Nang pawhin a tul lova thil i ngaihtuah reng em? Hei hi Generalized Anxiety Disorder (GAD) chungchang a ni!

A châng chuan thil tenawm ber berte pawh ngaihtuahin i lungngai em? Thil tenawm tak mai a ni lo mai thei. Nitin hnathawh tur ngaihtuah lutuk leh ngaihtuah lutuk hian i rilru hriselna a nghawng thei tak zet a ni. Vawiin hian hetiang dinhmun hi kan sawi dawn a, chu chu 'Generalized Anxiety Disorder' emaw ``(Generalized Anxiety Disorder - GAD)`` tih a ni.

He thil zawng zawng ei vek thei dinhmun hi eng nge ni? Generalized Anxiety Disorder (GAD) a ni em?

Thil tenawm ber pawh i ngaihtuah fo em? Nitin thil, inchhung hna te, office hna te, i fate sikul hnathawh te, sum leh pai lama harsatna te, a nih loh leh nangmah emaw, i chhungte emaw hriselna chungchangah te i lungkham lutuk em? Ngaihtuah teh, zing i thawh atanga zan i mut thlengin i lu-ah lungkhamna tam tak a rawn inher kual vel ang maiin i hria em? Chu chu `(Generalized Anxiety Disorder - GAD)` kan tih mai chu a ni.

Tunah chuan, ‘Tunge lungngai lo? Mi zawng zawng hian thil engemaw an ngaihtuah vek a ni.' A dik a ni. Nunnaah harsatna lian tak a lo chhuah dawn emaw, exam a lo thlen dawn emaw, hna thar i thawh tan a ngaih hunah emaw tlem chuan lungkham leh hlauthawng deuh hi thil pangngai a ni . Mahse, GAD vei tan chuan he lungkhamna, he hlauhna hi a awm reng a, chhan awm lovin pawh . A dik tak chuan chhan awm lovin a ti buai nasa hle a, thil tenawm tak takah pawh a ti buai hle bawk. I rilruin ‘worry switch’ on reng ang mai a ni.

Hetianga i lungkham reng hian i rilru chauh a nghawng lo. I taksa pawh a nghawng tel bawk . Lu na, taksa na, leh rilru hah lutuk mai mai i nei thei. Dik tak chuan, ni khat chhunga kal chu a harsa thei hle. United States-a puitling zinga 3% velin he natna hi an vei nia chhut a ni a, mi 5% velin an dam chhungin engtik lai pawhin a nghawng a ni. Mahse, a tuar zinga 43% chauhvin enkawlna an zawng a ni. Chuvangin hetiang thil hi i tawng a nih chuan Doctor hnen atanga tanpuina dil a pawimawh hle.

GAD i nei em tih pawh i ngaihtuah em? Heng symptoms te hi han thlir ila.

GAD-ah hian symptom lian pahnih hmuh tur a awm a, chungte chu:

• Nitin thil pangngai ngaihtuah lutuk leh awm reng .
• Heng ngaihtuahna tibuaitute hi thunun a har hle .

Chûng bâkah, i rilrua he lungkham reng reng hian taksa lama natna lan chhuahna a thlen thei bawk . Heng zinga pakhat tal i neih leh neih loh en rawh:

• Mut harsat emaw, muthilh hnu pawha mut mut theih loh, harh fo.
• Chau leh chau lutuk tih hriat reng reng .
• An uncontrollable restlessness , lungkhamna nasa tak nei, thil tenawm ber pawha thinrim.
• Lu na fo thin .
• I thinlung a thawk chak zawk ang maia inhriatna (heart palpitations) .
• Ka taksa ruh a tight a, a na bawk.A hriatna chu `(Muscle tension)` a ni.
• Chawlh hahdam lohna .
• Thâwk harsa ang maiin a lang a, i thawk hah ang maiin a lang .
• Chhan awm lova thawk hah .
• I hnathawhnaah hian i rilru i pe a harsa khawp mai.
• Sawifiah theih loh taksa na (entir nan, taksa ruh na, pum na).

Chûng chhinchhiahnate chu a châng chuan a lo thleng a, a lo kal zêl a, a châng chuan i lungkham emaw, i lungkham emaw chuan a zual thei bawk .

Engvangin nge GAD kan hmuh? A chhante chu engte nge ni?

GAD thlentu dik tak sawi theih ni lo mah se, zirchiangtute chuan thil engemaw zat inzawmkhawm niin an ngai.

• Thluak hnathawh: I thluak hian lungkhamna leh lungkhamna a hmachhawn danah inthlak danglamna engemaw zat a awm thei.
• Genetics: GAD hi chhungkuaah a kal thei. Chumi awmzia chu i chhungkuaa mi tu emaw chuan he natna hi a neih chuan i vei theihna a sang zawk tihna a ni. Genetic change hian thluaka chemical messenger pawimawh tak tak, serotonin, dopamine, leh GABA te a tidanglam thei a, chu chuan i ngaihtuahna a nghawng thei a ni.
• Nun chhunga thil tawn: Hun kal zelah i tawn tawh , lungkhamna, harsatna (e.g., hnathawhna hmuna harsatna, chhungkaw buaina, accident) te hian nitin thil i chhan dan pawh a tidanglam thei bawk.

Tute nge GAD vei tam zawk? (Risk factor hrang hrang) 1.1.

GAD hian naupang leh puitling a nghawng thei a ni. Naupan lai emaw, tleirawl lai emaw atanga tan a ni tlangpui a, mahse kum eng pawhah a intan thei.

A hnuaia thilte avang hian GAD vei theihna hlauhawmna i nei sang thei a ni:

• Hmeichhia i nih chuan .
• I chhungte zinga mi pakhatin GAD a vei tih hmuhchhuah a nih chuan .
• I nunah thil rapthlak tak emaw, rilru hahna nasa tak emaw i tawk tawh a nih chuan.
• Naupang i nih lai khan tihduhdah i nih chuan .
• Rilru lam natna dang i vei a nih chuan, entirnan, ``Panic Attacks`` (hlauhna lo awm nghal mai), ``Depression`` (depression), emaw ``Phobia`` (thil pakhat hlauhna nasa tak) .
• Hun rei tak chhung damdawi lam harsatna (e.g. zunthlum, thinlung natna) i vei a nih chuan.
• Ruihhlo, zuk leh hmuam, emaw, ruihhlo emaw i hman fo chuan.

GAD hian harsatna dang a thlen thei em?

Ni e, GAD hi rilru lam harsatna dangte nen a awm dun thei a ni . Entirnan, substance use disorder leh depression te hi GAD nen hian an awm dun thei a ni. Mood swings , nungchang inthlak danglamna, leh energy level inthlak danglamna te pawh i tawng thei bawk.

A pawimawh ber chu GAD hian a chang chuan nun bo duhna rilru a siam thei che a, mahni intihhlum tumna rilru a siam thei che a ni. Hetiang hmun harsa takah i awm anga i inhriat phawt chuan tanpuina dil hreh suh. Sri Lanka ramah hian Sumithrayo (0112692909 emaw 0112682535) ang pawl an awm a, chu chu i biak theih a, tanpuina i dawng thei bawk. A nih loh leh National Mental Health Helpline-ah 1926-ah i call thei a, nangmah chauh i ni lo tih hre reng ang che.

Engtin nge doctor hian GAD hi dik taka a hriat theih ang?

GAD i vei nia i rinhlelh chuan i chhungkaw doctor i hmu thei a, a nih loh leh mental health specialist, ``Psychologist`` emaw ``Psychiatrist`` emaw direct-in i hmu thei bawk.

I rilru hriselna leh i chhungte damdawi lam chanchin an zawt ang che . Hetih lai hian hlauhna leh hlauthawng deuh i nei mai thei. Mahse a chipchiar thei ang bera sawi a pawimawh hle . A chhan chu chutih hunah chauh chuan doctor chuan i dinhmun chu chiang takin a hrethiam thei ang a, enkawlna tling ber a pe thei ang che.

Chu bâkah, doctor chuan hetiang hi a ti thei bawk:

• Taksa enfiahna tih .
• I mood chungchang hriat duhna zawhna (``GAD-7`` ang chi) fill up tura tih che.
• I hmêl lan dân leh i thusawi dân ang chi thilte enfiah .
• I natna lan chhuah chhan dang a awm leh awm loh hriat nan test thenkhat tih. Entir nan:
• Thisen test: `(Thyroid function test)` (Thyroid function endik), `(Blood glucose test)` (thisen sugar level a check), `(Drug test)` (Drug hman leh hman loh enfiah).
• Echocardiogram (thinlung hnathawh dan en rawh).

GAD hriat theihna tur tehfungte chu engte nge ni?

Doctor-te chuan GAD hmuhchhuah nan hian Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR) atanga criteria an hmang thin. GAD i vei tih hriat theih nan thla ruk tal, kar khat chhunga ni tam zawk chu lungkham lutuk i nei tur a ni . Tin , lungkhamna chu thunun harsa tak a ni ngei ang .

Hetianga lungkham reng mai bakah hian puitling chuan a hnuaia chhinchhiahna pathum tal a nei tlangpui (naupangte hian pakhat chauh an nei thei):

• Hahdam lo emaw, lungkham reng emaw tih.
• Chau vat vat.
• Thil ngaihtuah harsat, emaw, i rilru chu a hring ang maia inhriatna.
• Thil tenawm tak avanga thinrim.
• Muscle a nghet lo va, a na bawk.
• Mut harsat, muthilh reng emaw, mut hahdam loh emaw.

Heng chhinchhiahnate hian i nitin thiltih te, hnathawh te, chhungkaw inlaichinna te, leh hriselna zawng zawng te a nghawng tur a ni .

Tin, doctor chuan heng symptoms te hi i hmang tih a nemnghet bawk ang.Tin , damdawi emaw damdawi dang emaw avanga natna lan chhuah dan a ni lo tih a nemnghet bawk . Tin, rilru lam hriselna dinhmun dang (``Panic Disorder'', ``Social Anxiety'', ``Obsessive-Compulsive Disorder (OCD)'', emaw ``Post-Traumatic Stress Disorder (PTSD)'') te hian a symptoms te hi a hrilhfiah tha zawk lo tih a nemnghet bawk.

Lungkhamna tihziaawmna tur enkawlna a awm em? (GAD enkawlna) 1.1.

Thu lawmawm tak chu GAD hi enkawl theih a ni . A tlangpuiin psychotherapy (talk therapy) emaw damdawi emaw, a pahnih inzawm emaw hmanga enkawl a ni. Research atanga a lan dan chuan approach pahnih hi an inzawm khawm chuan result tha ber a awm thin. I doctor chuan i natna lan chhuah dan, i mamawh leh i hriselna zawng zawng a zirin i tana tha tur treatment plan zawng turin a thawkpui ang che.

Thusawi hmanga tihdam: Psychotherapy

Psychotherapy hi a awlsam zawngin ‘talk therapy’ a ni. Mi pakhatin i ngaihtuahna, i rilru put hmang, leh i nungchangte a hriatthiam theih nâna thuk taka sawipui a huam a ni. Hei hi rilru lam hriselna lama counselor thiam tak nen hmun him, tanpui theihna hmunah tih a ni.

He therapy hmang hian nitin nun tha taka i nunpui theihna tur leh i rilru hriselna tihchangtlun nan i mamawh hmanrua leh technique te i zir thei ang.

GAD enkawl dan tha ber pakhat chu cognitive behavioral therapy (CBT) a ni. I lungkhamna tipungtu leh kawng engemaw takah i nungchang tirtu ngaihtuahna tha lote hriatchhuah leh thlak danglam turin a pui che a ni. Hun kal zelah CBT hian i lungkham lutuk tihziaawmna tur leh harsatna hrisel taka hmachhawn theihna tura i mamawh thiamna siam turin a pui thei che a ni.

Damdawi atanga chhanchhuahna: GAD damdawi

Damdawi pawh i GAD enkawlna ruahmannaah hian i pe thei bawk. Damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Selective Serotonin Reuptake Inhibitors (SSRI): Entirnan, Escitalopram, Paroxetine emaw Sertraline emaw te hi a ni.
• Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): Entirnan Duloxetine leh Venlafaxine te hi a ni.
• Benzodiazepines (Hengte hi hun rei lote chhunga hman atan a tha tlangpui).
• `(Buspirone)`.

Heng damdawi te hian i dinhmun a ti tha lo a nih chuan doctor chuan damdawi dang a ngaihtuah thei a, chungte chu:

• `(Tricyclic Antidepressants)`: Entirnan `(Amitriptyline)` tih hi a ni.
• `(Antipsychotics thlah hnihna)`.
• `(Valproate)` tih a ni.

Doctor hmuh a ngai em?

GAD damdawi i ei a nih chuan i doctor pan fo a pawimawh hle a, damdawi hian engtiang chiahin nge hna a thawh tih hriat a pawimawh hle a, a tul chuan a dose pawh siamrem a pawimawh hle.Side effect emaw symptom thar emaw i neih chuan doctor hnenah hrilh rawh.

Psychotherapy i neih chuan session tinah tel tum ang che. I theih loh chuan reschedule tum ang che. Therapy atanga a dam kim theih nan hun a duh a ni. Mahse therapy nena awm reng hi i dam lehna kawngah a pawimawh hle.

I rilru a hah lutuk emaw, mahni intihchhiat tumna i neih emaw chuan i doctor hnenah hrilh nghal rawh. Emergency i neih chuan Sri Lanka rama 1990 (Suvaseriya) ah call la, a nih loh leh damdawi in hnai ber emergency department ah kal rawh.

GAD nena kan nun hian eng nge i beisei theih ang?

Hei hi mi hrang hrangah a danglam thei tak zet a ni. Mi thenkhat tan chuan GAD hi hun rei tak chhunga awm thei a ni a, chu chu enkawl chhunzawm zel a ngai a ni. Ni engemaw zat chu i lungkhamna leh lungkhamna chu a na zual hle thei a , a bik takin i lungkhamna nasa tak ni ah chuan . Ni dangah chuan thunun a awlsam deuhin a lang thei.

Mahse a tha ber chu enkawlna hian danglamna nasa tak a thlen thei tih hi a ni. Psychotherapy, damdawi leh coping strategies dik tak i hman chuan i symptoms te chu i control thei a, i nun chu i thunun thei zawkin i inhria thei bawk . I healthcare team, doctor, nurse leh professional dangte pawhin i taksa, nunphung leh thil tumte tana tha ber tur zawng turin an thawk ho ang che. Hun kal zelah i mamawh a inthlak danglam zel a, chutiang chuan i enkawlna tur ruahmanna chu siamrem theih a ni.

GAD i neih chuan nangmah tan i tih theih tur thenkhat chu engte nge ni?

Damdawi lam enkawlna bakah hian GAD symptoms enkawl nan nangmah ngeiin thil engemaw zat i tih theih a awm a:

• I nunah inthlak danglamna \ha tenau siam rawh: Coffee leh tea ang chi caffeine awmna in tur i ei tlem rawh. Social media-a i hun hman tlem zawk rawh. Thiante leh chhungte nen hun hmang rawh. Mut tam rawh . Chaw hrisel ei rawh . Taksa tihchak (exercise) nei rawh.
• Relaxation technique hmang rawh: Yoga, meditation, a nih loh leh mindfulness ang chi thil tih hmangin stress tihziaawm rawh.
• Ruihhlo ngawlvei laka inthiarfihlim rawh: Zu leh ruihhlo dangte hian i lungkhamna a tizual thei a ni. GAD damdawi i ei te nen pawh an inzawm thei bawk.
• Support dawng rawh: Nangmah ang GAD nei te inkhawm theihna tur support group a awm. I thil tawn te sawipui turin an pui thei che a, midangte hnen atangin zir tur chein, GAD nena in nunpui lai hian i mamawh fuihna i dawng thei bawk.
• Rilru hriselna `Apps` hmang rawh:I mood inthlak danglamna track thei tur leh coping strategies practice thei tur app hrang hrang a awm.

A tawp berah chuan hetiang hian ka sawi tur che u a ni...

Generalized Anxiety Disorder (GAD) hian nitin hna awlsam tak, huan siam emaw, in chhuahsan emaw pawh hi a ti buai thei a, a ti buai thei bawk. Ni tawp lamah chuan he lungkhamna awm reng hian chau leh chau takin a awmtir thei che a ni.

Mahse, heng symptoms te hi nangmah chauhin i do a ngai lo tih hre reng ang che. Doctor chuan chu natna hmachhawn dan tur zawngin i mamawh ang zela enkawlna ruahmanna siam turin a pui thei che a ni. Psychotherapy, damdawi, a nih loh leh a pahnih inzawmkhawm hmangin hahdamna i hmu thei a ni.

A dam leh theih nan hun a duh a ni. Nangmah i dawhtheih a ngai a ni. Inthlauhna lian tak i hmu nghal lo mai thei. Mahse, tanpuina leh enkawlna dik tak nen chuan zawi zawiin i nun pangngaiah, i nihna dik takah i kir leh thei a ni. Chuvângin, harsatna i neih chuan ṭanpuina dîl chu a tlai ngai lo.

` Lungkhamna, rilru hriselna, GAD, lungkhamna, lungkhamna, enkawlna, rilru lam enkawlna