I fa hian thil inang a ti nawn leh fo em? A nih loh leh obsessive-compulsive disorder an nei em?

I fa hian a châng chuan thil pakhat a ti nawn leh fo va, a nih loh leh thil ṭhenkhat chu a ṭul lovah a ngaihtuah fo tih i hre ngai em? A pangngai lo pawh a ni mai thei. Vawiin hian chutiang dinhmun chu kan sawi dawn a, chu chu `(Obsessive-Compulsive Disorder)` emaw, a tawi zawngin `(OCD)` emaw a ni. He thu i hriat hian hlau suh, a chhan chu hei hi hriat chian hi a hmasa ber a ni.

Hei hi eng nge ni ``(OCD)``? I hrethiam chiah ang maw?

A awlsam zawngin, Obsessive-Compulsive Disorder hi naupangin duh loh, thunun theih loh, tibuai thei ngaihtuahna (heng ngaihtuahnate hi "Obsessions" kan ti a), chu ngaihtuahna avanga nawrna leh hlauhna tihziaawmna tura thil engemaw tih nawn leh duhna (hengte hi "Compulsions" emaw "Rituals" kan ti) a ni). Vicious cycle angin ngaihtuah rawh. Naupang chu heng ngaihtuahnate hian a tibuai a, mahse an dang thei lo a nih chuan pressure tihziaawmna tur thil tih ngai ang maiin an inhria thin.

Hei hi naupang tê tête bakah naupang upa zawkte chungah pawh a thleng thei a, chu chu naupang tê zawk tihna a ni. I fain OCD a nei thei nia i ngaih chuan, i fa doctor emaw, rilru lam hriselna lama counselor emaw nena inbiakna neih hmasak ber tur a ni . OCD a nih leh nih loh emaw, i fate natna lan chhuah chhan dang a awm leh awm loh emaw hriat theih nan an pui thei che a ni.

Nu leh pa angin eng chhinchhiahna nge i hmuh theih?

Naupang OCD vei a symptoms hmuh theih te hi chi hnih ah then theih a ni. Chungte chu Obsessions (ngaihtuahna tibuaitu) leh Compulsions (chu ngaihtuahna avanga thiltih) te an ni.

Heng ngaihtuahna tibuaitu (`Obsessions`) te hi eng ang nge ni?

Hengte hi i fate rilruah a lo lang fo thin a, ngaihtuah loh tur nia an ngaih pawhin an ngaihtuah chhunzawm zel thei lo . Naupang chuan heng thilte hi ngaihtuah duh lo mah se, an ngaihtuahna chu an thunun thei lo. Nu leh pa i nih angin hengte hi i fate hlauhna leh lungkham lutuk angin i hmu mai thei. OCD vei naupangte hian thil danglam takin an lungkham emaw, an hlau emaw a ni thei a, chungte chu:

• Hriselna, bawlhhlawh, natna, leh chetsualna hlauh lutuk : Entîr nân, bawlhhlawh tê tê hmuh pawhin natna khirh tak a thlen ang tih an hlau hle.
• Mi damlo emaw, accident emaw, thih emaw ngaihtuah reng : I hmangaih tak chungah thil tha lo a thleng dawn tih ngaihtuah reng.
• Thil \henkhat chu a hmuna awm lo, inrem lo anga hriatna : Lehkhabu te chu dawhkan chunga hmun lo deuh deuh pawh ni se, a dik lo niin a lang.
• Ngaihtuahna tha lo a lo thleng tak tak ang tih hlauhna : Ngaihtuahna tha lo lo lang chu a lo thleng tak tak ang tih hlauhna nasa tak a awm.
• Thil a dinglam lo, a inang lo, a nih tur angin ‘chak’ lo anga inhriatna : Socks pahnih kan bun hian a pahnih a stripe pahnih chu a level inang vek tur a ni a, chuti lo chuan a dik lo ang.

Heng `Compulsions` / `Rituals` te hi engte nge ni?

Chûngte chu chutiang ngaihtuahna tibuaitu ṭhenkhat chauh an ni.Naupangin hahdamna a hmuh theih nan leh thil tha lo a thleng ang tih hlauhna tihziaawmna tura thil a tihte. Naupang chuan heng ``(Rituals)`` te hi an tih hian chu ngaihtuahna tha lo chu an titawp thei a, hlauhna chu an ti bo thei niin a ngai. A dik tak chuan thil tha lo a thlen loh nan an veng thei niin an ngai a.

Nu leh pa i nih angin, hetiang hi i hmu mai thei:

• Thil mak tak tak khawih, kik, leh step te a awm : entirnan, kawngkhar atanga i luh chuan kawngkhar khar chu vawi thum i kik thin.
• Thil awmdan inang tlanga dah nawn leh nawn leh : Infiamna thilte chu a awm dan inang, a inang vek tura dah reng tum.
• Thumal, sentence fragment, zawhnate sawi nawn leh zawh a ni : Zawhna inang chu ni khatah vawi eng emaw zat zawh che a ni.
• Ringhlelna ka nei fo thin a, thutlukna siam pawh a harsa hle : Thil tenau ber pawh ngaihtuahin darkar tam tak ka hmang thin.
• An sil a, an tifai nasa lutuk : An kut an silfai rei a, ni khatah vawi eng emaw zat an inbual bawk.
• Incheina, inbual, chaw ei, inchhung hna thawh : Hna pangngai pawh hian a tul lova hun a la a.

Ngaihtuah teh, a chang chuan naupangte phei chuan heng `(Rituals)`-ah hian an nu leh pate an inrawlh tir thin. A tirah chuan `(Ritual)` a ni tih pawh i hre lo mai thei. Entirnan, naupang chuan thil pakhat chu a zawt nawn leh thei che a , ``Engkim a tha em, Nu/Pa?'' tiin inrintawkna hmuh tumin, A nih loh leh, naupang chuan thil pakhat chu vawi engemaw zat sawi turin a nawr thei che a, a nih loh leh kawng engemaw takin ti turin a nawr thei che a ni.

Tin, OCD vei naupangte hian Obsessions chauh an nei thei a, Compulsions chauh an nei thei a, a pahnih hian an nei thei tih hriat reng a pawimawh bawk.

Hetiang dinhmun hi naupangin engtin nge a ngaih?

Dik tak chuan OCD symptoms hi naupang tan chuan a harsa hle a, a lungchhiatthlak hle bawk. Chûng inkhâwmte chuan a tîrah chuan hahdamna engemaw chen pe thei mah se, a tlahniam zâwk aiin a pung zauh zauh a ni . Hei hian hun leh tha tam tak a mamawh a, chuvangin naupang chuan thil nuam tak tak, lehkha zir emaw, thiante nena inkhelh emaw atan hun a hloh thin.

OCD ngaihtuahna, rilru put hmang, leh thiltih dânte chuan naupang chu lungngaihna cycle-ah a mantîr a ni . Hei hian sikul hnathawhna lam ngaihtuah a, thiante nena hlim taka awm te, zan mut that te, leh hahdam te a ti harsa hle.

Naute chu hetiang hian i hmu thei ang:

• Lungngai leh hlauthawng reng reng.
• A thinrim thuai a, a buai a, thinrimna a lantir bawk.
• A hmel a lungngai a, a chau a, a chau hle bawk.
• Chutiang ``(Ritual)'' chu i tih theih loh chuan i lungawi lo hle ang a, i lungkham hle bawk ang.
• Ka nu leh pate hnenah, "Engkim a tha em?" leh inrintawkna beisei bawk ang che.

Naupang thenkhat chuan heng ngaihtuahna te, hlauhthawnna te, leh thiltih te hi an nu leh pate hnenah an hrilh lo. Chumi chungchangah chuan an zak a, an buai hle a, chuvang chuan anmahni chauhvin an vawng tlat thin. A châng chuan an ritual tihte pawh thup an tum ṭhin. Nu leh pate’n an hriat chian meuh chuan naupang hian heng OCD symptoms te hi a tuar rei tawh mai thei.Chuvang chuan i fate nungchang leh rilru put hmang inthlak danglamna hi hriat chian a pawimawh hle.

Chuti a nih chuan he `(OCD)` hi eng enkawlna nge ni?

Thu lawmawm tak chu OCD hi enkawl theih a ni .

OCD enkawlna ber leh tangkai ber chu Cognitive Behavioral Therapy (CBT) a ni. Hei hi therapy chi khat, trained counselor, psychiatrist emaw psychologist emaw-in a pek thin a ni.

He `(Therapy)` ah hian naupangte chu an lungkhamna thunun dan tur leh an rilru tihmuang dan tur zirtir an ni. Tin, zawi zawiin chu `(Rituals)` ti lovin an hlauhthawnnate hmachhawn a, an bula awmpui turin an zirtir bawk. Hei hi `(Exposure and Response Prevention)` emaw `(ERP)` emaw an ti a, `(CBT)` a tel ve a ni.

Therapy bakah hian doctor-te chuan OCD vei naupang thenkhat tan damdawi ei an rawt bawk. Mi zawng zawng tan ni lo, mamawhtute tan chauh. Naupang damdawi mamawh te hnena damdawi chi hrang hrang pek thin chu SSRIs, emaw Selective Serotonin Reuptake Inhibitors te hi a ni. Heng hmingte hi i hre tawh mai thei: Zoloft®, Prozac®, leh Luvox® te hi he pawla tel an ni. Heng damdawi te hian thluaka chemical thenkhat (neurotransmitters) hnathawh dan inthlauhna hmangin hna an thawk a ni.

