Nu leh pa i nih angin chûng thilte chu i hre chiang hle mai thei. I fa chu a danglam deuhin a hria mai thei. Tun hma angin an nui lo va, an khel lo bawk a, an cranky mai mai a ni. "Hei hi prank dang mai a ni," tiin i ngaihtuah mai thei. Mahse he inthlak danglamna hi kar hnih aia rei a awm chuan lungngaihna pangngai emaw thinrimna emaw a ni lo mai thei a, depression an tih dinhmun bul tanna a ni thei. Hemi chungchang hi chipchiar zawkin han sawi ila .
A awlsam zawngin, naupangte’n he lungngaihna an neih hi eng nge ni?
Naupangte rilru hahna hi rilru natna (mood disorder) a ni a, chu chuan naupang chu a ti lungngai a, a thinrim a, beiseina a nei reng bawk.
Ngaihtuah teh, kan fate pawhin a chang chuan lungngai leh thinrim an nei thin. An exam score hniam lai emaw, thianpa laka an thinrim lai emawa chutianga inhriat chu thil pangngai tak a ni. Mahse chu lungngaihna chu rei lo te hnuah, ni khat emaw ni hnih emaw chhungin a reh ta a ni. An dinhmun pangngaiah an kir leh ta.
Mahse depression hi a danglam bik. Naupang lungngaihna nei chuan kar hnih aia rei chu a lungngai a, a thinrim a, a nih loh leh beiseina a nei lo . Hei hian naupang mut, ei duhna, leh ṭhiante leh chhungte nena an inlaichinna a nghawng thei a ni. Tûn hmaa an hlim ṭhin thiltih te, sikul hnathawh te, a nih loh leh hlimhlawp thilte chu nuam an ti tawh lo mai thei. A nasat chuan he natna hian mahni intihhlum tumna pawh a thlen thei a ni.
I fain kar hnih aia rei heng symptoms te hi a neih chuan i doctor nen pawh sawipui ngei ang che. Depression hi natna khirh tak ni mah se, enkawlna tha tak nen chuan a dam kim thei a ni.
Naupangte nghawng thei depression chi hrang hrang a awm em?
Ni e, naupangte tibuaitu depression chi hrang hrang lian tak tak a awm. An vai hian an inthlau deuh vek a. He thu hi i hriatthiam awlsam zawk nan hetiang table-ah hian dah ila.
| Depression chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Major Depressive Disorder a ni a, a rilru a hah hle | Hei hi kan hriat zawng zawng zingah chuan a tlangpui ber a ni. Naupang chuan lungngai leh beiseina nei loin a inhria fo thin. A thinrim mai mai thin. Mut lama harsatna (mut tam emaw, mut ngai lo emaw), ei duhna a hloh a, a hlim em em thin thilte a ngaihven lo bawk. |
| Premenstrual Dysphoric Disorder (PMDD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a. | Hei hi hmeichhe naupang, a bik takin puitlin hnua nghawng nei lian tak a ni. Heng symptoms te hi thla tin an period hma kar khat velin a lang thin. Thinrim lutuk te, tap fo te, leh ngaihtuahna seng thei lo te pawh a tel thei a ni. Heng symptoms te hi thlasik tan hnuah a bo thin. |
| 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 khaw lum leh khaw vawt nena inzawm a ni. Heng symptoms te hi hun thim, eng tlem lai (kan rama thlasik thla ang chi) ah a lang a, ni a chhuah chuan a reh thin. |
| Disruptive Mood Dysregulation Disorder a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk | Hetiang natna vei naupangte hian an kum nena inmil lo, thinrim lutuk leh thinrimna nasa lutuk an lantir thei a ni. An au chhuak thei a, thil an paih mai thei bawk. Natna nei lo angin lang mah se, he thinrimna hnuaiah hian lungngaihna bulpui a awm thei a ni. Hei hi naupang kum 6 chunglam ah hmuhchhuah a ni tlangpui. |
| Dysthymia (Lungngaihna natna awm reng) . | Hei hi major depression aiin a na lo zawk a, mahse rei tak (kum tam tak) a daih a ni. Symptoms a lo thleng a, a kal zel bawk. Nu leh pa thenkhat chuan hei hi "naupang awm dan" mai niin an ngai. Mahse hei hi enkawlna hmanga tihdam theih a ni bawk. |
Naupang zingah he natna hi engtiang chiahin nge a awm?
