I inhriat loh pawhin nangmah leh nangmah i inhliam em? (Nonsuicidal Self-Injury Disorder) - Hemi chungchang hi han sawi ila!

A châng chuan nun buaina a lo chhuah a, i rilruah phurrit rit tak nia i hriat hian tuar a harsa hle thei a ni. Chutiang chu i chungah a thleng tawh em? Hetiang hun lai hian mi thenkhat chu an rilru natna tihziaawmna turin kawng tenau tak takah mahni inhliam tir an tum thin. Hei hi mi tam tak zingah eng emaw chen chu hmuh theih ni mah se, a tam zawkah chuan tlang takin tumahin an sawi ngai lo. Chuvang chuan, vawiinah hian he thu hi tlem kan sawi dawn a ni.

Mahni intihhlum chu eng nge ni? Engvangin nge kan tih?

A awlsam zawngin, mahni intihhlum chu tumruh taka i taksa tihchhiat hi eng emaw kawng emawa i tihchhiat hi a ni. Hei hi damdawi lam chuan ``Nonsuicidal Self-Injury Disorder'' an ti a. Hetah hian thil pawimawh tak chu hetianga mahni intihhlumtute hian an nun tawp mai an tum lo tih hi a ni. Chhan dang vangin an ti thin.

Ngaihtuah teh, engvangin nge mi pakhatin mahni inhliam a duh ang? A chhan lian tak tak engemaw zat a awm a:

• Coping mechanism angin: Mi ṭhenkhat tân chuan mahni intihhlumna hian rei lo tê chhûnga rilru hahna avânga tihziaawmna emaw, tihziaawmna emaw a pe thei a ni. Mi dangte tân chuan hrehawmna an tuar theih êm êm tih finfiahna a ni thei bawk. Mi thenkhat chuan lungngaihna te, thinrimna te, leh lungngaihna te tihziaawm nan an ti thin.
• Hriatthiamna chu chhungril lam hawia hawitir: Mi dangte chuan anmahni hrem emaw, anmahni chunga an thinrimna chhuah chhuah emaw nân hetiang hian an inhliam a. An rilruah phurrit thlah theihna tur kawng dang nei lo ang maiin.
• Ṭanpuina dil tûra chhinchhiahna angin: A châng chuan, mite chuan an harsatna leh lungkhamnate mi dangte hriattîr nân emaw, indirect-a, "Ṭanpuina ka mamawh" tih nân emaw hetiang hian an ti thei a ni.

Engtin nge hetiang hian i inhliam theih ang?

Mahni inhriat lohna tur kawng tam tak a awm. Ṭhenkhat chu a dang aiin a tam zawk. Mahse, hmanraw tin hian risk engemaw zat a keng tel tih kan hriatthiam a ngai a ni . A hman dan tlangpui thenkhat chu hetiang hi a ni:

• Thil hriam tak hmanga tan: Mi thenkhat chuan an vun an tan leh an hrual nan thil hriam tak tak, razor blade emaw glass shards emaw an hmang thin.
• Kang: Thir zung lum, cigarette zung, matchstick, etc. hmanga vun hal hi a chang chuan in chhunga chemical , in tihfai nan pawh hman theih a ni.
• Hitting/smashing: I taksa peng thenkhat chu thil khauh takah i vuak a, chu chu i kut chu bang-a i vuak ang chi hi a ni. Hei hian chhungril lama hliam (impact injuries) a thlen thei .
• Scratching/scraping tih hi a awm lo.Kawng khat chu i nail hmangin vun chu a chhiat thlengin i hrual thin.

Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge i hriat chian?

Mahni tichhe thei i nih chuan mi dangte lakah thup i tum mai thei. Hliam khuh nan ni lum lai pawhin kawr kawr sei leh kawr sei i ha thei. A nih loh leh, hliamte chu accident avânga lo awm dân chanchin i sawi thei bawk. Mahse, mi dangte chuan a lan chhuah dan ṭhenkhat chu an hmu mai thei:

• Hmun khata pianzia emaw, cluster bik emaw nei hliam emaw, hmunhma emaw.
• Kang hliam tam tak, a lian leh a pianzia inang.
• Hliam, hliam, emaw, hliam thar, hliam emaw, hliam dang emaw, "accident" tia sawi fo thin avanga lo awm.
• Impulse control chungchanga buaina awmte . Entirnan, i vunah hmun khata picking tihtawp theih loh.

Hetiang hian taksa peng eng nge a chhiat tlangpui?

Mahni intihhlumtute taksa hmun hrang hranga hliam an tuar tam berte chu:

• Kut (a bik takin kut hmawr ) .
• A kutphah a ni
• An kawr hmalam
• Pum chhunga awm

Heng hmun bakah hian taksa peng dangah pawh chhiatna a thleng thei a, mahse a tlem deuh hlek a ni.

Engvângin nge mite hian mahni intihchhiat an tum? A chhan engte nge ni?

Miin mahni intihhlum chhan dik tak sawi a har khawp mai. Mahse, rilru lam hriselna lama harsatna thenkhat chu a inzawm tih hmuhchhuah a ni. Chung zinga ṭhenkhat chu:

• Hlauhthawnna
• Autism vang a ni
• Bipolar disorder – Hetiang dinhmunah hian hlimna leh lungngaihna hriatna hi a inthlak danglam zel a.
• Borderline personality disorder – rilru natna (emotional control) a nghet lo tihna a ni.
• Depression – Lungngaihna nasa tak leh eng thil pawh ngaihven lohna ang chi symptoms.
• Disruptive, impulse-control leh conduct disorder – entirnan, `(Conduct disorder)` leh `(Intermittent explosive disorder)` (thinrimna rapthlak tak thunun theih lohna).
• Dissociative disorders – mi pakhat chu tu nge a nih leh khawiah nge a awm tih chungchangah thil tak tak atanga inthiarfihlimna dinhmun. A bik takin `(Dissociative identity disorder)` leh `(Dissociative amnesia)` te hi a ni.
• Ei leh in lama harsatna nei– A bik takin `(Anorexia nervosa)` (ei lo).
• Obsessive-compulsive disorder ( OCD ) – thil pakhat tih nawn leh emaw, ngaihtuah nawn leh emaw tura nawrna.
• Post-traumatic stress disorder (PTSD) – thil rapthlak tak thleng hnua rilru lama harsatna lo awm.
• Mut lama harsatna nei
• Substance hman dan leh harsatna – zu ruih, zu hman dan, leh cannabis hman dan te.

Hetiang dinhmun hi tute nge hlauhawm ber?

Mahni intihhlum duhna nei lo mahni intihhlumna thlentu risk factor engemaw zat a awm a:

• Abuse or trauma: Naupan laia tihduhdahna emaw thil dang na tak, lungchhiatthlak tak tak tawk tawhte chuan mahni intihhlum an duh zawk.
• Kum: Heng nungchangte hi kum 12 leh 14 inkar atanga tan a ni fo a, mahse, a hmain a intan thei. Mahni intihhlum a tan chuan mi thenkhat chuan kum tam tak chhung chutiang chu an ti chhunzawm zel a. Hei hi puitling thalai zingah a awm fo thin a , a bik takin college kal lai te zingah chuan a awm fo thin .
• Sexual orientation: Research atanga a lan dan chuan gay emaw bisexual (sexual minorities) te hian mahni intihhlumna rate an nei sang zawk. Mithiamte chuan he hlauhawmna hi a sang zawk niin an ngai a, a chhan chu nunah thil tha lo tak tak, khawtlang nawrna leh sawichhiatna te an hmachhawn vang a ni.
• Khawtlang inthiarfihlim: Mi inhlat leh mahni chauha inhriate, a bik takin sikul kal thei naupang, chhan dang avanga tihduhdah emaw, khawtlang nunah inhlat emaw te chu mahni intihhlum theihna a sang zawk.

Engtin nge doctor-te hian hei hi an hriat chian?

Nonsuicidal self-injury disorder hi a chang chuan hriat harsa tak a ni thei a, a chhan chu mahni intihhlumtute hian an hliamte chu an thup fo a, an sawi duh lo fo thin.

Doctor-te chuan test bik an hmang ngai lo. Chu ai chuan i hliamte chu an enfiah a, a hmaa i hliamte aṭanga hliam leh pattern awmte chu an zawng ṭhin. I medical history leh social background chungchang zawhna an zawt thin. Tunlai i nunah thil thleng leh i stress chhan te pawh an sawipui bawk che a ni . Entîr nân, sum leh pai lama harsatna te, chhûngkuaa thihna te, sikul emaw hnathawhna hmuna harsatna te, mi tihduhdahna te, a nih loh leh inṭhenna te.

Hei hi eng enkawlna nge ni?

Mahni intihchhiat avanga doctor i hmuh chuan a tul chuan i hliamte chu an enkawl hmasa ang. Hun rei tak chhung atan chuan, i nunah rilru hriselna dinhmun leh stressor awm thei, hei hi a thlen theitu i enkawl theih nan therapy leh/ emaw damdawi an rawt thei che a ni.

Ṭanpuina dîl hi chak lohna chhinchhiahna ni lovin, chakna chhinchhiahna a ni tih hre reng ang che.

Enkawl loh chuan eng hlauhawmna nge awm?

Mahni intihhlumna tur hian enkawlna zawn a pawimawh hle a, hun rei lote chhung leh hun rei tak chhunga hlauhawmna engemaw zat a neih theih avangin.

Hun rei lote chhunga risk awm thei

A châng chuan, mahni intihhlumna hian i beisei loh harsatna a thlen thei a ni:

• Damdawi lama harsatna: Heng thiltih hian natna hrik , nerve chhiatna , leh hliam awm reng leh/ emaw, hliam na tak a thlen thei a ni. A \henah chuan hei hian hliam na tak a thlen thei a, thihna pawh a thlen thei bawk.
• Khawtlâng buaina: Tumruh emaw, tum loh emaw pawh ni se, mahni intihhlumna chuan chhûngte, ṭhiante, a nih loh leh i hmangaih dangte nêna inlaichînna a nghawng thei a ni. Hnathawh leh sikul ang chi khawtlang nunah i rilru put hmang pawh a nghawng thei bawk.

Hun rei tak chhunga risk awm thei

Mahni intihhlum hian hun rei tak chhungin harsatna dang a thlen thei a ni:

• Rilru hrisel lohna : Hei hian mualphona, sualna leh inchhirna a thlen thei a ni. Hliam emaw, hliam emaw chu mi dangin an hmu ang tih hlauvin, khuh emaw, thup emaw chu nasa takin i bei thei a ni.
• Hliam na zawk: Vawi tam tak chu mahni intihhlumna thiltih chu a zual zel . I inhliam fo tan thei a, i hliamte chu a na zual thei bawk.
• Mahni intihhlum theihna: ``Nonsuicidal self-injury disorder'' tih dinhmunah chuan mahni intihhlum tumna a awm lo. Mahse, mahni intihhlum tum emaw, mahni intihhlum avanga thihna emaw hlauhawmna hi mahni intihhlum tumte zingah a sang zawk tih a chiang hle. Hei hi ngaihtuahawm tak a ni.

Hei hi ven theih a ni em?

Mi pakhatin a tir lamah chuan mahni inhriatthiam lohna a thlen loh nan khap theih a ni lo mai thei. Mahse, rilru lam enkawltu hnen atanga tanpuina dil hian mi pakhatin mahni intihhlum chhunzawm zel theihna a ti tlem thei a ni. Chuvangin, nangmah emaw, i hriat mi emaw hian he thil hi i buaipui a nih chuan a rang thei ang bera tanpuina lak a tha ber.

Mahni intihhlum a nih chuan engtikah nge doctor i hmuh ang?

Nangmah (a nih loh leh i hmangaih tu emaw) hian anmahni an tichhe tih i hriat chuan, .Doctor rawn la rawh. I hliamte chu damdawi lam pan a ngai mai thei. Nangmah chauh i ni lo tih i hriat theih nan a pui bawk ang che. I doctor chu i thusawi ngaithla tur leh thlawp turin a awm reng a ni. I tan enkawlna tha ber an rawn rawt ang che.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Nangmah emaw midang emaw i tihnat dawn nia i hriat chuan Emergency Room (ER)-ah kal nghal la, a nih loh leh Suwaseriya Ambulance Service 1990-ah biak la, Sri Lanka-a rilru lam hriselna lama tanpuina dil turin National Mental Health Helpline 1926-ah pawh i call thei bawk.

Tin, i hliam a nasat chuan, a bik takin heng symptoms te hi i neih chuan emergency treatment zawng nghal rawh:

• Thâwk harsa.
• Thisen chhuak chu a tawp dawn lo.
• Taksa lama harsatna nei.
• I kut emaw i ke emaw a chetna hloh.

Engtin nge natna hian heng mite hi a nghawng?

Mahni intihhlum hi mi ṭhenkhat tâna an hmachhawn chhan pakhat chu kan taksain natna a chhân lêt dân hi a ni.

I taksaah thil hlauhawm tak a thlen chuan, i hliamna hmuna nerve tawp berte chuan i thluak lamah emergency signal a thawn ṭhin. Chûng signal-te chhân lêtna atâna i thluak thil tih pakhat chu beta-endorphins an tih chemicals a chhuah hi a ni. Heng chemicals te hian hun engemaw chen chu “tha” takin a awm tir a, natna tihziaawm ang maiin. Mahse, he effect hi a rei lo hle. Chuvângin, mahni intihhlumtute chu an rilru hahdam an duh hunah hetiang thil hi tih nawn fo tûra thlêmna an nei thei a ni.

Mi tam tak tan chuan mahni intihhlum tumna hi hriatthiam a har thei hle. Mahse, mahni intihchhiattute tan chuan tih chu an rilru hahdam theihna tur emaw, an nunah thununna engemaw chen an neih theihna tur kawng awmchhun niin a lang thei a ni. Mite hian mahni intihhlum tum lo mah se, mahni intihhlumnaah hian hlauhawmna a awm reng a ni. Hun rei tak chhunga rilru hahdamna tur kawng a ni lo va, taksa leh rilru hriselna leh hriselnaah nghawng tha lo tak a nei thei bawk.

Mahni inchhir duhna i inhriat chuan, a nih loh leh nangmah i tichhe tawh a nih chuan tanpuina dil hi a pawi lo. Mahni intihchhiatna damdawi zawn chu taksa natna avanga damdawi zawn ang a ni. Tunah hian i hre lo a nih pawhin taksa leh rilru lamah i rilru a hahdam theihna tur hmun i thleng thei a ni. Nangmah chauh i ni lo.

A tawp berah chuan hriat reng tur pawimawh ber berte

Mahni intihhlum hi thil buaithlak tak a ni a, mahse tanpuina leh enkawlna a awm a ni.

• Nangmah chauh i ni lo: mi tam tak chuan he thil tawn hi an paltlang a, chuvangin zak suh la, inthiam lohna pawh nei suh.
• Tawng:I rintlak tak – i ṭhian, chhungte, zirtirtu, emaw, career counselor emaw – i rilru put hmang chungchang sawipui rawh.
• Professional tanpuina la rawh: Psychiatrist emaw counselor emaw chuan he dinhmun hi hneh turin a pui thei che a ni. I tana tha tur treatment plan an siam thei bawk.
• Coping strategies zir rawh: I rilru hah lai hian i rilru natna chu i rilru ti na lovin i hmachhawn theih dan dang a awm bawk. Entîr nân, exercise neih te, music ngaihthlâk te, lemziak te, a nih loh leh ngaihtuahna tihrehawmna (calming meditation techniques) tih te.
• Hun hmang la, hmanhmawh suh: Hemi atanga dam leh tur hian hun a duh a ni. Ni tha leh ni tha lo i nei thei bawk. A pawimawh ber chu beih chhunzawm zel hi a ni.

Nangmah emaw i hriat mi emaw hian hetiang thil hi i tawk a nih chuan tanpuina dil rawh. Beiseina a awm reng a ni.