I luak chhuah hlauhna danglam tak i nei bawk em? (Emetophobia) - Hemi chungchang hi han sawi ila!

Luak chhuah hi tumah duh zawng a ni lo. Dik tak chuan ngaihtuah chuan thil tenawm tak a ni lawm ni? Mahse i damloh emaw, chaw i ei chhe emaw chuan rei vak lo hnuah kan theihnghilh leh thin. Mahse, nilengin i lu-ah a inher ang maiin, i luak chhuak tur chu hlau leh lungkham reng ang maiin i inhria em? Tichuan he thawnthu hi i tan a pawimawh hle ang. Hei hi hlauhna tlemte chauh a nih loh avangin hei hi damdawi lama hriat lar tak a ni.

Emetophobia chu eng nge ni?

A awlsam zawngin, emetophobia chu luak chhuak emaw, luak chhuak hmuh hlauhna nasa tak, pangngai lo tak a ni. Rilru hriselna dinhmun a ni. Kan zingah tumahin luak chhuak duh lo mah ila, hetiang hunah hian hlauhna chu a pangngai aia sang a ni. Chumi awmzia chu luak chhuah ngaihtuahna mai hian lungkhamna leh lungngaihna nasa tak a thlen tihna a ni.

He hlauhna hi a nasat em avangin i nitin nun te, i hriselna te, i khawtlang inlaichinna te, leh i ei leh in thiamna thlengin a nghawng thei a ni. I luak duhna i neih chuan, emaw, mi pakhatin a luak lai i hmuh hian, hetiang thil hi hlauhna nasa tak i nei thei a ni:

• Ka luak chhuak chu ka chawlhsan thei lo tih.
• Midang hmaah i mualpho dawn tih.
• Taksa chhungah natna khirh tak tak a awm ngei ang.
• An inthunun thei dawn lo tih.

Hei hi Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-a "specific phobia" an tih chu a ni. Chu chu thil emaw dinhmun bik emaw hlauhna pangngai lo tihna a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan emetophobia hi thil awm lo tak a ni. Khawvel mihring 0.1% vel chauh a nghawng nia sawi a ni. Chu chu sangkhat zinga pakhat vel a ni. Mahse, mipa aiin hmeichhiaah a tam zawk.

Emetophobia natna lan chhuahna chu engte nge ni?

Emetophobia i neih chuan a hnuaia symptoms te hi i hriat emaw i hmuh emaw hian i hmu thei a, a nih loh leh i rilru a buai thei bawk:

Rilru lama hriat theih thilte:

• Lungkhamna nasa tak a awm
• Restlessness, lungkhamna
• Pressure nasa tak, rilru hahna
• Panic attack a ni
• Khawvel pum hian ka chungah a rawn tla thla ang maiin ka hria.

Taksa lama natna lan chhuah dan:

He rilru hahna nen hian i taksaah hian hetiang symptoms hi a lang thei bawk:

• Heart rate sang (a pound ang maia hriat) .
• Thawmhnaw hak
• Taksa a nghing
• Pum natna, rilru hahna
• I rilru a inzawm khawm ang maia inhriatna
• Luak chhuak (vertigo), rilru hah

He hlauhna avanga i thil tih (behavioral characteristics): .

I luak hlauh avangin, thil thleng tur atana inbuatsaih nan hetiang thil hi i hriat lohvin i practice tawh mai thei:

• Ka kalna apiangah bathroom ka zawng a, chuta hnaih taka awm ka tum bawk.
• Ka khum bulah bawlhhlawh bawm dahin ka mu a.
• Bus leh car hla tak takah kal loh tur. Tui hnaihah kal loh tur a ni a, a bik takin lawng leh roller coaster bulah kal loh tur a ni.
• Nausea emaw, luak chhuak emaw chu side effect anga tarlan damdawi ei loh tur.

Emetophobia i nei thei tih chhinchhiahna

Hetiang hlauhna nei mi pakhatah pawh heng chhinchhiahnate hi i hmu thei bawk. Heng thilte hi i ti ve mai thei bawk:

• Ei leh in thar enchhin duh lohna.
• I luak chhuak tawhna dawr, emaw, chutiang chi ei tur emaw ei loh tur.
• Luak chhuak ("nausea", "vomiting") sawina thumal hman duh lohna.
• Damlo emaw damlo awmna hmun (damdawi in ang chi) pumpelh.
• Pawn lama chaw ei loh tur.
• Social event leh zin chhuahna tihtlem.
• Zing natna avanga naupai hlauhna.

Hei hi i ti ve mai thei bawk:

• Kut sil fo thin ang che.
• Ka temperature ka check fo thin a, taksa lama harsatna ka neih leh neih loh ka en thin.
• Chaw an ei zat an tihtlem a, an ei tlem hle.
• Chaw ei chu rei tak chhung chawhmeh a ni a, bacteria tihlum a ni.
• Expiration hnaih tawh ei tur chu paih vek rawh.
• Miin luak chungchang a sawi hian hmai thlum an siam a, an mit an chhing thin.

Emetophobia hi engte nge ni?

Emetophobia hi thil tawn nuam lo tak emaw, lungchhiatthlak tak emaw avanga lo awm a ni fo thin a, chu chu luak chhuak a ni. Hetiang thil hi han ngaihtuah teh:

• Mipui awmna hmunah emaw, pawl hmaah emaw i luak chhuak a, i mualpho a nih chuan.
• Natna khirh tak tak, pumpui, ei tur rimchhia, zu rimchhia i neih a, i luak nasa lutuk a nih chuan.
• Chaw ei chu i rilruah a tlakbuak a nih chuan.

Hetiang thil tawn hi i rilruah a zung kai thuk thei a, he hlauhna hian a chhehvel a siam thei bawk.

Tin, emetophobia hi rilru lam hriselna lama harsatna thenkhat nen pawh a awm thei bawk. Entirnan, ``Obsessive-Compulsive Disorder (OCD)`` (ngaihtuahna leh thiltih duh loh) emaw ``ei leh in lama harsatna`` emaw ang chi natna nei chuan he hlauhna hi a nei tam zawk.

Heng trigger te hi engte nge ni?

`Triggers` chu i symptoms rawn thlentu leh i hlauhthawn tipungtu thil a ni. Emetophobia vei tan chuan hetiang thil hi `triggers` a ni thei:

• Nauseous tih hriatna.
• Midang luak chhuak hmuh.
• Luak chhuak nena inzawm thu hriat emaw sawi emaw.
• Hmun thara i kal dawnin, a chhan chu `(bathroom)` hnai ber awmna i hriat loh vang a ni.
• Tun hmaa ei leh in tur hnaih taka awm, luak chhuak thin.

Hei hi vicious cycle ang mai a ni . Chu chu, i hlauhthawnna nena inzawm fo thin, i hlauhthawnna leh luak chhuak chhinchhiahnate chu chutah chuan a na zual thei tihna a ni. I hlauh avangin nausea pawh a pung thei.

Emetophobia avanga harsatna lo awm thei te

He hlauhna hi uluk taka enkawl a nih loh chuan harsatna tam zawk a thlen thei a ni.

• Malnutrition leh Dehydration: Ei leh in mumal loh hian taksain a mamawh chaw tha leh tui a hloh phah thei a ni.
• Phobia dang: Entirnan, agoraphobia, chu chu pawn lama chhuah emaw, mipui tamna hmuna kal emaw hlauhna a ni.
• Ei leh in lama harsatna: Anorexia nervosa ang chi natna, ei leh in tam lutuk tihtlem.
• Social isolation: Mite nena inpawh tawnna leh event-a kal tam loh avangin mahni chauha awm i ni thei.
• Depression: Hlauhna leh lungkhamna reng reng hian hlimna hlohna a thlen thei.

Engtin nge emetophobia hi dik taka kan hriat theih ang? (Diagnosis) tih a ni.

I chhungkaw doctor pangngai chuan psychologist emaw psychiatrist emaw hnenah a refer thei che a ni. Psychiatrist chu emetophobia i neih leh neih loh chiang taka hriat theihna tur a ni.

Doctor chuan i history, i thil tawn leh i symptoms chungchang chipchiar takin a zawt ang che. A tlangpuiin, emetophobia hi rinhlelh a ni a , thla ruk tal chu riltam chungchangah hetiang hlauhna leh lungkhamna nasa tak hi i neih chuan .

Doctor-te chuan heng natnate hi an hriat theih nan Diagnostic and Statistical Manual of Mental Disorders (DSM-5) an hmang a. I natna lan chhuah dan tur taksa emaw rilru lam thil dang emaw an zawng bawk.

A tlangpuiin, phobia hriat theih nan chuan a tlem berah heng thil pali te hi a awm tur a ni:

1. Hlauhna nasa tak leh danglam tak: Luak hlauhna hi a tlangpui aiin a sang zawk a, ngaihtuahna fim lo tak a ni.

2. Anticipatory anxiety: Luak chhuak thei dinhmun ngaihtuah leh hlauh reng.

3. Avoidance: A theih ang anga luak leh a kaihhnawih thilte pumpelh. A châng chuan, chutiang pumpelh nâna thil nasa tak tih pawh.

4. Nitin hnathawhna tibuaitu: He hlauhna hian i nunphung pangngai leh thiltih dan pangngai chu eng emaw ti takin a tibuai thin.

Emetophobia hi eng enkawlna nge ni?

Thu lawmawm tak chu emetophobia enkawlna tha tak tak a awm tih hi a ni. A hman berte chu:

• Cognitive Behavioral Therapy (CBT) hmanga enkawlna (CBT) hmanga enkawl a ni.
• Exposure Therapy hmanga enkawl a ni
• Damdawi (a then phei chuan) .

Cognitive Behavioral Therapy (CBT) hmanga enkawlna (CBT) hmanga enkawl a ni.

Hei hi ``(CBT)`` an ti a, chu chu psychotherapy chi khat a ni a, chu chu talk therapy chi khat a ni. I hlauhthawnna nena inzawm i ngaihtuahna leh nungchang te enkawl turin a pui che a ni. Therapist nena inbiakna hmangin:

• He hlauhna hi engtin nge a lo awm tih leh engvangin nge stress nasa tak a thlen tih zawng rawh.
• Hlauhna leh lungkhamna i hriat huna thunun dan tur zir rawh (thâwk lak dan leh rilru tih hahdamna hmanrua ang chi).
• I pumpelh theih loh dinhmun (khualzin, khawtlang thil thleng ang chi) te chu hmachhawn la, chutiang thila insiamrem dan tur zawng rawh.
• I hlauhthawnna nena him taka awm dan leh hlauhthawnna thlen thei dinhmun harsa tak takte hmachhawn dan tur zir rawh.

`(CBT)` therapy hian hun a duh a, dawhtheihna a mamawh bawk. Mi thar nena i rilru put hmang sawipui chu a tir lamah chuan a harsa thei hle. I theihnghilh tum hriatrengna leh dinhmun hrehawm tak takte chu i tlawh nawn leh a ngai mai thei. Mahse, i therapist chu i thil tum tihhlawhtlinna kawngah tanpui tur leh pui turin a awm reng tih hre reng ang che.

Exposure Therapy hmanga enkawl a ni

Hei hian zawi zawiin i hlauhthawn thilte chu thunun theih, hmun him takah i inhriatchhuah tir a huam a ni. Hun a kal zel a, hei hian i hlauhthawnna leh i lungkhamna a tiziaawm ang a, i luak chhuah pawh i hrehawm lo ang. Emetophobia tan exposure therapy hi a hnuaia mi ang hian a ni thei:

• "Vomit" tih thumal emaw, a kaihhnawih thumal emaw sawi emaw hriat emaw ("nausea", "vomiting").
• Nausea siam turin circle-a inher, doctor phalna la hmasain.
• Tun hmaa i pumpelh thin vantlang hmuna kal.
• TV show emaw movie emaw, i luak chhuak thei scene awmna en.

