A châng chuan lungngai tak, mahni chauha awm, engmah tih duh lohvin i inhria em? ‘Engvangin nge hetiang hi ka chungah a lo thlen?’ tiin i ngaihtuah mai thei. Hei hi damdawi lam chuan depression kan tih emaw, mi tam takin an hriat angin ‘Depression’ kan tih chu a ni. Hei hi dinhmun buaithlak tak a ni. Hei hi eng nge ni tih chiang taka sawi theih a ni lo. Mi tina lungngaihna lo awm chhan hi a inang lo thei hle. He thuziak-ah hian he natna, depression an tih, nghawng thei thil pawimawh ber berte kan sawi dawn a ni.
Depression thlentu berte chu engte nge ni?
Depression hi natna pakhat chauh a ni lo. Chu ai chuan, thil tam tak inzawmkhawm a ni a, chung zingah chuan kan genes, thluak biology, kan chenna boruak, leh kan hriselna zawng zawng te pawh a tel a ni. Mi thenkhat tan chuan natna khirh tak an neih hian lungngaihna a awm thei a. Mi dangte tân chuan nun inthlâk danglamna lian tak, in sawn emaw, hmangaih tak boral emaw hnuah a thleng thei a ni. Chhungkaw thenkhatah chuan chhungkuaah pawh a kal thei.
A awlsam zawngin, lungngaihna thlen theihna tipungtu thil ṭhenkhat chu hetiang hi a ni.
| A chhan/factor | A sawifiahna awlsam tak |
|---|---|
| Tihduhdah tuar a nih | Naupan lai emaw, naupan lai emawa taksa, mipat hmeichhiatna emaw, rilru lama tihduhdahna tawn hian nakin lawkah lungngaihna vei theihna a tipung a ni. |
| Kum | Kum upa lamte hian lungngaihna an vei theihna a sang zawk a, a bik takin mahni chauha awm leh khawtlang nena inzawmna nei lo ang chi thil vang a ni. |
| Damdawi thenkhat | Damdawi thenkhat, Isotretinoin , hmai vun damdawi, Interferon-alpha, antiviral, leh Corticosteroids te hian lungngaihna a thlen thei a ni. |
| Inhnialna awm fo thin | Chhungte emaw, ṭhiante emaw nena inhnialna leh inhnialna neih fo hian taksa chu biologically depression a thlen thei bawk. |
| Hmangaih tak thihna emaw, inthen emaw | I hnaih bertu a thih hian lungngaihna hi thil awmdan pangngai ni mah se, lungngaihna a tipung bawk. |
| Hmeichhia/mipa nihna | Hmeichhia hian mipa aiin depression an nei tam zawk a, a let hnih velin an tam zawk. A chhan dik tak hriat a la ni lo a, mahse hmeichhe nunah hun hrang hranga hormone inthlak danglamna nen a inzawm nia ngaih a ni. |
| Hrilhfiahna (Genes) 1.1. | Chhungkuaa mi tu emaw chuan lungngaihna a nei tawh a nih chuan midangte chu tlemin an hlauhawm zawk. Hei hi gene pakhat ni lovin, gene engemaw zat inzawmkhawm a ni. |
| Nunnaah thil thleng lian tak tak | Hna thar thawh tan te, degree neih te, nupui pasal neih te ang chi thil tha tak tak pawh hian a chang chuan lungngaihna a thlen thei a ni. Chutiang bawkin hna hloh te, inthenna te, a nih loh leh pension te pawh a ni thei bawk. |
| Ruihhlo leh zu | Ruihhlo emaw zu ruihhlo ngawlvei 30% velin depression an nei bawk. Chûngte chuan rei lo tê chhûnga hahdamna a pe thei a, a tâwpah chuan lungngaihna chu a tizual zâwk a ni. |
Depression leh kan thluak hnathawh inzawmna
Hei hi thil pawimawh tak a ni. Zirchiangtute chuan depression nei mi thluak hian he natna nei lo mi thluak aiin a thawk dan a danglam deuh tih an hmuchhuak.
Entirnan, kan thluak hmun tlemte hippocampus an tih hi kan hriatrengna dahkhawmna atana pawimawh tak a awm a. He hippocampus hi depression nei thenkhatah chuan mipui zawng zawng aiin a te zawk tih hmuhchhuah a ni.
Hippocampus a te deuh deuh chuan a chhunga serotonin awm chu a tlahniam thin.Chemical serotonin receptor awm zat pawh a tlahniam bawk. Serotonin hi chemical messenger a ni a, thluak cell inkara thuchah a keng tel a ni. A bik takin, kan rilru put hmang thununtu circuit hmanga inbiakpawhna atana puitu neurotransmitter a ni .
Scientist te hian engvangin nge hippocampus hi a tlahniam tih chiang takin an la hre lo. Mahse, zirchianna ṭhenkhat chuan lungngaihna nei mite chuan stress hormone cortisol , an siam tam lutuk niin an sawi. He cortisol hormone hian hippocampus chu a nghawng tha lo hle a, chu chuan a ‘shrink’ thin.
Mahse hlau suh. Thu lawmawm tak chu lungngaihna enkawlna, a bik takin damdawi te hian thluak nerve cell te a chawm a, a tichak a, stress tuar thei turin a pui tih hmuhchhuah a ni.
Natna khirh tak leh lungngaihna inzawmna
Mi thenkhat tan chuan lungngaihna hi hun rei tak natna nen a awm thei a. A chhan chu nitin natna pakhat tuar te, chu mi atana damdawi ei te hi nunah lungkhamna nasa tak a ni. Depression hi natna chi hrang hrang, zunthlum, thinlung natna, cancer te nen kan hmu fo thin.
A hnuaia tarlan te hi hun rei tak chhunga harsatna awm thei thenkhat, depression nena inzawm thei te an ni.
| Depression nena inzawm thei dinhmun | |
|---|---|
| - Zunthlum | - Lung natna |
| - Arthritis natna a ni | - Kal natna |
| - HIV leh AIDS | - Autoimmune natna, lupus leh rheumatoid arthritis te |
| - Ngawt | - Thai |
| - Parkinson natna a ni | - Thyroid hnathawh a tlahniam (Hypothyroidism) . |
A tha ber chu depression hi uluk taka enkawl a nih chuan co-morbidities dangte enkawlna kawngah pawh nasa takin a pui bawk.
Lungngaihna leh lungngaihna hi inthlau suh.
Hei hi mi tam takin an buaipui thin a ni. Lungngaihna hi hmangaih tak boral emaw, hna hloh emaw, inthenna emaw avanga chhanna pangngai tak leh pianpui tak a ni. Mahse depression a ni lo. An pahnih inkarah hian danglamna chiang tak a awm.
- Lungngaihna: I lungngai hle mai thei a, mahse, i boral tawh chanchin lawmawm tak takte chu i hre reng thei bawk. Lungngaihna chu thlipui angin a lo thleng a, a kal zel bawk. I mahni inngaihhlutna hi a nghawng lo tlangpui.
- Depression: I mood hi a negative fo thin . Hriatrengna hlim tak hi rilruah a lo lang lo. "Ka hlutna nei lo" tih ang chi leh mahni inhuatna a lo chhuak thin.
Mahse, hmangaih tak boral ang chi thilthleng hian lungngaihna episode a thlen thei a ni. Hei hi rilru lam harsatna nei tawh i nih chuan a dik hle.
A pawimawh ber chu, heng symptoms te hi i neih chuan ngaihthah suh, "Hei hi lungngaihna mai a ni" tiin ngaihtuah suh. Mahni chauhin hrehawm tuar suh. Hei hi tu chungah pawh a thleng thei. Hemi atan hian enkawlna tha tak tak a awm a. A tha ber chu i doctor rintlak tak nen hemi chungchang hi sawipui hi a ni.
Take-Home Thuchah a ni
- Depression hi chak lohna emaw, symptom emaw a ni lo. Thluaka chemical inthlak danglamna nena inzawm, damdawi lam dinhmun dik tak, enkawl theih a ni.
- Hei hi chhan pakhat mah a awm lo. Depression hi thil tam tak inzawmkhawm avanga lo awm a ni a, chung zingah chuan genes, biological factors, nun thilthleng, leh environment .
- Damdawi ṭhenkhat, hun rei tak natna, leh natna rei tak takte chuan lungngaihna a thlen thei a ni.
- Lungngaihna leh lungngaihna hi thil hrang hrang pahnih a ni. Mahse, tuar theih loh lungngaihna chu lungngaihnaah a chang thei a ni.
- Nangmah emaw, i hriat miin emaw depression symptoms i neih chuan khawngaihin nangmah chauhin tuar suh. Doctor hmu a, thurawn lak a pawimawh . Inenkawlna mumal tak i neih chuan nun tha tak i hmang leh thei ang.
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