Depression damdawi ei hian harsatna a nei em? ‘Treatment-Resistant Depression’ chungchang hi han sawi ila.

Thla tam tak chhung, kum tam tak chhung pawh depression damdawi i ei tawh mai thei. Doctor engemaw zat i hmu tawh mai thei. Mahse, thlamuanna leh inthlak danglamna i la nei lo em ni? Chu hriatna thim, rit tak chu a la awm em? Heng enkawlnate hian a pui dawn lo niin i hria em? Tichuan nangmah chauh i ni lo. Hei hi mi tam tak chunga thil thleng a ni. Hetiang enkawlna hian hna a thawh loh chuan damdawi lamah chuan ‘Treatment-Resistant Depression’ (TRD) kan ti thin.

A awlsam zawngin, he ‘treatment-resistant depression’ hi eng nge ni?

Hei hi a hming i hriat chuan thil lian tak angin a ri mai thei. Mahse a awlsam zawngin sawi ila, depression enkawlna dik tak i ei tihna a ni a, chu chu class hrang hrang atanga antidepressant pahnih tal, dose dik takah, hun rei tak chhung i ei tihna a ni a, mahse i symptoms erawh a tha lo hle.

Hei hi han ngaihtuah teh: Depression nei hmun thuma ṭhena hmun hnih vêl chuan an damdawi hman hmasak ber chu a thawk ṭha lo niin an hria. Tin, hmun thuma ṭhena hmun khat vel chu damdawi engemaw zat enchhin hnuah pawh a dam lo mai thei bawk.

Hetiang dinhmun hi ka nei nia ka rinhlelh chuan engtin nge ni ang?

Hemi chungchangah pawh rinhlelhna i neih chuan heng zawhnate hi inzawt rawh.

Chung zinga pakhat tal chu "yes" tih i chhan chuan i doctor hnenah i sawipui ngei tur a ni. TRD i nei tihna a ni hauh lo, mahse i enkawl dan tur chu tihdanglam a ngai tih chhinchhiahna tha tak a ni.

Engtin chiah nge tanpuina i hmuh?

A tam zawkah chuan i primary care doctor hian depression a enkawl thei a ni. Mahse, i dinhmun hian hetiang enkawlna chi hi a do thei nia i hriat chuan rilru lam doctor pan a tha ber a, ani hian heng natna khirh tak takte enkawlna kawngah hian hriatna bik a nei a ni.

Specialist i hmuh hunah uluk takin heng thilte hi a enfiah ang:

1. I diagnosis dik tak chu enfiah rawh: A châng chuan depression nia i ngaih chu thil dang a ni thei tak zet a ni. Entîr nân, bipolar disorder nei mi pakhat chuan antidepressant hman ṭhin chu a chhâng ṭha lo thei a ni. Tin, depression symptoms hi taksa dinhmun hypothyroidism ang chi avanga lo awm thei a ni bawk. Chuvangin diagnosis dik lo a nih chuan enkawlna a thawk thei dawn lo.

2. I damdawi i ei dik leh dik loh enfiah rawh: Mi thenkhat chuan an damdawi hi a hun takah an ei lo va, a dose an skip lo va, a side effect vangin an ei tawh lo bawk. Antidepressant hian hna a thawh theih nan kar 4 atanga kar 12 vel a ngai thei tih hre reng ang che. Chuvangin ei hi bansan vat a tha lo.

3. A chhan dang endik: Zu, ruihhlo hman, natna dang atana damdawi ei, etc. te hian lungngaihna a tizual thei a, enkawlna dawng lo turin a siam thei bawk.

Eng enkawlna kawng nge awm?

Beiseina bansan suh! TRD enkawl dan tur tam tak a awm a. I doctor chuan i tana tha tur thlang turin a pui ang che.

Damdawi hman dan tur

Kan thluak ah hian chemical messengers a awm a, chu chuan mood a control a, chu chu neurotransmitters kan ti a ni. Antidepressant hian hengte hnathawh dan inthlauhna hmangin hna a thawk a ni. Damdawi pakhatin hna a thawh loh chuan damdawi dang, kawng danga thawk thei chu i enchhin thei bawk.

• Damdawi thlak danglam: SSRI (Selective Serotonin Reuptake Inhibitor) pakhatin i tan hna a thawh loh chuan, a class khata damdawi dang pawhin a thawk thei ang. A nih loh leh class danglam tak, SNRIs, Tricyclics, MAO inhibitor te ang chi ah i inthlak thei bawk.
• Damdawi dang (Augmentation/Adjunct) dah belh leh:A châng chuan, i damdawi hman mek aṭanga hahdamna engemaw chen i neih chuan, i doctor chuan a ṭanpui theih nân class dang aṭanga damdawi dah belh a tum mai thei a, chu chu tihtawp ai chuan. Entirnan, damdawi Aripiprazole leh Quetiapine te hi hetiang hian hman a ni.
• Tunlai enkawlna: Tun hnaia nasal spray Esketamine (Spravato) leh injectable Ketamine te pawh TRD atan hlawhtling takin an hmang mek bawk. Antidepressant pangngai aiin thluak hi a danglamin an nghawng a, chu chuan hahdamna rang zawk a pe thei a ni.

Damdawi ni lo Enkawlna

TRD tanpui theih dan dang tam tak a awm a, damdawi chauh ni lovin.

Damdawi inah dah a ni

A châng chuan, i lungngaihna chu a nasat lutuk a, nangmah leh nangmah i tichhe thei a nih chuan, i doctor chuan hun rei lote chhûng damdawi inah dah che a rel thei a ni. Hei hian hmun him takah i awm thei a, nitin nunah lungkhamna atanga hla takah i awm thei a, i doctor-te pawhin i tana tha ber tur enkawlna ruahmanna an siam thei bawk.

Hetiang dinhmun nena nun lai hian thil i tih theihte

I tana enkawlna dik tak zawn nan hun engemaw chen a la ngai mai thei. Chutih lai chuan heng thilte hian i dinhmun enkawl turin a pui thei che a ni.

• I enkawl dan tur ruahmanna dik takin zawm rawh. I damdawi ei kha titawp suh la, doctor-in a tih hma loh chuan a dose pawh thlak suh.
• Zu leh ruihhlo hi pumpelh vek tur a ni. Chungte chuan antidepressant hman tangkai dan a tibuai a, depression a tizual thei bawk.
• Zan mut nuam tak nei rawh. Ni khatah darkar 7-8 chhung mut tihtawp tum ang che.
• Stress hi enkawl rawh. Nitin thlamuanna thlen thei thil ti la, chu chu ngaihtuahna seng te, yoga te, a nih loh leh music ngaihthlak te hi a ni.
• Insawizawi. Nitin minute 30 tal kea kal emaw tlan emaw hian i mood a tichak thei a ni.