I taksa peng pakhat chu i ta ni lo angin i inhria bawk em? (Body Integrity Identity Disorder - BIID) Hemi chungchang hi han sawi ila!

I taksa peng hrisel tak, kut emaw, ke emaw pawh ni thei, i ta ni lo ang maiin i inhria ngai em, chu chu awm tur a ni lo ang maiin? Thil mak tak, leh thinlung ti na thei tak, tumah i sawi theih loh pawh a ni thei. Vawiin hian rilru lam natna hmuh tur awm lo mahse na tak tak, Body Integrity Identity Disorder (BIID) tih kan sawi dawn a ni.

BIID hi eng nge ni tak tak?

A awlsam zawngin, Body Integrity Identity Disorder (BIID) , a then chuan Body Integrity Dysphoria , an tih hi rilru lam natna a ni a, i taksa peng hrisel tak, kut, ke, kut zungtang, mit ang chi chu i ta tak tak lo nia i hriatna a ni. A pawimawh ber chu i taksa peng pakhat chu a hrisel tih i hriat a, i hre thei a, i hmang thei a, i che thei bawk. Mahse i chhungah hian nawrna nasa tak a awm a, chu chuan, "Hei hi ka ta a ni lo, hei hi hetah hian a awm thei lo." Chu i taksa peng chu tel lova nun chu i duh tak zet a ni.

Chuvangin doctor hnenah i taksa peng hrisel (amputation) chu surgery hmanga lakchhuah turin i ngen mai thei. A nih loh leh, nawrna chu tuar thei lovin, nangmah ngeiin chu ṭhen chu paih chhuah i tum mai thei bawk. Hei hi a hlauhawm hle a, nunna atana hlauhawm tak a ni thei bawk. BIID atanga a tawpah chuan taksa lama chak lohna a ni.

I taksa peng hi lak chhuah duhna, emaw, taksa lama rualbanlo nih duhna hian “a famkim” ang maiin a siam thei che a ni – i taksa taksa chu a tawpah chuan i chhungril lam nen a inmil tawh ang maiin. Mahse, vanduaithlak takin, ke ruh tliak hian he thil tum hi a tihlawhtling dawn em tih hriat theih a ni lo. Hetiang dinhmun enkawl nan hian non-surgical treatment a awm bawk.

BIID hian taksa peng engte nge a nghawng?

BIID hian i taksa peng eng pawh a nghawng thei a ni. Vawi tam tak chu, hengte hi i taksa peng hrang hrang, i ta ni lo ang maia inhriatna, i tel ve lo ang maia inhriatna te hi an ni:

• A ke pakhat
• A kut chu
• A kut zungtang
• A ke ruh a ni
• Mit (pakhat emaw pahnih emaw) .
• Beng (pakhat emaw pahnih emaw) .
• Ha

Zirchianna pakhatah chuan ke veilam hi hetiang hian a nghawng nasa ber tih hmuhchhuah a ni. Chu zirchiannaa tel ṭhenkhat chuan an ke dinglam chu an tân a ṭangkai hle tih an sawi a, entîr nân, motor khalh tûrin an ke dinglam an mamawh avângin, chu chu vawng reng an duh a ni. Chuvangin an ke dinglam chu vawn reng an duh zawk. He rilru put hmang hi a buaithlak zia hi han ngaihtuah teh!

BIID hi engtiang chiahin nge a awm?

BIID hi a takah chuan a awm lo hle a ni . Mi tam tak chuan damdawi an zawng lo va, a nih loh leh an natna lan chhuah dan chu midang lakah an thup thin. Khawtlang tana hriatthiam harsa tak a nih avangin mualphona leh hlauhna ang chi thil a thlen thei a ni. Chuvangin khawvelah hian he dinhmun hi engtiang chiahin nge a darh tih chiang taka sawi a harsa hle.

BIID natna lan chhuahna chu engte nge ni?

BIID vei chuan natna lan chhuahna a nei thei a, chungte chu:

• Taksa lama rualbanlo nih emaw, taksa peng nei lova khawsak duhna nasa tak a awm a. Hei hi duhthusam mai a ni lo, thinlunga phurrit rit tak ang maiin a lang.
• I taksa peng hrisel tak chu nangmah a inmil lo emaw, i ta a ni lo emaw tih hi a nuam lo hle thei a, a harsa thei hle bawk.
• Chûng mi mal duhzâwngte chu an ngaihtuah reng avângin, khawtlâng inpawlna, mi dangte nêna inlaichînna, leh thil tih nuam an tihte thlengin an inhlat a ni.
• Rualbanlo tak tak ni lo mah se, rualbanlo ang maiin an che duh hle. Wheelchair emaw, kekawrte emaw an hmang mai thei.
• An taksa peng pakhat, anmahni ta ni lo nia an hriat chu mahni intihchhiat emaw, tihchhiat emaw (self-mutilation) tura thlem an ni.

Heng symptoms te hi thenkhat tan chuan a na lo hle thei (i taksa chungchanga rilru na tak mai mai), thenkhat tan chuan a na hle thei bawk (mahni inhriatthiam lohna tur khawpa na). Mi tin a inang lo.

BIID vei chu engtin nge a awm?

BIID i neih chuan a hnuaia mite hi i tawng thei ang:

• "Hyper-perfection" tih hriatna emaw, tuna i taksa pianzia chungchangah thil pakhat a tlachham/a tibuaitu nia inhriatna emaw. Chu chu, chu hmun "a tul lo" nia inhriatna avanga taksa chu "a khat lutuk" tih hriatna a ni.
• An rilru dik tak chu midang lakah thup an tum avangin an chau hle a, an chau hle bawk.
• I taksa (obsessive thoughts) chungchang i ngaihtuah fo thin.
• I taksa taksa chu nangmah i hmuh angin khawvel hmaah i lantir theih loh avangin stress emaw, lungkhamna emaw i nei nasa hle.
• Depression hi taksa inthlak danglamna tel lova mahni nihna dik takah a awm theih loh avanga lo awm thei a ni.

Heng rilru put hmangte hi engtikah nge a intan?

Vawi tam tak chu, heng rilru put hmangte hi naupan lai leh tleirawl lai , a tlangpuiin kum 5 leh 10 inkar a\angin a intan \hin.

Eng thilin nge BIID hi a thlen?

Dik tak chuan doctor-te hian BIID hi eng nge a thlen tih chiang takin an la hre lo . Mahse tuna zirchianna chuan kan taksa hriatna thununtu thluak hmun hrang hranga structural abnormalities vang a ni thei tih a sawi. Kan taksa kan hmuh danah hian thluak peng khat aia tam a inrawlh a. Entir nan:

• Somatosensory cortex leh parietal lobe te chu a awm a.
• Insula (occipital leh frontal lobe inkar a awm).

Tunah hian heng thluak hmun hrang hrangte hnathawh danah hian inthlak danglamna engemaw zat chu he natna hi a awm thei niin rinhlelh a ni.

BIID avanga harsatna awm thei te chu engte nge ni?

BIID hian i thil tum tihhlawhtlin nan nangmah leh nangmah tihnat duhna a siam thei che a, chu chu chu taksa peng "duh loh" chu paih chhuah te hi a ni. "Mahni intihhlum" angin i hmu lo mai thei a, mahse harsatna lian tak tak a thlen thei a, chu chu:

• Thunun theih loh thisen chhuak.
• Kaichhawng.
• Nerve tihchhiat a ni.
• Natna nasa tak a nei.
• Phantom limb na chu a ke ruh tan hnuah a na.

Mahni taksa peng hrang hrang tan tum hi a hlauhawm hle. Nunna atana hlauhawm pawh a ni thei. Chutih laia i duhna chu a nasa lutuk a, heng hlauhawmte hi i tan chuan thil pahnihna angin a lang mai thei. Mahse khawngaihin hrethiam rawh u, hei hian chhiatna a thlen theih dan hi ngaihtuah phak bak a ni.

Mahni inhriatthiam lohna i neih chuan doctor pan nghal la, a nih loh leh i awmna hmuna emergency number ah call rawh. Sri Lanka ramah hian Sumithrayo (0112692909, 0112696666, 0112682535) ang pawl an awm a, chu chu i call thei a, i ngaihdan i sawi thei bawk. An pui ang che.

Engtin nge BIID i neih leh neih loh i hriat theih ang?

Psychiatrist hi BIID diagnose tu a ni tlangpui. I taksa i rilru put hmang a sawipui ang che a, taksa peng i lak chhuah duh chu a hrisel em tih enfiah turin taksa enfiahna a nei ang.

Vawi tam tak chu he natna vei te hi hriatchhuah lohvin an awm thin a, a nih loh leh anmahni an inhliam hnuah emergency room-ah emaw, an taksa peng hrisel tak lakchhuahna tur surgeon hnen atanga tanpuina an dil hnuah emaw chauh hmuhchhuah an ni.

I taksa tihdanglam chungchangah ngaihtuahna nghet tak, lungngaihna leh thunun theih loh i neih chuan doctor pan rawh. Heng ngaihtuahnate hi enkawl dan tur leh i tana tha tur enkawlna ruahmanna zawng turin an awm a ni.

DSM-5 ah hian condition hi BIID a ni em?

American Psychiatric Association-in tuna Diagnostic and Statistical Manual of Mental Illnesses (DSM-5-TR) an siamah hian BIID hi natna hran anga tarlan a ni lo. Mahse, DSM-5-TR hian BIID hi Body Dysmorphic Disorder tih hming pu condition nen a inzawm tlat a ni.

Mahse, World Health Organization-in International Classification of Diseases (ICD-11) , doctor-te’n natna an hmuhchhuah leh an thliar hranna atana an hman list-ah chuan he natna hi ‘Body Integrity Dysphoria’ tiin an vuah a ni.

BIID enkawl dan tur chu engte nge ni?

Dik tak chuan BIID enkawl hi a harsa deuh.BIID hi enkawlna bik a awm lo. Doctor-te chuan taksa peng hrisel tak takte paih chhuah loh nan leh thil tha lo tih tawh loh nan tanpui che an tum tlangpui. Hei hian enkawlna hrang hrang a huam thei a ni. Chûng zîngah chuan:

• Cognitive Behavioral Therapy (CBT): Hei hi psychotherapy chi khat a ni a, i ngaihtuahna leh nungchang hriatchhuah leh thlak danglam theihna a ni.
• Depression leh lungkhamna tihziaawmna damdawi: Heng damdawi te hian BIID nena lo awm thin stress tihziaawmna kawngah a pui thei a ni.
• Prosthetic bun, wheelchair emaw crutches emaw hman: Mi thenkhat chuan hetiang hian "disability" an tawn atang hian hun eng emaw chen chu hahdamna an hmu thei.
• Virtual Reality (VR) hman dan: He technology hmang hian i taksa peng pakhat tel lova nun chu eng ang nge a nih dawn tih simulate theih a ni.

Thil tam takah chuan damdawi leh therapy hian BIID natna lan chhuah dan thenkhat a tihziaawm thei a ni. A pawimawh ber chu heng enkawlnate hian i taksa peng pakhat tel lova nun duhna chu a ti bo vek dawn lo. Mahse i rilru hahna tihziaawmna turin an pui thei che a, heng ngaihtuahnate hi i neih fo thin tihziaawmna turin an pui thei che a, hun rei tak chhung chu he natna nen hian i nunpui thei bawk.

I doctor chuan clinical trial emaw research study emaw-ah tel ve turin a rawt thei bawk che a, chu chu i natna chungchang hriat belh leh enkawlna thar zawn nan a ni.

Amputation hian BIID a tidam em?

Hei hi zawhna chhan harsa leh sensitive tak a ni. Amputation hian i duhzawng a tihlawhtling ang a, BIID a tidam ang tih i ngaihtuah mai thei. I taksa peng hrisel tak lakchhuah i nih chuan i inchhir lo mai thei. Mahse, i nun chu a hma aia harsa leh buaithlak zawkah a siam thei a ni. Kawng hrisel tak lak chhuah hian pum puia inhriatna a thlen ang tih rinhlelh rual a ni lo. Hei vang hian BIID atana taksa peng hrang hrang surgery hmanga lakchhuah hi damdawi lam khawvelah sawisel hlawh tak a ni ta a ni.

Ethically-ah chuan surgeon leh doctor-te chuan damdawi lam mamawh chiang tak awm lovin taksa peng hrisel tak takte chu an paih chhuak ngai lo. "Thil tisual suh" tih medical principle kalh a ni. Taksa peng pakhat surgery hmanga lak chhuah a nih chuan a rah chhuah leh a hlauhawmna chu dam chhung zawng a ni thei a, hlauhawm tak a ni a, thihna pawh a thlen thei bawk.

Taksa peng pakhat lakchhuah hian i hmachhawn tur rilru lama harsatna awmte chu a chinfel kim lo mai thei. Tunah hian i tan chuan solution awmchhun angin a lang mai thei a, mahse i taksa peng lakchhuah hian i beisei ang result a nei dawn em tih hriat theih a ni lo.

Amputation hi a awm reng a ni. Hetiang surgery hi a result-a i lungawi loh chuan i reverse thei lo.

BIID nei chuan eng nge a beisei ang?

BIID hi nitin enkawl tur chuan a harsa hle. I hmangaih tak takte leh i thil hlimawm tak takte nen a inthen thei che a ni. Amputation hi BIID avanga thil thleng awm reng leh hlauhawm tak a ni fo. Nangmah ngeiin taksa peng hrang hrang lak chhuah tum ngai suh.

I rilru tichhe duhna rilru tibuaitu, rilru tibuaitu i neih chuan doctor pan rawh. Tuna enkawlnate hian i duhzawngte chu a ti bo vek lo mai thei a, mahse, chu chuan nunpui a ti awlsam thei a, i ni tin nun tibuaitu ngaihtuahna lungchhiatthlak tak takte pawh a ti tlem thei bawk.

Engtikah nge Doctor ka hmuh ang?

I taksa peng hrisel tak tan chhuah tumna, ngaihtuahna tibuaitu i neih fo chuan doctor nen inbia ang che. Emergency-a i awm a nih chuan, emaw, mahni inhliam i hlauh chuan emergency service-te chu call nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hian hetiang zawhna hi i zawt thei ang:

• Eng ang enkawlna nge min rawt?
• Enkawlna hian side effect a nei em?
• Amputation hian ka rilru a ti hahdam ang em?
• Counselling leh enkawlna dangin a hlawhtlin loh chuan engtin nge ka tih ang?

BIID hi rilru lam natna a ni em?

Ni e, Body Integrity Dysphoria , a nih loh leh Body Integrity Identity Disorder (BIID) hi rilru lam hriselna dinhmun a ni . Zirchianna chuan he natna lo awm chhan hi naupan laia i thluak lo thanglian dan nen a inzawm thei niin an sawi. Chuvang chuan naupan lai atanga symptoms hi a intan fo thin. Thluak hmun thenkhata hmasawnna pangngai lo hian i taksa i thlir dan, emaw i taksa lem i hmuh dan a nghawng thei a ni.

BIID nena nun hi thil harsa leh inhlat tak a ni thei. I duhzawngte chu ṭhiante emaw, chhungte emaw hnena hrilh risk i la tawh a nih chuan mak tih hmel tak leh negative reaction i dawng tawh ngei ang. I ngaihtuahna chu "delusional" emaw "crazy" emaw tiin an hnawl mai thei. Mahse chu chu thudik a hla hle.

I ngaihtuahna leh i rilru put hmang chu a tak tak a ni. Chu chu a chhan a awm. Mahni lem, i taksa tak tak, taksa tak tak siam i duh mai a ni. Hei hi midang tan pawh, doctor tan pawh, i kekawrteah an awm tawh loh chuan hriatthiam harsa tak a ni thei. Mahse, nangmah chauh i ni lo tih hre reng la, tanpuina a awm bawk.

A tawi zawngin, i hriat reng tur thilte

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• BIID hi rilru lam dinhmun dik tak a ni. I suangtuahna figment mai a ni lo.
• He natna ziarang pawimawh tak chu taksa peng hrisel tak chu pakhat ta a ni lo tih hriatna a ni a, chu chu lak chhuah a ngai tih hriat hi a ni.
• Nangmah ngeiin taksa peng hrang hrang lakchhuah tum suh; nunna atana hlauhawm tak a ni.
• Damdawi lam enkawlna, a bik takin rilru lam counseling leh a tul chuan damdawi ei hian he natna hi a enkawl thei a, i rilru hahna pawh a tihziaawm thei bawk.
• Nangmah chauh i ni lo. Hemi chungchang hi sawi hlau suh la , doctor rintlak tak emaw mental health counselor emaw hnen atangin tanpuina zawng rawh .

Hemi chungchangah hian zawhna dang i neih chuan, emaw, heng rilru put hmang hi i neih chuan doctor rawn la.

` BIID, body integrity identity disorder, rilru hriselna, taksa integrity, taksa peng lakchhuah, depression, body image