Nang pawhin chhan awm lovin i rilru a hahdam lo va, i rilru a hahdam lo em ni? Agitation chungchang hi han sawi ila.

A châng chuan chhan awm lovin i rilru a hahdam lo va, i thinrim a, i rilru a hah em? I kut leh ke a fidge a, hmun khatah i rilru i dah thei lo... Hei hi damdawi lama rilru hahdamna, a nih loh leh ‘agitation’ kan tih chu a ni. Hei hi a chang chuan thil pangngai a nih laiin, damdawi lam dinhmun chhinchhiahna a ni thei bawk. Chuvangin vawiinah hian he thu hi chipchiar deuhin han sawi ila.

He buaina hi eng nge ni?

A awlsam zawngin, thinrimna, lungkhamna, a nih loh leh inhnialna nasa tak neihna a ni. I chhungril lamah pressure nasa tak i nei niin i hria mai thei, i taksa chhunga motor te tak te tlan ang maiin. Chumi rual chuan, thunun theih loh, tum nei lo thiltih, fidgeting ang chi pawh i tawng thei bawk.

Hetiang dinhmun hi a na lo emaw, a na lo emaw pawh a ni thei. Hun engemaw chen hnuah a bo thei a, ni tam tak a daih thei bawk.

Ngaihtuah teh, exam kan neih dawn lai emaw, lirthei tam tak kara kan tang lai emaw hian tlem chuan kan hlauthawng deuh hi thil pangngai a ni. Kan nunah a tel ve a ni. Mahse, "Hei hi a pangngai aia tam a ni a, hei hian ka nitin hnathawh, ka inlaichinna a nghawng a ni," i tih chuan damdawi lam harsatna a ni thei. A bik takin he hlauhna hi tharum thawhna emaw, mahni intihhlum tumna emaw thlenga a lo pun chuan damdawi lam thurawn lak nghal a pawimawh hle.

Zirchiangtute chuan he thil hi eng nge a thlen tak tak tih hi an la hre chiang lo a, mahse kan thluaka thuchah thawn chhuaktu chemicals, neurotransmitters dopamine leh serotonin te inthlauhna avanga lo awm niin an ngai.

He rilru hahdam lohna chhinchhiahnate chu engte nge ni?

Hengte hi he natna vei mi pakhata nungchang leh mizia hmuh theihte chu a ni. Mi zawng zawng hian heng mizia zawng zawng hi an nei vek dawn lo tih hriat reng a pawimawh.

A châng chuan he tension hi aggression angin a chhuak thei bawk. Thusawi emaw thiltih emaw pawh a ni thei. A châng chuan he dinhmun hi mahni intihhlumna thlengin a zual thei a ni.

Engvangin nge hetiang dinhmun hi a lo awm?

Hei hi chhan tam tak a awm thei. Damdawi thenkhat side effect angin emaw, natna rang tak avanga complication angin emaw, hun rei tak chhunga damdawi lam dinhmun avanga lo awm thei emaw a ni. A chhan lian ber thenkhat chu:

• Rilru hriselna lama harsatna: He rilru hahdam lohna hi lungkhamna, bipolar disorder, depression, schizophrenia, leh autism spectrum disorder te ang chi natnaah te hmuh tur a awm tlangpui.
• Taksa dinhmun: 1.1.
• Thluak tibuaitu dinhmun, `Delirium` (rilru lama buai nghal) leh `Dementia` (e.g. `Alzheimer natna`) te hi a ni.
• Taksa chhunga natna hrik, a bik takin zun kawng (UTIs) te hi kum 65 chunglam ah a awm thin.
• Hyperthyroidism natna a awm.
• Taksa chhunga electrolytes awm zat inthlauhna.
• Sepsis, natna khirh tak a ni.
• Lu hliam.
• Seizure hnua dam leh hun chhung (`Postictal seizure state`).
• Ruihhlo emaw zu emaw hman: Hetiang dinhmun hi ruihhlo emaw zu emaw hman emaw, inhnukdawk emaw lai hian a awm thei.
• Poisoning: Hetiang dinhmun hi thil rimchhia ei avanga lo awm thei a ni bawk. Chutiang rinhlelhna a awm chuan Colombo National Hospital-a National Poison Information Center biak nghal a pawimawh hle.

