A châng chuan i thinlungah phurrit rit tak, lungngaihna, mahni chauha awm, leh engmah tih duh lo anga inhriatna i nei ṭhin em? Hetiang natna vei hi i thian emaw, i chhungte emaw i hmu tawh mai thei. He ‘depression’ kan tih, a nih loh leh medical science-a an tih angin ``Major Depressive Disorder'' hi tunah chuan kan ramah pawh khawvelah pawh rilru natna a awm tawh hle. Mahse a pawimawh ber chu hei hi chak lohna emaw thil siam chhuah emaw a ni lo va, enkawl theih natna a ni. Thu lawmawm tak chu kum 20 kalta chhunga medical science hmasawnna avang hian lungngaihna enkawlna hlawhtling tak tak leh thar tam tak an rawn chhuak ta a ni.
Enkawlna inang chu mi zawng zawngah a inhmeh lo!
Tun hma ang lo takin tunah chuan lungngaihna hian mi tin a nghawng dan a inang lo tih kan hre ta. Kan kutziak ang bawkin mi tin hi kan danglam bik a ni. Hei hi a chhan lian ber chu kan thluaka chemical process awm, ``Neurochemistry'' an tih hi mi hrang hrangah a inang lo vang a ni.
A awlsam zawngin kan rilru put hmang, ngaihtuahna leh thiltih te hi thluaka chemical messenger ``Neurotransmitters'' an tih te hian an thunun a ni.Depression a awm chuan heng chemical te balance hi a tibuai thin. Chuvangin, tunlai enkawlnate thil tum ber chu mi tin thluaka he chemical inthlak danglamna hi chiang taka hriatchhuah a, a inmil tur targeted treatment pek hi a ni. Chu chu, mi zawng zawng hnêna damdawi inang pêk ai chuan, nangmah bîk taka enkawlna ruahmanna siam tihna a ni .
| Enkawl dan tur | A chungchanga hriat tur thilte |
|---|---|
| Ruihhlo hmanga enkawlna | Tunlaia antidepressant awmte hi tun hmaa antidepressant awm tawhte aiin a hmasawn zawk hle. A bik takin hna an thawk a, side effect an nei tlem zawk bawk. Entirnan, damdawi (Citalopram), (Escitalopram), (Fluoxetine), leh (Sertraline) te hi hman tlanglawn tak a ni. Hei bakah hian damdawi thar (Auvelity) leh (Spravato) te pawh siam chhuah a ni bawk. |
| Psychotherapy hmanga enkawlna | Counselling emaw psychotherapy emaw, a bik takin Cognitive-Behavioral Therapy (CBT) hi damdawi ei lai hian a hlawk hle thei a ni.Chumi awmzia chu, psychodynamic therapy , i ngaihtuahna ṭha lote hriatchhuahna leh tidanglam thei enkawlna hmanrua chu a hlawhtling hle tih finfiahna a awm tihna a ni. |
| Electroconvulsive therapy (ECT) hmanga enkawl a ni. | Mi thenkhat chuan he hming an hriat hian an hlauthawng mai thei. Mahse tunlaia hmanraw hman (Electroconvulsive Therapy - ECT) hi a hma aia him zawk a ni a, a na lo bawk. Depression na tak nei, damdawi dang emaw psychotherapy dang emaw dawng lo tan chauh hman a ni. Tin, chu pawh chu specialist doctor-te enkawlna khauh tak hnuaiah. |
Heng enkawlna zingah hian eng enkawlna nge i tan a tha ber tih i doctor chuan a rel tur a ni tih hre reng ang che. Online-a i thil chhiar emaw, mi hnen aṭanga i hriat emaw aṭanga damdawi ei loh tur.
Tunlaia enkawl dan thar ber ber sawi hlawh tak takte
A chunga kan sawi tak hmanlai dan bakah hian tunah chuan lungngaihna enkawlna thar zawk engemaw zat a awm tawh a, chungte chuan hlawhtlinna nasa tak an nei a ni. Chung zinga pakhat chu `(Ketamine)` enkawlna a ni.
Ketamine enkawlna hi eng nge ni?
`(Ketamine)` tih hi anesthetic atan i hre tawh ngei ang. Ni e, operation laiin natna numb nan an hmang thin. Mahse tun hnaia zirchianna hrang hrangah chuan he damdawi hi a tlem em em, damdawi lam enkawlna hnuaia pek a nih chuan, enkawlna dang dawng lo, lungngaihna nasa tak pawh chu rang takin a thunun thei tih hmuhchhuah a ni.
Engtin nge a thawh?
Depression hian i thluaka neural network thenkhat chu "stuck" emaw malfunction emaw a siam niin han ngaihtuah teh. Ketamine therapy hian a tih chu chu neural network te chu "reset" nghal mai a ni. Hei hian thluak chu inzawmna thar, hrisel tak siam theihna hun a pe a ni. Chumi avang chuan lungngaihna chhinchhiahna tam tak chu a reh thuai a, damlo thenkhat phei chuan hun rei tak chhung chu an hahdam thei a ni.
Mahse hei hi a pawimawh hle: Ketamine hi in lama hman theih tur damdawi a ni lo. Damdawi in hmunah chauh pek thin, specialist psychiatrist enkawlna khauh tak hnuaia enkawlna bik tak a ni. Dose, pek dan leh damlo dinhmun enfiah reng a pawimawh hle.
Tunah hian he enkawlna hi depression na tak nei, enkawlna dang (treatment-resistant) dawng lo tan chauh hman a ni. Mahse doctor-te zingah chuan nakin lawkah depression na tak tan pawh hman hmasak theih a nih thu sawi a awm.
Take-Home Thuchah a ni
- Depression hi chak lohna a ni lo va, thluaka chemical inthlak danglamna avanga natna tak tak, enkawl theih a ni.
- Tûn laiah chuan, lungngaihna enkawlna damdawi hmasawn tak tak, hlawhtling tak tak, leh side-effect nei lo tam tak a awm a. Chuvangin beiseina bansan suh.
- Nangmah emaw, i hriat mi emaw, lungngaihna nei nia i rinhlelh chuan i doctor hmu a, sawipui hi a tha ber a ni.
- Damdawi leh psychotherapy pahnih hi an inzawm khawm chuan result tha ber a awm fo thin.
- Damdawi engmah hmang suh la, damdawi lam thurawn tel lo chuan ei tawh suh. A hlauhawm thei hle.
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