Hriatrengna hrehawm tak takte tihbo dan: EMDR Therapy chungchang i zir ang u

A châng chuan, kan nunah thil thleng ṭhenkhat, chu chu kan tana hrehawm tak tak tawn tawhte hi kan theihnghilh thei lo mai mai a ni lawm ni? Chu hriatrengnate chu kan rilruah a lo let leh nawn fo hian, kan rilru hahna, hlauhna leh thinrimna te avang hian nitin hna pawh kan thawk tha thei lo. Hetiang dinhmun hi i tuar a nih chuan vawiinah hian enkawlna bik, tanpui thei tur chungchang kan sawi dawn a ni. Hei hi EMDR therapy an ti a.

EMDR hi eng nge ni tak tak?

A awlsam zawngin sawi ila, EMDR hi rilru lam harsatna nei tan chuan enkawlna bik a ni. Hei hi a hming kimchang chu Eye Movement Desensitization and Reprocessing (EMDR) tih a ni. Sinhala tawng chuan "mit movement desensitization leh reprocessing therapy" tihna a ni. Mahse chu thumal chu a buaithlak deuh avangin EMDR kan ti mai ang.

He enkawlna hian i hriatrengna lungchhiatthlak tak takte ngaihtuah chungin i mit chu a bik takin i tihchet a ni. Hei hian a tum ber chu trauma emaw, thil hrehawm dang emaw atanga i dam theihna tura tanpui che hi a ni. Enkawlna dang nena khaikhin chuan EMDR hi hmanraw thar tak a ni. A chungchanga zirchianna hmasa ber chu kum 1989 khan neih a ni a, chuta ṭang chuan clinical trial an neihah chuan he hmanrua hi a hlawk hle a, hmanraw dang aiin result a chhuak rang zawk tih an finfiah a ni.

Engvangin nge he enkawlna hi a pawimawh em em?

EMDR therapy-a thil danglam bik chu, traumatic event chungchang chipchiar taka sawi chhunzawm zel a ngai lo. Chu ai chuan, chu thil tawn lungchhiatthlâk tak avânga lo awm rilru put hmang, ngaihtuahna, leh nungchangte tihdanglam chu a ngaih pawimawh zâwk a ni.

Hei hi hrethiam tur chuan kan thluak leh rilru chungchang tlem han sawi hmasa ila. Heng thumal pahnih hi awmzia inangah hmang mah ila, a takah chuan thil chi hrang hrang pahnih an ni. I thluak hi i taksa peng pakhat a ni. Mahse i rilru chu i ngaihtuahna, i hriatrengna, i rinna leh i thil tawn zawng zawngte zatve a ni a, chu chuan "nangmah" a siam che a ni.

I rilru hnathawh dan hi i thluak insiam danah a innghat a ni. He structure hian thluak hmun hrang hranga thluak cell network te a huam a ni. He network system hi i hriatrengna leh hriatna nena inzawm hmun hrang hrangah a pawimawh hle. Heng network te avang hian kan hriatna, hmuh, hriat, rim, ei leh khawih te hian kan hriatrengna hlui te chu a tiharh nghal thei a ni.

Memory te dahkhawm dan leh "Triggers" te.

EMDR therapy hi Adaptive Information Processing (AIP) hmanga enkawl a ni.Model ang chuan hei hian kan thluak hian hriatrengna pangngai leh hriatrengna lungchhiatthlak tak takte chu kawng hnih in a khawlkhawm tih a tilang a ni.

Thil thleng pangngaiah chuan thluak hian hriatrengna chu mumal takin a dahkhawm a, hriatrengna dangte nen a thlunzawm a ni. Mahse traumatic, distressing event-ah chuan he linking hi a thleng dik lo. Thluak chu "offline" ti ila, i thil tawn (i thil hmuh, i hriat leh i hriat) leh thluak hian hriatrengna atana a dahkhawmte inkarah inzawmna a awm lo.

