Khum atanga tho chhuak duhna pawh nei lo ni a awm em? Chaw ei emaw, inbual emaw ang chi thil awlsam tak pawh hi tlang lian tak ang maia lawn tur ang maiin a lang... Sawi chu a boring a, ngaihtuah pawh a boring. Hetiang thil hi i tawng reng a nih chuan boredom emaw, hahna emaw chauh a ni lo mai thei. Hei hi damdawi lam dinhmun kan sawi a ngai a ni. Hei hi vawiinah kan sawi tum chu a ni.
Psychomotor Impairment hi eng nge ni?
He thumal hi a buaithlak deuhin lang mahse, a awmzia chu a awlsam hle. "Psycho" tih awmzia chu "rilru nena inzawm" tihna a ni. "Motor" tih awmzia chu "cheve dan nena inzawm" tihna a ni. " "Psychomotor" tih hi i rilru (rilru) leh i taksa chetna (thiltih) inzawmna chungchang a ni "Impairment" tih hian chak lohna a kawk a ni.
A awlsam zawngin ``Psychomotor Impairment`` chu i ngaihtuahna, i thusawi, leh i taksa chetna a slow lutuk hi a ni. I rilru leh taksa chu "slow-motion"-a thawk ang mai a ni. Hei hi ``Major Depressive Disorder (MDD)`` tih natna lan chhuahna lian tak a ni. Mahse, depression nei zawng zawng hian he symptom hi an nei vek lo.
Hetiang dinhmunah hian engtin nge mi dangte hmaah kan awm a, engtin nge kan inlan?
Hetiang dinhmun nei mi chuan a rilru leh taksa thunun thei lo ang maiin a inhria thei a, zawi zawiin a che thei a ni. Heng symptoms te hi eng nge ni tih hi ngun zawkin han thlir ila.
| Sector a nghawng a ni | Symptoms a lantir thei |
|---|---|
| Taksa lamah chuan |
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| Rilru lamah chuan |
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| Nitin nun a nghawng dan |
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Nangmah emaw, i hriat tu emaw chuan heng natnate hi i neih chuan, rilru lam hriselna lama mithiam, doctor emaw, rilru lam doctor emaw pan a pawimawh hle .
Engvangin nge hetiang hi kan chungah a lo thlen? A chhan engte nge ni?
Kan sawi tawh ang khan he natna hi a thlen chhan ber chu Major Depressive Disorder (MDD) . MDD hi rilru natna a ni a, hun rei tak chhung lungngaihna leh a hmaa thil nuam tak tak tih ngaihven lohna a ni.
Zirchiangtute chuan eng thil nge a thlen tih hre chiang lo mah se, thluaka chemical inthlak danglamna hi a pawimawh ber niin an ngai. A bik takin, neurotransmitters serotonin, norepinephrine leh dopamine-a inthlauhna hian MDD a thlen a ni. Nunna thil thleng lungchhiatthlâk tak tak, hmangaih tak boral ang chite chuan chu natna chu a thlen thei a ni.
Hei hi a sir dang a awm em?
Awle. MDD vei thenkhat chuan hei hi a kalh zawngin an tawng a, chu chu ``Psychomotor Agitation'' an ti a ni. Hei hi chawlh hahdam lohna avanga ṭhut theih lohna leh taksa tihchakna nasa lutuk, an kut leh ke pen leh vak vak ang chi an lantir ṭhin lai a ni. Hei hi naupang leh tleirawl zingah a hluar hle.
Psychomotor impairment hi damdawi lam thil dang chhinchhiahna angin a awm thei bawk.
- Bipolar disorder natna avanga lungngaihna episode-ah te Schizophrenia natna (Schizophrenia) natna a ni
- Parkinson natna a ni
- Thluak hliam thenkhatah chuan
Hei hi eng enkawlna nge ni?
Hei hi enkawlna atana pawimawh ber chu a hnuaia awm (underlying underlying condition) enkawl hi a ni.- Chu chu MDD tan chuan a tam zawk tihna a ni. Hei hi enkawlna hrang hrang a awm a.
- Psychotherapy: Hei hian thusawi hmanga enkawl tihna a ni.
- Antidepressants: Depression damdawi pek thin.
- Enkawlna dang: Zirna hrang hrangah chuan MDD hi `Psychomotor Impairment` nen a inzawm chuan enkawlna bik thenkhat chu a hlawk zawk tih hmuhchhuah a ni.
- Electroconvulsive therapy (ECT): Hei hi enkawlna him tak, tangkai tak a ni a, anesthesia hmangin thluaka electrical signal te tak te tak tak a thawn a, neurochemical balance a siam tha leh thin.
- Repetitive transcranial magnetic stimulation (rTMS): Hei hian magnetic field hmangin thluak hmun thenkhat, mood control tu te chu a tichak a ni.
Nang leh i doctor chuan i tan a tha ber tur treatment plan i thlang thei ang. Enkawlna pakhat atang hian hahdamna i hmu lo mai thei, mahse beidawng suh. I treatment plan i lak chhunzawm zel a pawimawh.
Enkawl loh chuan eng hlauhawmna nge awm?
He natna hi enkawl loh chuan harsatna lian tak tak a thlen thei a, chu chu ei loh vanga ei leh in lama harsatna , leh mahni inngaihsak lohna te hi a ni . Chutiang hunah chuan damdawi ina dah leh enkawl pawh a ngai mai thei.
A pawimawh ber chu: MDD enkawl loh leh Psychomotor Impairment hian mahni intihhlum theihna a tipung nasa hle . Nangmah emaw, i hriat miin emaw mahni intihhlum duhna i neih chuan khawngaihin nangmah chauhin kal suh. I rintlak hnenah hrilh nghal rawh. Damdawi in hnai ber Emergency Department (ETU) ah kal rawh. I tanpui thei tur mi tam tak an awm tih hre reng ang che.
Psychomotor Impairment hi syrup thick tak chhunga inbual ang maia inhriatna a ni. A nih loh leh mi pakhatin i rilru leh taksa a "slow-motion" button a on ang maiin. Doctor hmu tura appointment siam chu heng ang hunah hian thil harsa tak angin a lang thei. Mahse tanpuina dil hi a pawimawh ber a ni. Nangmah chauhin hetiang thil hi i tih harsat chuan chhungte emaw, i thian emaw hnenah tanpuina dil rawh. Damdawi lam i pan hma poh leh i ngaihtuahna leh thiltih te chu a dikna zawnga siam leh a awlsam zawk ang.
Take-Home Thuchah a ni
- Psychomotor Impairment hi boredom mai a ni lo. Major depressive disorder (MDD) chhinchhiahna pawimawh tak a ni thei.
- Heta thil thleng hi chu i rilru a hniam chhoh zel chuan i taksa hnathawh pawh a tikhawtlai thin.
- Hemi atan hian enkawl dan tha tak tak a awm a, chuvangin a rang thei ang bera doctor pan a, thurawn lak a pawimawh hle.
- Ṭanpuina dil harsa i tih chuan i chhungte emaw, i ṭhian rintlak emaw chu rawn pan rawh. He zinkawng hi nangmah chauhin i paltlang a ngai lo.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Flank Mass tih hi eng nge ni?
Hei hi vun rawng pangngai a ni lo! ‘Flank Mass’ chu costovertebral area (i ruh leh i hipbones inkar hmun)-a a lo thang dan pangngai lo tak a ni. He hmun hi kal (kidney) awmna a nih avangin he lump hi ‘enlarged kidney’ a ni thei fo!
💬 Flank area (outer middle)-a lump/lump (Flank Mass) lo lang chhan berte chu engte nge ni?
Hei hi a chhan lian ber leh hlauhawm ber 3 a awm a, chungte chu: 1) ‘Renal Cell Carcinoma / Kidney Cancer’ - He cancer-ah hian a tir lamah chuan a lan chhuahna a awm lo (vun hnuaiah hian lump/nodule lian tak chauh hmuh tur a awm). 2) Kidney hi zun/pum a khat khawpin a hring a, kal chu lung (Hydronephrosis/Abscess) a lo ni ta a, chuvang chuan kal ngei pawh chu lump ang maiin a awm (Palpable kidney). 3) Genetic disease, kal chhung zawnga tui cyst lo awm (Polycystic Kidney Disease).
💬 I flank (flank mass)-ah lump i hriat chuan doctor pan/damdawi in pan nghal tur a ni. ‘Nunna tichhe thei/emergency situations’ te hi engte nge ni?
Chutiang tumor/lump i hmuh chuan doctor hnenah (ultrasound scan atan) tlai lovin i kal tur a ni (cancer a ni thei)! Mahse, a hlauhawm ber chu! Tumor rual hian, 1) i zun rualin ‘painless hematuria’ (na nei lo) i neih chuan, 2) khawsik sang tak (fever/chills - kidney a ro) rualin flank pain tuar theih loh i neih chuan, 3) chhan awm lovin i thau a tlahniam (weight loss), damdawi inah dah nghal tur i ni!
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