Chaw ni lo thil i duh em? Nirogi Lanka nen Pica chungchang hi han sawi dun ila!

Naupangin bawlhhlawh emaw, chalk emaw a ei lai emaw, hmeichhe naupai pawhin thil danglam tak tak duhna nasa tak a neih lai emaw i hmu ngai em? Ice cube ang chi thil duhna chu a tlangpuiin hlauhawm lo a nih laiin, ei leh in lama hlutna nei lo thil—ei tur ni lo mai mai—chu ei duhna thunun theih loh chu damdawi lamah chuan Pica tiin hriat a ni. He natna hi a chang chuan a tha lo thei a, mahse hriselna atana hlauhawmna nasa tak a thlen thei bawk. Nirogi Lanka-ah hian Pica hi eng nge a nih chiah tih leh engtikah nge professional medical advice lak hun a nih tih hriatthiamna kan pe duh che a ni.

Pica chu eng nge ni? A awlsam zawngin...

Pica hi nungchang lama hriselna lama harsatna a ni a, a bik takin ei leh in lama harsatna (eating disorder) tiin a thliar hrang a ni. Pica i tawk a nih chuan ei tur anga ngaih loh leh nutritional value pe lo thil ei duhna, thunun theih loh khawpa duhna i nei thei a ni.

Entîr nân, mi mal ṭhenkhat chuan lei, leilung, chalk, lehkha, sahbawn, vut, a nih loh leh sam ang chi thil ei tûrin an inhria a. Heng thilte hian nutritional substance an tlakchham avangin hei hi ngaihtuahawm a nih leh nih loh chu a context-ah a innghat a ni. A chang chuan ei hi a hlauhawm lo thei a, mahse thil tha lo emaw, hlauhawm emaw ei hian hriselna lama harsatna nasa tak a thlen thei a ni.

"Pica" tih thumal hi Eurasian magpie hming Latin tawng atanga lak a ni a, Pica pica —sava pakhat, a hmuh apiang deuhthaw ei avanga hmingthang tak a ni.

Pica hian tute nge a nghawng ber?

Pica hian kum eng pawh ni se, tu pawh a nghawng thei a, mahse group bik pathum-ah hmuh a ni tam ber:

• Naupang kum 6 hnuai lam: An hmuiah thil dahin khawvel chhui hi an pianphung hmasa ber a ni.
• Mimal naupai: Naupai lai hian ei tur ni lo thil ei duhna nasa tak an nei hi thil mak a ni lo.
• Mimal rilru lam hriselna lama harsatna nei thenkhat: Pica hi autism spectrum disorder, rilru lama harsatna nei, emaw schizophrenia vei hmuhchhuah zingah a hluar zawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Pica hi a awm ve deuh a, mahse a zat dik tak hriat a harsa hle. Medical expert-te chuan dik taka zawn chhuah an harsat a, a chhan chu research study-ah hian he natna chungchang hi sawifiahna hrang hrang a hman fo vang a ni.

Chu bâkah, doctor-te chuan damlote’n an tih dân an puan chhuah chu an zak mai thei a, a nih loh leh nu leh pate chuan chutiang thiltih chu an fate hnêna report an ngaihtuah loh vâng a ni.

Chu bâkah, naupang tê tam tak chuan an pianpui ṭhanlenna pêng pakhat angin thil hmuiah an inhnamhnawih avângin, Pica natna hun engemaw chen awm tam tak chu damdawi lam ṭanpuina tel lovin anmahni chauhin a reh ṭhîn.

Engtin nge Pica hian i taksa a nghawng?

Pica hian ei tur ni lo ei duhna thunun theih loh a neih avangin, professional puihna tel lo chuan chu tih dan chu tihtawp a harsa hle fo thin. Nirogi Lanka-ah hian tanpuina a awm tih i hriat kan duh a ni.

A nghawng chu i ei leh inah a innghat vek a ni. Ice ang chi duhâmna ṭhenkhat chu a hlauhawm lo hle laiin, ṭhenkhat erawh chuan nunna atân a hlauhawm thei a ni. Thil engemaw ei hian ha a tichhe thei a, a dangte erawh chuan—sam ( trichophagia tia hriat) ang chi—chuan chaw ei kawng hlauhawm tak a tikhawlo thei a, tissue a tikehsawm thei a, a nih loh leh chhungril hliam a thlen thei bawk.

Lei ( geophagia ) ei hian parasitic infection neih theihna a tisang hle a ni . Chu bâkah, ek ei hian—ran vulhte pawh tiamin—bacteria, virus, leh parasite chi hrang hrang, damdawi lam pan nghâl ngaite a hmachhawn thei che a ni. Nangmah emaw i hriat miin emaw thil tha lo (toxic material) i ei a nih chuan 911 ah biak la, i hnai ber emergency room tlawh nghal rawh.

Rilru lama nghawng a neih dan

Pica nena khawsa mimal tam tak chuan mualphona emaw mualphona emaw nasa tak an nei thin . Chu chuan mite chu an phu tawk damdawi lam enkawlna lainatna neia an zawn theih loh phah fo ṭhîn.

Pica chhinchhiahnate chu engte nge ni?

Pica chhinchhiahna langsar tak chu thla khat tal chhunga ei tur ni lo thil ei chhunzawm zel hi a ni. Hetiang thiltih piah lamah hian Pica avanga secondary health complications nena inzawm symptoms i nei thei bawk a, chungte chu:

• Anemia (a bik takin iron tlakchhamna) .
• Parasitic infection (roundworm/Ascariasis ang chi) te hi a awm thei lo.
• Chronic constipation a awm thei
• Electrolyte inthlauhna (imbalance) a awm
• Lungphun dik lo (Arrhythmias) .
• Lead rimchhia a awm
• Intestinal tenau emaw lian emaw inkharkhip/blockage

Chaw ni lo thil ei tlangpui

Pica nei mimalte chuan thil chi hrang hrang an ei thei a, chung zingah chuan:

• Meivap
• Nausen powder emaw talcum powder emaw a ni
• Chalk a ni
• Charcoal a ni
• Leilung, bawlhhlawh emaw, lei emaw
• Coffee siamna hmun a ni
• Eggshells a ni
• Feces (poop) 1.1.
• Sam, hrui emaw, hrui emaw
• Vur
• Laundry starch a awm bawk
• Paint chips a awm
• Lehkha
• Pebbles te pawh a awm
• Pet chaw ei tur
• Sahbawn
• Wool emaw puan emaw

Eng thilin nge Pica hi a thlen?

Pica awm chhan dik tak hi hriat chian a la ni lo nain, zirchianna chuan thil engemaw tak chuan he natna hi i vei theihna a tipung thei niin a sawi.

• Cultural emaw Habitual emaw tih dan: 1.1.Hnam leh sakhaw thenkhatah chuan Pica ang chi nungchang hi thil pangngai emaw, khawtlang pawm emaw anga ngaih a ni. Entîr nân, New Mexico-a Catholic khawtlâng ṭhenkhat chuan leilung ei dân an nei a, South Africa hmun ṭhenkhatah chuan hmeichhe naupangte zîngah a awm fo a ni.
• Stress emaw, Lungkhamna emaw: Mimal ṭhenkhat tân chuan Pica chu hmachhawn dân angin a thawk a—chu chu lungkhamna emaw, lungkhamna thuk tak chu enkawl emaw, tihziaawmna emaw a ni.
• Naupan laia thil tawn \ha lo: Pica hi sum leh pai lama harsatna tawk chhungkaw zingah hmuh tur a tam zawk. A inzawmna dik tak chu hriat chian a nih loh laiin, he thiltih hi naupangteah hian ngaihsak lohna, tihduhdahna, a nih loh leh nu leh pate ngaihven hlawh tumna angin a lo lang thei a ni.
• Nutritional Deficiencies: Pica symptoms nei mimal tam tak chuan minerals emaw, nutrient pawimawh dang emaw, a langsar ber chu iron (anemia) , calcium , leh zinc te a tlakchhamna bulpui an nei a ni.
• Mental Hrisel Conditions: Hengte hi pian tirh atanga lo awm nghal mai leh hmasawnna lama harsatna awm atanga nu leh pate hnen atanga rochun genetic disorder thlengin a ni thei.
• Damdawi lam thil dang: Naupai leh sickle cell anemia hi Pica nen hian inzawmna a nei tih hriat a ni.
• Damdawi thenkhat chuan Pica emaw, chutiang chi thil emaw vei theihna a tipung thei a ni. Mahse, heng damdawi te hian direct-in he natna hi a thlen em tih erawh chiang taka hriat a la ni lo.

Engtin nge Pica hi hmuhchhuah a nih?

Pica hriat theih nan clinician-te chuan a tlangpuiin criteria bik pali (a hnuaia exceptions te hi a innghat) an zawng thin:

1. Hun chhung: Chaw tha lo, ei tur ni lo thil ei hi thla khat tal a awm reng tur a ni.

2. Developmental Level: Mimal chuan ei tur ni lo ei hi a dik lo tih a hriatthiamna kum a thleng tawh tur a ni. (Hei vang hian naupang naupang tak tak te hi Pica tiin kan label lo tlangpui a, an duh zawng hmanga khawvel an la chhui zel avangin.)

3. Social/Cultural Factors awm lohna: Mimal social emaw culture environment bik (eg, traditional earth consumption rituals) chhunga nungchang chu normative practice anga ngaih tur a ni lo.

4. Thil dang avanga lo awm thei lo: Chu nungchang chu damdawi lam emaw rilru lam hriselna dinhmun hnuaia awm dangin a sawifiah tha zawk tur a ni lo.

Pica chu Diagnosis a nih loh laiin

Thiltih dan hi chhan hrang hrang avanga thleng thei a nih avangin a hnuaia scenario-ah hian Pica anga classified a ni ngai lo:

• Cultural or Social Traditions: Pica dik tak chu duh lohna emaw, tihluihna emaw a ni. Cultural ritual-a inhmangte hian an thiltih dan an thunun tlangpui.
• Nutritional Deficiencies: A chang chuan, miten ei tur ni lo thil an ei thin a, chu chu an tlakchhamna phuhruk nan an hmang thin. Entirnan, hnam thenkhatah chuan miten an nitin ei leh in atanga minerals iron emaw calcium awm lo ang chi an hmuh theih nan lei emaw lei emaw an ei thin.
• Medical emaw Mental Hrisel Conditions Dang: Chu thiltih chu natna dang hmuhchhuah atanga direct result a nih chuan chu umbrella hnuaiah chuan enkawl a ni tlangpui. Pica hi a hranpaa hriat theih a ni a, a thiltih dan chu hriselna lama harsatna lian tak thlen thei khawpa na a nih chuan emaw, specialized clinical intervention a ngai a nih chuan emaw a ni.

Pica hi eng test nge hman thin?

Nirogi Lanka-ah chuan diagnostic testing hian a bik takin he thiltih hian hriselna lama nghawng a neih dan hriatchhuah a tum ber a ni. Chung zingah chuan lab hnathawh hrang hrang, diagnostics, leh imaging te pawh a tel thei:

• Thisen, zun, leh bawlhhlawh test: Chûngte chuan natna hrik, toxicities, leh electrolyte imbalances te enfiah nân a ṭanpui a ni .
• Imaging Tests: Chhungril lama chhiatna emaw, thil tihkhawtlai emaw hriat theihna atana hman thin. Chung zingah chuan X-ray , CT scan , MRI , leh ultrasound te pawh a tel.
• Diagnostic Tests: Hengte hian Pica nena inzawm hriselna atana hlauhawmna nasa tak a awm leh awm loh an enfiah thin. Entirnan, ECG/EKG hi heart rhythm tehna atan tih theih a ni a, electrolyte imbalances emaw parasitic infection emaw hian cardiac issue a thlen thei a ni.

Pica hi engtin nge enkawl a nih a, tihdam theih a ni em?

Hmeichhe naupaiah chuan Pica hi a mah chauhin a reh fo thin. Chutiang bawkin naupang tam tak chuan ei theih leh ei theih loh thil thliar hran an zir hian an nungchang chu an outgrow zawk thin. Mimal rilru lama harsatna nei emaw, zirlai lama harsatna nei emaw tan chuan boruak siam\hatna—thil hlauhawm tak takte chu an thlen theih lohna hmuna paih chhuah—leh enkawlna mumal tak, lainatna nei tak pek hi ngaih pawimawh ber a ni.

Pica enkawlna lungphum chu therapy a ni . I mamawh azirin kawng hrang hrang kan hmang thei ang:

• Mild Aversive Therapy: Hei hian ei tur ni lo thil ei loh chu gentle redirection hmanga tihbuai a huam a, chutih rualin positive reinforcement hmanga ei leh in hrisel fuih a huam bawk.
• Behavioral Therapy: Hei hian nungchang cycle tihtawp dan tur coping mechanism leh strategy tha tak tak a zirtir che a ni.
• Differential Reinforcement: He method hian thil dang, hrisel tak takte lawmman pekna lam a ngaihtuah a, Pica-a inhmang duhna atanga i ngaihtuahna chu a hlawkpui thei hle.

Eng damdawi nge hman thin?

Pica enkawlna atana siam damdawi bik hi a tlem hle. Antipsychotic damdawi hi a chang chuan ngaihtuah theih a nih laiin, a side effect awm thei avangin first-line treatment atan hman a ni tlangpui lo.

Enkawlna avanga harsatna emaw, nghawng tha lo emaw awm thei chu engte nge ni?

Pica enkawlna atanga harsatna lo thleng hi a tlangpuiin a awm lo. Damdawi hi i enkawlna ruahmannaah a tel a nih chuan, a side effect eng pawh chu damdawi bik i pek danah a innghat vek ang. Nirogi Lanka-a i doctor hi a side effect awm thei te, eng symptom nge en tur tih te, leh heng enkawlna te hian i nitin nunah nghawng a neih tlem theih dan tur te sawiho turin mi tha ber a ni.

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

Pica hi a hlauhawm reng reng lo nain, i ei dan azirin a hlauhawm thei hle. Pica i neih chuan doctor hnena inhawng leh rinawm taka sawi a pawimawh hle. Anni hian kaihhruaina leh professional resources an pe thei che a, a nih loh leh he natna enkawlna lama tawnhriat nei specialist hnenah an refer thei bawk che a ni.

Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?

Pica atanga dam leh hun chhung hi i enkawlna tur ruahmanna bik leh i taksain a chhan danah a innghat a ni. Nirogi Lanka-a i doctor rawn la, i mimal dam leh hun tur chu eng ang nge a nih theih tih leh a kalphung a awlsam thei ang bera kalpui theih nan eng step nge i tih theih tih hriat chian theih a ni.

Pica hi ven theih a ni em, a hlauhawmna pawh tihziaawm theih a ni em?

Pica hi beisei loh taka lo awm thin condition a ni a; chuvangin, a ven dan tur emaw, a vei theihna tihhniam dan tur hriat a ni lo.

Proactive measure tha ber chu balanced diet i neih theih nan a ni . Nutritional deficiency chauh hi Pica thlentu a nih loh laiin, vitamin leh mineral level tha ber neih reng hi i hriselna zawng zawng atan a pawimawh hle. Hriat tur chu tlakchhamna siamthat hi Pica tan chuan "damdawi" a ni lo va, mahse i hriselna vawn thatna atana thil pawimawh tak a ni.

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

Pica hlauhawmna ber chu i ei theih thilte nen a inzawm a, chu chu a hlauhawm thei hle. A bik takin, i ei hian a hlauhawmna i hre tur a ni:

• Thil tha lo (toxic) a awm.
• Thil hrual hrual (sharp-edged objects) te.
• I chaw ei kawng tikhawlo thei thil .
• Infection awmna hmun , bacteria, virus, fungi, emaw parasites te pawh a tel.

Hetiang dinhmun hi eng chen nge a awm?

Pica hi hun rei tak chhunga awm thei angin enkawl a ni fo. Traditional sense-ah chuan "curable" anga ngaih a ni ngai lo. Mimal, enkawlna emaw, mahni inthununna emaw hmanga hlawhtling taka titawptute chu chu thiltih chu a lo kir leh loh chhung chuan "in remission" anga ngaih an ni.

Pica tan hian eng nge a hmalam hun?

Pica hi naupang leh naupaiah hmuh tur a awm fo a, a mah chauhin a reh fo bawk. He natna ngei pawh hi a pianphungah nunna atana hlauhawm lo mah se, ei tur ni lo ei avanga harsatna awm thei chu a ni thei. Professional puihnain mi tam tak chuan an dinhmun chu \ha takin an enkawl a, nun hrisel, hlim tak an hmang \hin.

Engtin nge ka inenkawl ang?

Pica i neih chuan a hmasa ber atan Nirogi Lanka-a i doctor nen inbiakna neih a ni. I medical team te chu rorelna awm lo, him takah i tanpui turin an awm a ni. Anni hian an kaihruai thei che a, he dinhmun hi thuk taka hrethiam specialist nen pawh an inzawm tir thei che a ni.

