A chang chuan lungngaihna leh lungngaihna hi thil pangngai tak a ni. Nun harsatnaah chuan chutianga inhriat chu thil mak a ni lo. Mahse, kum tam tak chhung chu i lungngai reng em, i lungngai reng em, engmah i hlim lo va, i lungngai reng em? He lungngaihna hi i nunah a lo awm tawh niin a lang em? Tichuan, vawiin a kan sawi tur hi i hriat chian a pawimawh hle a, Persistent Depressive Disorder, emaw Dysthymia emaw hi i hriat a pawimawh hle.
Dysthymia hi eng nge ni tak tak?
A awlsam zawngin, dysthymia hi lungngaihna natna, na lo tak leh na lo tak, hun rei tak, kum hnih tal awm thei a ni . Hetiang dinhmunah hian a tam zawkah chuan lungngai, beiseina nei lo, leh lungngaihna i nei thei.
Dysthymia leh major depression inthlauhna
Mi tam zawkin ‘Depression’ kan ngaihtuah hian a nasat ber chi, Major Depressive Disorder kan ngaihtuah thin. Chutiang a nih chuan a symptoms chu a na hle. Dysthymia-ah chuan a natna lan chhuah dan chu a na lo zawk hle. Mahse a danglamna ber chu rei tak a daih vang a ni.
Ngaihtuah teh, a châng chuan dysthymia vei chuan lungngaihna lian tak a nei nghâl thei a ni. Doctor-te chuan hei hi ‘double depression’ an ti. Chu chu, lungngaihna kal zel chungah chuan lungngaihna nasa tak dang a lo awm leh tihna a ni.
Dysthymia leh Cyclothymia te a awm thei
Cyclothymia hi bipolar disorder chi khat a ni lo. Hlimna nasa tak (mania) leh lungngaihna (depression) hun inthlak danglam thin a ni. Dysthymia erawh chu lungngaihna leh lungngaihna chauh a ni. Chutiang hlimna nasa tak hun chu a awm lo.
Eng thilin nge hei hi a thlen?
Mithiamte chuan dysthymia emaw major depression emaw thlentu hi eng nge ni tih chiang takin an la sawi thei lo a, mahse a chhan awm thei engemaw zat a awm niin an ngai.
- Genetic influences: I chhungkuaa mi tu emaw chuan depression a nei tawh a nih chuan i vei theihna chance a hniam zawk mai thei a, mahse chutiang history nei loteah pawh a awm thei bawk.
- Thluak chemical inthlak danglamna: Kan rilru put hmang thununtu thluak circuit emaw, nerve cell inkara thuchah kengtu chemical (neurotransmitters) emaw hnathawh dan inthlak danglamna hian hei hi a nghawng thei a ni.
- Nun chhunga thil thleng: Stress sang tak, hnathawhna hmun emaw, inlaichinna lama harsatna te, natna khirh tak tak, leh damdawi thenkhat te pawh hian he natna hi a thlen thei bawk.
A symptoms chu eng nge ni tih i lo en ang u.
Dysthymia symptoms hi major depression symptoms nen a inang a, mahse a na lo zawk. Heng symptoms te hi ni khat chhunga a tam zawk chu kum hnih emaw a aia tam emaw chhung a awm tlangpui.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Lungngaihna reng reng | Ni tam zawk emaw, a hun zawng zawng deuhthaw emaw lungngaihna, engmah lo, emaw, lungngaihna emaw hriatna. |
| Hlimna nei lo | Hmanlai thil nuam ti tawh lo (e.g., movie en, ṭhiante nena inbiakna). |
| Ei duhna leh taksa rihna a inthlak danglam | Ei duhna nasa taka tihpun emaw tihhniam emaw, thla khat chhunga taksa rihna 5% aia tam tihpun emaw tlahniam emaw nen. |
| Mut harsatna a awm | Mut theih lohna emaw, mut tam lutuk leh nilengin mut theih loh emaw. |
| Chauhna nasa tak a awm | Extreme fatigue, nunna nei lo anga inhriatna, nitin deuhthaw hriat theih. Hna tenawm tak tak thawh hnu pawha chau anga inhriatna. |
| Mahni inngaihhlutna hniam | Hlutna nei lo, hlutna nei lo leh beiseina nei lo anga inhriatna. |
| Thil ngaihtuah harsa tak a ni | Hnathawh lai emaw, lehkha zir lai emawa ngaihtuahna seng harsa. Thutlukna siam harsa. |
| Thihna chungchanga ngaihtuahna | Thihna emaw mahni intihhlum emaw, mahni intihhlum tumna emaw ngaihtuah nawn fo thin. (Hei hi symptom pawi tak a ni.) |
A pawimawh ber: Nangmah emaw, i hriat miin emaw mahni intihhlum tumna a neih chuan khawngaihin nangmah chauhin hrehawm tuar suh. I rintlak mi pakhat nen inbia nghal la, a nih loh leh doctor hmu rawh. I tanpui thei tur mi tam tak an awm a.
