Post-Traumatic Stress Disorder (PTSD) chungchang hi kan sawi dawn em ni?

I la tawn ngai loh thil lungchhiatthlâk tak i tawng tawh angin han ngaihtuah teh. Motor accident lian tak emaw, thilsiam chhiatna emaw, a nih loh leh kan hmangaih tak thih thut mai emaw pawh a ni thei. Chu thilthleng zawhah chuan, i lungkham a, i lungkham a, i rilru a buai hle mai thei. A châng chuan thilthleng chu a thleng leh tak tak ang maiin i hmu nawn leh thei a ni. Hei hi vawiina kan sawi tur chu a ni a, Post-Traumatic Stress Disorder (PTSD) tih a ni. Hei hi mi tam tak nghawng thei thil a nih avangin fimkhur a pawimawh hle.

PTSD hi eng nge ni mai?

A awlsam zawngin sawi ila, PTSD hi rilru lam natna a ni a, mi thenkhatin thil na tak, lungchhiatthlak tak an tawn hnua an lo neih thin a ni. He thilthleng hi nunna atana hlauhawm tak a ni thei a, i taksa leh rilru hriselnaah nghawng lian tak a nei thei bawk. PTSD hian kum eng pawh, naupang tê aṭanga puitling thlengin a nghawng thei a ni.

PTSD vei chuan thil rapthlak tak thleng nena inzawm ngaihtuahna leh rilru natna nasa tak, lungngai tak tak a tawng thin. Hei hi thilthleng a thlen hnu rei takah pawh a la awm thei a ni. PTSD hian stress-related symptoms a thlen thei a, chungte chu:

• Lungkhamna ( lungkhamna ), lungngaihna ( lungngaihna ), emaw, sual emaw, zak emaw tih reng reng .
• Thil thleng chu a thleng leh tak tak ang tih hriat (flashbacks) emaw, mumang chhia neih emaw.
• Chu thilthleng nêna inkûngkaih hmun, thil, leh thiltihte pumpelh.

Heng symptoms te hian stress nasa tak a thlen thei a , nitin hnathawh theihna a tibuai thei bawk .

Thil thleng rapthlak tak chu eng nge ni?

Trauma , a nih loh leh thil hlauhawm tak chu i dam khawchhuahna emaw, i himna emaw tichhe thei thil eng pawh a ni. Thil thleng pakhat chauh (vawi khat car accident ang chi) a nih a ngai lo. Hun rei tak chhunga trauma a ni thei bawk . Indona hun lai emaw, chhûngkuaa tharum thawhna tawn emaw ang chi thilte hi han ngaihtuah teh.

Tin, he trauma hi i chungah direct-a thleng tur a ni lo. Thil rapthlak tak chu i mit ngeiin i hmu tawh mai thei. A nih loh leh, i hnaih bertu chungah thil rapthlak tak a thleng tih i hriat hnuah PTSD i nei thei bawk.

Thil thleng hlauhawm tak takte entir nan hetiang hi a ni:

• Accident na tak (e.g., car accident na tak).
• Taksa hliam na tak emaw, natna khirh tak nei thut.
• Indonaleh sipai buaina (kan rama mite pawhin he thil hi tawnhriat an nei ve tho).
• Thilsiam chhiatna (e.g. tsunami, lirnghing, tuilian , ram kang).
• Taksa lama tihduhdahna .
• Thumal hmanga sawichhiatna (hau reng, vau).
• Sexual assault emaw tihduhdahna emaw.
• Sikul emaw hnathawhna hmuna tihduhdahna.
• Hmangaih tak thih thut.

PTSD chi hrang hrang a awm em?

Ni e, PTSD nena inang tak tak natna dang pahnih a awm bawk.

• Acute Stress Disorder: Hei hi hun rei lote chhunga rilru lam natna a ni a, thil rapthlak tak a thlen hnu thla khatna chhungin a lo awm thei a ni. Mahse, symptoms hi kar li aia rei a awm chuan PTSD a ni thei.
• Complex PTSD (CPTSD): Hetiang dinhmun hi hun rei tak chhunga trauma i tawrh hian a lo awm thin. Entîr nân, naupan laia taksa lam emaw, mipat hmeichhiatna lama tihduhdah nawn fo te, chhûngkuaa tharum thawhna hun rei tak, a nih loh leh indona te. CPTSD vei te hian PTSD symptoms bakah hian emotions management , mahni inngaihtuahna, leh midangte nena inzawmna kawngah harsatna lian tak an nei tlangpui.

Hetiang dinhmun hi engtiang chiahin nge a awm?

PTSD hi a awm fo thin. Thil rapthlak tak tawk zinga 5% leh 10% inkar chuan PTSD an nei thin. Chu chu mi zawng zawngah a thleng lo tihna a ni a, mahse mi tam tak a nghawng a ni.

PTSD natna lan chhuahna chu engte nge ni?

Doctor-in PTSD a hriat theih nan chuan a symptoms hi thla khat aia rei a awm a ngai a ni. Tin, a symptoms hian lungngaihna nasa tak a thlen tur a ni a, nitin hnathawh a tibuai tur a ni bawk.

PTSD symptoms hi chi liah then theih a ni a, chungte chu:

1. Ngaihtuahna leh thil tawn inrawlh (Intrusion Symptoms) .

Chumi awmzia chu thilthleng rapthlak tak chu i rilruah a lo lang leh fo tihna a ni.

• Thil thleng hriatrengna, thunun theih loh reng reng. Chutih laia thil thlengte chu movie ang maia en nawn leh ang mai a ni.
• Mumang hlauhawm tak tak neih, a bik takin thil thleng nena inzawm mumang neih.
• Flashbacks chu thil thleng chu a thleng leh tak tak ang tih i hriat hi a ni. Hei hi a chiang hle a, chutih lai chuan i awm ang tih i hre thei. A châng chuan a rim pawh i hre thei a, a nih loh leh i hre thei bawk.

2. Invenna Symptoms

Hei hian chu thilthleng râpthlâk tak hriat nawntîrtu zawng zawng aṭanga a theih ang anga hlat tumna a huam a ni.

• Thil thleng nena inzawm mi, hmun, thiltih, thil leh dinhmunte pumpelh. Entîr nân, accident thlenna kawngpuiah chuan i kal lo mai thei.
• Chu thil thleng ngaihtuah leh hriat reng chu ka pumpelh thin.
• Thil thleng emaw, i rilru put hmang emaw chungchâng mi dangte hnêna sawipui chu i pumpelh a ni.

3. Ngaihtuahna leh rilru put hmang inthlak danglamna

Hei hian khawvel i thlir danah te, i inngaihtuah danah te, leh i rilru put hmangah te danglamna nasa tak a thlen thei a ni.

• Hlauhna, hlauhna, thinrimna, sualna , a nih loh leh mualphona awm reng.
• Chu thilthleng râpthlâk tak aṭanga thil pawimawh tak takte chu theihnghilh a ni ta.
• Mahni emaw, mi dangte emaw chungchanga ngaihtuahna leh rilru put hmang \ha lo leh dik lo tak tak awm reng. "Ka dik lo," "Tumah rintlak an awm lo" tih ang chi hi i ngaihtuah mai thei.
• Thil thleng chhan emaw, a rah chhuah emaw ngaihtuah dik loh leh mahni emaw, midang emaw mawhpuh.
• Midang laka inhlat leh mahni chauha inhriatna .
• Tûn hmaa hlimna thlentu thilte chuan hlimna a thlen tawh lo.
• Positive emotion neih theih lohna. Hlimna leh hmangaihna ang chi hi i hre thei lo ang maiin a lang.

