A châng chuan lungngai tak, mahni chauha awm, engmah tih duhna rilru pu lo i inhria em? Chu ni chu kan nunah kan nei vek a. A pangngai a ni. Mahse hetiang dinhmun hi kar tam tak emaw, thla tam tak emaw a la awm reng a nih chuan, i rilru a hniam lutuk a, nitin hnathawh i tih theih loh chuan lungngaihna pangngai mai ni lovin thil dang a ni thei. Damdawi lamah chuan he natna hi Major Depressive Disorder (MDD) kan ti thin. Hei hi rilru chak lohna a ni lo va, natna tak tak, enkawl ngai a ni.
Drug-resistant depression (TRD) tih hi eng nge ni?
A tlangpuiin, doctor-in depression nei mi a enkawl tan chuan mi tam zawk chu rei vak lo hnuah an rilru a hahdam tan thin. Mahse mi thenkhat chuan an ti lo. Entirnan, i doctor-in antidepressant pahnih tal, a zat dik taka, rei tak (a tlangpuiin kar 4 atanga kar 6 chhung) i ei hnuah pawh i natna lan chhuah dan a tha lo a nih chuan, chu chu treatment- resistant depression (TRD) kan ti a ni.
A awlsam zawngin, i taksa leh thluak hian antidepressant damdawi pangngaiah a chhang tha lo tihna a ni. Hei hian hlauthawng suh. Hei hian i dam ngai lovang tihna a ni lo. Enkawlna dang, hlawk zawk kan ngaihtuah a ngai tihna chauh a ni.
A pawimawh ber chu damdawi atanga hahdamna i hmuh loh nia i hriat chuan i doctor nen zalen taka inbiakna neih hi a ni a, i rilruah dah lovin.
Depression leh TRD natna lan chhuah dan tlangpui chu engte nge ni?
Treatment-resistant depression (TRD) symptoms hi major depressive disorder (MDD) symptoms nen a inang a ni. A danglamna chu damdawi ei hnuah pawh heng symptoms te hi a awm reng a ni. Heng symptoms te hi eng nge ni tih han thlir ila. Chûng zînga ṭhenkhat chu nangmah ngeiin i tawng tawh mai thei.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Depression leh chakna tlahniam | Nilengin lungngaihna leh engmah lo tihna. Taksa nunna nei lo, hna tenau ber pawh thawk thei tura rilru hah. |
| Anhedonia (eng thil atanga nawmna tlakchhamna) . | Hmanlai thil tih nuam i tih thin (e.g. movie en, thiante nena inbiakna, hobby) te chu tunah chuan awmzia a nei lo niin a lang. |
| Nakin hun chungchangah beidawnna | "Ka dam ngai lovang" leh "Ka nun a tawp tawh" tih ang chi ngaihtuahna tha lo tak takte hi ka rilruah a lo lang fo thin. |
| Thil ngaihtuah harsa tak a ni | Lehkhabu chhiar harsa, hna thawh, thutlukna siam. I rilru hmun khata dah theih loh. |
| Mahni inhriatthiam lohna | Hlutna nei lo anga inhria, thil tenawm ber pawha mahni inpuh. |
| Mut a inthlak danglam thin | Mut tam lutuk (nitin mutthilh) emaw, zan mut theih loh emaw, mut atanga harh emaw pawh nise. |
| Ei duhna leh taksa rihna a inthlak danglam | Chaw ei duh loh vanga taksa rihna tlahniam emaw, ei tam lutuk avanga taksa rihna sang emaw. |
| Thihna emaw, mahni intihhlum emaw chungchanga ngaihtuahna | I nun tawp mai duh ang maia inhriatna. Hei hi chhinchhiahna pawi tak a ni a, heng ngaihtuahnate hi i neih chuan damdawi lam thurawn lak nghal a pawimawh hle. |
He natna hi enkawl a nih loh chuan eng nge thleng ang?
Depression enkawl loh chuan mahni in enkawl theih loh leh midang laka inhnukdawk ang chi thil a thlen thei a ni. I hna i thawk tha thei lo mai thei. Chhungkaw nun leh inṭhianṭhatnaah harsatna i nei thei. A chhe berah chuan nunna atana hlauhawm pawh a ni thei.
Chuvangin heng symptoms te hi ngaihthah suh. I sualna a ni lo. Thluaka chemical awm zat inthlauhna avanga medical condition a ni. Chumi atan chuan tanpuina lak pawh zahthlak a awm lo. Zunthlum emaw thisen sang emaw damdawi ei ang mai a ni.
Beiseina a awm em? Tunlai enkawlna tha tak tak te!
Hetah hian chanchin lawmawm chu a awm e! Medical science hian kum engemaw zat kalta chhung khan depression enkawlna kawngah hmasawnna nasa tak a nei a. Tun hma ang lo takin tunah chuan enkawlna tha tak tak a awm tawh a, treatment-resistant depression (TRD) nei tan pawh.
Damdawi hlui zawkte chuan thluaka chemical (neurotransmitters) serotonin, dopamine, leh norepinephrine te chu an target ber a ni. Mahse enkawlna thar zawkte chuan hna an thawk dan a danglam a, thluaka kawng dang hmangin hna an thawk a ni.
Damdawi Hmanhmawhthlak tak tak
Heng tunlai treatment te thatna lian ber pakhat chu an speed hi a ni. Ngaihtuah teh, tun hma chuan damdawi pakhatin a nghawng dan hriat theih nan kar tam tak, thla khat emaw thla hnih emaw pawh ni se, i nghah a ngai thin. Mahse tunlai damdawi hman mek thenkhat nen chuan darkar engemaw zat emaw, ni engemaw zat emaw chhungin natna lanchhuahna atanga hahdamna i nei tan thei a ni.
TRD natna vei leh nun hrehawm tak tak tan chuan hei hi engzat nge beiseina a neih? An dinhmun hrehawm tak atanga an dam leh thuai theihna tur rilru chakna ropui tak awmchhun. Heng tunlai enkawlna chungchang hi i doctor hnenah i zawt thei ang. Enkawlna zawng zawng hi mi zawng zawng tan a tha vek lo. Chuvangin, i doctor-in uluk takin i dinhmun a enfiah ang a, eng damdawi nge i tana tha ber tih a rel ang.
Take-Home Thuchah a ni
- Depression hi natna a ni: thinlung chak lohna a ni lo va, i sualna pawh a ni lo. Enkawl ngai dinhmun tak tak a ni.
- Damdawi hian hna a thawk lo a nih chuan i doctor hrilh rawh: I damdawi ei avanga i rilru a hahdam loh chuan chelh tlat suh la, hrehawm tuar suh, mahse i doctor hnenah hrilh ngei ang che. Treatment-resistant depression (TRD) i nei thei bawk.
- Tunlai enkawlna a awm: TRD vei te pawhin beiseina an nei thei tawh. Tunah chuan tunlai damdawi hmanraw chak tak leh hlawk tak tak a awm ta.
- Ṭanpuina dil hlau suh: Rilru hriselna hi taksa hriselna ang bawkin a pawimawh. Ṭanpuina dîl hi chakna chhinchhiahna a ni a, chak lohna a ni lo. I doctor chu a pui turin a awm reng a ni.
- Nangmah chauh i ni lo: Sri Lanka leh khawvel hmun hrang hrangah mi maktaduai tam tak chu lungngaihna neiin an khawsa a ni. Enkawlna leh puihna dik tak i neih chuan nang pawhin nun hrisel i hmang leh thei ang.
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