Hun rei tak chhung chu lungngaihna i tuar tawh pawh a ni thei. I doctor-in damdawi pakhat ni lovin, pahnih emaw pathum emaw i ei tawh mai thei. Mahse, i beisei ang thlamuanna kha i la hmu lo em ni? A chang chuan, "Engvangin nge keimah chauh hi hetiang thil hi a lo thlen? He natna hi a reh ngai lo ang em?" Lungngai suh. Nangmah chauh i ni lo. Hetiang dinhmun hmachhawn hi mi tam tak an awm. Damdawi lamah chuan hei hi "treatment-resistant depression" emaw "TREATMENT-RESISTANT DEPRESSION" (TRD) emaw kan ti thin. Chuvangin, vawiin hian he thu hi i doctor nena inbiak hunah zawhna pawimawh tak tak i zawh ngei ngei tur thenkhat kan sawi dawn a ni.
1. Doctor te u, Treatment-Resistant Depression hi eng nge ni tak tak?
He dinhmun hi eng nge a nih tih hriatthiam hmasak a pawimawh. Doctor hrang hrangte chuan "treatment-resistant" tih awmzia hi an sawifiahna a inang lo deuh thei. Mahse a tlangpuiin, antidepressant class hrang hrang pahnih tal i ei hnuah, a dose dik tak leh hun bituk (a tlangpuiin kar 8 vel) i ei hnuah i symptoms a tha lo tihna a ni Chuvângin, i doctor-in he natna hi engtin nge a hmuh tih te, a awmzia te, leh nakin lawka i enkawlna a nghawng dân tûr te zawt ngei ang che.
2. Heng natna chi hrang hrang enkawlna kawngah hian eng thil nge i tawn?
Hei hi thil sensitive tak angin a lang thei a, mahse zawh hlau suh. Treatment-Resistant Depression hi depression pangngai aiin a buaithlak zawk a ni. Chuvang chuan a enkawl tur thiamna leh tawnhriat nei mi hmuh a pawimawh. Psychiatrist te hi heng natna te hi enkawltu an ni tlangpui . Hun rei tak chhunga lungngaihna nei te tanpui thiamna nei doctor chuan tanpuina nasa tak a nei thei a ni. Chuvangin he thu hi i doctor zawt rawh.
3. Engvangin nge ka lungngaihna hi damdawi hmanga enkawl a harsat em em?
Hei hi chhan hrang hrang a awm thei. I doctor nen inhawng takin sawi rawh.
- A hmaa i ei thin damdawi dose ruat ang kha i ei lo mai thei.
- A nih loh leh damdawi hi a hman theih nan rei tak (kar 6-8) i ei lo pawh a ni thei.
- Damdawi lam harsatna dang i neih (entir nan, thyroid harsatna - Hypothyroidism ) hian hei hi a nghawng thei a ni.
- Rilru lam harsatna dang (zu emaw ruihhlo hmansual, lungkhamna (anxiety disorder) te hian depression enkawlna a tibuai thei a ni.
A pawimawh ber chu antidepressant tam zawk hian kar ruk atanga kar riat vel an thawk a, chuvangin i enkawlnaah dawhthei taka i awm a pawimawh.
4. Damdawi dang min pui thei tur a awm em?
A awm ngei ang. Tun thlenga damdawi i lo enchhin tawh khan a hlawhtling lo a nih chuan beiseina hi bansan ngai suh. Damdawi lamah hian duhthlan tur thar a awm fo thin. Damdawi chi hrang hrang, dose hrang hrang emaw, damdawi inkawp hmangin i dam thei mai thei. Chu duhthlannate chu eng nge ni tih leh a nghawng ṭha lote chu i doctor nen sawiho la, chutah chuan thutlukna siam rawh.
