Hetiang ‘depression chi hrang hrang’ hi i nei ve em? (Atypical Depression) I hre chiang ang u!

A châng chuan tuar theih loh khawpin i lungngai a, i rit a, engmah tih duh loin i inhria em? Mahse, i thianpain a rawn call a, chanchin lawmawm a hrilh che emaw, i duh ber movie i en hian emaw, chu lungngaihna chu rei lo te chhung a bo a, hlimna tlemte i rilruah a lo lang em? Tin, chutah chuan chutiang lungngaihna leh rit chu i nei leh em? Mi tam tak chuan lungngaihna hi rilru natna awm reng, hlim lo tak niin an ngai a. Mahse tunlaia kan sawi ‘depression chi hrang hrang’ hi chutiang chu a ni lo. Tlem a danglam deuh.

He ‘atypical depression’ hi eng nge ni?

A awlsam zawngin sawi ila, atypical depression hi depression subtype a ni. Mahse, a natna lan chhuah dan chu depression kan tih thin natna lan chhuah dan nen chuan a danglam deuh hlek a ni.

Tunah chuan ‘atypical’ tih thumal hian ‘unusual’ emaw ‘rarely seen’ emaw tihna a ni tih i ngaihtuah mai thei. Mahse hetah hian chu chu a awmzia a ni lo. A awmzia chu, "kan hmuh fo thin depression symptoms nen a danglam bik symptoms lantir" tihna a ni.

Hei hi a langsar ber leh a danglamna ber chu i chunga thil duhawm tak a lo thlen hian lungngaihna leh beiseina nei lo i hriat thin kha rei lo te chhung atan a bo vek thin. A dik tak chuan i mood hian thil thleng tha tak takte chu a ‘react’ thin. Hei hi damdawi lamah chuan (mood reactivity) kan ti thin. Hei hi he dinhmun hi depressive state dang atanga danglamna ber a ni.

Depression ‘normal’ leh he depression ‘danglam’ hi eng nge an danglamna?

An pahnih hian rilru lam hriselna dinhmun an ni. An pahnih hian hun rei tak chhûng lungngaihna leh beiseina nei lo rilru put hmang a keng tel a ni. Mahse an pahnih inkarah hian danglamna chiang tak tak a awm. Eng nge an nih i en ang u. He chart hi han en teh.

He natna hi tuin nge vei tam ber? Engtiang chiahin nge a hluar?

Hetiang dinhmun hi mipa aiin hmeichhiaah a let hnih zetin a tam zawk a ni . Tin, tleirawl lai atanga tan a ni fo bawk a, kum 15-16 inkar atanga kum 20 tir lam inkar a ni.

‘Atypical’ tih hming pu mahse hei hi chutiang chuan thil mak a ni lo. Dik tak chuan lungngaihna vei nia hriat zinga 15% leh 36% inkar chuan he lungngaihna hi an nei a ni. Hei hian kan ngaihtuah aiin a tlangpui zawk tihna a ni.

Eng chiah nge a symptoms te chu?

A hmaa kan sawi tawh mood reactivity bakah hian thil tha tak a thlen chuan i mood a lo tha chho zel a, he dinhmun hi hriat theih nan a hnuaia mi pahnih tal i neih a ngai a ni.

• Chaw ei duh lutuk leh/ emaw, taksa rihna sang lutuk: Thil ei duh reng reng i nei thei. A bik takin carbohydrates tamna ei tur (buhfai, chhang, sweets) i duh hle mai thei. Hei hian taksa rihna nasa takin a tipung thei a ni.
• Hypersomnia: Ni khata darkar 10 emaw darkar 12 emaw mut hnuah pawh mut theih loh anga inhriatna. Nitin mut tam hi hypersomnia an ti a .
• Leaden Paralysis: Kut leh ke te hi a rit hle a, nunna nei lo niin a lang. Lead ang maia rit ang maiin an inhria. Hei hian khum atanga tho leh kal a harsat phah thei a ni. Hei hi damdawi lamah chuan leaden paralysis an ti a.
• Hnawlna lama rilru natna (hypersensitivity to rejection): Sawiselna tlemte emaw, hnawlna tlemte emaw pawh hi a hrehawm hle thei. Hei hian hlauhna emaw, inpawh emaw, hna thawh duh lohna emaw a thlen thei a ni. Hei hi hnawlna tak tak emaw, hnawlna nia hriat vang emaw pawh a ni thei.

Heng symptom bikte bakah hian general depression-a hmuh tur a hnuaia symptoms te hi a awm thei bawk:

• Lungngaihna nasa tak leh beiseina nei lo tih hriatna.
• Hmanlai thil nuam tih duhna zawng zawng hloh.
• Thil tenawm tak avanga thinrim thuai leh tihbuai duhna.
• Thil ngaihtuah leh hriatreng harsa.

Engvangin nge hetiang dinhmun hi a lo awm?

Hei hi chhan pakhat mah hmuhchhuah a la ni lo a, mahse zirchiangtute chuan thil hrang hrang inzawmkhawm avanga lo awm niin an ngai.

• Thluak chemical inthlak danglamna: A awlsam zawngin, hei hi kan thluaka thuchah thawntu (hengte hi neurotransmitters kan ti a) leh a dawngtu hmun ( neuroreceptors) te hnathawh dan inthlak danglamna vang a ni thei.
• Genetics: I chhungkuaa mi pakhatin rilru lam natna, depression emaw bipolar disorder emaw ang chi a neih chuan, chu natna chu i vei theihna a sang zawk.
• Trauma: Thil rapthlak tak tak, a bik takin naupan laia thil tawn, tihduhdahna ang chite hian naupan lamah chutiang dinhmun chu a lo chhuak thei a ni.
• Chronic Stress: Hnathawh leh chhungkaw nunah hun rei tak chhung stress hian hei hi a nghawng thei bawk.

Risk tipungtu thil dang

A chunga kan sawi bakah hian a hnuaia mite hian Atypical Depression vei theihna a tipung thei bawk:

• Bipolar disorder emaw lungkhamna emaw ang chi dinhmun nei tawh .
• Naupan laia thil tha lo tawn te.
• Rilru lam emaw, taksa lam emaw, mipat hmeichhiatna lama tihduhdah nih.
• Damdawi lam thil na tak, accident emaw, hun rei tak natna emaw ang chi.
• Hmangaih tak boral ang maia tuar theih loh lungngaihna.
• Ruihhlo emaw zu emaw hman tawhna history nei.

Engtin nge doctor hian hei hi a hriat chian?

Doctor i pan hunah i symptoms te, i medical history te, leh i mental health history te uluk takin a sawipui ang che.

A châng chuan, i natna lan chhuahna taksa lama chhan dang hriat nân thisen test pawh a awm thei bawk. Entirnan, thyroid harsatna hian a chang chuan depression symptoms a thlen thei a, chuvangin chutiang dinhmun chu paih chhuah a pawimawh.

Tichuan, a tul chuan i doctor chuan specialist, psychiatrist ang chi hnenah a refer thei che a ni.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu atypical depression hi a enkawl tha hle a ni . I natna nasat dan azirin enkawlna kawng hrang hrang a awm thei. Enkawlna chi hnih hman tlanglawn tak a awm a.

Psychotherapy hmanga enkawlna

Hei hi counseling kan ti mai a ni. Hetah hian, i harsatnate chu trained mental health counselor (counselor, psychologist) nen i sawi dun a.

• Cognitive Behavioral Therapy (CBT): Hei hi hman lar tak leh hmanraw tangkai tak a ni. I rilruah ngaihtuahna leh rilru put hmang tha lo lo thlengte hriatchhuahna leh chu chuan i thiltih a nghawng dan hriatthiamna a pe che a ni. Hei hian chutiang thil tha lote chu a thlak danglam thei a, hrisel zawka ngaihtuah turin a zirtir bawk che a ni.

Damdawi (Antidepressant) te .

Depression enkawlna atan hian damdawi chi hrang hrang hman a ni. Heng damdawi te hian thluaka neurotransmitters level inthlauhna hmangin hna an thawk ber a ni.

• Tun hma chuan damdawi class pakhat MAOIs tih chu atypical depression nei tan chuan a thawk tha hle thin. Mahse ei leh in ruala ei hunah fimkhur tur tam tak a awm a, a side effect pawh a tam hle. Chuvangin tunah chuan doctor-te chuan chutiang damdawi class chu an recommend fo tawh lo.
• Tunah chuan, damdawi him zawk, side-effect nei tlem zawk, leh hlawk zawk tam tak a awm tawh a, chu chu SSRI te hi a ni.

Heng enkawlna bakah hian i nunphung (exercise, zu leh ruihhlo hman loh) tihdanglamna engemaw zat siam hian symptoms control nan a pui thei bawk.

Enkawl loh chuan eng nge thleng ang?

Enkawl loh chuan hei hian nghawng pawi tak a nei thei a ni.

• Ei duh lutuk chuan ei tam lutuk leh taksa rihna a tipung.
• Inlaichinna lama buaina a pun zel.
• Ruihhlo ngawlvei hlauhawmna a sang chho.
• Hnathawh emaw, zirna lama hmalakna emaw tihhniam leh pumpelh.
• Taksa lam dinhmun dang a tizual.
• Mahni intihhlum theihna a tipung.

Mahse, enkawl dan dik a nih chuan lungngaihna nei zinga 70% atanga 80% vel chuan an natna lan chhuah danah hmasawnna nasa tak an nei thei a ni. I enkawlna hmasa ber i tan tirh khan i tan a thawk tha lo mai thei. Mahse, beidawng suh. I doctor nen inbia la, i tana tha tur treatment plan zawng rawh.

Engtikah nge Doctor ka hmuh ang?

He thuziaka kan sawi tawh ang hian symptoms i nei nia i hriat chuan khawngaihin, "Hei hi lungngaihna mai mai a ni a, hun kal zelah a dam chho zel ang," tih hi ngaihtuah suh la , tihkhawtlai lovin doctor rawn la. Hei hi zunthlum leh thisen sang ang bawkin damdawi lam dinhmun a ni a, enkawl ngai a ni.