I zu in thunun pawh i harsat em? Zu Use Disorder chungchang hi han sawi ila!

Party-ah emaw, ṭhiante nen "hun nuam tak hmang turin" zu in emaw, chutah chuan thunun theih lohvin a spiral ṭan ang maiin i inhriat ngai em? Hei hi i ngaihtuah aiin harsatna lian zawk a ni thei. Hei hi damdawi lam chuan Alcohol Use Disorder kan tih chu a ni. Hei hi mi tam takin an neih thin condition a ni a, mahse sawi tak tak a ni lo.

Zu Use Disorder hi eng nge ni tak tak?

A awlsam zawngin `(Alcohol Use Disorder)` hi damdawi lam natna a ni. Hetiang natna vei hian a zu in chu a titawp thei lo va, a thunun thei lo bawk. An zu in hian anmahni nunah chauh ni lo, an chhehvela mite leh an chhungte nunah harsatna thlen mah se, zu in bansan chu harsa an ti hle. Ngaihtuah teh, mi thenkhat chu zing thawh veleh zu in ngai ang maia inhria, a nih loh leh nilengin buaina hnuaia awm ang maia inhria an awm. Hnathawh tur an kal thei lo va, inchhung mawhphurhna pawh mumal takin an thawk thei lo. Mahse he tih dan hi an bansan thei lo.

He dinhmun hi a na lo thei a, a na lo thei a, a na lo thei bawk . Chumi awmzia chu mi zawng zawng hi an inang vek lo tihna a ni. Mi thenkhat chuan symptoms na lo tak tak chauh an nei thei a, thenkhat erawh chuan nunna atana hlauhawm symptoms an nei thei thung. Thu lawmawm tak chu enkawl dan tur a awm tih hi a ni. Damdawi leh nungchang lama enkawlna te hian he natna hi a thunun thei a ni. Mi ṭhenkhat chu enkawl hnuah an natna lo leh thei mah se, zirchianna chuan mi tam tak chuan zu an in tihtlem emaw, an chawlhsan emaw thei tih a târ lang . Chuvangin beiseina bansan suh.

Hetiang natna lan chhuah dan hi engte nge ni? Hengte pawh hi i nei em tih en rawh...

Natna lanchhuahna kan ngaihtuah hian khawsik, khuh, taksa na ang chi te kan ngaihtuah tlangpui. Mahse ``Alcohol Use Disorder'' symptoms hi a danglam hle. I rilru leh nungchang inthlak danglamna nen a inzawm ber a ni. Heng symptoms te hi i hriat lar angin a lang em tih en rawh:

• Zu in duhna: Mahni chauha i awm lai pawhin zu i hriat nawn tir a, zu in duhna i nei thin. Chu duhthusam chu thunun a harsa hle.
• I zu in hian i chhungte, i ṭhiante leh i hnathawhna kawngah harsatna a thlen chung pawhin i in chhunzawm zel a: in lamah insual a chhuak a, ṭhiante an thinrim a, i hna pawh i hloh thei bawk. Mahse, zu in chu i bansan thei lo.
• Tum aia tam in emaw, tum aia rei in emaw: "Vawiin hian tlem ka in ang" tia bul tan mah la, thunun theih lohvin i in nasa hle. A châng chuan ni tam tak i in ṭhin.
• Zu zawng emaw, in emaw, hangover atanga dam lehna atana hun tam tak hman: Ni tam zawk chu heng thil tihnaah hian hman a nih chuan chu pawh chu harsatna a ni.
• I zu in tihtlem i tum reng a, mahse i ti thei lo: "Hei hi ka tihtawp a ngai" tih ngaihtuah mah la, i ti thei lo.
• Zu in hian hnathawh leh chhungkaw mawhphurhna hlen chhuah a harsat phah a: naupangte sikul hna leh inchhung hna thawh chu ngaihthah a ni.
• Zu avanga social, hnathawh, a nih loh leh hobby pawimawh tak takte bânsan: Tun hmaa i hlim ṭhin thilte chu zu in duh vanga tih loh.
• Zu hi taksa lama thil hlauhawmah pawh hman a ni: entirnan, zu rui chunga lirthei khalh emaw, machinery hmanga hnathawh emaw.
• Zu hian natna dang emaw, rilru lam harsatna dang emaw a tizual dawn tih hre reng chungin an in chhunzawm zel a: Doctor-in, "He natna atan hian zu in hi a tha lo," a ti a nih pawhin, a thusawi ngaithla lovin an in thin.
• Zu in tuar thiamna sang: Tun hma angin i rui tawh lo a, chuvangin zu in tam lehzual a ngai a ni.
• Withdrawal symptoms hi zu in i chawlhsan hian a awm thin a, a nih loh leh heng symptoms te pumpelh nan i in thin: kut inthlak, thawk hah, leh zing lama luak chhuak, chu chuan in leh duhna a siam thin.

Mi zawng zawng hian heng symptoms pakhat emaw pahnih emaw an neih vang mai mai hian ``Alcohol Use Disorder'' an nei vek lo. Mahse engemaw zat i neih chuan doctor nen inbiakna neih a tha ber.

"Cross the line" i tih hmain engzat nge i in thin?

Hei hi mi tam takin an zawh thin a ni. American Medical Association sawi dan chuan mipa tan ni khata standard drinks pahnih aia tam in hi a rem lo. "Heavy drinking" tih hi ni khatah vawi nga emaw a aia tam emaw in tur emaw, kar khatah in tur 15 emaw a aia tam emaw in tur tihna a ni.

Hmeichhia te chuan ni khatah standard drink pakhat chauh an in tihtlem tur a ni. Hmeichhia tan chuan "heavy drinking" tih hi ni khatah unit pali emaw a aia tam emaw, kar khatah unit riat emaw a aia tam emaw tihna a ni.

"Standard unit" tih hi eng nge ni? A tlangpuiin unit pakhat chu beer can (350 ml vel), wine glass khat (150 ml vel), emaw arakku ang chi spirit 45 ml (shot khat) emaw a ni. Amaherawhchu, Sri Lanka rama zu chi thenkhata zu awm zat hi a inang lo thei a, chuvangin hei hi ngaihdan tlangpui chauh a ni.

Heng bituk aia tam i in chuan risky anga ngaih a ni.

Engvangin nge mi thenkhatin hetiang dinhmun hi an neih?

Zirchiangtute chuan zu insualna chhan dik tak hi an la hre chiang thei lo. Mahse, thil pawimawh engemaw zat an hmuchhuak a:

• Genetics: I chhungkuaa mi tu emaw, i nu leh pa emaw, i unaute emaw pawhin zu in harsatna an neih chuan i vei tam zawk a ni. Hei hian genetic predisposition a awm thei tihna a ni.
• Rilru hriselna dinhmun: Rilru lam harsatna thenkhat nei te chuan zu lam an hawi tam zawk. Entirnan, lungngaihna, post-traumatic stress disorder (PTSD) emaw attention-deficit/hyperactivity disorder (ADHD) emaw te hi a ni.Depression ang chi natna nei mite chu an lungngaihna, lungngaihna, leh lungkhamna tihziaawmna turin zu hman an tum thei a ni. Mahse a takah chuan buaina chu a tizual sauh sauh a ni.

Hei bakah hian khawtlang nunphung, nunphung, leh lungkhamna ang chi thilte pawhin hei hi a nghawng thei bawk.

Hetiang tih dan hi a awm chhunzawm zel chuan eng harsatna nge a awm theih?

Zu hi in nuam tak angin lang mah se, hun rei tak leh hman tam lutuk hian taksa tan a tichhe thei hle. Harsatna tam ber chu hangover leh withdrawal hi a ni. Mahse, harsatna lian zawk lo thleng thei tam tak a awm.

Zu hi cancer thlentu a ni tih i hria em ? Chu chu cancer a thlen thei tihna a ni. Hun rei tak chhung zu in tam lutuk hian chaw kawng cancer vei theihna nasa takin a tipung a ni . Chu mai pawh ni lovin:

• Zu in avanga cardiomyopathy: Thinlung hi a chak lo thei a, a lian thei bawk.
• Zu vanga hepatitis: Liver a lo hring thei a, a chhe thei bawk.
• Zu rimchhia: Vawi khata zu in tam lutuk hian hriatna hloh leh thihna hial a thlen thei a ni.
• Cerebellar degeneration: Balance control tu thluak hmun a chhiat chuan kea kal leh khur kawngah harsatna a thlen thei.
• Cirrhosis of the liver: Liver chu a chhe vek tawh mai a, a thawk thei lo. Hei hi dinhmun pawi tak a ni.
• Delirium Tremens (DT): Hei hi thil hlauhawm tak a ni a, zu khap nghal a nih chuan a lo awm thin. Nakinah kan sawi leh ang.

Hetiang thil i hmachhawn hma hian tanpuina dil hi a finthlak hle ang.

Engtin nge doctor hian he (Alcohol Use Disorder) hi dik taka a hriat theih?

``Alcohol Use Disorder'' i nei nia i rinhlelh chuan a tha ber chu doctor pan hi a ni. Doctor chuan a enfiah ang che a, zu in avanga taksa natna dang a awm leh awm loh a enfiah ang che.

Tichuan, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)-a tehfung awmte hmangin rilru natna chi hrang hrang an thliar hrang a ni. A hmaa kan sawi tawh symptoms kha i hre reng em? Chutiang symptom i neih zinga engzat nge Alcohol Use Disorder i neih leh neih loh hriat nan i hmang a, a nih chuan engtiang chiahin nge a nasat tih hriat nan i hmang bawk.

• Mild condition: Symptom pahnih emaw pathum emaw a inmil chuan.
• Moderate condition: Symptom pali emaw panga emaw a inmil chuan.
• Severe condition: Symptom paruk emaw a aia tam emaw a inmil chuan.

He classification hi i tana tha ber tur enkawlna tur i thlan theih nan tih a ni.

Hei hi eng enkawlna nge ni? Lungngai suh, tanpuina a awm!

Enkawlna chu i dinhmun a zirin a ni. Zu in chungchanga i harsatna a nasat chuan i doctor chuan inpatient medical treatment emaw residential rehabilitation emaw a rawt thei ang. Enkawlna dangte chu:

• Behavioral treatment: Hei hian i zu in dan thlak danglam theihna tura counselling pek a huam a ni. Addiction counselor emaw psychologist emaw pawhin hemi kawngah hian an pui thei che a ni. Zu in duhna i neih chhan te, chutih laia i duhzawng i thunun dan te, chu thilte chu nangmah ngeiin i enkawl theih nan an pui che a ni.
• Damdawi: US Food & Drug Administration chuan `(Alcohol Use Disorder) tan damdawi `(Naltrexone)` leh `(Acamprosate)` te chu a pawmpui a. Heng damdawi te hian zu in duhna a tiziaawm a, zu in bânsan theihna a tiziaawm bawk. Tin, damdawi `(Topiramate)` leh `(Gabapentin)` te hian mi thenkhat zu in duhna a tihziaawm tih hmuhchhuah a ni bawk. Amaherawhchu, heng damdawi te hi Doctor thurawn ang chauha ei tur a ni.
• Support groups: Hei hi a pawimawh hle. Heng pawlte hi nangmah ang bawka harsatna tawk mek midangte nena inbiakna leh tawnhriat insem theihna chakna nasa tak an ni. "Alcoholics Anonymous (AA)" tih ang pawl hi i hre tawh mai thei. Mahni chauh ni lo anga inhriat pawh hi a ropui hle.

Heng enkawlna pakhat emaw a aia tam emaw hman dun hian result tha tak a awm thei a ni.

Hei hi a dam kim thei ang em? Nge thunun theih a ni em?

Zirna hrang hrangah chuan ``Alcohol Use Disorder'' vei tam zawk chu an dam leh thin . Chu chu an in zat an tihtlem emaw, an in an chawlhsan vek emaw tihna a ni. Mahse, a chang chuan mi an lo let leh thin. Hei hi thil pangngai a ni a, chumi avanga beidawng chu thil tha a ni lo.

A bik takin nun harsatna lian tak emaw, lungkhamna emaw i neih hunah – entirnan, hna i hloh emaw, inthenna i paltlang emaw, chhungte emaw, i thian hnai tak emaw i hloh hunah – lungngaihnain a hneh a, zu in leh tura thlemna i tawk thei a ni. I stress emaw, zu in leh tura thlemna i neih emaw chuan i doctor emaw counselor emaw nen inbia nghal rawh. An pui thei che a ni.

Zu in kaihhnawih natna laka inven nan eng nge tih theih ang?

Hetiang dinhmun hi pumpelh tur chuan high-risk drinking hi i pumpelh tur a ni. Chumi awmzia chu:

• Hmeichhia: Ni khatah zu standard unit li aia tam emaw, kar khatah unit riat aia tam emaw in tur a ni lo.
• Mipa: Ni khatah zu standard unit panga aia tam emaw, kar khatah unit sawm leh panga aia tam emaw in tur a ni lo.

Hetiang aia tam i in chuan tihtlem emaw, tihtawp vek emaw ngaihtuah rawh. I doctor nen tanpui theih dan tur sawipui rawh.

Hetiang dinhmun atanga dam leh tum i nih chuan engtin nge i in enkawl ang?

`(Alcohol Use Disorder)` enkawlna i tan tawh a nih chuan i in enkawl dan tur kawngah hmasawnna lian tak i nei tawh a ni. Hei hi zan khata thil thleng a ni lo, zinkawng a ni. Ni khatah, step khat khatah i lak a ngai a ni. He zinkawng zawh tura pui thei tur rawtna thenkhat chu hetiang hi a ni:

• Exercise: Exercise hi stress tihreh nan a tha hle. Exercise hian nitin nun atanga stress a awm theih nan a pui thei a, chubakah i fimkhur huna stress i neih thin te pawh a pui thei bawk. Kea kal, tlan, inkhel, nuam tih tur thil ti rawh.
• I thil thlentute chu hriat chian rawh: Zu hmansualna i neih hian dinhmun ṭhenkhat, mi ṭhenkhat, leh hmun ṭhenkhatah chuan zu in duhna a siam leh thei a ni. Heng triggers te hi hriatchhuah la, a theih ang anga inthiarfihlim tum ang che.
• Ṭanpuina zawng: Hei hi step 12 program emaw, counselor nena inbiakna emaw a ni thei. I dinhmun hrechiangtu nena inbiakna chu thlamuanna nasa tak a ni thei a, hmalam pan zel turin chakna a pe thei bawk che a ni. Hemi kawngah hian i chhungte leh i thiante rintlak tak takte pawhin an pui thei bawk.

Nangmah chauh i ni lo tih hre reng ang che. Ṭanpuina dil hi chak lohna a ni lo, chakna a ni.

Engtikah nge damdawi lam thurawn i lak ang?

I dinhmun a zirin a danglam ang. Entirnan, zu in vanga thin (cirrhosis of the liver) ang chi natna enkawl i nih chuan i taksaah danglamna thar emaw, symptom thar emaw i hmuh chuan doctor hnenah i hrilh tur a ni. Counselling i dawng a nih chuan i counselor hnenah i stress leh zu in leh tura i fuihnate i enkawl dan tur zawt la, rilru lam puihna dang i mamawh leh mamawh loh zawt bawk ang che.

Engtikah nge emergency room-ah i kal ang? Hei hi a pawimawh hle mai!

Zu in chungchangah harsatna na tak emaw, a tlem emaw nei te chuan zu an in loh thut chuan delirium tremens (DT) tih natna an nei thei a ni. Hei hi thil pawi tak, nunna atana hlauhawm tak pawh a ni a, zu in i chawlhsan chuan a thleng thin. Seizures leh hallucinations ang chi symptom na tak tak a thlen thei bawk. Chutiang a nih chuan emergency medical attention i pan nghal tur a ni. Chuvangin, doctor thurawn tel lo chuan zu in hi bansan nghal suh, a bik takin zu in nasa tak i nih chuan.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Hetiang natna enkawl i nih lai hian i dam chhung hian harsatna tam tak i tawk thei a ni. Chung zinga ṭhenkhat chu hetiang hi a ni:

• `(Alcohol Use Disorder)` ka nei tih i ring em?
• Chutiang a nih chuan, natna khirh tak a ni em?
• Eng ang enkawlna nge i rawt?
• Enkawlna hian zu in loh nan min pui dawn em ni?
• Eng chen nge enkawl a ngaih?
• Zu lam hawi leh tawh lo turin eng nge ka tih ang?

Heng zawhnate hi zawh zak suh. I dinhmun i hriatthiam poh leh i dam theihna chance a sang zawk.

I hriat reng tur thil pawimawh thenkhat (Take-Home Message) .

Alcohol Use Disorder i nei thei nia i ngaih chuan nangmah chauh i ni lo tih hre hmasa phawt ang che. Khawvel puma mi maktaduai tam takin he natna hi an tuar a ni. Harsatna i nei tih hriat hi dam lehna kawng hmasa ber leh pawimawh ber a ni. Chuvangin Doctor biak hreh suh. I tan enkawlna leh resources dik tak an rawn rawt thei che a, Alcohol Use Disorder i hneh theih nan an pui thei bawk che a ni.

Hei hi natna a ni tih hre reng ang che. Enkawlna a nei. Ṭanpuina dik leh i inpekna chuan nang pawhin hei hi i hneh thei a, nun hrisel leh hlim takin i nung thei a ni. A pawimawh ber chu chutiang tur chuan i rilru siam chhuah hi a ni.

` Zu ruihhlo ngawlvei, Zu Use Disorder, Zu in, Zu symptoms, Zu in enkawlna, Rilru hriselna, Zu ruih