Pawn lamah nui chungin chhungril lamah hrehawm i tuar em ni? (Smiling Depression) chungchang hi i zir dawn teh ang!

I thian emaw, chhungte emaw, i hriat mi emaw, nuihzatthlak reng, fiamthu leh hlim tak ang maia lang reng i nei a. An nunah harsatna a awm lo va, engkim a kal tha hle niin kan ngai mai thei. Mahse, chu nuihzatthlak tak hnuaiah chuan lungngaihna, mahni chauhna leh lungkhamna tam tak a awm thei tih i hria em? Vawiin hian hetiang thupui pawimawh tak hi kan sawi dawn a ni. Chu chu ‘Smiling Depression’ a ni.

‘Smiling Depression’ hi eng nge ni tak tak?

Rilru natna chi hrang hranga official lehkhabu i en chuan ‘smiling depression’ tih hi i hmu lovang. A chhan chu official medical term a nih loh vang a ni. Mahse, rilru lam hriselna lama mithiamte chuan he thumal hi mi pawl bik sawina atan an hmang thin. Chu chu pawn lam atanga hlim taka che thin mi an ni a, chhungril lamah chuan depression nei mahse.

A awlsam zawngin, chhungril lamah chuan lungngai tak leh engmah lo takin i inhria a, mahse midangte hnenah chuan, "Ka tha e," i ti thung. Harsatna i tawk angin i lang lo. Hnathawh lamah i kal a, inchhung hna i thawk a, i nuih a, i thiante nen i inbia a. Hei hi ‘high-functioning depression’ an ti \hin. Chumi awmzia chu a pangngai thei ang bera nitin hna i thawk tihna a ni a, chuvangin i chhungte leh i thiante chuan tanpuina i mamawh tih an hre lo. A châng chuan i rilrua he buaina hi lungngaihna chhinchhiahna a ni tih pawh i hre lo mai thei.

He natna hian tute nge a nghawng ber?

‘Smiling depression’ hi official diagnosis a nih loh avangin hemi chungchangah hian zirchianna tam tak a la awm lo. Mahse, doctor-te sawi dan chuan heng symptoms te hi a hnuaia mite zingah hian a langsar ber a ni.

• Rilru hriselna chungchang sawi hi hlauhawm leh zahthlak tak a nihna culture-a mite: Kan khawtlang nunah pawh hian "Ka rilru a hah hle" i tih chuan "mi â" tia vuah i hlau a ni. Chuvang chuan mi tam takin an lungngaihna an thup thin.
• Perfectionist: "Thil dik lo ka ti thei lo," "Ka chak reng a ngai," tia ngaihtuah thin leh an chak lohna lantir duh lo mi .
• Pawn lam atanga hlawhtling taka nung mite: hna tha nei te, chhungkaw nun nei te, zirna nei te, pawn lam atanga chak lohna chhinchhiahna nei lo te.
• Hun rei tak chhunga depression na lo emaw, na lo emaw vei te: He natna hi damdawi lamah chuan ``Persistent Depressive Disorder'' kan ti a.

A tlangpuiin, lungngaihna hian tu pawh a nghawng thei a, kum leh mipa leh hmeichhia pawh thliar lovin. Mahse, pawl thenkhat chu an hlauhawm zawk. Entir nan:

• Hmeichhia
• LGBTQI+ khawtlang zinga mi te
• Nangmah emaw, i chhungte zinga tu emaw hian depression i lo nei tawh a nih chuan
• Mite chuan an nunah harsatna lian tham, trauma leh stress sang tak an tawk thin
• Natna khirh tak tak, zunthlum, cancer, leh thinlung natna nei te.

Chu chhinchhiahna thup chu engte nge ni?

‘Smiling depression’ i neih chuan depression symptoms tlangpui i nei thei. A danglamna chu midang lakah i thup tlat a ni. Heng symptoms te hi eng nge ni tih han thlir ila.

A pawimawh ber chu, heng symptoms zawng zawng hi i neih vek a ngai lo. Chûng zînga engemaw zât chuan kar hnih aia rei i nun a nghawng a nih chuan, mi dangte tân a lang chiang lo ang tih pawh ni se, lungngaihna i nei thei a ni.

He thil hi thuruk vawn reng hi eng nge a hlauhawmna?

I lungngaihna i thup hian, i chhehvêla mite chuan ṭanpuina i mamawh tih an hre lo mai thei. Hei hian i mamawh enkawlna a tikhawtlai thei a ni. Enkawlna i hmuh loh huna thil thleng thei thenkhat chu hetiang hi a ni:

• Zu emaw ruihhlo dang emaw addiction hlauhawmna a sang.
• Taksa rih zawng inthlak danglamna pangngai lo.
• Taksa natna vei theihna a tipung.
• Mahni intihhlum, entirnan, mahni inthiarfihlim.

Heng zawng zawnga hlauhawm ber chu lungngaihna hian mahni intihhlum tumna a tipung a ni. A chhan chu nuihzatthlak leh chet tur pawh hian chakna nasa tak a mamawh a ni. Chu chakna chu a bo tawh chuan thutlukna hlauhawm tak siam theihna chance a sang hle.

Nangmah emaw, i hriat miin emaw mahni intihhlum tumna i neih chuan khawngaihin nangmah chauhin kal suh. Ṭanpuina zawng nghal rawh.

• I chhungkaw doctor nen inbia ang che.
• Damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
• Sri Lanka ṭhiante (Tel: 0112692909) biak theih a ni. I thusawi ngaithla turin an inpeih reng a ni.
• Overdose a nih chuan Colombo National Hospital-a awm National Poison Information Center (0112686143) ah biak nghal tur a ni.

Engtin nge hei hi natna a ni tih chiang taka i hriat theih ang?

Depression i vei nia i rinhlelh chuan i tih hmasak ber tur chu i chhungkaw doctor pan hi a ni . Zawhna a zawt ang che a, taksa lam thil dang, thyroid harsatna ang chi te enfiah turin thisen test thenkhat pawh a ti mai thei bawk. Tichuan, a tul chuan rilru lam hriselna lama mithiam, rilru lam doctor hnenah a refer ang che.

Chutah chuan, i ngaihtuahna, i rilru put hmang, leh i nungchang hriat belh nân zawhna bu hrang hrang an pe thei che a ni. Heng zawng zawng hi an en hnuah eng ang dinhmun nge i neih tih an hre thei ang, official mental health classification manual, Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-ah chuan. Chu diagnosis chu Major Depressive Disorder emaw, Persistent Depressive Disorder emaw a ni thei.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu ‘smiling depression’ pawh hi enkawl theih vek a ni . Enkawlna kawng hrang hrang pahnih a awm a, chungte chu:

1. Damdawi chi hrang hrang:Damdawi chi hrang hrang hman tlanglawn ber chu selective serotonin reuptake inhibitors (SSRIs) an ti a. Hengte hian thluaka neurotransmitter chemicals, serotonin ang chi te hnathawh dan inthlauhna hmangin hna an thawk a ni. I tana damdawi dik tak zawn nan hun engemaw chen a la ngai mai thei.

2. Psychotherapy: Hei hi ‘counseling’ tih mai a ni bawk. Hetah hian, i harsatnate chungchâng mi thiam thiam tak i bia a, an ngaihtuahna tihdanglam tûrin i ṭanpui a, an harsatnate hmachhawn dân thar zir tûrin i ṭanpui bawk. Chumi atan chuan Cognitive Behavioral Therapy hi hmanraw lar tak a ni.

Nangmah ngeiin i tih theih thil (Self-help) .

Enkawlna bakah hian i rilru hriselna tihchangtlun nan nangmah ngeiin i tih theih tur thil engemaw zat a awm a:

• Exercise: Ni khata minute 30 vel kea kal pawhin danglamna nasa tak a thlen thei.
• I mut dan pangngaia siam: Mut leh harh chu a ruala tih dan phung la.
• Ei leh in hrisel ei rawh: Chaw ei hun takah ei la, eitur tha tak tak ei rawh.
• I rintlak tak nen inbiakna nei rawh: I rilru a awm chu i ṭhian emaw, i chhungte emaw hnenah hrilh rawh.
• Zu leh ruihhlo lakah inthiarfihlim rawh.

I ṭhian pakhat chu hetiang dinhmuna ding a nih chuan engtin nge i ṭanpui theih ang?

‘Nui chungin lungngaihna’ nei chu hriat harsa tak a ni thei. Mahse, heng ang inthlâk danglamna fiah lo tak takte hi i hmu mai thei:

• Mut dan inthlak danglam (mut tam lutuk emaw, mut tlem lutuk emaw).
• Ei duhna a inthlak danglam.
• A hma angin call leh message chhanna rang lo.
• Lu na leh taksa na chungchangah chhan awm lovin complaint fo thin.

Chutiang mi i rinhlelh chuan hetiang hian i puih theih dan tur chu hetiang hi a ni:

• Chu mi nen chuan inbia ang che: "I awm dan ang kha i ni lo tih ka hmu thei a, thil dik lo a awm em?" Hmangaih takin zawt rawh.
• Depression hi zah tur a ni lo va, enkawl theih natna a ni tih sawifiah rawh.
• Doctor pan turin rawtna siam rawh. I duh chuan i kal ve thei ang.
• Chu mi bulah chuan awm rawh. "I bulah ka awm" tih pawh hi chakna ropui tak a ni.