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.
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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.
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Check Availability →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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