Bipolar disorder-ah hian hlimna leh lungngaihna hi a inzawm khawm em? ‘Mixed Features’ (Bipolar Episode with Mixed Features) chungchang hi han sawi ila.

Rin loh takin hlimna, chakna khat, chutih rual chuan, chhungril lama lungngaihna leh engmah lo tak tak i nei ngai em? A nih loh leh, i hriat mi pakhat chu vawi khat chu a hlim em em a, a dawt lehah chuan chhan awm lovin a tap nghal mai em ni? Hei hi thil buaithlak tak leh hriatthiam harsa tak a ni thei. Vawiin hian bipolar disorder nena inzawm thei heng ‘mixed features’ te hi kan sawi dawn a ni. Hei hi i ngaihtuah aiin a tam zawk.

Bipolar disorder natna ‘Mixed Features’ te chu engte nge ni?

A awlsam zawngin sawi ila, bipolar disorder hi mi pakhat rilru put hmang chu extreme pahnih inkar a inthlak danglam thinna a ni. Extreme pakhat chu mania a ni a, chu chu hlimna nasa tak, chakna sang tak, leh thiltih hun lai a ni. Extreme dang chu depression a ni a, chu chu lungngaihna nasa tak, chakna tlahniam leh nun avanga lungngaihna hun a ni. Heng extreme pahnih hi a inthlak tlangpui.

Mahse ‘Mixed Features’ an tih dinhmunah chuan heng extreme pahnih symptoms hi a rualin, ni khatah emaw, episode khat chhungah emaw a awm thin. Car accelerator leh brake pahnih a ruala ke pen ang maiin han ngaihtuah teh. I rilruin kawng khata chhoh a tum hian kawng dangah a hruai thla che a ni. Hei hi thil buaithlak leh hrehawm tak a ni.

He natna hi tuin nge vei tam ber?

Bipolar disorder nei zingah hian mixed features hi a awm fo thin . Zirna thenkhatah chuan bipolar vei zinga a chanve vel chuan an lungngaihna hun lai hian manic feature engemaw zat an nei thin.

• Kum: A tam zawkah chuan bipolar disorder symptoms hi thalai zingah a lang hmasa ber , kum 15 leh 25 inkar a ni.Hetiang kum atanga natna hi tan thinte hian a bik takin thil chi hrang hrang an nei tlangpui. Kum 50 a tlin hnua a vawi khatna atana bipolar disorder nei hi a tlem hle.
• Chhungkaw chanchin: I chhungte hnai ber (nu leh pa, unau) mi tu emaw chuan bipolar disorder , natna vei theihna i nei sang zawk a ni.
• Depression nei chauh: A châng chuan, bipolar disorder a vei tih hriat chian loh, mahse major depressive disorder nei chuan depression nen hian low-grade mania symptoms engemaw zat a nei thei bawk. Hei hi ‘depressive episode with mixed features’ an ti a.

‘Mixed Episode’ tih ziarang engte nge ni?

Hei hi mania leh depression symptoms inzawmkhawm a ni. Rilrua hriatna leh taksa hnathawh danah hian inthlauhna lian tak a awm a.

I ngaihtuah mai thei, "Engtin nge heng thil pahnih hi a lo thlen dun theih?" Hei hi a takah chuan a theih a ni. Mi pakhatin a tap nasa hle a, "Ka nunah hian hetiang hian ka hlim ngai lo," a ti ang tih han mitthla teh. A nih loh leh an hlim hle thut mai thei a, second leh lamah chuan na takin leiah an muhil mai thei bawk. Heng dinhmunte hi enkawl lohvin ni tam tak, kar tam tak, a nih loh leh thla tam tak chhung pawh a awm thei a ni.

‘Mixed Features’ neih hian eng hlauhawmna nge a neih?

Heta kan sawi tur risk pawi ber leh lungchhiatthlak ber chu mahni intihhlum hi a ni.Bipolar disorder vei te hi mipui zawng zawng aiin a let 10-20 velin an intihlum tam zawk a ni.

Hei hi a chhan chu lungngaihna nasa tak, beiseina nei lo, leh lungngaihna hlutna nei lo anga inhriatnate chu mania chakna nasa lutuk, rilru hah lutuk leh rilru hahna nen a inzawm tlat a ni. He thil hlauhawm tak inzawmkhawm hian mahni intihhlum duhna rilruah thil tih theihna chakna leh chêttîrna a siam a ni.

Risk lian tak dang chu ruihhlo leh zu ruihhlo ngawlvei hi a ni . Mi thenkhat chuan he tuar theih loh buaina leh hrehawmna hi pumpelh tumin ruihhlo lam an hawi mai thei. Hei hian natna a ti na zual mai ni lovin, enkawlna a ti harsa zawk bawk.

Heng ngaihtuahnate hi i neih chuan khawngaihin nangmah chauhin hrehawm tuar suh . I thianpa nen inbia la, doctor hmu nghal rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) pan hreh suh.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu he natna hi enkawlna tur a awm tih hi a ni. Mahse, mania emaw depression emaw dinhmun pangngai aiin enkawl a harsa deuh thei. Enkawl dan tlangpui engemaw zat hman a ni.

Mood Stabilizers te pawh a awm

Heng damdawi te hian rilru chhunga heng sang leh hniam te hi an thunun a ni .

• Lithium: Damdawi tha tak a ni a, kum sawm tam tak chhung chu bipolar disorder tan hman a ni tawh. Mahse, ‘mixed features’ awmnaah chuan a hlawhtling lo mai thei.
• Valproic acid (Depakote): Hei hi mood stabilizer a ni bawk. Zirna thenkhatah chuan ‘mixed features’ condition atan lithium aiin a hlawk zawk tih hmuhchhuah a ni.
• Damdawi dang: Hei bakah hian damdawi `(Carbamazepine)` leh `(Lamotrigine)` te pawh hman a ni.

Antipsychotics damdawi a ni

Heng damdawi te hi ‘Mixed Features’ condition control nan amah chauhin emaw, mood stabilizers nen emaw pek a ni bawk. Entirnan damdawi te chu `(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)` te hi a ni.

Electroconvulsive Therapy (ECT) hmanga enkawl theih a ni.

The name may scare some people, but ECT is a very effective and safe treatment , a bik takin natna khirh tak takah chuan damdawi dangin hna a thawk lo a, mahni intihhlum theihna a sang hle bawk.

Antidepressant chungchangah vaukhânna bik!

Hetah hian mi tam takin an tihsual lian tak chu general depression atana an pek antidepressant hman hi a ni a, lungngai nia ngaiin an hmang thin. Entirnan, `(Fluoxetine)`, `(Sertraline)` tih te hi a ni. Mahse, heng damdawi te hi ‘Mixed Features’ a awm laia hman a nih chuan depression tihziaawm ai chuan manic symptoms a tizual thei a ni. Chuvangin chutiang damdawi chu specialist thurawn tel lo chuan i pumpelh vek tur a ni.

Bipolar hi dam chhung zawnga natna a ni tlangpui. Chuvangin, symptoms control a nih hnuah pawh i doctor-in a tih angin maintenance treatment ei chhunzawm zel a pawimawh a, chu chu a lo let leh loh nan a ni.