I fa hian thut leh thil tih harsa a ti em? A tlan kual a, a zuang kual nasa em? A nih loh leh thusawi chu a ngaihven lo niin i hria em? Heng thilte bakah hian ADHD ( Attention Deficit Hyperactivity Disorder) tih pawh i hre tawh mai thei. Hemi chungchangah hian nu leh pa tam takin an buai hle. Chuvangin vawiinah hian ADHD hi eng nge a nih tak tak tih te, ADHD vei naupang thluak hi chu natna nei lo naupang thluak nen a danglam dan te kan sawi dawn nia.
ADHD hi naupang sualna emaw, finna tlakchham vang emaw a ni lo!
A hmasa berah chuan kan hriat chian tur pawimawh ber chu ADHD hi naupang nalh, rilru hah, rilru na, finna tlachham a ni lo tih hi a ni. Damdawi lama hriat hlawh tak a ni. Mithiamte chuan ADHD vei leh nei lote thluak insiam dan, hnathawh dan leh chemistry-ah hian danglamna engemaw zat a awm tih an hmuchhuak a.
Hetiang hian han ngaihtuah teh: kan thluak hi computer complex tak, a peng tam tak atanga siam ang a ni. Part tin hian hna hrang hrang an thawk a.
1. Thluak chhunga Structural Difference awm
Frontal lobe hi kan thluak peng, kan lu hmalam a awm a ni. Kan ‘control room’ ang a ni. Ngaihtuahna, ruahmanna siam, thutlukna siam, ngaihtuahna seng, hriatrengna, rilru put hmang thunun , leh rilru put hmang thunun ang chi hna pawimawh tam tak a thunun a ni.
Zirna hrang hrangah chuan ADHD nei naupangte thluak hmalam (frontal lobe of the brain) hi naupang dangte aiin a tlai deuh thei tih hmuhchhuah a ni a, chutiang bawkin an class-a naupang dangte aiin an sang deuh thei bawk.
Tin, ADHD vei naupangte thluak hmun thenkhat, emotion leh impulse control tu chu a te deuh thei tih hmuhchhuah a ni bawk. Tin, thluak volume pum pui pawh a tlahniam deuh thei a, a bik takin naupan lai hian a tlahniam thei bawk.
2. Hnathawh dan inang lo
It’s not enough to just have parts of the brain , chu parts chu thisen tha tak leh ‘hnathawh’ a ngai a ni. ADHD-ah hian thluak hmalam (frontal lobes)-a thisen kal danah pawh inthlak danglamna engemaw zat a awm thei bawk. Chumi awmzia chu chutiang hmunte hnathawh chu tlem a tlahniam thei tihna a ni.
Heng hmun hrang hrangte hian rilru lama thiamna sang zawk an thunun chu executive functions an ti a. A awlsam zawngin kan lu-a CEO ang an ni. Ruahmanna siam te, ruahmanna siam te, hna thawh zawh te, hun enkawl te an ni. Hei hi ADHD nei naupang tan chuan heng thilte hi a harsat theih chhan pakhat a ni.
Chu mai ni lovin, thluak peng hrang hrangte ‘inbiak’ danah pawh danglamna a awm thei (functional brain connectivity). Ngaihtuah teh, team \ha takah chuan mi zawng zawngin an inbiak \ha \hin. Mahse, inzawmna a chak lo a nih chuan hna a buai ta a ni lawm ni? ADHD thluak-ah pawh hetiang thil hi a thleng fo thin.
3. Thluak chhunga Chemical hrang hrang
Kan thluak hian chemical messenger neurotransmitters an tih hmangin information a phur leh chhuak thin . Postman ang mai an ni. Heng messenger zinga pahnih hi ADHD-ah hian an inhnamhnawih ber a ni. Anni chu dopamine leh noradrenaline te an ni .
Dopamine hi kan hlimna, kan lungawina, kan chêttîrna leh kan ngaihsakna atana pawimawh tak a ni.
Naupang ADHD nei chuan an thluaka he dopamine system hi a inthlau hle a. Dopamine a tlem emaw, thluak hian dopamine a neih chu a hmang dik thei lo emaw a ni thei.
Hei vang hian doctor-te chuan ADHD tan damdawi (stimulant medication) an pe thin. Heng damdawi te hian dopamine level a balance a, thluak hnathawh a pui bawk.
Engtin nge doctor chuan mi pakhatin ADHD a nei tih chiang taka a hriat theih ang?
ADHD hi hriat a awlsam lo. Doctor chuan internationally accepted guidelines hmangin dik taka a hriat theih nan a hmang thin. DSM-5 (Diagnostic and Statistical Manual) tih a ni. Chumi ang chuan naupangin ADHD a nei tih hriat theih nan chuan ngaihsak lohna leh/ emaw hyperactivity-impulsivity symptoms te chu rei tak a awm reng tur a ni a, chu chu naupang hmasawnna a tlahniam phah a ni.
Heng mizia te hi a hnuaia table pahnih atang hian chiang takin i hmu thei ang.
| Ngaihven lohna chhinchhiahna | |
|---|---|
| 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a | Hnathawhna hmuna thil tenau te ngaihthah, fimkhur loh taka tihsual. |
| 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a | Hnathawh emaw, inkhelh emaw pawh nise, ngaihtuahna seng reng harsa. |
| 3. A rilru a hah lutuk chuan a rilru a buai em em a | Thusawi laiin ngaithla lo ang maiin a lang. |
| 4. 4. A rilru a hah lutuk chuan a rilru a buai em em a | Thupek zawm a hnathawh zawh harsa. |
| 5. A rilru a hah lutuk | Hnathawh tur felfai leh felfai taka thawh harsa. |
| 6. 6. A rilru a hah lutuk chuan a rilru a buai em em a | Hun rei tak rilru lama thawhrim ngai hnathawh pumpelh emaw, duh loh emaw. |
| 7. A rilru a hah lutuk chuan a rilru a buai em em a | Hnathawh tur thil mamawh (pencil, lehkhabu, infiamna) hloh fo thin. |
| 8. A rilru a hah lutuk chuan a rilru a buai em em a | Pawn lam thilin awlsam taka ngaihtuahna a tihbuai. |
| 9. 9. A rilru a hah lutuk chuan a rilru a buai em em a | Nitin hnathawhnaah theihnghilh fo thin. |
| Hyperactivity & Impulsivity natna lan chhuah dan | |
|---|---|
| 1. 1. A rilru a hah lutuk chuan a rilru a buai em em a | Kut emaw ke emaw hrual, chair-a fidgeting. |
| 2. 2. A rilru a hah lutuk chuan a rilru a buai em em a | Thut tur laiin chair atanga tho chhuak. |
| 3. A rilru a hah lutuk chuan a rilru a buai em em a | Hun remchang lovah tlan leh chhoh. |
| 4. 4. A rilru a hah lutuk chuan a rilru a buai em em a | Ngawi renga inkhelh theih lohna emaw, hlim taka thil tih theih lohna. |
| 5. A rilru a hah lutuk | ‘Run’ emaw ‘on the go’ emaw anga lang fo. |
| 6. 6. A rilru a hah lutuk chuan a rilru a buai em em a | Thusawi chhunzawm zel. |
| 7. A rilru a hah lutuk chuan a rilru a buai em em a | Zawhna chhan hmaa chhan hmanhmawh. |
| 8. A rilru a hah lutuk chuan a rilru a buai em em a | Mahni turn nghah harsat. |
| 9. 9. A rilru a hah lutuk chuan a rilru a buai em em a | Midangte thusawi emaw thiltih emaw tihtawp (interrupting). |
Diagnosis atana thil tul dangte
Hetiang symptoms nei naupang zawng zawng hian ADHD an nei vek lo. Doctor pawhin diagnosis siam nan heng thilte hi a zawng ang:
- Heng symptom tam zawk hi kum 12 an tlin hmaa lo awm tawh a ni ngei ang .
- Heng mizia te hi hmun hnih emaw a aia tam emaw-ah (e.g., in lamah, sikulah, extracurricular activities-ah) lantir tur a ni.
- Heng chhinchhiahnate hian naupang khawtlang nun, zirna, a nih loh leh nitin hnathawhnaah nasa takin a tichhe tur a ni .
- Heng symptoms te hi rilru lam emaw damdawi lam dinhmun dangin a sawifiah tur a ni lo.
I fa chungchangah harsatna i neih chuan doctor thiam tak nen inbiakna neih a tha ber. Internet-a information zawngin mahni inhriatchhuah tum suh. Doctor chuan i fa uluk taka a enfiah hnuah leh nang leh i fa zirtirtute hnen atanga thu hriat a lak hnuah thutlukna tha ber a siam ang.
Take-Home Thuchah a ni
- ADHD hi naupang emaw, nu leh pate sual vang emaw a ni lo. Damdawi lam dinhmun tak tak a ni a, thluak insiam dan, hnathawh dan leh chemistry te a huam a ni.
- ADHD neih hian naupang a fing lo tihna a ni lo. An ngaihtuahna leh information process danah danglamna an nei tihna mai a ni.
- I fain heng symptoms te hi a nei nia i rinhlelh chuan pediatrician emaw psychiatrist emaw hnenah thurawn la rawh .
- ADHD vei naupangte chu uluk taka enfiah, enkawl, leh puihna a awm chuan naupang dangte ang bawkin nun hlawhtling leh hlim tak an hmang thei a ni. Chuvangin hlauthawng suh la, damdawi lam thurawn dik tak zawm rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh