I fa chu a hma ang kha a ni lo em ni? A lungngai a, a lungngai reng em? A nih loh leh thil tenawm ber berte avang hian a thinrim em? A hlim em em game leh hobby te kha a tan a tangkai tawh lo em ni? Nu leh pa kan nih angin hetiang inthlak danglamna kan hmuh hian hlauhna leh lungkhamna nasa tak kan neih hi thil pangngai tak a ni. A châng chuan, "Hei hi i tar huna thil thleng mai a ni," tiin kan ngaihtuah ṭhin. Mahse chutiang chu a ni reng reng lo. Hetiang dinhmun hi naupang rilru natna, depression an tih chhinchhiahna a ni thei.
A awlsam zawngin, heng naupangte zingah hian depression chu eng nge ni?
Naupangte tan lungngaihna leh mood swing neih hi thil pangngai tak a ni. Ngaihtuah teh, exam-a grade tha lo an hmuh emaw, thian nena an insual emaw hian an lungngai hle. Chu chu thil pangngai a ni. Mahse ni reilote hnuah chuan chu lungngaihna chu a reh a, an hlim leh ta a ni.
Mahse depression hi thil danglam tak a ni. Lungngaihna mai ni lovin, damdawi lam thil a ni. Depression nei naupang chu a lungngai a, a thinrim a, kar hnih aia rei chu engmah ngaihven a nei lo. Chu chuan an mutthilhna te, ei duhna te, leh ṭhiante leh chhûngte nêna inlaichînna a nghawng thei a ni. Tûn hmaa an hlim ṭhin thilte, infiamna emaw, lemziak emaw te chu an ngaihven tawh lo thei a ni. Thil na tak takah chuan mahni intihchhiat tumna pawh an nei thei a ni.
I fain kar hnih aia rei heng symptoms te hi a nei tih i hriat chuan i doctor nen pawh hemi chungchang hi sawipui ngei ang che. Depression hi natna khirh tak ni mahse, a enkawlna tha tak tak a awm.
Naupangte’n an tawrh theih depression chi hrang hrangte chu engte nge ni?
Depression hi kawng khat emaw kawng dangah a lo thleng lo. A chi hrang hrang a awm a. Naupang zinga chi hrang hrang awm tam ber tlemte han thlir ila.
| Depression chi khat | A sawifiahna awlsam tak |
|---|---|
| Major Depressive Disorder a ni a, a rilru a hah hle | Hei hi "depression" tia kan hriat vek dinhmun a ni. Naupang chu a lungngai reng a, beiseina a nei lo. Thil tenawm ber pawh a thinrim thin. A mut dan a danglam (a muhil lo emaw, a mut tam lutuk emaw). Mahni chauha awm a duh a, ṭhiante leh chhungte laka hla takah awm a duh a ni. |
| Premenstrual Dysphoric Disorder (PMDD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Hetiang dinhmun hi hmeichhe naupangah a awm a, a bik takin an period hmasa ber hnuah a awm thin. An period hma kar khat vel khan depression leh anxiety symptoms an nei thin. Chhan awm lovin an tap a, an thinrim awlsam a, ngaihtuahna seng harsa tak an nei bawk. Taksa lama a lan chhuah dan chu pum na, taksa na, hnute na, leh hah te a ni thei. |
| Seasonal Affective Disorder (SAD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a. | A natna lan chhuah dan hi major depression nen a inang a, mahse hun kal zelah a lo thleng a, a kal zel bawk. Ruah sur lai, chhum, a thim laiin an lo lang fo thin. Mahse, engtik lai pawhin an thleng thei. |
| Disruptive Mood Dysregulation Disorder a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk | Heng naupangte hian tharum thawhna nasa tak an nei fo va, an kum nena inmil lo takin an che fo bawk. Mi dangte chu ṭawngkam emaw, taksain emaw an bei thei a ni. I fain tantrum a neih hian lungngai i ti lo mai thei. Mahse he nungchang hi doctor nen inbiakna neih a pawimawh. Hetiang dinhmun hi naupang kum 6 chunglam atanga hmuhchhuah a ni tlangpui. |
| Dysthymia natna (Dysthymia) a awm | Hei hi major depression aiin a na lo deuh a, mahse a rei zawk a ni. Kum tam tak chhung chu symptoms a lo thleng thei a, a reh thei bawk. Hun a kal zel a, "Naupangte tan pawh hetiang hi a ni," i ti mai thei. Mahse hei pawh hi enkawlna a awm. |
Engvângin nge naupangte chu an lungngaih?
