Hlimna nasa tak leh lungngaihna tuar theih loh rapthlak tak - hei hi Bipolar Disorder a ni em?

I ṭhian emaw, chhungte emaw, a chang chuan rin loh takin hlim leh phur tak, chutah chhan awm lovin rang taka lungngai leh lungngai lo i nei em? Ni khat chu khawvel hneh thei ang maiin an inhria a, a tuk ah chuan khum atanga tho thei lo khawpa nun an chau em em thin? Hetiang emotional swing hi rilru natna a ni thei a , chu chu damdawi lama kan sawi thin bipolar disorder . Vawiin hian kan sawi a, chu chu kan ti a ni.

Bipolar Disorder tih hi eng nge ni?

A awlsam zawngin sawi ila, Bipolar Disorder hi rilru natna a ni a, mi rilru natna, chakna level, ngaihtuahna leh nungchang nasa takin a nghawng a ni. Tun hma chuan ‘Manic Depression’ tia koh a ni. Hetiang natna vei hian hlimna leh chakna nasa tak (‘mania’ an tih) leh lungngaihna nasa tak, beiseina nei lo, leh boredom (‘depression’ an tih) hun te a tawng thei a ni.

Rel ang maiin han ngaihtuah teh. Vawikhat chu tlang pakhatah a chho a, a dawt lehah chuan tlang pakhatah a chhuk leh a. Chuvang chuan rilru chu extreme pahnih (pole) inkara a inher avangin ‘Bipolar’ (Bi - two, Polar - extreme) an ti a ni.

• Mania: Hei hi hlimna nasa tak, phurna leh chakna nasa tak hun a ni. Hemi hun chhung hian mi ṭhenkhat chu an thinrim a, an rilru a na a, thu tlûkna hlauhawm tak an siam thei a ni. Ṭhenkhat chuan thil dik lo (delusions) emaw, thil tak tak ni lo ( hallucinations ) emaw an hmu emaw, an hre emaw thei bawk.

• Hypomania: Hei hi mania chi khat a ni lo zawk. Hetah hian nitin nun tibuaitu tur khawpa delusions emaw symptoms emaw i nei lo. Mahse, a hma aia nasa zawkin thiltih leh phurna i tawng mai thei.

• Depression: Hei hi a extreme dang a ni. Hemi hun chhung hian nun hi i lungngai hle a, i beidawng hle bawk. Engmah nuam i ti thei lo. Heng symptoms te hi Major Depressive Disorder vei te nen hian a inang hle.

Bipolar disorder chi hrang hrang a awm em?

Ni e, he natna chi hrang hrang chi hrang hrang hmuhchhuah a ni. I doctor chuan heng classification te hi a enkawl ang che.

• Bipolar I tih hi:Hetiang chi ah hian kar khat tal manic episode na tak tak a awm thin. A chang chuan heng episode te hi a nasat em avangin damdawi ina dah a ngai thin. Hei bakah hian kar hnih tal depressive episode na tak tak a awm thei bawk.
• Bipolar II: Hetiang a nih chuan major depressive episode leh mild hypomanic episode vawi khat tal i nei tawh ngei ang. Mahse Bipolar I-a angin mania episode na tak i nei ngai lo.
• Cyclothymic Disorder: Hei hi puitlingah kum hnih chhung, naupang emaw naupang emaw ah kum khat chhung manic leh depressive symptoms na lo tak tak a awm reng thinna a ni. Mahse, heng symptoms te hi Bipolar I emaw II emaw angin a na lo.
• Rapid Cycling: Hei hi chi bik a ni lo. Natna lo awm dan tur (pattern) a sawi a ni. Kum khat chhunga mood episode pali emaw a aia tam emaw i neih chuan Rapid Cycling tih a ni. Hetiang dinhmun hi hmeichhiaah a tam zawk.

Hetiang natna lan chhuah dan hi engte nge ni?

Heng symptoms te hi mi hrang hrangah a inang lo thei. Hun kal zelah an nasat dan pawh a pung thei a, a tlahniam thei bawk. Heng symptoms te hi table pakhatah chiang takin han en ila.

Naupang leh tleirawl natna lan chhuah dan

Naupangte bipolar disorder hmuhchhuah chu thil harsa tak a ni thei a, a chhan chu an natna lan chhuah dan chu thil dang, attention deficit hyperactivity disorder (ADHD), nungchang lama harsatna, emaw, general depression te nen a inzawm thei a ni. I fa hian heng symptoms te hi a neih chuan pediatrician emaw psychiatrist emaw hnenah thurawn dil nghal a pawimawh.

Engvangin nge bipolar disorder hi a lo awm?

Hei hi chhan pakhat chauh a awm lo a, mahse zirchiangtute chuan thil hrang hrang inzawmkhawm hian a mawhphurtu a ni thei niin an ngai.

• Genetic influence : I chhungkuaa mi pakhatin bipolar disorder a neih chuan i vei theihna chance a sang deuh a, mahse chu chuan i vei ngei ang tihna erawh a ni lo.
• Thluaka chemical inthlak danglamna: Thluaka neurotransmitters inthlauhna (imbalance) vang niin an ngai.
• Environment thilte: 1.1.Naupan laia thil lungchhiatthlak tak tak, lungkhamna nasa tak, emaw, hmangaih tak boralna emaw chuan natna a thlen thei a, a lan chhuahna a tizual thei bawk. Zu leh ruihhlo hman hian natna lan chhuahna a tizual thei bawk.

Engtin nge enkawl a nih?

Bipolar Disorder hi tihdam kim theih loh a ni a, mahse a enkawl tha hle a, nun pangngai takin i hmang thei bawk . Zunthlum emaw, thisen sang emaw ang a ni. I dam chhung zawnga enkawl a ngai a ni.

Enkawl dan hi a bik takin a then hrang hrang inzawmkhawm a ni.

1. Damdawi

Hei hi enkawlna atana pawimawh ber a ni. I doctor chuan i tana damdawi chi leh a zat tur a ruat ang.

• Mood stabilizer: Damdawi Lithium, Valproate, Lamotrigine te ang chi te.
• Antipsychotics: Damdawi Olanzapine, Quetiapine ang chi te hi a ni.
• Antidepressant: Hengte hi mood stabilizer nen pek dun a ni fo. Chutiang a nih loh chuan depression hi mania-ah a chan theihna a awm.

Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.

2. Rilru lam enkawlna

Talk therapy hi damdawi ang bawkin a pawimawh.

• Interpersonal and Social Rhythm Therapy (IPSRT): Nitin hun khata mut leh ei leh in ang chi thil tih thiamna hmangin mood stabilise turin a pui thin.
• Cognitive Behavioral Therapy (CBT): Ngaihtuahna leh nungchang tha lote hriatchhuah a, a tha zawnga thlak danglam turin a pui thin.
• Psychoeducation: Natna chungchanga nangmah leh i chhungte inzirtirna hi natna lan chhuah dan hriatchhuah leh hmalakna kawngah a pui hle.

3. Enkawlna dang leh nunphung thlak danglam

• Electroconvulsive Therapy (ECT): Damdawi leh psychotherapy hmanga thunun harsa tak tak, natna khirh tak tak tan chuan enkawlna him leh tangkai tak a ni.
• Nunphung: Exercise neih mumal te, ei leh in inthlau tak te, zu leh ruihhlo laka inthiarfihlim tak tak te, mut that te hi a pawimawh hle.

Bipolar disorder nei mi pakhat chu engtin nge kan tanpui theih ang?

I chhungte emaw, i thiante emaw zinga mi tu emaw chuan hetiang dinhmun hi a nei a nih chuan, i thlawpna chu an tan a hlu hle ang.

• Natna hi fimkhur rawh: He thuziak chhiar hi chutiang lam panna kawng tha tak a ni. Natna i hriatthiam veleh dawhthei takin an awm dan i en thei tawh ang.
• Enkawlna fuih rawh: Doctor hmu turin tanpui la, an damdawi ei tur dik tak ei turin tanpui ang che.
• Dawhthei rawh: Hei hi zinkawng thui tak a ni. Thil a ṭhat hun a awm ang a, symptoms a lo lang leh hun a awm bawk ang. Chu zawng zawngah chuan an hnenah awm rawh.
• Anmahni chu rorel suh: "Chu chu rilru chak lohna a ni" tih ang chi hi sawi suh. Hei hi taksa natna ang bawkin damdawi lam pan ngai dinhmun a ni tih hrethiam rawh.