Hna thawh tan te, ruahmanna siam te, leh ngaihven te pawh i harsat em? Executive Function Disorder chungchang hi han sawi ila!

Hetiang hian i inhriat ngai em? Project lian tak tan i duh a, mahse khawi atanga tan tur nge tih i ngaihtuah thei lo. I thawh lai hian i rilru chu hmun dangah a vak kual nghal vek a. Thil tenawm ber pawh i theihnghilh thin. I hun hman dan chu mumang ang mai a lo ni ta. Chûng thilte avângin i lungawi lo va, i thinrim reng thei bawk. Hei hi boredom emaw confusion emaw mai a ni lo va, i thluaka theihna bik pakhat chak lohna a ni mai thei.

He Executive Function hi eng nge ni?

A awlsam zawngin ‘Executive Function’ hi kan thluaka ‘Manager’ ang a ni . Office-a manager pakhatin hna a ruahman a, a execute a, engkim a kal tluang taka a kalpui ang bawkin, kan thluaka he theihna hian thil tihfel theihna min pui bawk. He theihna hi kan thluak hmalam atanga thunun a ni a, chu chu ‘Frontal Lobe’ an ti a ni.

He ‘manager’ hian min puih berte chu:

• Hun enkawl ( hun hman dan ) .
• Ngaihtuah a
• Ruahmanna leh ruahmanna siam
• Thil pawimawh tak tak hriatrengna
• A rualin thil engemaw zat ti rawh (Multitasking) .
• I tih duh angin ti suh la, a remchan dan angin awm rawh (Impulse control) .

He theihna hian hna a thawk tha lo a nih chuan executive dysfunction kan ti thin. Kan nungchang thunun a harsat phah a ni. Hei hian hnathawhnaah te, sikul lamah te, nitin hnathawhnaah te, kan inlaichinna thlengin nghawng lian tak a nei thei a ni.

Executive Function-a thiamna lian pathumte

He ‘management’ theihna hi thiamna lian pathum atanga siam a ni.

1. Hriatrengna hnathawh:I thluaka notepad te tak te ang mai a ni. Nitin hna thawh tur atana i mamawh information te chu i hriat reng theih nan a pui che a ni. Chaw i siam lai kha han mitthla teh. He working memory hian thil i dah dan tur leh eng chen nge a lum tur tih ang chi thilte a chhinchhiahna a ni. He hriatrengna a chak loh chuan thil i theihnghilh fo va, thil i dahna tur hmun i hmu thei lo va, hna i thawh tan tawh pawh i zo thei lo fo bawk.

2. Cognitive Flexibility : Hei hian thil awmdan danglam zel nena rang taka insiamrem theihna a kawk a ni. He theihna hian hna pakhat a\anga hna dangah awlsam takin i inthlak thei a, beisei loh taka harsatna a lo chhuah chuan hlauthawng lovin kawng dangin i chinfel thei bawk. Hei hi a tlakchham chuan ruahmanna inthlak danglamnaah insiamrem a harsa thei hle a, thil thar tih thiam nan hun rei tak a ngai bawk.

3. Inhibition Control: Hei hi kan thluaka ‘brake’ a ni. He theihna hian kan rilrua lo lang zawng zawng sawi lo leh kan tih duh zawng zawng tih loh nan min pui a ni. Thil tul lo ngaihtuah lova hna pakhat chauh ngaihtuah turin min pui bawk. He thununna hi a tlem chuan kan thusawi hi kan thunun thei lo va, kan thinrim thuai a, kan ngaihtuahna pawh awlsam takin a buai phah thin.

Executive Dysfunction symptoms te chu engte nge ni?

Hetiang natna vei hian natna chi hrang hrang a lantir thei a ni. Hengte hi vawi khat chauh a ni lo va, hun rei tak chhunga nitin nun tichhe thei harsatna a ni.

A hnuaia table hi en la, heng mizia te hi i nei ve em tih pawh i en ang.

Hei hi eng chhan nge ni?

Executive dysfunction awm chhan dik tak hi hriat chian a la ni lo a, mahse mithiamte chuan natna thenkhat leh natna dang nen a inzawm thei niin an ngai.

Chung zinga ṭhenkhat chu:

• Attention Deficit Hyperactivity Disorder (ADHD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Lungngaihna
• Autism Spectrum Disorder natna a ni
• Substance hmansualna
• Thil tihsual ( OCD ) .
• Alzheimer natna a ni
• Lu hliam
• Thluak natna (brain tumor) a awm
• Thai
• Epilepsy natna a ni
• Dementia natna (dementia) a awm
• Thluak a oxygen tlakchham vanga chhiatna (Cerebral hypoxia) .
• Hri kai, meningitis ang chi te

A châng chuan he dinhmun hi genetic a ni thei bawk .

Engtin nge hei hi i hriat chian?

Hei hi hriat theihna tur test bik a awm lo. Mahse, i executive function theihna tehna tur special questionnaire leh test a awm a. Hengte hi i doctor chauhvin a natna chu dik takin a hre thei ang.

I doctor chuan nang leh i hmangaih tak takte chu zawhna a zawt ngei ang. Thil dang, ADHD emaw OCD emaw ang chi rinhlelhna a awm chuan test bik pawh an ti thei bawk. Tin, thisen test te, CT scan te, MRI scan te pawh an ti thei bawk a, chu chuan natna dang a neih loh nan an ti thei bawk.

Thil awmdan chu i enkawl thei ang em?

Ni e, a ti thei ngei ang. Hei hi chinfelna pakhat chauh a awm lo. I natna lan chhuah dan leh a chhan a zirin enkawl dan tur a inang lo. He natna hi damdawi, enkawlna leh nunphung tihdanglamna hmanga enkawl theih a ni.

Nangmah ngeiin i tih theih thil tenawm thenkhat chu hetiang hi a ni:

• Step khat khatin thawk rawh: Hna lian tak i neih chuan a tenau zawk, enkawl theih zawkah then rawh. Part khat theuh zawh vek tur a ni.
• Visual aids hmang rawh: Reminder, checklist, calendar, post-it notes, etc. te hmang la, i phone-a Calendar leh reminder apps te hian hei hi nasa takin a pui thei a ni.
• Ruahmanna siam rawh: Ni khat leh chawlhkâr atâna i tih tûrte ziak la, hun ruat siam la, en reng rawh.
• Engkim atan hmun siam rawh: Thil dahna tur hmun bik siam rawh. I chabi, i purse, leh phone ang chi thilte chu hmun khata dah reng chu tih dan phung siam rawh. Hei hian thil hloh theihna nasa takin a tihtlem thei a ni.
• Thil tul lote paih chhuak rawh: I hnathawhna hmun leh room ang hmuna thil tul lote tihtlem la, inrual taka dah rawh. Thil buaithlak takah chuan ngaihtuahna seng reng a harsa hle.

Damdawi lam enkawlna leh enkawlna kawng hrang hrang

I doctor chuan he natna thlen chhan a zirin enkawlna dik ber a ruat ang.

• Damdawi: He harsatna hi ADHD emaw, depression emaw ang chi natna avanga lo awm a nih chuan damdawi pek theih a ni.
• Therapy hmanga enkawl dan: 1.1.
• Cognitive Behavioral Therapy (CBT): Hei hian i ngaihtuahna leh nungchang i thlak danglam thei a ni. Buaina nei ngaihtuahnate chu i hmuchhuak a, chu chu hmachhawn tûrin i inzirtîr a ni.
• Occupational Therapy: He therapy hian nitin hna awlsam zawka thawh theihna tura thiamna mamawh tihhmasawn nan a pui a ni. List siam dan leh hna lian tak takte chu a tenau zawka then dan ang chi thil tangkai tak tak i zir thei bawk.
• Coaching: Heng harsatna chi hrang hrang atana a bik taka training nei coach nen thawhhona tha tak neiin i ruahmanna leh kalpui dan tur i tipung thei ang.

Heng harsatna i neih chuan zak leh mualpho suh. A hmasa ber chu doctor rintlak tak hmu a, i natna lan chhuah dan sawipui a ni. Chuta tang chuan i nun thunun leh theihna tura kaihhruaina leh puihna i mamawh chu i hmu ngei ang.