I fa chu a châng chuan chhan awm lovin hlim leh misual danglam tak angin a lang a, chutah chuan thil tenawm ber berte chungchângah a thinrim a, a au a, a tap nghal mai ṭhin em? Tin, chutah chuan rang takin lungngai leh brooding tak a lo ni ta em ni? Nu leh pa i nih angin, heng nungchang inthlâk danglamna hmuh hi i tân harsatna lian tak leh hlauhna thlentu a ni thei bawk. "He naupang hi eng nge a tihsual?" Vawiin hian hetiang dinhmun thlen thei rilru natna chungchang kan sawi dawn a ni. Chu chu Bipolar Disorder an ti a.
A awlsam zawngin, Bipolar Disorder chu eng nge ni?
Bipolar Disorder hi dam chhung zawnga rilru natna a ni. Tun hma chuan manic-depressive illness an ti thin. Mihring rilru put hmang, chakna level, ngaihtuahna leh nungchang inthlak danglamna rang tak leh na tak a awm thin. 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. Hei hian nitin hna thawh a harsat phah thei a ni.
A tam zawkah chuan he natna hi tleirawl emaw, puitling emaw atanga hmuhchhuah a ni a, mahse a chang chuan naupan lai atanga a lan chhuah tan theih a ni.
Bipolar disorder hi chi hnih a awm a.
1. Mania: Hei hi mi rilru put hmang, rilru put hmang leh chakna level danglam tak a san lai a ni. "Hlim lutuk" ang maiin. A châng chuan, a na lo zâwk, hypomania an tih pawh a awm thei bawk.
2. Depressive phase: He phase-ah hian a kalh zawngin a thleng thin. I lungngai hle a, i lungngai hle bawk. Tûn hmaa i hlim ṭhin thilte chu i ngaihven tawh lo. A dik tak chuan lungngaihna dinhmun (depression) chhinchhiahna a lantir a ni.
Mahse hei hi kan hriat reng a ngai bawk. He natna vei hi heng state pahnih zinga pakhatah hian a awm reng reng lo. Chu period inkarah chuan, chu chu harsatna awm lovin, a pangngai hun lai pawh a awm bawk. Chu chu `euthymia` kan ti a. Chu chu an dinhmun pangngai, pangngai tak a ni.
Engtin nge bipolar disorder hi puitling aiin naupangah a danglam?
Hei hi thil pawimawh tak a ni. Puitlingin Bipolar Disorder a neih chuan `mania` leh `depression` hun chhung chu chiang takin a thliar hrang thei a, a hriat theih bawk. Heng period te hi kar khat emaw a aia rei emaw chhung a ni.
Mahse naupang leh naupang tê tête nen chuan heng stage-te hi chutiang chuan a chiang lo. Tin, stage pakhat atanga stage dang panna pawh a rang hle bawk. Entîr nân, i fa chu zing lamah a lâwm lutuk a, chhan awm lovin a fiamthu ang maiin han mitthla teh. Chhun lamah chuan thil tenau ber ber a thinrim a, a au chhuak a, thil a vawrh chhuak thin. Tlaiah chuan a room-ah a riak a, chhan awm lovin a tap thin. Heng zawng zawng hi ni khatah a thleng thei vek a ni.
A tlangpuiin naupang zawng zawng hian kum upat danah nungchang inthlak danglamna an lantir thin. Mahse Bipolar Disorder hi chutiang chuan a awm lo. Hetah hian inthlak danglamna hi a nasa hle a, chhan awm lovin a thleng fo bawk. Hemi rual hian a hnuaia mite hi i hmu thei bawk ang:
- Mut dan inthlak danglamna.
- Taksa chakna level-a inthlak danglamna lian tak.
- Thil ngaihtuah harsa leh ngaihtuahna fim tak neih.
Heng symptoms te hian naupang tan sikul kal that a ti harsa thei a, a thiante nen pawh a inrem tha thei a, chhungte nena inpawh kawngah harsatna a nei thei bawk. A hlauhawm ber chu naupang thenkhat phei chuan mahni intihhlum emaw, mahni intihhlum emaw pawh an tum mai thei.
Naupang zingah he natna hi engtiang chiahin nge a awm?
Research atanga a lan dan chuan kum 18 hnuai lam zinga 4% vel chuan bipolar disorder an nei a ni. A châng chuan naupang kum 5 mi lek pawhin he natna hi a vei thei a ni.
Rilru natna dang nena khaikhin chuan:
- Naupang 9.8% chuan attention deficit hyperactivity disorder (ADHD) an nei a ni.
- Naupang 9.4% chuan lungkhamna (anxiety disorder) an nei a.
- Naupang 4.4% chuan lungngaihna an nei.
Chumi awmzia chu hei hi naupangte zingah pawh nasa taka hmuh theih dinhmun a ni tihna a ni.
Naupang bipolar disorder natna lan chhuah dan chu engte nge ni?
Heng symptoms te hi chi hnih ah then theih a ni. Hengte hi `manic` episode leh `depressive` episode chhinchhiahna te an ni. Naupang thenkhat chuan episode pahnih hi a rualin symptoms an nei (mixed episodes). Midang erawh chuan episode pahnih hi an inthlak rang hle (rapid cycling). A chang chuan ni khat chhung pawhin.
A pawimawh ber chu heng mizia te hi naupang nungchang pangngai nen a danglam a ni.
Manic episode natna lan chhuah dan
Naupangte chu puitling ang maia hlim leh nung taka awm ai chuan he hun lai hian thinrim leh nungchang tichhe thei tak tak an lantir duh zawk a ni.
| Mihring ziarang chi khat | Hrilhfiahna |
|---|---|
| Emotion leh mood te | Chhan awm lova hlim lutuk leh beiseina nei lutuk. I kum nena inmil lo fiamthu siam. Thil tenawm ber pawha thinrim leh au chhuahpui. |
| Energy level leh mut theihna | Thil chak tak, active tak tak a nih. Mut mumal nei lovin ni tam tak kal, hahdam taka awm. |
| Thu leh ngaihtuahna | Thusawi chak lutuk, midang sawi tir loh. Ngaihtuahna pakhat atanga ngaihtuahna dang lama zuang chhuak. Thil ngaihtuah reng harsa. |
| Nungchang | Dan zawm loh te, thil tihchhiat te, leh ngaihtuahna fim lo, thil hlauhawm tak tak tih te (e.g., invenna tel lova sex hman, zu in). |
| Mahni inrintawkna | Mi pakhatin thiltihtheihna mak tak, ropui tak emaw theihna emaw a nei tih rin (e.g., puitling aiin engkim a hre chiang zawk a, engkim a thunun thei tih ngaihtuah). |
Depressive episode a lan chhuah dan
Hetih lai hian naupang chu a lungngai hle a, chakna pawh a hniam hle.
| Mihring ziarang chi khat | Hrilhfiahna |
|---|---|
| Emotion leh mood te | Chhan awm lova lungngai reng reng, tap reng reng. Hmanlai thil nuam i tih thinte ngaihvenna hloh. Thil tenawm ber pawh avanga hliam tuar. |
| Energy level leh mut theihna | Chauh taka inhriatna, mut harsatna, zing thawh hma, emaw mut tam lutuk. |
| Khawtlang nun inzawmna | Mahni chauha awm duhna, ṭhiante leh classmate-te aṭanga hla taka awm duhna. |
| School hnathawh leh ngaihtuahna | Sikul hnathawh tur hloh. Thil ngaihtuah leh hriatreng harsa. Mahni chungchang thu tha lo sawi. |
| Taksa mizia | Chaw ei chak lohna emaw, ei tam lutuk emaw. Lu na, pum na, leh taksa na chungchangah phunnawi fo thin. |
| Ngaihtuahna hlauhawm tak tak | Thihna emaw, mahni intihhlum emaw chungchang sawi emaw, ngaihtuah emaw. |
Pawimawh tak: I fain mahni intihhlum tumna emaw, tawngkam emaw chhinchhiahna a lan chuan doctor pan nghal rawh. Chutih lai chuan i fa chu hlauhawmah i ngai a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh.
