Ni engemaw zat a awm a ni lawm ni? Zing i thawh chuan rin loh takin i hlim a, chakna nen i khat bawk. Khawvel pum hi hneh thei ang maiin i inhria. Mahse, tlai lam a lo thlen meuh chuan, chhan awm lovin khawvel pum hi i bo ta a, engmah tih duhna i nei tawh lo va, tlem chuan i lungngai hle bawk. Hetiang thil hi i tawng fo em? Hei hi thil danglam mai a ni lo, a chhan pawh hi rilru lam natna Cyclothymia an tih vang pawh a ni mai thei. Ngaihtuah buai suh, he thu hi awlsam tak leh chipchiar takin sawi ila.
Cyclothymia hi eng nge ni?
A awlsam zawngin sawi ila, cyclothymia hi bipolar disorder natna chi khat, mahse hun rei tak chhunga awm thei a ni. Bipolar disorder ang bawkin i mood hi a inthlak rang hle a, mahse bipolar disorder angin a na lo.
Bipolar hi tsunami lian tak angin ngaihtuah rawh. Cyclothymia hi thlipui te tak te, lo kal leh chhuak, mahse chutiang khawpa na lo ang mai a ni. Heng thlipui te hi a lo thleng zel a, i nun pangngaia i nun theihna tur a tibuai thei bawk.
Hetiang dinhmunah hian mood pahnih inkara inthlak danglamna i tawng ber ang:
1. Hypomania: He phase-ah hian i hlim hle a, i chak hle a, i active hle bawk.
2. Mild Depression: Hetiang dinhmunah hian i lungngai a, beiseina i nei lo a, nun i ngaihven tawh lo.
Heng inthlak danglamna te hi a thleng thuai thei a, a chang chuan ni khat chhungin a thleng thei bawk. A châng chuan i rilru put hmang chu a pangngai (euthymia) a ni thei a, mahse chu hun chu kar riat aia rei lo a ni. Hetiang dinhmun hi tleirawl lai atanga tan a ni tlangpui.
Cyclothymia natna lan chhuah dan chu engte nge ni?
Hetiang dinhmunah hian mood swings (hypomania) leh depression chhinchhiahna a awm tih a chiang hle. Heng chhinchhiahnate hi eng nge ni tih a hranin han en ila. Chûngte chu i hriat chian hle mai thei.
| Hypomania natna lan chhuah dan | Mild Depressive Symptoms a awm thei |
|---|---|
| Thil danglam tak, chakna leh chakna neia inhriatna. Mut a tlem hle. Darkar tlemte mut hnuah pawh i ei tawk tawh ang maia inhriatna. | Chau leh chakna tlachham reng reng. Hmanlai thil nuam i tih thinte ngaihvenna hloh. |
| Thusawi rang hle mai. I rilruah ngaihtuahna a luang chhuak ang maia inhriatna. Thupui pakhat atanga thupui dangah rang taka zuang chhuak. | Lungngaihna, beiseina nei lo leh engmah lo tih hriatna. Thiam loh leh hlutna nei lo anga inhriatna. |
| Awlsam takin a ngaihtuahna a buai thei. Jumping around, hna pakhat tha taka thawk thei lo. | Thil ngaihtuah harsa leh thutlukna siam harsa. Hriatrengna pawh a chak lo deuh. |
| Tum (hnathawh, sikul hnathawh, khawtlang nun) ngaihtuah lutuk Vawi khata hna tam tak thawh tan. | Mut dan inthlak danglamna. Mut theih lohna (mut theih lohna) emaw, mut tam lutuk (hypersomnia) emaw pawh nise. |
| Mahni inrintawkna nasa tak nei. Engkim i ti thei tih hriatna. | Ei leh in lama inthlak danglamna. Chaw ei chak lohna emaw, ei tam lutuk emaw pawh nise. |
| A rah chhuah tha lo ngaihtuah lovin risk lak. Entirnan, sum hman duh lo, sumdawnna chungchanga thutlukna siam nghal vat. | Khawtlang atanga hla taka awm tum. Mahni chauha awm duh zawk, thiante leh chhungte atanga hla taka awm. |
A pawimawh ber chu cyclothymia-ah hian heng symptoms te hi major depression emaw peak of bipolar disorder (mania) angin a na lo hle. Mahse heng inthlâk danglamna nêm takte hian i ni tin nun, inlaichînna leh hnathawhnaah nghawng lian tak a nei chhunzawm zêl thei a ni.
Engvangin nge hetiang hi a lo awm?
Scientist-te chuan hei hi engvangin nge a nih tih chiang takin an la hre lo a, mahse thil engemaw zatin a thlen thei niin an ngai.
- Genetic link: Hei hi chhungkuaah pawh a kal thei niin an ngai bawk. Chumi awmzia chu i chhungkuaa mi pakhatin bipolar disorder emaw depression emaw a neih chuan nang pawhin he natna hi i vei theihna chance tlemte chauh i nei tihna a ni.
- Environment factors: Nunna atana thil rapthlak tak tak emaw, hun rei tak chhunga stress awm emaw hian mi thenkhatah he natna hi a thlen thei a ni. Entîr nân, natna khirh tak, inlaichînna chhiat, a nih loh leh hnathawhna hmuna harsatna awmte.
Engtin nge hei hi cyclothymia a ni tih chiang taka i hriat theih ang?