Enkawlna a hlawhtlin theih nan nu leh pa zinga pakhat tan naupang nen `(therapy)` tel ve a pawimawh hle. Tichuan nang pawhin naupang `(OCD)` symptoms chhân lêt dân te, `(therapy)`-a i thil zirte chu naupang nêna i practice dân te, ni tin naupang ṭanpui dân te i zir thei ang.

Engtin nge ka fa chu ka puih theih ang?

I fain OCD a vei nia i rinhlelh chuan thil hlu tak tak i tih theih tam tak a awm a.

Naupang chu biak rawh.

I fate chu i thil hmuhte chu ṭanpuitu leh hmangaihna nei takin sawipui rawh . I fa thusawi chu ngun takin ngaithla rawh. I fate sawisel lovin hriatthiam tum ang che. Entirnan, "Fapa/fanu, i socks chu a inang chiah chiah tih chian tumin i thawkrim hle tih ka hmu a. A dik tak siam turin nawrna nasa tak i tawk tih ka hmu thei. Chutih lai chuan engtin nge i awm?".. tiin i zawt mai thei.

I fate hnenah he lungkhamna leh nungchang hi ``OCD'' tih natna avanga lo awm a ni thei tih hrilh rawh.

Specialist hnenah hmu rawh.

Naupang rilru lam doctor emaw, rilru lam doctor emaw hmu turin appointment siam rawh. I chhungkaw doctor chuan he thil atana fit tha tak hnenah a refer thei che a ni. OCD i vei em tih hriat nan nang leh i fa te nen an inbia ang a, i fa natna lan chhuah dan chungchang zawhna an zawt ang a, OCD chhinchhiahna an zawng ang. OCD an vei tih an hriat chuan enkawl dan tur an hrilhfiah ang che.Hei hi zah tur a ni lo, naupangin tanpuina a mamawh tih chhinchhiahna mai a ni.

I fa enkawlnaah active takin tel ve rawh

Enkawlna thenkhat chu nu leh pa angin i fate OCD natna lan chhuah dan tur zirtir che hi a ni. I tanpui theih dan zawng zawng zir rawh . An ritual hnuaia awm lovin i fate thanlenna thlawp dan zir rawh. I fate tanpui turin i therapist nen thawk ho rawh.

Dawhthei takin awm rawh.

OCD hneh hi zan khat thil thua thleng mai a ni lo va, thil kalphung a ni . Ni tha a awm ang a, ni harsa a awm ang. Therapy session engemaw zat i kal a ngai dawn a ni. An zavaia hnenah kal ngei ngei ang che. I fa chu therapist-in in lama a zirtirte chu practice turin pui rawh. I fa chu a thawhrimna tenau ber pawhin fak rawh. "Vawiin khan i thawkrim tak zet a, hei hi i ti a, ka chhuang che," tih ang chi thu sawi rawh. I fa chu OCD hi an sualna a ni lo tih hriattir fo ang che.

Nangmah ngeiin support la la, midang hnenah pe rawh.

OCD vei chhungkaw tanpui thei tur resource leh support organization tam tak a awm a. International OCD Foundation ang chi website hrang hrangah online-a thu hriat tur a awm a. Mahni chauh i ni lo tih hriatna chuan i tuar chhuak thei bawk. Nu leh pa dangte hnena hlawhtlinna chanchin sawi hian beiseina leh inrintawkna a pe thei che a ni.

Chuti a nih chuan, kan sawi tawh atang hian eng thil nge hriat reng tur pawimawh ber?

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur thenkhat chu hetiang hi a ni:

• Obsessive-Compulsive Disorder (OCD) hi rilru lam natna enkawl theih a ni a, naupangte a nghawng thei a ni. Duh loh, ngaihtuahna inrawlh (obsessions) leh thil tih nawn fo (compulsions/rituals) te chu a thunun theihna tura tih a ni.
• Hei hi naupang sualna a ni lo va, nu leh pa angin nangmah sualna a ni hek lo. Heng thilte hi tu chungah pawh a thleng thei.
• Hriat chian hmasak leh enkawlna \ha (CBT, a \ul chuan damdawi) hian naupang tan hahdamna a pe thei a, naupang nun chu a pangngaiah a hruai kir thei bawk.
• Nu leh pate hmangaihna, hriatthiamna, thlawpna leh a bik takin dawhtheihna hi he zin kawnga naupang tan hian a pawimawh hle.
• I fa chungchangah rinhlelhna tlemte pawh i neih chuan zak suh la, hlau suh la, damdawi lam thurawn dil pawh tihkhawtlai suh. Chu chu i fa tan i tih theih tha ber a ni.

Nangmah chauh i ni lo tih hre reng ang che. Hriatna dik leh ṭanpuina i neih chuan he dinhmun hi hlawhtling takin i tuar thei a ni.

` OCD, Obsessive-Compulsive Disorder, Naupang Rilru Hriselna, Obsessions, Compulsions, CBT, Nu leh Pa hnena thurawn, Sri Lanka, Sinhala, Rilru natna