I hriat thenkhat chuan thla engemaw zat damdawi an ei hnuah an lungngaihna chu an hneh tawh mai thei a, counseling pawh an kal tawh mai thei. An nun pangngaiah an kir leh ta a ni. Mahse chutiang chu i chungah a thleng lo a ni lawm ni? Engtiang pawhin bei mah la, eng ang enkawlna pawh tum mah la, chu hmun thim takah chuan i la tang tlat ang maiin i la inhria em? Hei hi thil harsa leh lungchhiatthlak tak a ni thei. Mahse a pawimawh ber chu nangmah chauh i ni lo tih hriat hi a ni . Hetiang depression chi khat, enkawlna dawng tha lo hi ‘treatment-resistant depression’ an ti a. Ngaihtuah buai suh, vawiinah hian a thlentu leh i tih theih dan tur kan sawi dawn a ni.
Engvangin nge he lungngaihna hi enkawl theih loh?
Hei hi chhan pakhat mah a awm lo. Dik tak chuan chhan hrang hrang tam tak inzawmkhawm a nih a rinawm zawk. A awlsam zawngin, he dinhmun hian mi tinte a nghawng dan hi a inang lo hle. Chûng chhan ṭhenkhat chu kan thunun theih loh a ni. Entirnan, kan pianpui genes ang chi thil te. Amaherawhchu, kan thunun theih leh tihdanglam theih thil a awm bawk.
A pawimawh ber chu beiseina bansan ngai loh hi a ni. I doctor nen thawkdunin i tan enkawlna inzawm dik tak zawng rawh. I rilru hahdamna tur solution i hmu ngei ang.
Damdawi ei chungchanga harsatna awm fo
A tam zawkah chuan depression a dam loh chhan ber chu damdawi, antidepressant hman danah harsatna engemaw zat a awm vang a ni. Eng nge an nih i en ang u. Hei hi i hriatthiam chuan heng thil tihsualte hi nang pawhin i ti ve em tih i hrethiam ang.
| Harsatna | A awlsam zawngin... |
|---|---|
| Hun rei vak lo hnua damdawi ei khap | Antidepressant hian i taksaah hna a thawk tak tak theih nan kar 6 atanga kar 8 vel, a nih loh leh thla khat leh a chanve atanga thla hnih vel a ngai thei a ni. Mi tam tak, a châng chuan doctor-te pawhin chu hun hma chuan damdawi chu a thawk thei lo nia ngaihin an bânsan ṭhin. Thlai pakhat chu a lo hring chhuah theih nan hun pek loh ang mai a ni. |
| Scheded dose chu skip a ni | Damdawi pakhat chu doctor-in a sawi ang chiah, a hun takah leh a zat dik taka ei a nih loh chuan a thawk dawn nge dawn lo tih chiang takin kan hre thei ngai lo. Ni khat pawh kut atanga a chhuah chuan a nghawng thei a ni. |
| Side effects hlauhna | Damdawi thenkhat hian i ei tan tirh atanga side effects a thlen thei a, chu chu luak chhuak leh luak chhuak ang chi a ni. Mi tam tak chuan hei hi an hlau a, anmahni chauhin an damdawi an ei tawh lo. Hei hi thil tha a ni lo. Hetiang hi i tawng a nih chuan a tha ber chu i doctor nena inbiakna neih hi a ni. A side effect tihziaawmna tur solution a pe thei che a, damdawi dang hmangin a thlak thei bawk che a ni. Side effect tam zawk chu hun kal zelah a bo vek dawn tih hre reng ang che. |
| Ruihhlo nena inzawmna (Drug Interactions) te | Damdawi dang i ei thin thenkhat (e.g., zunthlum, thisen sang) te hian antidepressant te nen an inzawm thei a ni. Hei hian damdawi pahnih zinga pakhat zawk chu a thawk tha lo thei a ni. A châng chuan, heng inpawhnate hi a hlauhawm thei hle. Chuvangin, i damdawi ei zawng zawng chu i doctor hnenah hrilh rawh. |
| Damdawi dik lo emaw, dose dik lo emaw | Antidepressant hian mi zawng zawng tan hna a thawk dan a inang lo. Mi pakhat tana damdawi tha tak chuan mi dang tan a thawk lo thei lo. Chuvangin, i tana damdawi leh dose dik tak zawn nan hun engemaw chen a ngai a ni. Trial and error process ang mai a ni. Dawhtheihna hi a pawimawh ber a ni. Mi tam tak chuan he zinkawng hi an bânsan ta a ni. |
I genes (DNA) hian nghawng a nei em?
Hei hi thupui buaithlak tak a ni. Tunah hian mi thenkhat genetic makeup hian depression enkawl a ti harsa zawk em tih zirchiangtute chuan an zirchiang mek a ni. Chu chu, gene thenkhat nei mite chuan enkawlna an dawng tlem zawk mai thei tihna a ni.
Mahse, hei hi research stage-ah a la awm a ni. Tunlai technology hmang hian eng antidepressant nge mi tan a tha ber tih chiang takin genetic test hmangin sawi theih a ni lo. Chuvangin tuna damdawi tha ber chu Doctor nen inbia a, experiment hi a ni.
Hriselna lama harsatna leh tih dan dangte nghawng dan
A châng chuan i lungngaihna hnuaiah hian hrisêlna lama harsatna bulpui dang a awm thei bawk. Chu harsatna chu uluk taka enkawl a nih loh chuan engtiang pawhin bei mah la, lungngaihna chu enkawl a harsa ang.
- Damdawi lam thil dang: Damdawi lam natna, thinlung natna, cancer, emaw thyroid lama harsatna te hian direct-in depression a thlen thei a, a tizual thei bawk. Ei leh in lama harsatna, anorexia ang chi te pawhin a thlen thei bawk. Chuvangin, heng damdawi lam harsatna dangte bakah hian lungngaihna hi enkawl a pawimawh hle.
- Ruihhlo leh zu hmansual: Depression leh ruihhlo/zu in hi a kal dun niin a lang. Mi thenkhat chuan lungngaihna natna tuar chhuak turin zu emaw ruihhlo emaw lam an hawi thin. Mahse heng tih dante hian a takah chuan depression a tizual hle. Tin, zu leh ruihhlo hian antidepressant hman tangkai dan a tibuai bawk. Hetiang harsatna i neih chuan i doctor nen inbiakna neih a pawimawh a, chu chu tanpuina i lak a pawimawh hle.
Diagnosis hi a dik lo thei ang em?
Hei hi sawi harsa deuh a ni a, mahse thil pawimawh tak a ni. A tlem hle a, a chang chuan thil thleng hi misdiagnosis a ni. Chu chu treatment-resistant depression i nei lo mai thei tihna a ni a, rilru lam hriselna lama harsatna dang i nei zawk mai thei tihna a ni.
Entîr nân, bipolar disorder nei mi pakhat chuan lungngaihna episode a nei hmasa thei a ni. Hei hi depression anga hriat sual theih a ni. Chutiang bawkin lungkhamna emaw, substance-induced mood disorder emaw pawh hi depression angin a lang thei bawk.
Hei vang hian specialist, a bik takin psychiatrist nena thawh dun a pawimawh hle. Ringhlelna i neih chuan i doctor hnenah he thu hi midang nen an sawiho tawh em tih i zawt thei ang. A nih loh leh, i medical records lak a, specialist dang pan a, second opinion neih chu thil dik lo a ni lo. Chu chu i dikna a ni.
Take-Home Thuchah a ni
- Antidepressant damdawi hian hna a thawh theih nan hun a duh a ni. Dawhthei takin awm rawh. Thla khat leh a chanve emaw thla hnih emaw tal beiseina bansan suh.
- Damdawi ei kha titawp ngai suh la, doctor nen inbia lovin a dose pawh thlak ngai suh.
- Thil dang i lakDamdawi, vitamin leh damdawi dang i neih zawng zawngte chu i doctor hnenah hrilh rawh.
- Zu emaw ruihhlo emaw i hman chuan i doctor nen rinawm takin sawipui rawh. Ṭanpuina dawn hi dam lehna kawngah a tel ve a ni.
- I tana enkawlna dik tak zawn chu fiahna leh tihsual zinkawng a ni. Beiseina bansan suh la, i doctor nen thawkho zel rawh.
- A châng chuan ngaihdan pahnihna neih hi a ṭangkai hle thei a ni. Ngaihtuah hlau suh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh