Engkim a kal sual ang maia hriat ni a awm thin, a dik em? Thil tenawm ber pawhin i rilru a tibuai thei a, i thinrim thut thei a, tuar theih loh khawpin i lungngai thei bawk. Heng rilru put hmangte hi i thunun theih loh avangin a chang chuan tanpui theih lohvin i inhria em? I rilru put hmang chu nang aia chak zawkin i hria em? Vawiin hian he dinhmun hi mi tam tak tuar thin, mahse sawi tak tak a ni lo tih kan sawi dawn a ni.
Emotional Dysregulation hi eng nge ni?
A awlsam zawngin sawi ila, Emotional Dysregulation chu i rilru natna leh i chhan dan tur thunun harsatna a ni. Hetiang hunah hian i chhehvela mite tan chuan i emotional expression chu i chhanna thilthleng aiin "a tam zawk" niin a lang thei.
I rilru put hmang hian volume control a nei niin han ngaihtuah teh. A tlangpuiin kan rilru put hmang chu a chunglam emaw, a hnuai lam emaw hmangin kan thunun thin. Lungngaihna kan neih chuan kan rilru hahdam nan tlem kan tap a, kan thinrim chuan kan thunun thin. Mahse hetiang a nih chuan i thluaka chu volume control chu a thawk tha lo hle. Chuvangin rilru natna chu "a ring hle" hle a, chu chu nasa takin hriat a ni tihna a ni a, chuvang chuan thunun a harsa hle.
Hei hi rilru natna chhinchhiahna a ni tih hre reng ang che, mize chak lohna a ni lo. Naupangte hian an lo puitlin rualin an rilru put hmang thunun an zir ang bawkin hei hi kan thluak hnathawh dan nen pawh a inzawm tlat a ni.
He dinhmun hi pawn lam atanga thlir chuan engtin nge a lan?
Hei hi Emotional Dysregulation vei mi nungchang leh thusawiah chiang takin a lang. Nang pawhin chutiang thil chu i tawng ve tawh mai thei.
| Mihring ziarang | A sawifiahna awlsam tak |
|---|---|
| Duh duhna rilru thlak danglam thei lo | Lungngaihna emaw, lungkhamna emaw a lo thlen chuan hmun khatah i tang tlat niin i inhria a, chuta tang chuan i chhuak thei lo. |
| Thil tenawm tak tak avanga awlsam taka lungawi lohna | Harsatna tlemte pawh ngaih pawimawh lutuk a, thinrim thuai. |
| Mood a inthlak nghal zung zung | Hlimna atanga lungngaihnaa kal thut, a nih loh leh thinrim thut. |
| Thil tih duhna (impulsive behavior) a ni | A rah chhuah tur ngaihtuah lovin thil tih (e.g., vawi khatah sum hman vek, thutlukna hmanhmawh taka siam). |
| Thinrimna a thlen thuai | Thunun theih loh leh thinrim fo thin. |
| Tum tihhlawhtlinna kawng daltu | Emotion in nghawng a neih avanga mahni hna tha taka thawk thei lo emaw, thil tum tihhlawhtlin theih loh emaw. |
Chûng chhinchhiahnate chu a nasat chuan, au thawm te, leiah thil paih te, leh mi dangte nêna tharum thawha insual te pawh a tel thei a ni. Hei hian inṭhianṭhatnaah te, chhûngkaw inlaichînnaah te, leh hnathawhnaah te nghawng lian tak a nei thei a ni.
Emotional Dysregulation thlentu ber berte chu engte nge ni?
Hetiang dinhmun hi a chhan pakhat mah a awm lo. A tlangpuiin underlying condition dang symptom angin a lang thin. A chhan hi chi thum a awm a.
1. Rilru hriselna dinhmun: Hei hi rilru natna thenkhata thil pawimawh tak anga ngaih theih a ni.
2. Neurodivergent: Mi thenkhat thluak hi beisei aia danglamin a lo thanglian emaw, a thawk dan a danglam emaw. Heng mite hian an rilru put hmang thunun harsa an ti thei bawk.
3. Thluak chhiatna: Hetiang dinhmun hi accident emaw, natna emaw, thil dang emaw avanga thluak hmun thenkhat a chhiat vang pawh a ni thei.
| Emotional dysregulation tichhe thei dinhmun hnuaia awmte | |
|---|---|
| Rilru hriselna dinhmun | |
| - Bipolar Disorder natna (Bipolar Disorder) a ni - Depression (Lungngaihna natna) . - Lungkhamna (anxiety Disorders) a awm - Mihring lam harsatna (a bik takin Borderline Personality Disorder) . | - Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk. - Obsessive-Compulsive Disorder (OCD) tih a ni a, a rilru a buai em em a, a rilru a hah em em bawk. - Nungchang leh impulse control lama harsatna (Conduct Disorders) . |
| Neurodivergent Thil awm dan (Neurodivergent) te | |
| - Ngaihtuahna tlakchhamna/Hyperactivity Disorder (ADHD) . - Autism Spectrum natna a awm | |
| Thluak Tihchhiat/Tibuaitu | |
| - Lu hliam (Concussions, Thluak hliam natna) . - Thai - Thluak Tumors awm thei - Epilepsy natna a ni | - Thluak natna (Encephalitis, Meningitis) . - Zu leh ruihhlo hman - Thluak natna (Alzheimer’s, Dementia) . |
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu he dinhmun hi enkawl theih a ni. Mahse, mahni chauha i diagnose leh enkawl theih thil a ni lo. I doctor puihna hi a chhan bulpui (underlying condition) hriat chian nan a pawimawh hle.
Enkawl dan tlangpui engemaw zat a awm a:
- Psychotherapy: Hei hi a enkawlna ber a ni. By talking to a mental health counselor , i rilru natna lo chhuah dan leh i enkawl dan tur i zir thei ang. Hei hian hmachhawn thiamna thar zir turin a pui thei che a ni.
- Damdawi: I dinhmun (e.g., bipolar disorder, depression) a zirin i doctor-in damdawi a pek hian i rilru put hmang a enkawl thei che a ni.
- Supportive Care: He natna hi taksa lam thil (e.g., lu hliam) avanga lo awm a nih chuan, chu chhan chu enkawl a nih rualin heng symptoms te hi a tlahniam bawk ang.
Engtikah nge damdawi lam thurawn i lak ang?
Hetianga rilru put hmang thunun harsatna hian i nitin nun, i ṭhian nihna, hnathawhna, chhungkaw nun a nghawng a nih chuan doctor nena inbiakna neih a pawimawh hle. A bik takin heng symptoms te hi a hmaa awm ngai lo a lo lang nghal a nih chuan damdawi lam dinhmun khirh tak chhinchhiahna a ni thei. Chuvângin, damdawi lam thurâwn dîl chu tihkhawtlai suh.
I fain heng symptoms te hi a neih chuan...
Naupang tê tête chuan zawi zawiin an rilru put hmang thunun an zir a. An hmasawnna tur a ni. Mahse i fain an kum a zirin an rilru put hmang thunun harsa a ti nia i ngaih chuan naupang enkawltu doctor nen sawiho rawh. Amah emaw chuan thil pangngai a nih leh nih loh emaw, ngaihven tur thil a awm leh awm loh emaw hriat theih nan a pui thei che a ni.
Emergency-ah eng nge tih tur?
Hei hi a pawimawh hle: Emotional dysregulation a nasat chuan mahni intihhlum emaw, mahni intihhlum emaw ngaihtuahna a lo awm thei a ni.
Nangmah emaw, i hriat miin emaw mahni intihhlum tumna, mahni intihhlum tumna emaw, midangte tihnat tumna emaw i neih chuan emergency a ni. Khawngaihin damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh u. I mamawh damdawi leh rilru lam tanpuina pe turin an inpeih reng ang. Chutiang hunah chuan mahni chauha awm suh. I rintlak hnenah tanpuina dil rawh.
Take-Home Thuchah a ni
- Emotional dysregulation hi i chak lohna a ni lo va, damdawi lam dinhmun hnuaia awm chhinchhiahna a ni.
- Hetiang dinhmunah hian thil thleng chu i rilru natna ‘volume’ chu a pung tih i hria a, thunun harsa tak a ni.
- Hei hi chhan hrang hrang a awm thei a, chuvangin mahni chauha thutlukna siam ai chuan a chhan dik tak zawn nan doctor pan a pawimawh hle.
- He natna hi therapy leh a tul chuan damdawi hmanga hlawhtling taka enkawl theih a ni.
- Nangmah emaw, mi dang emawin mahni intihchhiat tumna an neih chuan emergency a ni. Hospital emergency department (ETU) hnai ber pan nghal rawh. Nangmah chauh i ni lo, tanpuina dawng rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Riociguat (Adempas) tablet hi eng natna atana pek tur damdawi bik tak a ni?
Hei hi damdawi pangngai a ni lo! Hei hi khawvela non-surgical heart-saving (sGC Stimulator) damdawi 'only and most powerful' a ni a, 'Pulmonary Arterial Hypertension (PAH)' leh 'CTEPH - Chronic Thromboembolic Pulmonary Hypertension' vei te hnena pek thin a ni a, hei hian 'thisen chhuak' avanga lungah thisen sang nasa tak a tisang thin!
💬 I lung chhunga thisen kalna kawngkhar (blood vessel) a block avanga thihpui tur i nih laiin, engtin nge heng pills (Riociguat) te hi i ei thin a, chu chuan thihna thlen thei veins te chu i tizau thin?
Kan taksa hian thisen kalna kawng ti hahdam turin ‘Nitric Oxide (NO)’ an tih gas a nei a. A tih tur chu enzyme pakhat ‘sGC’ (cGMP siamtu leh thisen kalna kawng ti hahdamtu) a on a ni. PAH damlote hian he gas hi an nei tha tawk lo. He pill hi taksaa a luh chuan chu 'sGC' machine (gas awm leh awm loh) ah chuan a kal nghal a, button chu a hmet a, machine chu a on ta a ni! Tichuan, lung chhunga vein inzawmkhawm leh thisen zam inkhar zawng zawng chu a zau vek (Vasodilation), thinlung chunga phurrit chu a reh nghal vek a ni.
💬 He damdawi (Adempas) ei thinte hian ‘engtikah mah’ an tih loh tur thihna thlen thei hlauhawmte chu engte nge ni? (Black Box-a vaukhânna)?
Rule lian ber leh awmchhun chu! He pill hi i ei a nih chuan, Viagra (Sildenafil / Cialis) emaw nitrate pill emaw sexual stimulation atan i ei a nih chuan, chu pill nen chuan hei hi ei dun ngai suh! I lak khawm chuan thisen kalna kawng zawng zawng chu a zau lutuk ang a, thisen sang chu zero (Fatal Hypotension)-ah a tlahniam ang a, coma-ah i lut a, i thi mai thei! Tin, ‘Naupai’ nu tan pawh khap tlat a ni a, naute chu a piang lo ang a, a thi ngei ang!
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