I fa chu a châng chuan a danglam bîk takin a hlim a, a thawkrim hle a, chutah rang takin a thinrim hle a, a lungngai a, chhan tê ber pawh ni lovin a room-ah a awm reng tih i hre ngai em? Hetiang thiltih mak tak, extreme pahnih inkara inthlak nghal vat thin hi i hriat chuan tunah hian sawi hun tha ber a ni. Vawiin hian bipolar disorder , nu leh pa tam takin an hriat loh, naupangte zingah pawh hmuh theih rilru lam natna kan sawi dawn a ni.
A awlsam zawngin, bipolar disorder chu eng nge ni?
Bipolar disorder hi tun hma chuan manic-depression an ti thin a. A awlsam zawngin sawi ila, mi pakhat rilru put hmang, chakna level leh nungchang te chu a tawp ber atanga a tawp lam panna rilru dinhmun a ni. Ngaihtuah teh, moment khat chu rin loh takin i hlim a, i hyperactive bawk. Chu chu manic episode kan ti a . A dawt leh chuan i lungngai hle a, i lungngai a, chhan awm lovin engmah i ngaihven lo. Chu chu depressive episode kan ti a .
A tam zawkah chuan he natna hi puitlingah hmuh tur a awm. Mahse, a chang chuan naupang kum 7-8 inkar ah pawh heng symptoms te hi a lang thei bawk.
He scenario hi han ngaihtuah teh. Nu pakhat hian fapa kum 8 mi a nei a. Ni tam tak chhung chu muthilh lovin a kal thut a, a chhungte lakah a hmêlma a, chemte hmangin a vau a, a unaupa ngei pawh beih a tum a ni. Hlauthawng tak nu leh pate chuan naupang chu damdawi inah an hruai a, ni eng emaw zat test an neih hnuah doctor-te chuan naupang chu bipolar disorder a nei tih an hre ta a ni. Hei hi thil awm thei tak tak a ni.
A pawimawh ber chu, hei hi thil tha lo, naupang lam atanga thil tihsual, nu leh pa lam atanga tihsual a ni lo. Hei hi damdawi lam dinhmun a ni a, enkawl ngai a ni.
Naupangin he natna hi a nei tih engtin nge i hriat theih ang?
Naupangin kar hnih aia rei heng nungchang lama a lan chhuah chuan doctor thurawn lak a pawimawh hle. Heng symptoms te hi chi hnih ah then theih a ni a, manic leh depressive te an ni.
| Manic Symptoms a awm thei | Depressive Symptoms a awm thei |
|---|---|
| Hlim danglam tak, fiamthu, emaw, rang taka thinrim/aggressive lutuk. | Lungngaihna emaw, tap reng reng emaw. |
| Mahni inngaihhlutna sang tak, a tak tak lo tak neih (e.g., an thlawk thei a, tumahin an dang thei lo tih ngaihtuah). | Ṭhiante atanga inhnukdawk leh tih dan pangngai. |
| Taksa chakna tihpun lutuk. Ni tam tak mut loh hnuah pawh chau tih hriat loh. | Eng thil pawha chakna, ngaihvenna emaw, chêttîrna emaw hloh. |
| Vawi khata hna tam tak thawh, mahse engmah tihfel loh. Rang takin ngaihvenna a shift. | Hlutna nei lo anga inhriatna leh thil dik lo zawng zawng tihsualna. |
| Thusawi rang lutuk leh tawp lo. Thupui thlak thuai. Interruption awm phal loh. | Hnawlna emaw hlawhchhamna emaw laka sensitive lutuk. |
| Thil hlauhawm tak tak (e.g., ruihhlo hman, stunt hlauhawm, sex him lo) tih. | Ei leh in leh mut dan (mut tam lutuk emaw ei tam lutuk emaw) inthlak danglamna lian tak. |
| Ngaihtuahna a intlansiak ang maia inhriatna. | Taksa lama complaint fo thin, lu na leh pum na te. |
| Thihna, mahni intihhlum, a nih loh leh mahni intihhlum chungchang ngaihtuah nawn fo thin. |
Hei hi ADHD nen engtin nge a danglam?
Vawi tam tak chu nu leh pate’n heng chhinchhiahnate hi an hmuh hian an fate hian ADHD (Attention Deficit Hyperactive Disorder) a nei niin an ngai thin. Hei hi hyperactivity leh inattention pahnih a awm vang a ni. Mahse, heng dinhmun pahnih hi a danglamna lian tak a ni.
