Naupan laia thil tawn \ha lo (ACE)-in i nun pum pui a nghawng dan

Kan naupan lai hian thil tha leh tha lo kan nei vek a ni lawm ni? Kan thil tawn \ha lo \henkhat chuan kan ngaihtuah aiin kan nun a nghawng thuk zawk thei a. Thil rapthlak tak tak, a bik takin naupan laia kan tawn thinte hian puitling kan nih laia kan hriselna leh nungchang a nghawng dan hi i ngaihtuah ngai em? Chu chu damdawi lama "Adverse Childhood Experiences" emaw ACEs emaw an tih chu a ni. Hei hi thupui pawimawh tak a nih avangin vawiin hian chipchiar takin i sawi dawn nia.

Heng naupan laia traumatic experience (ACE) te hi engte nge ni?

A awlsam zawngin, ACEs hi naupang kum 1 leh 17 inkar a tawn thin, thil lungchhiatthlak leh tha lo tak tak a ni.

Ngaihtuah teh, naupang tê thluak hi sponge ang mai a ni. An chhehvel thil a\angin, an thil tawn a\angin engkim an hip lut vek a ni. Spoon hmanga chaw ei dan te, bike khalh dan te, thil tawn atang te hian an zir thin. Bike atanga an tlak chuan nakin lawkah fimkhur a ngai tih an hre bawk. Chu chu thil pangngai a ni.

Mahse, a châng chuan naupang chuan rilru lam emaw, taksa lam emawa a thunun theih loh emaw, invênhim tûr emawa thiltawn na tak tak a hmachhawn a ngai ṭhîn. Entîr nân, hmangaih tak boral te, mipat hmeichhiatna lama tihduhdahna emaw, taksa lama tihduhdahna te. Hengte hi ACE kan tihte chu an ni. Heng thil tawnte hian naupang nun pum pui a nghawng thei a ni. Anni chuan rilru lam natna, hun rei tak chhûng taksa natna, leh ruihhlo hmansual ang chi harsatna an thlen thei a ni . Mahse thu lawmawm tak chu heng dinhmunte hi dam chhung zawnga enkawl leh enkawl theih a ni.

"Trauma" tih hi eng nge ni tak tak?

Trauma chu rilru lama harsatna nasa lutuk emaw, rei tak emaw thlentu thil thleng a ni a, damdawi lam hawia sawi chuan ``Toxic Stress.'' Chutiang thil thleng chuan taksa leh rilru lamah pawh nghawng thui tak a nei thei a ni. A tlangpuiin, chutiang thilthleng a hmachhawn hunah chuan hlauhna nasa tak, ṭanpui theih lohna, leh hlauhawma awm anga inhriatna a nei thei a ni.

Chutiang thil rapthlak tak takte entîrna ṭhenkhat chu hetiang hi a ni:

Naupangin hetiang thil a tawn hnu hian eng symptoms nge a lantir thin?

Naupangin traumatic experience a neih hnuah chuan symptoms a nei thei a, chungte chu:

• Midangte hnena hlauhna lantir.
• Mut theih lohna emaw, mumang chhia neih fo emaw.
• Bedwetting tih hi a ni.
• Nungchang leh rilru put hmang inthlak danglam nghal.
• Chhungte emaw, thiante emaw hmangaihna leh hmangaihna lantir harsa.
• Thil thleng rapthlak tak hriat nawn tirtu hmun leh dinhmunte pumpelh.
• Sikul hnathawhnaah ngaihtuahna seng harsa.

Heng symptoms te hi a lang nghal lo mai thei. Ni emaw, kar emaw hnuah pawh an lo lang thei.

Naupan laia thil tawnte hian engtin nge puitling nihna a nghawng?

Naupan laia thil lungchhiatthlâk tak takte chuan kum tam tak hnuah, puitlin thlengin i nun a nghawng thei a ni. Hei hian i hriselna, i nunphung, i zirna, leh i hna thlengin a nghawng thei a ni.

