Engmah tih loh ang maia kan inhriat ni a awm a, kan lungngai em em a, phurrit kan phur hle bawk. Chu chu thil pangngai a ni. Mahse he rilru put hmang hi kar hnih aia rei a awm reng chuan, engkim hi beiseina nei lo leh beiseina nei lo anga lang a nih chuan lungngaihna awlsam tak aiin thil thuk zawk a ni thei. Depression chungchang kan sawi a, a nih loh leh doctor-te’n an tih angin , ‘Major Depressive Disorder’ . Hei hi khawvela rilru natna awm tam ber a ni. Mahse, lungngai suh, he thu sawi leh tanpuina dil hi nangmah chauh i ni lo.
Depression hi eng nge ni tak tak?
A awlsam zawngin sawi ila, depression hi rilru natna a ni a, i rilru natna a tichhe thei a ni. Rilru natna emaw, i suangtuahna figment emaw a ni lo. Damdawi lam dinhmun dik tak a ni. A chhan pakhat mah hriat chhuah ni lo mah se, scientist-te chuan thluaka chemical inthlak danglamna te, genetic influence te, leh nunah thil rapthlak tak tak te pawh hi thil hrang hrang inzawmkhawm vang a ni thei niin an ngai.
He natna hi hriat chian nan chuan a hnuaia symptoms engemaw zat hi kar hnih tal a zawnin i neih a ngai a ni:
- Lungngaihna thuk tak leh engmah lo, nilengin a awm ang maia hriat.
- Tûn hmaa i hlim ṭhin thilte ngaihvenna hloh.
- Chau lutuk, nunna nei lo anga inhria.
- Mut a inthlak (mut tam emaw, mut loh emaw).
- Ei duhna inthlak danglamna (ei duh lohna emaw ei tam lutuk emaw).
- Mahni inngaihtlawm, hlutna nei lo anga inhriat.
- Thil ngaihtuah harsa tak a ni.
A pawimawh ber chu hei hi enkawlna hmanga enkawl theih tha ber a nih avangin tanpuina dil hi a tlai ngai lo.
Tun hma chuan engtin nge enkawlna an tih thin? Damdawi hman dan hlui
Hun rei tak, kum 50 vel, lungngaihna enkawl chungchangah scientist-te chuan kan thluaka chemical awm, neurotransmitters an tihte chu an ngaihtuah ber a ni. Kan thluaka nerve cell-te inbiak theihna tur ‘signal’ angin ngaihtuah rawh. Heng signal te hi a thawk tha lo a nih chuan kan mood a tibuai thei a ni.
Damdawi hlui tam tak, ‘antidepressant’ tia koh te chu a bik takin chemical messenger pathum : serotonin, norepinephrine, leh dopamine te hnathawh dan inthlauhna atan an siam chhuak a ni. Heng damdawi te hian mi tam tak tan rah tha tak a chhuah a, mahse mi zawng zawng tan erawh a ni lo.
Engvangin nge he damdawi hian mi zawng zawng tan hna a thawh loh?
Hetah hian buaina chu a awm. Depression nei mi sawm zinga pathum vel chuan damdawi pakhat chauh ni lovin, pahnih an thlak hnuah pawh hahdamna an hmu vak lo. Doctor-te chuan he natna hi an ti a‘Treatment-Resistant Depression’ tih a ni.
Hei vang hian kum sawmhnih vel kalta chhung khan scientist-te chuan lungngaihna chungchanga an ngaihtuahna chu an thlak danglam vek a ni. Depression hi a hmaa kan sawi tawh chemical messenger pathumte harsatna mai a ni lo tih an hrechhuak ta. Chu aia thluak biology hi a buaithlak zawk hle. Tin, chu chuan damdawi thar hmuhna kawng thar a hawng ta a ni.
Hetiang hian hmanlai leh tunlai enkawlna inthlauhna hi han thlir ila.
| Nihphung | Damdawi hlui zawk (antidepressant tam zawk) . | Enkawl dan thar ber ber |
|---|---|---|
| Goal ber a ni | Neurotransmitters te chu serotonin, norepinephrine, leh dopamine te an ni | Thluak chhunga signaling system dang leh neural circuit te, GABA receptor te |
| Results hun chhung | Kar tlemte emaw thla khat emaw a la ngai thei. | Darkar emaw ni engemaw zat emaw chhungin result rang tak a ni |
| Engtin nge kan pek ang | Nitin pills ei fo thin | IV infusion emaw, hnar hmanga spray bik emaw pek theih a ni |
Damdawi chakna thar ber ber
Depression hi a dam theih nan kar tam tak emaw, thla tam tak emaw a ngai tih ngaihdan chu a danglam zel a ni. Enkawlna thar, rang tak takte chuan he lama tih theih turte ramri a tizau a ni.
Nau neih hnua lungngaihna damdawi bik
Kum 2019 khan damdawi pakhat Brexanolone tih chu pawm a ni. A bik takin a siam a niPostpartum Depression hi rilru hahna lian tak chi khat a ni.
- Engtin nge a thawh? A hnathawh dan dik tak chu 100% chiang lo mahse, kan taksain a pianphung a siam chhuah steroid synthetic copy a ni. Thluaka receptor GABA tih te a nghawng a, chu chuan kan mood control turin a pui a ni.
- Engtin nge i lak ang? He damdawi hi antidepressant dang angin ei a awlsam lo. IV infusion (saline ang chi) angin darkar 60 chhung pek tur a ni , damdawi inah, damdawi lam enkawlna hnuaiah.
- Rahchhuah? Mak tak maiin result hi a rang hle mai. I depression symptoms chu enkawlna zawh veleh a tlahniam tan thei a ni.
Chutiang bawkin, damdawi thar dang dang, enkawlna dodal thei lo lungngaihna atana result rang zawk pe thei tur chungchangah pawh zirchianna a la awm chhunzawm zel a, chu chu nakin lawkah enkawlna tha zawk kan beisei thei tihna a ni.
Chuti a nih chuan, eng nge ka tih ang?
He thuziak hi i chhiar a, heng symptoms te hi i neih chuan nangmah chauhin tuar suh. Online-a enin natna i nei tih thutlukna siam suh.
I tih theih tha ber chu i doctor rintlak tak hmuin he thu hi sawipui hi a ni.
I doctor chauh hian i dinhmun dik takin a hmu thei a, i tana enkawlna tha ber a ruat thei bawk. Hei hian damdawi pangngai, counseling/therapy, emaw, a tul chuan rilru lam hriselna lama mithiam hnena refer emaw pawh a huam thei. Ṭanpuina dîl hi chakna chhinchhiahna a ni tih hre reng ang che.
Take-Home Thuchah a ni
- Major Depressive Disorder hi chak lohna a ni lo va, damdawi lam dinhmun dik tak, enkawl ngai a ni.
- Damdawi hlui hian mi tam tak tanpui mah se, mi zawng zawng tan hna a thawk lo.
- Science lama hmasawnna a awm tawh avangin tunah chuan thluaka signaling system dangte target-a result rang tak pe thei enkawlna tunlai tak tak a awm ta a ni.
- Tunah chuan natna bik, nau neih hnua lungngaihna ang chite tan chuan enkawlna \ha tak, rang tak a awm tawh a ni.
- Mahni inhriatthiamna leh mahni indahdam ngai suh. Depression i vei nia i rinhlelh chuan doctor thurawn la nghal rawh.
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