Doctor-te sawi angin, "ADHD naupang chu minute nga vel zet a thinrim thei a, a theihnghilh thei a, rei vak lo hnuah ngaihdam a dil thei bawk. Mahse, bipolar naupang thinrimna hi darkar tam tak chhung a daih thei a, ni khat chhung pawh a daih thei. Thinrimna nasa tak a ni. Chu chu lungngaihna nasa takin a zui a ni," a ti.
Chuvangin heng symptoms te hi dik taka hriat chian a, diagnosis dik tak neih a pawimawh hle.
Engvangin nge naupangte hian hetiang dinhmun hi an neih?
A chhan awmchhun sawi a har khawp mai. Mahse a pawimawh ber chu chhungkaw chhunga genetic link hi a ni . Chu chu chhungkaw chhungte hnai tak (nu, pa, pi, pa u) pakhatin bipolar disorder emaw rilru lam natna dang emaw a neih chuan naupang pawhin a vei theihna tur a awm tihna a ni. Tin, thluaka chemical thenkhat ( Neurotransmitters ) inthlauhna hian hei hi a nghawng thei bawk.
Engtin nge ka fa chu ka puih theih ang? Enkawlnate chu engte nge ni?
I fain heng symptoms te hi a nei nia i rinhlelh chuan hlauthawng ngai suh la, nangmah chauhin thutlukna siam ngai suh. A hmasa ber leh tha ber chu naupang enkawltu emaw rilru lam doctor emaw pan hi a ni.
Doctor chuan i fa nungchang leh chhungkaw history chungchang chipchiar takin zawhna a zawt ang che. Heng symptoms te hi taksa lam thil dang, epilepsy emaw brain tumor emaw avanga lo awm a nih leh nih loh an enfiah bawk ang. Chumi hnuah chauh chuan diagnosis dik tak an thleng ang.
Enkawlna hi a pawimawh ber pahnih a awm a :
1. Damdawi: Naupang rilru tihngheh nan damdawi pek thin a ni. Chung zingah chuan damdawi chi hrang hrang `(Mood stabilizers)`, `(Antipsychotics)` te pawh a tel thei. Heng damdawi te hi naupang hnena pek chhunzawm zel chu thil harsa tak a ni thei. A chhan chu side effect thenkhat a awm thei a ni. Mahse doctor pakhatin a sawi angin, "Damdawi ei hi a buaithlak a, mahse a danglamna chu damdawi ina dah hi a ni." Chuvang chuan doctor-in a sawi ang chiaha damdawi pek a pawimawh hle.
2. Counselling leh Behavioral Therapy: Damdawi chauh hian engkim a ti thei lo. Naupang chu he dinhmun nena nunpui tur te, an rilru put hmang enkawl tur te, ṭhiante nena ṭha taka awm tur te, harsatna lo awm huna hmachhawn tur te zirtir a ngai a ni. Hei hi ``Psychoeducation'' an ti a, puitlingin hetiang dinhmun hi a neih chuan nunah thil tawn engemaw zat an nei thin. Mahse naupang têin hetiang dinhmun hi a neih chuan heng khawtlang nun thiamnate hi zir theihna hun remchang an nei lo. He therapy hian a tih chu chu thiamnate chu naupang hnena pek chhuah hi a ni.
Enkawlna thenkhat chu nu leh pate chu he natna chungchang zirtirna leh naupang hmachhawn dan tur thurawn pek hi a ni bawk.
Take-Home Thuchah a ni
- Childhood bipolar disorder hi a takah chuan damdawi lam natna a ni a, naupangte zingah pawh hmuh theih a ni. Naupang nungchang tha lo a ni lo.
- Hetiang dinhmunah hian naupang rilru chu hlimna nasa tak ( mania ) leh lungngaihna nasa tak (depression) inkarah rang takin a inthlak thin.
- Hei hi ADHD nen a danglam a, a natna lan chhuah dan nasat dan leh a rei zawng a zirin a danglam thei.
- I fa hian heng symptoms te hi a neih chuan hlau suh la, pediatrician emaw psychiatrist emaw pan nghal la, diagnosis dik tak i hmu thei ang.
- Damdawi bakah hian enkawlna angin, naupang leh chhungte tan counselling leh behavioral therapy te pawh a pawimawh hle.
- Nu leh pa i nih angin nangmah chauh i ni lo. Nang leh i fate tanpui thei tur mi leh pawl tam tak an awm a. Ṭanpuina dik zawn chu i mawhphurhna a ni.
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