Thluak leh taksa a nghawng dan

A awlsam zawngin, naupangin shock a tawn hian taksa chu a stress nasa hle a ni. Hetih lai hian taksain hormone `(Cortisol)` leh `(Adrenaline)` te a chhuah a, `(Fight-or-Flight response)` a tichak a ni. Hei hian heart rate a tisang a, thawk dan a tidanglam bawk. Hei hi hun eng emaw chen atan a ni tlangpui.

Mahse he pressure hi a awm chhunzawm zel a nih chuan, chu chu ``Toxic Stress'' state a lo awm a nih chuan heng hormone te hi an chhuak reng a ni. Hei hian naupang thluak lo thanglian zel chu direct-in a nghawng a ni. A bik takin thluaka hmun hrang hrang, hriatrengna nena inzawm ``Hippocampus'' an tih te, ngaihtuahna dik tak siam tura puitu ``Prefrontal Cortex'' an tih te, leh rilru natna thunun theitu ``Amygdala'' tih te hi a chhe thei hle.

Ngaihtuah teh, thlai pakhatin a ṭhanlen theih nân lei ṭha, tui leh ni êng ṭha a mamawh ang bawkin, naupang thluak hian a ṭhanlen theih nân boruak ṭha leh thiltawn ṭha a mamawh a ni. Thil tawn lungchhiatthlak tak takte chu he thanna tikhawlotu buh chi ang mai a ni.

Puitling huna harsatna lo awm thei te

ACEs hian puitling hunah a hnuaia dinhmunte hi a thlen thei a ni:

• Rilru hriselna chungchangah: Lungkhamna, Lungngaihna, Post-Traumatic Stress Disorder (PTSD), Mut theih lohna.
• Taksa hriselna lama harsatna: ACEs avanga hun rei tak chhunga stress awm hian natna hrik kai theih loh, thinlung natna leh cancer vei theihna a tipung a ni. Zirna hrang hrangah chuan ACEs sang tak nei mipa dam rei zawng chu ACE nei lo mi aiin kum 20 velin a tawi thei tih hmuhchhuah a ni.
• Nungchang inthlak danglamna: zuk leh hmuam hman, ruihhlo leh zu ruih, mipat hmeichhiatna lama thil hlauhawm, mahni intihhlum tumna emaw, intihhlum tum emaw.

Nangmah emaw, i hriat miin emaw mahni intihhlum tumna a nei a nih chuan doctor pan nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh. Ṭanpuina zawng hreh ngai suh.

Engtin nge he natna hi enkawlna leh puihna ka hmuh theih ang?

Hei hi mahni chauha chinfel tur buaina a ni lo. A pawimawh ber chu tanpuina lak hi a ni.

1. Damdawi lam thurawn zawng: Tih hmasak ber tur chu doctor emaw, doctor emaw rintlak tak nen inhmuhkhawmin hemi chungchang hi sawipui a ni. Kawng dik a kawhhmuh thei che a ni.

2. Mental health counselor hmu rawh : Chumi atan chuan Psychotherapy hi a tha hle. Inbiakna hmang hian heng trauma te hi i enkawl dan tur i zir thei a ni.

3. Underlying conditions enkawl dan: ACEs avanga lungkhamna, lungngaihna, emaw thinlung natna te tan damdawi leh enkawlna tul tak tak lak a pawimawh hle.

4. Nu leh pa leh enkawltu angin:

• Naupangte biak hunah thu ngilnei tak hmang ang che.
• Naupang hrem dawnin tharum thawhna tel lo dan zawm tur a ni.
• I fa chu harsatna chinfel dan zirtir rawh.
• I fa tan entawn tlak tak ni rawh.

ACEs hi ven theih a ni em?

Thil rapthlak tak tak thenkhat (e.g., natural disasters) hi ven theih a nih loh laiin, ACE tam tak chu naupang chhehvel boruak him leh enkawlna tha tak siamin ven theih a ni.

• Naupang tan in chhung hmun him leh hmangaihna nei siam rawh.
• I fa nen hian inzawmna nghet tak siam rawh.
• I fate taksa leh rilru lama a mamawh zawng zawng ngaihtuahsak ang che.
• Nu leh pa emaw, enkawltu emaw anga i rilru hahna i neih chuan ṭanpuina zawng rawh. I rilru hriselna hi i fate thilpek tha ber a ni.