Depression i vei em? Doctor i hmuh hnu leh damdawi pek dik tak i ei hnuah pawh hmasawnna leh inthlak danglamna i la nei lo em ni? "Engvangin nge keimah chauh hi hetiang thil hi a thlen? Damdawi hian hna a thawk lo em ni? He natna hi ka tan chauh a ni lo maw?" Chutiang a nih chuan nangmah chauh i ni lo. Hei hi mi tam tak tuar thei dinhmun a ni. Vawiin hian he thu hi kan sawi dawn a ni. Damdawi lam hawi chuan hei hi Treatment-Resistant Depression an ti a.
He thawnthu hi hmeichhe naupang Imade-i thil tawn hmang hian hriatthiam tum ila. Imade hi hmeichhe naupang thiam tak, lehkhathiam tak a ni. University hmingthang tak atanga a zir zawh hnu chuan hna tha tak hmu turin nasa takin a thawk a. Mahse, a tan chuan thil awlsam a ni lo. A beih chhunzawm zel a, hna a hmuh theih loh chuan pressure nasa tak leh breakdown a nei tan ta a ni. "Hna ka neih loh vang te, nunah hlawhchham ka nihzia te hian ka rilru lama harsatna a tizual a ni," a ti. Hetiang nawrna hi a tuar thei lo va, mahni intihhlum pawh a tum ta a ni. Chutih lai tak chuan doctor te chuan Major Depressive Disorder a vei tih an hmuchhuak ta a ni .
Imade chuan, "Mahni intihhlum ka tum hnuah chauh damdawi pathum ka ei zingah hian engmah a thawk lo tih ka hrechhuak a ni," a ti. Chutiang thil chu nang pawhin i tawng ve tawh em? Chuvangin hei hi eng thil nge thleng thei tih i lo en ang u.
Treatment-resistant depression chu eng nge ni tak tak?
A hming hi a hlauhawm deuhin a lang thei a, mahse hriatthiam a awlsam hle.
A awlsam zawngin sawi ila, Treatment-Resistant Depression (TRD) chu Major Depressive Disorder vei chuan antidepressant chi hrang hrang pahnih tal, a hman dan dik leh hun dik takah ei chung pawha a natna lan chhuah dan atanga tihdamna lungawithlak tak a hmuh loh hi a ni.
Hetiang hian han ngaihtuah teh. Kan thluak hi electronic circuit complex tak ang mai a ni. Depression chu chu circuit chhunga switch thenkhat off tawhna state a ni. Doctor-in damdawi a pekte chu chu switch-te chu on lehtu chabi ang mai a ni. A chang chuan chabi pakhat hmangin kawngkhar i hawng thei lo a, a dang i lo enchhin a ngai thin. TRD chu chutiang chu a ni. Damdawi pakhat hian hna a thawk lo mai thei. Damdawi pahnih hian hna a thawk lo mai thei. I sualna a ni lo. Taksa biological response mai a ni.
Damdawi hian hna a thawk lo tih hi i sualna emaw, i chak lohna emaw a ni lo tih hre reng ang che. Hei hi damdawi lam dinhmun a ni.
He thu hi tlem tal sawifiah turin he table hi han en ila.
| Nihna | A awlsam zawngin... |
|---|---|
| Major Depressive Disorder a ni a, a rilru a hah hle | Hun rei tak chhung lungngaihna neia inhriatna te, eng thil pawh ngaihven lohna te, mut leh ei leh in dan inthlak danglam te, nun borena te. |
| Enkawlna laka inven theih loh lungngaihna (TRD) . | A chunga kan sawi tak hi antidepressant chi hrang hrang pahnih tal, a dose dik leh hun dik taka pek ni mahse a dam lo. |
| Hei hi eng nge a chhan? | Mi tin taksa leh thluak hi a danglam vek. Damdawi inang hian mi zawng zawng tan hna a thawk inang lo. A châng chuan damdawi lam thil dang hriat loh emaw, rilru lam harsatna emaw pawhin hei hi a thlen thei a ni. |
Depression chauh ni lovin... rilru lama harsatna dang pawhin a nghawng em?
Awle. Hei hi thil pawimawh tak a ni. A châng chuan depression damdawi ei hian hna a thawh loh chhan chu rilru lam natna dang a awm thei vang a ni.
Imade chanchin hi han kir leh ila. Kum tam tak chhung lungngaihna a enkawl hnuah hahdamna a awm lo va, doctor-te chuan an test leh ta a ni. Chutah chuan Borderline Personality Disorder (BPD) tih natna pawh a nei tih an hmuchhuak ta a ni.
Borderline personality disorder (BPD) tih hi eng nge ni?
Hemiah hian thil thleng chu mi pakhat rilru put hmang chu a inthlak rang hle a, nasa takin a inthlak danglam thin.
- Rilru dinhmun nghet lo.
- Midangte kalsan hlauh reng.
- Thil tenawm tak avanga thinrim lutuk emaw, lungngai lutuk emaw.
- Fimkhur lo tak leh ngaihtuah lova hnathawh.
Imade hian a hna a hloh a, hnawl a nih khan heng BPD symptoms te hi a nei ta a ni. Chumi awmzia chu a lungngaihna chhan nghet tak dang a awm tihna a ni.
Chu bâkah, lungkhamna nasa tak a nei tawh bawk. "Nun ka bo hian, 'Lungkhamna ka nei em?' A hnuah, lungkhamna avanga enkawlna a dawn hnuah rilru thlamuanna nasa tak a hmu a.
Hei hian a chang chuan zawhna pakhat chhanna kan zawn hian a chhan chu a hnuaia zawhna dang thup a ni thei tih min hriatthiam tir em. Onion ang maiin. A chung lam layer i peel off chuan layer dang a awm leh bawk. ChuvanginDiagnosis dik tak hi a pawimawh hle.
Damdawi hian hna a thawk lo a nih chuan engtin nge ka tih ang?
Hei hi a pawimawh ber a ni. Damdawi i ei hnua i dam lo nia i hriat chuan damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh. Hei hian dinhmun a tichhe zual mai dawn a ni. I tih hmasak ber leh tha ber chu i doctor nen hemi chungchang hi zalen taka sawipui hi a ni.
"Doctor, he damdawi hi thla tam tak chhung ka ei tawh a, mahse danglamna ka hre lo," dik takin i sawi thei ang. Chu chu i dikna a ni.
Tichuan i doctor chuan heng ang solution te hi a rawn sawi thei ang:
- Switching: Tuna damdawi hman mek aiah antidepressant chi dang pek theih a ni.
- Augmentation: Tuna damdawi hman mek rual hian a thatna tipungtu damdawi chi dang dah belh theih a ni bawk.
- Dose Adjustment: A chang chuan i mamawh dose hi a tawk lo thei. Chuvangin a dose pawh thlak danglam theih a ni.
- Enkawlna dang: Damdawi bakah hian psychotherapy pawh hman theih a ni. Chutiang enkawlna pakhat chu Dialectical Behavioral Therapy (DBT) a ni a, Imade chu a dam leh theih nan a pui a ni.
- Damdawi lam harsatna dang enfiah: A chang chuan depression hi taksa lam thil dang, thyroid hormone lama harsatna vang te pawh a awm thei. Chuvangin doctor chuan chutiang pawh chu a check ang.
Hmu? I tanpui theih dan tur tam tak a awm a. A pawimawh ber chu beiseina bansan lo la, i doctor nen thawk hovin i tana tha ber tur enkawlna zawng chhuak rawh. One-size-fits-all solution a awm lo. A chinfelna chu i tan bik, personalized treatment plan-ah a awm a ni.
Take-Home Thuchah a ni
- Treatment-Resistant Depression hi damdawi lam dinhmun dik tak, hriat hlawh tak a ni. I suangtuahna thil a ni lo.
- I antidepressant hian hna a thawk lo tih hi i sualna leh chak lohna a ni lo. A chhan hi biological reasons a awm a.
- I damdawi ei kha i dam lo a nih chuan i doctor hriattir hi a pawimawh ber a ni. Nangmah chauhin i damdawi ei kha titawp ngai suh, thlak ngai suh.
- A châng chuan lungngaihna hi thil dang, lungkhamna emaw, borderline personality disorder (BPD) emaw nen a inzawm thei bawk. Diagnosis dik tak neih a pawimawh.
- Damdawi hmasa pahnih hian hna a thawh loh chuan beiseina bansan suh. Enkawlna chi hrang hrang a awm a, psychotherapy leh damdawi dang pawh a awm.Dam leh theihna tur kawng a awm ngei ang.











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