I nu, i pa, i pi, a nih loh leh i pi tar tawhte kha han ngaihtuah teh. Tûn hmaa hlim tak, chhûngkaw khat, hlim taka khat, hlim taka awm ṭhin kha tlem a danglam tawh angin i inhriat ngai em? In lamah an awm reng em, an inbia tam lo va, an hlim em em thin thilte pawh an ti lo em ni? Kan ngaihtuah fo thin, "Aw... chutiang chu i tar hunah chauh a ni." Mahse, tar chakna pêng pangngai tak a ni tak tak em? Ni lo, hei hi kan ngaihtuah aia pawi zâwk thil a ni thei a, lungngaihna pawh a ni thei bawk .
Engvangin nge puitlingah depression hi hriat a harsat?
Dik tak chuan tarte zingah depression hmuhchhuah hi a harsa deuh thei a, a chhan ber chu depression symptoms hi tar chakna nena lo awm natna dang nen a inang hle a ni.
Hetiang hian han ngaihtuah teh. I pi chu a hma angin a chhuak lo mai thei, a nih loh leh Biak Inah a kal lo mai thei. "Tunlai hian ka khup a na a, ka kal thei tawh lo," a ti mai thei. A takah chuan arthritis a ni thei. Mahse chutih rual chuan lungngaihna avanga rilru leh taksa hahna pawh hi a chhan a ni thei bawk.
Entîr nân, i pi chuan a hmaa a chaw ei tûrte chu a ei tawh lo mai thei. "Ka pum a na a, ei pawh ka duh lo," a ti mai thei. Chu chu a dik mai thei a, mahse depression avanga a ei duh lohna chhan thup a awm thei bawk.
A pawimawh ber chu hei hi a ni: Depression symptoms hi tar chakna pangngai a ni lo. Chuvangin heng symptoms te hi i hmuh chuan "tar mai mai" tiin hnawl mai suh. Damdawi lam enkawlna an mamawh tak zet a ni.
Enkawl loh chuan he natna hi a zual zual thei a, taksa hriselna a tichhe thei a, lungngaihna a thlen thei a, mahni intihhlum tumna pawh a thlen thei a ni.
Depression chhinchhiahna lian ber berte chu engte nge ni?
Clinical depression chu mi pakhatin kar hnih tal heng symptoms engemaw zat a neih hian a ni.
| Symptom a ni | A awlsam zawngin... |
|---|---|
| Nilengin a awm reng thin sad mood | Lungngaih leh lungngai reng reng. Chhan awm lova mittui tla. |
| Thil ngaihvenna hloh | Hmanlai thil tih nuam i tih thin (e.g., TV en, i tu leh fate nena inkhelh, huan siam) tih i duh tawh lo. |
| Taksa rih zawng a inthlak danglam | Chaw ei duh loh vanga taksa rihna tlahniam emaw, a chang chuan ei tam lutuk avanga taksa rihna sang emaw. |
| Mut harsatna (Insomnia) . | Mut theih lohna te, zanlai pelh hnua harh te, zing dar 3-4 vela thawh leh mut leh theih loh te, mut tam lutuk te. |
| Chauhna awm reng | Chau leh nunna nei lo anga inhriatna, mut that leh engmah tih loh hnuah pawh. |
| Mahni hlutna nei lo anga inhriatna | "Tun dinhmunah chuan ka tangkai tawh lo", "Mi zawng zawng tan phurrit ka ni" tih ang chi ngaihtuahna nei. Tun hmaa thil thlengte avanga mahni mawhpuh. |
| Thil ngaihtuah harsa tak a ni | Thawnthu ngaihthlak te, chanchinbu chhiar te, thutlukna siam harsat te. |
| Thihna chungchanga ngaihtuahna | "Ka thi se ka duh" tih ang ngaihtuahna. Natna khirh takah chuan mahni intihhlum tumna pawh. Hei hi medical emergency a ni. |
Doctor i pan chuan eng nge thleng thin?
Hetiang symptoms nei mi pakhat doctor hnena i hruai hian an tih hmasak ber chu taksa enfiahna kimchang a ni. Tin, laboratory workup an nei bawk a, thisen test ang chi te, taksa lama natna dang avanga natna lan chhuah dan tur an hriat theih nan.
Chumi hnuah chuan he natna hi enkawlna bulpui pahnih a awm a, chungte chu:
1. Lungngaihna dona damdawi:Hengte hi thluaka chemicals balance tu leh mood tichaktu damdawi an ni.
2. Psychotherapy: Trained professional nen inbiakna neih a, i ngaihtuahnate sawipui a, i hmachhawn dan tur chungchangah tanpuina i dawng.
Damdawi pek huna ngaihtuah tur thil
Doctor ten kum upa zawkte antidepressant an pek hian an fimkhur hle. Hei hi a chhan chu natna dang (zunthlum leh thisen sang ang chi) tan damdawi engemaw zat an ei tlangpui vang a ni. Chuvangin, damdawi thar hian damdawi dang nen a inzawm dawn em tih te, a side effects te, a dose dik tak pek dan tur te an ngaihven hle a, kan tar chhoh zel chuan metabolism a tlahniam thin.
Chuvangin, i nu, i pa emaw, puitling dang emaw chuan doctor hnenah a hruai che a nih chuan, an damdawi ei zawng zawng, vitamin, Ayurvedic damdawi, decoction, poo panguwa, leh coriander te pawh doctor hnenah hrilh vek a pawimawh hle.
Tuna damdawi hman tam ber chu ``SSRIs (Selective Serotonin Reuptake Inhibitors)`` a ni. Entirnan, ``Prozac (fluoxetine)``, ``Zoloft (sertraline)``, ``Paxil (paroxetine)``, leh ``Celexa (citalopram)`` te hi a ni.
Doctor-te zawm tur principle pawimawh tak chu "Start low and go slow" tih hi a ni. A awlsam zawngin damdawi hi a dose hniam tak atanga tan a ni. Tichuan, a tul chuan dose chu zawi zawiin tihpun a ni. Hei hian side effects nasa takin a ti tlem thei a ni.
Damdawi ringawt pawh a tawk lova, heng thilte pawh hi a pawimawh hle.
Damdawi leh psychological counselling bakah hian thil dang pahnih hian depression hnehna kawngah nasa takin a pui a ni.
- Social Activities: In lama awm mai mai ai chuan chhungte leh thiante nena hun hman. Biak in-a thilpek hlannaa tel emaw, tar pawla thiltihnaa tel emaw ang chi thilte hian rilruah thlamuanna nasa tak a thlen a ni.
- Taksa lam thil: I taksa chu a theih ang anga exercise la. Zing tin kea kal rei vak lo leh huan enkawl engemaw zat tih ang chi hi i taksa leh rilru tan pawh a tha hle.
Heng thilte hi enkawlna ruala ngaihtuah a nih chuan vawi khat chu an chhungkua leh khawtlang zinga mi hlim tak an ni leh thei a ni.
Take-Home Thuchah a ni
- Depression hi puitling zingah chuan a awm fo thin a, mahse hriat lohvin a awm fo thin.
- Kum upa lam avanga lungngai leh lungngaihna hi thil pangngai a ni lo . Damdawi lam thil a ni thei.
- Depression symptoms hi natna dang nen a inang thei a, chuvangin inthlak danglamna i hmuh chuan doctor pan ngei ngei tur a ni.
- Hei hi enkawlna tha tak tak a awm a, chu chu damdawi leh rilru lam counselling te hi a ni.
- I puitling damdawi ei zawng zawng (vitamin leh Ayurvedic damdawi te pawh tel) chu doctor hnenah hrilh rawh.
- Miin mahni intihhlum chungchang a sawi emaw, a ngaihtuah emaw a nih chuan medical emergency- ah ngai la, doctor pan nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah hruai emaw rawh.
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