Treatment pangngai hmangin depression damdawi a awm lo em ni? Hengte hi depression enkawlna atana high-tech treatment thar ber berte kan rawn tarlang e

Depression i nei mek em? I doctor-in damdawi a pek i ei tawh a, counseling i kal tawh a, i la dam vak lo pawh a ni mai thei. Hetiang hunah hian beidawng leh beiseina nei lo anga inhriat hi thil pangngai tak a ni. Mahse, nangmah chauh i ni lo tih hre reng ang che. Medical science hi ni tin hma a sawn zel a. Chuvangin enkawlna thar, hmasawn tak tak a awm a, chu chuan enkawlna pangngaia chhanna tha lote tanpui thei a ni. Chu chu vawiina kan sawi tum chu a ni.

‘Treatment-resistant depression’ tih hi eng nge ni?

A awlsam zawngin, hei hi a chunga kan sawi tawh condition kha a ni. Chu chu, depression enkawlna pawm tawh (entir nan, antidepressant chi hrang hrang pahnih emaw a aia tam emaw, a dose dik takah, hun rei tak chhung) nena a lan chhuah dan a ṭhat loh chuan treatment-resistant depression kan ti tihna a ni.

Ngaihtuah teh, i doctor-in damdawi a pe che a, thla engemaw zat i hman hnuah pawh danglamna a awm lo. Tichuan damdawi dang hmangin a switch che a ni. Chu chuan a hlawhtling lo a nih chuan he category-ah hian i tla thei ang. Hetiang hun lai hian doctor-te chuan heng specialized, advanced treatment kan sawi tur hi an ngaihtuah thin.

Electroconvulsive therapy (ECT) - i ngaihtuah angin i hlau tur em ni?

"Electroconvulsive therapy (ECT)" tih thumal i hriat hian Sinhala leh Hindi movie hlui scene te i hrechhuak a, hlauhna i nei thei bawk. Mahse a nihna takah chuan ECT hi tunlai hian enkawlna him leh controlled tak a ni.

Hemiah hian thil thleng chu anesthetized (muthilh tir) vek i ni a, he enkawlna hi tih a ni. Chuvangin engmah i hre lo. Hemi atan hian specialist team (psychiatrist, anesthesiologist, leh nurse) te an awm a ni. I lu chunga electrode dah hmangin i thluaka electrical pulse te tak te, control theih tak tak an thawn thin. Hei hian thluaka nerve cells inkara inbiakpawhna a siam tha leh thei niin an ngai a, depression symptoms te pawh a tlahniam nghal vat thin.

A tlangpuiin , session 6 atanga 12 vel neih a ngai a, a tlangpuiin kar khatah vawi hnih atanga vawi thum vel neih a ngai thin. ECT hi enkawlna tha tak a ni a, a bik takin depression na tak nei, enkawlna laka inven theih loh leh mahni intihhlum tumna nei te tan chuan a tha hle.

Mahse, thil dang zawng zawng ang bawkin risk leh side effect a awm. Mi thenkhat chuan enkawl hnu rei vak lo chhung chu hriatrengna lama harsatna (a bik takin enkawl hun vel) an nei thei. Heng zawng zawng hi enkawl tan hmain doctor nen sawiho hmasak phawt a pawimawh.

Magnetic Pulse Therapy (TMS leh MST) - Hengte hi eng nge ni?

Heng hmanrua pahnihte hian magnetic field hmangin thluak a nghawng a, mahse an hman dan pahnih hi a danglam deuh hlek a ni.

1. Transcranial Magnetic Stimulation (TMS) hmanga tihdam theih a ni.

Hei hi ECT aiin a awlsam zawk hle. I muthilh tir lo. Chair-ah i thu thei bawk. Doctor emaw technician emaw chuan i lu vunah hian thil bik (`insulated wire coil`) a dah a, chuta tang chuan thluak hmun bik, depression-a inrawlh nia ngaihte hnenah magnetic pulse a thawn a ni. Hei hi a hrehawm lo.

Session pakhat hi minute 30 vel a ni a, kar khatah ni 5 vel kar 4-6 chhung enkawlna i dawng a ngai mai thei. TMS thatna lian ber pakhat chu side effect a nei tlem hle a, damdawi ina awm a ngai lo. Mi thenkhat chuan an lu vunah hian tingling sensation an nei thei a, lu na deuh emaw, lu na emaw an nei thei bawk. Mahse, ECT angin hriatrengna a nghawng nasa hle tih hriat a la ni lo. Mahse, TMS hian ECT angin result tha tak a siam lo tih hriat reng a pawimawh.

2. Magnetic Seizure Therapy (MST) hmanga enkawl theih a ni.

Hei hi research stage-ah a la awm a, ECT leh TMS inkara cross ang mai a ni. Hetah hian magnetic field chak tak hmangin thluaka controlled seizure siam a ni. A chhan dik tak hriat ni lo mah se, he seizure hian depression symptoms a tiziaawm nghal vat a ni. Anesthesia a ngai bawk a, ECT-ah ang bawkin. Mahse, doctor-te chuan ECT hian thluak hmun hrang hrang a target chiang zawk avangin hriatrengnaah nghawng a nei tlem zawk dawn niin an beisei.

Surgery nena inzawm enkawlna dangte

Hengte hi a hmasawn zawk, surgery hmanga enkawlna a ni. Enkawlna dang zawng zawng hlawhchhamna na tak takah an hmang tlangpui.

1. Thluak thuk tak tichaktu (DBS) .

Hei hi Parkinson natna enkawlna atana hman tan tawh a ni. Hetah hian thluak hmun bik tak, thuk takah electrode te chu surgery hmangin an dah a ni. Heng electrode te hi battery pack hmanga siam a ni a, chu chu rilru emaw, pum emaw vun hnuaia dah a ni. Heng electrode te hian thluaka circuit hrang hrangah electrical signal an thawn a, chu chuan mood a control a, depression symptoms te chu a control thin. Research chu la tlem hle mah se, a result erawh a beisei awm hle.

2. Vagus Nerve tihchakna (VNS) .

Vagus nerve hi thluak atanga taksa peng hrang hrang thlenga kal sei tak a ni. He nerve hi thluak chhunga mood control tu te nen pawh a inzawm tlat a ni. He enkawlnaah hian pacemaker ang chi hmanraw te tak te chu surgery hmangin rilru vun hnuaiah dah a ni. He device hian vagus nerve ah electrical impulse a thawn chhuak thin. Hei hian thluaka nerve inbiakpawhna a ti tha a, depression a ti reh bawk. Mahse, result hmuh tur chuan thla engemaw zat a la ngai thei.

Ketamine - a hahdam nghal vat em?

Ketamine hi anesthetic damdawi a ni. Mahse tun hnaia zirchianna chuan a dose tlem lutuk a pek chuan lungngaihna nasa tak nei damlo thenkhat tan darkar tlemte chhungin a tidam nghal thei tih hmuhchhuah a ni.

Tunah chuan antidepressant dang ei lo emaw, mahni intihhlum duhna nei emaw tan hnar spray hmanga enkawlna Ketoconazole tih chu pawm a ni tawh. Hei bakah hian thisenah infusion (IV infusion) pawh hman a ni bawk. Hei hi damdawi in hmunah, damdawi lam enkawlna hnuaiah tih a ni fo.