Statistics atanga a lan dan chuan naupang kum 3 leh 17 inkar zinga 3% vel chuan depression an nei a ni. Chu chu naupang 100 zinga 3 velin he natna hi an vei tihna a ni. Naupang naupang zawk aiin tleirawlah a tam zawk. Naupang tê 5 zinga 1 vel chu major depression an nei tih hmuhchhuah a ni. Hei hi official taka hmuhchhuah zat chauh a ni. Naupang natna hmuhchhuah loh hi a tam zawk thei hle.
Tin, naupang natna dang, zunthlum, epilepsy, leh natna rei tak nei naupangte zingah pawh lungngaihna vei theihna a sang zawk bawk.
Ka fa hian depression a nei nia ka rinhlelh chuan eng symptom nge ka zawn ang?
Naupang depression hi puitling depression aiin a danglam thei. Tin, naupang pakhatah hian a natna lan chhuah dan pawh a inang lo thei bawk. Heng natna lan chhuah dan tlangpui i fimkhur tur te chu hetiang hi a ni:
- Mood changes: Naupang chu a tlangpui aia lungngai emaw, thinrim emaw a ni. He state hi ni tam zawkah a awm a ni.
- Thil hlimawm tak tak ngaihven lohna: Tun hma chuan inkhelh te, lemziak te, leh ṭhiante nena inbiakna te chu nuam i ti hle a, mahse tunah chuan chutiang thil engmah chu i ngaihven tawh lo.
- Energy hniam leh hah reng: Engmah ti thei lo ang maia inhria, chau reng reng.
- Mahni chungchang negative taka sawi: "Engmah ka ti thei lo," "Ka tangkai lo" tih ang chi thusawi. Mahni inngaihsakna hniam tak.
- Ei leh in lama inthlak danglamna: A tlangpui aia tam ei, emaw, ei tlem zawk emaw.
- Mut dan inthlak danglam: Zana mut loh, emaw, nitin mut tam zawk.
Engvângin nge naupangte hian chutiang lungngaihna chu an neih?
Mithiamte sawi dan chuan naupangte zingah lungngaihna thlentu bik pakhat chauh a awm lo a, mahse a bik takin thil hrang hrang inzawmkhawm niin an ngai.
- Genetic leh chhungkaw chanchin: Chhungkaw member hnai tak (nu, pa, unau) ten depression an neih chuan naupang pawhin a vei theihna a sang zawk.
- Taksa natna emaw, chetsualna emaw: Hun rei tak natna emaw, accident na tak emaw.
- Stressful life events: nu leh pa inthen, chhungkaw member thihna, in sawn, sikul inthlak, etc.
- Ruihhlo hman: Naupang tê tê zînga ruihhlo hman pawh hi a chhan a ni thei.
- Bullying emaw traumatic experiences: Sikul emaw hmun dangah emaw taksa emaw rilru lam emawa tihbuai.
Depression hi i fa sualna emaw, nangma sualna emaw a ni lo tih hre reng ang che. Damdawi lam thil a ni a, enkawl ngai a ni.
Engtin nge lungngaihna hi dik taka hriat theih?
I fa chungchangah harsatna i neih chuan i fa naupang enkawltu doctor pan hmasak phawt a ngai a ni. Doctor chuan i fa chu a enfiah hmasa ang a, taksa lama harsatna dang a awm leh awm loh a enfiah hmasa ang a, natna thenkhatah chuan lungngaihna ang chiah a awm thei a ni.
Entir nan:
- Thisen tlakchhamna (Anaemia).
- Thyroid lama harsatna (Hypothyroidism emaw hyperthyroidism emaw) .
- Vitamin D tlakchhamna
- Zunthlum
- Epilepsy natna a ni
Taksa chhan a awm lo tih finfiah a nih chuan doctor chuan 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 chu a hranin a bia ang a, details a la ang. Naupang nungchang, rilru put hmang leh rilru put hmang te a zawt ang. Naupang zirtirtute hnen atangin thu a dawng thei bawk. Heng zawng zawng hi diagnosis dik ber pek theihna tura tih a ni.
Depression enkawlna tur engte nge ni?
Naupangte depression enkawlna atan hian hmanraw pawimawh pahnih a awm a. Chungte chu talk therapy leh damdawi te a ni. A châng chuan heng zînga pakhat hi a tawk a, mahse a tam zâwk chuan a pahnih hi hman dun a nih chuan a ṭha ber a ni.
1. Thusawi Therapy
Hemi kawngah hian Cognitive Behavioral Therapy (CBT) hman a ni fo thin. A awlsam zawngin, naupang chu ngaihtuahna ṭha lote hriatchhuah a, ngaihtuahna ṭha takah a thlak theih nân a ṭanpui a ni. Chumi hmang chuan naupang chuan harsatna hmachhawn dan te, thinrimna thunun dan te, leh hahdam dan te a zir chhuak thin.
2. Damdawi chi hrang hrang
Naupangte lungngaihna damdawi chi khat hman tlanglawn ber chu SSRI (Selective Serotonin Reuptake Inhibitors) . Heng damdawi te hian thluaka chemical pakhat, hlimna leh damna nena inzawm , serotonin level a tisang a ni. Heng damdawi entirnan Fluoxetine leh Sertraline te hi an ni.
Pawimawh: Heng damdawi te hi specialist rawtna ang chauha pek tur a ni.
Damdawi ei hian a nghawng tha lo (side effects) pawh i hriat a ngai em?
Ni e, damdawi dang ang bawkin hei hian side effect a nei thei a ni. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh:
- Allergy a awm thei
- Thinlung thawk chak emaw, mumal lo emaw
- Luak chhuak, rilru na, thawk harsa
- Khawsik na tak
- Mit hmuhna lama inthlak danglamna thut
- Mahni intihhlum duhna emaw, lungngaihna zual zel emaw
Side effect tenau thenkhat, ei duh lohna, mut theih lohna, lu na, leh pum na te hi kar hmasa lamah a awm thei a, a bo thei bawk. Mahse, hengte hi doctor hnenah pawh hriattir a tha.
Damdawi lam thurawn tel lo chuan i fa damdawi ei kha titawp thut ngai suh. Chutianga tih chuan side effect a thlen thei a, depression a tizual thei bawk.
Engtin nge kei hian nu leh pa angin ka fate hi ka puih theih ang?
Hetih huna i tih theih pawimawh ber chu a niNaupang thusawi ngaihthlak a, i thlawpna an nei tih hriattir.
- Thusawi: I fate rilru a danglam tih i hriat veleh zawhna zawt la. Hmangaih takin, "Engtin nge in awm?", "Thil dik lo a awm em?"
- Dawhthei takin awm rawh: Enkawlna hi a tan nghal lo mai thei. Damdawi hian hna a thawh theih nan kar 4-6 vel a ngai thei. Naupang chuan therapist nena inrintawkna siam turin hun a mamawh bawk.
- Notebook vawng rawh: Nitin notebook-ah i fa mut dan te, ei leh in dan te, chakna level te, damdawi ei avanga side effects te leh nungchang inthlak danglam dan te ziak rawh. He notebook hi doctor hmu turin i keng tel a, enkawl lai hian a \angkai hle ang.
- Environment tha siam rawh: I fate tan in lamah boruak him, puih theihna siam rawh. Nitin exercise lak te, ei leh in tha tak te, leh mut that te fuih thin ang che.
- Emergency-ah thil ti rawh: I fain mahni intihchhiat chungchang a sawi emaw, tih tum emaw a nih chuan damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai nghal rawh.
Hei hi i tan pawh hun harsa tak a ni thei. I inthiam lo va, ṭanpui theih lohvin i inhria mai thei. Mahse, hei hi i sualna a ni lo tih hre reng ang che. Enkawlna dik leh i hmangaihna leh i thlawpna chuan i fa chu he dinhmun atang hian a dam kim thei a ni.
Take-Home Thuchah a ni
- Naupangte depression hi prank emaw prank emaw a ni lo va, natna tak tak, enkawl ngai a ni.
- I fate nungchang leh rilru put hmang inthlak danglamna, kar hnih aia rei i hmuh chuan ngaihthah suh.
- I tih theih ṭha ber chu naupang thusawi ngaihthlâk a, rorêl loh leh i ṭanpuina pe reng hi a ni.
- A hmasa berin i fa doctor pangngai hmu rawh. A tul chuan specialist hnenah an refer ang che.
- Depression hi talk therapy leh damdawi hmangin hlawhtling takin a enkawl thei a, a tidam thei bawk.
- Hei hi i fa sualna leh nangmahni sualna a ni lo. Ṭanpuina dik zawnna chuan i fa chu hlimna a neih leh theih nân a ṭanpui thei a ni.
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