A chang chuan i lu chu a vur ang maiin i inhria em? I chabi awmna i hre thei lo va, i shopping list chanve i theihnghilh a, hnathawhna hmunah i rilru i dah harsa hle... Hengte hi i tan chuan a awm tlangpui a nih chuan a chhan chu i ngaihtuah aiin a thuk zawk mai thei. A tam zawkah chuan hei hi kan hriat vek tawh, emaw, doctor-te'n ``Major Depressive Disorder'' an tih angin, depression vang a ni.
Major Depressive Disorder tih hi eng nge ni?
A awlsam zawngin sawi ila, lungngaihna hi lungngaihna chauh a ni lo. Enkawl theih, rilru lam hriselna dinhmun tlanglawn tak a ni. Hetiang dinhmunah hian i lungngai a, i lungngai a, i hlim ṭhin thilte chu i ngaihven lo thei bawk. Hei hian i hnathawhna te, inchhung hna te, chhungkaw nun te, leh i taksa hriselna thlengin a nghawng thei a ni.
Doctor-te chuan lungngaihna nena lo awm rilru buai hi ‘cognitive impairment’ an ti. Chu chu ngaihtuahna, thutlukna siam leh hriatrengna lama harsatna tihna a ni.
Ngaihtuah teh, Samantha hi bank hnathawk a ni. Hun engemaw chen chu a hnathawhnaah a rilru a pe harsa hle a ni. A chhut danah a buai hle a, a customer-te thusawi chu a hrethiam nghal thei lo. A haw hunah pawh chutiang bawk chu a ni. Chaw a siam tan chuan ei tur a dah tur chu a theihnghilh thin. A chau vang niin a ngai a. Mahse doctor a hmuh chauhvin depression an tih natna a nei tih a hrechhuak ta a ni.
A hnuaia table-ah hian lungngaihna lan chhuah dan tlangpui dang thenkhat tarlan a ni.
| Symptom category hrang hrang a awm | Hetiang hian i inhria em? |
|---|---|
| Nungchang a inthlak danglam thin | Restlessness, hmun khata awm thei lo, kal leh haw, kut hrual. A châng chuan thusawi leh kalna chu a ri nasa lutuk a, mi dangin an hmu thei a ni. |
| Ngaihtuah harsa | Hnathawh lama ngaihtuahna seng harsa, thutlukna awlsam tak pawh siam thei lo, thil theihnghilh. |
| Chaw ei leh mutna | Ei duhna inthlak danglamna (rang taka tihpun emaw tihhniam emaw). Diet hmang lovin taksa rihna tihtlem emaw tihpun emaw. Mut harsatna (mut tam leh mut loh). |
| Emotion leh chakna te | Chauh lutuk, engmah ti thei lo anga inhriatna, hlutna nei lo anga inhriatna leh hlutna nei lo anga inhriatna. |
| Symptom na tak tak a awm | Nun avanga lungawi lohna, thihna ngaihtuahna emaw, mahni intihhlum duhna emaw. |
A pawimawh ber chu heng symptoms pakhat emaw a aia tam emaw hi kar hnih aia tam a awm chuan , ngaihtuah buai suh la , i doctor hmu ngei ang.
‘Cognition’ chu eng nge ni? A awlsam zawngin i hrethiam ang u.
‘Cognition’ tih thumal hi a buaithlak deuhin a ri thei a, mahse a awmzia erawh a awlsam hle. Kan ‘ngaihtuahna thiamna’ a kawk a ni. Phên dangin sawi ila, kan thluak hnathawh dan. Kan thluak hi computer angin han ngaihtuah teh. ‘Cognition’ chu chu computer-a software program kal thinte chu a ni. Chûngte chu thu hriat theihna, hriatthiamna leh chhân lêt tûra min ṭanpuitu a ni.
Heng cognitive abilities te hi ṭhian nena inbiakna aṭanga thil lei tura dawr kal thlengin engkim atan a mamawh a ni. Heng theihna hi chi 6 vel a ni ber.
- Attention: Hna pakhat thlang a, chu chu i rilru dahna thiltih. Entirnan, lehkha kan zir laia thil dang ngaihtuah lova lehkhabu ngaihsak.
- Executive function: Ni khat chhunga hnathawh tur ruahman te, thutlukna siam te, leh thil tihfel theih nan thu hriat reng te. Store kal hmaa thil lei tur list siam ang chi.
- Zirna leh hriatrengna: Thil thar zir leh hun rei lote leh hun rei tak chhunga hriatrengna. Chumi entirnan nizan lama i thil zir tawhte hriatrengna leh i thian hlui hming hriatrengna te hi a ni.
- Ṭawng: Midangte hriatthiam theih tûra kan ngaihtuahna leh rilru put hmang sawi chhuah thiamna.
- Perceptual-motor skills: Kan hriatna, kan mit, beng leh hnar atanga kan dawn thu (hmuhnawm, ri) hriatthiamna leh thiltih theihna. Entirnan, kawngpuiah motor ri atanga inthlak danglam.
- Khawtlang hriatna (social cognition): 1.1.Mi dangte rilru put hmang leh thil tum hriatthiamna leh khawtlang nun nena inmil taka mahni rilru put hmang thunun. Chumi entîrna ṭha tak chu mi pakhat chu a hlim leh lungngaih loh chu a hmel enin a hriat chian hi a ni.
Depression i neih hian, computer-a software program-te a slow ang bawkin, heng theihna zawng zawng hi zawi zawiin a chak lo ṭan a ni.
Chuti a nih chuan hei hi eng nge a chinfel theih ang? - Hriatna lama siamthatna
Thu lawmawm tak chu, lungngaihna vanga heng ngaihtuahna lama harsatna lo awmte tanpui thei tur damdawi a awm tih hi a ni. ‘Cognitive Remediation’ tih a ni.
Hei hi thil mak tak a ni. A awlsam zawngin, hei hi thluak tan exercise ang a ni a, thluak tan physiotherapy ang a ni.
He enkawlna hian thluaka lungngaihnain a tihchak lohna hmun, ngaihvenna, hriatrengna, leh thutlukna siamna ang chite siam ṭhat lehna tura ṭanpui thei thil chi hrang hrang, ruahmanna fel tak siam a ngai a ni. Chûngte chu computer program emaw, a bik taka zirtîr therapist nêna exercise tih emaw a ni thei fo. Heng exercise te hian thluak peng chak lo zawkte chu a challenge a, a tichak bawk.
He enkawlna dan hi depression tan chauh ni lovin, rilru lam natna dang `(Schizophrenia)`, `(Bipolar disorders)`, `(ADHD)`, `(OCD)` avanga hriatna lama harsatna awmte hneh nan pawh hlawhtling takin hman a ni.
Mahse thil pawimawh tak pakhat hriat reng tur a awm. Cognitive restructuring hi mahni chauha enkawlna a ni lo. Antidepressant leh doctor-in psychotherapy dang a pek nen a hman dun chuan a thawk tha ber. Chuvangin, he thil hi i ngaihven a nih chuan i doctor nen sawi dun la, an kaihhruaina hnuaiah tan la a tha ber.
Take-Home Thuchah a ni
- Depression hi lungngaihna mai a ni lo. I mood bakah i ngaihtuahna, hriatrengna leh thutlukna siam theihna (cognition) pawh direct-a nghawng thei condition a ni.
- Theihnghilh leh ngaihtuahna seng thei lo ang chi symptoms te pawh hi depression-ah a tel thei bawk. Doctor-te chuan he natna hi ``cognitive impairment'' an ti.
- Kar hnih aia rei depression symptoms a awm reng chuan nangmah chauhin tuar suh, mahse doctor hnenah thurawn dil ngei ang che.
- Cognitive Remediation hi enkawlna kawng khat a ni a, ngaihtuahna thiamna chak lote siam\hat lehna a ni a, thluak exercise ang tho a ni.
- He damdawi hi doctor-in a tih tur dang a pek nen hman dun a nih chuan a hlawk ber. Mahni inhriatthiamna leh mahni inenkawl ngai suh.
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