5. Damdawi tih loh chu eng enkawlna dang nge awm?
Damdawi hi duhthlan tur pakhat chauh a ni. Enkawlna tha dang tam tak a awm bawk. I doctor hnenah hetiang damlote tanpui nana a hman dan dang zawt rawh.
| Enkawl dan tur | A sawifiahna awlsam tak |
|---|---|
| Thusawi Therapy a ni | Counselling, a bik takin Cognitive Behavioral Therapy (CBT) ang chi method te hian i ngaihtuahna a thlak danglam thei a ni. |
| Ketamine hmanga enkawlna | Hei hi damdawi lam enkawlna a ni a, lungngaihna nasa tak thenkhat tan chuan a tidam rang hle. |
| Thluak tihchakna Therapy | Hemi hnuaiah hian enkawlna engemaw zat a awm a. Entirnan: Electroconvulsive Therapy (ECT) , Transcranial Magnetic Stimulation (TMS) , leh Vagus Nerve Stimulation (VNS) te hi a ni. Hengte hi damdawi ei lote tan chuan a hlawk hle thei a ni. |
6. Engtin nge ka enkawlna ruahmanna chu a awlsam thei ang bera ka siam theih ang?
Enkawl dan tur ruahmanna chu a buaithlak thei hle a, zawm a harsa thei hle. Chuvangin thil i hriat chian loh chuan zawhna zawt rawh.
- Nitin engtik hunah nge damdawi hi ka ei ang?
- Chu hun chu i ni tin nunah a in fit em?
- Chaw ei hma emaw, chaw ei zawhah emaw damdawi ka ei tur em ni?
Heng zawng zawng hi hrethiam ngei ang che. Tin, i doctor nen enkawlna senso leh i insurance coverage chungchang sawipui bawk ang che.
7. Natna dang emaw damdawi dangin ka lungngaihna a nghawng em?
Ni e, a dik tak zet. Thil tam tak hian lungngaihna lan chhuahna a thlen thei a, a tizual thei bawk a, chu chu thinlung natna te, cancer te, thyroid lama harsatna te, leh ruihhlo hmansualna te hi a ni. Tin, damdawi dang i ei hian antidepressant hman tangkai dan a tibuai thei bawk. Chuvangin, i medical history kimchang leh i ei tur damdawi zawng zawng (vitamin leh supplement te pawh tel) i doctor hnenah hrilh a pawimawh hle
8. Research phase-a la awm enkawlna thar ka ngaihtuah tur em ni?
Damdawi pangngai atanga hahdamna i hmuh loh chuan hei hi i ngaihtuah mai thei. Hei hi clinical trial an ti a . Hengte hi damdawi emaw, enkawlna emaw, zirchianna kalpui mek, FDA (Food and Drug Administration) ang agency-te’n lungngaihna enkawlna atana an pawm kim lohte an ni. Hetiang trial chi hrang hrang atana candidate tha tak i nih leh nih loh i doctor zawt rawh.
9. Ka nunphungah eng inthlak danglamna nge ka neih?
Treatment complement angin nangmah ngeiin i tih theih tam tak a awm. Hengte hian i symptoms tihziaawmna kawngah nasa takin a pui thei a ni.
- Taksa exercise: Nitin exercise tlem tal neih hi rilru hriselna atan a tha hle.
- Mut dan: Zan mut that hi a pawimawh hle. I mut hun leh thawh hun inang tlanga awm tir tum ang che.
- Diet: Ei leh in inthlau tak, ei leh in tha tak ei rawh.
Hemi chungchangah hian i doctor hnen atangin i tana tha tur thurawn la rawh.
10. Emergency-ah eng nge ka tih ang?
Hei hi zawhna pawimawh ber a ni. Nang leh i chhungte hian emergency (crisis) a lo thlen hunah eng nge i tih tur tih ruahmanna chiang tak in nei tur a ni . Nangmah emaw, midang emaw tihchhiat i duh a nih chuan i doctor nen eng step nge i tih tur tih sawipui rawh. Tute nge biak tur leh khawiah nge kal tur tih chiang takin sawi rawh (hospital emergency room hnai ber (ETU) ang chi ).
Take-Home Thuchah a ni
- Treatment-Resistant Depression hi i sualna a ni lo. Damdawi lam natna enkawl theih a ni.
- I doctor nen zalen tak leh rinawm takin inbiakna nei rawh. I rilru put hmang te, i hlauhthawnna te, leh i zawhna te zawt la.
- Damdawi chauh ni lovin duhthlan tur dang tam tak a awm a, chu chu counseling leh thluak tichaktu therapies te hi a ni.
- Nunphung inthlak danglamna tenau (exercise, mut that, ei leh in tha) hian i dam lehna kawngah kawng thui tak a zawh dawn a ni.
- Mahni chauhin hrehawm tuar ngai suh. Emergency-ah tanpuina dil hreh suh. I tanpui thei tur mi an awm reng a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh