Hun rei tak chhung lungngaihna vei tawh i ni em? Chu thim zingah chuan i tang tlat ang maiin i inhria em, doctor-in a pek damdawi i ei hnuah pawh? A châng chuan, hetiang hun harsaah hian mi ṭhenkhat chuan hahdamna tlem tal hmuh tumin zu leh ruihhlo ang chi thil lam an pan ṭhin. Mahse a takah chuan hei hian harsatna a tizual zawk chauh a ni. Mahse, lungngai suh. Heng natna pahnih hi i enkawl dun thei a, he cycle harsa tak atang hian i chhuak thei bawk. Vawiin hian sawi ila.
Ruihhlo hman leh refractory depression hi eng nge inzawmna?
A hmasain hei hi hrethiam rawh. Hei hian antidepressant hian hna a thawk lo tihna a ni lo, a chhan chu miten ruihhlo an hman vang a ni. Depression ruala ruihhlo emaw zu emaw harsatna nei tam tak pawhin heng damdawi hmang hian hahdamna an hmu bawk.
Mahse zirchiangtute chuan thuk zawka an han en chuan thil pakhat an hmuchhuak a, chu chu: Damdawi hmanga enkawl awlsam taka enkawl theih lungngaihna nei te aiin damdawi hman theih loh lungngaihna nei mite chuan ruihhlo hmansualna (substance use disorder) an nei tam zawk a ni.
Vawk emaw, artui emaw ang maiin han ngaihtuah teh. Scientist-te chuan ruihhlo hmanna ngei hian lungngaihna a tipung em tih leh, lungngaihna ngei hian ruihhlo hmanna a thlen em tih hi chiang takin an la sawi thei lo. Mahse thil pakhat kan hria. Condition pahnih tan hian risk factor inang a awm. Tin, depression kalpui zel hian ruihhlo hmanna a thlen thei tih pawh a awm thei hle a, ruihhlo hman chhunzawm zel hian depression enkawlnaah nghawng tha lo tak a nei thei bawk.
| Treatment-resistant depression leh substance hmansualna pahnih tan pawha hlauhawmna tlangpui | |
|---|---|
| Risk Factor a ni | Hei hian a awmzia chu... |
| Chronic Depression a ni | Thla 6 aia rei depression awm thei. |
| Depressive states a awm fo thin | A dam hnuah depression hi a lo lang leh fo thin. |
| Stress sang tak a ni | Nunnaah hian tuar theih loh khawpa lungkhamna leh harsatna neih. |
| Rilru lama harsatna dangte | Thil dang, lungkhamna, hlauhna, mize lama harsatna, emaw post-traumatic stress disorder (PTSD) te neih. |
Zirna thenkhatah chuan gene thenkhat chuan he natna pahnih hi a tipung thei niin an sawi a, mahse hei hian tute nge a nghawng tih chiang taka hriat theih nan zirchianna tam zawk neih a ngai a ni.
Engtin nge damdawi chi hrang hrang hian lungngaihna leh damdawi hi a nghawng?
Ruihhlo hman chhunzawm chuan i thluak chemistry a tidanglam thei a, i mood a tichhe thei bawk. Tin, thil thenkhat hian i taksa chemistry a tidanglam thei a, antidepressant te hnathawh a ti tlem thei bawk. Damdawi lian thenkhatin hei hi engtin nge a nghawng tih i lo en ang u.
Zu
Mi tam tak chuan lungngaihna emaw, lungkhamna emaw an neih laia zu tlem tal in chuan an rilru a hahdam phah ang tih an ngaihtuah a. Chu chu hun engemaw chen chu a dik mai thei. Mahse zu hi depressant a ni . Hei hian hun rei tak chhung chu i depression symptoms a ti na zual thei tihna a ni. Mut a tibuai thei a ni. Rilru damna atan mut that a pawimawh. Tin, zu hi antidepressant thenkhat nena inkawp chuan side effect hlauhawm tak a nei thei bawk.
Cannabis a ni
Khawtlang nunah hian cannabis chungchangah ngaihdan hrang hrang a awm a. Mi thenkhat chuan lungkhamna tihziaawm nan an hmang thin. Amaherawhchu, a bik takin thalai leh rilru natna vei duh tan chuan cannabis hman hian lungngaihna emaw, lungkhamna emaw a tipung thei a ni. A châng chuan rinhlelhna leh paranoia ang chi dinhmun a thlen thei bawk . Tin, cannabis hman hian depression hneh theihna tura rilru chakna leh chêttîrna a tihziaawm thei bawk.
Thil Dangte
Stimulants, ‘ice’ ang chi te hian hun eng emaw chen atan high a pe thei che a, i rilru a hahdam thei a, mahse a nghawng nena lo awm crash chu a na hle thung. Depression a tizual thei a ni. Painkiller atana hman opioid hian nervous system hnathawh a tikhawtlai thei bawk.
Engtin nge heng dinhmun pahnih hi enkawl dun theih ang?
Thu lawmawm tak chu natna pahnih hi a rualin hlawhtling taka enkawl theih a ni. A pawimawh ber chu i doctor nen hemi chungchang hi sawipui a ni. I damdawi chi hrang hrang, engzat nge i hman tawh, eng chen nge i hman tawh tih dik taka sawi hi enkawlna hlawhtling tak neih nan a pawimawh hle.
Tunah chuan doctor-te chuan integrated treatment plan an rawt fo tawh a ni. Hei hian depression leh substance abuse pahnih hi a ruala enkawl, ruahmanna inang hmanga enkawl tihna a ni. Hei hi a hlawhtling hle tih finfiah a ni.
I doctor chuan i tana tha ber tur treatment plan a thlang ang. Hei hian a tlangpuiin:
- Damdawi: I doctor chuan i depression leh withdrawal symptoms te tanpui turin damdawi a pe ang che.
- Psychotherapy: Hei hi ‘counseling’ kan tih pawh a ni. Hei hi i rilru put hmang leh harsatna i sawina hmun a ni a, i hmachhawn dan tur i zir a, i natna leh harsatna i tawh loh dan tur i zir bawk.
- Support Groups: Harsatna inang nei mite inkhawmna group-a tel hi chakna nasa tak a ni thei a, mahni chauha awm lo turin a pui thei bawk.
He zinkawng hi nangmah chauhin i paltlang a ngai lo tih hre reng ang che. Ṭanpuina dil hi chak lohna a ni lo, chakna a ni. I tanpui thei tur mi an awm.
Take-Home Thuchah a ni
- Treatment-resistant depression leh substance hmansualna hi inzawmna nghet tak a awm a ni.
- Zu leh ruihhloin hun engemaw chen a tihdamna hian hun rei tak chhung chu lungngaihna a tizual thei a, enkawlna pawh a tibuai thei bawk.
- A hmasa ber leh pawimawh ber chu he thu hi i doctor nen rinawm taka inbiakna neih hi a ni. Engmah thup suh.
- Depression leh substance hmansualna a ruala enkawltu treatment methods inzawmkhawm (integrated treatment methods) hi a hlawhtling zawk.
- Ṭanpuina leh enkawlna dik tak i neih chuan he thil tha lo tak atang hian i chhuak thei ngei ang a, i dam leh thei ngei ang.
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