I hmangaih tak hian an neih tak tak loh natna a fake em? He dinhmun hlauhawm tak (Factitious Disorder Imposed on Another - FDIA) chungchang hi han sawi ila!

Naupang, tar, a nih loh leh rualbanlo, damlote enkawltu, damlo anga inlan a, doctor hnena hruai a, damdawi pe thinte hi i hre ngai em? Hei hi ngaihtuah harsa tak a ni tak zet a, mahse a chang chuan a thleng fo thin. Vawiin hian hetiang rilru dinhmun buaithlak leh hlauhawm tak hi kan sawi dawn a ni.

He FDIA (Mi dang chunga Factitious Disorder Imposed) hi eng nge ni?

A awlsam zawngin sawi ila, `Factitious Disorder Imposed on Another` (FDIA) hi rilru lam hriselna dinhmun a ni a, he natna vei hian midang, a bik takin doctor-te chu an enkawlna hnuaia mi pakhat (entir nan, naupang kum 6 hnuai lam, rualbanlo, emaw puitling kum 65 chunglam) chu natna a neih loh tak tak laiin a damlo tih hriattir a tumna a ni.

Hei hi `Munchausen syndrome by proxy` tia koh thin a ni.Chu hming chu thawnthu sawi uar lutuk thin historical figure atanga lo chhuak a ni. Mahse, tunah chuan he nungchang hi dik zawka sawifiah nan `Factitious Disorder Imposed on Another` tih hi hman a ni ta.

A pawimawh ber chu hetiang dik lo taka inlan hi a hlauhawm hle a ni . A chhan chu mi sual lo, ngaihsaktu chu a ṭul lo taka damdawi lam test a neih a ngai a, a châng chuan operation hlauhawm tak pawh a thlen thei a ni. Hei hi medical team-te’n thil awmdan dik tak an chhui chhuah lai hian a thleng thin.

Hei hi rilru natna leh tihduhdahna chi khat anga ngaih a ni bawk . Mahse, FDIA vei leh tanpui ngai lo victim tan pawh tanpuina dawn theih dan a awm.

Hetiang dinhmun hi khawtlang nunah a awm vak lo. Tin, mi engzat nge nei tih pawh statistics dik tak a awm lo bawk. A chhan chu case tam tak chu undiagnoseed-in an awm thin.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Doctor-te chuan hei hi eng thil nge a thlen tih chiang takin an hre lo a, mahse zirchianna atanga a lan dan chuan a hnuaia thilte hian hetiang thil hi a thlen thei a ni:

• Tun hmaa lungngaihna nasa tak, tihduhdahna, a nih loh leh ngaihsak lohna: Naupan laiin hetiang thil hi i tawng ve mai thei.
• Nu leh pa emaw, enkawltu emaw hloh: Hetiang dinhmun hi chutiang hlohna chu tuar theih lohna avânga lo awm thei a ni.
• Stress na tak: Nun hi tuar theih loh khawpa stress a nih chuan.
• Mi dangte ngaihsakna mamawhna nasa tak: Mi dangte’n anmahni leh an inpekna chungchang sawi leh ngaihlu duhna.

Hengte hi a chhan hriat chhuah ber thenkhatte an ni.

Hetiang natna vei mi hi eng mizia nge ni?

Hetiang FDIA status hi i neih chuan hetiang hi i ti thei mai thei:

• Doctor hnenah i enkawltu hian symptoms awm tak tak a nei tih i hrilh a.
• A châng chuan, mi dang chu natna lan chhuahtîr nân taksa lamah a tihnat a ni (entir nân, taksa rihna tihpun nâna ei tûr tihkhawtlai a ni).
• Mi dang medical test report result tihdanglam (entir nan, zun sample-a thil dang chawhpawlh).
• Mi dang enkawl dan tur an tibuai a, an dam loh nan an veng bawk.

Mi pakhatin a victim a nih theihna tur chhinchhiahna hmuh theihte chu engte nge ni?

He FDIA natna vei i nih chuan i enkawlna dawngtuah hian hetiang chhinchhiahna hi i hmu thei ang:

• Amah chauhvin i kalsan ngai lo , i mit atangin i chhuah tir ngai lo bawk.
• Damdawi ina awm fo tawh te, test neih fo te, leh damdawi lam thil chi hrang hranga tih fo tawhna history a nei thei a ni .
• Medical report te hi a inmil lo thei a, a inhnial thei bawk.
• Symptoms chu natna pakhat chauh nen a inmil lo thei a, a nih loh leh diagnosis chiang tak siam theih a ni lo thei bawk .
• Symptoms chu in lamah chauh a awm thei , doctor hmaah pawh hmuh tur a awm lo thei bawk.
• Damdawi ina i awm laiin a natna lan chhuah dan chu a reh a, mahse in i thlen chuan a pung leh ta a ni tih theih a ni .
• A châng chuan, lab-a thisen emaw zun emaw sample test-te chu chu mi thisen chi emaw, zun emaw nên a inmil lo thei a , a nih loh leh inngaihzawnna finfiahna a lantîr thei bawk.

Ngaihtuah teh, naupang te tak te a awm a, a nu chuan damdawi inah a hruai fo thin a, natna pakhat hnu pakhat a hrilh thin. Doctor ten test khat hnu pakhat an tih hnuah pawh natna engmah hmuh tur a awm lo. Mahse, a haw chuan a nu chuan naupang chu harsatna a tawk tih a sawi leh a. Doctor awm loh lai hian nu chuan naupang chunga thil tihsak chungin damlo ang maiin a inlan a ni mai thei. Hei hi FDIA hlauhawmna a ni.

Hei hi rochan a ni em? Risk factors te chu engte nge ni?

FDIA thlentu genetic hi hmuhchhuah a la ni lo a, chu chu thlahtu natna a ni lo tihna a ni .

Mahse, he natna hi hmeichhe enkawltu zingah a tam ber a ni . Personality disorder nei zingah pawh a awm fo thin .

Hetiang natna vei nia hriat zingah hian a lan chhuah dan tlangpui thenkhat chu:

• Damdawi lam enkawlna leh hriselna chungchanga hriatna ropui tak i nei a .
• I friendly hle a midang nen pawh awlsam takin in inrem thei bawk .
• Enkawltu angin i thahnemngai hle a, i inpe hle bawk .

Heng mizia avang hian a chang chuan midangte pawhin engmah an ringhlel lo.

Engtin nge doctor-te hian he natna hi an hriat theih?

Dik tak chuan he FDIA dinhmun hi doctor-te tan hriat a harsa hle . A chhan chu, he dinhmun bulpui ber chu rinawm lohna leh bumna a ni.Doctor chuan i hmangaih takin a natna lan chhuah dan nena inzawm thei natna dang awm thei chu a paih chhuak hmasa ang. Chumi hnuah chauh chuan FDIA condition i neih leh neih loh an ngaihtuah ang. Hei hian hun engemaw chen a la ngai thei .

Doctor chuan i hmangaih tak natna lan chhuah dan a zawt hmasa ang a, a tul chuan taksa enfiahna leh test dang a ti ang. An medical history leh chhungkaw medical history te an zawt ang che. Hetih lai hian doctor chuan a chipchiar zawngin a ngaihven ang a, chungte chu:

• Medical center hrang hrangah enkawl turin i kal fo em?
• Medical history te hi a inhnial em?
• Damdawi lam record pek hmasak i hreh em, a nih loh leh i ṭhiante leh chhungte nen he thu hi sawipui i hreh em?
• Doctor-te hian enkawlna dawngtu chu anmahni chauhin an biak phal lo em ni?

Hetiang thil hi i rinhlelh chuan doctor chuan he thiltih chungchang hi a sawipui ang che a, nang leh i enkawltu pawh hi in him em tih a enfiah ang che.

`DSM-5`-a FDIA hriat theihna tur tehfung

American Psychiatric Association-in Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) a tarlan dan chuan FDIA vei hriat theih nan a hnuaia tehfungte hi zawm a ngai a ni:

• Mi dangte bum tumna neia taksa emaw rilru lam emaw chhinchhiahna dik lo taka inlan emaw, hliam emaw, natna emaw thlentir .
• Mi pakhat chuan mi dang (a tuartu) chu mi dangte hmaah damlo, chak lo, a nih loh leh hliam tuar angin a rawn present a .
• He bumna thiltih hi pawn lam atanga hmuh theih hlawkna lian tak beisei anga tih a ni lo .
• Hetiang thiltih hi rilru lam natna dang avanga lo awm a ni lo .

Hei hi eng enkawlna nge ni?

FDIA enkawlna atana thil tum hmasa ber chu nungchang tha lo tihdanglam a ni a , damdawi hman dan dik lo emaw hman tam lutuk emaw tihtlem a ni . A dawtah chuan i medical team chuan i thiltih chhan bulpui berte chu an zawng ang.

Doctor-te chuan i enkawltu chu hlauhawmah a awm loh nan leh a tul lova damdawi lam test emaw, enkawlna emaw an dawng lo tih an hriat chian theih nan an thawk ho ang. A tuartu, chu chu i enkawltu mi pawh hian:

• I enkawlna atanga paih chhuah a, midang enkawlna hnuaia dah.
• Hliam emaw, natna emaw a tawrh tawh zawng zawng enkawl.
• Hetiang tihduhdahna avanga lo awm thei Post-Traumatic Stress Disorder (PTSD), Depression, leh Anxiety ang chi dinhmun chungchangah hian mental health counselor , therapist, emaw, medical professional dang emaw nena inbiakna.

I nungchang chhan bulpui enkawl nan i doctor chuan Cognitive Behavioral Therapy (CBT) ah a refer thei che a ni.Psychotherapy program-ah pawh refer i ni thei a, chu chu. He therapy hian a tum ber chu i ngaihtuahna leh i rilru put hmang hian i nungchang a nghawng dan hriatchhuah a ni. Rinawmna pawimawhzia a zirtir bawk che a ni . Mental health counselor chuan i ngaihtuahna leh nungchang thlak danglam turin a pui thei che a ni.

A tlangpuiin FDIA hi enkawl harsa tak a ni a, hun rei tak chhung therapy leh support a ngai thin . Social services, dan kengkawhtu, naupang humhalhna service, puitling humhalhna service, leh doctor-te hian he thiltih hi tihtawp tumin team anga thawhhona tha tak an neih a ngai a ni.

Hetiang dinhmun hi ven theih a ni em? A rah chhuah rapthlak tak takte chu engte nge ni?

Hetiang dinhmun hi ven dan tur hriat a la ni lo . Mahse, natna lan chhuah ṭan veleh enkawlna zawng chuan a chhiatna chu a tihziaawm thei a ni . Entîr nân, i enkawltu chu paih chhuah chuan a ṭûl lo taka chhiatna a thlen loh nân a ṭanpui thei a ni.

FDIA dinhmun hian nghawng pawi tak a nei thei a ni. Chung zinga ṭhenkhat chu:

• Dan lam thil (he tihduhdahna hi dan bawhchhiatna a ni).
• A tuartu chu tihduhdahna chhunzawm zel a ni .
• Naupang tihduhdah tuar chu puitling a nih chuan a tan natna a siam thei bawk (`Factitious Disorder Imposed on Self`) .
• Thil na tak ṭhenkhatah chuan, a tuartu chu a thi hial thei a ni .

Heng a rah chhuah na tak takte hi he natna hi a rang thei ang bera enkawl dan dik a nih theih nan ven theih a ni.

Engtikah nge ṭanpuina i dîl ang? Tu nge i zawh tur?

I hnaih bertu mi pakhatin heng FDIA thiltih dan hi a lantir nia i rinhlelh chuan doctor emaw social worker emaw ko nghal rawh . Mi tihduhdahna chhinchhiahna i hmuh chuan Adult Protective Services emaw Child Protective Services emaw a remchan dan angin report rawh. Mi pakhat chu hlauhawma a awm nghal chuan 911 emaw, i awmna hmuna emergency number emaw call hreh ngai suh.

FDIA nei nia i rinhlelh mi pakhat chanchin hriat tumin hetiang zawhna hi i zawt thei ang:

• Doctor hnenah engzat nge i kal thin?
• Doctor pakhatah i kal em, a nih loh leh doctor engemaw zat inkarah i rotate em?
• Test tam tak a neih hnuah i enkawltu chuan engtin nge a awm?
• I enkawltu hian i awm loh lai pawhin symptom a nei em?
• Enkawltu angin stress nasa tak i nei em?

Mahse hre reng ang che, FDIA dinhmun hian bumna thil a thlen theih avangin heng zawhnate hi chhanna chiang tak i hmu lo mai thei. Thu hriat lâk khâwm tum hunah, puhmawh zawhna zawh loh tur . Thusawi chu ngilnei tak, zawhna zawh duhna nei takin hnaih rawh.

A tawi zawngin, kan hriat reng tur thilte

Factitious Disorder Imposed on Another (FDIA) hi hriat chian, enkawl harsa leh hlauhawm tak a ni. He bumna thiltih hian dam chhung zawng harsatna a thlen thei a ni.

Mahse, he tihduhdahna cycle hi tihtawp theih a ni . Thudik taka inbiakna neih hreh suh la, a tul chuan ram pum leh tualchhung level-a resources te nen inzawmna siam rawh. A inrawlh apiangin tanpuina an dawng thei a ni. Nangmah chauh i ni lo .

He thu hi i tan a \angkai ngei kan beisei. Hemi chungchanga zawhna dang i neih chuan doctor rintlak tak nen inbia ang che.

` Factitious Disorder Imposed on Another, FDIA, Munchausen syndrome by proxy, rilru hriselna, naupang tihduhdahna, natna lem, enkawlna lama tihduhdahna