Naupangte rilru hahna thlentu pakhat mah a awm lo a, mahse mithiamte chuan genetics leh environment factors inzawmkhawm hian he natna hi a thlen niin an ngai.
A chhan lian ber ber leh a hlauhawmna thenkhat chu hetiang hi a ni:
- Chhungkaw chanchin: Chhungkaw member hnai tak (nu, pa, unau) ten lungngaihna an neih chuan naupang pawhin a vei theihna a sang zawk.
- Nun chhunga thil thleng lungchhiatthlak tak tak: nu leh pa inthen, chhungkaw member thihna, in sawn, sikul inthlak, etc.
- School-a tihduhdahna: Naupang dangte taksa emaw rilru lam emawa tihduhdahna hian naupang rilruah nghawng thui tak a nei thei a ni.
- Damdawi lam thil dang: Hun rei tak damdawi lama harsatna nei, zunthlum, epilepsy, leh asthma te nena khawsa naupangte chu lungngaihna an vei theihna a sang hle.
- Thluaka chemical inthlak danglamna: Depression hi kan thluaka chemicals (neurotransmitters) inthlauhna avang pawh a ni thei a, chu chuan hlimna leh lungngaihna ang chi emotion control a ni.
- Puberty: Hemi hun chhunga hormone inthlak danglamna nen hian naupang rilru dinhmun a danglam thei a ni.
Naupangin depression a nei tih engtin nge i hriat theih ang?
I fa chungchangah harsatna i neih chuan i fa naupang enkawltu doctor pan hmasak phawt tur a ni. Doctor chuan i fa rilru lam inthlak danglamna chhan taksa lam a awm leh awm loh a enfiah hmasa ang.
A chhan chu natna thenkhat chhinchhiahna chu lungngaihna nen a inang thei a ni. Entir nan:
- Thisen tlakchhamna (Anaemia).
- Thyroid lama harsatna (Hypothyroidism) .
- Vitamin D tlakchhamna
- Zunthlum
Taksa lama chhan a awm lo tih finfiah a nih hnuah chuan doctor chuan nang leh i fa chu rilru lam hriselna lama mithiam, naupang rilru lam doctor emaw, rilru lam doctor emaw hnenah a refer ang che.
Chutah chuan specialist chuan nang leh i fa hnen atangin zawhna a zawt ang a, i fate nungchang leh rilru put hmang chungchang hriatna a la ang. I fa zirtirtute hnen atangin thu an dawng thei bawk. Heng zawng zawng hian i fain lungngaihna a neih leh neih loh hriat theih nan a pui ang.
Depression enkawlna tur engte nge ni?
Naupangte lungngaihna enkawlna chi hnih a awm a, chungte chu talk therapy leh damdawi te an ni. Vawi tam tak chu enkawlna pahnih hi hman dun a nih chuan a tha ber a ni.
1. Thusawi Therapy
Hei hian a bik takin Cognitive Behavioral Therapy (CBT) tih method a hmang a ni. A awlsam zawngin, naupang chu ngaihtuahna ṭha lote hriatchhuah a, ngaihtuahna ṭha takah a thlak theih nân a ṭanpui a ni. Naupang chu an rilru put hmang enkawl dan te, harsatna hmachhawn dan te, leh rilru hahdam dan te a zirtir a ni.
2. Damdawi ei tur
Doctor-in a tul a tih chuan lungngaihna enkawlna damdawi an pe ang. Naupang hnena damdawi chi hrang hrang pek tam ber chu SSRI (Selective Serotonin Reuptake Inhibitors) a ni. Heng damdawite hian kan hlimna tichhe thei thluaka chemical pakhat serotonin level tihsanin hna a thawk a ni. Naupangte hnena damdawi chi hrang hrang pek tlanglawn tak tak thenkhat chu:
- Fluoxetine (Prozac®) hmanga siam a ni.
- Sertraline (Zoloft®) hmanga siam a ni.
- Paroxetine (Paxil®) hmanga siam a ni.
Damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei a ni. Doctor rawn hmasa lovin i fa damdawi pek thut chu bansan ngai suh. Chutianga tih chuan i fa dinhmun a tichhe thei a ni.
| Damdawi side effects leh tih tur | |
|---|---|
| Heng symptoms te hi a lo awm chuan doctor ko nghal tur a ni. | |
| - Allergy a awm thei | - Khawsik sang tak a nei |
| - Thisen a awm | - Chhung na, thawk harsa |
| - Thinlung thawk chak emaw, mumal lo emaw | - Luak chhuak, lu hah |
| - Mit hmuh dan inthlak danglam nghal, mit na | - Mahni intihchhiat emaw, i rilru dinhmun chhe zawk emaw ngaihtuah |
| Hengte hi kar tlemte chhungin a reh tlangpui (mahse doctor hnenah hriattir rawh). | |
| - Ei duhna a inthlak danglam | - Mut theih lohna emaw, mutthilh lutuk emaw |
| - Kawng a vawt | - Lu na |
| - Pum natna, luak chhuak, luak chhuak | - Khur nghing |
Engtin nge kei hian nu leh pa angin ka fate hi ka puih theih ang?
He hun harsa tak karah hian i fate tanpuina leh hmangaihna hi a hlu hle a ni. Thil pawimawh engemaw zat tih theih a awm.
- I fa thusawi chu ngaithla rawh: A thusawi chu ngun takin ngaithla rawh. A rilru put hmang zah rawh. A zawhnate chu "Eng nge chu chu?"
- Dawhthei rawh: Enkawlna hian a rah chhuah a lantir theih nan hun a duh a ni. Chuvangin dawhthei takin awm rawh. I fa kha nawr luih suh.
- I fate thil danglamte chu chhinchhiah rawh: I fate mut dan, ei leh in, nungchang, leh damdawi ei avanga a nghawng ṭha lote chu journal-ah ziak rawh. Hei hian Doctor i tlawh hunah a \angkai hle ang.
- Environment \ha siam rawh: In chhung boruak chu naupang tan hmun him leh \anpuituah siam rawh. Naupang hmaah chhungkaw inhnialna thlen suh.
- Thiltih \ha tak tak tuh rawh: Nitin i fate chu exercise la la, ei leh in inthlau tak pe la, mut \ha turin \anpui rawh.
- Mahni in enkawl rawh: Hei hi i tan pawh hun lungchhiatthlak tak a ni thei. Chuvangin i rilru hriselna pawh ngaihtuah bawk ang che. A tul chuan counseling zawng rawh.
Engtikah nge damdawi lam pan nghal tur?
A tlangpuiin naupang rilru a inthlak danglam chuan kar hnih aia rei a daih a nih chuan, mut harsatna lian tak a neih chuan, a nih loh leh ni nga aia rei sikul kal duh lo a nih chuan Doctor pan tur a ni.
Tin, a hnuaia extreme case-ah hian tihkhawtlai ngai suh:
I fain chutiang nungchang a sawi emaw, a ziak emaw, a lantîr emaw a nih chuan, damdawi lam pan vat rawh. I fa chu damdawi in hnai ber Emergency Department (ETU) ah i hruai thei ang . A nih loh leh National Institute of Mental Health hotline 1926-ah thurawn la rawh.
He dinhmun hi i sualna leh i fa sualna a ni lo. Mi tu pawh kai thei natna a ni. Enkawlna dik leh i hmangaihna leh i thlawpna nen chuan i fa chu nun hrisel, hlim takin a nung leh thei ang.
Take-Home Thuchah a ni
- Naupangte lungngaihna hi lungngaihna mai a ni lo va, damdawi lam harsatna a ni a, enkawl ngai a ni.
- I fate nungchang leh rilru put hmang inthlak danglamna, kar hnih aia rei lo chu ngaihven rawh.
- Hei hi naupang sualna emaw, nangma sualna emaw a ni lo. Chuvangin nangmah leh nangmah in dem suh.
- Ringhlelna i neih chuan tihkhawtlai suh la, i fa doctor rawn la. Enkawlna tha tak tak a awm.
- I fa chu a dam thuai theih nan i hmangaihna, i dawhtheihna leh i tanpuina te hi a pawimawh hle a ni.
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