Thil tenawm ber pawh i thunun thei lo khawpa thinrim i thin em? Chu chu Intermittent Explosive Disorder (IED) a ni em?

A chang chuan thil thleng tlemte avang pawhin i thunun thei lo khawpa thinrim i ni em? I au a, kawngkhar i chil a, leiah thil i paih a, a chang chuan mi i vuak hial bawk. A tawp hnu chuan, "Aw, engvangin nge chutiang chu ka tih?" Hetiang thil tawn hi i tawng tawh a nih chuan nangmah chauh i ni lo. Vawiin hian rilru lam hriselna dinhmun kan sawi dawn a, chu chuan hetiang thinrimna thunun theih loh hi a thlen thei a ni. Chu chu Intermittent Explosive Disorder, a tawi zawngin IED a ni.

A awlsam zawngin, Intermittent Explosive Disorder (IED) tih hi eng nge ni?

A awlsam zawngin, Intermittent Explosive Disorder (IED) hi rilru lam natna a ni a, chu chu thinrimna thunun theih loh emaw, chetsualna emaw avanga lo chhuak fo, ruahmanna awm lo, leh rang taka lo chhuak a ni. A pawimawh ber chu thinrimna chu a thlentu thilthleng nen a inmil lo vek a ni . Chumi awmzia chu thil tenawm tak pawh hian lungngaihna nasa tak a thlen thei tihna a ni.

Mi pakhat chu i hmaah line-ah a zuang thla ang tih han mitthla teh. Mi pangngai chu a lungawi lo deuh ang a, engmah a sawi lo mai thei. Mahse IED nei mi pakhat chu a thinrim lutuk a, a insum thei lo mai thei a, chu mi chu a au chhuak mai thei a, insual lian tak a tan thei bawk.

Heng outbursts te hi a lo awm loh chuan heng mite hi an nungchang pangngai leh tha takin an awm thin. Mahse an tih chuan an thinrimna chu an thunun thei lo. Hei hi thinrimna mai a ni lo, rilru natna a ni. Hetiang natna vei zinga 80% vel hian rilru lam natna dang pakhat emaw a aia tam emaw, lungkhamna emaw bipolar disorder emaw an nei thei bawk.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

IED hian naupang kum 6 chunglam leh puitlingte a nghawng thei a ni. Mahse, puitling he natna vei nia hriatte chu kum 40 hnuai lam an ni tlangpui. Tin, hmeichhia aiin mipaah ​​he natna hi a tam zawk bawk.

Research-in a chhut dan chuan khawvel mihring 1.4% leh 7% inkar velin IED an nei thei a, chu chu thil awm lo tak a ni lo tihna a ni.

IED natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat chian?

A lan chhuahna ber chu thil awmdan nena inmil lo thinrimna chhuak nghal mai hi a ni. Hetiang natna vei te hian an thinrimna chu a dik lo tih an hria a, mahse chutih lai chuan an thunun thei lo ang maiin an inhria.

Heng thinrimna chhuakte hi mizia inang lo engemaw zat a awm a:

• Tum tum ni lo: Hengte hi ruahmanna siam lawk a ni lo, "Vawiin hian Aruth nen kan insual dawn" tih ang chi hi a ni. Thil thleng thut mai mai an ni.
• A lo thleng rang: Mi pakhat a hliam emaw, a thinrim emaw chuan he puakruk hi second tlemte chhungin a thleng thin.
• Hun rei lote chhung: He thinrimna sang ber hi minute 30 aia rei a ni lo tlangpui.
• Post-traumatic stress: Thinrimna a reh hnuah chuan stress, mualphona leh lungngaihna nasa tak a awm thin.
• Inlaichinna a nghawng: Hetiang nungchang hian sikul, hnathawhna leh in lama harsatna a thlen thin.

A hnuaia table-ah hian he thinurna lo chhuah dan leh a hmaa rilru natna awmte tarlan a ni.

Heng thinrimna puak chhuakte hi a chang chuan a tenau tak tak pawh a ni thei a, mahse a nasat em avangin hliam na tak emaw, thihna emaw pawh a thlen thei bawk. Thinrimna a reh hnuah chuan a tir lamah chuan hahdamna rilru a awm a, mahse chutah chuan thil tih a nih avangin pawi tihna leh mualphona nasa tak a awm thin.

Engvangin nge hetiang hi a lo awm? IED awm chhante chu engte nge ni?

Researcher-te chuan a chhan dik tak hi hriat tumin an la bei mek a, mahse tun thlenga an thil hmuhchhuah aṭang chuan thil pawimawh pathum a inrawlh niin an ngai.

1. Genetic factors: He natna hi chhungkaw hrang hrangah a kal thei. Chumi awmzia chu nu leh pa emaw, an chhungte hnai tak emaw hian hetiang rilru natna hi an neih chuan an fate pawhin an neih theihna chance a awm tihna a ni. Zirna hrang hrangah chuan 44% leh 72% inkarah hian genes hian hetiang thil hi a lo piang chhuak thin tih a tarlang.

2. Biological factors: Thluak insiam dan leh hnathawh dan inthlak danglamna hi a awm thei. Entirnan, thluak MRI scan-ah chuan IED vei te hian emotion regulation-a inrawlh thluak peng pakhat amygdala -ah inthlak danglamna an nei tih hmuhchhuah a ni. IED vei te hian kan mood control tu neurotransmitter serotonin level a hniam zawk tih an hmuchhuak bawk.

3. Environment factors: Naupan laia thil tawn harsa tak takte hian hemi kawngah hian nghawng lian tak a nei a ni.

• Naupan laia taksa emaw rilru emawa tihduhdah tuar.
• In chhunga midangte tihduhdah an nih lai hmuh.
• Naupangte a nih laiin thil rapthlak tak pakhat emaw a aia tam emaw tawn.

Hetiang thil tawn hian thluak hmasawnna leh rilru natna thunun dan a nghawng thei a, chu chuan a hnuah IED a thlen thei a ni.

Engtin nge hei hi IED a ni tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

Nangmah emaw, i fa emaw hian he natna hi i nei tih rinhlelhna tlemte pawh i neih chuan, a ṭha ber chu i doctor biak hi a ni . Hemi lama tawnhriat nei mental health counselor (psychiatrist, psychologist) hnenah a refer mai thei che a ni.

Mental health counselor chuan he natna hi uluk takin a biak che a, i natna lan chhuah dan chipchiar takin a enfiah thin a ni. Zawhna an zawt ang che:

• Nang leh i chhungte damdawi lam chanchin (a bik takin rilru lam natna).
• I mimal inlaichinna chungchang.
• School emaw hnathawhna chanchin emaw.
• I rilru put hmang (impulses) thunun theihna.

IED vei nia hriat theih nan a hnuaia tehfung pakhat tal chu zawm a ngai a ni:

A pawimawh ber chu thinrimna level hi thil thleng nen a inmil lo vek a ni. Tum tum a ni lo bawk. Doctor chuan heng symptoms te hi rilru natna dang emaw, taksa natna emaw, ruihhlo hmansualna emaw avanga lo awm a ni lo tih a enfiah bawk ang.

Hetiang dinhmun hi enkawlna tur a awm em?

Ni e, a dik tak zet. IED hi condition hlawhtling taka enkawl theih a ni. Enkawlna tum ber chu a natna lan chhuah dan (thinrimna chhuak) te chu tihbo vek emaw, a nasat leh a tam dan te chu mi leh midangte him taka an awm theihna tur level-a tihtlem emaw a ni.

Enkawl dan hi a bik takin hmun hnih ah then a ni a:

1. Rilru lam enkawlna

Hei hi enkawl dan ber a ni. A bik takin Cognitive Behavioral Therapy (CBT) hi a hlawhtling hle.

CBT-ah chuan therapist chuan i ngaihtuahna leh rilru put hmang thuk takin a en theih nan a pui thin. I ngaihtuahnain i thiltih a nghawng dan chu i hrethiam thei a ni. Hei hmang hian thinrimna thlentu ngaihtuahna dik lo chu thlak danglam a, hrisel zawka ngaihtuahna leh nungchang i zir a ni.

CBT-a hmanraw bik thenkhat:

• Cognitive Restructuring: Thinrimna thlentu dinhmun i ngaihtuah dan thlak danglam.
• Relaxation Training: Thinrimna thlen thei dinhmunte chu thawk chhuah thuk tak leh taksa ruh tih hahdamna ang chi technique hmanga muangchang taka chhan dan practice thin ang che.
• Coping Skills Training: Thinrimna thlen thei tur role-play dinhmun leh hrisel taka hmachhawn dan tur (e.g., thil awmdan chhuahsan) practice.
• Relapse Prevention: Hetiang thil hi enkawl hnua a lo awm leh chuan hnehna anga ngaih a ni lo va, zirlai zir chhuah leh hmalam pan dan tur zirtirna a ni zawk.

2. Damdawi ei tur

A châng chuan doctor-te chuan psychotherapy bakah damdawi hman an rawt ṭhin. Heng damdawi te hian thinrimna tur i threshold tihsanin hna a thawk thin. Chumi awmzia chu, thinrimna tibuaitu thil tenawm tak takah i thinrim tawh lo tihna a ni.

Hemi atana damdawi zirchian lar ber chu fluoxetine a ni. Chu bakah, kum leh natna lan chhuah dan azirin doctor-in antidepressant, antipsychotics, leh mood regulator te pawh a pe thei bawk.

Hetiang dinhmun hi a la awm zel dawn em? Eng hlauhawm dang nge lo awm thei?

IED vei te hian nun lungawina a tlahniam thei a, nunphung pawh a tlahniam thei bawk. Hei hian i hriselna leh mimal inlaichinnaah nghawng tha lo tak a nei thei a ni.

Enkawlna hmanga hlawhtling taka enkawl theih ni mah se, zirchianna hrang hrangah chuan IED hi a tlangpuiin hun rei tak chhunga awm a ni a, kum 12-20 chhung pawh a daih mai thei, a nih loh leh dam chhung pawh a daih thei.

Tin, IED vei te hian a hnuaia natna te hi an vei theihna a sang hle bawk:

• Lungngaihna
• Hlauhthawnna
• Zu leh Ruihhlo hmansualna

Nangmah emaw, i hriat miin emaw mahni intihhlum tumna a neih chuan Sri Lanka rama national mental health helpline number 1926 ah call nghal rawh.

Mahni inenkawlna atana i tih theih thilte

IED i neih chuan professional medical treatment zawn a pawimawh hle. Chu bakah, enkawlna atanga i zir chhuah te chu i nunah i dah tel a pawimawh bawk.

• Calming techniques practice: Nitin deep breathing ang chi thil te practice thin ang che.
• I ngaihtuahnate thlak danglam: Thinrimna a lo chhuah chuan, "Engvangin nge hetiang hi ka chungah a thlen?" leh chu ngaihtuahna chu thlak danglam tum ang che.
• Inbiakpawhna thiamna tipung rawh: I rilru put hmang chu ṭawngkam hmanga muangchangin sawi chhuah tum la, thinrim ngai lovin.
• Thil buaithlak tak tak atanga inthiarfihlim rawh: Thinrimna i neih chuan a theih chuan eng emaw chen chu dinhmun atang hian inthiarfihlim rawh.

Zu leh ruihhlo hi pumpelh vek tur a ni. Chûngte chuan i rilru put hmang chu a tichhe zual thei a ni.

I chhungte emaw, i hnaih ber emaw mi pakhatin IED a neih chuan nang tan pawh rilru lama harsatna a thlen thei a ni. Chuvangin, i rilru hriselna pawh uluk takin enkawl rawh. A tul chuan counseling zawng rawh. Mahni leh i fate venhimna kawnga hma lak a pawimawh hle bawk.