I rilru put hmang chu a inthlak danglam nasa em? Heng mood disorder te hi han sawi ila.

Kan nunah hian ni hlimawm leh lungngai tak tak kan nei vek a ni lawm ni? Ni engemaw zat chu thil tenawm ber berte kan nuihzat a, engtikah emaw chuan khawvel pum pui hi kan bo bo tih kan hria. Chu chu thil pangngai tak a ni. Mahse, a châng chuan heng rilru natnate hian i thunun theih lohna hmun a thleng ṭhin niin i ngai lo em ni? Chu chu, hlimna nasa tak a awm chuan a tawp a pel a, lungngaihna a awm chuan a thuk em em a, tuar theih loh khawpin a lut tihna a ni. Hei hian i nitin hnathawh, in inlaichinna, heng zawng zawng hi a nghawng a nih chuan he thil hi tlem kan ngaihtuah a ngai a ni. Vawiin hian he dinhmun hi kan sawi dawn a, chu chu ‘Mood Disorders’ tihna a ni.

A awlsam zawngin, mood disorder tih hi eng nge ni?

Hei hi rilru lam hriselna dinhmun a ni. Heta thil thleng hi i emotional state, a nih loh leh ‘mood’ a nghawng a ni. Kan rilru put hmang thunun thei switch angin han ngaihtuah teh. A tlangpuiin volume kan tisang thei a, kan ti hniam thei bawk. Mahse mood disorder-ah chuan he switch hian control a hloh a, volume chu a sang zawng zawng (too happy/active) emaw, a tlahniam zawng zawng (too sad/passive) emaw a ni.

Hetiang dinhmun hi zan khat thil thuah a lo awm lo. Doctor-in damdawi lam thil a nih thu a hriat theih nan chuan heng symptoms te hi kar engemaw zat emaw a aia rei emaw a awm reng a ngai a ni. Hei hian ni tin hnathawhnaah te, sikul hnathawhnaah te, leh chhungkaw inlaichinnaah te hnathawh that a ti harsa thei che a ni.

Kan zingah hian mood disorder awm tam ber pahnih chu depression leh bipolar disorder te an ni .

Mood disorder chi hrang hrangte chu engte nge ni?

Damdawi lama harsatna lian tham engemawzat chu he category-ah hian a tel a ni. A pakhat zel hi tawi te tein han thlir ila.

• Depression leh a subtype hrang hrangte
• Bipolar Disorder leh a subtype hrang hrangte
• Premenstrual Dysphoric Disorder a awm thin
• Disruptive Mood Dysregulation Disorder a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk

Tunah chuan heng chi hrang hrangte hi chipchiar deuhin han sawi ila.

1. Depression - rilruah phurrit rit tak a ni

Depression, a nih loh leh ``Clinical Depression'' kan tih hi rilru lam hriselna lama harsatna awm fo a ni. Lungngaihna mai a ni lo. Lungngaihna nasa tak, beiseina nei lo, leh eng thil pawh ngaihven lohna rilru put hmang a ni. Ngaihtuahna, hriatrengna, ei leh in leh mut ang chi thilte pawh a nghawng bawk. Doctor-in depression a nih thu a nemnghet theih nan chuan a natna lan chhuah dan chu kar hnih tal a zawnin a awm tur a ni.

Depression chi hrang hrang a awm bawk:

• Nau neih hnua lungngaihna:Hei hi nute zingah nau piang lai emaw, nau piang hnu emaw pawha awm thei a ni. Nu pakhatin fa a neih hnua a nunah hormone, taksa, rilru, sum leh pai leh khawtlang nun inthlak danglamna engzat nge awm? Hetiang dinhmun hi heng inthlak danglamna nena lo awm pressure hi tuar theih loh hunah a awm thei a ni.
• Persistent Depressive Disorder: Hei hi kum hnih tal awm thei, lungngaihna rei tak a ni. A symptoms chu a wax thei a, a tlahniam thei bawk a, mahse a la awm reng tho. Major depressive disorder angin na lo mah se, hetah hian buaina chu a rei zawk a ni.
• Seasonal Affective Disorder (SAD): Hei hi kum khat chhunga hun engemaw chen chauh a awm thin, lungngaihna a ni. Thlasik laiin khaw vawt, ruah sur leh thim ramah a awm fo thin. Sri Lanka-ah pawh ruah sur chhunzawm zel karah mi ṭhenkhat chuan nunna nei lo leh lungngai takin an inhria thei a ni. He rilru put hmang hi ni a chhuah a, khaw lum a lo ṭhat chuan a bo vek a ni.
• Depression with Psychosis: Hei hi depressive episode na tak a ni a, psychotic symptoms a nei bawk . Chumi awmzia chu midang hmuh theih loh thil i hmu thei (hallucinations) emaw, thil dik lo (delusions) emaw i ring thei tihna a ni. Hetiang natna vei te hi mahni intihhlum tumna an nei nasa hle.

2. Bipolar Disorder - Emotion roller coaster a ni

Hei hi dam chhung zawnga rilru dinhmun a ni a, chu chuan rilru natna, chakna, ngaihtuahna leh nungchang lama inthlak danglamna nasa tak a thlen a ni. Darkar kut chu a sir khat atanga a sir lehlamah a inher ang maiin han ngaihtuah teh. Hetiang dinhmunah hian thil thleng chu rilru chu hyperactivity leh hlimna (Mania or Hypomania) dinhmunah a lut nghal a, chutah chuan a kalh zawngin a kal nghal a, chu chu deep depression (Depression) a ni.

Hei pawh hi chi hrang hrang lian tak tak a awm bawk:

• Bipolar I Disorder: Heng mite hian manic episode na tak vawi khat tal an nei tawh a ni. Hetih lai hian an hyperactive a, mut theih loh, thusawi thiam tak, thutlukna siam duh lo tak tak an ni. He manic episode hi a hnuah depressive episode na tak a awm fo thin.
• Bipolar II Disorder: Hei hi mania na lo zawk, hypomania an tih a ni. Hetih lai hian miten chakna nasa tak an nei a, an thawk thei a, mahse a erratic deuh thung. Mahse, Bipolar I-a angin nitin nun a tibuai vek lo va, he hypomania hi a hnuah depressive episode na tak a awm a ni.
• Cyclothymia Disorder: Heng mite hian kum hnih tal chu an rilru a buai reng a. Chu chu, mild hypomanic leh mild depressive symptoms te chu an inthlak fo thin tihna a ni.

Mood disorder dangte pawh a awm

• Thlasik hmaa natna (PMDD):Hei hi hmeichhe period hma ni 7-10 vel a lo awm thin a ni. PMS pangngai aiin a na zawk hle. A lan chhuah dan chu thinrim lutuk, lungkhamna, lungngaihna, leh mut theih lohna te a ni a, thlasik tan atanga ni engemaw zat chhungin a reh thei.
• Disruptive Mood Dysregulation Disorder (DMDD): Hei hi naupang leh puitling tleirawlte natna a ni. Thinrimna nasa tak, thinrimna chhuak fo leh thinrimna te a ni. Thinrimna chu thil awmdan nena inmil lo a ni fo. Kum 10 an tlin hmain symptoms hi a intan tlangpui.

Heng natna lan chhuah dante hi engte nge ni?

Mood disorder hi symptoms chi hnih ah then theih a ni a, chungte chu depressive symptoms leh manic/hypomanic symptoms te an ni. Heng pahnih hi a hranin han thlir ila.

Engvângin nge hetiang dinhmun hi a lo awm?

Hei hi chhan pakhat mah a awm lo. Researcher-te chuan thil hrang hrang inzawmkhawm hian a mawhphurtu a ni thei niin an ngai.

• Biological factors: Thluak peng hrang hrang amygdala an tih leh orbitofrontal cortex te hi kan rilru put hmang thununtu ber an ni. Mood disorder nei te thluak scan-ah chuan heng hmun hrang hrangah hian danglamna a awm tih hmuhchhuah a ni.
• Genetic factors: I chhungkuaa mi tu emaw, i nu leh pa emaw, i unaute emaw pawhin he natna hi a nei tawh a nih chuan i vei theihna a sang zawk a ni. Hei hian a awmzia chu hereditary influence a nei bawk tihna a ni .
• Environment factors: Nunna thil thleng rapthlak tak takte hian heng dinhmun lo awm tur hian hmun pawimawh tak a chang a ni. Entîr nân, kan hmangaih tak thihna te, hna hloh te, hun rei tak chhûng lungngaihna te, leh naupan laia tihduhdahna te hi a hlauhawmna lian ber a ni. Diabetes, Parkinson’s disease, leh heart disease ang chi natna khirh tak tak nei te pawhin depression an neih theihna a sang zawk bawk.

