang, nuih te, hlimna te, a nih loh leh lungngaihna te chu a lang tawh lo em ni? Hei hi "boredness" tiin kan hnawl fo thin. Mahse, damdawi lam dinhmun apathy an tih chhinchhiahna a ni thei bawk.

Apathy chu eng nge ni tak tak?

A awlsam zawngin sawi ila, doctor-te chuan "apathy" hi thil tih duhna leh chêttîrna hloh a ni an ti a, chu mi chu a hmaa a nungchang chu eng pawh ni se. Mahni chauha engmah bul tan duh loh te, engmah ngaihven loh te, leh rilru natna lantir loh te pawh a huam tel bawk.

Inbiakna pangngaiah chuan mi dangte hrehawm tawrhna emaw, rilru put hmang emaw hrethiam lo mi sawina atan apathy tih thumal kan hmang thin. Mahse damdawi lamah chuan thil zau zawk a ni. Midangte chauh ni lovin, mahni leh a hmangaih thin thilte ngaihvenna leh rilru put hmang zawng zawng hlohna dinhmun a ni. Mithiam thenkhat chuan symptoms khawlkhawm, a nih loh leh `syndrome` angin an ngai.

Apathy chhinchhiahnate chu engte nge ni?

I hnaih bertu mi pakhatin ngaihsak lohna a nei thei tih i rinhlelh chuan heng natna lan chhuah dan hi lo thlir reng ang che. Chûng zînga pakhat emaw, a aia tam emaw chu i hmu dun thei a ni.

Apathy leh Depression hi a inang em?

Hei hi mi tam takin an buaipui thin a ni. Apathy hi depression nen inang deuhin lang mah se, an pahnih inkarah hian danglamna chiang tak a awm a ni.

• Depression hi a langsar ber chu lungngaihna, lungkhamna leh nun avanga lungngaihna awm reng a ni.
• Apathy-ah chuan a bul berah chuan chutiang lungngaihna leh lungkhamna chu a awm lo. Thil engmah lo, rilru natna leh ngaihvenna nei lo tihna mai a ni.

Mahse hei pawh hi i hriat reng a ngai a, mi pakhat chuan heng natna pahnih hi a rualin a nei thei a ni.

Apathy awm chhan berte chu engte nge ni?

Zirchiangtute chuan ngaihsak lohna hi kan thluak hmun thenkhat tihchhiat avanga lo awm a ni tih an hmuchhuak a. A bik takin, thluak chhunga lungawina leh thil tih tura chêttîrna thununtu pêngte chu a chhe vek a ni. Heng a then te hi:

• Hma lam (frontal lobe) 1.1.
• Ngaihtuahna leh chetna control nana puitu part (`Dorsal anterior cingulate cortex`)
• Khawtlang nunphung atana pawimawh tak pakhat (`Ventral striatum`) .

Heng chhiatnate hi natna thenkhat vangin a thleng fo thin.

Neurodegenerative Condition hrang hrang a awm thei

Apathy hi natna lan chhuahna pawimawh tak a ni fo thin a, chu chuan hun kal zelah thluak a tichak lo zauh zauh thin.

• Alzheimer natna (AD): Alzheimer vei zinga 49% vel chuan ngaihsak lohna an nei a.
• Parkinson’s disease (PD): Hetiang dinhmun hi Parkinson’s disease vei zinga 25% velin a tir lamah a awm thei a, natna a zual zel chuan 60% thlengin a awm thei bawk.
• Pick natna: 1.1.Hei hi dementia chi khat a ni bawk. Apathy hian heng damlo zingah hian percentage sang tak a nghawng a, 54% atanga 96% inkar a ni.

Thluak natna leh dinhmun dang

• Thai
• Thluak hliam na tak
• Thluak hmun thenkhata tumor awm
• Huntington natna a ni
• Apathy hi natna dang engemaw zat avang pawh a ni thei a, chu chu vascular dementia te hi a ni.

Rilru lam thil awm chhan

A châng chuan thil lungchhiatthlâk tak tak (e.g. thilsiam chhiatna, indona) kan tawh hian rilru humhimna kawng khat angin ngaihsak lohna a awm thei a ni. Hei hi post-traumatic stress disorder (PTSD)-ah a tel thei a ni. Major depression ang chi condition nen pawh hmuh theih a ni.

Apathy enkawlna tur a awm em?

Apathy enkawlna bik, pakhat chauh a awm lo. Hei hi natna dang (e.g. Alzheimer’s) chhinchhiahna anga lo awm thei a nih vang a ni a, enkawlna chu a hnuaia natna awmte tan a ni fo thin.

Mahse, zirchianna atanga a lan dan chuan damdawi thenkhat chuan he natna hi eng emaw chen chu a thunun thei a ni.

• Cholinesterase inhibitors: Damdawi `donepezil` leh `galantamine` te hian Alzheimer vei te ngaihsak lohna tihziaawmna kawngah a pui thei a ni.
• Stimulants (Psychostimulants): Alzheimer’s leh Parkinson’s ang chi natna vei te tan methylphenidate (Ritalin-a awm thil) te hian ngaihsak lohnaah nghawng \ha engemaw zat a nei tih hmuhchhuah a ni.
• Antidepressants: Depression enkawltu damdawi hian mi thenkhat a pui thei a, a bik takin depression pawh an neih chuan a pui thei a ni. Mahse, antidepressant chi thenkhat chuan ngaihsak lohna a tizual thei a ni.

Hei bakah hian tunlai enkawlna hrang hrang `transcranial magnetic stimulation (TMS)` chungchangah pawh zirchianna kalpui mek a ni.

Engtin nge chhûngkaw angin kan ṭanpui theih ang?

Mi pakhat ngaihsak lohna neia enkawl bakah hian chhungkaw tanpuina leh hriatthiamna pawh a pawimawh hle.

• Thil awmdan hrethiam rawh: Pakhatnaah chuan hei hi a sualna a ni lo va, rilru hahna pawh a ni lo va, a thunun theih loh chhinchhiahna a ni tih hrethiam rawh.
• Hma la rawh: Amah chauha hna thawh tan a duh loh avangin hma la la, hmangaihna nen inbia la, a duhzawng thil ti turin fuih rawh (e.g., huana kal, thlalak album hlui en, hla ngaihthlak).
• Thil tih dân mumal tak vawng reng rawh: I fate ni chu a theih ang anga inmil tûrin vawng reng ang che. Hei hian ruahmanna leh himna a pe ang.
• Nangmah pawh ngaihtuah teh: Mi ngaihsak lo enkawl chu rilru hahthlak tak a ni thei. Nangmah ngei pawhin i rilru hriselna pawh enkawl bawk ang che. A tul chuan support group-ah tel la, emaw, psychologist thurawn la rawh.

Engtikah nge Doctor ka hmuh ang?

I hmangaih tak nungchang inthlak danglamna eng emaw, a chunga kan sawi tawh ang chi (e.g., rilru put hmang sawi chhuah loh, ngaihvenna hloh) i hmuh chuan a rang thei ang bera doctor hmu turin fuih a pawimawh hle . Apathy hi thluak natna khirh tak chhinchhiahna hmasa ber a ni thei.

Apathy nei chuan a nungchangah thil dik lo a hmuh loh avangin doctor pan a hreh mai thei. Chutih hunah chuan hmangaihna leh hriatthiamna nei takin sawipui la, a tul chuan doctor hnenah i kal dawn tih hrilh bawk ang che. Chu chu fuihna ropui tak a ni ang.