A chang chuan Major Depressive Disorder (MDD) i vei thei bawk. I doctor-in a pek damdawi i ei emaw, counseling (psychotherapy) i kal emaw pawh nise, i rilru a hahdam vak lo mai thei. Hun engemaw chen chu i rilru a hahdam a, i dinhmun hluiah i kir leh mai thei. A nih loh leh, chutiang bawka lungngaihna chu danglamna awm lovin i nei thei bawk. Damdawi lamah chuan he damdawi hmanga thunun harsa tak hi ‘Treatment-Resistant Depression’ kan ti thin. Mahse, hei hi i thawnthu tawp ber niah ngai suh. Beiseina bansan suh. Chutiang case-te tan chuan enkawlna thar, hmasawn tak tak a awm a. Chu chu Brain Stimulation Therapy a ni. Chûngte chuan electric, magnetic wave, a nih loh leh taksaa dahna hmanrua tenau hmangin thluak hnathawh ṭhat leh an tum a ni. Vawiin hian hetiang enkawlna bulpui pathum kan sawi dawn a ni.
Electroconvulsive Therapy (ECT) hmanga enkawl theih a ni.
A hming hi a hlauhawm deuhin a lang thei a, mahse ECT hi kum 80 chuang zet enkawlna a ni a, nasa takin zirchian a ni tawh a, a him leh hlawk hle tih hmuhchhuah a ni. Depression na tak leh bipolar disorder ang chi enkawlna dang laka inven theih loh enkawlna atan hman a ni fo thin .
Engtin nge hei hi i tih?
He enkawlna chhung hian engmah i hre lovang, a chhan chu i anesthetized vek tawh a ni. Operation hma ang bawkin . I taksa ruhte a nghing loh nan damdawi pek i ni bawk ang. Tichuan doctor chuan i lu hmun thenkhatah sticker ang chi pads a stick ang. Chungte chu `electrode' an ti a. I mut hnuah chuan heng `electrode' hmang hian electrical impulse te tak te, controlled tak, te tak te chu i thluak ah a thleng thin. Hei hian thluaka controlled seizure a siam a, chu chu second 60 aia rei lo a ni. Hei hian thluaka neurons leh chemicals te hnathawh dan a tidanglam niin an ngai. Minute tlemte hnua i harh chuan i enkawl dan leh chutih laia i rilru put hmang engmah i hrechhuak tawh lovang. Anesthetic-in a nghawng a reh chuan in lamah i haw thei tawh ang.
A tlangpuiin enkawlna vawi 6 leh 12 inkar a ni a, a tlangpuiin kar khatah vawi hnih emaw vawi thum emaw tih thin a ni. Session i mamawh zat chu i symptoms nasat dan leh i dam thuai danah a innghat ang.
A pawimawh ber chu he enkawlna hi hriat lohvin tih a ni vek a, chuvangin natna leh hrehawmna engmah i nei lovang.
| ECT avanga Side Effect awm thei | |
|---|---|
| Lu na | Enkawlna hnua lo awm fo thin. Painkiller hmanga control theih a ni. |
| Luhai | Anesthesia avanga lo awm thei a ni a, rei vak lo hnuah a reh mai ang. |
| Chauhna leh Buaina | Enkawl hnuah darkar engemaw zat a awm thei. |
| Hriatrengna hloh | Hei hi risk lian tak a ni. Enkawl hma leh enkawl hnuah pawh hriatrengna hloh engemaw zat i nei thei. Mahse hei hi a tlangpuiin hun eng emaw chen atan a ni. Doctor-te chuan he hlauhawmna tihziaawm nan hian kawng hrang hrang an hmang a (entir nan, lu sir khatah chauh electrode dah). |
Repetitive Transcranial Magnetic Stimulation (rTMS) hmanga tihchhuah a ni.
Hetiang method hian magnetic wave a hmang thin. Hei hian thluak a tichak a ni. Scientist-te chuan hei hian engtin nge depression a tihdam tih chiang takin an la hre chiang lo. Mahse heng magnetic pulse te hian thluak chhunga mood control tu nerve cell te hnathawh a tipung niin an ngai.
Engtin nge hei hi i tih?
rTMS enkawlna dawng tur chuan harh a ngai lo. Chair-ah i thu a. Mahse, machine hian ‘ticking’ ri nasa tak a siam avangin earplugs i vuah a ngai dawn a ni. Doctor chuan i hmai leh lu vunah electromagnetic coil a dah ang. He coil atanga magnetic pulse te hian i thluak ah electrical current te te a siam thin. Toucan te tak te in a rawn deng ang maiin i inhria ang. Enkawl zawhah in lamah i haw thei bawk. Mumang lama lulled i nih loh chuan car i khalh thei.
A tlangpuiin session khat chu minute 30-40 vel a ni. He enkawlna hi kar khatah ni 5 vel thla khat vel tih a ngai a ni.
| rTMS Enkawlna avanga Side Effects awm thei | |
|---|---|
| Side effect awm fo thin | |
| Lu na | Tlemte pawh a thleng thei. |
| Coil awmna hmun nuam lo | Vunah hian a nuam lo deuh mai thei. |
| Facial muscle a rawn inher chhuak | I hmaiah hian rilru hah emaw, taksa ruh (muscle twitching) emaw i nei thei. |
| Side effect na tak tak a awm tlem hle | |
| Seizures a awm thin | Hei hi thil thleng tlem tak a ni. |
| Hriatna lama harsatna nei | Hei hi enkawl laia beng venhim tha a nih loh chuan a thleng thei a ni. |
Vagus Nerve tihchakna (VNS) tih hi a ni.
I thluak atanga i pum thlengin i taksa sir lehlamah nerve sei tak a awm a. Hei hi Vagus Nerve an ti a. He nerve stimulation (VNS) therapy hi epilepsy enkawlna atan hman hmasak ber a ni. Mahse a hnuah chuan treatment-resistant depression atanga chhanchhuahna a pe bawk tih hmuhchhuah a ni.
Engtin nge hei hi i tih?
Hei hian operation tenau tak a huam a ni. Doctor chuan i rilru vun hnuaiah battery hmanga hman theih thil te tak te a dah ang a, a tlangpuiin veilam lamah a dah ang. Hei hi ``pulse generator'' an ti a, pacemaker ang mai a ni. Tichuan, he device atanga electrical wire lo chhuak chu i kawr chhungah a lut a, vagus nerve nen a inzawm a ni. Surgery zawhah hliam a dam tawh chuan doctor chuan he device hi a on ang. Nerve-ah electrical pulse te te te chu a hun takah (entir nan, minute 5 danah, second 30 chhung) a thawn ang.
| VNS Enkawlna avanga Risks & Side Effects awm thei | |
|---|---|
| Surgery nena inzawm hlauhawmna | |
| Natna leh natna hrik | Device dahna hmunah hian natna emaw, natna hrik emaw a awm thei. |
| Chaw ei harsa | Hun eng emaw chen atan a thleng thei. |
| Vocal cord a tichhe thei | Hun eng emaw chen chauh ni fo mah se, a awm reng thei lo. |
| Device hman hnua side effect awm thei | |
| Aw inthlak danglam, hoarseness | Pulse a chhuah chuan aw a danglam thei. |
| Khuh leh thawk harsa | A bik takin exercise lak hian a hriat theih. |
| Kawng a na | Kawngkhar emaw, kawr emaw a na thei bawk. |
He enkawlna hi engtiang chiahin nge a hlawhtlin?
Hei hi zawhna pawimawh ber a ni. Dik tak chuan mi zawng zawng hian enkawlna an dawn dan chu a inang vek lo. Chuvangin, eng enkawlna nge i tan a tha ang tih emaw, a thawk tak tak ang em tih pawh sawi lawk theih a ni lo. Thla engemaw zat a la ngai thei a, result hmuh theih a ni. Vawi tam tak chu heng thluak tichaktu enkawlna i dawn lai hian lungngaihna enkawl nan psychotherapy emaw antidepressant emaw a ngai thin. Enkawl zawhah i dam lehna level vawng reng turin kar khatah vawi khat emaw, thla engemaw zat danah emaw maintenance treatment i neih a ngai mai thei. I tana tha ber tur chu nang leh i doctor chauhvin i rel thei ang.
Take-Home Thuchah a ni
- Damdawi pangngai (Treatment-Resistant Depression) hmanga thunun loh depression na tak tan chuan damdawi leh counseling bakah hian enkawlna dang a awm bawk.
- Chutiang duhthlan tur lian tak pakhat chu Brain Stimulation Therapies hi a ni. ECT, rTMS, leh VNS te hi chu tlemte chauh an ni.
- Heng enkawlna hrang hrangte hian a thatna, a that lohna leh a side effect hrang hrang a nei vek a. Mi zawng zawng tan an inhmeh lo.
- Chutiang enkawlna i ngaihtuah hmain, he thu hi i doctor nen uluk tak leh rei tak sawiho a , i dinhmun nena inmil ber tur thlan hmasak a pawimawh hle.
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