Hna pakhat chauh ngaihtuah a, tihfel harsa i ti bawk em? I rilru a hahdam lo va, i rilru a hah reng em? ADHD ( Attention Deficit Hyperactivity Disorder) chungchang pawh i ngaihtuah tawh mai thei. Hei hi tuna mi tam takin an sawi thin rilru lam hriselna dinhmun a ni. Mahse he natna hi awm mahse kan ramah hian mi tam tak chuan diagnosis leh treatment mumal tak an dawng lo tih i hria em. A chhan chu natna chauh ni lovin, kan khawtlanga rinna hrang hrang, rilru put hmang, leh daltu dangte pawh a ni. Chuvangin vawiinah hian engvangin nge hetiang thil hi a lo awm tih te, heng harsatna awm chung pawha tanpuina i hmuh theih dan tur kan sawi dawn nia.
Engvangin nge ADHD hmuhchhuah danah hian danglamna tam tak a awm?
Hriatthiam hmasak tur chu ADHD hi hnam, sakhaw leh nunphung bik chauh a ni lo tih hi a ni. Damdawi lam thil a ni a, tu pawh a nghawng thei a ni. Mahse, mi pakhat chenna khawtlang, a nunphung leh a sum leh pai dinhmun hian a natna a vei tih hmuhchhuah a nih leh nih loh leh enkawlna a zawn leh zawn loh chu nasa takin a nghawng a ni.
Khawvel hmun hrang hranga zirchianna lian tham tak tak an neihah pawh hian hnam hrang hrang zingah ADHD vei hmuhchhuah danah inthlauhna lian tak a awm tih hmuhchhuah a ni. Hetiang dinhmun hi Sri Lanka ang ram, khawtlang nunphung hrang hrang nei ramah pawh hmuh theih a ni. A châng chuan natna hi hriat chhuah a ni lo (under-diagnosis) mahse hriat sual a ni . Hei hi a chhan hi a buaithlak hle. Daltu lian ber berte chu eng nge ni tih i lo en ang u.
| Enkawlna daltu | A sawifiahna awlsam tak |
|---|---|
| Damdawi lam hmun pan harsat | Mi thenkhat chuan rilru lam hriselna lama mithiamte an pan thei lo mai thei. Tin, mi tam tak chuan an awmna hmuna facility awm loh vang te, damdawi inah queue an neih vang te, leh mipui tam lutuk vang te hian heng service te hi an pumpelh thin. |
| Rilru lam natna chungchanga Social Stigma | Kan khawtlang mi tam tak chuan ADHD ang chi dinhmun hi natna angin an ngai lo va, "laziness" leh "lack of discipline" angin an ngai zawk.A nih loh leh "mizia chak lohna" angin. Hei vang hian miten "rilru lama harsatna ka nei" tih pawm emaw, tanpuina dil emaw an hlau thin. Midangte'n "crazy" tia an vuah hlauhna hian nghawng lian tak a nei a ni. |
| Cultural sensitive doctor awm lohna | Chumi awmzia chu doctor tan damlo culture background hriatthiam a pawimawh tihna a ni. Entîr nân, kan hnam nunphungah chuan mi tam takin zahna lantîrna atân mitmeng nei lovin upa emaw, doctor emaw an bia a. Amaherawhchu, hei hi hre lo mi tan chuan zakzum, thil thup emaw, ngaihsak lohna emaw anga ngaih theih a ni. Chuvangin doctor tan chuan dawhthei taka awm a, heng culture nuances te hi hriatthiam a pawimawh hle. |
| Sakhaw rinna leh hnam dan anga enkawl dan | Mi tam tak chuan khawthlang damdawi lam aiin an sakhaw rinna (e.g., tawngtai, inthawina) emaw, hnam dan anga enkawlna (e.g., santikarma) emaw an ring zawk a ni. Damdawi lam thurawn lak an pumpelh a, a chhan chu, "Hei zawng zawng hi ngaihtuahna fim tak i neih chuan pumpelh theih a ni" tih an ngaihtuah vang a ni. |
| Naupan laia ADHD enkawl loh | He natna hi naupan lai atanga hriatchhuah leh enkawl a nih loh chuan puitlin thlengin a awm chhunzawm thei a ni. Chutiang a nih chuan nun kawng tam tak a nghawng thei a, nakin lawkah natna khirh tak dang, lungngaihna leh ruihhlo hmansualna te a thlen thei bawk . |
He dinhmun hi engtin nge dik taka kan hmachhawn ang?
Heng harsatna zawng zawng nen hian, "Chuti a nih chuan engtin nge ka tih ang?" A pawimawh ber chu heng harsatnate hi a awm tih hria a, hmachhawn turin inbuatsaih hi a ni.
Rilru lam harsatna hi kan taksaa natna dang ang bawkin a ni. Zunthlum, thisen sang ang mai a ni. Thluak hi taksa peng pawimawh tak a ni bawk. Chuvangin a hnathawh danah harsatna a awm a nih chuan a enkawl dan tur chu zahthlak a awm lo, nangmah tanpuina lian ber a ni.
Thil i tih theihte
- Chhungte leh thiante hnen atanga tanpuina:Chhungkaw tanpuina hi eng natna pawh enkawl hunah chakna ropui tak a ni. Mahse, i chhungte emaw, i khawtlang emaw chuan ADHD hi a tha lo zawngin an thlir a nih chuan, chu chuan hmalam panna tur chu titawp suh. Doctor chauh i hmuh a ngai mai thei a, tumah hrilh lovin thurawn i la a ngai mai thei. Chu chu a pawi lo khawp mai. I hriselna hi a pawimawh ber a ni.
- Zirtirna hmangin ngaihdan dik lote chu titawp rawh: Hun remchang i neih apiangin rilru hriselna chungchangah midangte chu zawi zawiin zirtir thin ang che. ADHD hi rilru hahna a ni lo va, thluaka chemical ( neurotransmitters ) leh thluak hmun thenkhat hnathawh dan inthlak danglamna avanga lo awm a ni tih sawifiah rawh. Hei hi fiamthu sawi tur a ni lo va, hriselna lama harsatna enkawl ngai a ni tih hrethiam tir rawh. Chu chu mi dangin a hriat theih nân i ṭanpui thei a ni.
- ADHD hi thlahtute atanga lo chhuak a ni tih hre reng ang che: ADHD hi chhungkuaah a kal thei fo. Chuvangin he harsatna hi i neih chuan i chhungkuaa mi dang (unau, naupang) pawhin an nei ve ngei a rinawm. I sawi loh chuan an mamawh tanpuina an hmu lo mai thei. Chuvângin, ṭanpuina zawng chu i chhûngkaw dangte hnêna kawng kawhhmuh ang a ni thei.
- Ṭanpuina dîl hi chakna chhinchhiahna a ni: Harsatna i nei tih pawm a, ṭanpuina dîl hi chak lohna chhinchhiahna a ni lo tih hre reng ang che. Mi chak tak, mahni mawhphurhna latu chhinchhiahna a ni. Doctor hmu a, he thu hi sawi chhuah hlau suh. A ngaithla ang che, a tul chuan test a ti ang a, enkawlna \ha ber (damdawi emaw, nungchang lama enkawlna emaw, a pahnih emaw pawh a ni thei) a pe ang che.
He zinkawng hi a awlsam lo mai thei, mahse enkawlna dik tak nen , i nun i siam tha thei a, i theihna zawng zawng i thleng thei bawk.
Take-Home Thuchah a ni
- ADHD hi rilru hahna emaw, mizia dik lo emaw a ni lo va, damdawi lam natna tak tak, enkawl theih a ni.
- Mi tam tak chuan rilru dik lo, sum leh pai lama harsatna , leh kan khawtlang leh nunphung lama harsatna dangte avang hian enkawlna an pumpelh thin.
- A tha ber chu heng harsatnate hi hlau lova, specialist (doctor) hmu a, thurawn lak hi a ni.
- Ṭanpuina dil hi chak lohna chhinchhiahna a ni lo va, i nun siamṭhatna kawnga huaisen taka hmalakna a ni. I rilru hriselna hi a hlu em em a ni.
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