I nunah inthlâk danglamna rang tak, lungkhamna, a nih loh leh mangang lutuk lo thlenga insiamrem harsa i ti ngai em? A châng chuan, thil tê tête pawhin mittui a rawn thlen a, i lungngai hle a, i beidawng hle bawk. A nih loh leh pawimawh lo zawngin i che thin. Hei hi i chungah a lo thleng tawh a nih chuan rilru lam natna Adjustment Disorder tih i nei a ni mai thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.
A awlsam zawngin, Adjustment Disorder chu eng nge ni?
Adjustment disorder chu kan nunah thil lungkhamthlak tak emaw, thil mak tak emaw avanga kan rilru leh nungchang inthlak danglamna hun engemaw chen a ni. I tih dan pangngai aia rang zawk emaw, hrehawm zawk emaw a ti thei che a ni. I rilruin, "Hei hi ka tuar thei lo" tia a au chhuah ang mai a ni.
I hmangaih tak i hloh tawh emaw, i hna i hloh tawh emaw, exam lian takah i fail tawh emaw niin han mitthla teh. Chutiang hunah chuan lungngaih leh lungngaih hi thil pangngai a ni. Mahse chu lungngaihna leh lungngaihna chuan a level pangngai aia sangin a nghawng che a, nitin hnathawh (sikul kal, hnathawhna, inchhung hna thawh) i tih theih loh khawpa nghawng che a nih chuan, insiamremna (adjustment disorder) a ni thei.
Doctor thenkhat chuan hei hi "situational depression" an ti bawk. Chu chu thil thleng engemaw avanga lo awm, hun eng emaw chen atana lungngaihna ang chi a ni tihna a ni. A pawimawh ber chu he natna hi thla 6 vel chhungin a reh tlangpui.
Adjustment disorder chi hrang hrang lian ber ber a awm em?
Ni e, he natna hi a nghawng dan azirin chi hrang hrangah then theih a ni. I doctor chuan i symptoms a zirin eng type-ah nge a tlak tih a rel ang.
| Adjustment Disorder chi hrang hrang | Hmuh theih thil langsar ber ber |
|---|---|
| Depressed mood nen | Lungngaihna reng reng, beiseina nei lo anga inhriatna, tap fo leh hlimna thlentu thila hlimna hmu tawh lo. |
| Lungkhamna symptoms nen | Hlauthawng reng reng, rilru hahdam lo leh ngaihtuahna seng harsa reng reng. Separation anxiety hi naupang tê tê zingah a tam zawk. |
| Lungkhamna leh lungngaihna (depressed mood) inzawmkhawm nen | Lungngaihna leh hlauhna pahnih inzawmkhawm. |
| Thiltih tihbuai nen | Thil ngaihtuah lo taka nungchang, dan bawhchhiatna, insual, thil tihchhiat, leh tumruh taka risk lak. |
| Emotion leh nungchang tihbuai inthlau tak nen | Lungngaihna leh hlauhna ang chi hriatna hi a hmaa kan sawi tawh ang khan mahni intihhlum duhna rilru put hmang nen a inzawm a ni. |
| A sawi chiang lo | A chunga kan sawi zawng zawng zingah hian a inmil tawk lo, mahse taksa lam natna (lu na, taksa na, pum na, thinlung na) leh khawtlang nun atanga inhnukdawk (social withdrawal) a lantir thei dinhmun. |
Eng thilin nge hei hi a thlen?
Adjustment disorder awm chhan pakhat chauh a awm lo. Mi tin a inang lo. Mahse a tlangpuiin nunah danglamna lian tak thlentu emaw, rilru tibuaitu emaw thil eng pawh hian a thlen thei a ni. Thil tha leh tha lo pawh a pawi lo.
A pawimawh ber chu he thilthleng hian engtin nge a nghawng che tih hi a ni. I ṭhian tân thilthleng pangngai anga lang chu i tân a lungkham hle thei a ni.
Entirna thenkhat chu hetiang hi a ni:
- Inlaichinna inthlak danglamna: inngaihzawnna inthen, inneihna, inthen, chhungkaw inhnialna.
- Hnathawh emaw sikulah emaw harsatna: hna hloh, hna thara insawn, exam fail, sikula tihduhdah.
- Hriselna lama harsatna: Natna khirh tak, nangmah emaw, i chhungkaw tu emaw chunga thleng thei accident i nei tih hriat.
- Nun inthlak danglamna lian tak: pension, fa neih, in thara insawn.
- Thil thleng lungchhiatthlak tak tak: Hmangaih tak thihna.
- Sum leh pai lama harsatna: Leiba phurrit lian tak, sum leh pai lama harsatna.
- Thil dang: Thilsiam chhiatna hmachhawn.
A chang chuan hetiang thil thleng pakhat vang hian a awm thei bawk. Hun dangah chuan stress tenau tam tak a lo awm khawm a, i tolerance level a pelh chuan a lo awm thei bawk.
Heng Trigger te hi engte nge ni?
Triggers chu thilthleng lungchhiatthlak tak takte hriat nawn tirtu thil a ni. Chutiang thil hmuh emaw hriat emaw chuan i rilru chu chutiang dinhmun hluiah chuan a hruai kir leh thei a ni. Hei hi eng pawh a ni thei.
- Thlalak hlui hmuh.
- Hla ngaihthlak a ni.
- Chaw rim emaw, a thlum emaw engemaw tak hriat.
- Chu thil thlengna hmuna kir leh ila.
He dinhmun hi a chhe zual thei em?
Awle. Adjustment Disorder hi uluk taka enkawl a nih loh chuan harsatna lian tham a thlen thei a ni.
- Mahni intihhlum emaw, mahni intihhlum emaw ngaihtuahna: Hei hi thil hlauhawm ber a ni.
- Substance use disorder: Mi thenkhat chuan an rilru hahna tuar chhuah nan ruihhlo emaw zu emaw an hmang thin .
- Rilru natna dang: Hun rei tak a awm reng chuan hei hian natna dang Major Depression emaw Anxiety Disorder emaw a thlen thei a ni.
Pawimawh tak: Mahni inhriatthiam lohna i neih emaw, i nun tihtawp tumna emaw i neih chuan, khawngaihin tanpuina dawng nghal rawh. I hnaih ber hnenah hrilh la, a nih loh leh damdawi in hnai ber emergency room (ETU)-ah kal nghal rawh. I doctor nen inbia ang che. Nangmah chauh i ni lo, tanpui thei tur mi tam tak an awm.
Engtin nge doctor hian hei hi a hriat chian?
Doctor i pan hunah i natna lan chhuah dan te, tun hnaia i nunah inthlak danglamna awm apiang a zawt ang che a, taksa enfiahna a pe ang che. Tichuan, a tul chuan rilru lam doctor emaw, rilru lam doctor emaw hnenah evaluation leh enkawl belh turin refer i ni thei bawk.
Psychiatrist-te chuan he natna hi hriat chian nan hian tehfung bik engemaw zat an hmang thin. A bulpui berte chu:
- I symptoms kha stressful event atanga thla 3 chhungin a lang em?
- Chutiang thil thleng tur atana beisei aia nasa zawkin i chhân lêt (lungngaihna, thinrimna, hlauhna) chu a nasa zawk em?
- Heng symptoms te hian nitin hnathawh leh inlaichinnaah nghawng lian tak a nei em ?
- Heng chhinchhiahnate hi rilru natna dang chhinchhiahna nen a inmil lo em ni?
- Hei hi hmangaih tak a thih huna lungngaihna pangngai nen a danglam em?
Doctor chuan heng zawng zawng hi a ngaihtuah hnuah adjustment disorder i neih leh neih loh a rel ang.
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu hei hi enkawl theih a ni. Enkawlna kawng hrang hrang hi chi hnih ah then theih a ni.
1. Rilru lam enkawlna:
A awlsam zawngin, hei hi "talking therapy" a ni. Counselling pawh hetiang hian an ti a. Hetah hian trained professional (therapist) chuan a bia che a, he stress hi hmachhawn turin a pui che a, a enkawl dan tur leh i ngaihtuahna leh rilru put hmang te hriatchhuah tir che a ni.
- Cognitive Behavioral Therapy (CBT): Hei hi hmanraw tangkai tak a ni. I ngaihtuahna tha lote hriatchhuah dan leh tihdanglam dan a zirtir che a ni.
- Chhungkaw therapy: Chhungkaw tanpuina hi a pawimawh hle a, a bik takin naupang emaw tleirawl emaw hian hetiang natna hi a nei a nih chuan. Hetiang therapy chi hian chutiang tur chuan a pui thei a ni.
- Group therapy: Nangmah ang bawka harsatna nei midangte nena inbiakna neih hian hahdamna nasa tak i hmu thei a ni.
2. Damdawi chi hrang hrang:
Mi zawng zawng hian damdawi an mamawh vek lo. Mahse i natna lan chhuah dan a na hle a, entirnan, i mut that loh, lungkhamna nasa tak emaw, lungngaihna emaw i neih chuan i doctor chuan hun rei lote chhung atan damdawi a pe thei a ni.
- Antidepressants: Lungngaihna leh lungngaihna ang chi symptoms tan.
- Anti-anxiety medications: Hlauhna leh lungkhamna ang chi symptoms tan.
Hetah pawh hian hriat nawn tirna: Damdawi hi doctor enkawlna hnuaiah chauh hman tur a ni. Tin, damdawi ei ringawt pawh hi a solution a ni lo. Psychotherapy nena hman dun a nih chuan result tha ber a awm thin.
Hetiang dinhmun atanga chhuak tur hian eng nge ka tih theih ang?
Enkawlna i neih lai hian he zinkawngah hian i tanpui thei tur thil tam tak a awm a.
- Ṭhian emaw, chhûngte rintlak emaw biak rawh: I rilru put hmang chu i ṭhian emaw, chhûngte rintlak emaw hnênah sawi rawh. I rilru put hmang sawi chhuah hian thlamuanna nasa tak a pe thei a ni.
- Mahni inenkawlna: Nitin hun engemaw chen hmang la , i thil hlimawm tak tak ti rawh. Lehkhabu chhiar la, hla ngaihthlak la, movie en la, huanah rei vak lo kal rawh.
- Nunphung hrisel: Chaw tha ei tam thei ang ber ei la, ni khatah tui glass 8 tal in la, exercise engemaw zat nei bawk ang che. Kea kal pawh a tha.
- Mut tha rawh: Nitin hun khata mut leh a ruala harh hi tih dan phung la.
- Support group-ah tel ve rawh: I harsatna hrethiamtute’n an hual vel chuan mahni chauha awm i ni lo ang.
Hetiang dinhmun hi 100%-a ven theih ni lo mah se, khawtlang inzawmna nghet tak neih leh stress enkawl dan zir ang chi thilte hian nakin lawkah he natna hi a lo awm theihna tur a ti tlem thei a ni.
Take-Home Thuchah a ni
- Adjustment Disorder hi natna a ni lo va, i nunah stress i tawh chuan hun eng emaw chen atana chhanna a ni.
- Hei hi tu chungah pawh, kum eng pawhah a thleng thei. I chak lohna a ni lo.
- Symptoms te hi a tlangpui aia sangin i nitin nun a nghawng a nih chuan doctor thurawn lak hi tihkhawtlai suh.
- He natna hi psychotherapy leh a tul chuan damdawi hmanga tihdam vek theih a ni.
- Nangmah leh nangmah tihchhiat i duh a nih chuan tanpuina zawng nghal rawh. A bul hnaia mi hrilh la, damdawi inah kal rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh