I doctor-in depression i nei tih a hrilh che chuan damdawi ei tan turin an ti mai thei che a ni. Chutih lai chuan, ‘He damdawi hi ka tan a tha tak tak em?’, ‘Hei hi ei hian a pui dawn em?’, ‘Side effects a awm dawn em?’ tih ang chi zawhna leh hlauhna tam tak i rilru tan chuan thil pangngai tak a ni. Depression hi lungngaihna chauh a ni lo va, kan nun pumpui nghawngtu dinhmun a ni. Chuvangin inenkawl chungchang kan sawi hian rilru lama harsatna kan nei thin hi thil mak a ni lo. Chuvangin vawiin hian heng antidepressant te, a nih loh leh an chungchanga hriat tur thil te hi han sawi ila.
He damdawi hi tute tan nge a hlawk ber?
Hei hi chhanna awlsam tak a awm lo. Mahse zirchianna atanga a lan dan chuan heng damdawi te hian mi tam tak tan hna a thawk a ni. Mahse heng damdawi te hian depression na tak nei tan chuan a thawk tha ber tih i hre tawh mai thei . Chu thawnthuah chuan thudik eng emaw zat a awm a, mahse hriatthiam dan a awm.
A awlsam zawngin hetiang hi a ni. Doctor-te hian research an tih hian ``placebo'' an tih chu an hmang a, chu chu damlote hnenah damdawi an pe a, mahse a takah chuan damdawi engmah a awm lo. Sugar ball ang mai a ni. Mak tak maiin mi thenkhat chuan he ``placebo'' hi an ei hnuah hian an rilru a hahdam deuh thin.Chu chu a siam chhuah rilru lama rinna avang a ni.
Tunah chuan depression na tak nei mi pakhat chu damdawi tak tak pek a nih chuan ``placebo'' aiin result tha zawk a lantir a ni. But for someone with mild depression , a chang chuan ``placebo'' atanga relief leh damdawi tak tak atanga relief hi a danglamna a awm lo.
Chumi awmzia chu i lungngaihna lan chhuah dan a na lutuk lo a nih chuan damdawi ni lo enkawlna dang hmanga i dam that theihna chance tha tak a awm tihna a ni.
Entirnan, counseling , a bik takin cognitive behavioral therapy (CBT) , ang chi thil hi tih hmasak a phu hle. Chûngte chuan i ngaihtuahna leh nungchang tihdanglamna hmangin lungngaihna hneh tûrin a ṭanpui thei che a ni.
Engtin nge i tan damdawi dik tak i thlan?
Doctor-te chuan "He damlo tan hian damdawi dik tak a ni" tih tur an la nei lo. Mi tin a inang lo hle. Mahse a tlangpuiin doctor-te chuan he enkawlna hi a hnuaia mi ang hian an tan thin. Eng nge a nih i en ang u.
Damdawi thlan hmasak ber: SSRIs
Hengte hi doctor-in damdawi a pek hmasak ber tur a ni. Kan thluaka neurotransmitter serotonin an tih level control-in hna an thawk a ni. Serotonin hi chemical messenger a ni a, kan mood a control theih nan a pui a ni.
| Damdawi chi hrang hrang | Thu pawimawh tak tak |
|---|---|
| Selective Serotonin Reuptake Inhibitors (SSRI) hmanga siam chhuah a ni. |
|
Damdawi chi hnihna ngaihtuah tur: SNRIs
SSRI damdawi hian i tan hna a thawk tha lo a nih chuan i doctor chuan he chi dang hi a ngaihtuah mai thei. Hengte hian thluaka chemical awm serotonin leh norepinephrine te pahnih ah hna an thawk a ni.
| Damdawi chi hrang hrang | Thu pawimawh tak tak |
|---|---|
| Selective Serotonin leh Norepinephrine Reuptake Inhibitors (SNRIs) te hi a tha ber pawl a ni. |
|
Damdawi chauh hi a tawk lo a nih chuan engtin nge ni ang? - Enkawlna dang
A châng chuan, chu chu, depression nei zinga 30% - 50% vel chuan damdawi pakhat chauh hmangin an dam kim lo tihna a ni. Chutiang chu i chungah a lo thleng a nih chuan, i doctor chuan chutih rual chuan enkawlna dang dang dah belh a tum mai thei bawk. Chung zingah chuan:
- Antidepressant chi dang (Atypical antidepressants) .
- Rilru natna damdawi dang (Atypical antipsychotics) .
- Ketamine hnar hmanga hnawih thin
Chubakah chuan,Thluak tichaktu enkawlna a awm . Hengte hi enkawlna dang laka chhang lo, lungngaihna nasa tak tan hman a ni tlangpui.
- Electroconvulsive therapy (ECT) hmanga enkawl a ni.
- Transcranial magnetic stimulation (TMS) hmanga tihchak a ni.
- Vagus nerve tihchakna (VNS) hmanga tihchak a ni.
Zawhna i doctor zawh ngei ngei tur
"Depression hi damdawi lama harsatna lian ber zinga mi a ni. Results tha ber tur chuan damlo leh doctor inkara inhriatthiamna tha tak a awm a ngai a ni."
Chuvangin, i doctor i hmuh hunah heng zawhnate hi zawh hreh suh. I enkawl dan hriatthiamna chiang tak nei turin an pui ang che.
| Zawhna zawh tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Eng chen nge result ka hmuh theih ang? | Damdawi ei hian hnathawh nan hun a mamawh tih hriat hian beidawnna hmasa ber a veng thei a ni. |
| Ni hmasa lamah chuan ka tan a harsa zawk dawn em ni? | Damdawi thenkhat chuan taksain a insiamrem avangin harsatna tenau te a thlen thei a ni. Hei hi hriat lawk a pawimawh. |
| Doctor ka hmuh leh hma chu eng chen nge? | Enkawlna kal zel dan enfiah tur leh a tul anga inthlak danglamna siam turin inbiakpawhna neih fo a pawimawh hle. |
| Side effects awm fo chu engte nge ni? Eng chen nge an awm? | Side effect awm fo leh na tak chu eng nge ni tih i hriat hian i hlauthawng lo thei a, thil pawi tak a thlen chuan i doctor hnenah i hrilh nghal vat thei bawk. |
| He damdawi hian hna a thawk tawh lo a nih chuan engtin nge i tih ang? | A hnuaia hmalakna tur (damdawi hman dan tur thlak danglam, damdawi dang hman dan tur) atana ruahmanna siam a pawimawh. |
| He damdawi hi eng chen nge ka ei a ngaih? | Enkawl hun chhung hriatthiamna chiang tak neih a pawimawh. |
| Damdawi tel lovin eng enkawlna dang nge awm? | Counselling ang chi duhthlan tur hriatna hmang hian enkawlna kawng hrang hrang i inzawm khawm thei a ni. |
Beiseina chu bansan vat suh!
I dam vat a ngai nia inhriat hi thil pangngai tak a ni. Mahse thudik tak chu heng antidepressant te hian hnathawh nan hun an mamawh a ni. Hei hi a chhan dik tak hriat a ni lo a, mahse theory pakhat chu kan thluaka depression thlentu chemical pathways thlak danglam a, a pangngaia awm leh turin ni emaw kar tam tak emaw an hmang thin tih hi a ni.
A tlangpuiin hmasawnna nasa tak hmuh theih nan kar 4 atanga kar 6 vel a ngai thin. Mahse, "He damdawi hian ka tan hna a thawk lo tak zet" tih dik tak sawi tur chuan, kar 8 tal chu damdawi hi ei chhunzawm zel a ngai a ni .
Tin, enkawl hmasak ber khan a hlawhtlin loh avangin enkawlna kha titawp suh. Research atanga a lan dan chuan enkawlna pakhat aia tam i enchhin chuan i dam theihna chance a sang zawk hle.
A pawimawh ber chu depression hi enkawl theih natna a ni tih hi a ni. Damdawi leh inenkawlna dangte pawh a hlawk hle. Mahse i tih tur pawimawh ber chu beiseina bansan loh te, i doctor nena inbiak reng te, a thupek zawm te hi a ni.
Take-Home Thuchah a ni
- Antidepressant hi damdawi tha tak a ni a, mahse i tana damdawi leh a dose dik tak hmuh nan hun engemaw chen a la ngai thei.
- Enkawl dan tur ruahmanna siam turin i doctor nen inhnaih tak leh tlang takin inbiakna nei rawh. Zawhna i neih apiang zawh hlau suh.
- Damdawi bakah hian psychological counselling (a bik takin CBT) ang chi enkawlna te hi a pawimawh hle. Heng pahnih hi hman dun a nih chuan a rah chhuah chu a hlawhtling hle.
- Dawhthei takin awm rawh. Damdawi hman dan kimchang hmuh theih nan kar engemaw zat a la ngai thei. Doctor thurawn tel lo chuan damdawi ei kha chawlhsan ngai suh la, a dose pawh thlak ngai suh.
- Nangmah chauh i ni lo. Depression hneh turin i in pui thei a ni. Enkawlna dik tak nen chuan i dam thei tawh ang.
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