A chang chuan lungngaihna leh lungngaihna hi thil pangngai tak a ni. Nun kal zelah heng rilru put hmang hi tawn hi thil awmdan pangngai a ni. Mahse, he lungngaihna, he i thinlunga rit tak, he engmah tih duh lohna hian i nun pum pui chu kar tam tak emaw, thla tam tak emaw chhung chu a luah khat ta niin a lang em? Tûn hmaa i hlim ṭhin thilte chu tih duhna i nei tawh lo em ni? Nitin bo leh mahni chauha awmin i tan em? Awle, hei hi nangmah i ni thei. He dinhmun hi tlang takin sawi ila, chu chu depression a ni.
Depression hi eng nge ni tak tak?
Hriatthiam hmasak tur chu depression hi rilru natna emaw, thil siam chhuah emaw a ni lo tih hi a ni. Damdawi lam dinhmun dik tak, enkawl ngai a ni a, zunthlum emaw thisen sang emaw ang bawkin. Kan thluaka rilru put hmang, ngaihtuahna leh nungchang thununtu chemical (neurotransmitters) inthlak danglamna nen a inzawm a ni.
Mi tam tak chuan he thu hi sawi an zak a, "miten eng nge an ngaihtuah ang" tih an hlau hle. Ṭhenkhat chuan anmahni chauhin an tuar a, "chak an mamawh" an ti. Mi dangte chuan an thinlunga hrehawmna pumpelh tumin zu leh ruihhlo lam an pan ṭhin. Mahse, heng zinga pakhat mah hi solution dik tak a ni lo. A pawimawh ber chu natna dik tak hriatchhuah a, enkawlna dik zawn hi a ni.
Engtin nge hei hi depression a ni tih chiang taka i hriat theih ang?
Depression symptoms i nei mai thei nia i ngaih chuan medical professional thiam tak pan rawh. Thil tam takah chuan i primary care doctor chuan he natna hi a hmuchhuak thei a, a enkawl tan thei bawk.
I doctor chuan i natna lan chhuah dan leh i chhungte zingah heng natna hi an nei tawh em tih te a zawt ang che. Zawhna lehkha fill up turin an ti thei bawk. Tin, i natna lan chhuahna thlentu taksa lam thil dang a awm leh awm loh enfiah turin test thenkhat an ti thei bawk. Entir nan:
- Thyroid a thawk tha lo
- Vitamin leh nutrient tlakchhamna thenkhat
- Damdawi dang emaw damdawi/zu emaw avanga thil thleng (reactions).
Pawimawh: I natna lan chhuah dan a na hle a nih chuan, emaw, i nun tihtawp emaw, nangmah emaw, midang emaw tihchhiat tumna i neih chuan, hreh lova rilru lam doctor pan nghal rawh.
Depression enkawlna tha tak takte chu engte nge ni?
Thu lawmawm tak chu depression hi enkawl theih tak a ni. Enkawlna kawng hrang hrang a awm. Treatment pakhat emaw a aia tam emaw hman dun a nih chuan result tha ber a awm tlangpui. Enkawl dan tlangpui pahnih chu:
1. Damdawi
2. Psychotherapy emaw thusawi hmanga enkawlna emaw
Heng pahnih hi a hranin han thlir ila.
Damdawi ei tur
Depression enkawlna atana hman damdawi te hian thluaka mood control tu chemicals balance siam thatna hmangin hna a thawk ber a ni. Heng damdawi hi chi hrang hrang a awm a. I doctor chuan i tana tha ber tur damdawi leh a zat tur a ruat ang.
| Ruihhlo chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| SSRI leh SNRI te hi a ni | Hengte hi damdawi hman tam ber, side effect tlemte nei te an ni. Anni hian thluaka chemical messengers serotonin leh norepinephrine tih te hnathawh an tidanglam thin. Entirnan: Fluoxetine, Sertraline, Venlafaxine te hi a ni. |
| Tricyclic antidepressant (TCA) te hi a tha hle. | Hengte hi ruihhlo class hlui deuh deuh an ni. SSRI aiin side effect an nei tam zawk. Mahse mi thenkhat tan chuan an hlawk zawk thei. Entirnan: Amitriptyline tih hi a ni. |
| MAOI te an ni | Hengte hi damdawi tha tak tak an ni bawk. Mahse, an ei dawnin ei tur thenkhat (e.g. fermented cheese) leh damdawi dang ei loh a ngaih avangin an hmang nasa tawh lo. |
| Damdawi dang | A châng chuan antidepressant bakah hian damdawi dang, atypical antipsychotics te pawh a tel thei bawk. Enkawlna thar zawk pawh a awm a, chu chu Ketamine te hi a ni. |
Damdawi chungchangah hian hengte hi hre reng ang che:
* Damdawi hman dan kimchang hriat theih nan kar engemaw zat (4-8 vel pawh a ni thei) a ngai thei. Chuvangin kar hmasa lamah danglamna a awm loh vang mai maiin damdawi ei kha bansan suh.
* I tana damdawi dik tak zawn nan hun engemaw chen a la ngai mai thei. Damdawi pakhat a thawk tha lo a nih chuan doctor nen inbiain damdawi dang a thlak dan tur i sawi thei ang.
* Doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh. Chutianga tih chuan natna lan chhuahna nuam lo tak takte chu a lo lang leh thei a ni.
* Hei hi nu leh pa leh doctor-te tan hriat a pawimawh hle a, ngaihtuahna tha lo a pung thei a, a bik takin naupang leh tleirawlte zingah damdawi ei tan tirh kar hmasa berah hian.
Psychotherapy hmanga enkawlna
Hei hi psychotherapy ang a ni. Chutah chuan trained counselor emaw therapist emaw nena inbiakna te, i ngaihtuahna te, i rilru put hmang te, leh i nungchang te hriatthiam a, chu chu enkawl dan zir te a tel a ni.
- Cognitive Behavioral Therapy (CBT): Ngaihtuahna tha lo, rilru dik lo hriatchhuah tir a, chu chu ngaihtuahna tak tak leh tha zawk hmanga thlak turin a pui che a ni.
- Interpersonal Therapy: Chhungte leh ṭhiante nena in inzawmnain i rilru put hmang a nghawng dan a hrethiam a, chutiang harsatnate chinfelna kawngah a pui bawk.
I rilru hahdamna tur zawn a pawimawh a, chutichuan i rilrua thil awmte chu hlauhna leh inhnialna awm lovin i sawi thei ang. He enkawlna hi kar tlemte atanga thla engemaw zat thleng a ni thei.
Nunphung inthlak danglamna hian hahdamna nasa tak a thlen a ni!
Damdawi leh rilru lam enkawlna bakah hian nitin nunphungah thil awlsam tak tak i tih belh theihte hian lungngaihna lan chhuahna a\angin nasa takin a ti hahdam thei a ni.
- Exercise: Nitin minute 30 tal exercise neih, kea kal, tlan, tui chawi te hian thluaka thisen kal a tipung a, mood a ti tha bawk. Zirna thenkhatah chuan exercise neih reng hi damdawi thenkhat ang bawkin a hlawk thei a ni.
- Mut: Rilru hriselna atan chuan mut that a pawimawh. Nitin hun khata mut leh harh hi tih dan phung la. Mut hmaa i phone hman emaw, TV en emaw pumpelh la, hahdamna tur thil, lehkhabu chhiar ang chi ti rawh.
- Diet: Ei leh in inthlau tak ei rawh. Sweets leh fast foods te hi a theih ang anga tihtlem tur a ni. I ei leh in ah thei, thlai leh greens tam zawk telh bawk ang che.
- Social connections: Mahni inthiarfihlim suh la, i rilru a thil awm chu i thian emaw chhungte emaw rintlak tak hnenah sawipui rawh.
- Hobbies: Hmanlai thil nuam i tih thin chu la rawh. Draw, music ngaihthlak, huan siam. Thil tenawm tak pawh hian hlimna a thlen thei che a ni.
- Nature leh ni êng: Nitin ni êng tlem tal hmuh hian vitamin D a pe mai bakah mood a ti ṭha bawk.
Enkawlna dang
Depression na tak enkawlna bik dang pawh a awm a, chu chuan damdawi leh rilru lam enkawlna (psychotherapy) a dawng tha lo.
- ECT (Electroconvulsive Therapy) hmanga enkawlna: 1.1.Hei hi anesthesia hmanga enkawlna him leh tangkai tak a ni. Depression na tak nei leh mahni intihhlum tumna nei te tan hahdamna rang tak pe turin hman a ni.
- rTMS (Repetitive Transcranial Magnetic Stimulation): Hei hian thluak hmun bikte chu magnetic wave hmanga tihchak a ni.
- VNS leh DBS: Hengte hi surgical treatment, research stage-a la awmte an ni.
Take-Home Thuchah a ni
- Depression hi i sualna leh chak lohna a ni lo. Natna tak tak, enkawl ngai a ni.
- Nangmah chauhin i tuar a ngai lo. Ṭanpuina dil rawh. A hmasa ber atan doctor rintlak tak hmu rawh .
- Enkawlna tha tak tak a awm. Damdawi, rilru lam enkawlna leh nunphung thlak danglam hian i dam leh thei a ni.
- Damdawi lam thurawn tel lo chuan antidepressant ei hi bansan ngai suh.
- Mi hmangaih che leh ngaihsak che an awm. Anmahni nen inbia ang che. He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che.











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