Nang pawhin lungngai leh rit takin i inhria fo em? Depression chungchang hi han sawi ila!

Kan nunah hian a chang chuan lungngaihna leh lungngaihna tlem kan neih hi thil pangngai a ni. Ṭhian nena inrem lohna tlemte kan neih hian, kan beisei thil kan hmuh loh chuan, a nih loh leh ni khat chauh pawh ni se, tlem kan lungngai thei a ni . Mahse he lungngaihna hi a awm reng a nih chuan, ni tam tak emaw, kar tam tak emaw chhung lungawi lohna kan neih chuan lungngaihna pangngai mai ni lovin thil dang a ni thei. Chu chu vawiinah kan sawi dawn a, chu chu ‘Depression’ tihna a ni.

‘Depression’ chu eng nge ni tak tak?

A awlsam zawngin sawi ila, lungngaihna hi lungngaihna chauh a ni lo. Damdawi lam thil a ni. Diabetes mellitus emaw thisen sang emaw ang bawkin enkawl leh enkawl ngai a ni. Kan ngaihtuahna, kan rilru put hmang leh kan awm dan bakah kan taksa hriselna a nghawng a ni.

Mi tam tak chuan lungngaihna hi chak lohna emaw, chak lohna emaw chhinchhiahna niin an ngai a. Mahse chu chu a dik lo tak zet a ni . Tu chungah pawh a thleng thei. I chak loh vanga lo thleng a ni lo. Chuvângin, mahni inpuh emaw, zak emaw i neih a ngai lo. A pawimawh ber chu he dinhmun hi hriat chian a, a tanpuina zawng hi a ni.

Engtin nge hei hi kan hriat chian? Eng nge a lan chhuah dan?

Depression symptoms hi mi hrang hrangah a inang lo thei hle. Mahse a lan chhuah dan tlangpui thenkhat a awm. Eng nge an nih i en ang u. Heng symptoms zinga pakhat emaw pahnih emaw i neih hian depression i nei tihna a ni lo. Mahse heng chhinchhiahna engemaw zat hi kar hnih aia rei a awm reng a, nitin hnathawhna a tibuai a nih chuan damdawi lam thurawn lak hi a tha ber ngei ang.

Hriatthiamna (rilru lam natna lanchhuahna) .

• Lungngaih reng reng: Lungngaihna nasa tak, rit tak, leh engmah lo anga inhriatna, chhan hriat loh pawh ni se. Tun hma ang khan nuihzatthlak leh hlim thei lo.
• Hmanlai thil i ngaihven thinte ngaihvenna hloh: Thiante nena inkawp duhna te, movie en duhna te, hla ngaihthlak duhna te, lehkhabu chhiar duhna te chu tunah chuan a bo ta. Hei hi damdawi lam tawngin ``Anhedonia'' an ti bawk.
• Mahni inngaihtuah \ha lo, \ul lova inthiamlohna: "Ka hlutna ka nei lo", "Engkim hi ka sualna a ni" tih ang chi ngaihtuahna hi rilruah a lo lang fo thin.
• Thil ngaihtuah leh thutlukna siam harsa: Hnathawh laiin ngaihtuahna seng thei lo. Thutlukna tenau ber pawh ngaihtuahin darkar tam tak a hmang thin.
• Beiseina nei lo anga inhriatna leh thihna ngaihtuahna neih: Hei hi chhinchhiahna hlauhawm tak a ni . Hetianga i rilru a awm chuan i rintlak mi i biak thuai tur a ni a, a nih loh leh damdawi lam thurawn la nghal tur a ni.

Taksa hriatna (taksa chhinchhiahna) .

• Engtik lai pawha chau leh nunna nei lo anga inhriatna: Mut that hnuah pawh zing thawh leh nilenga chau tih hriat harsa i ti thin.
• Mut dan inthlak danglamna:Mi thenkhat chu engtiang pawhin bei mah se an muhil thei lo (Insomnia). Midangte chu nilengin an mu a, mut tam lutuk (Hypersomnia).
• Ei duhna a inthlak danglam: Ei duh loh vangin i thau a tlahniam thei. A nih loh leh, mi ṭhenkhat chuan an ei leh in an thunun thei lo va, an thau chho thei bawk.
• Taksa natna sawifiah theih loh: Lu na, hnungzang na leh pum na hi a awm fo a, mahse doctor i hmuh chuan a chhan tak tak a awm lo.
• Taksa chhunga rilru hahna leh tingling: Thusawi leh kal hi a hma aia awkward zawkin a lang.

Nungchang a inthlak danglam thin

• Midangte pumpelh leh mahni chauha awm tum: Ṭhiante nena inhmuhna leh chhungte nena inbiakna neih chu i ngaihven tawh lo.
• Thinrimna, rilru hahdam lohna: Thil tenawm tak avanga thinrim thin, leh rilru hahdam lo reng reng, thil dik lo i chungah a awm ang maiin.
• Tap reng: Thil tenau avanga tap, lungngaihna thunun harsa.
• Mimal faina ngaihtuah tlem: Taksa sil leh incheina felfai ang chi thilte pawh ngaihthah a ni.

Tunah en teh, heng mizia thenkhat hi i nei nia i hriat chuan khawngaihin ngaihthah suh.

Engvangin nge hetiang hi kan chungah a lo thlen? A chhan engte nge ni?

Depression thlentu pakhat chauh hriat chian a harsa hle. A tam zawkah chuan thil engemaw zat inzawmkhawm a ni. A dik tak chuan hengte hi a pui theitu berte chu an ni:

• Thluak chemical inthlak danglamna: Kan thluak ah hian chemical bik ``neurotransmitters`` tih a awm a, chungte chu kan mood, mut leh ei duhna control tu an ni. ``Serotonin`` leh ``dopamine`` ang chi ``neurotransmitters`` hnathawh dan inthlak danglamna hian depression a thlen thei a ni.
• Genetics: I chhungkuaa mi tu emaw, i nu emaw, i pa emaw, i unaute emaw chuan lungngaihna a nei a nih chuan i vei tam zawk a, mahse chu chu i nei ngei ang tihna erawh a ni lo.
• Nunna thil harsa: Hmangaih tak hloh te, hna hloh te, sum leh pai lama harsatna te, inlaichinna lama harsatna te, leh thil rapthlak tak tak (trauma) te hian lungngaihna a thlen thei vek a ni.
• Hun rei tak chhung natna: Natna khirh tak tak, zunthlum, thinlung natna, leh cancer te avang hian lungngaihna a awm theihna a awm. Damdawi thenkhat side effect angin a awm thei bawk.
• Hormone inthlak danglamna: A chang chuan depression hi taksaa hormone level inthlak danglam vang a ni thei a, entirnan, thyroid gland hnathawh danah harsatna a awm thei.

Ngaihtuah teh, kan Nimali nu a boral hnuah thla tam tak chhung chu a lungngai hle a. A hma angin a nui lo va, a tawng lo bawk. Thing phun pawh a bansan a, chu chu a duh em em a ni. A hnu lawkah, Doctor a hmuh chuan Nimali-i chu depression a nei tih a hre ta chauh a ni.

Chu chu mi tin tan a chhan a inang lo thei tihna a ni. A pawimawh ber chu a chhan eng pawh ni se, hei hi enkawl dan tur a awm tih hriatthiam hi a ni.

Chu chuan engtin nge kan nun a nghawng?

Tunah chuan lungngaihna hi lungngaihna mai a ni lo tih kan hre ta. Kan nun kawng tinreng deuhthaw hian a nghawng thei a ni.

• Hnathawhah emaw, zirna lamah emaw: Ngaihtuahna tlakchhamna leh hah lutuk hian hna thawh zawh a harsat phah thei a ni. Hnathawh lamah harsatna a awm thei a, zirlai i nih chuan i zirlai i tlachham mai thei bawk.
• Mimal inlaichînna atân: Thinrim reng leh mi dangte laka inthiarfihlim reng hian chhûngte leh ṭhiante nêna inlaichînna a tichhe thei a ni.
• Taksa hriselna: Mut that loh te, ei leh in mumal te, exercise lak loh te hian natna dang vei theihna a tipung a ni.
• Nun hlimna hloh: A tlangpuiin nun nuam tihna a tlahniam. Engkim hi a boring hlein ka hria.

Chuvangin, lungngaihna hi ngaihthah tur a ni lo. A rang thei ang bera enkawl tan a pawimawh hle.

Depression i nei nia i hriat chuan engtin nge i tih ang? Engtin nge tanpuina kan hmuh theih ang?

Nangmah emaw, i hriat miin emaw depression symptoms i neih chuan i tih tur pawimawh ber chu sawipui hi a ni. I rintlak tak – i nu, i pa, i unaupa, i unaunu, i ṭhian ṭha ber, i zirtirtu pawh a ni thei – chu chu sawipui rawh . I rilru put hmang chu hrilh rawh.

A dawtah chuan doctor i pan ngei tur a ni. Hei hi General Practitioner (GP) emaw, Psychiatrist emaw pawh a ni thei. Doctor chuan a bia ang che a, i natna lan chhuah dante a zawt ang che a, a tul chuan depression i nei tak tak em tih leh heng natna lan chhuah chhan dang a awm em tih hriat nan test a nei ang.

Enkawlnate chu engte nge ni?

Thu lawmawm tak chu depression damdawi tha tak tak a awm tih hi a ni! Hlauhthawn chhan tur a awm lo. Enkawlna chi hnih a awm a, chungte chu:

• Psychotherapy: Hei hian i harsatna leh i rilru put hmang chungchang zirtirna nei psychotherapist emaw counselor emaw nena inbiakna a huam a ni . I ngaihtuahna leh nungchang hriatthiamna leh tihdanglam turin an pui che a ni. Cognitive Behavioral Therapy (CBT) hi rilru lam enkawlna tha tak a ni. A awlsam zawngin, i ngaihtuahna leh nun i hmachhawn dan thlak danglam turin a pui che a ni.
• Damdawi hman dan:A châng chuan doctor-te chuan ``Antidepressants'' tih damdawi an pe ṭhin a, heng damdawi te hian kan sawi tawh thluaka ``Neurotransmitters'' te inthlauhna siamthatna hmangin hna an thawk thin. Heng damdawi te hi mutna damdawi angin ruihhlo ngawlvei an ni lo. Tin, hengte hi doctor-in a tih angin, a zat tur leh hun bituk chhung atan ei tur a ni. Ei nghal mai emaw, a dose thlak danglam emaw hi a tha lo.

Vawi tam tak chu heng enkawlna pahnih hi hman dun a nih chuan a tha ber a ni. Enkawlna i tan tirh hian danglamna lian tak i hre nghal lo mai thei tih hre reng ang che. Hun engemaw chen a la ngai. Enkawlna chu i dawhtheih a ngai a ni.

Keimahni ngeiin kan tih theih thil a awm em?

Damdawi inenkawlna bakah hian kan rilru hriselna tihchangtlunna tura pui thei tur thil engemaw zat a awm bawk. Hengte hi enkawlna thlakna tur a ni lo a, mahse a pui thei ngei ang.

• Exercise: Ni khatah minute 30 tal kea kal, tlan, zai ang chi thil ti rawh. Exercise hian kan mood tithatu chemical a tichhuak thin.
• Ei leh in inthlau tak: Chaw tha tak tak ei rawh. A theih ang anga sugar leh thau tamna ei tur lakah inthiarfihlim rawh.
• Mut tam: Ni khatah darkar 7-8 vel mut that tum ang che. Mut hma hian mut theih reng ang che.
• Mindfulness leh Relaxation techniques: Meditation leh thawk lakna exercise ang chi thilte hian i rilru a ti thlamuang thei a ni.
• Zu leh ruihhlo laka inthiarfihlim: Chûngte chuan rei lo tê chhûnga hahdamna pe mah se, hun rei tak chhûngin lungngaihna a tizual thei a ni.
• Tum tenau, tihhlawhtlin theih tur siam rawh: Thil lian tak tak vawi khata tih tum ai chuan thil tum tenau tak tak siam la, tifel rawh. Hei hian i rilru a ti nuam ang.
• Nangmah thlawptu mite nen hun hmang rawh: I hmangaih leh hrethiamtute nen inbiakna nei la, hun hmang rawh. Mahni inthiarfihlim suh.

Hetiang dinhmunah hian engtin nge i ṭhian emaw, chhungte emaw i ṭanpui theih?

I hnaih ber tu emaw chuan lungngaihna a vei tih i hriat chuan, nang pawhin i pui thei bawk.

• Ngun takin ngaithla rawh: Rorelna tel lovin an thusawi chu ngaithla rawh. "Eng nge chu chu?" emaw, "I rilru siam mai rawh."
• I thlawpna leh hriatthiamna pe rawh: Anmahni chauh ni lo anga inhriattîr rawh.
• Professional tanpuina zawng turin fuih rawh: Doctor hmu turin fuih la, counseling zawng turin fuih rawh. A tul chuan anmahni nen pawh i kal thei bawk.
• Nitin hna thawhnaah tanpui: Harsatna an tawk a nih chuan hna tenauah tanpui rawh.
• Dawhthei rawh: Dam nan hun a duh. Chuvangin an chungah dawhthei takin awm rawh.
• Nangmah pawh enkawl rawh: Midang i tanpui lai hian nangmah ngeiin i rilru hrisel dan tur ngaihtuah la.

A pawimawh ber: Thil hriat reng tur tlemte (Take-Home Message) .

Okay, chuvang chuan vawiin hian depression chungchang kan sawi nasa hle. A tawp berah chuan hengte hi hre reng ang che:

• Depression hi natna tak tak a ni a, chak lohna a ni lo. Chuvangin zak leh hlau suh.
• Nangmah chauh i ni lo. Hetiang dinhmun tuar dang tam tak an awm bawk.
• Ṭanpuina leh enkawlna a awm a, a hlawk hle. Enkawlna dik tak a awm chuan he natna hi tihdam theih a ni.
• Hemi chungchang sawi hi a hmasa ber a ni. Nangmah emaw, i hriat emaw hian hetiang thil hi i tawk a nih chuan sawipui rawh.
• Nangmah leh midangte chungah ngilnei rawh. He zinkawngah hian nangmah ngei pawh i thian tha ber i ni thei ang.

Rilru hriselna hi taksa hriselna ang bawkin a pawimawh tih hre reng ang che. Chuvangin i lo buaipui ang u. Hemi chungchanga zawhna dang i neih chuan doctor emaw psychologist emaw zawt hreh suh.

` Depression, Rilru hriselna, Lungngaihna, Symptoms, Enkawlna, Sri Lanka