A ruala hlimna nasa tak leh lungngaihna mak tak tak te pawh i ngaihtuah thei em? Khawthlang lamah chuan beiseina nei loin i inhria a, i rilru a intlansiak a, i chakna pawh a sang hle. Kawng lehlamah chuan khawvel hi i boin i inhria a, engmah lovah i lungawi lo tih i inhria a, nunah beiseina nei loin i inhria. Heng rilru natna pahnih inhnialna hi a inzawm khawm a, chu chu tunlaia kan sawi tum chu a ni, chu chu bipolar disorder an tih dinhmun hi a ni. Hei hi thupui buaithlak deuh ni mah se, awlsam tak leh hriatthiam theih tur zawngin i sawi ang u.
Bipolar disorder natna chi hrang hrang (mixed features) chu engte nge ni?
A awlsam zawngin sawi ila, bipolar disorder chu mi pakhat rilru put hmang chu extreme pahnih inkara rang taka inthlak danglamna a ni. Extreme pakhat chu mania a ni a, chu chu hlimna nasa tak, phurna leh chakna tihpunna a ni. Extreme dang chu depression a ni a, chu chu lungngaihna nasa tak, lungngaihna leh beiseina nei lo tihna a ni. Heng state pahnih hi a inthlak danglam tlangpui.
Mahse, a châng chuan, extreme pahnih chhinchhiahna chu a rualin, ni khatah, a nih loh leh ni engemaw zât chhûngin a inthlâk danglam thei a ni. Mi pakhatin chakna sang tak, rilru hahdam lohna, leh rilru hahdamna ngaihtuahna rang tak nei mah se, lungngaihna nasa tak, beiseina nei lo, leh mahni intihhlum duhna rilru natna a nei bawk tih han ngaihtuah teh. Chu chu Episode with Mixed Features kan tih chu a ni. Hei hi car accelerator leh brake pahnih a ruala ke pen ang mai a ni. Thil buaithlak leh lungchhiatthlak tak a ni a, hmun khatah i rilru i dah thei lo.
He dinhmun hi tute hnenah nge a awm?
Bipolar disorder vei zinga a chanve vel chuan an dam chhungin engtik lai pawhin symptom hrang hrang an nei ang. Kum naupan lai atanga bipolar disorder vei te hian a bik takin symptom hrang hrang an nei nasa hle.
Tin, a chang chuan bipolar ni lo mahse major depression vei pawhin depression nen hian mania symptom tenau (entir nan, thinrimna, ngaihtuahna rang) a nei thei bawk. Hei hi "depressive episode with mixed features" an ti a ni.
Mi tam zawk tan chuan bipolar symptoms hi kum 15 leh 25 inkar atang hian a intan hmasa ber a, kum 50 a tlin hnua a vawi khatna atana mi pakhatin he natna hi a neih hi a tlem hle a , i chhungkuaa mi pakhat (nu, pa, unaupa) hian bipolar disorder a neih chuan he natna hi i vei theihna chance a sang zawk a ni.
Mihring mizia inang lo tak takte chu engte nge a lan chhuah?
Hei hi chiang taka hrethiam tur chuan heng symptoms te hi chi hnih ah then ila. Heng symptom chi hnih hi a lo awm dun thei a, a inthlak rang hle bawk.
| Mania natna lan chhuah dan | Depression natna lan chhuah dan |
|---|---|
| Chhan awm lovin phur lutuk emaw, thinrim lutuk emaw | Lungngaihna nasa tak, engmah lo leh beiseina nei lo anga inhriatna |
| Thil danglam tak chakna tihpun, rilru hahdam lohna | Tûn hmaa i hlim ṭhin thilte ngaihvenna hloh |
| Ngaihtuahna luang chak tak, thusawi chak tak | Thawhrimna tlakchhamna, chau reng reng |
| Thil ngaihtuah reng harsa | I tling lo emaw, mi sual i ni tih emaw ngaihtuahna neih |
| Mut tlem hnuah pawh chau tih hriat loh | Mahni intihhlum tumna |
Engtin nge hetiang hi a lo awm theih ang tih i ngaihtuah mai thei, a dik em? Mi pakhat chu nonstop-a tap a, "Ka nunah hian hetiang hlimna hi ka la nei ngai lo," a tih hi han mitthla teh. A nih loh leh, an hlim lutuk a, lungngai takin an tlu nghal a, chutah chuan hlimna an nei leh thei bawk. Heng dinhmunte hi enkawl loh chuan ni tam tak, kar tam tak, leh a châng chuan thla tam tak pawh a awm thei .
Heng mizia inzawmkhawmte hian eng hlauhawmna nge a neih?
Mixed symptoms hlauhawm ber leh pawi ber chu mahni intihhlum hi a ni. Bipolar disorder nei te hi midang aiin a let 10-20 velin an intihlum tam zawk tlangpui. Mahse, zirchianna hrang hrangah chuan natna lan chhuah dan inang lo (mixed symptoms) nei te chu depression chauh nei te aiin an hlauhawm zawk tih hmuhchhuah a ni.
Hei hi kan hriatthiam a tul ber chu a ni. Beiseina nei lo leh lungngaihnaa nun bo tih hriatna chu chakna sang tak, rilru hahdam lohna leh ngaihtuahna fim lo tak takte nen a inzawm chuan mahni intihhlum duhna ngaihtuahnaa thil tih theihna chance a sang zawk hle.
Chuvangin, heng symptoms nei mi pakhat chauh kalsan hi thil tha a ni ngai lo. Damdawi lam pan vat a pawimawh. Enkawlna dik tak, a bik takin hun rei tak chhunga damdawi `Lithium` ang chi hman hian he hlauhawmna hi nasa takin a tihziaawm thei a ni.
Chu bâkah, bipolar disorder nei mite chu substance abuse , chu chuan an dinhmun a tichhe zual thei a, thunun a harsat phah thei bawk.
Engtin nge enkawl a nih?
Mixed episodes enkawl nan hian damdawi a ngai tak zet a ni. Mahse, he natna hi typical manic emaw depressive episode aiin enkawl a harsa deuh thei. Damdawi hman ber chu mood stabilizer leh antipsychotics te an ni.
Mood Stabilizers te pawh a awm
Heng damdawi te hian rilru chhunga heng sang leh hniam te hi a thunun thei a, mood a ti nghet thei bawk.
- Lithium: Hei hi damdawi pawimawh tak a ni a, hun rei tak chhung chu bipolar disorder enkawlnaah an lo hmang tawh a ni. Mahse, a thatna chu mixed symptoms-ah chuan a tawk lo mai thei. A hnathawh kim theih nan kar engemaw zat a mamawh avangin hun rei tak enkawlna atan hman a tha ber. `Lithium` i ei hian a side effect awm loh nan i damdawi level enfiah nan thisen test neih fo a ngai a ni.
- Valproic acid (Depakote): Hei hi mood stabilizer a ni bawk. Zirna hrang hrangah chuan lithium aiin a chang chuan mixed symptoms control-na kawngah a hlawk zawk tih hmuhchhuah a ni.
- Damdawi dang: Hemi atan hian damdawi dang ` Carbamazepine (Tegretol)` leh `Lamotrigine (Lamictal)` te hman a ni.
Antipsychotics damdawi a ni
He class-a damdawi thar zawk tam tak hian mixed symptoms control-na kawngah an thawk tha hle. Entirnan, `Olanzapine (Zyprexa), `Risperidone (Risperdal),` leh `Quetiapine (Seroquel) te hi a ni.` Hengte hi a mah chauh emaw, mood-stabilizing damdawi nena hman dun emaw a ni.
Electroconvulsive Therapy (ECT) hmanga enkawl theih a ni.
Mi thenkhat tan chuan a hming hi hlauhawm tak angin lang mahse, ECT hi damdawi hmanga thunun theih loh natna khirh tak takte tan chuan enkawlna him leh tangkai tak a ni. He enkawlna hian nunna a chhanhim thei a, a bik takin mahni intihhlum hlauhawmna sang tak a awm chuan.
A pawimawh hle mai!
General depression atana hman thin antidepressant Fluoxetine (Prozac) leh Sertraline (Zoloft) te hi mixed symptoms tan chuan a tha lo. Hei hi a chhan chu manic symptoms (irritability leh restlessness) an ti na zual thei a ni. Chuvangin, i doctor chuan he natna atan hian heng damdawi te hi a pe ngai lovang. A hmasa berin, mood-stabilizing damdawi emaw, antipsychotics emaw hmangin i natna chu control tum ang che.
Bipolar disorder hi natna lo lang leh thei a nih avangin, a natna lan chhuah dan a reh hnuah pawh a lo lang leh tawh loh nan maintenance treatment pek chhunzawm zel a pawimawh hle.
Take-Home Thuchah a ni
- Bipolar disorder symptom mixed chu hlimna nasa tak (mania) leh lungngaihna (depression) pahnih a ruala symptoms i neih hian a ni.
- Hei hi thil lungchhiatthlak tak a ni a, mahni intihhlum theihna pawh a sang hle.
- Nangmah emaw, i hriat miin emaw heng symptoms te hi i neih chuan ngaihthah suh. Medical professional thiam tak hnen atangin thurawn la nghal rawh.
- He natna hi enkawl nan hian mood-stabilizing drugs leh antipsychotics te hman a ni a, mahse antidepressant pangngai hi a tha lo.
- Doctor thurawn tel lo chuan damdawi pek tawhte ei kha titawp ngai suh la, a dose pawh thlak ngai suh. Hun rei tak enkawl hi a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh