Depression tih thumal kan hriat hian a tam zawk chuan rilru lam thil, lungngaihna te, mahni chauhna te, lungngaihna te, engmah tih duh lo anga inhriatna te hi kan ngaihtuah nghal thin. A dik a ni, hengte hi depression symptoms ber chu an ni. Mahse, he rilru dinhmun hian i taksaah nghawng nasa tak a nei bawk tih i hria em? A châng chuan, hun rei tak chhûnga taksa natna chi hrang hrang, hrehawmna, leh lungawi lohna i neih chhan dik tak chu i rilruah he nawrna hi a ni thei.
Chûngte chu "suangtuahna thil" mai a ni lo. Depression hi i taksaah inthlak danglamna thlen thei tak tak a ni. Entirnan, i chaw ei a tikhawlo thei a, pum a ti buai thei bawk. Heng taksa chhinchhiahnate hi natna dang tam tak nen a lo awm theih avangin mi tam takin enkawlna an zawng lo. An taksa lama harsatna hi rilru lam harsatna avanga lo awm thei tur pawh an ngaihtuah lo. A châng chuan doctor-te pawhin connection an miss thei bawk.
Engvangin nge depression hian taksa na a thlen?
Hei hi hrethiam tur chuan thluak hnathawh dan hi awlsam taka kan thlir a ngai a ni. Kan thluaka nerve cell network a awm a, chu chuan rilru natna, lungngaihna leh hlimna te chu a thunun a ni. Mak tak maiin, taksa natna min thlentu nerve cell network thenkhat pawh hian heng emotion controlling network te nen hian an thawk dun a ni.
Chuvangin, depression ang chi condition nei miah chuan thluaka heng neural network te hian hna an thawk tha lo. Chuvangin, mithiam tam tak chuan lungngaihna neiin natna a hriat dan chu mi pangngai aiin a danglam niin an ngai. Natna nasa zawkin an tuar thei. Chumi awmzia chu i natna tawh zawng zawng, hnungzang na ang chi chu lungngaihnain a tizual thei tihna a ni.
A awlsam zawngin hetianga thil thleng hi i thinlunga natna chu i taksaah natna angin a rawn chhuak a ni. An pahnih hi an inzawm tlat a ni.
Taksa lama lungngaihna lan chhuah tam ber
Okay, taksa lama depression symptom langsar ber ber leh chu chuan i rilru a tihnat theih dan tur chu han thlir ila. Chung zinga pakhat emaw, a aia tam emaw i neih leh neih loh en rawh.
| Taksa Symptom a ni | Chu chu engtin nge a ngaih? |
|---|---|
| Lu na | Lu na reng reng. A châng chuan eng thil nge an thlen tih pawh i hre thei lo. Migraine history i neih chuan a na zawk thei. |
| Back, Muscle & Joint Natna te a awm | Ka hnungzang chu chhan awm lovin a na reng a, ka taksa ruh a na a, ka ruh a na bawk. Ka chau ang maiin ka hria, mahse chutiang chuan ka chau lo. |
| Chhuak Na | Hei hi fimkhur hle tur a ni. Chhung natna hi thinlung, lung, pum chhunga natna khirh tak chhinchhiahna a ni thei. Chuvangin i rilru a na a nih chuan doctor pan ngei ngei tur a ni emaw, ETU (Emergency Treatment Unit) ah kal ngei ngei tur a ni. Mahse, a chang chuan lungngaihna hian chutiang lungawi lohna chu a thlen thei bawk. |
| Digestive lama harsatna awm thei | Pum natna, luak chhuak, pum na, pum na, etc. Mi thenkhat chuan riltam an nei a, thenkhat chuan chaw ei kham an nei bawk. |
| Ei duhna emaw, taksa rihna emaw a inthlak danglam | Mi thenkhat chuan ei duhna zawng zawng an hloh a, an taksa rihna an tlahniam bawk. Mi dangte chuan carbohydrates (chhang, buhfai, sweets) awmna ei tur an duh avangin an taksa rihna an tipung a ni. |
| Chauhna leh Chauhna | Eng ang pawhin muthilh mah la, i chau lo. Zing lama khum atanga tho pawh hi harsatna lian tak angin a lang a, thil theih loh pawh a ni mai thei. Nilengin nunna nei lovin i inhria. |
| Mut harsatna | Mi tam tak chuan zan lamah mut harsatna an nei thin. Zingah an harh a, an muhil leh thei tawh lo. A nih loh leh, an mut hnuah darkar tam tak chhung mutthilh tumin an bei nasa hle bawk. Chumi nêna inkalh takin, mi ṭhenkhat chu a pangngai aia nasain an muhil a ni. |
| Luak chhuak emaw Lightheadedness emaw | A châng chuan luak chhuak emaw, ding harsa emaw tih hi taksa lama lungngaihna lantîrna a ni thei bawk. |
Heng taksa pianphungte hi engtin nge kan tih?
Hun rei tak chhunga heng taksa natna pakhat emaw a aia tam emaw i neih tawh chuan "mahni chauhin an dam leh ang" tih mai mai suh. Hemi chungchangah hian i doctor nen inbia ngei ang che.
Doctor hmuh hmain hetiang hian ti hmasa phawt ang che.
I theih chuan i symptoms chungchang chu lehkhabu te tak teah ziak la, symptom diary ang maiin.
- Vawiin khan eng ang natna nge ka neih? (e.g. lu na, hnungzang na) .
- Engtiang chiahin nge a chhiat? (Rate chu 1-10 inkar a ni)
- Ni eng hun lai nge i hriat ber?
- Chutih lai chuan eng nge ka tih?
- Engtin nge ka awm? (Ka lungngai em, ka thinrim em, ka stress em?)
Hetianga chipchiar tak tak thenkhat ziah hian nang leh i doctor tan heng natna lan chhuah dan leh i rilru dinhmun inzawmna hi hriatthiam a awlsam zawk ang.
Enkawlnate chu engte nge ni?
A tam zawkah chuan i lungngaihna enkawlna dik tak (counseling, damdawi emaw, a pahnih emaw) i dawn chuan heng taksa lama natna lan chhuah dante hi a pianphungah a tlahniam ang.
- Damdawi: Antidepressant thenkhat chuan a hmaa ka sawi tawh ang khan thluaka nerve cell inkara thuchah kengtu chemical (neurotransmitters) te hnathawh chu a siam tha leh thin. I mood a lo that chhoh zel chuan i taksa natna pawh a tlahniam tan dawn a ni. I doctor chuan natna khirh tak enkawlna atana \angkai tak `duloxetine` leh `venlafaxine` ang chi damdawi a pe thei a, chubakah damdawi hlui `amitriptyline` ang chi te pawh a pe thei bawk.
- Enkawlna dang: Mut harsatna i neih chuan i doctor chuan chutiang tur chuan damdawi dang pek che a rel mai thei. Natna leh lungngaihna hi a kal dun avangin natna tihziaawmna hian lungngaihna tihziaawmna kawngah pawh a pui thei bawk.
- Cognitive Behavioral Therapy (CBT): Hei hi counselling chi khat a ni. I hrehawmna hmachhawn dan tur leh i ngaihtuahna tihdanglam dan tur a zirtir che a ni. Hei hian i rilru leh taksa hriselnaah nghawng \ha tak a nei thei a ni.
A pawimawh ber chu, heng thilte chauh hi i hmachhawn a ngai lo. Ṭanpuina dil hian chakna a pe a ni. I doctor chuan tanpui turin a inpeih reng a ni.
Take-Home Thuchah a ni
- Depression hi rilruah chauh a innghat lo. I taksaah natna leh hrehawmna tak tak a thlen thei bawk.
- Lu na, taksa na, pum na, hah lutuk, mut harsatna te hi taksa lama lungngaihna lanchhuahna a ni thei.
- Heng taksa pianphungte hi "i rilruah i siam chhuah mai mai" a ni lo. Biological reason an nei a ni. Chuvangin ngaihthah suh.
- I rilru leh taksa lama i natna lan chhuah dan zawng zawng chu i doctor nen zalen takin sawi rawh. An pahnih inkarah hian inzawmna a awm thei.
- Depression hi uluk taka enkawl a nih chuan heng taksa chhinchhiahna buaithlak tak takte hi a bo zauh zauh fo thin a, chuvangin tanpuina zawng hlau suh.
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