Ngaihtuah teh, i muhil tha hle mai. Vawikhatmah i harh chhuak a, i rilru a na hle. Mumang hlauhawm tak i nei a. I lu chhungah i inher ang maiin a la awm reng. Ni khat emaw ni hnih emaw chu a pawi lo, mahse hetianga mumang tha lo i neih reng chuan i ni khat chhung zawng chu a buai thei hle. Hetiang dinhmun ``Nightmare Disorder'' tih hi i nei ve mai thei bawk. Hemi chungchang hi vawiinah hian chipchiar takin kan sawi dawn em ni?
He ``Nightmare Disorder'' hi eng nge ni?
A awlsam zawngin sawi ila, ``Nightmare Disorder`` chu mumang tam tak, chiang tak tak, hlauhawm tak tak lo awm fo hi a ni. Heng mumangte hian lungngaihna nasa tak a thlen che emaw, nitin hnathawh tur dik taka i tih theih loh nan emaw a tikhawlo che a ni. Hei hi mut laiin nungchang dik lo chi khat a ni bawk a, chu chu ``Parasomnias`` kan ti a ni.
He natna nasat dan hi a inang lo thei a, heng mumang te hi i neih tam dan azirin:
- Mild: Kar khatah vawi khat aia tlem lo.
- Moderate: Kar khatah vawi khat emaw a aia tam emaw, mahse zan tin ni lo.
- Severe: Zan tin mumang tha lo tak tak ka nei thin.
Tin, eng chen nge a awm tawh tih pawh hian:
- Hun rei lote chhunga `(Acute nightmare disorder)`: Thla khat emaw a aia rei lo chhung a daih.
- Short-term moderate `(Subacute nightmare disorder): Thla khat tal awm thin, mahse thla ruk aia rei lo.
- Chronic nightmare disorder: thla ruk emaw a aia rei emaw a awm thin.
Heng mumang chhia tam zawk hi mut hun chanve hnihnaah a thleng a, chu chu REM (rapid eye movement) sleep an ti a ni. Nightmare disorder chungchanga thil danglam tak chu i harh hunah mumang kha chiang takin i hre reng thin. Hei hi mut hlauhawmna nen a danglam a ni. Hetiang dinhmun hian i mut a tibuai hle thei a, i nunphung pawh a nghawng thei bawk. Tin, rilru hriselna dinhmun hnuaia awm, lungngaihna emaw, lungkhamna emaw a tichhe thei bawk.
He dinhmun hian tute nge a nghawng ber?
He ``Nightmare Disorder'' hi tu pawhah a awm thei a, naupang te atanga puitling thlengin a awm thei.
Mahse, mi thenkhat chuan an vei tam zawk a, a bik takin a hnuaia natna te hi i neih chuan:
- REM nungchang lama harsatna (RBD) .
- Narcolepsy natna a ni
- Mut theih lohna (sleep apnea) a ni
- Periodic limb movement disorder (PLMD) a awm fo thin.
- Post-traumatic stress disorder (PTSD) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk.
- Generalized anxiety disorder a ni a, a rilru a hah hle
- Khawtlang nun lungkhamna (social anxiety disorder) a ni
- Lungngaihna
Social anxiety disorder emaw generalized anxiety disorder nei te hian nightmare disorder an vei tam zawk tih i hria em? Tin, he natna hian PTSD vei zinga 50% leh 90% inkar a nghawng bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Sri Lanka ramah hian statistics dik tak awm lo mahse, America ang ramah hian mipui zahawm tak 2% atanga 8% inkar velin he ``Nightmare Disorder'' hi an nei niin an sawi a, chu chu i ngaihtuah angin a tlem lo.
``Nightmare Disorder'' natna lan chhuah dan chu engte nge ni?
A symptom ber chu mumang chhia neih fo hi a ni . A chang chuan mumang chhia neih hi thil pangngai a nih laiin, i neih fo a, nitin hnathawhna a tibuai a nih chuan ``Nightmare Disorder'' i nei thei.
Heng mumang chhiatnaah hian thupui tlangpui chu:
- I nunna chu a hlauhawm hle .
- I taksa hriselna tichhe thei .
- I himna atana hlauhawm tak a ni .
Ngaihtuah teh, mi pakhatin a rawn um che a, hmun sâng tak aṭangin i tlu a, a nih loh leh ṭanpui theih loh dinhmunah i ding a ni. Hengte hi mumang lo lang tam berte chu an ni.
Mumang chhia i neih hian taksa lama natna lan chhuah dan te pawh i nei thei a, chungte chu:
- Thawmhnaw hak
- Thâwk harsa
- Lung na tak tak
Mumang chhia avanga emotion awm ber chu hlauhna a ni . Mahse, rilru natna dang pawh a lo chhuak thei a, chungte chu:
- Thinrimna
- Hlauhthawnna
- Mualphona a ni
- Hmuh lohna
- Zak
- Lungngaihna
Heng taksa lama chhinchhiahna leh rilru natna te hi mumang lai te, mumang atanga harh chhuah emaw, a hnu lama mumang hriatreng hunah emaw a lo awm thei a ni.
Nightmare Disorder hian a hnuaia mite hi a thlen thei bawk:
- Mood changes , entirnan, lungkhamna emaw, lungngaihna emaw.
- Mut duh lohna (mumang dang neih leh hlauhna).
- A chau hle mai .
- Nitin mutthilh theih loh (Hypersomnia) .
- Thil ngaihtuah harsat .
- Nungchang lama harsatna a awm .
- Hnathawh emaw sikul lama hnathawh that lohna .
- Khawtlang inlaichinna tihbuai .
Kan hriselna pum pui atan mut that hi a pawimawh hle. Chuvangin ``Nightmare Disorder'' i nei nia i hriat chuan doctor nena inbiakna neih a pawimawh hle.
Engvangin nge he ``Nightmare Disorder'' hi a lo awm?
Dik tak chuan zirchiangtute chuan mut leh min nghawng dan te an la zirchiang mek a ni. Mut chungchang te, mumang te, mumang te hi thil tam tak hmuchhuak mah se, kan hriat loh thil tam tak a la awm.
Zirchiangtute chuan mumang chhia leh mumang lama harsatna awm chhan dik tak an hre lo .Mahse, ngaihdan hrang hrang an nei.
Theory pakhat chu he natna hi hyperarousal vang a ni thei tih a ni a, chu chu nitin a pungkhawm a, zan thlengin a awm chhunzawm zel a ni. Hyperarousal chu i thinrim reng a, i thinrim reng a, engkim i ringhlel reng bawk. Hei hi PTSD leh mut theih lohna chhinchhiahna tlanglawn tak a ni. He hyperarousal hian i mut laiin thluak hmun thenkhat chu a ti overactive thei a, mumang tha lo tak tak a siam thei a ni.
``Fear extinction`` tih concept chungchangah hian theory dang a awm bawk.`` Thil awmdan pangngaiah chuan kan thluak hian hriatrengna hlauhawm tak takte chu thil thar leh inzawm lo nen a inzawm tir thei a, chu chuan mut leh mumang pangngai a phalsak a ni. Hei hi ``Fear extinction`` an ti a.He ``impaired fear extinction`` theory ang hian ``Nightmare Disorder`` vei te thluak hian mut lai pawhin hriatrengna hlauhawm tak chu a process chhunzawm zel a ni. He theory ang hian mi, stressful situation-a an rilru put hmang thunun harsa, stress an tawh chuan negative taka an chhanlet thinte hian mumang tha lo tak tak an nei duh zawk a ni.
``(Nightmare Disorder)`` hi engtin nge kan hriat theih ang?
Hei hi hriat theihna tur medical test bik a awm lo. Chu ai chuan doctor-te chuan i mumang chhia leh symptom dangte history tha tak an la ang . I medical leh mental health history te pawh an zawt ang.
Damdawi thenkhat hian mumang tha lo tak tak a thlen thei bawk . Chuvangin, i doctor chuan tuna i damdawi ei mek eng emaw zat zawh a duh mai thei a, chu chu a chhan a ni em tih hriat tumin drug test a order thei bawk. Damdawi leh thil chi hrang hrang, mumang tha lo thlen thei te chu:
- Beta-blockers (thisen sang damdawi chi khat) .
- Antidepressant damdawi a ni
- Nicotine (zuk leh hmuam leh meizuk atanga lak) .
Mumang tha lo hi zu ang chi thil i hman tawh loh thut avanga withdrawal symptoms vang pawh a ni thei.
``Nightmare Disorder'' hi engtin nge enkawl a nih?
Hei hi enkawl nan hian i doctor chuan enkawlna chi hrang hrang, psychotherapy ( talk therapy) leh damdawi te pawh a rawt thei ang.
``Nightmare Disorder`` atana rilru lam enkawlna hman ber chu ``Cognitive Behavioral Therapy (CBT) hmanga enkawlna a ni.`` Chu chu:
- Imagery Rehearsal Therapy (IRT) hmanga tihdam theih a ni.
- Exposure, Relaxation, leh Rescripting Therapy (ERRT) hmanga tihdam theih a ni.
Psychotherapy chungchang chipchiar deuh deuh
American Academy of Sleep Medicine (AASM) chuan IRT leh ERRT te hi puitlingte zingah mumang lama harsatna awm thei enkawlna tha ber atan an rawt a ni.
Heng `(IRT)` leh `(ERRT)` te hi mimal tinte tana siam chhuah enkawlna a ni. Hei hian thil engemaw zat a huam a:
- Mut diary (sleep log) vawn leh nitin mut/harh dan record.
- I mumang chhiat tam zia leh a nasat zia ziak turin sleep diary siam la.
- Mumang chhia awm dan zir.
- Mumang chhia nena inzawm thlalak, ngaihtuahna leh rilru put hmangte target thei tur training thiamna. Hei hian mumang chhia neih tam leh nasatzia a tiziaawm thei a ni.
Heng CBT-based treatment te hian mumang chhia hi a tir lamah a tangkai hle tih a tilang a, thil thleng tawhte process turin a pui che a, mahse hun kal zelah chuan a tibuaitu a ni.
Heng enkawlnate hian mumang chhia chu tih dan emaw thil zir chhuah emaw angin an en a , chu chu tih a nih chuan tihdanglam theih a ni . Psychologist emaw therapist emaw ang chi mental health professional chuan i mumang ṭha lote chu kawng dang, hlauhawm lo zâwk emaw, lungngaihna nei lo zâwk emawa ngaihtuah nawn leh tûrin a ṭanpui thei che a ni.
Hemi enkawlnaah hian homework hi a pawimawh hle. Chu chu nitin mumang suangtuah thar chu rehearsal tihna a ni. Hetah hian tum ber chu i mumang chhiate chu a lo lang leh a nih chuan hlauhawm lo zawka awm turin "reprogram" a ni.
`(Nightmare Disorder)` damdawi hman dan tur
A hmaa kan sawi tawh psychological therapies te hian a puih loh chuan i doctor chuan damdawi ei a ngaihtuah mai thei.
PTSD nena inzawm Nightmare Disorder natna vei tan hian damdawi chi hrang hrang a awm a. Entirna tlemte chu hetiang hi a ni:
- `Olanzapine` tih a ni
- `Risperidone` tih a ni
- `Aripiprazole` tih a ni
- `Clonidine` tih a ni
- `Cyproheptadine hmanga siam a ni`
- `Fluvoxamine` tih a ni
- `Gabapentin` tih a ni
- `Nabilone` tih a ni
- `Phenelzine` tih a ni
- `Prazosin` (hei hi hman a ni fo) .
- `Topiramate` tih a ni
- `Trazodone` tih a ni
- Tricyclic hmanga tihdam theih a ni
PTSD nena inzawm lo Nightmare Disorder-a pui thei damdawi te chu:
- `Prazosin` tih a ni
- `Triazolam` tih a ni
A pawimawh ber chu damdawi zawng zawng hian side effect a nei thei vek a ni . Chuvangin, damdawi pakhat thatna leh that lohna chungchang doctor nen inbiakna neih a pawimawh hle a, a side effect i neih chuan a hnenah hmuh a pawimawh hle bawk.
Hetiang dinhmun hi eng prognosis nge ni?
He ``Nightmare Disorder`` natna thlirna hi mi hrang hrangah a inang lo thei.
Mi thenkhat tan chuan hei hi enkawlna engmah tel lovin a dam thei a ni . Mahse, mi dangte tân chuan enkawl loh chuan kum sâwm tam tak chhûng chu a awm thei a ni .
Enkawl loh, hun rei tak atanga lo awm tawh ``Chronic nightmare disorder`` vang a niMahni intihhlum tum leh tih nawn leh theihna a sang hle.
Hemi avang hian, leh hriselna zawng zawng atan mut a pawimawh em avangin, mumang chhia i tawk fo a nih chuan tanpuina dil a pawimawh hle.
Engtikah nge Doctor ka hmuh ang?
Mumang chhia i neih fo a, chu chuan i nunphung a tibuai a nih chuan doctor emaw, rilru lam hriselna lama counselor emaw pan nghal rawh .
``Nightmare Disorder'' i vei tih hmuhchhuah a nih a, tuna i enkawlna te hian a puih loh chuan i doctor nen duhthlan tur dang sawipui rawh.
Mumang chhia hi rilru natna a ni em?
Mumang chhia chu rilru lam hrisêlna ṭhenkhat, PTSD, lungkhamna, leh lungngaihna nên inzawm mah se, mumang chhia chu rilru lam natna anga ngaih a ni lo . Anni hi nungchang lama harsatna chi khat, parasomnias an tih, mut laiin a thleng thin.
``Nightmare Disorder'' leh ``PTSD'' hi a inang em?
Post-traumatic stress disorder (PTSD) vei tam tak pawhin nightmare disorder an nei bawk. Mahse, PTSD tel lo chuan nightmare disorder i nei thei. Chumi awmzia chu an pahnih hian a inang lo tihna a ni.
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Zan mut that hi kan nunah a pawimawh hle. Kan taksa a chawlh tir a, a recharge a, a insiamtha thei bawk. Nightmare Disorder neih hian i mut thatna leh i nunphungah nghawng lian tak a nei thei a ni.
Mahse, thu lawmawm tak chu hei hi enkawl theih dinhmun a ni . Talk therapies leh damdawi hrang hrangte hian a pui thei a ni. Chuvangin, mumang rapthlak takin i nun a tibuai a nih chuan Doctor hmuh hi hlau suh. Nangmah chauh i ni lo va, tanpuina dawn theih dan tur a awm bawk.
` Mumang chhia, mut, rilru hriselna, REM mut, PTSD, lungkham, enkawl
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh