Hun rei tak chhung chu lungngaihna i tuar tawh pawh a ni thei. I doctor-in antidepressant a pek i ei lai pawhin i lungngaihna atanga hahdamna i hmu lo ang maiin i inhriat ngai em? Khawvelah hian mahni chauha awm ang maiin i inhriat ngai em? Chutiang a nih chuan lungngai suh. Nangmah chauh i ni lo. Depression nei tam tak chuan hetiang hi an tawng tawh a ni. Vawiin hian he dinhmun, treatment-resistant depression chungchang hi chipchiar takin kan sawi dawn a ni.
Treatment-Resistant Depression chu eng nge ni?
A awlsam zawngin, hei hian depression atana antidepressant chi hrang hrang pahnih tal, a dose dik takah, hun rei tak chhung i ei tawh tihna a ni a, mahse i symptoms erawh a la tha lo hle. Research atanga a lan dan chuan depression damdawi ei thin 30% atanga 70% inkar ah hetiang hi a thleng thei a ni.
Mahse hetah hian hriatthiam tur pawimawh tak a awm. Hei hi i sualna a ni lo va, i harhchhuah theih ngai loh thil a ni hek lo. Researcher-te chuan a chhan chiang tak pakhat mah an la hmu lo. Mahse, he natna thlentu tur risk factor thenkhat an hmuchhuak a ni.
A chhan lian ber chu damdawi ‘hands-off’ rang lutuk hi a ni!
Hei hi harsatna kan hmuh ber chu a ni. Ngaihtuah teh, i doctor chuan damdawi a rawn pe che a. Kar khat emaw kar hnih emaw chhung i hmang thin. Mahse, danglamna i hre lo. "He damdawi hi a tangkai lo, ka tan a thawk lo," tiin i ngaihtuah thin. Tichuan damdawi chu i ei tawh lo.
Hetah hian kan hriatthiam a ngai. Antidepressant hi natna tidamtu ang maia hnathawk nghal thei thil a ni lo. I thluak chemistry an nghawng a, i symptoms control nan hun engemaw chen an hmang thin.
Dik tak chuan, "drue trial dik tak" tih awmzia chu nitin, chhunzawm zel, kar 4 atanga kar 6 tal i ei tur a ni . Mi thenkhat chuan result kimchang hmuh nan kar 8 emaw a aia rei emaw an hmang thei.
Doctor hian eng nge a tih?
I damdawi i ei rei tawh a, a dose dik takah i ei a, mahse i la dam lo a nih chuan i doctor chuan damdawi dang hmangin a thlak ang che. Hei hi a tir lama i ei thin damdawi aiin damdawi class danglam tak a ni fo ang.
Entir nan:
- Pakhatnaah chuan SSRI (Selective Serotonin Reuptake Inhibitor) damdawi, Fluoxetine (Prozac) ang chi chu i lo pe tawh mai thei.
- Chu chu a hlawhtling lo a nih chuan SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) hmangin enchhin rawh.Class khata damdawi, `Venlafaxine` (Effexor) emaw `Duloxetine` (Cymbalta) emaw hmanga thlak theih a ni.
Specialist thenkhat chuan "Treatment-Resistant Depression" tih ai chuan "depression enkawl harsa" tih hi an hmang duh zawk. Hei hi a chhan chu "resistant" tih thumal hian tihdam theih a ni ngai lo tih a tilang a ni. Thudik tak chu damdawi pakhat hian hna a thawk lo a nih pawhin enkawlna dangin a puih theihna chance a awm. I tana tha ber tur enkawlna i hmuh hma loh chuan duhthlan tur engemaw zat i enchhin a ngai mai thei.
A hlauhawmna tipungtu thil dang a awm em?
Ni e, a nghawng thei thil dang engemaw zat a awm bawk. Chu chu han en teh ang.
| Risk Factor a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| I lungngaihna awmzia | Kum 18 i tlin hma, chu chu i tleirawl lai atanga i lungngaihna lan chhuahna a lo intan hmasak ber a nih chuan, damdawi pangngai i dawn theih nan hun rei zawk i hmang thei a ni. Hei hian tihdam theih i ni lo tihna a ni lo va, mahse specialized treatment tam zawk i mamawh mai thei tihna a ni. |
| Taksa natna dang awmna | Damdawi lam harsatna dang i neih theihte pawhin lungngaihna atanga dam lehna a tikhawtlai thei bawk. Entirnan: Thyroid lama harsatna (hypothyroidism), natna rei tak nei, thinlung natna, zunthlum, vitamin B12 emaw vitamin D tlakchhamna. |
| Rilru lama harsatna dangte | Depression nen hian co-occurring condition dang a awm a nih chuan chu pawh chu enkawlna daltu a ni thei bawk. Entirnan: Lungngaihna natna, Post-Traumatic Stress Disorder (PTSD), Ruihhlo emaw Zu emaw hman. |
| Diagnosis dik lo a awm | A châng chuan, lungngaihna i nei lo thei lo. Entirnan, bipolar disorder pawh hi depressive symptoms nen a rawn lang hmasa thei bawk. Chungte enkawl dan chu a danglam vek a ni. Chuvangin diagnosis dik tak neih a pawimawh hle . |
Chuti a nih chuan engtin nge ka tih ang?
He zawhna hi i rilruah a awm tih ka hria. Beiseina bansan suh. Thil tih theih engemaw zat a awm.
1. Doctor nen inhawng takin inbia ang che.
Hei hi a pawimawh ber a ni. Doctor lakah engmah thup suh.
- Eng symptom nge i neih tih chiang takin min hrilh teh.
- Damdawi side effects te min hrilh teh.
- Damdawi dang, vitamin emaw, herbal product emaw i ei lai min hrilh teh.
- Zu emaw ruihhlo dang emaw i hman chuan , chu pawh chu rinawm takin sawi rawh.
He thu hian i doctor chu i tana tha ber tur enkawlna thlang turin nasa takin a pui ang.
2. Dawhthei takin awm rawh.
Ka sawi tawh ang khan damdawi chu hna thawk turin hun pe rawh. Kar hnih vel hnuah pawh danglamna a awm loh chuan damdawi ei kha chawlhsan suh la, doctor nen inbia ang che. Dose tihpun emaw, thil dang tih emaw a tum mai thei. Doctor zawt lovin damdawi ei kha titawp ngai suh, a dose pawh thlak ngai suh.
3. Enkawlna dang ngaihtuah rawh
Damdawi chauh hi lungngaihna enkawlna a ni lo.
- Psychotherapy: Hei hi ‘counseling’ mai mai kan ti bawk. Psychotherapy bakah damdawi ei hian rah tha tak a chhuah thei a ni. A bik takin, `Cognitive Behavioral Therapy (CBT)` tia enkawl dan hi a hlawhtling hle.
- Nunphung inthlak danglamna: I nitin nunah inthlak danglamna tenau te hian danglamna nasa tak a thlen thei a ni. Exercise neih fo te, ei leh in tha tak ei te, ni khatah darkar 7-8 vel mut that te, ṭhian leh chhungte ṭanpuitu te nena hun hman te hi a pawimawh vek a ni.
I tana enkawlna dik tak chu damdawi pakhat chauh a ni lo tih hre reng ang che. Damdawi, rilru lam enkawlna leh nunphung tihdanglamna inzawmkhawm a ni thei.
Take-Home Thuchah a ni
- Treatment-Resistant Depression hi a awm fo thin. Nangmah chauh i ni lo, chuvangin zak leh hlau suh.
- Antidepressant damdawi chungchanga thutlukna siam hmain a zat tur angin kar 4-6 tal hman tur a ni.
- Doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh. I rilru put hmang zawng zawng chu tlang takin sawipui rawh.
- Taksa emaw rilru lam emaw hriselna lama harsatna dang i neih hian depression atanga i dam lehna a nghawng thei a, chuvangin medical checkup kimchang neih a pawimawh hle.
- Damdawi chauh hian hna a thawk lo a nih chuan enkawlna tha dang tam tak a awm a, chu chu psychotherapy te hi a ni. Beiseina bansan suh. Support dik tak i neih chuan i dam leh thei ngei ang.
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