4. Arousal leh Reactivity inthlak danglamna

Hei hian i taksa chu "on alert" reng a, thil tenau ber pawh a chhang let thin.

• Thinrimna leh thinrimna rang tak.
• Fimkhur lo tak leh mahni tichhe thei zawnga thil tih (e.g., lirthei khalh chak lutuk, zu in tam lutuk).
• Mahni chhehvela fimkhur lutuk (Hypervigilance). Hlauhawm hlau reng reng.
• Thawm tlemte pawhin i zuang chhuak thin.
• Thil ngaihtuah harsa emaw, mut theih loh emaw.

Naupang tê tête hian PTSD an neih chuan eng nge thleng?

Naupang tê tête chuan PTSD an neih chuan an rilru put hmang dik tak chu thu hmanga sawi chhuah an harsat phah thei a ni. A nih loh leh i hriat loh trauma an tawk tawh pawh a ni thei. Anni chu an rilru hahdam lo, an rilru a buai a, ngaihven emaw, thil fel taka tih emaw an harsat thei a ni.

Heng symptoms te hi Attention-Deficit/Hyperactivity Disorder (ADHD) an tih natna nen hian a inthlau thei hle. Chuvangin, i fain heng symptoms te hi a neih chuan PTSD hriatchhuahna lama experience nei specialist (e.g., child psychiatrist) pan a pawimawh hle.

PTSD hian eng harsatna dang nge a thlen theih?

PTSD vei te hian heng natna te hi an tawk nasa zawk a, PTSD symptoms te hi a ti na zual thei bawk:

• Mood disorder - e.g. lungngaihna.
• Lungkhamna (anxiety disorder) a awm.
• Nervous system nena inzawm natna ang chi dinhmun pawh, dementia ang chi te pawh.
• Substance hmansualna / Zu insualna.

A pawimawh ber chu PTSD vei te hi mahni intihhlum tumna leh mahni intihhlum tumna an nei sang zawk a ni.

Nangmah emaw, i hriatte emaw i rilru a hah a nih chuan khawngaihin nangmah chauh awm suh. I rintlak mi biak nghal la, doctor hmu nghal la, Sri Lanka-a kum 1926 (Sumatiri) ang chi emergency mental health helpline call rawh. Ṭanpuina dil hlau suh, nangmah chauh i ni lo.

Eng thilin nge PTSD hi a thlen?

Dik tak chuan mipui 61% leh 80% inkar chuan an dam chhungin engtik lai pawhin thil rapthlak tak an tawk dawn a ni. Mahse, an vai hian PTSD an nei vek dawn lo. He pawl zingah hian 5% leh 10% inkar chuan PTSD an nei ang.

Mi thenkhatin PTSD an neih a, thenkhatin an vei loh chhan hi a chiang tawk lo a, chutiang thil thleng ang chiah an tawn hnuah pawh. Mahse, zirchianna chuan PTSD vei te hian neurotransmitter leh hormone thenkhat level danglam tak an nei tih hmuhchhuah a ni . An thluak hnathawh danah pawh inthlak danglamna an nei thei bawk .

Neurotransmitters leh Hormones te inthlak danglamna

Zirna hrang hrangah chuan PTSD vei te hian stress nei reng mahse hormone `(Cortisol)` ("stress hormone" tia hriat bawk) chu a normal emaw a hniam emaw a ni thei tih hmuhchhuah a ni. Tin, `(Corticotropin-Releasing Factor - CRF) an nei sang hle bawk. He `(CRF)` hian chemical pakhat `(Norepinephrine) tihchhuahna a tichak a ni. He `(Norepinephrine)` hian kan taksa `(fight or flight)` response a tichhuak a ni. Hei hian heng thilte hi a thlen chhan chu a ni:

• Heart rate a sang chho zel.
• Thisen sang a sang.
• Alertness leh quick-thmperedness tihpun.

Chu bakah, neurotransmitter system dang thenkhat hnathawh dan a inthlak danglam tih hmuhchhuah a ni bawk a, entirnan:

• A rilru a buai em em a, a rilru a hah em em bawk a. Gamma-aminobutyric acid (GABA) .
• Glutamate a ni
• Serotonin a ni

Heng zawng zawng hi kan thluaka palai te te ang mai an ni a, hetiang harsatna hi an hnathawh that loh chuan a lo chhuak thin.

Thluak a inthlak danglam thin

PTSD hi i thluak hnathawh leh insiam dan inthlak danglamna thenkhat nen a inzawm a:

• I thluak hmun ``Hippocampus'' an tih chu a lian lo hle. He ``Hippocampus'' hi kan rilru put hmang, kan rilru put hmang, kan zirlai leh kan hriatrengna thununtu pawimawh tak a ni.
• PTSD vei tan chuan amygdala (kan rilru put hmang leh hlauhna chhanna control tu) hi a thawk nasa lutuk a ni. Chumi awmzia chu thil tenawm ber pawh an hlau hle a, an lungkham hle tihna a ni.
• Medial Prefrontal Cortex (Amygdala-a emotion control-na puitu) an tih part pawh hi PTSD vei zingah chuan a te zawk a, a chhang let tlem zawk tih hmuhchhuah a ni bawk.

Hei hi thil buaithlak deuh angin lang mahse, thudik awlsam tak chu PTSD hi rilru chhunga thil awm mai ni lovin, kan thluaka chemical leh structural changes nen pawh a inzawm tlat a ni.

Tute nge PTSD vei theihna chance sang zawk?

Thil rapthlak tak a thlen hnuah tute nge PTSD vei dawn tih chiang taka sawi theih a ni lo a, mahse a hnuaia mite hi PTSD vei an tam zawk deuh a ni:

• A bik takin trauma na tak tak (e.g., sipai hnathawh laiin indona nasa tak tawk, mipat hmeichhiatna lama tihduhdah) tawhte .
• Naupan laia trauma tawk tawhte.
• Chu thil thlenga taksa lama hliam tuar te chu.
• Thil thleng laia hlauhna nasa tak, tanpui theih lohna emaw, hlauhna emaw tawk tawhte.
• Thil rapthlak tak thleng hnua khawtlang, chhungte leh ṭhiante hnen aṭanga ṭanpuina tling lote.
• Hun rei tak emaw trauma tawk tawh emaw te .
• Rilru lam harsatna dang leh/ emaw ruihhlo hmansual tawhte .

Engtin nge PTSD i vei tih i hriat theih ang?

PTSD hriat theihna tur test bik a awm lo. Chu ai chuan doctor chuan:

• I symptoms te chu.
• I damdawi lam chanchin.
• I rilru hriselna history.
• I hmachhawn tawh thil rapthlak tak takte chungchang.

Thil thleng chungchang sawi chu i harsat mai thei. Chutiang hunah chuan mi rintlak (chhungkaw member, thian) doctor hnenah hruai i duh mai thei. Hei hian thlamuanna a pe ang che a, i natna lan chhuah dan leh i nungchang inthlak danglamna te sawifiah turin a pui thei bawk ang che.

Doctor-te chuan American Psychological Association-in Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-ah tehfung hi an hmang a ni. Tun hnaia version thar ber chu DSM-5-TR a ni. PTSD i vei tih hriat theih nan thla khat tal chu a hnuaia symptoms zinga pakhat tal i neih a ngai a ni :

• Ngaihtuahna emaw thil tawn emaw intrusive pakhat tal (intrusion symptom).
• Avoidance symptom pakhat tal.
• Ngaihtuahna leh rilru put hmang inthlak danglamna vawi hnih tal.
• Taksa leh rilru lama inthlak danglamna tibuaitu pahnih tal.

I doctor chuan taksa enfiahna a nei thei a, thisen test thenkhat a nei thei a, i natna lan chhuah dan thenkhatah taksa chhan dang a awm em tih a enfiah thei bawk.

PTSD hi eng enkawlna nge ni?

PTSD enkawlna ber chu psychotherapy emaw talk therapy emaw a ni. A bik takin, therapy chi khat Cognitive Behavioral Therapy (CBT) tih hi a hlawk hle.

He enkawlna hi rilru lam hriselna counselor trained, licensed-in a pe thin a ni.. Chu chu rilru lam doctor emaw, rilru lam thiam emaw pawh a ni thei. Nang leh i chhungte tanpuina, zirtirna leh kaihhruaina an pe a, chu chu i nun that theih nan leh i rilru hriselna tihchangtlun nan an pui che a ni.

PTSD hi CBT enkawlna bik engemaw zat a awm a:

• Cognitive Processing Therapy: Hei hi PTSD enkawlna atana ruahman bik a ni. Thil pawi tak tak ( mualphona leh sualna ang chi) leh trauma avanga lo awm rinna tihdanglamna lam a ngaih pawimawh ber a ni. Tin, hriatrengna lungchhiatthlâk tak tak leh rilru natnate hmachhawn tûrin a ṭanpui bawk che a ni.
• Eye Movement Desensitization and Reprocessing (EMDR) therapy: Hetiang method hmang hian traumatic memories i process laiin i mit chu kawng bik takin i tichei thin. EMDR hian a tum ber chu trauma emaw, nun harsatna dang emaw atanga i dam leh theih nan a pui che a ni. Enkawlna dang nena khaikhin chuan EMDR hi hmanraw thar tak a ni. Mahse, clinical trial engemaw zatah chuan a hlawk hle tih hmuhchhuah a ni a, hmanraw dang aiin mite chu an dam chak zawk thei a ni.
• Group Therapy: Hei hian thil lungchhiatthlak tak tak tawk tawhte chu an thil tawn leh an rilru put hmangte chu hmun nuam tak, rorelna awm lo takah an inhriatkhawmna a ni. PTSD harsatna hian chhungkaw pum a nghawng thei a nih avangin chhungkaw therapy pawh a \angkai thei hle.
• Prolonged Exposure Therapy: He enkawlnaah hian trauma thlalak chipchiar tak tak emaw, i symptoms tichhuaktu thilte chu him tak, control theih angin i hmu fo thin. Hei hian i hlauhthawnna hmachhawn turin a pui che a, i thunun thei a, chu chu nunpui dan zir turin a pui bawk che a ni.
• Trauma-focused cognitive behavioural therapy (CBT): He enkawlna hian i taksain trauma leh stress a chhan dan tur a hriat theih nan a pui che a ni. Tin, ngaihtuahna buaithlak tak takte hriatchhuah leh thlak danglam leh i natna lan chhuah dan enkawl dan thiamna zir turin a pui bawk. Exposure therapy pawh a huam tel bawk.

PTSD natna damdawi

Tunah hian US Food and Drug Administration (FDA)-in PTSD atana a phalna bik damdawi a awm lo. Mahse, doctor-te chuan PTSD natna lan chhuahna ṭhenkhat enkawl nân damdawi ṭhenkhat an pe thei a ni. Entir nan:

• Antidepressant - Selective Serotonin Reuptake Inhibitors (SSRI) emaw Serotonin leh Norepinephrine Reuptake Inhibitors (SNRI) emaw ang chi te hi a ni.
• Lungkhamna dona damdawi.

I doctor chuan heng damdawi te hi hman leh hman loh tur, leh eng nge hman tur tih te a rel ang. Damdawi lam thurawn tel lo chuan heng damdawi te hi hmang ngai suh.

PTSD hi tihdam theih a ni em? Nakin hun chu eng nge ni ang?