Pica hian i nitin nun a nghawng a nih chuan heng thute hi hre reng ang che:

• I doctor hnenah dik takin sawi rawh: Mi tam tak chuan Pica hi an zak emaw, an zak emaw an ti thin. Pica hi damdawi lam leh rilru lam hriselna lama harsatna hriat hlawh tak a ni tih hre reng ang che—ruh tliak emaw, natna hrik emaw ang mai a ni. Ṭanpuina zawng hi hriselna ṭha zawk neih theihna tura hmalakna huaisen leh ṭha tak a ni.
• I enkawl dan tur ruahmanna zawm rawh: I doctor chuan check-up neih hun tur ruahmanna siamah a pui ang. I ṭhat chhoh zel chuan heng tlawh tamna hi a tlahniam thei a ni. I natna lan chhuah dan i hmuh chuan i doctor hnenah insiamrem emaw, enkawl leh emaw turin pan nghal rawh.
• Chaw ni lo thil hmuh theihna tihtlem: Thiltih dan enkawl dan tangkai tak chu i awmna hmun atanga ei tura i thlemna thilte paih chhuah hi a ni. I paih chhuah theih loh chuan access harsa turin dah la.

Engtikah nge Emergency Department (ED) ah ka kal ang?

I doctor chuan emergency medical attention i mamawh theihna tur dinhmun bikte chu a kaihruai thei che a ni. A tlangpuiin, nunna atana hlauhawmzia tilangtu symptoms i neih chuan doctor thurawn i lak nghal a ngai a ni. Entirna pawimawh tak takte chu:

• Parasitic infection (Ascariasis – roundworm natna hrik kai) 1.1.
• Electrolyte inthlauhna (imbalance) a awm
• Arrhythmias (thinlung ri mumal lo) .
• Lead poisoning emaw, toxic dang emaw a awm theihna chhinchhiahna
• Intestine lian emaw, intestine lian emaw obstruction/blockage

Chu bâkah, naupangin toxic emaw, hlauhawm thei emaw thil a ei chuan doctor pan nghâl tûr a ni. Entîr nân, naupangin infiamna aṭanga magnet tê tê a ei chuan, chûngte chu chaw ei kawngah a inzawm khawm thei a, chu chuan nunna atana hlauhawm tak a tikhawlo thei a ni.

Pica hi khawvel pumah hmuh chhuah a ni a, hmun thenkhatah chuan a awm fo thin. Mi tam takin an outgrow emaw, anmahni chauha an thiltih chu an chawlhsan emaw laiin, mi dangte tan chuan hriselna lama ngaihtuahna lian tak a ni thei. Risk lian ber chu thil tha lo, hrual, emaw, chaw ei kawng tikhawtlai thei thil ei hi a ni. Vanneihthlak takin professional mental health support leh evidence-based strategies te hian he natna hi a enkawl thei a ni. Pica i neih chuan mualphona hi natural reaction a ni. Mahse, i doctor chu rorelsak turin a awm lo; an hna chu hei hi hneh theihna tura i mamawh enkawlna leh hmanraw pek che hi a ni. Hei hian hma i sawn thei ang a, i nunah thil pawimawh ber berte chu i ngaihtuah thei ang a, Nirogi Lanka-a mithiamte pawhin an thlawp ang.

Takeaways pawimawh tak tak (Take-Home Message) 1.1.

Pica chungchang hi kan cover nasa hle. Hengte hi hriat reng tur pawimawh ber berte chu a ni:

• Pica hi ei tur ni lo ei duhna thunun theih loh a ni. Thil mak tak mai a ni lo va; nungchang lama thil hriat chhuah a ni.
• Naupang tê tê, naupai leh rilru lam harsatna bik neite zingah a awm fo.
• Pica hi a ei dan azirin a hlauhawm thei hle. Toxin, thil hrual, emaw, ril tikhawlo thei thil ei hian hriselna lama harsatna nasa tak a thlen thei a ni.
• Mualpho lovin damdawi lam thurawn lak a pawimawh hle. Pica hi enkawl theih a ni.
• Nutritional deficiency leh stress hi a chhan bulpui ber a ni thei. Ei leh in inthlau tak neih leh i rilru hriselna enkawl hi thil pawimawh tak a ni.
• Naupangin heng thila a tih hian uluk takin en reng ang che. An tan hmun him siam la, harsatna awm reng i hriat chuan healthcare professional rawn rawh.

Nangmah emaw, i hriat miin emaw Pica chhinchhiahna a neih chuan i damdawi in hnai ber healthcare professional rawn la emaw, blockage emaw poisoning emaw i rinhlelh chuan emergency services (911) hnenah zawhfiah rawh. Ṭanpuina dawn hma chuan harsatna lian tham a veng thei a ni.

Keywords: Pica, ei leh in ni lo ei, Pica, ei leh in lama harsatna, ei leh in lama harsatna, rilru hriselna, naupang hriselna