Eng thilin nge Bipolar Disorder hi a thlen?
Scientist-te chuan hei hi a chhan chiang tak an la hmu lo a, mahse thil pawimawh engemaw zatin hmun a chang niin an ngai.
- Genetics: Hei hi a chhan ber a ni. A awlsam zawngin, rochun aṭanga lo chhuak a ni . Bipolar disorder vei hmun thuma ṭhena hmun hnih aia tam chuan an chhungte hnai tak (nu, pa, unaupa) an nei a, he natna hi an vei a ni. Amaherawhchu, chhungkuaa mi tu emawin a neih vang mai maiin mi zawng zawngin an tipung vek lo.
- Thluak inthlak danglamna: Zirchianna thenkhat chuan he natna vei naupangte hian thluak hmun thenkhat hnathawh danah inthlak danglamna an nei tih an hmuchhuak.
- Trauma leh stress: Chhungkaw member thihna emaw, tihduhdahna nasa tak emaw ang chi thil rapthlak tak tak, lungkhamthlak tak tak tawn hian genetically at risk mi pakhatah he natna hi a lo awm thei bawk.
Engtin nge naupangin Bipolar Disorder a vei tih chiang taka i hriat theih ang?
Hei hi thil buaithlak deuh a ni a, Bipolar Disorder natna lan chhuah dan hi naupangte natna dang tam tak, ADHD (attention deficit disorder), Oppositional Defiant Disorder (impulsive behavior), leh Major Depression te nen a inang thei a ni.
Chuvangin, hei hi hriat chian nan hian rilru lam hriselna lama counselor tawnhriat ngah tak (psychiatrist emaw psychologist emaw) puihna a pawimawh hle.
Doctor chuan hetiang hian a ti thin:
- Taksa enfiah: Natna dang a awm leh awm loh enfiah.
- Medical history kimchang: Nang leh i fa chu i fa natna lan chhuah dan leh chhungkaw medical history chungchang zawh in ni ang.
- Damdawi lam test: Thisen test ang chi thil hi taksa natna dang, heng symptoms thlentu tur awm leh awm loh enfiah nan an ti thin.
- Mental health evaluation: Hei hian specialist psychiatrist hnena referral a huam thei. Naupang, nu leh pa, leh zirtirtu thlengin naupang nungchang chungchanga zawhna lehkha fill up turin an ti mai thei.
Engtin nge enkawl a nih?
Bipolar disorder hi dam chhung zawnga natna a nih avangin enkawlna pawh dam chhung zawng a ni . I fa enkawlna tur ruahmanna dik tak hmuh theih nan thla tam tak emaw, kum tam tak emaw pawh a ngai thei. Mahse, ngaihtuahna seng reng a, enkawlna chhunzawm zel a pawimawh.
Enkawlna ruahmanna hlawhtling takah chuan heng thilte hi a inzawm khawm a ni:
- Damdawi chi hrang hrang
- Psychotherapy (a nih loh leh "talk therapy") hmanga enkawlna .
- Nunphung hrisel (exercise, ngaihtuahna, tih dan pangngai) .
Psychotherapy hmanga enkawlna
Hei hi enkawlna ruahmannaah chuan a pawimawh hle. Naupang chu an rilru put hmang, ngaihtuahna leh nungchangte hriatchhuah leh thunun turin a pui a ni.
- Psychoeducation: Naupang leh chhungte hnena natna chungchang chiang taka hrilhfiah.
- Family-focused therapy (FFT): Naupang leh chhungkua an tel dun theihna tur enkawlna a ni. Symptoms hriatchhuahna, harsatna chinfelna leh inbiakpawhna tihchangtlunna kawngah a pui thin.
- Chronotherapy: Naupang chu mut dan mumal tak, mut dan pangngai a neih theih nan a pui thin. Mut leh harh chu a rualin an practice thin.
Damdawi chi hrang hrang
Puitling tana hman thin mood stabilizer leh antipsychotic drugs te pawh naupang ah hlawhtling takin an hmang thin.
- Mood stabilizers: Damdawi `Lithium`, `Valproic acid`, leh `Lamotrigine` te hian `manic` episodes control nan a pui thin.
- Antipsychotics: Hengte hian `manic` leh `depressive` episode pahnih ah a pui thin.
Pawimawh: I fa hian natna dang, ADHD ang chi a neih chuan damdawi thenkhat chuan bipolar disorder symptoms a ti na zual thei a ni. Chuvangin, i fain damdawi a ei apiang chu i doctor hnenah inhawng takin sawi rawh.
Damdawi hian side effect a nei em?
Ni e, damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei. A hman tlanglawn berte chu:
- A taksa rihna a tipung
- Mutthilh theih lohna
- Restlessness, thut theih lohna `(Akathisia)`
- Thisen sugar leh cholesterol level inthlak danglamna.
Lithium damdawi chungchangah ngaihven bik:
Lithium hi bipolar disorder enkawlna atana hman tlanglawn tak a ni. Naupang sodium (salt) level tihhniamtu eng thil pawh - thawk hah lutuk, khawsik, luak, luak chhuak - lithium toxicity a thlen thei. Hei hi emergency a ni.
| Lithium Toxicity a awm tih hriattirna - ETU-ah kal nghal rawh! | |
|---|---|
| Mit hmuhna lama harsatna a awm | Mit hmuh fiah lo, mit pahnih hmuh theihna |
| Lungphun a rawn ri ta | Lungphun mumal lo, rang tak, emaw, slow lutuk emaw |
| Thil dang pawh a awm | Thâwk harsa, rilru buai, luak chhuak, khur nasa emaw, khur emaw, zun tam lutuk |
Doctor rawn hmasa lovin i fa damdawi ei kha titawp ngai suh. A tihtawp nghal chuan side effect na tak a thlen thei a, a natna a ti na zual thei bawk.
Engtin nge kei hian nu leh pa angin ka fa chu ka puih theih ang?
Bipolar disorder nei naupang enkawl hi thil lungchhiatthlak tak a ni thei. Nangmah pawh in enkawl a pawimawh. Counselling i zawng thei bawk a, chutiang bawka thil tawn tawh nu leh pate tan pawh support group-ah i tel thei bawk.
- I fa chu ṭanpui rawh: I fa chu a rilru put hmang sawi tûrin fuih rawh. Ngaithlatu tha tak ni rawh.
- Dawhthei rawh: Enkawlna dik zawn chu hun a duh a. Khualzinnaah dawhthei takin awm rawh.
- I fate rilru put hmang ngaihven rawh: I fate nungchang inthlak danglamna chu journal-ah ziak rawh. He thu hi zirtirtu leh chhungte hnenah share ve rawh.
- In lamah pawh tih dan pangngai vawng reng rawh: a bik takin mut hun leh thawh hun mumal tak nei rawh.
- Stress enkawl danah tanpui rawh: I fa chu thawk thuk ang chi thil awlsam tak tak zirtir rawh.
- Enkawlna pawimawhzia sawi rawh: Enkawlnain nun a tihchangtlun theih dan sawi la, i fate chu a hun taka an damdawi ei turin fuih la, therapy-ah pawh tel ve rawh.
Take-Home Thuchah a ni
- Bipolar Disorder hi naupang nungchang tha lo leh fimkhur loh vang a ni lo. Damdawi lam dinhmun dik tak, enkawl ngai tak a ni.
- Natna hriatchhuah leh enkawl nan specialist medical assistance a pawimawh hle.
- Enkawlna hi kawng thui tak a ni a, nu leh pa i nih angin i dawhtheihna leh i thlawpna hi i fa tan a pawimawh hle.
- I fain thihna emaw, mahni intihhlum chungchang emaw a sawi chuan ngaihthah ngai suh. Damdawi lam thurawn zawng nghal rawh.
- Nangmah chauh i ni lo. Nang leh i fate tanpui theitu doctor, counselor leh support group te an awm a.
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