Schizophrenia chungchanga zawhna i nei em? ‘Paranoid Schizophrenia’ tih hi eng nge ni? I sawifiah vek ang u!

‘Paranoid Schizophrenia’ tih hming hi i hre tawh ngei ang, a dik em? Miin a hrilh che pawh a ni mai thei. Mahse, i hria em, doctor-te chuan chu hming chu an hmang vak tawh lo. Chuti a nih chuan Schizophrenia hi eng nge ni tak tak? Hlauh tur thil a ni tak tak em? Vawiin hian i hriatthiam theih tur awlsam takin i sawi dawn nia.

‘Paranoid Schizophrenia’ tih hi hman a ni tawh lo em ni? Tichuan Schizophrenia hi eng nge ni?

A awlsam zawngin sawi ila, ‘Paranoid Schizophrenia’ tih hi thumal hlui, doctor-te’n an hman tawh loh a ni. Tun hma chuan he hming hi rilru lam natna chi khat sawina atan an hmang thin. Chu chu mi dangte’n anmahni tihnat tumin an chhuak tih rinhlelhna nasa tak (paranoia) emaw, thil dik lo tih an hrilh pawhin an pawm theih loh thil rinna (`delusions`) te pawh a tel tihna a ni.

Mahse tunah chuan medical science a lo thang chho zel a, he classification hi a danglam ta a ni. Kum 2013-a American Psychiatric Association-in an diagnostic manual, `Diagnostic and Statistical Manual of Mental Disorders Fifth Edition` (DSM-5) an update khan, kum 2019-a World Health Organization-in an international classification of diseases, `International Classification of Diseases 11th edition` (ICD-11) an update chuan, he classification `Paranoid tia koh hi an paih chhuak ta a ni Schizophrenia natna a ni.`

Tunah chuan doctor-te chuan schizophrenia hi psychosis an tih, rilruin thil tak tak nena inzawmna a neih lohna hmun engemaw zat zinga pakhatah an ngai ta a ni. Chu chu natna lian tak pakhat a ni a, symptom hrang hrang tam tak a nei tihna a ni. Tun hma angin subtype-ah a inthen lo.

He natna hi tuin nge nei thei ang? Engtiang chiahin nge a hluar?

Schizophrenia hi mipa kum 15 leh 25 inkarah a intan tlangpui a, hmeichhiaah chuan kum 25 leh 35 inkarah a intan tlangpui a, mahse hei hian a sir khat chauh a nghawng tihna erawh a ni lo. Lei leh lam pawhin an ti hmasawn thei a ni. Schizophrenia hi naupang tê têah a awm lo hle a, mahse a thleng ve tho. A tlangpuiin a na hle thei.

Hei hi nitin natna a ni lo va, mi tam takin an hriat tawh a ni. Mithiamte sawi dan chuan mi 10,000 zinga 85 velin an dam chhungin he natna hi an vei a rinawm. Khawvel pumah kum tin hri kai thar nuai 2.77 vel hmuhchhuah a ni.

Schizophrenia a lo awm chuan taksa leh rilruah eng nge thleng?

Schizophrenia hi rilru lam natna a ni a, i thluak hmun hrang hrang hnathawh dan a nghawng a ni. I ngaihtuahna, hriatrengna leh thil tawn dan a nghawng ber a ni. Schizophrenia vei te hian thil tak tak leh thil tak tak lo thliar hran harsa an ti hle. Thil tak tak lo (hallucinations) an hmu leh hre fo thei a, thil tak tak ni lo (delusions) chu nghet takin an ring thei bawk. Ngaihtuahna mumal lo leh ngaihtuahna fim tak nei thei lo pawh an ni thei bawk.

Schizophrenia natna lan chhuah dan ber berte chu engte nge ni?

Schizophrenia hi a tlangpuiin stage thum kaltlangin a kal zel a. Natna nasat ber lai hian heng symptom lian panga zinga pakhat tal i nei thei a ni:

• Delusions: Chûngte chu rinna dik lo, eng ang pawhin ngaihtuahna emaw, finfiahna emaw sawi mah se, tihdanglam theih loh a ni.
• Hallucinations: Thil awm tak tak lo hmuh, hriat, hriatna thil tawn.
• Thusawi buai emaw, inzawm lo emaw: Thu sawite chu a inzawm lo thei a ni. Thumal awmze nei lo pawh hman a ni mai thei.
• Thiltih dan mumal lo emaw, thil danglam bik emaw: Thil mak tak tak, mahni faina ngaihsak lo ang chi thil.
• Negative symptoms: Chungte chu mi pakhatin a tlangpuiin a beisei ang thil, rilru natna lantir te, ngaihvenna te, leh midang nena inpawh tawnna te tihtlem a ni.

Paranoia leh a lan chhuah dan te

Tun hma chuan ‘Paranoid Schizophrenia’ tia sawi ni mah se, paranoia hi rilru lam natna (schizophrenia) nen hian hmuh tur a awm fo. He paranoia hi midang rin lohna pattern a ni a, mi zawng zawngin tihnat an tum che tih rinna leh chutiang anga awm chu a ni.

He rinhlelhna hi symptom pahnih `delusions` (rinna dik lo) leh `hallucinations` (thil awm lo hmuh/hriat) hmanga lo awm a ni ber.

• Delusions: Hengte hi a hmaa ka sawi tawhte kha an ni a, rinna dik lo, eng ang pawhin finfiahna hlan pawh ni se tihdanglam theih a ni lo. Ringhlelna nena lo kal delusions te hi "persecutory" variety a ni fo thin. Chu chu, tu emaw chuan anmahni tihchhiat a tum a, an nunah nghawng tha lo a neih theih nan an ring tlat tihna a ni. Ngaihtuah teh, mi pakhatin an chaw ei tur chu tu emawin a tichhe niin a ngai a, a nih loh leh zanah ṭhenawmte’n an chungah an inrawlh niin a ngai a ni. Hengte hi delusions a ni.
• Hallucinations: Chung chu thil awm tak tak lo hmuh emaw hriat emaw a ni. Miin hallucination a neih hian a tak tak a ni lo tih an hrethiam thei lo. Chûngte chuan a hmaa kan sawi tawh ang chi rilru dik lote chu a tichak fo ṭhîn. Entirnan, mi pakhatin mi pakhatin a au chhuahpui a hre thei a, chutah chuan, "Aw, chu mi chuan min tihnat a tum a ni," tiin a ngaihtuah mai thei.

Mahni dinhmun hriat lohna (`Anosognosia`) .

Schizophrenia natna lan chhuah dan tlangpui dang chu ``Anosognosia'' an tih hi a ni.Hei hi "mahni dinhmun hriat lohna" tia sawi mai theih a ni. Chumi awmzia chu chu mi thluak chuan natna a vei tih a hrethiam thei lo tihna a ni a, chu chu natna lanchhuahna emaw, a vei tih finfiahna dang emaw nei mah se. Hei hi rilru lam natna (schizophrenia)-ah hian a awm fo thin a, chuvang chuan rilru lam natna vei te hian enkawl an duh lo a, he natna hi an nei tih pawh an pawm duh lo.

Eng thilin nge schizophrenia hi a thlen? Trigger bik a awm em?

Schizophrenia natna (schizophrenia) a nei theiA chhan chiang tak pakhat mah a la awm lo. Mithiamte chuan thil engemaw zatin hmun a chang niin an ngai. Mahse, heng thilte hi i neih vang mai maiin rilru lam natna (schizophrenia) i vei dawn tih erawh i chiang thei lo. Schizophrenia thlentu lian pathum an hmuchhuak a, chungte chu:

• I thluaka chemical imbalances: Hengte hi thluak cell inkara inbiakpawhna atana hman chemical (e.g., neurotransmitters) inthlak danglamna a ni.
• Congenital brain problems: I pian hma, nausen pum chhunga i la awm laiin thluak hmasawnna tichhe thei harsatna thenkhat.
• Thluak peng hrang hrang inkara inbiakpawhna tihbuai: I thluak peng hrang hrangte hian hna an thawk dun a. Mithiamte chuan heng inzawmnate hi a chhiat chuan rilru lam natna (schizophrenia) a thlen thei niin an ngai.

Hei bakah hian schizophrenia vei theihna tipungtu thil dang engemaw zat a awm bawk. Heng risk factors te hi nu leh pa atanga rochun genetic mutations te, chemical thenkhat nena inzawmna te, naupai laiin harsatna awm te, leh intihhlimna atana ruihhlo hman te a ni. Mahse, he natna thlentu leh a chhan bik erawh hriat a la ni lo.

A pawimawh ber chu schizophrenia hi natna hrik kai theih a ni lo tih hi a ni. Mi pakhat atanga mi dangah a darh lo.

He natna hi Doctor ten engtin nge an hriat chian?

Schizophrenia hi rilru lam hriselna lama mithiam, rilru lam doctor-te’n an hmuhchhuah tlangpui a ni. A natna hmuhchhuah nan hian hmanraw leh hmanraw hrang hrang an hmang a ni. Heng hmanrua te hi i damdawi lam leh mimal chanchin thlirlet te, i thil tawn leh i natna lan chhuah dan te zawhna zawh te, i nungchang leh hnathawh dan enfiah te a ni.

Heng zawng zawng hi rilru lam natna (schizophrenia) hriat theih nan hian inzawmkhawm a ngai a ni. A chhan chu, diagnosis confirm tur chuan a hnuaia thilte hi a ngai a ni:

• A hmaa kan sawi tak symptom lian panga zinga pahnih tal chu a awm ngei tur a ni.
• Heng symptom lian ber berte hi thla khat tal a awm tur a ni . Tin, a nghawng pum pui chu thla ruk tal a awm tur a ni .
• I khawtlang nun emaw hnathawhnaah emaw inthlak danglamna a awm ngei ang .

He natna hi hriat chian nan eng test nge tih thin?

Schizophrenia natna hriat theihna tur test tam tak a awm a. Heng test zinga pakhat mah hian schizophrenia hi direct-a a hriat theih loh laiin, chutiang bawka symptoms thlen thei dinhmun dang emaw, harsatna emaw chu paih chhuah kawngah a pui thei a ni.

Test tih theih thenkhat chu:

• Imaging test: Heng zingah hian CT scan leh MRI scan te pawh a tel.
• Thisen, zun, leh ruhro tui (`Spinal tap`) test: Hengte hian taksa tuiah chemical inthlak danglamna, heavy metal poisoning, leh natna hrik te ang chi thil an zawng thin.
• Thluak hnathawh dan test: 1.1.Electroencephalogram (EEG) hian i thluak electrical activity chu a zirchiang a, a record a ni. Hei hian epilepsy ang chi dinhmunte chu a paih chhuak thei a ni.

Hei hi enkawl dan tur a awm em? Tihdam theih a ni em?

Schizophrenia natna hi enkawl leh enkawl theih a ni a, mahse tihdam theih a ni lo. Mi thenkhat chu an dam chhuak vek thei a, an natna hi an nei leh ngai lo. Mahse, mithiamte chuan chutiang mite chu "in remission" tiin an sawi a, a chhan chu an natna a lo let leh dawn leh dawn loh sawi lawk theih a nih loh vang a ni.

Schizophrenia hi a tlangpuiin kawng hrang hrang hmanga enkawl a ni a, a inzawm emaw, a ruala emaw a ni. Damdawi, psychotherapy, leh mahni inthununna hmanrua te hi a pawimawh ber a ni. An pathum hian dik tak leh inmil taka hman a nih chuan, chu natna chu a thunun thei a ni. A hmaa hriatchhuah leh enkawl hmasak chuan a rah chhuah tha tak a awm theihna a tipung a ni.

Eng damdawi nge enkawl dan nge hman?

Damdawi hi schizophrenia enkawlna ruahmanna lungphum a ni. Schizophrenia vei te hian damdawi hmanna tipungtu leh anmahni puitu damdawi dang an dawng fo thin.

Schizophrenia enkawlna atana hman tur damdawi chi hnih a awm a, chungte chu `typical antipsychotic medications` leh `atypical antipsychotic medications` te an ni. Tin, damdawi dangte hian rilru lam natna (schizophrenia) direct-a enkawl emaw, antipsychotic damdawi-te side effects tihziaawm emaw a pui thei bawk.

Enkawlna dang emaw, hmanraw dang emaw, a ṭangkai thei:

• Psychotherapy: Mental health therapy hian rilru lam natna vei te chu an dinhmun hriatthiam leh hmachhawn turin a pui thin. Schizophrenia avanga lo awm thei emaw, a kaihhnawih thei emaw rilru lam harsatna dangte pawh a enkawl thei bawk.
• Electroconvulsive therapy (ECT): Hei hi damdawi ei lo, rilru lam natna (schizophrenia) tan emaw, mi pakhatin rilru lam natna (psychosis symptoms) na tak a neih avanga mahni emaw, midang emaw tihnat hlauhawmna a awm chuan a \angkai hle.

Engtin nge ka in enkawl theih ang emaw, symptoms ka enkawl theih ang?

Schizophrenia, emaw, i hmangaih tak takte emaw i vei tih i inhriatchhuah ngai loh tur a ni, hei hi hriat awlsam a nih loh avangin . A dik taka hriat theih nan training leh experience a ngai a ni. Tin, he natna lan chhuah dan hi thil dang, `Paranoid Personality Disorder` emaw `Delusional Disorder` emaw nen pawh a awm thei bawk. Heng zawng zawng avang hian doctor chuan he natna hi a enfiah tur a ni.

Enkawlna i tan hnua i dam thuai dan tur zawhna i neih chuan i doctor hi thu hriatna tha ber a ni. I nunah enkawlna hlawhtlinna tichhe thei thilte ngaihtuah chungin, chhut dik tak a pe thei ang che. A tir lama enkawlna a hlawhtlin loh chuan enkawlna dang a hrilh bawk ang che.

Schizophrenia hi beisei loh taka lo awm thin a ni tih hre reng ang che. Chuvangin a veng thei lo emaw, a lo vei theihna tur a tihziaawm theih loh emaw a ni.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

Schizophrenia hi thil tak tak nena an inzawmna a nghawng avangin mi nun nasa takin a tibuai thei a ni. Chumi awmzia chu schizophrenia vei chuan eng nge dik leh dik lo hriat a harsat tihna a ni. Thil hlauhawm tak leh buaithlak tak a ni thei.

Mi pakhatin a chunga kan sawi tak paranoia nen hian delusions leh hallucinations a neih hian midangte hlauhna leh rin lohna a neih hi thil awmze nei tak a ni. Schizophrenia vei chuan anmahni tanpui tumtute hian an tihchhiat an tum niin a ring sual mai thei.

Enkawlna hmang hian rilru lam natna hi nasa takin a enkawl theih a ni. Enkawlna tel lo emaw, enkawlna tihkhawtlai emaw, tihtawp emaw a nih chuan, rilru lam natna vei te hian an natnain a nghawng dan tur chu an buaipui nasa zawk a ni. Hei hian an nunah nghawng na tak, hlauhawm tak pawh a nei thei a ni. Inlaichinna vawn reng leh hna pakhat chelh tlat kawngah harsatna an nei thei. Hei hian an chenna in hloh leh khawtlang nunah inthiarfihlim ang chi harsatna a thlen thei a ni. Schizophrenia vei te pawhin mahni intihhlum an hlauhawm zawk bawk. Chumi awmzia chu inenkawlna hian a pui thei mai ni lovin, nunna chhanhimtu a ni thei bawk.

Schizophrenia hi dam chhung zawng, tihdam theih loh natna a ni. Mi thenkhat chuan an nunah schizophrenia episode khat chauh an nei a, chutah chuan an tawp mai thei. Mahse, doctor-te chuan chutiang episode chu tihdam emaw, chinfel emaw aiin "in remission"-ah an ngai thung. Hei hi a chhan chu beisei loh takin symptoms a lo kir leh thei a ni.

Engtin nge ka in enkawl ang?

Schizophrenia i vei a nih chuan mahni in enkawl leh i natna enkawl hi i tih theih a ni. A bik takin i doctor leh i hmangaih tak takte nena inzawmna nghet tak, rintlak tak i siam hian. Mahni in enkawl dan tur pawimawh tak tak te chu hetiang hi a ni:

• I damdawi ei tur chu a tih angin ei la (Doctor nen inbia lovin ei kha bansan suh).
• I doctor hmu fo ang che (heng appointment te hian i duh ber damdawi emaw, enkawlna ruahmanna emaw siam turin a pui ang che).
• I symptoms te hi ngaihthah emaw pumpelh emaw suh.
• Zu leh intihhlimna atana ruihhlo hman loh tur (hengte hian i natna lan chhuahna a tizual thei a, harsatna dang a thlen thei bawk).
• Ṭanpuina dil hlau suh. Mi rintlak tak takte nen inzawmna siam rawh – a bik takin i hmangaih tak takte leh i doctor nen. An lakah hian inthiarfihlim suh.

Doctor hmu tura an tih ni bakah hian i natna lan chhuah dan a danglam emaw, i damdawi hman tangkai dan a danglam emaw i hmuh chuan doctor pan thin ang che.

Mahni intihhlum tumna, mahni intihhlum tumna emaw, midangte tihnat tumna emaw i neih chuan damdawi inah kal la, emergency number call nghal rawh.

Ka hmangaih tak hian rilru lam natna (schizophrenia) emaw, chutiang chi natna emaw a neih chuan engtin nge ka tih ang?

Schizophrenia vei te hian an natna lan chhuah dan emaw, an dinhmun emaw an hriat theih loh avangin damdawi lam tanpuina emaw, enkawlna emaw an mamawh lo niin an ngai fo thin. Hei hi natna lan chhuahna nei leh enkawltu tan pawh lungchhiatthlak leh hlauhawm tak a ni thei.

I hmangaih tak chuan rilru lam natna (schizophrenia) emaw, chutiang chi natna emaw a lantir tih i hriat chuan hengte hian tanpui i tum thei ang:

• Engtin nge i ṭanpui theih tih zawt rawh. Ngaithla a, i ṭanpuina i hlan hian inbiakpawhna kawngte chu i inhawng reng thei a ni. Mi dangte nena inzawmna neia an inhriat theih nan a pui bawk.
• Ṭanpui theitu hmu tûrin fuih rawh. Schizophrenia enkawlna, a bik takin damdawi hmanga enkawl hian mi pakhat symptoms a titha thei a ni. Thil tam takah chuan chu chauh chu damdawi lam pan ngai damdawi lam dinhmun an neih thu an hriat theih nan a tawk a ni.
• Rorel suh, inhnial suh. Schizophrenia vei te hian thutak leh thu dik lo thliar hran harsa an ti hle. Anmahni rorelsak emaw, hallucination emaw, delusions emaw an tawk tih rin tir tum emaw chu pumpelh rawh. Hei hian nangmah rinna a hloh phah thei a, rinhlelhna rilru a tipung thei bawk.
• Ngawi rengin awm rawh. Thinrimna leh lungawi lohna hian schizophrenia vei i hmangaih tak nena in inzawmna chu a tichhe thei a ni. Tin, boruak ri leh buaina hmunah pawh awlsam takin an lungawi lo thei bawk. Hmun reh leh muang tak thlan tum ang che. A theih ang anga him leh hahdam taka an awm theih nan i theih ang ang ti rawh.
• Emergency-ah tanpuina dawng rawh. Schizophrenia vei tu emaw chuan mahni emaw, midang emaw tihnat chungchang a sawi a nih chuan, emaw, rinhlelhna nasa tak a lantir a, a buai em em a, a chet danah tharum thawhna a nei a nih chuan, i awmna hmuna emergency number-ah i call nghal tur a ni.

A tawp berah chuan take-home message:

‘Paranoid Schizophrenia’ tih hi he natna sawina hmanlai tak ni mahse, paranoia hi miten an tawrh dan tlangpui a la ni reng a ni. Schizophrenia hi thil buaithlak tak, a tam zawkah chuan hlauhawm tak a ni a, miten thil tak tak nena inzawmna an neih loh avangin thil tak tak leh thil tak tak lo chu an thliar hrang thei lo.

Mite’n rinhlelhna an neih hian, anmahni ṭanpui duhtute chu rin harsa an ti mai thei. Hei hian natna hi hriatchhuah leh enkawl a harsat phah thei a ni. Mahse, damdawi lam tanpuina, a bik takin damdawi ei hian rilru lam natna vei te chuan harsatna lian tak tak an pumpelh thei a, nun hlim tak an hmang thei a ni. Nangmah emaw, i hmangaih tak emaw hian heng symptoms te hi i nei thei nia i ngaih chuan doctor thurawn la rawh. I tih theih tha ber a ni.

` Schizophrenia, Paranoid Schizophrenia, Rilru hriselna, Psychosis, Delusions, Hallucinations, Enkawlna, Anosognosia