Thil i theihnghilh bawk em? Dissociative Amnesia vang a ni thei ang em?

I nunah thil pawimawh emaw, thil thleng emaw chu a châng chuan i theihnghilh thut em? I hriatrengnaah ``gap`` a lo awm ang mai a ni. Hei hi theihnghilh mai mai a ni lo. A châng chuan hei hi a pawi deuh thei bawk. Vawiin hian chutiang thil tawn chungchang kan sawi dawn a, chu chu rilru lam dinhmun ``Dissociative Amnesia`` chungchang a ni.

Chuti a nih chuan `Dissociative Amnesia` tih hi eng nge ni?

A awlsam zawngin, `Dissociative Amnesia` hi i rilruin i chanchin pawimawh tak tak, a bik takin thil hrehawm, lungchhiatthlak tak tak nena inzawm thilte a block out thinna dinhmun a ni. I rilruin venhim a tum ang maiin ngaihtuah rawh. Thil i theihnghilh mai mai ang a ni lo. A tam zawkah chuan chu hriatrengna chu a awm a, mahse i `access` thei lo.

Dissociative amnesia hi thil rapthlak tak tak , tihduhdahna nasa tak, indona, a nih loh leh thilsiam chhiatna ang chite avânga lo awm a ni fo ṭhîn. Hetiang natna vei te hi mahni intihhlum emaw, mahni intihhlum emaw an hlauhawm hle.

Pawimawh: Mahni tihchhiat emaw, intihhlum emaw ngaihtuahna i neih chuan tanpuina zawng nghal rawh. Hetih lai hian hei hi i ti thei ang:

* Sri Lanka rama rilru lam hriselna lama tanpuina ram pum huap 1926 call rawh .

* I awmna hmuna rilru lam hriselna lama thawktu hnen atangin tanpuina zawng rawh.

* Hemi chungchang hi i rintlak tak nen sawipui rawh.

* Damdawi in hnai ber pan nghal rawh.

Hetiang hlauhawma i hriatte i rin chuan khawngaihin kalsan suh, tanpui rawh.

He "dissociation" hi eng nge ni?

Nunnaah hian kan thil tawn zawng zawng hi thluaka thil kalphung leh theihna hrang hrangte thawhhonaah a innghat a ni. Chungte chu:

• Hriatrengna
• Consciousness (mahni leh a chhehvel hriatna) .
• Tu nge i nih hriatna (Identity) .
• Emotions (Emotions) te
• Hriatthiamna (hmuh, hriat ang chi hriatna - `Hriatthiamna`) .
• Motor ability (muscle control hmanga kal kual theihna) .
• Nungchang

Dissociation hi i rilruin a hman thin defense mechanism a ni. A chunga kan sawi zinga pakhat emaw a aia tam emaw thawhhona a titawp a ni. Hei hian thil i tawn dan, i hriatthiam dan leh i hriatreng dan a thlak danglam thei a ni.

`Dissociative Amnesia` hi he inthenna avanga lo awm a ni.Hriatrengna hloh (`amnesia`) lo awm dan.

Engtin nge `Dissociative Amnesia` hian hna a thawh?

`Dissociative Amnesia` hriatthiam nan chuan hriatrengna hnathawh dan tlem hriat a \angkai hle. I nunah thil thlengte i ngaihtuah kir hian ``autobiographical memory`` an tih chu i hmang ang tih han ngaihtuah teh. I rilruah chuan library lian tak ang mai a ni. Chu library-a lehkhabu awm zawng zawng chu i nunah thil thleng pakhat hriatrengna a ni.

He library-a lehkhabu dah belh tur, chu chu hriatrengna siam tur chuan i thluak hian step khat hnu step khatin a kalpui a:

1. Encoding : Hei hi i thluak in memory a siam lai a ni. I thluak in library atana lehkhabu thar i ziah leh tihchhuah ang mai a ni.

2. Storage : Hei hi i thluak hian chu memory chu a dahkhawm dan a ni. I thluak chuan chu lehkhabu chu library-a shelf-ah a dah a. Tin, label (tag) a pe bawk a, chuvang chuan a hnuah i hmu thei ang.

3. Retrieval : Hei hi library-a i kir leh a, chu lehkhabu chu i la a, a chhunga thil chipchiar tak tak i en a, thil thleng chu i hre reng a ni.

`Dissociative Amnesia`-a thil thleng chu he kalphung hi harsatna a awm tih hi a ni.

`Dissociative Amnesia` chi hrang hrangte chu engte nge ni?

`Dissociative Amnesia` hnathawh dan tlangpui pahnih a awm a:

• Retrograde : Hei hi dissociative amnesia hian i hriatrengna hun kal tawhte hriatrengna a nghawng hun a ni , chu chu i library-a lehkhabu thenkhat hmuh theih loh, emaw, chu lehkhabu chhunga thil awmte chhiar theih lohna te hi a ni.
• Anterograde : Hetiang amnesia hi hriatrengna thar siam emaw dahkhawm emaw tihbuai vang a ni . I thluak chuan lehkhabu i tih zawh hnua library-a dah theihnghilh ang mai a ni a, a nih loh leh i hriatrengna record danah gap a awm ang mai a ni. Hetiang chi hi chi dang aiin a tam lo hle.

`Dissociative Amnesia` hi engtiang chiahin nge a awm?

Dissociative Amnesia hi a awm fo lo. Mahse, mithiamte chuan engtiang chiahin nge a hluar tak tak tih erawh an hre chiang lo. Zirna thenkhatah chuan he natna hi mipui 0.2% aia tlem leh 7.3% velah hmuh theih a ni tih an sawi. American Psychiatric Association chuan khawvel pumah kum tin mi 1.8% velin he natna hi an tawk niin an chhut.

`Dissociative Amnesia` natna lan chhuah dan chu engte nge ni?

`Dissociative Amnesia` chhinchhiahna ber chu hriatrengna hloh hi a ni . He hriatrengna hloh hi chi hrang hrangin a lo thleng thei a ni. Mi thenkhat chuan chi khat chauh an tawng thei a, thenkhat erawh chuan chi hrang hrang an nei thei thung. Heng form hrang hrangte hi:

• Localized : I nun chhunga hun rei lote, bik nena inzawm zawng zawng i theihnghilh vek. Ngaihtuah teh, ni hnih chhung chu thil thleng engmah i hrechhuak thei lo.
• Selected a ni(`Selective`): I nunah hun bituk atanga thil thleng pakhat emaw, thil chi khat emaw chauh i theihnghilh thin. Hmun thenkhatah chuan hriatrengna thenkhat chauh i theihnghilh ang mai a ni. Chuvangin "patchy amnesia" an ti fo thin.
• Generalized : Hun rei tak, thla emaw kum tam tak chhung engkim theihnghilh . Hei hi a na deuh deuh a ni.
• Continuous : Hei hi a hmaa kan sawi tawh ang khan memory chi khat, Anterograde an tih chu a ni. Hei hian hriatrengna thar siam theihna a nghawng tihna a ni . Chuvangin, thilthlengte a lo thlen veleh theihnghilh a ni.
• Systematized : Thupui emaw category bik emaw nena inzawm zawng zawng theihnghilh . Entirnan, i chhungkaw chanchin zawng zawng, a nih loh leh i hnathawhna nena inzawm zawng zawng i theihnghilh mai thei.

`Dissociative Amnesia` vei te hian he hriatrengna hloh bakah hian nungchang dang emaw, symptom dang emaw an nei thei a:

• Awareness tlakchhamna: Dissociative amnesia vei thenkhat chuan memory lapse an nei tih pawh an hre lo. Hei hi an nihna tichhe thei thil an theihnghilh hma emaw, mi pakhatin an hriat reng tur thil a zawh hma emaw pawh a ni thei.
• Flashbacks: Mi thenkhat chuan flashback an tawng thei a, chu chu hriatrengna te chu zawi zawiin a lo let leh thin. Flashback hi thil nuam lo tak hriatrengna mumal lo mai ni lovin. Thil thleng rapthlak tak chu nunpui lehna rilru put hmang a ni. Chutih lai tak chuan thil tak tak leh hriatrengna awm chu thliar hran a harsa thei hle.
• Confusion or disorientation : A bik takin generalized amnesia vei te chu an chhehvel hre lo ang maiin emaw, hriatthiam harsa an ti emaw a ni thei. A nasat chuan tu nge an nih pawh an hre lo thei.
• Inzawmna leh inrintawkna chungchang: Dissociative amnesia vei te chuan ṭhian siam leh hmangaihna inzawmna vawng reng chu an harsat phah thei.
• Dissociative Fugue : Miin khawi hmunah emaw a awm tih hriatrengna nei lo hun chhung emaw, a bo lai emaw a neih chuan dissociative fugue an ti a. Hei hi a tlem deuh a, hriatrengna hloh hi hun rei lote chhung chauh a ni tlangpui.

Mi thenkhatin hriatrengna an nei lo tih hre mah se, chu chu tlanbo an tum a, thil tenawm takah an ngai a, an hriatreng loh chhan hrang hrang an sawi bawk.

`Dissociative Amnesia` awm chhante chu engte nge ni?

Dissociative Amnesia hi thil thleng pakhat vang emaw, hun rei tak chhunga stress emaw trauma vang emaw a ni thei. Hetiang trauma chi hrang hrang thlen thei thilte chu:

• Ngaihsak loh emaw tihduhdah emaw nih- Taksa, mipat hmeichhiatna, rilru lam pawh a ni thei. A bik takin naupan lai hian. Mahse puitlingah pawh a thleng thei. Mi tihduhdahtu chu a chhungte, hnai tak, mi rintlak a nih chuan thil awmdan chu a pawi zawk thei a ni.
• Tharum thawhna tawn emaw, hmuh emaw.
• Mipat hmeichhiatna lama tharum thawhna (sexual assault, pawngsual, mihring hralhna, etc.) hmachhawn .
• Indona (sipai officer bakah mi pangngai tan pawh).
• Mi dang hliam na tak tuar emaw, thi emaw hmuh emaw, nangmah ngei pawh hliam na tak tuar emaw.
• Nun tidanglam thei thil lungchhiatthlak dangte, entîr nân, raltlan nihna.

Dissociative Amnesia symptoms pawh hi naupan laia thil lungkham leh lungchhiatthlak tak tak a awm avangin a lo lang leh thei a, a na zual thei bawk.

`Dissociative Amnesia` vei theihna tur risk factors te chu engte nge ni?

Mithiamte chuan `Dissociative Amnesia` vei theihna tipungtu thil engemaw zat a awm niin an ngai. Hei hi a chhan chu mi pakhatin risk factor a neih tam poh leh a natna (`cumulative risk`) a neih theihna a sang zawk vang a ni. Tin, trauma chu rei tak a awm a, a lo awm leh a, a nasat zawk chuan a natna chu a na zual tlangpui bawk.

Research atanga a lan dan chuan genetic link a awm thei . Genes chauh hian dissociative amnesia a thlen lo nain, he natna hi a vei theihna a tipung thei a ni. Chumi awmzia chu chhungkaw zinga mi pakhatin dissociative amnesia a neih chuan chu mi pawhin chu natna chu a nei thei a, risk factors level hniam tak pawh ni se.

`Dissociative Amnesia` hi engtin nge kan hriat theih ang?

Doctor chuan `Dissociative Amnesia` hi i symptoms te, i hriatrengna te, i hriatreng loh te, i thil tawn te, leh i nun chungchang chipchiar taka zawhna te zawtin a hriat theih. Doctor chuan `Dissociative Amnesia` hriat theihna tura duan ` questionnaire` a hmang thei bawk. Heng zawhnate hi doctor tan chuan kaihhruaina ang mai a ni a, eng thilin nge i nghawng tih leh a nasat zia a hriat theih nan a pui a ni.

Thil i hriatreng loh thu sawi i hlau a nih chuan, emaw, lungkhamna i neih chuan, i doctor hnenah hrilh hreh suh. A chhan chu hriatrengna hloh hi `Dissociative Amnesia` chhinchhiahna a nih vang a ni . I doctor hnena i hrilh hian diagnosis siamnaah a pui thei a ni.

He natna hi hriat theih nan eng test nge tih thin?

Dissociative amnesia hi direct-a hriat theihna test a awm lo. Mahse, lab thenkhat, imaging emaw diagnostic test emaw pawh tih theih a ni. Doctor-te chuan hengte hi i hriatrengna hloh theihna tur thil dang tihbo nan an hmang a ni. Test tih theih tam ber thenkhat chu:

• Magnetic Resonance Imaging (MRI) hmanga enfiah a ni
• Electroencephalogram hmanga tih a ni(`Electroencephalogram - EEG`) tih a ni.
• Thisen leh laboratory test-naah damdawi lam thil dang emaw, i natna lan chhuahna thlentu tur toxin emaw zawng rawh.

Engtin nge `Dissociative Amnesia` hi enkawl a nih?

Dissociative Amnesia hi tihdam theih a ni lo. Amaherawhchu, tanpui thei tur enkawlna tam tak a awm. A hmasa ber chu hriatrengna natna thlentu emaw, a thlentu emaw thil eng pawh tihbo emaw, tihtawp emaw hi a ni. Entirnan, sipai mite chu hriatrengna natna thlen thei emaw, a tizual thei emaw, a bik takin indona hmunah te paih chhuah tur a ni. Mi ṭhenkhat tân chuan, chutianga tih dân chuan enkawlna dawng tûrin damdawi in emaw, damdawi in bik emaw-ah an awm a ngai thei a ni.

Dissociative amnesia damdawi bik a awm lo . Mahse, a kaihhnawih natna, lungkhamna emaw, lungngaihna emaw enkawlna atana hman theih damdawi tam tak a awm. Hriatrengna hriatrengna chungchangah chuan psychotherapy emaw counseling emaw hian a pui thei hle. Mi tam tak tân chuan hriatrengna hriatrengna chu lungngaihna leh tuar harsa tak a ni thei a. Psychotherapy hmang hian chutiang rilru put hmang chu hmachhawn dan i zir thei a, hrisel leh him takin i enkawl thei bawk.

Eng enkawlna nge ṭanpui thei che tih chu mi hrang hrangah a inang lo ang. I doctor hi i tana tha ber tur enkawlna kawng hrang hrang sawipui tur tha ber a ni. An rawtnate chu i dinhmun leh mamawh bik nen a inmil ber ang.

`Dissociative Amnesia` ka neih chuan eng nge ka beisei ang?

Vawi tam tak chu amnesia vei te hian an hre lo. I hriatrengnaah gap i nei tih pawh i hre lo mai thei, mi pakhatin i hriat reng tur thil a zawh emaw, a hrilh emaw che loh chuan. Mi thenkhat chu he thil hi an lungawi lo, an hlau a, an lungkham thei bawk. Mi dangte pawhin an hre lo emaw, an ngaihsak lo emaw pawh a ni thei.

Dissociative Amnesia hi a na lo leh a tlem atanga na tak leh nunna atana hlauhawm thlengin a awm thei . Dissociative Amnesia vei te pawhin rilru lam natna dang an nei tam zawk bawk. Entirna tlanglawn tak tak thenkhat chu:

• Hlauhthawnna
• Lungngaihna
• Ei leh in lama harsatna nei
• Mihring nihna lama harsatna (personality disorders) a awm
• Post-traumatic stress disorder (PTSD) emaw, complex PTSD (CPTSD) emaw a awm thei bawk.
• Mahni intihhlum leh mahni intihhlum tumna
• Substance hmansualna (SUD) emaw zu hmansualna (ALC) emaw .

Mi tam tak chuan hun kal zelah hriatrengna theihnghilh tawhte chu an hmuchhuak leh thin . Enkawlna hian a kalphung a ti chak thei a, chu hriatrengna lo kir lehna nghawng chu a enkawl thei bawk.

Vanduaithlak takin mi thenkhat chuan an hriatrengna hloh chu an la let leh ngai lo. Dissociative amnesia vei tam zawk tan chuan hetiang hi a ni lo nain, a thleng thei tho. Chutiang chu a ni thei tih i ngaihtuah chuan i doctor nen inbia ang che. I rilru put hmang enkawl tûra ṭanpui tûrin i hmachhawn dân tûr siam tûrin a ṭanpui thei che a ni.

`Dissociative Amnesia` hi eng chen nge a awm?

Mi thenkhat tan chuan `Dissociative Amnesia` hi kar engemaw zat emaw thla engemaw zat emaw a awm thei. Mi dangte tân chuan a awm reng thei a ni . I doctor chuan i beisei tur a hrilh belh thei che a ni.

`Dissociative Amnesia` hi eng nge a hmalam hun?

Dissociative amnesia awm dan tur thlirna hi a vei ang bawkin a danglam bik hle. Enkawlna hmang hian mi tam zawk chuan an hriatrengna an nei leh thei a, a kaihhnawih rilru natna te chu an enkawl thei a, nun pangngai (a nih loh leh nun pangngai hnaih) an hmang thei bawk.

Dissociative amnesia nasat dan hi a chhan bulpui emaw a chhantu emaw nasat dan nen a inmil fo thin . Amnesia thlentu trauma a nasat poh leh amnesia leh a nghawng chu a na zual thei a ni.

Dissociative amnesia na tak nei, an hriatrengna nei leh tawh lote chuan chu hriatrengna hloh chuan an nun a tibuai niin an ngai mai thei. An inzawmna (romantic leh a dangte) siam theihna a nghawng thei a ni.

Hriatrengna nun thar leh hian harsatna a thlen thei bawk . Mi ṭhenkhat chuan rilru natna leh hriatrengnate chu tuar harsa an ti a, ṭanpui theih loh niin an inhria. Hetianga tawngtute tan hian enkawl a pawimawh hle a, he hun chhung hian mahni intihhlum leh mahni intihhlum ang chi nungchang hlauhawm tak tak neih theihna a sang hle a ni.

Engtin nge ka in enkawl ang?

`Dissociative Amnesia` i neih chuan hriat reng tur pawimawh ber chu hei hi i thunun theih thil a ni lo tih hi a ni . I rilruin hetianga a tih chhan chu nangmah venhim a tum vang a ni. Tin, hriat reng turin i in nawr thei lo bawk. Chu ai chuan, a ṭha ber chu dawhtheihna hi a ni . Mi tam zawk chuan hun kal zelah hriatrengna hloh chu an nei leh thin.

Tin, i rilru lam hriselna enkawltu rintlakna i neih a pawimawh bawk. Dissociative amnesia natna hlawhtling taka enkawl leh enkawl nan rinna a pawimawh hle. Mi zawng zawng hian an hmuh hmasak ber therapist nen chuan "inrem" vek dawn lo. Chutianga i tih chuan i beidawng mai thei. Mahse, hei hi thil pangngai a ni tih hre reng ang che, mi tam tak chuan an mamawh leh mize nena inmil tur an hmuh hma loh chuan professional pakhat aia tam an hmuh a ngai dawn a ni.

Engtikah nge ka doctor ka hmuh ang a, engtikah nge doctor thurawn ka lak ang?

`Dissociative Amnesia` i vei a nih chuan, emaw, i neih i hlauh chuan rilru lam hriselna counselorTherapist nena inbiakna neih a tha. I thil tawn chungchang an sawipui thei che a, assessment an ti thei che a, professional dang hnenah assessment nei turin an refer thei bawk che a ni.

Doctor i hmuh hnuah, follow-up visit neihna tur schedule a rawn rawt thei ang. A hnuaia thilte hi i tawn chuan doctor i pan tur a ni bawk:

• Changes in symptoms , a bik takin nitin nun leh tih dan tichhe thei inthlak danglamna. Entirnan, i mut tichhe thei mumang chhia te, emaw, hnathawh emaw, thil dang emaw tibuaitu flashback te.
• Mood changes , a bik takin i nitin nun leh i tih dan tichhe thei te. Entîr nân, a hma aia lungkhamna, lungngaihna, a nih loh leh thinrimna nasa zâwka inhriatna.
• A change in the effectiveness of treatments , a bik takin enkawlna chu a hma angin a hlawhtling lo nia i hriat chuan.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Dissociative Amnesia hi i rilruin i chanchin hriatrengna pawimawh tak tak, a bik takin thil lungchhiatthlak emaw, hrehawm tak emaw nena inzawm thilte chu a block out tum hian a lo awm thin a ni. I thil tawn trauma laka humhim che chu tum ber a nih laiin, a tam zawkah chuan hun rei lote chhunga chinfelna mai a ni. Hriatrengna hi i nihnaah a tel ve a ni. Chuvângin, thil ṭhenkhat i hriat reng lohzia i rinhlelh emaw, i hriat chian emaw chuan lungngaihna leh hlauhawm tak a ni thei a ni.

Thilthleng ṭhenkhat i hriat reng loh avângin i lungngai a, i mualpho a, i zak pawh a ni thei. Mahse, i ngaihsak lo mai thei. Chu chu dawt i sawi tihna a ni lo va, i hriatrengna hloh chungchangah dawt i sawi tihna a ni lo.

`Dissociative Amnesia` i neih chuan nangmah chauh i ni lo. He dinhmun hi kum za chuang zet zirchian a ni tawh a ni. Tunah chuan mithiamte chuan an hmuchhuak thei tawh a, enkawlna kawng hrang hrang an pe thei tawh bawk. Chumi awmzia chu nang pawhin i hriatrengna chu i nei leh thei tihna a ni a, trauma aṭanga i harh chhuak thei a, a nghawng pawh i enkawl thei tihna a ni. Chuvangin, chak takin awm la, i mamawh tanpuina dawng hreh suh.

` Dissociative Amnesia, Hriatrengna hloh, Trauma, Rilru hriselna, Dissociative Amnesia, Enkawlna, Symptoms