Hun rei tak chhung chu lungngaihna i tuar tawh pawh a ni thei. Doctor-in a pek damdawi i hman hnuah pawh hmasawnna tam tak i neih loh chuan lungngaihna leh beiseina nei lo tak tak i neih hi thil pangngai tak a ni. Vawi sâng tam tak i ngaihtuah tawh mai thei, ‘Hei hi ka hneh ngai lo vang em ni? He hrehawmna hi a tawp ngai lo vang em ni?’ a ti a. Mahse, ka sawi tur pawimawh ber chu, khawngaihin beidawng suh. Nangmah chauh i ni lo. Hetiang dinhmun hi hmachhawn dan tur a awm.
Engvangin nge ka depression hian damdawi ei hian a chhang thuai loh?
He zawhna hi i rilruah a lian ber a ni ngei ang. I ngaihtuah mai thei, "Engvangin nge midang tana tha damdawi hian ka tan hna a thawh loh?"
A awlsam zawngin sawi ila, lungngaihna hi natna pakhat chauh a ni lo. Thil tam tak avanga lo awm thei a ni. Ngaihtuah teh, kan taksa tinte hi kan kutziak ang bawkin a danglam bik a ni. Tin, kan thluak chemistry pawh chutiang bawk chu a ni.
- Genetics: I chhungkuaa mi tu emaw chuan depression a nei tawh a nih chuan i hlauhawmna a sang deuh mai thei.
- Nunna atana Stressors: Kan harsatna tawh te, thil rapthlak tak tak te, hnathawhna hmuna harsatna te, leh chhungkaw nun chungchang te ang chi thilte hian lungngaihna hi a nghawng nasa hle a ni.
- Thluaka chemical inthlak danglamna: Depression hi kan mood control tu neurotransmitters hnathawh dan inthlak danglam vang pawh a ni thei.
Depression hi thil hrang hrang inzawmkhawm avanga lo awm a ni. Chuvangin, doctor chuan eng damdawi nge 100% i tan hna thawk ang tih a hrilh nghal thei lo. Trial and error process ang mai a ni. Hei hian enkawlna a hlawhtling lo tihna a ni lo va, i tana danglam bik leh i tana tha ber tur enkawlna zawng turin hun rei tak a ngai tihna chauh a ni.
A pawimawh ber chu beiseina bansan loh hi a ni. I tanpui thei tur antidepressant him leh tangkai tak sawmhnih chuang a awm. A dik tak hmuh tur chuan hun rei tak a ngai chauh a ni.
Enkawlna dik kan hmuh theih nan eng nge kan tih ngai?
I doctor nen tangkawpin i tan enkawlna tur ruahmanna dik tak i hmu thei ang. Hei atan hian strategy lian tak tak sawiho theih tur engemaw zat a awm. Hengte hi chiang takin pakhat hnu pakhatin i hrethiam ang u.
| Sawihona tur ruahmanna | Hei hi i hrethiam ang u |
|---|---|
| 1. I damdawi i ei dik em? | Hei hi i ngaihtuah aiin a pawimawh zawk. Survey-ah chuan mi pali zinga pathum chuan an doctor-in a sawi ang chiah hian damdawi an ei lo. Ṭhenkhat chuan ni khat emaw ni hnih emaw an skip ṭhin. Mi dangte chuan an dam rei deuh deuh chuan an damdawi an ei tawh lo. Hetiang thil avang hian damdawi hian a effect kimchang a hmu lo. I damdawi ei danah engmah tihdanglam i siam hmain i doctor nen inbiakna neih hmasak phawt ang che. |
| 2. Damdawi hi tlem tal hun pek belh tur em ni? | Antidepressant hi damdawi chi khat, natna tidamtu ang maia hnathawk nghal thei chi a ni lo. Damdawi hman dan kimchang hriat theih nan kar 6 atanga kar 8 vel a ngai tlangpui. Mi thenkhat tan chuan a rei zawk daih. Chuvangin kar khat emaw kar hnih emaw chhunga result i hmuh loh chuan hlau suh. Dawhtheih a pawimawh. |
| 3. Damdawi dose kan thlak tur em ni? | Mi zawng zawng tan hian one right dose a awm lo. Mi thenkhat chuan dose hniam zawk an hlawkpui thei a, thenkhat erawh chuan dose sang zawk an mamawh thei thung. Kar 2-4 hnuah pawh hmasawnna i hmuh loh chuan i doctor chuan i dose tihpun a tum mai thei. Hei hi i doctor chauhin thutlukna a siam theih a ni. |
| 4. A side effects i hrethiam ang u. | Damdawi thar i ei tan hian kar hmasa lamah chuan side effect tenau te i nei thei a ni. Entirnan, hmui a vawt, lu na, hah, leh pum na. Chung zinga a tam zawk chu i taksain damdawi a insiamrem chuan a bo vek ang. Mahse hengte hi i buaipui theih loh lutuk a nih chuan i doctor nen sawiho rawh. |
I doctor nen zalen takin inbiakna nei rawh.
He zinkawngah hian i thian tha ber chu i doctor a ni. I damdawi ei avanga i rilru put hmang te, i ngaihtuahna te, leh i rilru hahna zawng zawng te chu sawipui la, engmah thup lovin.
Mi pakhat Nalini tih chu han mitthla teh. Thla hnih chhung zet chu depression damdawi a ei tawh a, mahse a rilru a hahdam vak lo. Doctor hmu lehin, "Doctor, zing ka thawh hian ka la chau lutuk. Engmah ka ngaihtuah thei lo. Damdawi ka ei hnuah ka lu a hah deuh thin," a ti.
Hetianga zalen taka thu sawi hian Doctor chuan Nalini chunga thil thleng tak tak chu a hrethiam thei a ni. Doctor hian hetiang hian thutlukna a siam mai thei:
- "Okay Nalini, he dose hmang hian kar hnih dang han enchhin leh ila. I taksa hian hun tlem a mamawh zawk mai thei."
- "Ni lama luak chhuak a na zual chuan zanah mut hmain damdawi hi kan ei hmasa tur a ni."
- "Okay, chutih hunah chuan he damdawi hi tlem tal tihpun tum ila."
I hrethiam em? I thu hriatte hi doctor-in a puih theihna tura kaihhruaina tha ber a ni. Chuvangin engmah lo dang suh.
Take-Home Thuchah a ni
- Treatment-resistant depression hi beiseina hloh tur condition a ni lo va, i tana damdawi dik tak zawng turin tlem tal i beih nawn a ngai tihna chauh a ni.
- Damdawi i hman hian i doctor-in a hrilh ang chiah chiah, a hun takah, a dose dik takah ei a pawimawh hle. Ni khat pawh skip suh.
- Damdawi pakhatin a nghawng kim theih nan kar 6-8 vel a ngai thei. Chuvangin damdawi ei hi bansan vat suh, a chhan chu result i hmuh loh vang a ni. Dawhthei takin awm rawh.
- I doctor nen hian side effect emaw, i rilru hahna emaw i neih apiang chu zalen takin sawipui rawh.
- I damdawi ei dan, i hman dan tur, i enkawl dan tur ruahmannaa inthlak danglamna awm apiang chu i doctor nen sawiho fo ang che. Nangmah chauhin thutlukna siam ngai suh.
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