Chutiang harsatna chu i nei ve lo em ni? Bipolar disorder chungchang hi han sawi ila.

A chang chuan hlim takin i inhria a, mahse a tuk zingah chuan i lungngai em em a, nun chu i bo ta em? A nih loh leh i hriat mi pakhatin hetiang thil hi a tawng tawh em? Hei hi thil dang mai a ni lo, a chhan pawh bipolar disorder a ni mai thei. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Bipolar Disorder tih hi eng nge ni?

A awlsam zawngin, bipolar disorder hi hun rei tak chhunga rilru hriselna dinhmun a ni . Tun hma chuan "manic-depressive illness" emaw "manic depression" emaw an ti thin. I rilru put hmang, chakna level, ngaihtuahna leh nungchang a inthlak danglam nghal vat a, nasa takin a inthlak danglam nasa hle. Chûng inthlâk danglamnate chu dârkâr tam tak, ni tam tak, kar tam tak, a nih loh leh thla tam tak pawh a daih thei a ni. Tin, i hnathawh dan pangngai a tibuai thei bawk.

Bipolar disorder hi mood inthlak danglamna lian ber pahnih a awm a, chungte chu manic emaw hypomanic episodes leh depressive episodes te an ni. Mahse, bipolar disorder nei chu heng episode pahnih zinga pakhatah hian a awm reng tihna erawh a ni lo. Tin, normal mood period an nei bawk. Hei hi "euthymia" kan ti a.

Engvangin nge "manic-depressive illness" tih hming hi hman a nih tawh loh?

Hei hi chhan hrang hrang a awm a:

• Tun hma chuan doctor-te chuan rilru lam natna chi hrang hrang sawina atan "manic depression" tih hi an hmang thin. Tunah chuan rilru lam natna chi hrang hrang thliar hranna system, "Diagnostic and Statistical Manual of Mental Disorders" (DSM) , a lo thang chho zel a, "bipolar disorder" tih hming hman hian diagnosis chu a ti chiang zawk a ni.
• "Manic" leh "mania" tih thumal hian khawtlang nunah hian stigma leh negative connotations a nei nasa hle a, a bik takin "maniac" tih ang chi thumalte hi a ni. Chutiang bawkin, miten "depression" tih thumal hi lungngaihna pangngai sawina atan an hmang a, chu chu clinical depression ni lo mahse . "Bipolar disorder" tih hming hian heng thumal pahnih hi a tibuaitu a ni.
• "Bipolar disorder" hi "manic depression" aiin damdawi lam, clinical term a ni zawk. Emotional weight a phur tlem zawk.
• "Manic depression" tih hming hian he natna cyclothymic emaw hypomanic (bipolar II disorder ang chi) form te hi a huam lo.

Bipolar disorder chhinchhiahna lian ber berte chu engte nge ni?

Tunah hian heng mania leh depression hun chhung hian eng nge thleng tih i lo en ang u.

Manic episode hrang hrang a awm

Bipolar I natna a niBipolar disorder nei te hian heng manic episode te hi an tawng ve mai thei. Hei hi i mood a sang lutuk a, a chang chuan thinrim lutuk pawh a ni. Chutih rual chuan, i rilru put hmang te, i ngaihtuahna te, i chakna te, i thusawi te, leh i nungchang te chu nasa takin a danglam vek a ni. Hetiang chakna level sang tak leh nungchang hi i nihna pangngai nen a danglam hle a, midangte pawhin an hre chiang hle.

Manic state-a an awm lai hian mi ṭhenkhat chuan taksa, khawtlâng, a nih loh leh sum leh pai lama anmahni tâna chhiatna thlen thei thil an ti thei a ni. Entîr nân, sum tam tak an seng nghâl mai thei a, khelh an tum a, a nih loh leh fimkhur lo takin lirthei an khalh thei bawk. A châng chuan , psychotic symptoms , delusions leh hallucinations te pawh a awm thei bawk. Hei hian a chang chuan bipolar disorder hi natna dang, schizophrenia ang chi atanga thliar hran a ti harsa thei a ni.

Entîr nân, bipolar disorder chi ṭhenkhatah chuan Bipolar II Disorder vei te chuan hypomania tih state an nei a. Hei hi mania aiin episode na lo zawk leh na lo zawk a ni. Manic episode angin a rei lo va, nitin hnathawh pawh a tibuai lo.

