Thinrimna chhuak nghal mai chu thunun harsa i ti em? Intermittent Explosive Disorder (IED) chungchang hi han sawi ila!

Thil tenawm lutuk, i ngaihtuah phak loh khawpa i thinrim fo thin em? I au chhuak em, leiah thil i paih em, mi pakhat pawh i vuak em? Hei hi "tih dan tha lo" emaw "mi thinrim thuai" emaw mai ni lovin thil thuk zawk a ni thei. Vawiin hian hetiang thinrimna chhuak nghal mai, rilru lam hriselna lama harsatna awm, `(Intermittent Explosive Disorder - IED)` tih hi kan sawi dawn a ni.

``Intermittent Explosive Disorder - IED'' tih hi eng nge ni?

A awlsam zawngin sawi ila, Intermittent Explosive Disorder (IED) hi rilru lam natna a ni a, chu chu rang taka, thunun theih loh, chetsualna emaw, thinrimna chhuak emaw a ni. A pawimawh ber chu heng mite hian thinrimna chu thil awmdan nena inmil lo takin an chhang let thin a ni. Thil tenawm tak pawh hi an tan chuan a harsa hle. Ngaihtuah teh, mi pakhatin line-a i hmaah a zuang a, i thinrim lutuk a, i car atanga i chhuk a, chu chuan i intihlum a nih chuan chu chu thinrimna pangngai a ni lo.

Mahse mak tak mai chu, an thinrim loh lai hian ``IED`` vei te hi an nungchang pangngaiin an awm tha hle. Hei hi ``Impulse control disorders`` category-a tel, chu chu rilru chhunga impulse lo awmte control harsa natna tihna a ni.

Research atanga a lan dan chuan IED vei zinga 80% thlengin rilru lam natna dang an nei thei a ni. Chung zinga a tam ber chu lungkhamna, bipolar disorder, autism, leh rilru lama harsatna te an ni.

He `(IED)` dinhmun hian tute nge a nghawng ber?

He natna hian naupang kum 6 emaw puitling emaw a nghawng thei a ni. Mahse, kum 40 hnuai lam puitling naupangah hmuhchhuah a ni tlangpui a , mipaah ​​pawh a tam zawk niin an sawi bawk .

Zirchiangtute chuan khawvel mihring 1.4% atanga 7% inkar velin Intermittent Explosive Disorder an nei thei niin an chhut. Hei hian a awm lo hle nachungin, mi tam takin he natna hi an vei tihna a ni.

`(Intermittent Explosive Disorder - IED)` natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun ziarang ber chu thinrimna chu a dik lo tak zet, tum loh tak leh thil awmdan nena inmil lo tak takin a lo chhuak nghal a ni. Heng mite hian an nungchang chu a dik lo a, a rem lo tih an hria a, mahse chutih lai tak chuan mahni inthunun harsa an ti hle.

Heng thinrimna chhuakte hi hetiang hi a ni:

• Tumruh taka tih a ni lo va, thil thleng nghal leh rilru na taka thleng a ni. Ruahman lawk a ni lo.
• He thinrimna hi thil a thlen atanga minute tlemte chhungin a intan thin (a provocation).
• He thinrimna hi a tlangpuiin minute 30 aia rei a daih lo.
• He thil thleng hian zawhna awm mek chu rilru hahna leh lungngaihna nasa tak a thlen a ni.
• Hetiang nungchang hian sikul-ah te, hnathawhna hmunah te, leh in lamah te harsatna a thlen thin.

Engtin nge he thinurna hi a lo chhuah?

He thinurna hi kawng tam takin a lang chhuak thei a ni. Entirna tlemte chu hetiang hi a ni:

• Thinrimna: Naupang tê ang maia leia inher, tap leh au thawm ang chi nungchang.
• Thu hmanga vau: au thawm, midang vau, chham.
• Taksa lama mihring emaw rannung emaw beih: nawr, vuak, vuak, leh a chang chuan ralthuam hmanga hliam tuar pawh.
• Thil neih chhiatna: duh duh thil paih, kick, furniture tihchhiat, kawngkhar tihchhiat.
• Chhungkaw tharum thawhna: Chhungkaw member tihduhdahna.
• Kawngpuiah thinrimna: Traffic-a an paltlang mai mai che avanga mi pakhat tihhlum duh khawpa thinrim i nih kha han mitthla teh.

Heng thinrim taka thil thlengte hi a chang chuan thil tenawm tak a ni thei a, a chang chuan a nasat em avangin mi pakhatin hliam na tak a tuar thei a, a thihpui hial thei bawk.

I thinrim hmain eng ang thil nge i hriat theih?

Hetianga tharum thawhna nasa tak a thlen hma hian heng symptoms thenkhat hi i nei thei ang:

• Thinrimna, rilru chhunga thunun theih loh thinrimna hriatna.
• Thinrimna (Iritability) a awm.
• Ka thinlungah pressure leh tension nasa tak ka nei a.
• I lu chhunga ngaihtuahna te chu chak takin a tlan reng ang mai a ni.
• Midang nen pawh kan inbe mumal thei lo.
• Ka taksa hian chakna a nei leh ta thut ang mai a ni.
• Tremors a awm.
• Heart rate a sang nghal (palpitations).
• A rilru a na hle.

He thinrimna hi a chhuah hnu hian rei lo te chhung chu hahdamna a awm a, mahse chutah chuan lungngaihna, inchhirna leh mualphona te a lo chhuak thin. "Eng nge ka tih?"

Engvangin nge Intermittent Explosive Disorder (IED) hi a lo awm?

Zirchiangtute chuan hei hi eng thil nge a thlen tih chiang taka hriat tumin an la bei mek a, mahse thil pawimawh pathum vang niin an ngai a, chungte chu:

1. Genetic factors: Hei hi chhungkuaah a kal thei. Chumi awmzia chu i chhungkuaa mi tu emaw hian he natna hi a neih chuan nang pawhin i vei theihna a sang zawk tihna a ni. Zirna hrang hrangah chuan hetiang impulsive, aggressive behavior lo awm tur hian 44% atanga 72% velin genetic influence a awm tih hmuhchhuah a ni.

2. Biological factors: Kan thluak insiam dan leh hnathawh dan inthlak danglamna hian hei hi a thlen thei a ni. Entirnan, MRI (Magnetic Resonance Imaging) scan-ah chuan kan rilru put hmang thununtu amygdala an tih thluak hmun chu a nghawng tih hmuhchhuah a ni. Tin, IED vei te zingah neurotransmitter serotonin (nerve inkara thuchah kengtu chemical leh hormone ang bawka thawk) level chu a tlangpui aia hniam a ni tih an hmuchhuak bawk.

3. A rilru a hah lutuk chuan a rilru a buai em em a.Environment factors: Naupangte a nih laia tawngkam emaw, taksa lama tihduhdahna emaw, in lama tihduhdahna hmuh emaw hian he natna lo awm theihna kawngah hian chanvo a nei thei a ni. Tin, naupan laia thil rapthlak tak pakhat emaw, a aia tam emaw tawn chu a chhan a ni thei bawk.

Engtin nge Intermittent Explosive Disorder (IED) hi hmuhchhuah a nih?

Nangmah emaw, i hriat emaw, a bik takin i fa emaw hian heng natna lan chhuahna hi a nei thei nia i ngaih chuan doctor thiam tak pan hmasak a pawimawh . Heng natnate hi hriatchhuah leh enkawl thiam tak rilru lam hriselna lama mithiam hnenah an refer mai thei che a ni. Hei hi rilru lam doctor, psychologist emaw, clinical social worker emaw pawh a ni thei.

American Psychiatric Association-in Diagnostic and Statistical Manual of Mental Disorders (DSM) aṭanga tehfung bik hmangin IED an enfiah ṭhin. Uluk takin an sawipui ang che a, i natna lan chhuah dan leh i nungchang chungchangah zawhna thuk tak tak an zawt ang che. Heng ang chi hrang hrang chungchangah zawhna an zawt ang:

• Nang leh i chhungte damdawi lam chanchin, a bik takin rilru hriselna dinhmun chungchangah.
• I mimal inzawmna chungchang (Relationship history).
• School leh hnathawhna hmun chipchiar zawk.
• I rilru put hmang i thunun theihna chungchang.

I chhungte leh i thiante hnai tak takte hnen atangin i nungchang leh chanchin te pawh i dawng thei mai thei.

``(IED)'' natna chiang taka hriat theih nan chuan aggressive impulses control theih lohna i lantir a ngai a, chu chu:

• A nih loh leh, thil thleng tam zawk, mahse chhiatna thlen lo zawk: chu chu, thla thum chhung kar khatah vawi hnih tal thil neih , rannung emaw, mihringte chunga taksa lama tihduhdahna (au chhuah, vau, inhnialna) emaw, taksa lama tihduhdahna (mahse hliam na tak leh thil tihchhiatna nei lo) tihna a ni
• A nih loh leh, thil thleng tlemte mahse pawi tak: Thil tihchhiat leh/ emaw ran emaw mi emaw beihna avanga hliam tuar thei thil vawi thum, thla 12 chhung (kum khat) chhung

A pawimawh ber chu thinrimna level hi thil awmdan nen a inmil lo va, a danglam bik hle a ni. Tin, hengte hi thil ruahman lawk a ni lo. Thinrimna emaw, rilru hah lutuk emaw avanga thleng nghal mai an ni. Tin, doctor chuan heng symptoms te hi rilru natna dang emaw, taksa natna dang emaw, ruihhlo hman avanga lo awm a ni lo tih a enfiah bawk ang.

Hetiang natna hi a vei tih hriat theih nan chuan kum 6 aia tlem lo a nih a ngai a, mahse a tlangpuiin naupan lai emaw tleirawl lai emaw a lo lang hmasa ber thin.

``Intermittent Explosive Disorder - IED'' hi eng enkawlna nge ni?

Hetiang natna enkawlna hi psychotherapy (talk therapy) a ni ber a, a chang chuan damdawi pawh a ni. I doctor chuan i kum, i natna lan chhuah dan leh a nasat dan a zirin a rel ang.

Enkawlna tum ber chu natna lan chhuah dan remission kimchang tak neih a ni a, a tlem berah chuan symptom pakhat emaw pahnih emaw nasat lutuk tihziaawm hi a ni. Mi thenkhat chu an dam kim thei lo mai thei a, mahse a tum ber chu a tlem berah chu mi leh midangte him taka awmtir leh flare-up awm tam dan, a nasat dan leh a lo awm tam dan tihtlem a ni.

`(Psychotherapy)` tih hi `(IED)` tih a ni

Chumi atan chuan Psychotherapy hi a enkawl ber leh pawimawh ber a ni. A bik takin , hemi atan hian Cognitive Behavioral Therapy (CBT) hi hlawhtling takin hman a ni.

>`(CBT)` hi a structured, goal-oriented treatment method a ni. Hetah hian therapist chuan i ngaihtuahna leh rilru put hmang thuk takin a en theih nan a pui che a ni. I ngaihtuahnain i thiltih a nghawng dan chu i hrethiam thei a ni. `(CBT)`, i lu chhunga ngaihtuahna dik lo, pawi lo leh nungchang tha lo awmte chu paih bovin, chu ai chuan hrisel zawka ngaihtuahna leh nungchang i zir thei a ni. `(IED)` hian `(CBT)` vei te chu nitin nunah thil harsa tak tak enkawl turin a pui thei a, thinrimna tichhuaktu rilru put hmang te chu a thunun thei bawk.

CBT-a IED atana hmanraw bik thenkhat chu:

• Cognitive restructuring: Hei hian thinrimna thlentu thil thleng emaw, hlauhawm anga i ngaih thil emaw chungchanga ngaihdan dik lo leh ngaihtuahna tha lo i neihte hriatchhuah leh tihdanglam a huam a ni.
• Relaxation training: Thâwk thûk tak leh progressive muscle relaxation (thinrimna thlen thei dinhmunte i mitthla laiin i taksaa taksa ruhte i tense leh zawi zawiin i tihreh theihna) hian thinrimna i chhanletna chu a ti tlem thei a ni.
• Coping skills training: Therapist nena role-playing, thinrimna a lo chhuah theihna tur dinhmun, leh chhanna hrisel tak tak, hmun chhuahsan ang chi practice.
• Relapse prevention: IED vei te chu an tan chuan aggressive behavior-a an lo let leh hi thil pangngai a nih thu an zirtir a, chu chu hlawhchhamna anga ngaih ni lovin, ‘tihsual’ emaw ‘setback’ tenau anga ngaih tur a ni.

`(IED)` atana damdawi hman tur

Damdawi thenkhat chuan i ``threshold'' a tisang thei a, chu chu thil tenawm ber pawhah i thinrim lo thei tihna a ni.

Fluoxetine (a Selective Serotonin Reuptake Inhibitor - SSRI) hi IED enkawlna atana zirchian tam ber a ni. IED atana damdawi dang zirchian tawhte chu Phenytoin, Lithium, Oxcarbazepine, leh Carbamazepine te an ni.

Doctor-te chuan IED atan hian heng damdawi chi hrang hrangte hi an pe tlangpui mai thei:

• `(Antidepressant)`
• `(Antipsychotics)` (rilru natna damdawi) .
• `(Anticonvulsants)` (epilepsy ang chi natna atana damdawi pek) .
• `(Antianxiety damdawi)` (Antianxiety damdawi) .
• `(Mood regulators)` (mood ti nghet thei damdawi) .

Pawimawh: Heng damdawi te hi doctor enkawlna hnuaiah chauh ei tur a ni a, a zat tur leh a hun bituk chhung chauh ei tur a ni. Duhthusam anga damdawi ei emaw, chawlhsan emaw hian side effect na tak a thlen thei a ni.

Intermittent Explosive Disorder (IED) vei theihna tur risk factors te chu engte nge ni?

Researcher-te chuan he natna thlentu risk factor engemaw zat an hmuchhuak a:

• Tlangval nih vangin.
• Hnathawh tur nei lo.
• Single (nupui pasal nei lo) nih.
• Zirna level hniam tak a ni.
• Taksa emaw, mipat hmeichhiatna emawa tihduhdah, a bik takin naupan laia tihduhdahna.
• Chhungkaw member hnai tak, Intermittent Explosive Disorder vei neih.

I fain he natna hi a nei thei tih hlauhna emaw rinhlelhna emaw i neih chuan doctor hnenah he natna chungchang hi sawipui a tha ber.

Intermittent Explosive Disorder (IED) vei tan chuan eng nge a hmalam hun tur?

Zirna hrang hrangah IED vei te hian nun lungawina an nei tlem a, nunphung pawh an hniam hle tih a tarlang. Hei hian i hriselna zawng zawngah nghawng tha lo tak a nei thei a, i mimal nunah, chhungkaw nunah, hnathawhna hmunah leh khawtlang inlaichinnaah harsatna lian tak a thlen thei bawk.

Thu lawmawm tak chu IED hi Cognitive Behavioral Therapy (CBT) leh a tul chuan damdawi hmanga hlawhtling taka enkawl theih a ni. Mahse, zirchianna atanga a lan dan chuan IED hi hun rei tak chhunga awm a ni fo thin a, kum 12-20 chhung a daih a, dam chhung pawh a daih thin.

Tin, IED vei te hian a hnuaia natna te hi an tawk nasa zawk bawk:

• `(Lungngaihna)` (Lungngaihna) .
• `(Lungkhamna)` (Lungkhamna) .
• `(Zu hmansualna)` (Zu ruihhlo ngawlvei) .
• `(Substance use disorder)` (Druihhlo dang ruihhlo ngawlvei) .

Pawimawh tak: IED vei te hi mahni intihhlim (e.g., tan, hal) leh mahni intihhlum an hlauhawm hle. Chuvangin, nangmah emaw, i chhungte zinga tu emaw hian Intermittent Explosive Disorder nei thei nia i ngaih chuan a rang thei ang bera damdawi lam thurawn lak a pawimawh hle.

Intermittent Explosive Disorder (IED) ka neih chuan engtin nge ka in enkawl ang?

Intermittent Explosive Disorder i vei tih hmuhchhuah i nih chuan i invenna tur thil pawimawh tak tak i tih theih a awm. Chung zinga pawimawh ber chu professional leh medical treatment zawng a, chu chu zawm tlat hi a ni. Enkawlnaah chuan thinrimna lo thleng tur venna tur leh a lo awm a nih chuan thunun thei tur thil tam tak i zir thei a ni:

• Relaxation techniques: Thâwk thûk taka exercise leh meditation ang chi thil.
• I ngaihtuahna tihdanglam (Cognitive restructuring): Thinrimna thlentu ngaihtuahnate hriatchhuah leh tihdanglam.
• Inbiakpawhna thiamna: Thinrimna tel lova midangte hnena i rilru put hmang leh mamawh chiang taka sawi chhuah zir.
• I chhehvel thlak danglam la, a theih chuan hmun lungkhamna hmun atanga inthiarfihlim dan zir rawh: A châng chuan, hmun emaw, mi emaw aṭanga rei lo tê inlakhran mai mai hian danglamna nasa tak a thlen thei a ni.

Thil dang pawimawh tak chu zu leh ruihhlo dang hman loh vek hi a ni. Chûngte chuan i rilru put hmang thunun theihna chu a ti tlem lehzual thei a, tharum thawhna i neih theihna pawh a tipung thei bawk.

`(Intermittent Explosive Disorder - IED)` chungchangah engtikah nge doctor ka hmuh ang?

Nangmah emaw i fa emaw chu Intermittent Explosive Disorder i vei tih hmuhchhuah a nih chuan, i damdawi (psychotherapy leh/ emaw damdawi) a thawk tha em tih leh tihdanglam a ngai em tih en turin i medical team (doctor, therapist) te nen in inhmu fo tur a ni.

I fate chet danin midang (mi dang, rannung) tana harsatna emaw, hlauhawmna emaw a thlen a nih chuan damdawi lam tanpuina zawng nghal rawh. Tin, `(IED)` vei tu emaw chuan mahni intihhlum emaw, mahni intihhlum tum emaw a ngaihtuah a nih chuan tanpuina a ngai nghal a ni. Khawngaihin doctor emaw, mi rintlak emaw hnenah hriattir nghal la, a nih loh leh rilru lam hriselna service hnai ber (e.g., vantlang damdawi in-a psychiatric unit) pan rawh.

Intermittent Explosive Disorder (IED) hi rilru lam hriselna dinhmun a ni tih hre reng ang che. Thiltih \ha lo leh \ha lo a ni lo. Rilru natna dang ang bawkin, a lan chhuah dan i hriat veleh tanpuina zawng hian i nunah buaina leh harsatna awmte chu a tiziaawm thei a ni. Mental health professional-te chuan i duh ang anga enkawlna ruahmanna an pe thei che a, i ngaihtuahna leh nungchang enkawl dan tur pawh a pui thei che a ni.

IED vei chhungte leh an hmangaih tak takte chuan an lungngai hle a, an lungngai hle a, an mahni chauha awm an ni fo bawk. Mahni rilru hriselna enkawl a pawimawh a, heng symptoms te hi i neih chuan tanpuina dil a pawimawh. IED vei nen in inzawmna i neih chuan nangmah leh i fate venhimna atana hmalakna ngaihtuah rawh.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian i hriat reng tur pawimawh tak tak thenkhat han khaikhawm ila.

• Intermittent Explosive Disorder (IED) hi rilru lam hriselna dinhmun dik tak a ni. "Thil tha lo" emaw "thinrim lo" emaw chauh a ni lo.
• He natna hi psychotherapy leh a tul chuan damdawi hmanga hlawhtling taka enkawl theih a ni.
• Harsatna a nasat hmaa chinfel a nih theih nan a rang thei ang bera tanpuina leh enkawlna lak a tha ber.
• Hetiang dinhmunah hian tanpuina dil zak suh. Nangmah chauh i ni lo.
• IED vei ang bawkin an chhungte pawhin puihna leh tanpuina an mamawh a ni. Anni pawhin hei hi an tuar thei a ni.

Hemi chungchangah hian zawhna dang i neih chuan doctor emaw, mental health counselor thiam tak emaw hnenah sawi rawh .

` Intermittent Explosive Disorder, IED, thinrimna thunun, rilru hahna, rilru hriselna, CBT, enkawlna