Kum 40 i tlin a\angin thinrimna, lungngaihna, lungngaihna, a nih loh leh thil tenawm ber berte ngaihtuahin i lungkham ngai em? Engmah ti lova khumah awm reng duhna i nei \hin em? Heng zawng zawng hi hnathawh vang emaw, in lama harsatna vang emaw niin i ngai mai thei. Mahse, heng thilte hi i taksaa hormone inthlak danglamna nen a inzawm tih i hria em? Vawiin hian nunah thil pawimawh tak, menopause an tih leh rilru lam dinhmun, depression an tih inzawmna chungchang kan sawi dawn a ni.
Hormone leh i rilruah eng nge thleng?
A awlsam zawngin, menopause hi ni khat chauh a ni lo. Process a ni. He hun hi ``Perimenopause'' an ti a. Thla tin i period a tawp vek hma kum tlemte a ni. Hemi chhung hian i period a mumal lo. A chang chuan thla tam tak chhung an lo kal lo a, a chang chuan an lo kal hma a, a chang chuan thisen i chhuah tam emaw, a tlem hle emaw. Hei hi i taksaa hormone estrogen leh progesterone level a inthlak danglam vang a ni.
Tunah chuan han ngaihtuah teh, heng hormone te hian i reproductive system chauh a nghawng lo. I thluak hnathawh dan nen pawh an inzawm tlat bawk. Kan thluak ah hian chemical pakhat a awm a, chu chuan hlim leh kan rilru a ti hahdam a, chu chu serotonin an ti a ni. Estrogen level a tlahniam chuan heng serotonin level te hi a nghawng bawk. Chuvângin, lungkhamna, thinrim, leh lungngaihna i nei ṭan thei a ni .
A dik tak chuan i nun tam zawk hi i hormone te hi i taksa hman dan angin an inthlak thin. Mahse he hun chhung (perimenopause) chhung hian chu pattern chu a tibuai ta a ni. Nau neih hnua hormone a inthlak chak lutuk hian mood swing a awm ang bawkin, he hun chhung hian mood swing ang chiah hi i tawng thei bawk.
Thla 12 a zawna thlasik a tawp chuan ``Menopause.`` kan ti thin.`` Chumi hnua hun awm chu ``Postmenopause.`` Mi tam takin ``menopause'' an tih taksa leh rilru lama inthlak danglamna hi a takah chuan ``Perimenopause.`` an tih hun chhung hian a thleng thin.``
Hei hi mood inthlak danglamna mai mai a ni em? Nge depression a ni em?
Hei hi mi tam takin zawhna lian ber an neih chu a ni. "Hei hi mood swing mai mai a ni em, a nih loh leh ka lungngai em?" an ti a. A chhan chu a symptoms a inang em em a ni. Mut theih lohna, hahna, taksa rihna inthlak danglam, leh sex drive tlahniam te hi an pahnih ah hian hmuh tur a awm.
Mahse, an pahnih inkarah hian danglamna chiang tak a awm. He dawhkan hi han en ila.
| Symptom a ni | Depression-ah hian eng nge hmuh theih? |
|---|---|
| Ngaihtuahna | Lungngaihna, engmah lo leh beiseina nei lo, ni tam tak emaw, kar tam tak emaw chhunga awm. Hun rei lote chhung pawha hlim thei lo. |
| Hnathawh dan tur | Hmanlai thil tih duhna hloh (hobbies, thiante hmuh). Nitin hna (hnathawh, inchhung hna) thawh harsat. |
| Mu | Zana mut that theih lohna emaw, nilengin mutthilh leh tul lo taka mut theih loh emaw. |
| Chaw chakna | Ei duhna a hloh vek emaw, ei tam lutuk emaw a awm a, chu chuan taksa rihna a tlahniam emaw, a tipung emaw a ni. |
| Ngaihtuahna | Hlutna nei lo anga inhriatna te, hlawhchham nia inhriatna te, a chang chuan i nun tawp mai tur ngaihtuahna te pawh. |
Doctor pakhatin a sawi angin, "Depression hi nitin hnathawh tikhawtlai tak takna dinhmun a ni. I mood a hniam a, thil pangngai tih harsa i ti thin."
Hei hi eng enkawl dan nge ni ang?
Hei hi a pawimawh ber a ni. He natna hi enkawl theih vek a ni a , tihdam theih a ni bawk . Nangmah chauhin i tuar a ngai lo.
1. Hormone Therapy: Mi thenkhat, a bik takin an natna lanchhuahna a nasat loh chuan hormone therapy (a bik takin estrogen) hmangin hahdamna an hmu thei. Hengte hi pill angin emaw, vun patch atan emaw ei theih a ni. Hot flash leh mood swing control turin an pui thei a ni.
2. Lungngaihna dona damdawi: 1.1 .I symptoms a nasat chuan i doctor chuan depression enkawlna tur damdawi a pe thei ang. Chung zinga hman tlanglawn ber chu damdawi chi khat, selective serotonin reuptake inhibitors (SSRIs) an tih hi a ni. Hengte hian thluaka serotonin level a siam that theih nan a pui thin.
3. Therapy: Damdawi bakah hian counselling pawh hi enkawl dan pawimawh tak a ni. Psychiatrist emaw counselor emaw nena inbiakna (Talk Therapy) hian i rilru natna hriatthiam leh enkawl dan tur a siamsak thei che a ni. Hemi atan hian Cognitive Behavioral Therapy (Cognitive Behavioral Therapy) pawh hi counselling hmanraw tangkai tak a ni.
A pawimawh ber chu i doctor nen heng enkawlna chungchang hi sawipui a ni. Hmeichhia lam doctor, chhungkaw doctor emaw, rilru lam doctor emaw chuan he thil hi a kaihruai thei che a ni.
In lama i tih theih thilte
Damdawi lam enkawlna rualin, i nunphungah inthlâk danglamna tê tê siam hian hahdamna nasa tak a pe thei a ni.
- Exercise: Nitin minute 30 tal kea kal emaw yoga emaw ang chi thil ti thin ang che. Exercise hi natural mood tichaktu a ni.
- Zu leh caffeine tihtlem: Hengte hian i rilru a tibuai zual thei.
- Mut tha rawh: A ruala mut leh a ruala harh hi tih dan phung la.
- Ni êng tlem tal la rawh: Ni khata ni êng tlem i hmuh hian i rilru a ti ṭha thei a ni.
- Chaw tha ei: Thlai, thei, legumes, whole grains, leh protein tamna ei tur ei rawh.
- I rilrua thil awmte ziak chhuak rawh: Diary vawn leh i rilru put hmang ziah hi i rilru hahdamna kawng ṭha tak a ni thei.
Take-Home Thuchah a ni
- Depression hi perimenopause laiin hormone inthlak danglam vang a ni thei. I sualna a ni lo.
- Mood change awlsam tak leh depression hi thliar hrang rawh. Lungngaihna awm reng te, hnathawh theih lohna te, leh beiseina nei lo te chu hre reng ang che.
- Hei hi enkawl theih vek a ni. Mahni chauhin hrehawm tuar suh.
- Doctor hmu nghal la, hemi chungchang hi sawipui rawh. Enkawlna \ha ber ber a pe ang che.
- Exercise, ei leh in tha, leh mut hrisel ang chi thilte hian i rilru hriselna nasa takin a tichak thei a ni.
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