Depressive episodes a awm thin

Depressive episode lai hian i lungngai hle thei a, beiseina pawh i nei lo thei bawk. Tûn hmaa i hlim ṭhin thilte chu i ngaihven tawh lo thei bawk. Depression symptom dang pawh a lang thei bawk:

• Chauhna, hahna.
• Ei duhna inthlak danglamna (tipung emaw tihhniam emaw).
• Hlutna nei lo anga inhriatna hi beiseina nei lo tihna a ni.
• Engmah tih theih lohna.
• Ka tap duhin ka hria.

Bipolar disorder chi hrang hrangte chu engte nge ni?

Bipolar disorder hi chi li a awm a, chungte chu:

1. Bipolar I Disorder: Heng mite hian manic episode pakhat emaw a aia tam emaw an tawng tawh a. Mi tam tak chuan manic leh depressive episode an nei vek a, mahse depressive episode nei lo manic episode chauh i neih chuan bipolar I i la nei thei tho. Depressive episode hi kar hnih tal a awm tlangpui. Bipolar I vei nia hriat theih nan i manic episode hi ni sarih tal a awm tur a ni a, a nih loh leh damdawi ina dah ngai khawpa na a nih a ngai bawk. Heng mite hian mixed episodes an nei thei bawk , chu chu manic leh depressive symptoms pahnih awmna episode a ni.

2. Bipolar II Disorder: Heng mite hian depressive episode leh hypomanic episode an nei thin. Mahse bipolar I-a awm fo thin full manic episode hi an tawng ngai lo va, hypomania hian mania aiin a tibuai lo zawk nachungin, bipolar II disorder hian bipolar I aiin a ti lungngai zawk thei a, hei hi bipolar II-ah hian chronic depression a tam zawk vang a ni.

3. A rilru a hah lutuk chuan a rilru a buai em em a.Cyclothymic Disorder (Cyclothymia): Heng mite hian an rilru a buai reng a. Kum hnih tal chu hypomania leh mild depression te hi an inthlak danglam thin. Euthymia hun rei lote chhung an nei thei a, mahse heng hun chhung hi kar riat aia rei lo a ni.

4. Bipolar leh a kaihhnawih natna dang tarlan leh tarlan loh: Mi pakhatin bipolar I, II, emaw cyclothymia atana tehfung dik tak a tlin loh a, mahse clinically significant level of abnormal mood elevation a neih chuan he category-ah hian an tel a ni.

Borderline personality disorder (BPD) leh bipolar disorder te hi eng nge an danglamna?

Borderline Personality Disorder (BPD) leh bipolar disorder te hi a inthlau thei hle a, a chhan chu symptom inang thenkhat an neih vang a ni. Mahse, dinhmun hrang hrang pahnih an ni.

BPD hi hun rei tak chhunga, rilru put hmang, nungchang, leh mahni inhriat dan inthlak danglam nghal vek a ni . Chûngte chu mi dangte nêna inlaichînna lama inhnialna avânga lo awm a ni fo ṭhîn. BPD hi nonsuicidal self-injury tamna nen a inzawm a, hei hi bipolar disorder-ah chuan a awm lo.

Bipolar disorder hi BPD nen a danglam a, chu chu mania/hypomania leh/ emaw depression episode chiang tak, rei tak awm thei a ni . Heng mania emaw depression emaw episode hi thil chi hrang hrang avanga lo awm thei a ni. Entîr nân, mut buai te, lungkhamna te, leh damdawi leh damdawi ṭhenkhat hman te.

Tute nge bipolar disorder vei?

Tuah pawh a lo thanglian thei a ni. Kum 25 vel atanga tan a ni tlangpui a, mahse a tlem hle a, kum naupang zawk atang pawhin a intan thei a, kum 40 emaw 50 emaw atang pawhin a intan thei bawk.

Hmeichhia leh mipa a nghawng dan a inang vek a, mahse a nghawng danah hian danglamna tlem a awm thei.

• Bipolar disorder nei hmeichhiate hian mood swing rang tak an nei thei. Kum khat chhunga mania emaw depression emaw episode li emaw a aia tam emaw i neih chuan "rapid cycling" an ti. Sex hormone leh thyroid hormone level inthlak danglamna te, hmeichhiaah antidepressant hman tamna te hian he "rapid cycling" condition hi a thlen thei a ni.
• Hmeichhia pawhin mipa aiin depressive episode an nei tam zawk thei bawk.

Bipolar disorder hi engtiang chiahin nge a awm?

United States-ah hian puitling maktaduai 5.7 vel, mipui 2.6% velin he natna hi an vei a ni. Hetiang dinhmun hi Sri Lanka-ah pawh hmuh tur a awm.

Bipolar disorder natna lan chhuahna chu engte nge ni?

Bipolar I disorder chhinchhiahna ber chu kar khat tal manic episode a ni . Bipolar II disorder emaw cyclothymia nei te hian hypomanic episode an nei thin.

Mahse bipolar disorder vei tam tak chuan manic/hypomanic leh depressive episode pahnih an nei ve ve a ni. Heng mood swings te hi pattern inangah a thleng ngai lo. Manic episode hian depressive episode a zui ngai lo. Mi pakhat hian vawi tam tak mood inang (e.g., mania) a nei thei a, chubakah rilru pangngai (euthymia) atanga a lehlamah (depression) a kal thei bawk.

Heng rilru inthlak danglamna te hi kar tam tak, thla tam tak, a nih loh leh kum tam tak chhung pawh a daih thei a ni.

A pawimawh ber chu heng mood changes te hi i range pangngai atanga chhuak a ni a , chu inthlak danglamna chu rei tak a awm tur a ni . Mania-ah chuan ni tam tak emaw, kar tam tak emaw a daih thei a, depression-ah chuan kar tam tak emaw, thla tam tak emaw a daih thei bawk.

Depressive leh manic episode nasat dan hi mi hrang hrangah a inang lo thei a, hun kal zelah pawh mi pakhatah pawh a inang lo thei bawk.

Manic Episode natna lan chhuah dan

Mi thenkhat chuan an nunah vawi tam tak mania emaw hypomania emaw episode an nei thin. Mi dangte chuan an tawng tlem hle.

Manic episode a lan chhuah dan chu:

• Hlimna nasa tak, beiseina leh phurna nasa tak neia hriatna.
• A rilru a buai em em a, a rilru a buai em em bawk. Entîr nân, hlimna nasa tak aṭanga rang taka thinrim emaw, hmêlma emaw thlenga kal.
• Restlessness a awm.
• Thusawi rang tak, intlansiak ngaihtuahna.
• Energy a pung a, mut mamawhna a tlahniam.
• Mahni inthununna tihpun, thutlukna tha lo siam. Entîr nân, hna bânsan thut.
• Ruahmanna lian tak tak, thil theih loh siam.
• Reckless, risky taka thil tih. Entirnan, ruihhlo leh zu ruih hmang, sex him lo.
• Thil danglam tak, thiamna nei, thiltithei nia inhriatna.
• Psychosis – Mania natna khirh ber berte zingah hallucinations leh delusions tawn.

Vawi tam tak chu, manic state-a awmte chuan an thiltih avanga thil tha lo thleng tur chu an hre lo. Bipolar disorder-ah hian mahni intihhlum hlauhawmna hi a awm reng a ni. Mi thenkhat chu depressive state-ah chauh ni lovin, manic state-ah mahni intihhlum an tum thin.

Mi pakhat chu rilru natna nasa tak nei a nih chuan, a bik takin hallucinations leh delusions a neih chuan, mahni leh midangte harsatna laka inven nan damdawi inah dah a ngai mai thei.

Hypomania natna lan chhuah dan

Mi thenkhat chuan mania nen a inang a, mahse a na zawk. Hei hi hypomania an ti a . Hetih hun chhung hian i rilru a hahdam hle mai thei a, thil tam tak i tih theih angin i inhria thei bawk. Hypomanic state-a awmte hian khawtlang emaw hnathawhna hmunah emaw an thawk tha thei tlangpui.

Hypomanic episode lai hian engmah dik lo angin i inhriat lo mai thei. Mahse i chhungte leh i thiante chuan i rilru put hmang leh nungchang inthlak danglamna an hmu mai thei a, i tan chuan thil mak tak niin an ngai mai thei. Hypomanic episode hnuah pawh depression nasa tak i nei thei bawk.

Depressive episodes natna lan chhuah dan

Bipolar disorder a depressive episodes symptoms hi major depression symptoms nen a inang a ni . Chung zingah chuan:

• Lungngaihna tuar theih loh khawpa hriat.
• Thahrui tlakchhamna, hahna.
• Engmah tih duh lohna.
• Beidawnna, hlutna nei lo anga inhriatna.
• Tun hmaa thil nuam tak tak atanga hlimna hmuh loh.
• Thil ngaihtuah harsa, thutlukna siam harsa.
• Thunun theih loh khawpin a tap.
• Thinrimna.
• Mut mamawhna a sang chho zel.
• Mut theih lohna emaw, mut tam lutuk emaw.
• Ei duhna inthlak danglam avanga taksa rihna tlahniam emaw tihpun emaw.
• Thihna emaw, mahni intihhlum emaw chungchanga ngaihtuahna ( Suicidal Ideation ).

Mahni intihhlum tumna i neih chuan tanpuina i zawng nghal tur a ni. Sri Lanka ramah chuan Sumithrayo ang pawl (0112692909) call la, a nih loh leh damdawi in hnai ber pan rawh.

Mixed Episode pakhata mizia

Mixed episode-ah chuan mania leh depression symptom pahnih hi a awm dun a. Hemi hun chhung hian lungngaihna nena lo awm thin rilru tha lo leh ngaihtuahna tha lo tak tak te chu i nei a, mahse i lungkham a, i rilru a hahdam lo va, chakna nasa tak i nei bawk.

Mixed episode tawk thinte chuan bipolar disorder natna pawi ber a ni an ti fo thin.

Bipolar disorder hi engte nge ni?

Scientist-te chuan hei hi eng thil nge a thlen tih chiang takin an la hre lo.

Mahse an ngaihdan chuan genetic (genetic/inherited) link nghet tak a awm niin an ngai . Bipolar disorder hi rilru lam natna tam ber pakhat a ni. Bipolar disorder vei hmun thuma ṭhena hmun hnih aia tam chuan thisen zawmpui an nei a, ani pawh hian he natna hi a nei ve bawk. Mahse i thisen chhungkhatin bipolar disorder a neih vang mai mai chuan i vei dawn tihna a ni lo.

Scientist-te’n bipolar disorder lo awm chhan nia an ngaih thil dangte chu:

• I thluaka inthlak danglamna: Zirchiangtute chuan bipolar disorder vei te thluak structure thenkhat normal size emaw function emaw ah inthlak danglamna fiah lo tak tak an hmuchhuak a. Mahse thluak scan hmangin he natna hi hriat theih a ni lo.
• Environment factors, trauma leh stress ang chi: Thil buaithlak tak, hmangaih tak thihna, natna khirh tak, inthenna, a nih loh leh sum lama harsatna te hian manic emaw depressive episode emaw a thlen thei a ni. Chuvangin, stress leh trauma hian bipolar disorder a thlen thei bawk.

Tunah hian scientist-te chuan heng thilte hi bipolar nena an inzawmna te, he natna laka invenna atana an puih theih dan te, enkawlnaah eng nge an nghawng tih te an zirchiang mek a ni.

Engtin nge bipolar disorder hi hmuhchhuah a nih?

I doctor hian hei hi a hriat theih nan thil engemaw zat a hmang thei ang:

• Taksa enfiahna.
• Medical history kimchang (i natna lan chhuah dan te, i dam chhunga i thil tawn te, leh chhungkaw chanchin zawh te).
• Damdawi lam test, .Thisen test ang maiin. Hengte hi i natna lan chhuahna thlentu tur thil dang (e.g., hyperthyroidism ) awm leh awm loh enfiah nan tih a ni.
• Rilru hriselna endikna a ni. I doctor chuan hetiang hian a ti thei a, a nih loh leh rilru lam hriselna lama mithiam, rilru lam doctor hnenah i refer thei bawk.

Bipolar disorder vei nia hriat theih nan chuan manic emaw hypomanic episode vawi khat tal i tawng tawh tur a ni . Mental health professional-te chuan Diagnostic and Statistical Manual of Mental Disorders (DSM) hmangin eng chi bipolar disorder nge i neih theih tih hriat theih nan an pui thin.

Eng bipolar chi nge i neih tih hriat nan i doctor chuan i natna lan chhuah dan leh a nasat ber lai pawhin i nun a nghawng dan a zirchiang ang.

Bipolar disorder vei te hian heng rilru lam natna te hi an nei tam zawk a ni:

• Hlauhthawnna.
• Ngaihtuahna tlakchhamna/Hyperactivity Disorder (ADHD) tih a ni.
• Post-Traumatic Stress Disorder (PTSD) atanga lo chhuak a ni.
• Substance hman dan lama harsatna awm thei.

Hei vang hian, leh manic episode-a an hriatrengna a chhiat avangin miten an tawn an hre reng lo mai thei a, chuvang chuan doctor-te tan chuan bipolar vei te dik taka hriat a harsa thei hle.

Bipolar patient chu manic episode na tak neia hallucinations nei chu schizophrenia tia hriat sual a ni thei . Borderline personality disorder (BPD) tia hriat dik loh pawh a awm thei bawk.

Chuvangin doctor nena inbiak hunah i symptoms leh experience zawng zawng dik tak leh kim taka sawi a pawimawh hle. I doctor nena in inbiaknaah i hmangaih tak i telh pawh a \angkai thei a, ani chuan i rilru hriselna chanchin kimchang zawk a pe thei ang.

Engtin nge bipolar disorder hi enkawl a nih?

Enkawlna hian mi tam tak a pui thei a, bipolar disorder natna khirh ber berte pawh a pui thei a ni. Enkawlna ruahmanna hlawhtling takah chuan a hnuaia mite hi a tel tlangpui a ni:

• Psychotherapy / Thusawi hmanga enkawlna.
• Damdawi chi hrang hrang.
• Mahni invenna hmanrua, entirnan, natna chungchang zir te, natna lan chhuah hmasak dan hriat te, leh a chhan hriatchhuah te.
• Nunphung hrisel, exercise, yoga, leh meditation te hian enkawlna a thlawp thei a, mahse a aiah a ni lo.
• Electroconvulsive Therapy (ECT) hi damdawi dangin damdawi an dawn that loh hunah emaw, a chhiat loh nan symptoms control vat a ngaih hunah emaw hman thin a ni.

Bipolar disorder hi dam chhung zawnga natna a nih avangin enkawl hi dam chhung zawnga inpekna a ni . Nang leh i doctor-in i tana ṭha tur enkawlna ruahmanna i hmuh theih nan thla tam tak emaw, kum tam tak emaw pawh a ngai thei. Hei hian lungngaihna thlen thei mah se, enkawlna chhunzawm zel a pawimawh.

Manic leh depressive episode hi hun kal zelah a lo lang leh thin. Bipolar disorder vei tam zawk chuan episode hrang hrangah an mood swings remission an nei a, mahse thenkhat erawh chuan residual symptoms engemaw zat an nei thei thung. Hun rei tak, enkawl chhunzawm zel hian heng natna lan chhuahnate hi a enkawl thei a ni.

Bipolar nen hian rilru lam natna dang (e.g., lungkhamna, ADHD) i neih chuan chutiang dinhmun enkawl chu a harsa zawk thei. Entirnan, obsessive-compulsive disorder (OCD) tan antidepressant leh ADHD tan stimulant te hian bipolar symptoms a ti na zual thei a, manic episode pawh a tichhuak thei bawk.

Mahse, heng natnate enkawl hi a harsa thei hle a, mahse thil theih loh a ni lo. I tana tha tur enkawlna ruahmanna zawng turin inpe rawh.

Bipolar disorder tan hian eng therapy chi nge hman thin?

Psychotherapy, "talk therapy" tia hriat bawk hi bipolar disorder vei te enkawlna ruahmannaah hian a pawimawh hle thei a ni.

Psychotherapy hi enkawlna chi hrang hrang a ni a, chu chuan rilru, ngaihtuahna leh nungchang buaithlak tak takte hriatchhuah leh tihdanglam theihna a siam a ni. Psychiatrist ang chi mental health professional , nena thawhhona chuan nang leh i chhungte tanpuina, zirna, leh kaihhruaina a pe thei a ni.

Bipolar disorder enkawlna chi hrang hrang:

• Psychoeducation: Hei hi rilru lam hriselna lama mithiamte’n an rilru lam hriselna dinhmun an zirtirna a ni. Bipolar hi natna khirh tak a nih avangin, a chungchang leh i nun a nghawng dan zir hian nang leh i hmangaih tak takte chu i enkawl tha zawkin i hmachhawn thei a ni.
• Interpersonal and Social Rhythm Therapy (IPSRT): He therapy hi i biological leh social rhythm te hriatthiamna leh i mood tihchangtlun nan i thawhpui theih nan ruahman a ni. IPSRT hi bipolar disorder leh mood disorder dang nei tan chuan enkawlna tha tak a ni. Damdawi zawm dan te, nunah thil thleng lungchhiatthlak tak tak enkawl te, leh khawtlang nunphung (nitin nunphung inthlak danglamna) tihbuai te tihziaawmna te a ngaihtuah a ni. IPSRT hian nakin lawka mania emaw depression emaw i neih loh nan a pui thei tur thiamna a zirtir che a ni.
• Family-Focused Therapy: Hei hi puitling leh naupang bipolar disorder nei leh an enkawltute tan enkawlna a ni. He therapy-ah hian i hmangaih tak takte chuan bipolar chungchang zir te, inbiakpawhna thiamna tihchangtlun te, leh harsatna chinfel thiamna te practice turin an thawk ho thin che a ni.
• Cognitive Behavioral Therapy (CBT): Hei hi a structured, thil tum neia enkawlna chi khat a ni. I therapist chuan i ngaihtuahna leh i rilru put hmang thuk takin a en theih nan a pui che a ni. I ngaihtuahnain i thiltih a nghawng dân i zir ang. CBT hmang hian ngaihtuahna leh nungchang tha lote thlahthlam i zir thei a, ngaihtuahna leh tih dan hrisel zawk i siam thei bawk.

Bipolar disorder tan hian eng damdawi nge hman thin?

Damdawi thenkhat hian bipolar symptoms te hi a enkawl thei a ni. I tana tha ber tur i hmuh theih nan i doctor kaihhruaina hnuaiah damdawi chi hrang hrang engemaw zat i enchhin a ngai mai thei.

Bipolar disorder damdawi hman tlanglawn tak takte chu:

• Mood Stabilizers te pawh a awm.
• Thla hnihna ("atypical") neuroleptics (antipsychotics an ti bawk).
• Antidepressant damdawi a ni.

Bipolar disorder damdawi i ei a nih chuan hengte hi hre reng ang che:

• Damdawi hian a hlauhawmna, a nghawng tha lo leh a hlawknate hrethiam turin i doctor nen inbia ang che.
• Damdawi dang (prescribed, over-the-counter, emaw nutritional supplement) i ei tawh zawng zawng chu i doctor hnenah hrilh rawh.
• Side effects buaithlak tak tak i neih chuan doctor hnenah hrilh nghal rawh. Dose an thlak danglam thei a, damdawi dang an pe thei bawk.
• Bipolar damdawi hi ei chhunzawm zel tur a ni tih hre reng ang che, a tih angin.

Bipolar tan pawh Mood Stabilizers a awm

Bipolar disorder vei te hian manic emaw hypomanic episodes te enkawl nan mood-stabilizing damdawi an mamawh tlangpui.

Mood stabilizer chi hrang hrang leh an brand hming:

• Lithium ( Eskalith®, Lithobid®, Lithonate®) te hi a tha ber pawl a ni.
• Valproic acid (Depakene®) hmanga siam a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a. Divalproex sodium (Depakote®) .
• Carbamazepine (Tegretol®, Equetro®) te hi a tha ber a ni.
• Lamotrigine (Lamictal®) hmanga siam a ni.

Lithium hi bipolar disorder damdawi pek chhuah tam ber leh zirchian tam ber zinga mi a ni. Lithium hi pianphung atanga lo awm chi a ni. Enkawl tan atanga kar hnih chhungin manic symptoms a tihziaawm a, mahse manic symptoms hi a control kim theih nan kar emaw thla tam tak emaw a ngai thei. Hemi avang hian doctor-te chuan damdawi dang, antipsychotics emaw antidepressant emaw an pe fo thin a, chu chu natna lan chhuah dan control-na atan a ni.

Lithium hian a chang chuan thyroid leh kidney lama harsatna a thlen thei bawk . Chuvangin i doctor chuan i thyroid leh kidney hnathawh dan a enfiah fo ang a, chubakah i thisena lithium level a enfiah fo ang, a chhan chu lithium level hi awlsam takin a sang lutuk thei a ni.

I sodium level tihhniamtu thil eng pawh — sodium tlem eitur lama inthlak, thawk hah lutuk, khawsik, luak chhuak, emaw riltam — te hian i taksaah lithium chu toxic level thlengin a tipung thei a ni. Lithium i ei a nih chuan heng natna te hi hre reng la, a lo awm chuan doctor hnenah hrilh bawk ang che.

Hengte hi lithium toxicity/overdose chhinchhiahna a ni . If you have any of these , i doctor ko nghal la, emergency room hnai ber pan rawh:

• Blurred vision emaw double vision emaw a awm thei.
• Lungphun mumal lo.
• Thinlung thawk chak tak emaw, slow lutuk emaw.
• Thâwk harsa.
• Buaina, luak chhuak.
• Khing na tak emaw, seizure emaw.
• Zun tam lutuk.
• Mit chet dan thunun theih loh.
• Thil danglam tak, hliam emaw thisen chhuak emaw.

Bipolar disorder tan neuroleptic damdawi hman a ni

Doctor-te chuan bipolar disorder nei tan chuan second-generation emaw atypical neuroleptics (antipsychotics) bakah mood stabilizer an pe fo thin. Heng damdawi te hian manic leh depressive episode pahnih ah te a pui thin.

Heng damdawi zinga pali chauh hi US Food and Drug Administration (FDA)-in bipolar depression enkawlna atana a pawmpui a ni:

• Cariprazine (Vraylar®) hmanga siam a ni.
• Lurasidone (Latuda®) a ni a, a man hi a to hle.
• Olanzapine leh fluoxetine inkawp (Symbyax®) hmanga siam a ni.
• Quetiapine (Seroquel®) tih hi a tha hle.

Mahse, damdawi dang Olanzapine (Zyprexa®), Risperidone (Risperdal®), leh Aripiprazole (Abilify®) te pawh an pe tlangpui bawk.

Bipolar disorder tan chuan antidepressant damdawi a ni

Doctor-te chuan bipolar disorder-a depressive episodes enkawlna atan antidepressant an pe ṭhin. Mahse, manic episodes ven nan antidepressant nen hian mood stabilizer an pe bawk.

Antidepressant hi bipolar disorder damdawi awmchhun atan hman a ni ngai lo, antidepressant ei ringawt hian manic episode a thlen thei a ni.

Bipolar damdawi ei hian eng side effect nge a neih?

Bipolar damdawi hian side effect a nei fo a, damdawi hrang hrangah a inang lo. I damdawi ei atanga i beisei tur chungchang doctor nen inbiakna neih a pawimawh. Side effect i neih chuan hrilh a pawimawh bawk.

I doctor-in a tih loh chuan damdawi ei kha titawp ngai suh. Damdawi ei khap nghal hian side effect na tak a thlen thei a, damdawi lam harsatna na tak a thlen thei bawk.

Bipolar damdawi ei avanga side effect awm tam ber chu:

• A taksa rihna a tipung.
• Metabolic dysregulation, chutah chuan lipid level dik lo (dyslipidemia) , thisen sang (hypertension) , leh thisen sugar sang (hyperglycemia) te pawh a tel.
• Mutthilh theih lohna.
• Akathisia – Hahdam lohna, rilru hahdam lohna, leh che vel, rock, emaw che vel duhna nasa tak.

Bipolar tan hian eng damdawi dang nge hman thin?

Bipolar disorder enkawlna atana i doctor-in a ngaihtuah theih enkawlna dangte chu:

• Electroconvulsive Therapy (ECT): Hei hian i lu vun kaltlangin i thluak ah electric current tawi te te a thawn a, chu chuan seizure a thlen thin. Hei hi depression na tak nei tan hman a ni ber. ECT hi damdawi ei lo emaw, nunna atana hlauhawm mania na tak emaw, depression tan chuan a him hle a, a tangkai hle bawk. Naupai i nih chuan mania enkawlna tha ber a ni. ECT hi general anesthesia hmanga tih a nih avangin i tih chhung zawng hian i muhil a, natna engmah i hre lo ang.
• Transcranial Magnetic Stimulation (TMS): Hei hian electromagnetic coil tawi tak hmangin i thluak ah electrical current a thawn a ni. Doctor-te chuan damdawi ei chhân lêt lo depression enkawl nân hei hi an hmang ṭhîn. ECT ai chuan a danglamna a ni. TMS hi a na lo va, anesthesia a ngai lo.
• Thyroid damdawi: Heng damdawi te hian mood stabilizer angin hna an thawk thei. Zirna hrang hrangah chuan enkawl harsa, "rapid-cycling" bipolar disorder nei hmeichhiate symptoms tihtlem nan an tangkai hle tih an hmuchhuak.
• Ketamine Enkawlna: Anesthetic ketamine hi thisen kal tlanga (IV) pek tlem chuan bipolar disorder vei te tan hun rei lote chhung atan antidepressant leh anti-suicidal effect a nei tih hmuhchhuah a ni.
• Hospitalization: Hei hi bipolar care atana emergency option a ni. Mi pakhat chu depressive emaw manic episode na tak a neih a, mahni emaw midang emaw tana hlauhawm nghal a nih chuan a tul a ni.

Nunphung inthlak danglamna hian bipolar hi a pui em?

I medical team chuan i bipolar symptoms ti na zualtu nungchangte tihtawp nan nunphung thlak danglam turin an rawt mai thei. Chûng nunphung inthlâk danglamna ṭhenkhat chu:

