Ngaihtuahna leh rilru inang i nei reng em? OCD (Obsessive-Compulsive Disorder) chungchang hi han sawi ila!

A châng chuan ngaihtuahna inang i nei nawn leh fo em? A nih loh leh thil i tih leh tih loh i enfiah reng em? Entirnan, gas stove off emaw, kawngkhar khar emaw ang chi thil. Hengte hi eng emaw chen chu kan nei vek a ni. Mahse mi thenkhat tan chuan heng ngaihtuahna leh a chhanletna atana an thiltih hian an nitin nun a nghawng a, an hnathawh theih loh khawpin a nghawng a ni. Chutih lai chuan he dinhmun hi tlem kan ngaihtuah thui a ngai a ni. Hei hi medical science-a `(Obsessive-Compulsive Disorder)` emaw `(OCD)` emaw an tih chu a ni.

OCD (Obsessive-Compulsive Disorder) tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, Obsessive-Compulsive Disorder (OCD) hi ngaihtuahna inrawlh (obsessions an tih) i neih a, chu ngaihtuahna avanga lungkhamna leh lungkhamna tihziaawmna tur, intrusive leh repetitive (compulsions an tih) i neihna a ni. Heng thil tih nawn fo hian i khawtlang nun leh nitin hnathawhna a tibuai thei a ni.

OCD hi dam chhung zawnga natna (a chronic condition) a ni tlangpui a, mahse hun kal zelah a symptoms a pung emaw a tlahniam emaw thei.

Kan nunah engtik lai pawhin `obsessions` leh `compulsions` engemaw zat kan tawng vek a. Entirnan, stove off a nih leh nih loh vawi hnih enfiah emaw, kawngkhar khar a nih leh nih loh enfiah emaw chu thil pangngai a ni. Tin, "I'm obsessed" tih ang chi hi kan sawi fo bawk. Mahse `(OCD)` chu chu aia tam a ni. Mi pakhat ni khat chhung darkar tam tak a tichhe thei a ni. Nunphung pangngai zawng zawng a buai vek. Heng `obsessions` te hi `(OCD)` vei miin an thunun theih loh ngaihtuahna duh loh tak tak a ni. Tin, heng `compulsions` tih atang hian hlimna an hmu lo bawk.

OCD leh OCPD hi thil hrang hrang pahnih a ni em?

Mi tam tak chuan heng hming pahnih hi an ri inang em em avangin an tibuaitu a ni. Mahse, `(Obsessive-Compulsive Disorder - OCD)` leh `(Obsessive-Compulsive Personality Disorder - OCPD)` te hi natna hrang hrang pahnih a ni.

Obsessive-compulsive disorder (OCPD) hi personality disorder a ni a, perfectionism, engkim mumal tak, dan anga tih duhna leh engkim thunun tumna a ni.

OCD vei te hian an ngaihtuahna leh thiltih dan pangngai lo a ni tih leh harsatna an nei tih an hre tlangpui. Enkawl an mamawh tih pawh an pawm bawk. Mahse, OCPD vei te hian an nungchang leh rin danah thil dik lo a awm niin an ngai lo fo thin.

He OCD natna hian tute nge a nghawng ber?

Tu pawhin OCD an nei thei. He natna hi kum 19 vel atanga tan a ni tlangpui a, OCD vei zinga 50% vel chuan naupan lai emaw, tleirawl lai emaw atanga natna lanchhuahna an nei thin.

Kum 40 a tlin hnuah pawh mi pakhatin OCD a vei hi a tlem hle.

OCD hi engtiang chiahin nge a hluar?

Obsessive-Compulsive Disorder (OCD) hi a takah chuan natna tlanglawn tak a ni. United States-a mipui zawng zawng zinga 1.6% leh 2.3% inkar vel a nghawng nia sawi a ni. Sri Lanka ramah pawh hetiang natna vei hi an tlem hle.

OCD natna lan chhuah dan chu engte nge ni?

OCD chhinchhiahna ber chu obsessions (ngaihtuahna duh loh) leh compulsions (chumi chhanna atana i tih thin) te hi a ni a, chungte chu a hmain kan sawi tawh a ni. Heng symptoms te hian i hnathawh dan pangngai a tibuai thei a ni. Entîr nân, heng chhinchhiahnate hian a hun taka hnathawhna hmuna i kal theih loh phah thei a ni. A nih loh leh, zan mut tura inbuatsaih nan a hma aia rei i hmang thei bawk.

Heng symptoms te hi harsatna a ni tih i hre mai thei, mahse i titawp thei lo. OCD symptoms hi a lo chhuak thei a, a reh thei a, hun kal zelah a na zual emaw a tha zawk emaw thei bawk.

Nangmah emaw, i fa emaw hian nitin nun tichhe thei OCD symptoms i neih chuan doctor pan a, thurawn lak a tha ber.

OCD-a lo awm thin obsessions (duh loh, ngaihtuahna tibuaitu) te

OCD-ah chuan obsessions chu ngaihtuahna inrawlh emaw, rilru lam thil emaw, i thunun theih loh, lungngaihna emaw, lungkham lutuk emaw thlentu a ni. OCD vei tam tak chuan heng ngaihtuahnate hi ngaihtuahna fim lo leh thil pangngai lo a ni tih an hria.

`Obsessions` entirnan hman tlanglawn thenkhat chu:

• Hriselna, bawlhhlawh emaw, thil bawlhhlawh dang emaw khawih emaw, natna emaw hlauhna nasa tak. Ngaihtuah teh, bus-a wire khawih emaw, dawra pawisa thlak emaw, kut inthlak emaw pawh i hlau.
• Mahni emaw, midang emaw tihchhiat hlauhna. A bik takin, "Ka fimkhur loh chuan mi ka ti na dawn em?" "Kawngkhar ka khar loh chuan rukruin a rawn luhchilh ang a, chhungkua a tichhe dawn em ni?" A châng chuan, an thunun theih loh thil tharum thawhna tih hlauhna pawh a awm thei bawk.
• Rilruah sex nena inzawm ngaihtuahna duh loh, duhawm lo emaw rilru lam lem emaw siam chhuah. Chungte chu mi remtihna tel lova lo thleng a, rilru lama harsatna nasa tak a thlen thin.
• Thil tihsual hlauh lutuk. I tihsual, tê tê pawh ni se, i mualpho hle ang.
• Thil dik leh dik lo (morality) ngaihtuah lutuk. Engkim ngaihtuah lutuk, "Hei hi a dik em? Hei hi a dik lo em?"
• Ringhlelna leh huatna nei reng reng.
• Engkim hi a felfai, a inmil lo va, a tlin lohna nei lo tura mamawhna nasa tak chu. Dawhkan chunga lehkhabu leh closet chhunga thawmhnaw te pawh hi millimeter khat pawh a sawn chhuak tih hi rin harsa tak a ni.
• Mi dangte hnen a\anga inrintawkna mamawh reng a ni. "He thil hi ka ti dik em?" "Stove kha ka off em?"

OCD-a thil thleng (compulsions) (repetitive actions) te

OCD-ah chuan heng ‘compulsions’ te hi thil tih nawn fo thin, a hmaa kan sawi tawh ‘obsessions’ avanga pressure leh hlauhna tihziaawmna tur emaw, chuta tang chuan hahdamna engemaw chen hmuh theihna tur emawa tih ngai nia i hriatte a ni.

OCD vei te hian heng nawr luihna hi an ti duh lo va, an tih pawh nuam an ti lo. Mahse, chûng thilte chu an tih loh chuan, chu ngaihtuahna lungchhiatthlâk tak takte avânga hlauhna leh lungkhamna chu a zual dâwn niin an hria a. Mahse heng nawr luihna atanga hahdamna chu rei lo te chhung atan a ni. Hun engemaw chen hnuah chuan obsessions te chu an rilruah a lo lang leh a, compulsions te chu tih leh turin an thlem leh ta a ni. Cycle ang mai a ni.

Heng `compulsions` te hian hun tam tak a khawhral a, thil pawimawh i ngaih pawimawh te a tibuai thin. Heng thiltih te hi i `obsession` nen a inzawm tlat a ngai lo.

Entirna thenkhat chu:

• Engkim hi a bik takin ruahmanna siam. Entirnan, i dawhkan chunga thil leh lehkhabu awmte chu a inrualna leh a inang tlangin i dahkhawm a ngai a ni. Tlem i sawn chuan i tan thar leh a ngai a ni.
• Inbual nawn fo, tihfai, kut sil. Mi thenkhat chuan ni khatah vawi sawm atanga vawi sawm leh panga vel an sil a, minute tam tak chhung chu an hnawih a, an hnawih bawk.
• Mimal leh sum leh pai lama hlutna nei lo thil khawlkhawm emaw, khawlkhawm emaw tihna a ni. Chanchinbu hlui leh bottle hrui hring ang chi thilte chu a pil khawm a, paih theih a ni lo.
• Thil check nawn fo thin. Kawngkhar khar a nih leh nih loh enfiah, light off a nih leh nih loh, gas stove off a nih leh nih loh enfiah. Mi thenkhat chuan in an chhuahsan a, kein an kal rei vak lo a, an rawn let leh a, an check leh thin.
• An thiltih avanga tumah hliam an awm loh nan theihtawp chhuah fo.
• Mi dangte hnen a\anga thlamuanna zawng reng.
• Number nena inzawm ritual. Entirnan, thil pakhat vawi engemaw zat tih (vawi thum tih, vawi sarih tih ang chi), emaw, number engemaw zat duh emaw, pumpelh emaw.
• Hna inzawm lo hna thawh laiin thu emaw, tawngtaina emaw thenkhat sawi.

Compulsion-ah hian obsession tichhuak thei dinhmunte pumpelh pawh a tel thei bawk. Entîr nân, mi dangte kut inbeng duh loh emaw, mi tam takin an khawih thil, kawngkhâr khar ang chi khawih emaw.

Eng thilin nge OCD hi a thlen?

Zirchiangtute chuan OCD thlentu hi eng nge ni tih chiang takin an la hre lo a, mahse thil engemaw zatin a thlen niin an ngai a:

• Genetics: Zirchianna atanga a lan dan chuan chhungkaw zinga mi (nu leh pa, unau) hian OCD a neih chuan midangte chu he natna hi an vei theihna a sang zawk a ni. Tin, chhungkaw zinga mi tu emaw chuan naupan lai emaw, tleirawl lai emaw khan OCD a vei tawh a nih chuan a hlauhawmna chu a nasa zawk a ni.
• Thluak inthlak danglamna:Imaging study-ah chuan OCD vei te hian frontal cortex leh a kaihhnawih subcortical structure-ah danglamna engemaw zat an nei tih hmuhchhuah a ni. OCD hi thluak hmun inang lo tak tak, Parkinson’s disease, Tourette’s syndrome, leh epilepsy te nghawng thei neurological conditions nen pawh a inzawm a ni.
• PANDAS syndrome: PANDAS hi "naupang autoimmune neuropsychiatric disorders, streptococcal infection nena inzawm" tihna acronym a ni. Naupang thenkhat streptococcal bacterial infection nei tawh, strep throat emaw scarlet fever emaw ang chi natna chi hrang hrang a sawi a ni. OCD hi chutiang dinhmun zinga mi a ni.
• Naupan laia trauma: Zirna thenkhatah chuan naupan laia tihduhdahna leh ngaihsak lohna ang chi traumatic experiences leh OCD lo awm dan inzawmna a awm tih an hmuchhuak.

Engtin nge OCD hi hmuhchhuah a nih?

OCD hriat theihna tur test bik a awm lo. Doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin te, leh rilru lam hriselna chanchin te a zawh hnuah a natna hi a hrechhuak ang. Doctor-te chuan OCD hmuhchhuah nan hian Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) atanga tehfung an hmang thin.

Chu tehfungte chu:

• `Obsessions` (ngaihtuahna duh loh) emaw `compulsions` (chumi chhanna atana thiltih) emaw, a pahnih emaw neih.
• Heng `obsessions` emaw `compulsions` emaw hian ni khatah darkar khat aia rei a daih a ni.
• Hêng thil ngaihvenna emaw, tihluihna emaw hian lungngaihna nasa tak a thlen emaw, khawtlâng, hnathawhna emaw, nunah thil pawimawh dang emaw a tibuai emaw a ni.
• Heng symptoms te hi ruihhlo, zu, damdawi dang emaw, taksa lam thil dang emaw avanga lo awm a ni lo.
• Heng symptoms te hi rilru natna dang (e.g., generalized anxiety disorder, ei leh in lama harsatna, body image disorder) hmanga sawifiah theih a ni lo.

OCD enkawlna tur engte nge ni?

OCD enkawlna atana hman tlanglawn ber chu psychotherapy (talk therapy) leh damdawi te a ni.

Heng enkawlnate hian i OCD natna a tiziaawm lo a, i natna a nasat chuan i doctor chuan Transcranial Magnetic Stimulation (TMS) tih damdawi a rawt thei ang.

OCD natna avanga rilru lam enkawlna

Psychotherapy hi enkawlna chi hrang hrang a ni a, chu chuan i rilru hrisel lo, i ngaihtuahna leh nungchang hrisel lote hriatchhuah leh tihdanglam theihna a siam a ni. Mental health professional , psychologist ang chi nen in thawk dun a ni.

Psychotherapy chi hrang hrang a awm a. OCD enkawlna atana hmanraw tangkai ber leh hman tlanglawn ber berte chu:

• Cognitive Behavioral Therapy (CBT) hmanga thil tih dan tur:CBT-ah chuan therapist chuan i ngaihtuahna leh rilru put hmangte enfiah leh hriatthiamna a pe che a ni. Session tlemte chhungin CBT hian i ngaihtuahna tha lo tak takte chu a thlak danglam thei che a, i thil tih dan hrisel lote chu a titawp thei che a, i dinhmun hmachhawn dan tur hrisel zawk a rawn luhtir thei bawk. I rilruah rinna dik lo, "Kawngkhar ka khawih chuan ka na ang," tih ang chi hi i nei a, chu chu a dik em tih leh scientific basis a awm em tih i inzawt ang.
• Exposure and Response Prevention (ERP): Hei hi CBT-ah pawh a tel ve a ni. Hetah hian therapist chuan hlauhthawnawm dinhmun emaw ngaihtuahna emaw chu a rawn pholang zauh zauh a, mahse chhanna atana i tih nawrna (repetitive action) chu tih a phal lo. Entîr nân, thil bawlhhlawh nia i hriat chu khawih tûrin an ti che a, chutah chuan i kut sil i tum hunah i ti tawh lo mai thei. Hetianga hlauhna dinhmunah hian i awm a, thil tha lo a thleng lo a nih chuan i hlauhthawnna ngaihtuahna chu ngaihtuahna mai a ni tih i hrechhuak a, a tak tak a ni lo tih i hrechhuak bawk. Hei hi OCD enkawlna harsa tak a ni a, mahse a hlawk hle.
• Acceptance and Commitment Therapy (ACT): ACT hian i ngaihtuahna buai tak chu ngaihtuahna mai a ni tih pawm turin a pui che a, an thiltihtheihna pawh tihtlem nan a pui bawk. ACT therapist chuan OCD symptoms nei mahse nun awmze nei tak i neih theih nan a pui thei che a ni. Chu chu, heng ngaihtuahnate hi do ai chuan, an lo kal ang a, i nunah thil pawimawh tak takte chu i ngaihtuah ber ang tih i pawm thei tihna a ni.

Mindfulness tichaktu meditation leh relaxation technique hmang hian symptoms te pawh a enkawl thei bawk.

OCD damdawi hman tur

Damdawi Serotonin Reuptake Inhibitors (SRIs), Selective Serotonin Reuptake Inhibitors (SSRIs), leh tricyclic antidepressant tih te hian OCD enkawlna kawngah a pui thei a ni. Anni hian thluaka neurotransmitter serotonin hnathawh dan inthlauhna (balance) hmangin hna an thawk a ni.

Doctor-te chuan OCD tan SSRI an pe tam ber. Hengte hi lungkhamna emaw, lungngaihna emaw atana hman aiin a tam zawkin pek thin a ni. U.S. Food and Drug Administration (FDA)-in SSRI a pawmpui ṭhenkhat chu:

• `(Fluoxetine)`
• `(Fluvoxamine)`
• `(Paroxetine) tih a ni
• `(Sertraline)` tih a ni

Heng damdawi te hian hna an thawh tan theih nan kar 8 atanga kar 12 inkar a ngai thei. Chuvangin hna an thawh loh avangin ei nghal mai mai suh. Doctor-in a tih angin i ei chhunzawm tur a ni.

OCD hi eng prognosis nge ni?

OCD vei tur thlirna hi mi hrang hrangah a inang lo thei. OCD hi dam chhung zawnga natna a ni fo a, a remission hun chhung a awm bawk.

Amaherawhchu, OCD vei, enkawlna mumal tak dawngte nunphung chu nasa takin a \ha chho \hin.An khawtlâng inlaichînna te, sikul hnathawh te, a nih loh leh an hnathawh dân te pawh a ṭha chho bawk.

Enkawlna i hmuh loh chuan he cycle of obsessions leh compulsions hi tihchhiat leh enkawl harsa tak a ni a, a chhan chu hun kal zelah i thluaka structural changes a awm thin a ni. Chuvangin, nangmah emaw, i fain emaw symptoms an neih tan chuan a rang thei ang bera damdawi lam pan a pawimawh hle.

OCD hi ka veng thei ang em?

Vanduaithlak takin OCD ven dan tur a awm lo. Mahse, a hmaa hriatchhuah leh enkawl hian natna lan chhuahna a tihziaawm thei a, i nunah nghawng a neih pawh a ti tlem thei bawk.

OCD ka neih chuan engtin nge ka inenkawl ang?

OCD natna damdawi zawn bakah hian mahni invenna hian i natna lan chhuah dan tur a enkawl thei bawk. Entir nan:

• Mut tha rawh. Ni khatah darkar 7-8 tal mut thin ang che.
• Exercise neih fo thin ang che. Kea kal, tlan, tui chawi ang chi thil ti rawh.
• Ei leh in hrisel ei rawh. Thlai, thei leh chaw thianghlim ei tam zawk rawh.
• I OCD hrethiamtu leh i hmangaih tak takte nen hun hmang rawh.
• Relaxation technique hrang hrang practice rawh. Meditation, yoga, massage, leh visualization ang chi thil te.
• OCD vei te tanpuitu pawl hrang hrangah tel ve rawh. Chungte chu online emaw, mimal emaw pawhin a ni thei. Nangmah ang bawka thil tawn tawhte nena inbiakna neih hian thiltihtheihna nasa tak a pe thei a ni.

OCD chungchangah engtikah nge ka doctor ka hmuh ang?

Nangmah emaw i fa emaw chu Obsessive-Compulsive Disorder i vei tih hmuhchhuah a nih chuan i enkawlna a tha em tih hriat chian nan i doctor leh/ emaw mental health professional te i pan fo a ngai ang.

OCD damdawi i ei a, side effect duhawm lo tak tak i neih chuan i doctor nen sawiho rawh.

Hriat reng tur pawimawh tak chu hei hi a ni: Obsessive-Compulsive Disorder (OCD) hi rilru lam natna a ni. Rilru natna dang ang bawkin, a lan chhuah dan i hriat veleh tanpuina zawng hian i nun tibuaitu chu a tiziaawm thei a ni. Doctor leh mental health professional-te chuan i obsessions leh compulsions te enkawl nan treatment plan an pe thei che a ni.

I hriat tur pawimawh ber berte (Take-Home Message) .

• Obsessive-compulsive disorder (OCD) hi rilru lam natna a ni a, chu chu ngaihtuahna inrawlh (obsessions) leh thil tih nawn fo (compulsions) avanga lungngaihna tihziaawmna tura tih a ni.
• Hei hi, "Mi dang ka ngaihtuah lutuk," kan tih tlangpui ni lovin, thil pawi zawk leh nitin nun nghawngtu a ni.
• `(OCD)` leh `(OCPD)` hi thil chi hrang hrang pahnih a ni.
• A chhan dik tak hriat ni lo mah se, gene, thluak inthlâk danglamna, hri kai ṭhenkhat, leh naupan laia thil tawn te hian hmun a chang thei a ni.
• Psychotherapy (a bik takin `CBT` leh `ERP`) leh damdawi te hi a enkawl dan ber a ni.
• A hmaa hmuhchhuah leh enkawl hian nunphung a tichangtlung thei a ni.
• Nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan doctor thurawn lak hi zak suh la, hlau suh. Nangmah chauh i ni lo va, tanpuina dawn hi chakna chhinchhiahna a ni.

` OCD, Obsessive-Compulsive Disorder, Rilru hriselna, Ngaihtuahna inrawlhna, Thiltih nawn fo, Lungkhamna, Enkawlna