Major Depressive Disorder (MDD) i neih chuan chhungkaw din dan tur i ngaihtuah mai thei. "Ka damdawi ei kha ka chawlhsan a ngai dawn em ni?", "Ka ei loh chuan naute chu hlauhawmah a awm dawn em ni?", "He damdawi hi nau hnute ka pek lai hian ka ei thei ang em?" I rilruah zawhna tam tak i nei mai thei. Hun rei tak chhung chu lungngaihna i lo tuar tawh a ni thei a, a nih loh leh tun hnaiah i vei tih hmuhchhuah i ni mai thei bawk. A chhan chu eng pawh ni se, he zinkawng i zawh hian i hriat reng tur thil engemaw zat a awm. An chanchin hi han sawi ila.
Engvângin nge inenkawl hi a pawimawh êm êm?
A awlsam zawngin, i lungngaihna i enkawl loh chuan i natna lan chhuah dan chu a lo lang leh thei a ni. Hei hi relapse kan ti a. I lungngaih lai hian ei leh in te, nang leh i naute mamawh damdawi lam enkawlna i hmuh te, ruihhlo ang chi thil i hawi tam zawk thin.
Chu aia pawimawh zawk chu, postpartum depression , i naute nena in inzawmna chu a nghawng nghal thei a ni.
Damdawi lam mithiamte’n an sawi angin, naupai laiin lungngaihna, lungkhamna, lungkhamna nei nute piang naupangte hian stress hormone ‘Cortisol’ an nei sang hle. Hei hian chu naupangte chu an naupan lai atang pawhin emotionally hypersensitive (extra reactive) a siam thei a ni. Hei hian nakin lawkah rilru lama harsatna an neih theihna tur kawng a hawng thei a ni.
I tana enkawlna dik thlan chu thil engemaw zatah a innghat a ni.
- I lungngaihna nasat dan.
- Tunah hian eng enkawlna nge i dawn?
- Damdawi i hman tawhte i chhan dan.
- Naupai emaw, naupai tum emaw, nau hnute i pek emaw pawh nise.
I lungngaihna hi a na lo a, a hmain psychotherapy, support group, emaw prenatal yoga ang chi thil atanga hahdamna i hmuh tawh chuan damdawi tel lovin he hun hi i paltlang thei mai thei. Mahse chu chu i doctor nen in sawiho tur a ni. Nakin lawka damdawi i mamawh a nih chuan damdawi hlauhawm lo zawk ei tan theihna tur kawng tam tak a awm.
Damdawi ei lo, lungngaihna nasa tak nei tan chuan electroconvulsive therapy (ECT) tih damdawi a awm bawk. Hei hian thluaka electrical pulse te te te thawn chhuahna a huam a, nerve cell (neurons) leh chemical thenkhat hnathawh dan a thlak danglam a ni. He enkawlna hi nang leh i naute tan pawh a him nia ngaih a ni .
Damdawi leh a hlauhawmna
A tlangpuiin naupai laiin antidepressant ei avanga naute piansualna emaw harsatna dang emaw a neih theihna a tlem hle. Mahse, zirchianna chuan damdawi thenkhat chu a dang aiin a him zawk tih hmuhchhuah a ni. Eng nge an nih i han thlir teh ang.
| Hun chhung hun chhung | Eng nge tih tur leh damdawi ngaihtuah tur |
|---|---|
| Naupai hma | A theih chuan nau neih chungchang i ngaihtuah tan hmain i obstetrician leh psychiatrist te nen inbia la, enkawl dan tur ruahmanna siam hmasa phawt ang che. Damdawi thlak a ngai a nih chuan hei hi a hun tha ber a ni. Naupai laiin antidepressant class pahnih a him ber nia hriat chu SSRIs (Selective Serotonin Reuptake Inhibitors) leh TCAs (Tricyclic Antidepressants) te an ni. Mahse, TCA hi damdawi hlui zawk, side effect nei tam zawk a nih avangin doctor-te chuan an rawt hmasa lo. Mi tam zawk chu zirchianna tha tak nei SSRI an pe thin. Entirnan: A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a . |
| Naupai lai hian | Damdawi i ei tawh a nih chuan eng ang pawh ni se, damdawi dang hmang nghal suh. Hei hian naute chu a tul lovah damdawi tam tak a ei loh nan a veng ang. A pawimawh ber chu naupai laiin depression damdawi ei chungchangah hian inthiam lohna nei suh. Mi thenkhat, doctor-te pawhin he damdawi hi "a tul tak tak hunah chauh" ei tur niin an ngai. Mahse depression hi damdawi lam natna a ni a, chu chu enkawl ngai a ni a, zunthlum emaw thisen sang emaw ang bawkin. |
| Naute a neih hnuah | Nausen piang thar enkawl lai hian depression symptoms te hi hmachhawn a harsa hle. Chuvangin i damdawi ei chhunzawm zel a pawimawh hle. I natna lan chhuah dan a na zual nia i hriat chuan i doctor nen inbia nghal rawh. Damdawi hi nu hnute tuiah a kal thei a, mahse a tlem lutuk chauh a ni. A dik tak chuan i ei zat atanga 10% aia tlem lo.Chuvangin, damdawi i ei avangin naute hnute pek i chawlhsan a ngai lo. |
Damdawi chi dang pawh i zir ve ang u.
SSRI hian i tan hna a thawh loh avangin SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) i ei a nih chuan, Duloxetine (Cymbalta) emaw Venlafaxine (Effexor) ang chi te hian, chu chu thil lian tak a ni lo. Doctor-te chuan, "He damdawi hian he mi tan hian hna a thawk a, a dang pawh a thawk lo mai thei tih kan hriat chuan ka thlak duh lo," an ti. A chhan chu SNRI te tan hian himna level engemaw chen a awm tih zirchianna a awm a.
Mahse, damdawi thar zawk Vortioxetine (Trintellix) te hi naupai laia an himna tur hriat chian nan an la zirchiang tawk lo. Chutiang hunah chuan i doctor chuan damdawi him zawka thlak turin a rawt mai thei.
I rilru tibuaitu rilru put hmang te chu...
"Damdawi ka ei vangin nu sual ka ni em?" Heng ngaihtuahnate hi i rilruah a lo thleng thei a ni. Mahse chutiang chu a ni tak tak lo.
"Kan rama rilru lam natna chungchanga sawichhiatna avang hian mi tam tak chuan lungngaihna damdawi ei hi thil extra, thil tul lo tak niin an ngai a. 'He damdawi hi i mamawh tak tak a nih chuan ei mai rawh' i tih hian nu hian amah leh amah a inthiam lo hle a ni," tiin mithiamte chuan an tarlang.
I hriatthiam tur pawimawh ber chu depression hi i lam atanga chak lohna a ni lo tih hi a ni. Enkawl ngai natna a ni. Nu hrisel nih hian naute hrisel tan boruak tha ber a siam thin. Damdawi mamawh a nih chuan ei hi i tan leh i naute tan i tih theih tha ber a ni.
Take-Home Thuchah a ni
- Depression hi natna tak tak a ni. Nang leh i naute tan pawh enkawl a pawimawh.
- A theih phawt chuan naupai hmain doctor nen inbia la, enkawl dan tur ruahmanna siam rawh.
- Depression damdawi tam tak hman hi naupai lai leh nau hnute pek lai hian a him a ni.
- Doctor rawn hmasa lovin damdawi ei kha titawp ngai suh, a dose pawh thlak ngai suh.
- Hrisel taka awm theih nan damdawi ei hi inthiamloh suh. Nu hrisel hi naupang hrisel tan chuan thilpek tha ber a ni.
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