PTSD prognosis hi mi hrang hrangah a inang lo thei. Mahse, a tam zawkah chuan enkawlna hian i dam leh thei a ni. Enkawlna a awm chuan mi 30% vel chu an dam vek a ni. Midang 40% chu enkawlna hmangin an dam tha hle a, mahse symptom na lo thenkhat chu a la awm thei. Mi thenkhat tan chuan an hmangaih tak takte puihnain PTSD symptoms hi hun kal zelah a bo thin a, professional treatment tel lo pawhin a bo thin.

A pawimawh ber chu tanpuina dil a, inenkawlna zawng hi a ni. Tichuan dam leh theihna chance a sang zawk hle.

PTSD hi ven theih a ni em?

Vanduaithlak takin thil rapthlak tak thleng tur chu kan dang thei lo. Mahse, zirchianna thenkhatah chuan PTSD lo awm tur venna atana pui turin thil thleng zawhah hian hmalakna engemaw zat i tih theih a awm tih an hmuchhuak. Chungte chu "protective factors" an ti a. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Thil thleng hnua midang (thiante leh chhungte ang chi) hnen atanga tanpuina dil. Hei hian himna a siam a ni.
• Thil rapthlak tak thleng hnua support group-a tel hi nangmah ang bawka thil tawn tawhte nena inbiakna neih theihna kawng tha tak a ni.
• Accident a thlen huna i thiltih dan tur ngaihtuah thiam zir.
• Thil rapthlak tak thleng hnua hrisel taka hmachhawn dan (e.g., exercise lak, rilru ti hahdam thei thil tih, zu chungchanga harsatna awmte theihnghilh tum ai chuan).
• Hlauhna i neih lai pawhin thil ti thei leh chhân lêt thiam.
• Midangte tanpui, a bik takin mi engemaw zat nghawng thei thil rapthlak tak a nih chuan, thilsiam chhiatna ang chi a nih chuan.

Engtikah nge Doctor ka hmuh ang?

Thil rapthlak tak a thlen hnuah doctor leh/ emaw mental health counselor te hmuh fo a pawimawh hle . I symptoms a na zual a nih chuan i doctor nen inbia ngei ang che. Zak leh hlau suh. Hei hi i sualna a ni lo.

Engtikah nge Emergency Department-ah i kal ang?

Mahni intihhlum emaw, mahni intihhlum emaw ngaihtuahna i neih chuan , hei hi thil pawi tak a ni. Chutiang a nih chuan damdawi in hnai ber emergency room-ah kal nghal tur a ni a, a nih loh leh emergency mental health helpline 1926 (Sumatiri) ang chi te pawh biak tur a ni.

Thil rapthlak tak thleng hnua professional tanpuina zawng chu thil harsa tak a ni thei. Mahse, PTSD hi enkawl theih a ni tih hre reng ang che. Hun a kal zel a, enkawlna nen chuan i rilru a hahdam tan ang. I doctor nen enkawl dan tur chungchang sawipui rawh. I tanpui leh thlawp turin an awm reng tih hre reng ang che.

A tawp berah chuan thil hriat reng tur

Thil rapthlak tak thleng hnua rilru lama harsatna tawk hi thil pangngai tak a ni. Mahse, chu lungngaihnate chu a awm reng a, ni tin hnathawhna a tibuai a nih chuan PTSD a ni thei.

• Nangmah chauh i ni lo: PTSD hi mi tam tak natna a ni.
• Hei hi i sualna a ni lo: tumahin duhthusamin PTSD hi an nei lo.
• Ṭanpuina a awm: I dam leh theihna tur enkawlna a awm.
• Thusawi hlau suh: i rilru put hmang chu i rintlak tak, doctor ang chi hnenah sawipui rawh.

Nangmah emaw, i hriat emaw hian hetiang hi i tawng a nih chuan tanpuina zawng rawh. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni.

` PTSD, Post-Traumatic Stress Disorder, lungngaihna, trauma, rilru hriselna, stress, enkawlna