I lungngai reng em? Depression chi hrang hrang han sawi ila.

Kan nunah hian a chang chuan lungngaihna leh lungngaihna tlem kan neih hi thil pangngai a ni. Mi zawng zawng tan a danglam vek. Mahse he lungngaihna leh lungkhamna hi a awm reng a nih chuan, ni tam zawkah lungngaihna i nei a, nitin hnathawh i tih theih loh khawpa a nghawng che a nih chuan lungngaihna pangngai mai ni lovin thil dang a ni thei. Damdawi lamah chuan he natna hi Clinical Depression kan ti a. Hei hi damdawi, rilru lam enkawlna leh nunphung tihdanglamna hmanga thunun theih a ni.

Depression chi hrang hrang a awm a. Ṭhenkhat chu kan nunah thil thlengte hian a tichhuak thei a ni. A dangte chu kan thluaka chemical inthlak danglamna avanga lo awm thei a ni. Eng pawh ni se, hetiang hian i rilru a awm a nih chuan i doctor nen inbiakna neih hmasak ber tur a ni. Mental health specialist hnenah a refer thei che a ni. Eng ang depression nge i neih tih chiang taka hriat hi i tana enkawlna tha ber tur hriat chian a pawimawh hle.

Major Depression a ni

Hei hi depression chi khat na ber leh tlanglawn ber a ni. I doctor-in ‘Major Depressive Disorder’ emaw, ‘Clinical Depression’ emaw a tih i hre tawh mai thei. Ni tam zawk, a tam zawk, ni tam zawk, a tam zawkah lungngaihna emaw lungkhamna emaw i neih chuan he natna hi i nei thei a ni.

Hengte hi major depression-a hmuh chhuah tlangpui thenkhat an ni.

Chûng chhinchhiahna panga emaw a aia tam emaw chu kar hnih emaw a aia rei emaw a awm reng chuan doctor chuan major depression i nei tih a sawi thei a ni.

Depression lian tham (major depression) subtype hrang hrang

Hetiang dinhmun hi mi tinte’n an tawn theih dan hi a inang lo thei a, a chi hrang hrang (subtype) engemaw zat a awm bawk:

• Anxious distress: Nitin a tam zawkah chuan rilru hah leh lungkham lo anga inhriatna. Thil tha lo a thleng ang tih hlauhna leh thunun theih loh anga inhriatna.
• Melancholy: Lungngaihna tuar theih loh, hmân lai i hmangaih zawng zawng duhna rilru pu. Thil tha nen pawh i hlim thei lo. I rit hle tih i hria a, a bik takin zing lamah. I thau a tlahniam thei a, i ei duhna pawh a tlahniam thei bawk.
• Mixed features: Lungngaihna rual hian activity sang tak a awm bawk. Thusawi tam tak, inher kual vel, leh rilru na taka thil tih.

Psychotherapy leh antidepressant te hi enkawlna atan hman a ni. Heng kawng pahnih hi inzawmkhawm hian result tha tak a nei thei a ni. A châng chuan, heng hmanrua hmanga thunun loh natna khirh tak takah chuan doctor-te chuan enkawlna bik, `Electroconvulsive therapy (ECT)` leh `Transcranial magnetic stimulation (TMS)` te chu an rawt thei a ni.

Persistent Depressive Disorder (PDD) natna hi a awm lo.

Kum hnih emaw a aia rei emaw chhung persistent depressive symptoms i neih chuan PDD kan ti thin. A awlsam zawngin, lungngaihna rei tak ang mai a ni. Tun hma chuan `dysthymia` an ti thin.Major depression angin na lo mahse, rei tak a daih thei a, nun nuam tihna pawh a la bo thei bawk.

PDD vei chuan hetiang hian symptoms a nei thei a:

• Ei duhna inthlak danglamna (ei tlem emaw ei tam emaw) .
• Mut inthlak danglam (mut tam lutuk emaw, mut tlem lutuk emaw) .
• Thawhrimna tlakchhamna, chau reng reng
• Mahni inngaihhlutna hniam
• Thil ngaihtuah harsa, thutlukna siam harsa
• Hmalam hun tur beiseina nei lo anga inhriatna

Hei hi psychotherapy leh damdawi hmanga enkawl a ni bawk a, a rualin emaw, a hranin emaw pawh a ni thei.

Bipolar Disorder a ni

Mi thenkhat chuan hei hi ‘Manic Depression’ an ti bawk. Hetiang natna vei hian extreme pahnih inkarah mood swing a nei thin. Chu chu, hun khatah chuan chakna leh hlimna sang tak nen mania state sang takah an awm a, a dawt lehah chuan lungngaihna nasa takah an tlu nghal tihna a ni.

Depressed phase-ah, chu chu depressive phase-ah chuan a hmaa kan sawi tawh ang kha major depression symptoms an nei ve tho a ni.

Hetiang rilru dinhmun thunun tur hian damdawi `mood stabilizers` an tih te hi an pe thin. Depressive episodes enkawlna atan hian damdawi bik engemaw zat a awm a. Hetiang dinhmunah hian general antidepressants hi fimkhur takin hman a ni a, a chhan chu a chang chuan rilru `high' phase (mania) a tichhe thei a ni.

Naupang leh tleirawl laia Disruptive Mood Dysregulation Disorder (DMDD) a awm thin

Hei hi naupan lai (kum 6-18) atanga lo awm thin depressive disorder a ni. Heng naupangte hian thinrimna puak chhuak fo, thunun theih loh an nei fo thin. Tin, hun dangah pawh an thinrim hle a, an rilru a hahdam lo hle bawk. Hetiang nungchang hi a nasat em avangin in, sikul, leh ṭhiante nena inlaichinnaah pawh nghawng lian tak a nei a ni. DMDD hi heng symptoms te hi thla 12 emaw a aia rei emaw a awm chuan hriat theih a ni. Hei hi enkawlnaah hian psychotherapy leh a tul chuan damdawi te pawh a tel a ni.

Seasonal Affective Disorder (SAD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk a.

Hei hi major depression chi khat a ni bawk. Khua a inthlak danglam rualin a thleng thin. Thlasik laiin a awm fo thin a, chutih lai chuan ni a tawi zawk a, ni eng a tlem zawk bawk. Thlasik a lo thlen leh chuan, ni a lo eng deuh chuan a bo thin.

Hei hi kan mut leh rilru put hmang thununtu hormone `Serotonin` leh `Melatonin` tihdanglam vang niin an ngai. Ni eng a tlahniam chuan kan taksa hian `Melatonin` a siam tam a, `Serotonin` a ti tlem bawk. He inthlak danglamna hian lungngaihna, mutthilh leh nungchang tidanglamtu a ni. Hemi enkawlna atan hian antidepressant, psychotherapy, a bik takin light therapy te hi hman a ni.

Psychotic Depression a ni

Hetiang natna vei te hian major depression symptoms bakah hian "psychotic symptoms" an nei bawk.

• Hallucinations: Thil awm tak tak lo hmuh emaw hriat emaw.
• Delusions: Thil dik lo chungchanga rinna nghet tak.
• Paranoia: Midangte’n an tihchhiat an tum che tih rinna dik lo.

Hei hi dinhmun pawi tak a ni. Chumi atan chuan antidepressant leh antipsychotics hman dun a ni.

Nau neih hma leh nau neih hnua lungngaihna

Nau neih hmaa lungngaihna (prenatal Depression) a awm

Naupai laia hormone inthlak danglamna hian hmeichhe thenkhat chu lungngaihna nasa tak leh lungkhamna nasa tak neiin ni rei lote aia rei an nei thei a ni. Hei hi thil pangngai a ni lo va, enkawl ngai a ni. Hetiang hlauhawmna hi hmeichhia rilru lam natna nei tawh, naupai laiin thil buaithlak tak tak tawk tawh, leh an kawppui emaw chhungte emaw atanga tanpuina nei lote tan a sang hle.

Nau neih hnua lungngaihna (PPD) .

Hei hi mi tam takin "postpartum depression" an tih chu a ni. Naute neih hnu ni engemaw zat chhung lungngaihna tlem (the baby blues) chu thil pangngai a ni. Mahse lungngaihna nasa tak, beiseina nei lo leh kar hnih aia rei lungkhamna i neih chuan PPD a ni thei. Chûng rilru put hmangte chu a nasa êm êm thei a, nu tân a naute nêna inzawmna siam a harsa thei a, a ni tin nunah pawh a thawk thei bawk.

A natna khirh ber leh hmuh tur awm lo ber chu ‘Postpartum Psychosis’ a ni. Chutiang a nih chuan nu chuan hallucinations leh amah emaw, naute emaw tihnat tumna a nei thei a ni. Hei hi medical emergency a ni. Damdawi in pakhata Emergency Treatment Unit (ETU)-ah damdawi lam pan vat tur a ni.

Depressive condition dangte pawh a awm bawk

• Premenstrual Dysphoric Disorder (PMDD): Hei hi hmeichhiate hian an thlasik hma kar khat emaw kar hnih emaw chhungin lungngaihna nasa tak leh natna dang (thinrimna nasa tak leh lungkhamna ang chi) an neih thinna a ni. PMS pangngai aiin a na zawk hle.
• ‘Situational’ Depression: Hei hi official medical term a ni lo. Mahse, he thumal hi kan nunah thil buaithlak tak (e.g., chhungkuaa thihna, hna hloh, inthen, exam-a hlawhchham) avanga lungngaihna dinhmun sawina atan hman a ni. Hetiang dinhmun atanga kan dam leh theih nan counselling hi a tha hle thei a ni.
• Treatment-Resistant Depression: Mi thenkhat chuan enkawlna eng emaw zat an lo enchhin hnuah pawh an depression hi enkawl harsa an ti thin. Hei hian i dam thei lo tihna a ni lo. I tana tha ber tur enkawlna zawng turin i doctor nen tlem tal thawhrim a ngai tihna chauh a ni.