A châng chuan rin loh takin chakna, chakna leh hlim takin i inhria em? Khawvel hneh thei, hnathawh chhunzawm zel thei, mut ngai lo ang maiin i inhria em? Hetiang hlimna leh phurna hi hriat chu thil pangngai tak a ni. Mahse, he rilru put hmang hi thunun theih loh khawpa thunun theih loh, i nungchang pangngai nen a danglam em em a, midangte nen pawh a danglam em em a nih chuan tlem kan ngaihtuah tur a ni. A chhan chu rilru lam dinhmun ‘ mania ’ an tih chhinchhiahna a nih theih avangin.
A awlsam zawngin, he mania hi eng nge ni?
Mania chu i mood, energy leh activity level danglam taka sang leh control theih loh state a ni. I rilru volume control chu maximum thlenga tihsan ang mai a ni. He state hi ni khat emaw ni hnih emaw aia rei a daih thei a, a chang chuan kar khat emaw a aia rei emaw a daih thei bawk.
Doctor-in bipolar disorder a vei tih a hriat chuan he mania tawn hi i hre tawh ngei ang. Bipolar disorder vei nia hriat tur chuan i dam chhungin vawi khat tal mania emaw, a nasat zawk, hypomania emaw episode khat tal i tawng tawh tur a ni.
Mania state-a i awm hian hun tha ber lai ang maiin i inhria thei a, rin loh takin hlim leh chakna i nei thei. Mahse a takah chuan rilru natna chhinchhiahna a ni. Chuvangin he natna hi a na zual hmaa a lan chhuah hmasak berte hriat a pawimawh em em a ni.
Mania awm chhante chu engte nge ni?
Hei hi eng thil nge a thlen tih hi 100% chiang taka sawi a harsa khawp mai. Mahse, zirchianna atanga a lan chhuah chhan leh hlauhawmna awm fo thenkhat a awm.
- Chhungkaw chanchin: I chhungkuaa mi pakhatin bipolar disorder a neih chuan manic episodes vei theihna i nei bawk.
- Thluaka chemical imbalances: Kan thluaka neurotransmitters hnathawh dan inthlak danglamna hian hei hi a nghawng thei a ni.
- Rilru natna dang: Seasonal Affective Disorder leh Postpartum Psychosis ang chi dinhmun.
- Natna dang: Thluak hliam, thluaka natna hrik, stroke, thluaka natna chi hrang hrang encephalitis, leh natna chi hrang hrang, lupus ang chi te.
- Damdawi thenkhat: Hetiang dinhmun hi damdawi thenkhat, a bik takin antidepressants , hman dik loh chuan a awm thei.
- Ruihhlo leh zu hman: Hengte hian thluak chemistry a tidanglam thei a, rilru natna (mania) a thlen thei bawk.
- Stress na tak: Nun inthlak danglamna lian tak tak, hna thlak, hmangaih tak thihna, emaw inthenna te.
- Mut tlem : Ni engemaw zat a zawna mut theih lohna hi mania thlentu lian tak a ni.
Mania state natna lan chhuah dan tlangpui chu engte nge ni?
Tlem a hlim zawk leh chak zawka i inhriat vang mai mai hian mania i ni tihna a ni lo. Mahse, a hnuaia symptoms pakhat aia tam ni engemaw zat a zawna i neih chuan ngaihtuahawm rawh. Heng symptoms te hi table pakhatah han en ila.
| Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Thil danglam tak phurna/hlimna | Khawvel pum pui hi ka ta ang maia hriatna, thunun theih loh, hlimna nasa tak nei. |
| Mut tlakchhamna | Zanah darkar hnih emaw darkar thum emaw mut hnuah pawh chau tih hriat loh. Mut ngai lo ang maia inhriatna. |
| Thawnthu rang tak | Thu sawi rang zawk, chhunzawm zel. Midang thusawi phal loh. |
| Racing Ngaihtuahna | I rilruah ngaihtuahna a luang chhuak zel a, pakhat i tih zawh hmain pakhat chu i rilruah a lo lang leh thin. |
| Thil tihbuai (Distraction). | Hna pakhatah ngaihtuahna seng harsa. Thil tenawm ber pawhin a tihbuai. |
| Thil fimkhur lo tak | Thil hlauhawm tak tak, sum hman dan dik lo, lirthei khalh hlauhawm, leh sex him lo. |
| Mahni inrintawkna sang tak | Thiltihtheihna leh thiltihtheihna bik an nei tih ngaihtuahin. Engtikah mah tihsual an nei ngai lovang tih ngaihtuahin. |
Mania episode hnuah eng nge thleng?
