I fa chu i hmangaih em em a, mahse, i fa chuan chu hmangaihna leh hmangaihna chu i hnenah a pe let leh ang em tih i ngaihtuah fo em? I fa chu kuah tura i kal hian a inhnukdawk em? A rilrua thil thleng chu hriatthiam harsa i ti em? Hetiang thil avang hian lungngai leh lungkhamna i nei a ni ngei ang. Thil harsa tak a ni tak zet a ni. Vawiin hian chutiang dinhmun chu kan sawi dawn a ni. Hei hi Reactive Attachment Disorder, a tawi zawngin (RAD) kan ti a. Hei hi naupang leh a enkawltu ber (nu, pa emaw enkawltu) inkara emotional attachment buaina a ni. Hemi chungchang hi chipchiar takin sawi ila.
A awlsam zawngin sawi ila, Reactive Attachment Disorder (RAD) chu eng nge ni?
Reactive Attachment Disorder (RAD) hi naupangin an enkawltu ber (`caretakers` kan ti) te nen emotional bond hrisel tak an neih loh vang a ni. Hei hi a chhan ber chu a naupan lai, nausen lai, naupang chu rilru lama ngaihsak loh emaw, eng emaw ti taka tihduhdah a nih lai a ni tlangpui.
Hetiang natna vei naupangte hian an rilru put hmang tihreh leh enkawl harsa an ti hle . Mi dangte nêna inlaichînna awmze nei, thuk tak siam tûrin an bei nasa hle bawk. RAD vei naupangte hian thlamuanna an zawng tlem hle a, thlamuanna chhinchhiahna an lantir tam lo bawk. A châng chuan, an enkawltute chu eng ang pawhin hmangaihna leh ngilnei tak nei mah se, naupang chu an chungchânga hlau emaw, lungkham emaw angin kan hmu thei a.
Hetiang dinhmun hian tute nge a nghawng nasa ber?
Hetiang dinhmun hi naupang taksa emaw rilru lama ngaihsak loh emaw, tihduhdah emaw tawk tawhte zingah a lang tam ber. Mahse, a chang chuan naupang upa zawkte pawhin RAD an nei thei bawk. Naupang chu RAD vei theihna a sang zawk a, chu chu:
- Enkawlna lama inthlak fo thin: Hei hi ngaihtuah teh: Naupang thenkhat chu enkawlna hmuna dah an ni. Hmun an inthlâk danglam reng chuan naupang chuan mi pakhat nêna inzawmna nghet tak siam theihna hun remchâng a nei lo.
- Primary caregiver atanga inthen: Naupangin an nu leh pate nen rilru lama inzawmna tha tak an neih a, chumi hnuah eng emaw chhan vanga an inthen a ngai a nih chuan naupang tan chuan thil mak tak a ni thei.
- Naupan laia hlohna (traumatic losses): Naupan lai atanga thil rapthlak tak tak, thihna emaw, hlohna lian tham emaw, tawn.
- Enkawltu te rilru lama inhnaih lo: Nu leh pa emaw, enkawltu emaw thenkhat chuan naupang chu rilru lama inhnaih loh an tum lo. Naupang rilru put hmang hriatthiam leh thlamuan duhna an lantir lo.
- Institutional atanga enkawl dan: 1.1.Naupang nu leh pa nei lo enkawlna hmun ang chi institution-a seilian naupangte chu enkawltu pakhat chauh, hmangaihna nei tak ngaihvenna chu an hloh thei a ni.
Hei hi nu leh pa enkawltu tan chuan a harsa thei hle a, an fate hun kal tawh chanchin kimchang an hre lo mai thei. Nu leh pa enkawl thar i nih a, i fain RAD chhinchhiahna a lantir a nih chuan, emaw, i fa nen inzawmna siam harsa i tih chuan i sualna a ni lo. Chumi chungchang chu i fa doctor hnenah sawipui ngei ang che.
RAD natna lan chhuah dan tlangpui chu engte nge ni?
Naupang tin hian symptom danglam bik an nei thei. Amaherawhchu, nausen leh naupang tê têa hmuh theih langsar tak tak ṭhenkhat a awm. Hengte hi chiang takin i hrethiam ang u.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Positive emotion lantir loh | Midang bula i awm hian i hmelah emaw, i thiltihah emaw thlamuanna, hmangaihna, hlimna ang chi rilru tha tak tak i lantir lo. I pawimawh lo tak tak ang maiin i che thin. |
| Mit inhnaih leh taksa inhnaih loh | Miin i mit a en che a, a kuah che a, i kut a chelh che chuan i inhnukdawk thin. Taksa lama inhnaih chu i duh lo. |
| Hlauhna emaw, thinrimna emaw lantir | Thinrimna chu nasa taka au chhuahpui leh leiah thil paih (`tantrums`) hmangin an lantir thin. An hlim lo va, an lungngai reng bawk. |
| Thunun tum | An chhehvela an thunun theih tur thil an zawng thin. Hei hian dan bawhchhiatna a thlen fo thin. |
RAD leh DSED hi eng nge an danglamna?
Condition dang RAD nena inzawm, mahse a danglam deuh deuh a awm bawk. Disinhibited Social Engagement Disorder (DSED) tih a ni. An pahnih inthlauhna hi hriatthiam a pawimawh.
| Mihring ziarang | Reactive Attachment Disorder (RAD) a awm a, a rilru a buai em em a, a rilru a hah em em bawk. | Khawtlang nun nena inzawmna nei lo (DSED) . |
|---|---|---|
| Vengtu te nena nungchang | Guardian te laka inthiarfihlim. Inhlat taka awm tum. | Tu nen pawh in inpawh lutuk thei maithei. |
| Mi hriat lohte nena nungchang | Mahni chauha awm, khawtlang atanga hla taka awm hi ka duh ber a ni. | Mi hriat lohte nena inpawh lutuk. Nu leh pate zawt lo pawhin mi hriat lohte nena kal dun tura thlemna a awm thei. |
| Thlamuanna zawngin | Miin thlamuan a tum (e.g., kuah) hian a dodal thin. | Tu hnen atanga ngaihsakna leh hmangaihna beisei. |
| Thiltih dan tlangpui | An chhehvêla thil thlengte chu hre reng mah se, rilru lamah an chhâng lêt lo. | An kum aia naupang naupang ang maiin an che thin. Khawtlang ramri an hrethiam lo. |
Eng thilin nge he RAD dinhmun hi a thlen?
Hei hi chhan pakhat, chiang tak a awm lo. Zirna hrang hrangah chuan naupangin an enkawltute nena inzawmna a siam loh chhan engemaw zat a awm tih a tarlang. A bulpui berte chu:
- Tihduhdahna emaw, ngaihsak loh emaw: Naupang chuan kalsan leh mahni chauha awm niin a inhria.
- Basic mamawh phuhruk loh:Naupangin nunna atana thil tul bulpui, ei leh in te, faina te, himna te a dawn loh chuan khawvelah inrintawkna an nei lo.
- Hriselna hlauhna: Naupang chuan hlauhawmah a awm tih a hlau fo thin.
- Faina tlakchhamna: Darkar tam tak diaper hnim chhunga awm ang chi thilte hian naupang chu a ti nuam lo a, ngaihsak loh a ni thei.
- Enkawlna mumal lo: Naupang mamawh chu a chang chang chauhin a phuhruk thin. Naupang chuan thlamuan a nih dâwn nge, a mamawh pêk a nih dâwn tih hriat chian lohna a hloh a ni.
A awlsam zawngin, naupang taksa leh rilru lama a mamawh bulpui berte chu a ruala leh a ruala tihhlawhtlin a nih chuan naupang leh enkawltu inkarah rinna a lo piang ta a ni. He rinna hi inzawmna hrisel dinna lungphum a ni. Heng mamawhte hi a phuhruk loh chuan naupang chu RAD vei theihna a sang zawk a ni.
Engtin nge doctor hian he natna hi a hriat theih ang?
RAD hriat chian nan i doctor chuan i fa medical history leh symptoms te a zawt ang che. Doctor chuan hetiang zawhna hi a zawt thei a:
- I fa chu eng ang pawhin tihduhdahna emaw, ngaihsak lohna emaw a tawk tawh em?
- Engtik lai khan nge heng symptoms te hi i hriat hmasak ber?
- Engtin nge nang leh i fa chu in inrem?
- I chhungte khawsak dan chu engtin nge a awm ?
- Naupang enkawltu dang an awm em?
He thu a\ang hian doctor chuan RAD a rinhlelh chuan naupang chu pediatrician , psychologist, emaw psychiatrist hnenah uluk taka enfiah tur leh enkawlna \ha tak rawt turin an refer thei a ni.
RAD leh Autism Spectrum Disorder (ASD) hi a inthlau thei ang em?
Ni e, a châng chuan heng dinhmun pahnih chhinchhiahna hi a langsar berah chuan a inang thei a ni. Chuvangin, doctor chuan naupangin RAD a nei tih a sawi hmain, Autism Spectrum Disorder ( ASD ) ang chi, natna dang a awm loh leh awm loh enfiah turin an test ang. A danglamna ber chu ASD hi hmasawnna dinhmun a ni. Mi tihduhdahna leh ngaihsak loh vang a ni lo. RAD erawh chu naupangin a naupan lai thil tawn nen a inzawm tlat thung.
RAD enkawlna tur engte nge ni?
RAD enkawlna tum ber chu naupang leh enkawltu inkara inlaichinna hlauhawm tak emaw, harsa tak emaw siamthat a, rilru lama inzawmna hrisel siam a ni. Heng enkawlnate hian naupang leh enkawltu tan pawh a hlawkpui hle.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Psychotherapy/Counseling hmanga enkawl a ni | Mental health counselor chuan naupang leh nu leh pate chu rilru lama thiamna hrisel tak siam turin leh inzawmna tibuaitu nungchang buaithlak tak takte tihtlem nan a pui thin. |
| Chhungkaw Therapy | Primary caregiver leh naupang te hian an inpawh tawn dan hrisel tak siam turin an thawk ho thin. |
| Social Skills hmanga hmalakna | Naupang chu a rualpuite nena khawtlang nun pangngaia awm dan tur dik tak zirtir a ni. Hemi kawngah hian nu leh pate pawh an tel ve a ni. |
| Zirna bik | Naupangin a mamawh chuan sikul-a programme-te chuan naupang chu zirna leh khawtlang nunah hlawhtlinna chang turin thiamna a zir theih nan a pui thin. |
| Nu leh Pa nih thiamna Class hrang hrang | Nu leh pate hian an fate nungchang harsa tak takte chu uluk zawka enkawl dan tur an zir thei a ni. |
Engtin nge kei, enkawltu ka nih angin ka fate hi ka puih theih ang?
Enkawlna rual hian enkawltu i nih angin i fate nena inzawmna hrisel tak siam turin thil tam tak i ti thei a ni.
1. Ramri chiang tak siam
Environment mumal tak hi naupang zawng zawng tan a hlawkthlak hle. Chuvangin ramri siam hi a pawimawh hle a ni. With reasonable limits and appropriate, non-physical methods of discipline , naupangte chuan an hnen atanga beisei tur leh dan an bawhchhiat chuan eng nge thleng dawn tih an hre chiang hle. Hei hian naupangte hlauhna a tiziaawm a, nungchang dik tak nei turin a fuih bawk.
2. I fain nungchang dik lo a neih pawhin i muangchang reng thin.
I fain a nungchang dik lo a nih chuan muangchangin awm rawh. I thinrim lai hian react suh. I fate nena in sawiho tawh dan angin i fa chu thunun rawh. I fa chu a thlamuang a, i bula awm leh tura a inpeih veleh hmangaihna leh ngaihsakna lantir rawh. Hei hian i fa chu hun harsaah pawh a tan i awm tih a tilang a ni.
3. Hmangaihna leh ngaihsakna tam tak pe rawh
I fa nen chauh hun hmang rawh. Amah biak la, hla sa la, inkhelhpui rawh. Kuah la, chelh rawh. Mahse naupang thenkhat chuan hetiang taksa inhnaih hi an duh vak lo tih hre reng ang che. Hmangaihna leh hmangaihna thup hi hremna angin hmang ngai suh.
Engtikah nge Doctor ka hmuh ang?
I fain inlaichinna pangngai siam a harsat tih i hriat chuan , emaw, i fain he thuziaka tarlan RAD symptoms te hi a neih chuan, i fa doctor hnenah thurawn dil nghal rawh. He natna hi a hmaa hriatchhuah leh enkawl a nih chuan i fa tan hlawhtlinna chance a sang zawk thin.
Doctor hnen atanga tanpuina dil hian nu leh pa tha lo i ni tihna a ni lo. I fate nena inzawmna nghet tak, hrisel, dam chhung zawnga inzawmna siamna kawngkhar a hawng mai a ni.
Take-Home Thuchah a ni
- Reactive Attachment Disorder (RAD) hi naupangin a hmaa ngaihsak loh emaw, trauma emaw avanga natna khirh tak, mahse enkawl theih a ni.
- Hei hi naupang sualna a ni lo va, fa enkawl tura mawhphurhna latu nu leh pate sualna pawh a ni lo.
- A lan chhuahna ber chu rilru lama inlakhran, thlamuan duh lohna, leh mi dangte nena inzawmna siam harsat hi a ni.
- Enkawlna tum ber chu naupang leh enkawltu inkara inzawmna him, nghet leh hmangaihna nei siam hi a ni.
- Damdawi lam thurawn lak hma te, leh dawhthei leh mumal taka hmangaihna leh enkawlna pek te hi naupang hmalam hun atan a pawimawh hle.
Reactive Attachment Disorder, RAD, naupang rilru hriselna, naupang nungchang, rilru lama inzawmna, nu leh pa inlaichinna, ngaihsak lohna, enkawl dan
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