He dinhmun hi stress nasa tak emaw, trauma emaw i tawn avanga lo awm thei emaw, a zual thei emaw a ni. Damdawi ina awm ang chi boruak hriat loh hmachhawn hian mi thenkhatah he lungkhamna hi a thlen thei bawk.

Hei hi eng enkawlna nge ni?

Enkawlna hi thil engemaw zatah a innghat a, chung zingah chuan a chhan, a natna nasat dan, leh damlo awmna hmun (e.g., in emaw damdawi in emaw) te pawh a tel. A tum ber chu natna thlentu underlying condition enkawl hi a ni. Mahse, damlo chu lungkhamna avanga chetsualna nei a nih chuan enkawl a harsa hle. Chuvangin doctor-te chuan heng hmanrua hmang hian a natna hi thunun an tum hmasa thin.

• De-escalation: Doctor emaw, nursing staff emaw chuan mi buai tak chu muangchangin thu sawiin, an zawhnate ngaihthlak a, thil awmdan tihziaawmna hmangin tihlum tumin an bei thin .
• Seclusion: He dinhmun hi control theih a ni bawk a, chu mi chu boruak ri nasa tak atanga lakchhuah a, pindan reh tak leh thlamuang takah dah theih a ni bawk.
• Damdawi: A chunga kan sawi takte hian natna hi a thunun thei lo a nih chuan damdawi ei hi a dawt leh tur a ni. Hei hi a tlangpuiin sedatives (`second-generation antipsychotics` emaw `benzodiazepines` ang chi) hman a ni.
• Taksa lama insum theihna: Hei hi a tawp ber atan chauh hman a ni . Hetiang hmanrua hi damlo chu mahni emaw midang emaw tihnat hlauhawmna sang tak a neih a, hmanraw dang hmanga thunun theih loh a nih chauhvin hman a ni.

Engtin nge mi lungkham tak chu i ṭanpui theih? Nangmah ngeiin eng nge i tih theih ang?

He dinhmun hi nangmah ngeiin i thunun theih dan tur

Lungkhamna tlemte tan chuan hengte hi i lo enchhin thei ang:

• I stress tirtu hmun emaw, mi emaw atang chuan inthiarfihlim rawh.
• Room thim leh reh takah chawlh hahdam la, thil tibuaitu atanga hla takah.
• Kea kal la, exercise dang i duh apiang ti rawh.
• Meditation emaw deep breathing exercise emaw tih thin ang che.
• Hla thlamuanthlak tak tak ngaihthlak rawh.
• I rilru a awm chu lehkhabuah ziak rawh.

Mi rilru hahdam lo tak nena kan inzawmnaah...

I hnaih ber tu emaw hian he natna hi a vei a nih chuan heng thilte hi a tanpui nan a pawimawh hle ang.

• Thlamuang takin awm rawh: Muangchang tak leh zawi zawia i thusawi hian a dang pawhin a hre ve tho.
• Environment thlak danglam: A theih chuan hmun atanga mi leh ngaihtuahna tibuaitu te chu paih chhuak rawh. A nih loh leh hmun reh takah kal an duh em tih zawt rawh.
• Mimal hmun zah rawh: Inhlat taka awm rawh. Thawhrim takin khawih suh.
• Ngaithla rawh: An thusawi chu ngun takin ngaithla la, titawp lovin, zawhna awlsam tak tak zawt rawh.
• Hriatthiamna nei rawh: An rilru put hmang chu hriatthiamna leh ngaihtuahna dik tak nen ngaithla la, rorel ngai lovin.