Engtin nge he natna hi hriatchhuah leh enkawl a nih?

Sawi hmasak ber tur chu heng symptoms te hi i neih chuan rilru lam harsatna i nei tih ringawt suh. Doctor thiam tak emaw, rilru lam doctor emaw i pan ngei ngei tur a ni.

Diagnosis tih a ni

Doctor i hmuh hian a tih hmasak ber tur chu heng symptoms te hi taksa lam thil dang, thyroid harsatna emaw vitamin tlakchham vang emaw a nih leh nih loh enfiah a ni. A tul chuan thisen test thenkhat an order thei bawk.

Tichuan, i natna lan chhuah dan te, i mut dan leh i ei dan te, leh i chhungkuaa tu emaw chuan hetiang rilru lam harsatna hi an nei tawh em tih te an sawipui ang che. He information hi diagnosis dik tak siam nan hman a ni.

Enkawl dan tur

A tlangpuiin damdawi leh psychotherapy (talk therapy) inzawmkhawm chu enkawlna atan hman a ni.

1. Damdawi chi hrang hrang

• Antidepressants: Hengte hi bipolar disorder vei depression leh depressive episodes enkawlna atan hman a ni. Heng damdawi te hian thluaka serotonin ang chi neurotransmitters te balance in hna an thawk a ni. Hnathawh nan kar 4-6 vel an hmang thei. Damdawi hi doctor-in a sawi angin a hun chhung zawng ei a pawimawh.
• Mood Stabilizers: Heng damdawi hi bipolar disorder-a mood swings lo awm thin control nana pek a ni ber.
• Antipsychotics: Heng damdawi te hi bipolar disorder manic episodes control nan leh severe depressive episodes tan te hman a ni.

2. Rilru lam enkawlna

Hei hi ‘talk therapy’ kan ti mai a ni. Hei hian i ngaihtuahna, i rilru put hmang, leh i nungchang buaithlak tak takte hriatchhuah leh thlak danglam tura pui turin rilru lam doctor emaw, rilru lam doctor emaw trained tak nen inbiakna neih a huam a ni.

• Cognitive Behavioral Therapy (CBT): I ngaihtuahna tha lote hriatchhuah a, a tha zawnga thlak danglam theihna tur targeted therapy a ni.
• Dialectical Behavior Therapy (DBT): Emotion na tak tak nei te chu an emotion enkawl dan tur specialized treatment method a ni.
• Psychodynamic Therapy: Naupan laia thil tawn leh hriat loh thilte’n tunlai nungchang a nghawng dan ngaihtuah thin therapy chi khat.

3. Enkawlna dang

• Electroconvulsive Therapy (ECT): A hming hian mi thenkhat a ti hlauhawm thei a, mahse a him em em a, depression na tak, refractory depression leh bipolar disorder enkawlna tha tak a ni.
• Light Therapy: Enkawlna hmanrua a ni a, a bik takin seasonal affective disorder (SAD) nei tan chuan artificial light hmanga mite chu an inhmukhawm thin.

Heng dinhmunte nena i nun hian eng nge thleng?

A hma leh dik taka hmuhchhuah leh enkawl dan dik a nih chuan heng natna tam tak hi uluk taka enkawl theih a ni a, nun pangngai a awm thei bawk. A châng chuan lungngaihna leh bipolar disorder a lo awm leh thei a, dam chhung zawng enkawl a ngai thei bawk.

Enkawl loh chuan a rah chhuah pawi tak tak, hnathawh/sikul kal theih lohna, khawtlang nun inlaichinna hloh, ruihhlo leh zu ruihhlo ngawlvei te a thlen thei a ni.

Chuvangin, heng symptoms te hi i neih chuan doctor rawn la. Enkawlna tur dik tak zawn nan hun engemaw chen a ngai mai thei a, mahse, dam leh turin inpe rawh.