Nang emaw i hriat emaw hian bipolar disorder i nei em? Tichuan i rilru hmun khata dah a harsat zia i hre tawh ang. Ni khat chu rin loh takin hlim leh phur takin i awm thin (hei hi mania kan ti thin). A tuk ah chuan i lungngaih em em a, i lungngai em em bawk a, khawvela cheng i duh tawh lo. Heng sang leh hniam te hian nun a ti buai thei hle. Vawiin hian he bipolar disorder, chu chu bipolar depression -a lo awm thin depression chungchang kan sawi dawn a ni. Hemi enkawlna tur hi i hriatthiam theih tur awlsam takin i sawi dawn nia.
Bipolar depression enkawlna atana hmanraw pawimawh ber berte chu engte nge ni?
Tun hma chuan heng natnate hi damdawi hmanga enkawl a ni a, chu chuan mutthilh lutuk a thlen a, side effect tam tak a nei bawk. Mahse chutiang chu a ni tawh lo. Medical science hian hma a sawn nasa hle. Tunah chuan bipolar disorder enkawlna atana hmanraw pawimawh ber chu mood stabilizers a ni.
A awlsam zawngin sawi ila, heng damdawi te hian heng mood swing te hi control nan leh i mood stable turin a pui thin. Depressive episodes an control rualin manic episodes venna atan pawh an pui bawk.
Bipolar disorder-ah hian manic episode aiin depressive episode hi a tam zawk tih hre reng la, chuvangin hei hi uluk taka enkawl a pawimawh hle.
Doctor-te’n mood stabilizer chi hrang hrang an rawt fo thin thenkhat chu:
- Lithium a ni
- Lamotrigine chuan a ti a
- Valproate a ni
- Carbamazepine a ni
A châng chuan, i doctor chuan heng damdawite hi bipolar depression atana official-a pawm ni lo mah se, ‘off-label’-in a hmang thei a ni. Chumi awmzia chu, doctor-in a thil tawn leh a hriatnain he natna atan hian a remchang tih a hriat chuan, natna dang atana pawm damdawi chu hman a ni tihna a ni. Damlo thenkhat chuan mood stabilizer pakhat chauh hmangin an dinhmun an control thei . Mahse chu chu a tawk lo a nih chuan doctor chuan mood stabilizer dang emaw, damdawi class dang atanga damdawi emaw dah belh a tum mai thei.
Hei atan hian antidepressant hi hman a ni em? Hei hi a buaithlak deuh!
Hei hi mi tam takin an zawh thin a ni. Unipolar depression enkawlnaah antidepressant hi a tangkai hle nachungin, bipolar depression-ah chuan fimkhur takin hman a ni.
Ngaihtuah teh, bipolar disorder nei mi pakhat chu mood stabilizer tel lovin antidepressant i pe a nih chuan chu manic episode chu a tichhuak thei a ni. Chu chu lungngaihna a\angin rilru na takah an kal thei tihna a ni. Hetiang hlauhawmna avang hian doctor-te chuan bipolar disorder tan antidepressant chauh an pe ngai lo.
United States-a National Institute of Mental Health (NIMH)-in zirchianna lian tak STEP-BD an tih atanga an hmuhchhuah pakhat chu mood stabilizer-a antidepressant dah belh hian a result-ah danglamna lian tham a thlen lo tih a ni. Hei hian bipolar depression enkawlna dang zawn a pawimawhzia min hriattir a ni.
Engtin nge antipsychotic damdawi hian a puih?
Tun hnaia zirchianna hrang hrangah chuan antipsychotic damdawi thenkhat hi bipolar depression tan chuan a tangkai hle tih hmuhchhuah a ni. Chungte chu ‘Atypical Antipsychotics’ an ti a.
A awlsam zawngin sawi ila, heng damdawi te hian kan thluaka chemical messenger (neurotransmitters) te chu a nghawng a, chu chuan kan rilru leh nungchang a thunun a ni. I doctor chuan damdawi tinte thatna leh that lohna a rit ang a, mania hlauhawmna awm lovin i lungngaihna hneh theihna tur damdawi tha ber a thlang ang.