He `(Exposure Therapy)` hi step khat hnu step khata tih a ni. Step khata i hlim tawk hma loh chuan step dang i pan leh lo. Emetophobia tan `(Exposure Therapy)`-a step hnuhnung ber, leh harsa ber pawh ni thei, chu `(simulated vomiting)` a ni. Hetah hian doctor hian a takin a ti chhuak lo che a ni. Chu ai chuan, mashed, paste ang chi chaw (`(creamed corn)` emaw `(baked beans)` emaw ang chi) an pe zawk che a, chu chu spoon khat la in toilet emaw bawlhhlawh bawm emaw-ah dah turin an ti che a, chutah chuan riltam a awm dan chu simulate turin an ti che a ni. Hei hi mi tam tak tan chuan a harsa ber a ni. Heng `(Exposure Therapy)` technique te hi `(CBT)` therapy nen hian hman dun a ni fo thin.

Damdawi chi hrang hrang

Damdawi hi phobia bik, emetophobia ang chi tan chuan pek a ni lo tlangpui. Mahse, a chang chuan psychological therapy i neih lai emaw, pumpelh theih loh lai emaw chuan hlauhna leh lungkhamna symptoms te chu rei lo te chhunga tihziaawmna turin damdawi pek i ni thei bawk. Chûng zîngah chuan:

• Psychotropic damdawi: Entirnan benzodiazepines leh antidepressants te hi a ni.
• Gastrointestinal medications: Pum natna leh riltam tihziaawmna damdawi, antiemetics ang chi.

Heng damdawi te hian side effect a neih theih avangin i doctor nen inbia la, a thupek dik tak i zawm tur a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Enkawlna i tan hnuah, emaw, i damdawi pek angin i ei tan tawh chuan i rilru a hahdam tan ang. Mahse, he phobia hi zan khat thil thuah a reh dawn lo. He hlauhna hi nunpui leh hmachhawn dan zir tur hian thla engemaw zat a la ngai mai thei. Mi zawng zawng hian dam leh turin hun inang an hmang vek lo.

Emetophobia hi eng nge a hmalam hun?

Phobia neih hi a buaithlak thei hle nachungin, enkawlna chuan i hlauhthawnna leh lungkhamna a tihziaawm thei a ni. Enkawlna hmang hian i dinhmun chu nasa takin a lo tha chho thei a ni. I medical team chuan i rilru hahna chungchanga i ngaihtuahna leh i awm dan tur a thlak danglam thei che a ni. Enkawl loh chuan emetophobia hian i rilru leh taksa hriselna a nghawng thei a, chubakah i hmangaih tak takte nena in inlaichinna leh inpawhna pawh a nghawng thei bawk.

Emetophobia hi ven theih a ni em?

Hetiang dinhmun lo thleng tur venna tur hian hmanraw bik hmuhchhuah a la awm lo.

Engtikah nge Doctor i hmuh ang?

He hlauhna hi i rilruah a awm reng a, i nungchang a thunun a, i hriselna a nghawng tih i hriat chuan doctor pan ngei ang che. Emetophobia enkawlna tur a awm a, chuvangin tanpuina dil hlau suh.

I doctor zawh tur zawhna

Doctor i hmuh hian hetiang zawhna hi i zawt thei ang a, chutiang chuan thil awmdan chu i hrethiam zawk ang:

• Keimaha hlauhna awm chhan chu eng nge ni?
• Eng ang enkawlna nge min rawt?
• Damdawi min pek khan eng side effect nge a neih?
• Psychotherapy hi eng chen nge ka kal a ngai?
• Exposure therapy avanga ka dinhmun a nasat chuan engtin nge ka tih ang?

A tawp berah chuan a pawimawh ber (Take-Home Message) .

I luak chhuah hian hlauhna leh "sigh" tih hi thil pangngai tak a ni. Kan zingah tumahin kan duh lo. Mahse, a châng chuan, luak chhuak chungchânga thil tawn ṭha lo chuan kan hmuh dân chu a tidanglam thei a, chu chu hlauhna awm reng, thunun thei takah a chantir thei a ni.

He hlauhna hian i nitin hnathawhna, i taksa leh rilru hriselna a tibuai nia i hriat chuan doctor rawn la. Emetophobia enkawlna hi a hlawk hle a, i rilru a hahdam thei hle. Hei hi nangmah chauhin i do a ngai lo.

` Emetophobia, Luak hlauhna, Luak hlauhna, Rilru hriselna, Panic, Lungkhamna