He hun hlimawm tak hi a tawp hnuah chuan rilru natna chi hrang hrang i nei thei a ni. Mi thenkhat chuan chu hun chu hlim takin an inhria a. Mi dangte chuan chutih hun chhûnga an thil tih leh sawite chu an zak a, an lungngai hle bawk. Tin, taksa chu a chau hle a, rei tak mut a ngai thei bawk. A châng chuan, he phurna hian rilru natna nasa tak (depression) a thlen thei a ni.
Engtin nge mania hi enkawl a nih?
Mania episode enkawl dan tha ber chu hriat hmasak a , damdawi lam thurawn lak hi a ni . Heng symptoms te hi i neih tan chuan doctor pan nghal rawh. A tul anga enkawlna a pe ang.
Enkawl dan hrang hrang a awm a:
1. Damdawi chi hrang hrang:
- Mood Stabilizers: Hengte hi a enkawlna ber a ni. Entirnan damdawi Lithium leh Valproate te hi a ni.
- Antipsychotics: Damdawi Risperidone leh Olanzapine te hi a natna lanchhuahna na tak tak, agitation leh hallucinations te control nan pek thin a ni.
- A pawimawh ber: Heng damdawi zawng zawng hi doctor enkawlna hnuaiah chauh pek tur a ni. Doctor thurawn tel lo chuan midang damdawi hmang ngai suh, ei kha bansan ngai suh.
2. Therapy leh Counselling: 1.1.
- Psychotherapy: I rilru put hmang, i nungchang leh mania thlentu te i sawi thei a, chu chu i enkawl dan tur i zir thei bawk.
- Cognitive Behavioral Therapy (CBT): Hetiang hmanrua hian i ngaihtuahna a thlak danglam thei a, harsatna nei nungchangte chu a thunun thei bawk.
- Chhungkaw Therapy: Hei hian i chhungte chu an dinhmun leh an thlawp theih dan tur an hriatthiam theih nan a pui a ni.
Thil na tak tak thenkhatah chuan damdawi ina dah a ngai mai thei. Nangmah emaw, mi dang emawin harsatna an tawk thei tih i hlauh chuan damdawi in Emergency Department (ETU) ah kal nghal la, ambulance pawh ko la.
Engtin nge mania hi kan nunpui ang? Engtin nge kan tih theih ang?
Hetiang dinhmun hi enkawl dan tur tam tak a awm. Heng tih dante hi tih danah siamin manic episode lo awm lo turin i veng thei a, a lo awm a nih chuan a nasatzia i ti tlem thei bawk.
- I thil tih chhante chu hre rawh: Engtikah nge i rilru a na zual? Mut a tlakchham lai hian? I stress lai hian? Zu i in lai hian? Chungte chu hriatchhuah la, pumpelh tum ang che.
- Thil tih dân mumal tak siam rawh: Mut la, harh la, chaw ei rualin ei rawh. Hei hian i taksa darkar a tidanglam thei ang.
- Mut tawk: Ni khatah darkar 6-8 tal mut thin ang che. He natna tan hian mut hi damdawi tha ber a ni.
- Ruihhlo leh zu in loh tur: Hengte hian i rilru a tibuai zual thei a, i damdawi ei mekte nen pawh nghawng tha lo a thlen thei bawk.
- Hahdam theih dân zawng rawh: Ni tin i rilru hahdamna tûr thil engemaw ti la, chu chu music ngaihthlâk te, lehkhabu chhiar te, a nih loh leh ngaihtuahna seng te hi a ni.
- Thutlukna lian tak tak siam hun sawn: I hnathawh chhuahsan emaw, sum tam tak invest emaw ang chi thutlukna lian tak tak chu mania i neih laiin siam suh. I rilru a hahdam deuh hunah ngaihtuah teh.
- I rintlakte hrilh rawh: He dinhmun hi i chhungte leh i thiante hnai tak takte hrilh rawh. I nungchang inthlak danglamna an hmuh chuan hriattir turin hrilh lawk rawh.
Take-Home Thuchah a ni
- Mania hi hlimna dinhmun pangngai a ni lo va, rilru lam dinhmun, thunun theih loh, rilru natna leh chakna sang tak tak awmna a ni.
- Hetiang dinhmun thlentu ber chu bipolar disorder ni mah se, thil dang pawhin a thawh ve thei bawk.
- Mut that lohna, lungkhamna nasa tak, leh ruihhlo hman ang chi thilte hian mania state a thlen thei a ni.
- A hma thei ang bera symptoms hriat a pawimawh hle a , doctor hnen atanga enkawlna lak a pawimawh hle . Mahni chauhin thutlukna siam ngai suh.
- He natna hi damdawi, counseling leh nunphung hrisel vawn nun hmangin hlawhtling takin enkawl theih a ni.
- Nangmah chauh i ni lo. Hemi kawngah hian doctor, counselor leh i hmangaih tak takte an awm a. Ṭanpuina dil hlau suh.
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