Bipolar depression atana hman thin antipsychotic damdawi thenkhat chu a hnuaia table-ah hian tarlan a ni.
| Damdawi hming (entirnan) . | Hman dan tur |
|---|---|
| Lumateperone, Quetiapine tih a ni | Bipolar depression enkawlna atana hun rei lote chhunga hman tur atan chauh hman thin. |
| Olanzapine leh Fluoxetine te a awm bawk | Heng damdawi pahnih hi inkawp atan hman a ni. |
| Lurasidone a ni | Amah chauha hman emaw, Lithium/Valproate nena hman dun emaw a ni. |
| Cariprazine a ni | Bipolar mania damdawi pawmpui ni mahse, depression tan off-label option atan pawh hman theih a ni. |
CNS depressant chungchang pawh i zir ve ang u.
He pawlah hian damdawi benzodiazepines an tih te pawh an tel a ni. Entirnan damdawi Clonazepam, Lorazepam, leh Alprazolam te hi a ni.
Hengte hi acute condition, extreme restlessness, anxiety, leh insomnia te tan chauh hman a ni. Hengte hi hun rei tak hman tur damdawi tha tak a ni lo. Addiction risk pawh an nei sang hle bawk . Chuvangin hun rei lote chhung chauh, Doctor enkawlna khauh tak hnuaiah an hmang thin.
Electroconvulsive therapy (ECT) hi hlauh tur a ni em?
Electroconvulsive Therapy (ECT) hian mi thenkhat a ti hlauhawm thei a, mahse a takah chuan bipolar depression na tak enkawlna tha tak leh him tak a ni.
A bik takin psychotic symptoms nei emaw mahni intihhlum hlauhawmna sang tak nei damlo tan a tha hle . ECT hi naupai laia bipolar depression emaw mania na tak nei, naute tichhe lovin enkawlna him leh tangkai tak a ni bawk.
Damdawi chauh hi a tawk lo em ni? Psychotherapy pawimawhzia
Hei hi a pawimawh hle. Bipolar depression enkawl hian damdawi hi a sir khat chauh a ni. A lehlamah chu psychotherapy a ni .
Hei hian i khawtlang inlaichinna tha zawka i enkawl theih nan a pui ang che a, i damdawi ei tur chu a tih angin i ei ang a, i nitin nunphung (mut, harh, ei leh in hun) te pawh a buatsaih thei ang.
A chunga kan sawi tak STEP-BD study-a kan hmuh chhuah dang chu structured psychotherapy hi damdawi nen an inzawm chuan a dam lehna rate chu 150% velin a pung a ni!
Hei atan hian psychotherapy method hlawhtling tak tak hman a ni a:
- Cognitive Behavioral Therapy (CBT): I ngaihtuahna leh nungchang hrisel lote hriatchhuah leh thlak danglam turin a pui che a ni.
- Interpersonal and Social Rhythm Therapy (IPSRT): Nitin nunphung leh khawtlang inlaichinna tihchangtlunna hmangin mood stability vawng reng turin a pui che a ni.
- Family-focused Therapy: I chhungte inrawlh tir a, an puihna nen a kal zelnaah an tel ve theihna tur enkawlna kawng a ni.
Take-Home Thuchah a ni
- Bipolar depression hi enkawl theih a ni. Beidawng miah suh. Enkawlna dik tak nen chuan nun pangngaiin i nung thei ang.
- Enkawlna bulpui ber chu mood stabilizer damdawi a ni. Hengte hi i doctor-in a rawt ang chiah, a dose dik tak leh a hun chhung dik takah hmang rawh.
- Antidepressant hi fimkhur takin hman tur a ni. Doctor enkawlna tel lo chuan hmang ngai suh.
- Psychotherapy hi damdawi ang bawkin a pawimawh a ni. Heng pahnih hi an kal dun chuan result a tha hle.
- I enkawlna chungchangah zawhna emaw, ngaihtuahna emaw, side effect emaw i neih chuan i doctor nen zalen takin sawipui rawh. Nangmah ah engmah dah suh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh