Depression hi thil harsa tak a ni a, rilru leh taksa a nghawng vek a ni. Chuvangin Doctor kan hmuh a, enkawl kan tan hian he natna atang hian kan dam thuai theih beiseina kan nei a ni. Mahse han ngaihtuah teh, damdawi chi khat i hmang a, mahse a hlawhtling lo. Tichuan Doctor chuan damdawi chi dang a tan ta a, chu chu beisei angin a thawk lo em ni? I lungngaihna, hlauhna leh tanpui theih lohna i neihte sawina tur thumal a awm lo, a dik em? Chutiang thil tawn chu i lo tawng tawh a nih chuan nangmah chauh i ni lo. Vawiin hian mi tam tak nghawng thei, mahse sawi tam loh thupui kan sawi dawn a ni. Chu chu enkawl theih loh khawpa lungngaihna a ni.
‘Treatment-Resistant Depression’ tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi depression chi khat a ni. Mahse a specialty chu a tih dan pangngai nen chuan awlsam takin a dam lo. Doctor-te zingah hian hrilhfiahna pakhat chauh awm lo mah se, ngaihdan pawm tlangpui chu, class hrang hrang pahnih atanga antidepressant chi hnih tal dose dik tak leh hun dik tak ei hnuah pawh depression symptoms a tlahniam lo a nih chuan , chu natna chu ‘Treatment-Resistant Depression’ an ti a ni.
Hetiang hian han ngaihtuah teh. I doctor chuan depression i nei tih a rel a, damdawi pakhat a ei tan tir che a ni. Entirnan, Selective Serotonin Reuptake Inhibitor (SSRI) (e.g., Fluoxetine) hmanga siam a ni. Mahse kar 6 atanga kar 8 hnuah i rilru a hahdam lo a nih chuan i doctor chuan chu damdawi chu a titawp ang a, damdawi dang, kawng dangin a thawk tan ang che. Entirnan, Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) (e.g., Venlafaxine emaw Duloxetine emaw) hman a ni. Chu damdawi pahnihna chuan hna a thawk lo a nih chuan i doctor chuan Treatment-Resistant Depression i nei tih a ringhlel mai thei.
A dik tak chuan damdawi hi filter ang mai a ni. Damdawi dose hmasa ber emaw, a vawi hnihna emaw atanga hahdamna i hmuh chuan treatment-resistant depression i nei lo tihna a ni. Mahse chu filter chuan natna chu a tidam lo a nih chuan kawng dang kan mamawh tihna a ni.
Engtin nge he dinhmun hi a awm tih chiang taka i hriat theih ang?
Hei hi zan khat thil thua thutlukna siam theih a ni lo. Zawi zawiin, dawhtheihna nasa tak nena tih ngai a ni. I doctor chuan he natna hi i nei tih a sawi hmain step engemaw zat a zawm ang.
Damdawi ei tur hun remchang pek
Depression damdawi hian hna a thawh theih nan hun a duh a ni. Mi thenkhat chuan ni tlemte chhungin danglamna tlemte an hmu thei a, mahse damdawi pakhatin a nghawng kimchang a lan theih nan kar 6 atanga kar 8 tal a ngai thei. Chuvangin damdawi pakhat ei tan a, kar khat emaw kar hnih emaw, "Hei hi a thawk lo" tih ngaihtuah hnua chawlhsan mai hi a tha lo. Dawhthei taka awm a, doctor thupek zawm a pawimawh hle.
Dose dik tak pek
Hei pawh hi thil pawimawh tak a ni. A châng chuan doctor chuan damdawi chu a tlem berah a ṭan ṭhin. Beisei ang taka nghawng a neih loh chuan damdawi chu a thlak nghal lo. A hmasa ber chu tuna damdawi hman mek hi zawi zawiin tihpun a ni. Mi thenkhat chuan damdawi chi hrang hrang an ei tawh mai thei a, mahse a tlem berah an ei vek mai thei.
Entirnan, damdawi pakhat milligram 100 i pek theih chuan hlawkna tam ber i hmu thei a nih chuan, milligram 50 i pek a, a thawk lo a nih chuan damdawi chu a hlawhchham tih i sawi thei lo. Damdawi pakhat zel maximum effective dose hi enchhin a pawimawh hle .
He zinkawng hi tlem tal sawifiah turin he table hi han en ila.
| Dawhsan | Eng nge thleng | Note pawimawh tak tak |
|---|---|---|
| A tum hmasa ber (Antidepressant Trial 1-na) a ni. | Doctor chuan antidepressant class pakhat (e.g., SSRI)-a tel damdawi a pe a. | - Damdawi hnathawh theih nan kar 6-8 chhung hun pe rawh. - A tul chuan a dose tihpun a ni ang. - I doctor nen side effects chungchang sawipui rawh. |
| A vawi hnihna atan (Antidepressant Trial 2-na) a ni. | Damdawi hmasa ber a hlawhchham chuan class dang (e.g., SNRI) atanga damdawi dang ei tan a ni. | - He damdawi hian hna a thawh theih nan kar 6-8 chhung hun pe rawh. - Hetah pawh hian a tul chuan a dose pawh siamrem a ni. - Hlauthawng lo leh dawhtheih a pawimawh. |
| Thil awmdan tehfung siam (Tehna) | Heng damdawi pahnih hi a dose dik tak leh hun rei tak ei hnuah pawh symptoms a tha lo a nih chuan ‘Treatment-Resistant Depression’ tia hriat theih a ni. | - Hei hi a tawpna a ni lo. Hei hi thu pawimawh tak a ni a, chu chu enkawl dan tur ruahmanna siamna atana hman tur a ni. - Doctor nen i duhthlan tur chungchang sawipui rawh. |
Beiseina bansan suh! Chu chu a pawimawh ber a ni.
‘Treatment-resistant depression’ tih thumal i hriat hian phurrit rit tak leh hlauhna i neih hi thil pangngai a ni. "Aw, ka dam ngai lovang," i ti mai thei. Mahse, kan ti a, khawngaihin beiseina hi bansan suh .
He dinhmun hi hriat chian chuan i zinkawng chu a tawp tawh tihna a ni lo. A awmzia chu a tlangpui aia danglam, leh i tan bik treatment plan i mamawh tihna chauh a ni.
"A pawimawh ber chu beiseina bansan loh hi a ni. Enkawlna kawng tam tak - awm tawh leh lo chhuak mek - mi pakhat nunah danglamna thlen thei tak tak a awm a ni." - Dr. John Krystal, Yale School of Medicine atanga lo kal a ni
Hetih lai hian i doctor chuan duhthlan tur dang engemaw zat a sawipui ang che, chungte chu:
- Augmentation: Tuna antidepressant hman mek ah hian damdawi chi dang dah belh.
- Enkawlna dang: Damdawi bakah damdawi dang ngaihtuah.
- Psychotherapy: Thusawi hmanga enkawlna. Psychotherapy hi damdawi nena hman dun a nih chuan a hlawk hle thei a ni.
Hei hi i dinhmun, i natna lan chhuah dan leh i damdawi lam chanchin a zirin a innghat vek ang. Chuvangin a pawimawh ber chu i doctor hnenah engkim ah inhawng leh rinawm taka sawi hi a ni . I thil tawn te, i hlauhthawn te, i side effect te hrilh la, insum suh.
Take-Home Thuchah a ni
- ‘Treatment-Resistant Depression’ hi damdawi lam dinhmun dik tak a ni. I suangtuahna leh i sualna a ni lo.
- A tlangpuiin, damdawi chi hrang hrang pahnih atanga antidepressant dose dik tak, hun remchang, kar 6-8 chhung ei hnua hmasawnna a awm loh chuan he natna hi rinhlelh theih a ni.
- Damdawi pakhat dose leh a pek hun tur hi a pawimawh hle. Dose tlem chuan result a chhuah loh chuan damdawi a hlawhchhamna a ni lo thei.
- He natna hi hriatchhuah hi a tawpna a ni lo. I duh ber enkawlna zawng tura zinkawng pawimawh tak mai a ni.
- A pawimawh ber chu beiseina bansan loh leh doctor nen inbiak reng leh zalen taka inbiak hi a ni . I tanpui theihna tur duhthlan tur tam tak a awm.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh