I taksa khawi emaw laiah natna i nei a, a chhan hmu lovin doctor tam tak i pan a ngai tawh em? "Ka taksaah hian thil dik lo a awm lo an ti a, chuti a nih chuan engvangin nge a na em em?" Hetiang hunah hian lungngaihna nasa tak leh mahni chauha awm hi thil pangngai tak a ni. Mahse i hrehawmna hi 100% tak a ni . I suangtuah emaw, i lemchan emaw a ni lo. Vawiin hian taksaa natna hmuh theih awm lova lo chhuak, mahse kan rilru nena inzawm tlat heng natna chi hrang hrang kan sawi dawn a ni.
‘Psychogenic Pain’ tih hi eng nge ni?
A awlsam zawngin, "Psychogenic Pain" tih hi thumal hlui, doctor-te'n an hman tam tawh loh a ni. "rilru atanga lo chhuak" tihna a ni. Tun hma chuan he hming hi taksa hliam leh natna nei lova natna lo thleng thinte tan an hmang thin.
Mahse he thu hian inhriatthiam lohna nasa tak a siam a ni. Mi tam tak chuan "rilru natna" emaw "rilru lama harsatna" emaw niin an ngai. Chumi avang chuan hrehawm tuar tak takte chu tumahin an hrethiam lo va, an ngaihsak lo ang maiin an inhria a. Chuvang chuan tunlai doctor-te hian he thumal hi an hmang lo.
A pawimawh ber chu, he natna hi taksa lama chhan awm lo mah se, i hrehawmna chu a tak tak vek a ni. I kut i tihchhiat huna i natna ang kha a ni. Thluak siam sensation tak tak a ni.
Engtin nge natna hian kan taksaah hna a thawh tak tak?
He thupui hi natna hriat dan tlem i hriatthiam chuan a chiang zawk ang. Thil lum takin i kut a khawih ang tih han ngaihtuah teh.
1. Thil chhia hriatchhuah: Kut a vun cell a chhiat chuan chemical bik a chhuak thin.
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3. Thluak hriatthiamna: Thluak hian he signal hi a dawng a, "natna" tih hriatnaah a letling thin. Chu signal chu khawi aṭanga lo chhuak nge tih pawh a hre bawk a, chu chuan i kut natna chu a hriattîr che a ni .
4. Protective response: Hetiang natna hi i hriat veleh rang takin i kut i la let leh thin. Chu chu hrehawmna hnathawh ber a ni - hlauhawm laka min humhim.
Mahse, hetah hian a pawimawh ber. A châng chuan hliam engmah nei lo pawhin, chu ``nociceptors'' aṭanga signal lo chhuak lo pawhin, thluak ngei pawh hian natna hriatna a siam thei a ni.Tin, a chang chuan heng ``Nociceptors'' te hi chhan awm lovin an thawk chhuak thei a, thluak ah signal dik lo an thawn thei bawk. Engti kawng pawhin, i hrehawmna chu a tak tak a ni. Nervous system emaw thluak hnathawh dan inthlak danglamna engemaw zat avanga lo awm a ni.
Engvangin nge mi tinin hrehawmna kan tawn dan a inang lo?
Natna hi mimal thil tawn a ni. Thil thleng pakhata mi pakhatin a tawn chu tuar theih loh a ni thei a, mi dangin thil pangngai a ti thei bawk. Naupan laia damdawi kan inject laia kan tap dan te, puitling kan nih laia kan tuar chhuah dan te hi han ngaihtuah teh. Chu chu thil tam takin nghawng a nei a, chung zingah chuan kan rilru dinhmun te, genes te, leh kan thil tawn tawhte pawh a tel a ni.
I natna chu a pung thei a, a bîk takin i lungkham a, i lungngai a, i lungngaih laiin. Hei hi a chhan chu natna leh lungngaihna leh hlauhna ang chi emotion te hi thluak hmun hrang hrangin an thunun avangin a ni .
Hetiang natna chi hrang hrang nghawngtu ber berte chu engte nge ni?
Taksa chhan tel lo chuan natna thlentu pakhat chauh a awm lo. Puzzle ang mai a ni. Chu zawng zawng chu piece hrang hrangte inzawmkhawmin condition siam a ni. Chu thilte chu eng nge ni tih i han en teh ang.
| Thlentu | A awlsam zawnga sawifiah chuan... |
|---|---|
| Taksa dinhmun | I taksa chi hrang hrang, i genetic influences, leh a hmaa i hliam te (tunah chuan dam tawh pawh nise) hian i natna i hriat dan a nghawng thei a ni. |
| I chenna boruak | I awmna hmun pawh hian nghawng a nei a ni. Entirnan, damdawi inah kal a, "Hei hian a ti na dawn" tih i ngaihtuah chuan i thluak hian a takah chuan a na zawk ang. |
| Tun hmaa thil tawn leh hriatrengna | Thluak hian thil tawn tha lote a hre reng thin. Tûn hmaa thil thleng hrehawm tak takte nêna inzawm rilru put hmangte chuan tûn laia hrehawmna kan hriat dân chu a la nghawng thei tho a ni. |
| Rilru dinhmun | Hei hi thil pawimawh tak a ni. I rilruah lungkhamna, lungngaihna, leh lungkhamna ang chi thilte hian i thluak natna thununtu peng hrang hrangte chu a tichak tawh a ni. Chuvangin thil tenawm tak pawh hian hrehawmna nasa tak a thlen thei che a ni. |
| Khawtlang nunphung (social influences) te | I lo seilian dan te, naupan laia i rilru natna te, leh chhungte leh khawtlang atanga i tanpuina te ang chi thilte hian hrehawmna i neih dan a nghawng thei vek a ni. |
Hun kal zelah heng thilte hi a pung zel a, natna control tu system chu a danglam a, chu chuan natna khirh tak neih theihna a tipung a ni.
Hei hi eng enkawlna nge ni?
Hetiang natna chi hi i enkawl hian a natna awmna hmun chauh i enkawl lo. I enkawl dan tur chu mi pum pui, i taksa, i rilru, i rilru put hmang leh i khawtlang nunphung ngaihtuah chungin i ruahman a ni.
- Cognitive Behavioral Therapy ( CBT ): Hei hi damdawi hman lar ber leh a hlawk ber a ni. Chutah chuan hrehawmna i ngaihtuah dân leh i chhân lêt dân thlak danglam tûra zirtîrna che a tel a ni.
- Group Therapy: Nangmah ang bawka harsatna tawk mek midangte nena inbiakna neih hian hahdamna nasa tak a pe thei a ni. Ngaihtuahna pawh in inthleng thei bawk.
- Physical Therapy : Physical therapist hian natnain taksa a nghawng (e.g., muscle stiffness) a tihziaawm a, taksa a tichak bawk.
- Damdawi: A châng chuan, lungngaihna emaw, lungkhamna emaw damdawi ei hian he natna chi hi a tihziaawm thei a ni. Lung pakhat hmanga sava pahnih tihhlum ang mai a ni. Mahse hengte hi doctor thurawn hnuaia lak tur a ni ngei ang .
- Thil tih dan dangte: Mindfulness meditation, yoga, .Mi thenkhat chuan acupuncture ang chi thil atang pawhin hahdamna an hmu bawk.
Doctor nen inbia a, eng damdawi nge i tana tha ber tih rel a tha ber.
Doctor hmuh a ngai em?
Ni e, a dik tak zet. Hun rei tak chhung, sawifiah theih loh natna i neih chuan nangmah chauhin a chinfel dan tur zawng i tum tur a ni lo.
- Nangmah ngeiin i diagnose thei lo: He natna hi hnungzang emaw, pum na emaw ang maiin a awm. Chuvangin taksa natna a nih leh nih loh chu doctor chauhvin a hre thei.
- Mahni damdawi ei hi a hlauhawm: Over-the-counter painkillers hian a natna a ti reh lo mai thei. Tin, chhawmdawlna atân zu emaw, ruihhlo dang emaw lam hawi hian harsatna lian zâwk a thlen thei bawk.
- Chronic pain hi a pawi hle: Hun rei tak natna i neih hian i rilru hriselnaah nghawng lian tak a nei thei bawk. Lungkhamna leh lungngaihna ang chi dinhmun a tichhe thei a ni.
Chuvangin, doctor thiam tak hmu la, i harsatna chu tlang takin sawipui la, a tul anga test neih tir la, enkawl dan dik zawng rawh.
Take-Home Thuchah a ni
- Taksa chhinchhiahna hmuh theih awm lovin natna lo thleng chu a tak tak vek a ni . I suangtuahna thil a ni lo.
- Hei hi chhan pakhat mah a awm lo, i taksa, rilru, khawtlang leh i thil tawn tawh zawng zawngte hian a nghawng vek a ni.
- Hetiang natna hi i nei em tih chu nangmah ngeiin i rel thei lo. Damdawi lam thurawn i zawng ngei ang.
- Hei hi natna tidamtu emaw thil dang emaw hmangin nangmah ngeiin enkawl tum ngai suh.
- He natna hi psychotherapy CBT, damdawi leh hmanraw dang hmangin hlawhtling takin enkawl theih a ni. Nangmah chauh i ni lo.











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