I ṭhian emaw, chhûngte emaw, an rilru lam hrisêlna chungchânga buaina nasa tak nei, lungngai tak, emaw, thinrim tak tak, zu emaw, ruihhlo dang emaw ngawlvei pawh i nei em? A chang chuan heng thil pahnih hi a kal dun ang maiin kan hria. Dik tak chuan damdawi lamah chuan he dinhmun hi harsatna inzawm tlat pahnih angin kan hmu a. Hei hi hming bik ``Dual Diagnosis`` tih a ni. Chumi awmzia chu mi pakhatin rilru lam harsatna leh ruihhlo hmansualna a nei ve ve tihna a ni. Hemi chungchang hi vawiinah hian thui zawkin han sawi ila.
Engvangin nge heng rilru lam hriselna chungchang leh ruihhlo ngawlvei te hi a inzawm khawm?
Hei hi zawhna pawimawh tak a ni. A awlsam zawngin, heng natna pahnih zinga pakhat vei chu a dang vei theihna chance a sang zawk hle. Survey-ah chuan heng natna pahnih zinga pakhat vei zinga 60% aia tam chuan an nei ve tak tak tih hmuhchhuah a ni.
Hetiang hian han ngaihtuah teh. Mi pakhat hian rilru lama harsatna engemaw tak nei thei tura genetic emaw biological predisposition a nei a. Chumi awmzia chu an taksa leh thluak hian eng emaw chen chu a sensitive tihna a ni. Hetiang hunah hian chu mi chuan zu emaw, ruihhlo dang emaw a hman tan chuan chu rilru lama harsatna thup chu a lo lang nghal thei a ni.
Chu chu, damdawi ngeiin rilru natna thar a thlen ai chuan, muhil lian tak kaihthawh ang mai a ni. Damdawi ngei pawh hi buaina thlentu trigger (tr IgG er) a ni.
A châng chuan a lehlamah a thleng ṭhin. Miin nitin nunah harsatna, mahni chauha awm, lungngaihna leh lungkhamna a hmachhawn theih loh chuan, chutiang rilru put hmang chu rei lo te chhunga tihdam tumin zu emaw ruihhlo emaw a hmang a, chu chu "mahni invenna" tihna a ni. A tir lamah chuan hman tlem atanga tan ni mahse, hun kal zelah chuan thunun theih loh addiction a lo ni ta a ni.
Rilru lama harsatna hi a hmasa ber em? Addiction a ni em?
Hei hi zawhna "Eng nge lo kal hmasa ber, vawk nge artui?" A chang chuan sawi a har takzet thin.
- Mental health issues hi a hmasa ber: Mi thenkhat chuan chhungril lamah "missing" feeling, "emptiness" emaw constant anxiety emaw an nei thin. A chhan chu an hriat loh rilru natna a ni thei. Entirnan, ``Bipolar Disorder'' ang chi dinhmun. Heng mite hian ruihhlo an hman hian hun eng emaw chen chu "okay", "normal" tiin an inhria. Hei hi a chhan chu damdawi hian thluaka chemical thenkhat, `` Neurotransmitters '' a block vang a ni.A chhan chu )` hnathawh dan a thlak danglam a ni. He rilru "tha" tak hi i hman thiam tawh chuan zawn chhunzawm zel turin i thlem a ni.
- Addiction chu a hmasa ber a ni: Mi ṭhenkhat chuan hlimhlawp atân, ṭhiante nawrna, a nih loh leh thil hriat duhna atân ruihhlo an hmang ṭan a. Mahse hun kal zelah hman chhunzawm zel a nih chuan heng damdawi te hian thluak chemical balance a tidanglam thei a, rilru hriselna dinhmun thar (e.g., depression, anxiety) a thlen thei a ni.
Hetihlai hian zirchianna chuan ``Bipolar Disorder`` tih hming pu dinhmun leh zu ruih vanga inthlunzawmna hi inzawmna sang tak a nei tih hmuhchhuah a ni. Hetiang dinhmunah hian mi pakhat rilru put hmang chu extreme pahnih inkarah a inthlak danglam thin. Hetiang hian han thlir ila.
| Mania (Mania) tih hun lai | Lungngaihna |
|---|---|
| Hlim lutuk emaw, thinrim lutuk emaw. | Tuar theih loh lungngaihna, beidawnna. |
| Mut tlakchhamna. | Mut tam lutuk emaw, mut theih lohna emaw. |
| Ngaihtuahna danglam chak tak, thusawi chhunzawm zel. | Mahni inhriatthiam lohna, sual tih. |
| Reckless, risky behavior (sum hman tam lutuk, ruihhlo hman). | Nun bo nia inhria, mahni intihhlum tumna nei. |
| Harsatna an nei lo tih ngaihtuahin. | Engmah ngaihtuah thei lo. |
Hetiang bipolar disorder nei hian engmah ngaihtuah lovin ruihhlo a hmang nasa hle a, a bik takin mania hun lai hian a hmang nasa hle.
Chuti a nih chuan hei hi eng enkawlna tha ber nge ni ang?
Hei hi a pawimawh ber a ni. Harsatna pahnih a awm avangin a rualin an pahnih tan hian enkawlna pek tur a ni. Pakhat chauh enkawl chuan a pui lo vang.
Ruihhlo ngawlvei chuan rilru lam harsatna a nei niin han ngaihtuah teh. Ruihhlo atanga chhuah tir turin detoxification treatment kan pek chuan a hnuah rilru lamah harsatna nasa tak a tawk mai thei. A rilru natna chauh a do a ngai a ni. Tichuan, nawrna chu tuar thei loin ruihhlo lam a hawi leh ta zawk a ni.
"Hetiang mi hi ruihhlo atanga a tlak hnuah , an rilru dinhmun thunun turin hun rei lote kan nei a. Chumi hun chhunga enkawlna an tan loh chuan an nun hluiah an tlu leh thei a ni.
Hei vang hian tunlaia enkawlna tha ber chu "Dual Treatment Approach" tia ngaih a ni. Chu chu ruihhlo enkawl lai hian damlo rilru lam harsatna chu hriatchhuah a, a ruala enkawl a ni tihna a ni. Hei hian damlo chuan an harsatna pahnih chu hmun khatah, team khat atangin tanpuina a dawng tihna a ni.
He enkawlna hi mi zawng zawngin kan dawng thei ang em?
Vanduaithlak takin hetiang integrated treatment center hi kan ramah hian a la awm lo. Mahse, beiseina chu kan thlahthlam tur a ni lo. A tha ber chu damlo enkawl dan inrualrem (coordinate) hi a ni.
Chu chu damlo rilru hriselna enkawltu doctor leh ruihhlo ngawlvei enkawltu doctor (or counselor) inkara inbiakpawhna tha tak siam tihna a ni. Hemi kawngah hian chhungkaw inrawlhna a pawimawh hle. Damlo chanchin leh enkawlna kal zel dan hi an pahnih hian an hriat chian a, an thawhho chuan result tha tak tak a awm thei a ni.
Enkawl laiin i natna a lo let leh a nih chuan engtin nge i tih ang?
Hei hi mi tam takin an hlauh em em a ni. Mahse, enkawl laia natna lo lang leh chu hlawhchhamna a ni lo tih hre reng ang che. Recovery journey-ah pawh a tel thei a ni. A pawimawh ber chu i beidawng tir mai lo va, beih nawn leh hi a ni.
Hei hi a chinfel dan tha ber chu damlo leh doctor inkara inzawmna rintlak leh rinawm tak siam hi a ni (therapeutic alliance). Damlo chuan an dinhmun dik tak, an ngaihtuahna leh ruihhlo hman nawn leh tura an fuihnate chu hlauhna leh rinhlelhna awm lovin doctor hnenah a sawipui thei tur a ni.
Chutiang a nih chuan doctor chuan a lo thlen hmain relapse chu a hmuchhuak thei a, a tul angin hma a la thei bawk. A khap vek pawh a ni mai thei.
Take-Home Thuchah a ni
- Rilru lama harsatna leh ruihhlo hmansual hi thil pahnih awm dun fo (Dual Diagnosis) a ni.
- Chung pahnih zinga pakhat chuan a dang chu a thlen thei a, a tichhe thei bawk. Hei hi vicious cycle a ni a, kawng hnih a thawk a ni.
- Harsatna pahnih a awm avângin pakhat chauh enkawl chu a hlawhtling lo vang. Harsatna pahnih hi a ruala chinfel a ngai a ni.
- Nangmah emaw, i hriat emaw hian hetiang natna hi i vei a nih chuan doctor thiam tak pan nghal rawh. Rilru natna leh ruihhlo ngaite enkawltu doctor-te inkara inremna siam a pawimawh hle.
- Enkawl laia natna lo lang leh hi a hlawhchhamna a ni lo. A pawimawh ber chu i doctor nen rinawm taka inbiakna neih a, tanpuina dil a, damna kawng zawh leh hi a ni.











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