He engmah lo nasa tak i hriat hi lungngaihna mai a ni lo mai thei: Melancholic Depression chungchang hi han sawi ila!

Kan zavaiin kan lungngai a, kan lungngai bawk a, a chang chuan kan lungngai bawk. A pangngai a ni. Mahse, chhan bik nei lovin, chhungril lama engmah lo thuk tak, hlimna thlen tawh lo, hlimna thlen tawh lo, khawvel pum pui hi dum leh var anga inhriatna i nei tawh em? Hei hi lungngaihna mai a ni lo. Vawiin hian chutiang dinhmun kan sawi dawn a, chu chu Melancholic Depression, Depression subtype na tak a ni. Hei hi i rilru chak lohna a ni lo va, a takah chuan taksa, a bik takin central nervous system-a inthlak danglamna nena inzawm damdawi lam thil a ni.

He Melancholic Depression an tih hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Melancholic Depression hi depression na tak, thuk tak a ni. Mi thenkhat chuan Melancholia an ti bawk. Zirchiangtute chuan he natna hian kan central nervous system a nghawng ber niin an ngai. Depression nei zinga 25% leh 30% inkar chuan hetiang depression hi an nei a ni.

He natna enkawl hi a harsa thei hle a, a chhan chu general depression enkawlna thenkhat, damdawi SSRIs (Selective serotonin reuptake inhibitors) emaw talk therapy emaw ang chi te hi a chhang tha lo thei a ni.

Mahse, chu chu a enkawlna tur a awm lo tihna erawh a ni lo. Hei hi enkawlna tha tak tak pahnih a awm a:

• Electroconvulsive therapy (ECT): Hei hian thluaka electrical signal te tak te, controlled tak tak thawn a, symptoms tihziaawmna a ni.
• Tricyclic antidepressants (TCAs): Hengte hi lungngaihna damdawi chi khat, lungngaihna atana hman hmasak ber a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Melancholic Depression hi lungngaihna emaw, tap emaw chauh ni lovin, taksa lama natna lan chhuahna tam zawk a ni. Thiltihtheihna nei lo leh chhungril lama engmah lo ang maiin i inhria mai thei. Thil tha pawh i hlim thei lo mai thei. I ngaihtuahna leh che vel pawh a tlahniam thei. Heng symptoms te hi i titawp ang u.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei hi a chhan ber chu kan thluak leh hormone system-a biological changes vang nia ngaih a ni. Ngaihtuah teh, kan thluak hian hriatrengna, ngaihtuahna, leh rilru put hmang thunun thei pêng bik a nei a. Hengte nena inzawm leh thawk thei system pakhat a awm a, chu chu ``Hypothalamic-pituitary-adrenal (HPA) axis'' tih a ni. A awlsam zawngin, hei hi kan taksaa thil tam tak, stress leh ei duhna te tidanglamtu system bulpui ber a ni.

Melancholic Depression vei tan chuan he HPA axis hi a thawk tha lo hle. Chuvangin kan stress lai hian kan taksain hormone `(cortisol)` a siam chhuah hi a tul lovah a sang hle a ni. Hetianga `(cortisol)` level sang hian kan ei duhna, kan metabolism, leh kan hriatrengna a nghawng nghal thei a ni. Tin, thluaka nerve cell inkara thuchah kengtu signaling system (`(neurons)`) inthlak danglamna pawh hi a mawhphurtu a ni thei bawk.

He natna hi tute nge vei theihna chance sang zawk?

• Kum: Melancholic Depression symptoms hi nakin lawkah a lang fo thin a, chu chu i kum upa lam a ni.
• Genetics: He natna hi chhungkuaah a kal tlangpui. I chhungkuaa mi tu emaw hian hetiang rilru natna hi a lo nei tawh a nih chuan nang pawhin i hlauhawm thei bawk.
• Khaw lum leh hunbi: Mi thenkhat tan chuan heng natna lan chhuah dan hi ni êng tlem, ni êng rei lo, leh khaw lum lai hian a zual thei a ni.
• Nau neih hnua inthlak danglamna: Nau neih hnua lungngaihna nei nu thenkhat pawhin heng melancholic symptoms te hi an nei thei bawk.

Engtin nge doctor hian hei hi a hriat chian?

I doctor emaw mental health counselor emaw chuan i symptoms uluk taka a zirchian hnuah he natna hi a hmuchhuak ang. Diagnose a nih theih nan a hnuaia key symptoms pakhat emaw pahnih emaw i neih a ngai a ni:

Chu bakah, a hnuaia mize pathum tal i neih a ngai bawk:

• Lungngaihna nêna inkûngkaih lo, beidawnna thûk tak, hmangaih tak boral ang chi.
• Ei duhna hloh emaw, taksa rihna nasa taka tlahniam emaw.
• Taksa chetna inthlak danglamna (slowness or restlessness).
• Nitin hun dang aiin zing lamah stress leh lungngaihna nei zawk.
• Beisei aia darkar 2 tal harh hma .
• Mahni inthiam lohna nasa tak neia inhriatna.

Enkawlnate chu engte nge ni?

Melancholic depression hi damdawi leh damdawi dang hmanga enkawl a ni.

Hetiang dinhmun hi engtin nge kan nunpui ang?

I doctor chuan i tana tha tur treatment plan a siam ang. Chu enkawlna chu dik taka i zawm rualin, i nunphungah pawh inthlâk danglamna tê tê i siam thei bawk.

• I damdawi ei tur chu a pek ang chiah chiah ei rawh: I damdawi ei tur ang chiah chiah, a hun takah ei la, damdawi dang emaw, supplement dang emaw i ei hmain doctor rawn hmasa phawt ang che.
• Exercise: Nitin i taksa exercise pe thei thil ti la, chu chu kea kal te, tui chawi te, zai te, yoga te hi a ni.
• Mut chu thil pawimawh ber ni rawh: Mut leh harh chu a ruala tih dan phung la.
• Ei leh in hrisel: Ei leh in tha, inthlau tak ei rawh.
• Meizial leh zu in loh tur: Hengte hian lungngaihna a tizual thei a ni.
• Ṭhiante nen hun hmang rawh: I chhungte leh i ṭhiante, nangmah hmangaihtu leh hrethiamtute nen inbiakna nei la, hun hmang rawh.

Hetiang mi ngaihsaktu hi tanpui rawh.

Hetiang natna vei chhungte emaw, thian emaw i neih chuan i thlawpna hi a hlu hle. Mahse chutiang mi enkawl chu thil awlsam a ni lo. I chau, mahni chauha awm, leh lungkhamna i nei thei bawk. Chuvang chuan nangmah pawh i inenkawl a pawimawh hle.

• I hriselna pawh ngaihtuah la: mut tha la, chaw tha ei la, exercise la.
• Ṭanpuina dil rawh: Engkim mahni chauha tih tum suh. Chhungkaw member dangte leh thiante hnenah tanpuina dil rawh.
• Nangmah pawh chawlh hahdamna pe rawh: Nitin i tan hun tlem tal dah rawh. Lehkhabu chhiar la, hla ngaihthlak la, i duhzawng thil ti rawh.
• I rilru hahna i neih chuan damdawi lam thurawn zawng rawh: Mi enkawl avanga lungkhamna chu tuar theih loh a nih chuan, chu chu doctor emaw, counselor emaw hnenah sawipui rawh.