Heng hriatrengna dik lote hi a hnu lama harsatna thlentu an ni. Thil thleng ( "triggers" kan tih ang chi) nena inzawm thil hmuhnawm, ri, rim kan tawn hian misstored memory chu a activate nghal vek a ni. Hei hi hriatrengna pangngai ang a ni lo va, hlauhna nasa tak, lungkhamna, thinrimna, a nih loh leh hlauhna nasa tak a thlen thei a ni.

Entirnan, Post-Traumatic Stress Disorder (PTSD) vei mi pakhatin a tawn thin "flashbacks" te hi han la teh. Thil thleng chu traumatic event chu a thleng leh ang maiin a lang. Hun kal tawh chu tunlai a lo ni ta a ni. EMDR therapy hian heng hriatrengnate hi "reprocess" in, rilru lam hliam chu "tidam"in hna a thawk a ni. Thil thleng chu hriatreng a nih chuan thil thleng leh tak tak angin a lang lo va, a kaihhnawih rilru natna (emotions) chu thunun a ni.

EMDR therapy hian eng dinhmun nge a puih?

EMDR therapy hi PTSD enkawlna atana hman tam ber ni mah se, rilru lam natna dang engemaw zat tan chuan tihdamna a pe thei a ni.

EMDR enkawlna kalphung hnathawh dan

EMDR therapy hi main stage 8 a awm a. Heng stage te hi session engemaw zat chhungin a thleng thin. Traumatic event pakhatah hian session 3 atanga 6 vel neih a ngai tlangpui. Mahse, trauma complex zawk emaw, hun rei tak emaw a awm chuan session 8-12 emaw a aia tam emaw a ngai thei. Session tin hi darkar khat emaw darkar khat leh a chanve emaw vel a ni.

Stage 8 te hi engte nge ni?

1. Patient History leh Information Collection: Hetah hian i doctor emaw therapist emaw chuan i chanchin leh i hun kal tawh chanchin a khawlkhawm ang. Hei hian EMDR hi i tan a tha em tih an rel thei ang.

2. Inbuatsaihna leh zirtirna: Enkawlnain a thawh dan tur te, i hnen atanga beisei tur te hrilhfiah i ni ang a, session neih chhunga i rilru put hmang enkawl dan tur hmanrua pek i ni bawk ang.

3. Assessment: Hei hian a kaihhnawih hriatrengna leh rinna tha lo bik, i enkawl ngai te hriatchhuah a huam a ni.

4. Desensitization leh reprocessing: Hei hi enkawlna atana pawimawh ber a ni. Hetah hian, negative memory chu mitthla la, i mit chu a sir lehlamah (a nih loh leh stimulus dang, sound emaw touch emaw ang chi hmang), therapist kaihhruaina hnuaiah sawn turin an ti che a ni.

5. Installation: Hei hi i rilruah rinna tha lo (positive belief) install tumna hmun a ni.

6. Body scan: Negative memory i ngaihtuah hian i taksaa i hriatna (e.g., i rilru a tight, i pum a na) te kha ngaihven rawh. Enkawlna a hlawhtlin chuan heng taksa natna lanchhuahna te hi a tlahniam zauh zauh thin.

7. Closure leh stabilization: Session tin tawp lamah chuan dinhmun muang leh him takah an hruai lut che a ni. Session chhunga ngaihtuahna lo chhuak thei turte hmachhawn dan tur thurawn pek a ni.

8. Re-evaluation leh ongoing care: I hmasawnna zawng zawng kan enfiah ang a, treatment session tam zawk neih a ngai em tih kan rel ang a, a tul chuan.

EMDR therapy hman thatna leh that lohna te

Emergency-ah eng nge tih tur?

Mahni intihhlum emaw, intihhlum emaw, mi dangte tihnat emaw ngaihtuahna i neih chuan damdawi lam ṭanpuina dil nghal a pawimawh . I thei:

• Damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
• Sri Lanka rama ram pum huapa rilru lam hriselna lama tanpuina 1926 , call rawh.
• Sumithrayo Institute ah 011 2692909 emaw 011 2682535 ah emaw biak theih a ni.

Hetiang ngaihtuahna te pawh hi hlau suh. A pawimawh ber chu tanpuina dil hi a ni.