• Zu, ruihhlo leh zuk leh hmuam hman tawh loh: Zu leh ruihhlo (zuk leh hmuam pawh tel) hman tawh loh a pawimawh hle a, hengte hian i damdawi ei mekte nen an inzawm thei a, i bipolar condition a tichhe thei a, chu natna vei theihna a tipung thei bawk.
• Nitin diary emaw, mood chart emaw vawng rawh: Nitin i ngaihtuahna, i rilru put hmang, leh i nungchangte record hian i enkawlnain a thawh that zia i hmu thei a, mania emaw, depression emaw episodes thlen thei triggers te i hmuchhuak thei bawk.
• Mut hun hrisel tak vawng reng rawh:Bipolar hian i mut danah nghawng lian tak a nei thei a, mut dan inthlak danglam chuan natna a thlen thei bawk. Mut hun pangngai neih chu ngaih pawimawh ber la, chu chu nitin hun khata mut leh harh te hi a ni.
• Exercise: Exercise hian mood leh rilru hriselna a tlangpuiin a tichak tih hmuhchhuah a ni. Chuvangin bipolar symptoms enkawl nan pawh a pui thei bawk. Bipolar damdawi ei avanga side effect awm fo chu taksa rihna sang hi a ni. Chuvangin exercise hian taksa rihna a enkawl thei bawk.
• Meditation: Meditation hian bipolar disorder-a tel ve depression tihziaawmna kawngah a tangkai hle tih hmuhchhuah a ni.
• Stress enkawl la, inlaichinna hrisel tak vawng reng rawh: Stress leh lungkhamna hian bipolar disorder vei tam takah symptoms a ti na zual thei a ni. I stress hi hrisel taka enkawl a pawimawh a, a theih chuan stressor te tihbo a pawimawh bawk. Chumi zinga a lian ber chu ṭhian leh chhungte ṭanpuitu nena inlaichinna hrisel neih a, i nunah lungkhamna tipungtu inzawmna toxic tak takte chhuahsan hi a ni.

Bipolar disorder hi eng prognosis nge ni?

Bipolar disorder hi enkawl tha a nih loh chuan a hmalam hun a tha lo fo thin. Mahse, enkawl ṭhat a nih chuan bipolar disorder vei tam tak chuan nun hlim tak, rah chhuah nei tak an nei thei a ni.

Bipolar disorder hian kum 9 velin dam rei zawng a ti tawi a ni. Bipolar disorder vei mi panga zinga pakhat vel chu mahni intihlum an ni. Bipolar disorder vei zinga 60% vel chu ruihhlo emaw zu emaw an ngah nia chhut a ni.

Hei vang hian bipolar vei te tan chuan damdawi lam thurawn lak leh enkawl tura inpek a pawimawh hle.

Damdawi hman fo leh hman fo hian mania leh depression episodes a tihziaawm thei a ni. Heng episode-te symptom leh trigger te hi i hriat theih chuan, hun rei tak damlohna, damdawi ina awm leh mahni intihhlum lohna tur enkawlna hlawhtling leh hmachhawn dan tur i hmuh theihna chance tha zawk i nei a ni.

Bipolar disorder hi ven theih a ni em?

Vanduaithlak takin scientist ten bipolar awm chhan dik tak an hriat loh avangin a ven dan tur hriat a awm lo.

Mahse, bipolar disorder symptoms hriat a pawimawh hle a, a tir lamah doctor thurawn lak a pawimawh hle (Early Intervention) .

Bipolar chungchangah engtikah nge doctor i hmuh ang?

Bipolar disorder i vei tih hmuhchhuah i nih chuan i dam chhung zawngin i medical team te nen in inhmu fo a ngai ang a, chu chuan i enkawlna chu i tan a tha em tih i hriat chian theih nan. He team hian:

• I hriselna enkawltu ber.
• Rilru lam doctor.
• Psychologist emaw Therapist emaw a ni thei.
• Neurologist a ni.

Bipolar vei te hi engtikah nge Emergency Treatment Unit (ETU) ah an kal ang ?

Hetiang dinhmun i neih chuan, .Kum 1990 (Sri Lanka emergency ambulance service) biak nghal emaw, emergency room hnai ber pan emaw a pawimawh hle:

• Thihna emaw, mahni intihhlum emaw chungchanga ngaihtuahna.
• Mahni emaw, midang emaw tihchhiat tumna emaw, ruahmanna emaw.
• Hallucinations leh delusions tawn.
• Lithium toxicity/overdose , symptoms of lithium toxicity/overdose , chu chu rilru hahna leh luak chhuak nasa tak, kut nghing nasa tak, buaina, leh mitdelna te hi a ni.

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Bipolar disorder hi dam chhung zawnga natna a ni. Mahse hun rei tak, enkawl chhunzawm zel, damdawi leh thusawi hmanga enkawlna ang chi hian i natna lan chhuahnate chu a enkawl thei a, nun hrisel, tum nei tak i nei thei bawk. I healthcare team te nen inhmuh fo a pawimawh a, i enkawl dan tur leh i symptoms te enfiah thin a pawimawh. I doctor leh i hmangaih tak takte chu i thlawp turin an awm tih hre reng ang che. Ṭanpuina dil hlau suh.

` Bipolar, manic depression, mania, lungngaihna, rilru hriselna, mood disorder, enkawl dan