He natna hi hriat a harsa thei hle a, a chhan chu a natna lan chhuah dan hi rilru lam natna dang tam tak nen a inang a ni. Entir nan:
- Depressive disorder lian tak a ni
- Bipolar II natna a ni
- Generalized anxiety disorder a ni a, a rilru a hah hle
- Mihring nihna lama harsatna (personality disorders) a awm
Chuvangin, heng symptoms te hi i neih chuan doctor thiam tak pan a pawimawh hle . A natna hi dik taka a hriat theih nan step engemaw zat a zawm ang.
1. I natna lan chhuah dan zawt: Doctor chuan i rilru put hmang, eng chen nge i neih tawh tih leh i nun a nghawng dan te a zawt ang che.
2. Medical history kimchang: Hetah hian i chhungte zingah rilru lam natna nei an awm leh awm loh hriat a pawimawh bawk.
3. Taksa enfiah: Thisen test hi taksa lam thil dang (e.g. hyperthyroidism) avanga heng symptoms awm thei te enfiah nan an ti thin.
4. Rilru hriselna endikna: I doctor chuan rilru lam hriselna lama mithiam, rilru lam doctor emaw, rilru lam doctor emaw hnenah a refer thei che a ni.
Doctor chuan a hnuaia tehfungte hi a tlin chuan cyclothymia a ni tih a hmuchhuak ang:
* Puitling i nih chuan heng depression leh anxiety symptoms te hi kum hnih tal 50% tal i neih a ngai a ni. Naupang leh tleirawl tan chuan he hun chhung hi kum khat a ni.
* Hemi chhung hian a zawnin thla hnih aia tam symptom-free i ni thei lo.
* Heng symptoms te hi ruihhlo dang hman vang emaw, taksa dinhmun avanga lo awm tur a ni lo.
* Tin, heng symptoms te hian i nitin nunah lungngaihna nasa tak emaw, tibuaitu emaw a thlen ngei tur a ni.
Hei hi eng enkawlna nge ni?
Mi tam tak chuan an natna lan chhuah dan a nasat avangin damdawi lam pan ngai lo. Mahse, enkawlna dawn chuan i nun a ti awlsam thei hle. Enkawlna chi hnih a awm a.
1. Rilru lam enkawlna
Hei hi enkawl dan ber a ni. A awlsam zawngin, i harsatna leh i rilru put hmangte chu rilru lam hrisêlna lama thurawn petu nêna sawihona a ni . Hei hmang hian i ti thei ang:
- I symptoms te chu i hrechhuak thei ang a, i enkawl thei bawk ang.
- Stress hmachhawn dan tur i zir thei a ni.
- I ngaihtuahna leh nungchangah negative pattern i thlak thei a ni.
- Mi dangte nêna in inlaichînna chu i siam ṭha thei a ni.
A bik takin Cognitive Behavioral Therapy (CBT) hi cyclothymia tan chuan a hlawk hle tih hmuhchhuah a ni.
2. Damdawi ei tur
Cyclothymia damdawi bik pawm a awm lo. Mahse, a then phei chuan i doctor chuan i mood swing chak tak control turin mood stabilizers a pe thei a ni. Entirnan, valproate, lamotrigine leh lithium te hi a ni.
Pawimawh tak: He damdawi hi i pek dawn leh dawn loh, eng nge pek tur che tih leh eng chen nge i pek dawn tih te chu i doctor chauhvin a rel thei ang. Heng damdawite hi nangmah chauhin emaw, mi dangin an hrilh che angin emaw hmang ngai suh.
Hetiang dinhmun nen hian hmalam hun chu eng ang nge ni ang?
Hetiang dinhmun nena nun hi a harsa thei hle. Thiltihtheihna inthlâk danglam reng chuan chhûngte, ṭhiante, hnathawhpuite, leh kawppuite nêna inlaichînna ṭha neih chu a ti harsa thei a ni.
Mahse, bipolar disorder vei te nen khaikhin chuan cyclothymia vei te chu:
- Damdawi ina awm zat a tlem phah a ni.
- Hnathawh tura ka kal theih loh ni zat chu a tlahniam zel a.
- I hna chu nghet zawkin i chhunzawm thei ang.
A tha ber chu a natna lan chhuah dan hriat hmasak a, enkawlna zawn hi a ni. Chutianga i tih chuan i nunah nghawng a neih chu nasa takin i tihtlem thei a, nun hlawhtling leh hlim takin i nung thei bawk.
Heng symptoms te hi i neih chuan nangmah chauhin tuar suh. I sualna a ni lo. Doctor hmu la, sawipui rawh. Doctor leh i hmangaih tak takte chu tanpui turin an awm tih hre reng ang che.
Take-Home Thuchah a ni
- Cyclothymia hi bipolar disorder na lo tak a ni a, mood swing fo thin a ni.
- Hei hian hun inthlak danglamin, rilru sang leh chakna nei (Hypomania) leh lungngaihna leh ngaihvenna hloh (Depression) te a huam a ni.
- Heng symptoms te hi i neih chuan a pangngai angin ngaihthah suh. Hlauthawng suh. Doctor hmu ngei ang a, thurawn la rawh.
- Enkawlna dik tak (talk therapy leh a tul chuan damdawi ei) chuan he natna hi i control tha thei a, nun pangngai, hrisel takin i nung thei bawk.
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