Engtin nge dysthymia hi hriat theih?
Hei hi hriat harsa deuh pawh a ni thei. Hetiang dinhmun hi kum tam tak chhung a lo awm tawh avangin nang leh i chhehvela mite chuan, ‘Hetiang chiah hian a awm a ni,’ ‘A lungngai deuh fo thin,’ tiin in ngaihtuah mai thei. I mizia atanga lo chhuak mai mai a nih theihna chance tha tak a awm.
Hetiang dinhmun hi i vei nia i rinhlelh chuan doctor pan ngei ngei tur a ni. Doctor chuan a enfiah ang che a, i natna lan chhuah dan te, i chhungkaw chanchin te a zawt ang che a, i natna lan chhuah chhan taksa lam thil dang, hypothyroidism ang chi te hriat theih nan thisen test pawh a nei thei bawk.
Dysthymia hriat theihna tur ‘test’ bik a awm lo. Mental health professional chuan i natna lan chhuah dan, i ngaihtuahna leh i nungchang te a sawipui ang che.
Hei hi eng enkawlna nge ni?
Hei hi natna khirh tak ni mah se, thu lawmawm tak chu hlawhtling taka enkawl theih a ni . A hmaa hriatchhuah leh enkawl hian i natna lan chhuah dan control leh nun hrisel tak neihna kawngah kawng thui tak a zawh thei a ni.
Enkawl dan tlangpui pahnih hman a ni.
1. Psychotherapy: A awlsam zawngin hei hi ‘talk therapy’ a ni. Hei hian i rilru put hmang leh rilru put hmang chungchâng professional trained tak nêna inbiakna neih a, chu chu hmachhawn dân leh enkawl dân zir a huam a ni. I ngaihtuahna tha lote chu i dodal thei bawk.
2. Antidepressant: Dysthymia enkawlna atan hian antidepressant chi hrang hrang a awm a. I doctor chuan i taksa leh rilru hriselna a zirin i tana tha ber leh side effects nei tlem ber damdawi a thlang ang. Heng damdawi te hian hna thawh nan kar engemaw zat a daih thei. Doctor thurawn tel lo chuan ei tan ngai suh, titawp ngai suh.
Vawi tam tak chu heng enkawlna pahnih hi hman dun a nih chuan a tha ber a ni. Tin, ei leh in inthlau tha tak, exercise neih fo, .Exercise, zu in loh leh meizuk ang chi thilte hian i dam lehna kawngah nasa takin a pui dawn a ni.
Dysthymia natna hi engtin nge kan nun theih ang?
Enkawlna bakah hian i nunphungah pawh inthlak danglamna tenau te siamin he natna hi i enkawl thei bawk.
- Dawhthei rawh: Hei hi zan khat thil thuah a dam leh mai thei lo. Enkawl i tan atanga kar engemaw zat hnuah i dam leh thei. Dawhthei takin awm la, enkawl dan tur ruahmanna chu zawm rawh.
- I dinhmun zir rawh: Natna chungchang te, a lan chhuah dan te, leh a enkawl dan te hriattir rawh. Hei hian hriatthiamna leh thununna nasa zawk a pe ang che.
- I chungah ngilnei rawh: I dam chhoh chhung hian i chungah pressure nasa lutuk suh. Vawi khatah thil tam tak beisei suh. To-do list siam la, hriat reng tur note te te ziak rawh.
- Ṭanpuina dawng rawh: Mahni chauhna hian he dinhmun hi a tichhe zual thei a ni. Ṭhian emaw, chhungte emaw rintlak tak nen inbia ang che. Mi tha tak takte nen hun hmang rawh.
- Mut tawk: Rilru hriselna atan mut hi a pawimawh hle. Mut harsatna i neih chuan doctor nen inbia ang che.
- I tan hun siam rawh (Self-care): I duhzawng thil ti rawh. Movie en la, meditate la, thawk lakna exercise tlem tal ti rawh. I ni-ah hian thil tenawm tak tak, hlimna thlen thei thil te te dah tel bawk ang che.
- Thil dik lovah thlamuanna zawng suh: Zu leh ruihhlo hian rei lo te chhung chu hahdamna pe thei mah se, hun rei tak chhung chu enkawlna a ti harsa zawk mai ang.
Take-Home Thuchah a ni
- Dysthymia hi hun rei tak chhung lungngaihna a ni a, kum hnih emaw a aia rei emaw a daih a ni.
- Lungngaih reng reng te, lungngaihna te, chakna tlakchhamna te, beiseina nei lo te hi a chhinchhiahna ber a ni.
- Hei hi ‘i awm dan chauh’ a ni lo va, damdawi lam natna enkawl theih a ni.
- Heng symptoms te hi i vei nia i rinhlelh chuan mahni chauha thutlukna siam ai chuan doctor pan mai tur a ni.
- He natna hi psychotherapy leh damdawi hmangin hlawhtling takin enkawl theih a ni.
- I hmangaih takte thlawpna leh nun hrisel neih hi dam lehna atan a pawimawh hle.
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