Depression Enkawl dan: Engvangin nge ni thenkhat chu a tha a, ni thenkhat chu a tha lo? (Depression Enkawlna) 1.1.

Depression i nei mek em? Enkawl i tan tawh mai thei. Chutiang enkawlna i dawn lai chuan a chang chuan i hlim hle a, i hrisel hle bawk. Mahse, rang takin, chhan awm lovin, i thinlunga lungngaihna hlui, lungkhamna leh rit tak takte chu a lo lang leh ta a ni. Heng sang leh hniam te hi nangmah chauh i ni tih ngaihtuah suh. Hei hi mi tam tak tan chuan depression enkawlna dawng mek tan chuan thil pangngai a ni. Chuvangin vawiinah hian hetiang thil hi engvangin nge a lo awm tih kan sawi dawn a, eng nge tih theih ang tih te hi han sawi ila.

Engvangin nge antidepressant hian hna a thawh dan inang reng reng lo?

Depression enkawl i nih lai hian a chang chuan a tir lama damdawi tha tak kha a hma angin a thawk tha lo niin a lang. Hei hi Doctor-te chuan ‘relapse’ an ti a, a nih loh leh symptoms lo kir lehna emaw an ti. Zirna hrang hrangah chuan enkawl mek zinga 30% thlengin kum khat chhungin hetiang hi an tawk tih hmuhchhuah a ni.

Engvangin nge hetiang thil hi a lo awm tih hi han ngaihtuah teh. Hei hi chhan hrang hrang a awm thei. A awlsam zawngin, thil engemaw chuan i damdawi ei hnathawh dan a tibuai thei a ni.

I damdawi ei kha tihtawp i ngaihtuah em? Chutianga tih chuan eng hlauhawmna nge a neih?

Mi thenkhat chuan damdawi ei hian side effect a neih avangin an chau thin. Chutiang hunah chuan mi thenkhat chuan an duh angin damdawi an ei tawh lo va, a nih loh leh ni hnih danah an ei thin.

Heng side effects tlanglawn tak takte hi engte nge ni?

• Sexual dysfunction: A buaithlak ber chu mipa zingah erection tlakchham vang te, hmeichhiaah orgasm neih theih loh vang te, leh kawppui pahnihte libido hniam vang te a ni.
• Weight gain: Damdawi thenkhat hian ei duhna a tipung thei a, taksa rihna a tipung thei bawk.

Hetiang side effect i neih chuan a tha ber chu i doctor nen zalen taka sawipui hi a ni. I tana tha zawk damdawi dang hmangin a thlak thei che a ni.

Buaina dang chu damdawi ei dik loh hi a ni. Mi thenkhat chuan doctor hmaah, "Ni e, nitin ka damdawi hi ka ei thin," an ti a, mahse tlem a na zawka i zawh chuan, "Aw... kar khatah ni thum emaw ni li emaw ka ei theihnghilh thin," an ti thin. Ni khat emaw ni hnih emaw i ei a, ni thum emaw ni li emaw i ei loh chuan damdawi chu taksaa hnathawhna tur a mamawh level thlengin a pung lo. Chuvang chuan rah chhuah a nei lo.

Damdawi avang hian i rilru natna chu ‘numbing’ angin i hria em?

Hei pawh hi damlo thenkhatin an lo hriat tawh a ni. Hei hi damdawi chi khat, damdawi chi khat, SSRI (Selective Serotonin Reuptake Inhibitors) ei thin mi tlemte tan chuan a dik hle.

Mi thenkhat chuan, "Tun hma angin ka lungngai lo a, mahse ka hlim thei lo. Engkim hi a inang vek a ni," an ti.

Hei hi a chhan chu heng damdawi te hian thluaka chemical pakhat dopamine , chu chu nuam tihna leh hriselna hriatna nena inzawm a nghawng vang a ni thei. Chutiang hunah chuan i doctor chuan i damdawiah damdawi dang (Bupropion ang chi) dah belh emaw, damdawi dang hmanga thlak emaw a tum thei a ni.

Hei hi damdawi i thlak hian a bo vek fo thin a , chuvangin ngaihtuah buai a ngai lo.

Symptom hlui a lo lang leh (relapse) a nih chuan engtin nge tih tur?

A pawimawh ber chu hlauhthawn loh hi a ni. I depression symptoms te chu a lo let leh tawh ang tih i hriat chuan i tih hmasak ber tur chu a niI doctor nen inbiakna neihpui.

Tichuan a solution tling ber a pe ang che. Hetiang hi a ni mai thei:

• Tuna i damdawi ei mek zat tihpun.
• Damdawi dang lama inthlak.
• Tuna damdawi hman mek ah hian damdawi thar dah belh.
• Psychotherapy tan, chu chu talk therapy, damdawi nen.

A natna a nasat em avangin doctor-te chuan a chang chuan specialized treatment ‘shock therapy’ (ECT) te an rawt thei bawk. Amaherawhchu, a pawimawh ber chu a enkawl dan hi a sang zawka hruai theihna tura hmalak hi a ni.

Damdawi nen hian talk therapy hi a pawimawh em?

Absolute takin a ni. Damdawi hian i thluaka chemical inthlauhna siam\hat nan hna a thawh laiin, psychotherapy hian i harsatna leh i nunah thil thleng, i lungngaihna thlentu chungchang sawi turin a pui che a ni.

Tunah chuan hei hi hun rei lote chhunga enkawlna tur, targeted treatment a awm tawh a ni.

• Interpersonal Psychotherapy (IPT): Hei hian i lungngaihna thlentu nunah thil thleng (e.g., i hmangaih tak thihna, inlaichinna inthen) chungchang sawi a, chu chu i hmachhawn dan tur zirtirna a ni.
• Cognitive Therapy: Hei hian i rilruah duh loh zawng ngaihtuahna tha lo leh rilru dik lote hriatchhuah a, chu chu thlak danglam tura puih a huam a ni.

Nu leh pate lungngaihna an neih chuan he enkawlna hi a pawimawh zual hle. Research atanga a lan dan chuan nu leh pate lungngaihna hi enkawl a nih chuan an fate an hlim zawk a, nakin lawkah rilru natna ang chi rilru natna an nei tlem zawk thin. Chu chu lung pakhat hmanga sava pahnih tihhlum ang mai a ni!

Zirna hrang hrangah chiang takin antidepressant ei thinte hian an ei tawh loh thut chuan a let hnih atanga a let thum in an natna lo let leh theihna a sang zawk tih a tarlang. Chuvangin, i tih theih tha ber chu i doctor nen thawk hovin enkawl chhunzawm zel hi a ni.