Kan nunah mi tu emaw hnawl kan duh vek a ni lawm ni? Hmangaihna inlaichînnaah te, ṭhian nihnaah te, a nih loh leh hnathawhna hmunah pawh a ni thei. Chutiang a lo thlen chuan lungngaihna, thinrim, beidawnna te chu thil pangngai a ni. Mahse chutiang rilru put hmang chu rei lo te chhung chu kan thunun thei a, kan enkawl thei a , kan dinhmun pangngaiah kan kir leh thei tlangpui.
Mahse, han ngaihtuah teh, hnawlna chuan rilru natna nasa tak a thlen che a, chu chu i tuar thei lo va, chutiang rilru put hmang chu thunun tum pawh i ngaihtuah thei lo a nih chuan engtin nge ni ang? Doctor-te'n " rejection sensitive dysphoria" (RSD) an tih chu i nei thei a ni. Research atanga a lan dan chuan Attention Deficit Hyperactivity Disorder (ADHD) , i neih chuan RSD i vei theihna a sang zawk.
He RSD hi eng nge ni tak tak?
RSD hi official-a pawm, symptoms list nei a ni lo. Chu chu damdawi lam dinhmun hran anga ngaih a ni lo tihna a ni. Mahse, doctor leh psychologist-te chuan he thumal hi ADHD ang chi official-a pawm tawh nungchang lama harsatna nena inzawm fo, hnawlna laka rilru lam chhanna tihpun (exaggerated emotional responses) sawina atan an hmang a ni.
"Dysphoria" tih thumal hi Greek tawng atanga lo chhuak a ni. "Natna nasa tak emaw, nuam lo emaw" tihna a ni. RSD vei te chuan hnawlna chu an tuar harsa hle. Dik tak chuan, an rilru put hmang chu ṭawngkam hmanga sawi chhuah harsa an ti hle. "Ubearable" leh "devastating" tih ang chi thumal an hmang fo thin. Chumi avang chuan mi thenkhat chuan hnawl an hlauh avangin social interaction an pumpelh thin.
He natna leh ADHD hi eng nge inzawmna?
RSD hi tuin nge vei tih leh ADHD nena a inzawmna chungchangah zirchianna a la chiang lo hle a, hnawlna hi teh a harsat avangin. Mahse mithiamte chuan ADHD vei te hian an thluak insiam dan a inthlak danglam deuh avangin RSD symptoms an lantir tam zawk niin an ngai.
ADHD vei hian thluak hmalam (frontal lobe) danglam deuh deuh a nei a, chu chuan ngaihvenna, tawngkam, khawtlang nun thiamna, impulse control, rorelna leh harsatna chinfel dan te a thunun a ni. Chuvângin, social cues ṭhenkhat i hmu lo thei a, pâwl nêna thawhhona i harsat phah thei a, a nih loh leh thil chipchiar tak tak i ngaihven thei lo thei bawk.
Chuvângin, mi dangte’n i nungchang chungchânga thil engemaw an sawi chuan , a nih loh leh thil chiang lo tak an sawi chuan, sawisêlna, nuihzatna, a nih loh leh hnawlna angin i hrilhfiah sual thei a ni.
He inhriatthiam lohna hian lungngaihna te, hrehawmna te, lungngaihna te, leh phatsanna rilru natna nasa tak a thlen thei che a ni. ADHD nei lo mi ang maia heng rilru put hmangte hi thunun nghal vat harsa i ti mai thei.
RSD hi rilru lam natna dang leh rilru natna dang nen pawh a inzawm thei a, mahse hei hi a taka hriatthiam theih nan zirchianna tam zawk neih a ngai a ni.
RSD-a mizia tlangpui chu engte nge ni?
RSD hi official natna ni lo mah se, he natna vei te hian a hnuaia symptoms te hi an lantir tlangpui thei a ni. Chûngte chu i hriat chian angin a ri em tih i en ang u.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Midang tih lawm tum (Mipui tih lawm) . | Hnawlh loh nan midang tihlawm tum lutuk. |
| Mahni inngaihhlutna hniam | Mahni inrintawkna hloh, mahni inrinhlelhna leh mualpho reng reng. |
| Emotional outburst nghal mai | Taksa lam pawha lan chhuah theih rilru natna, thinrimna puak darh thut te, mittui tla te, leh tuar theih loh lungngaihna te. |
| Negative tak tak mahni inhriatthiamna | Thil a kal dik loh emaw, hnawl a nih emaw chuan mahni inpuh fo thin. |
| Khawtlang nunah inthiarfihlim | Hnawlh hlauhna avanga khawtlang nun remchang, hnathawh leh mawhphurhna te pumpelh. |
| Famkimna (Thil famkimna) duhna | Sawiselna leh hlawhchhamna tur hmun awm lo turin engkim famkim taka tih tum. |
A châng chuan, mi dangte duh lohna emaw, hnawl emaw hlauhna chuan hna leh mawhphurhna ṭhenkhat chu i pumpelh thei a, emaw, khawtlâng inpawhna aṭangin i inhnukdawk vek thei bawk. Hei hian i nunphungah nghawng lian tak a nei thei a ni.
Eng thilin nge RSD hi a thlen?
Mithiamte chuan hei hi eng thil nge a thlen tih hi an la hre chiang lo hle a, mahse mi thenkhat chuan i thluak insiam dan hian inzawmna a nei niin an ngai.
Amygdala leh prefrontal cortex te hi thluaka hnawlna, hlawhchhamna, rilru natna hriatchhuahna leh thuchah tha lote process tu an ni. An thluak hmalam ah an awm a. A tlangpuiin, kan tar chhoh zêl chuan heng pêngte hian rilru put hmang thunun leh buatsaih thiam zâwk an ni.
Mahse rilru emaw nungchang lama harsatna engemaw tak nei teah chuan thluak hian heng signal te hi a tidanglam thei lo. Chu ai chuan thluak chuan rilru natna (negative emotions) chu thil hrehawm lutuk leh phurrit lutuk angin a hrilhfiah zawk a ni. Hei hi mithiamte chuan " emotional dysregulation " an tih chu a ni.
Brain structure bakah hian mithiam thenkhat chuan genetic influence a awm thei niin an ngai a, a bik takin RSD nena inzawm tlat ADHD hi thlah khat atanga thlah dangah a darh zel avangin.
Engtin nge he natna hi hriatchhuah leh enkawl a nih?
RSD hi official medical condition a nih loh avangin leh a chungchanga zirchianna a tlem avangin i doctor emaw counselor emaw chuan a hre tam lo mai thei a, a nih loh leh rilru natna dang nen a inzawm tir thei bawk.
Mahse ADHD emaw rilru lam natna dang emaw i nei tih hmuhchhuah tawh i nih chuan i doctor chuan he rejection sensitivity behavior pattern hi a hre thei mai thei.
RSD hi damdawi leh enkawlna bik a awm lo. Mahse, ADHD leh rilru lam natna dangte tana hman damdawi leh therapies thenkhat chuan heng rilru natna nasa tak takte hi a tidanglam thei a ni.
Ruihhlo hmanga enkawl
- Alpha-2 receptor agonists: Damdawi `guanfacine (Intuniv)` leh `clonidine (Kapvay)` te hian thluak hian emotional signal a dawng thei a, a process thei bawk.
- Stimulant damdawi: Amphetamine (Adderall) leh methylphenidate (Ritalin) ang damdawi te hian thluak cell inkara signal phurtu chemical messengers (neurotransmitters) te chu a tichak a. Hei hian thluak hian message a dawnte chu a process tha zawkin a pui thin.
- Monoamine oxidase inhibitors (MAOIs): Hengte hi depression tan chuan an pe tlangpui. Rejection laka sensitivity tihziaawmna tura puitu an ni tih hmuhchhuah a ni bawk. Mahse, heng damdawi te hi ADHD damdawi dang emaw, ei tur thenkhat (e.g., aged cheese, sa) nen ei loh tur a ni. Chutianga tih chuan thisen sang hlauhawm tak a thlen thei a ni.
A pawimawh ber: Heng symptoms te hi i neih chuan doctor nen inbia ngei ang che. Doctor thurawn lo chuan damdawi engmah ei loh tur a ni.
Therapy hmanga enkawl a ni
Damdawi bakah hian Cognitive Behavioral Therapy (CBT) leh talk therapy ang chi enkawlna te hian a pui thei hle. Heng therapies te hian nangmah ngeiin i emotional response te hriatthiamna i neih theih nan a pui che a ni.
He therapy hian thil tih dan tha tak tak siam turin a pui bawk che a, chu chu mi dang thusawi ngaihthlak te, thil chiang lo huna sawifiahna dil te, leh chhan nghal mai lovin ngaihtuahna hun hman te hi a ni. Hun a kal zel a, khawtlang dinhmun hrang hranga i rilru put hmang enkawlna atana hmanraw leh hmanraw mamawh te chu i siam chhuak thei tawh ang.
Hriattirna bik: Nangmah emaw, i hriat miin emaw, mahni intihchhiat tumna a neih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal tur a ni. Damdawi lam thurawn lak a pawimawh hle.
Take-Home Thuchah a ni
- Rejection Sensitive Dysphoria (RSD) hi hnawlna avanga rilru natna nasa tak, tuar theih loh khawpa hrehawm tak a ni.
- Hei hi official-a pawm damdawi lam dinhmun ni lo mah se, a tlangpuiin ADHD vei zingah a awm fo.
- Hei hi thluak hnathawh dan leh genetic factors inthlak danglamna hi a ni thei niin an ngai.
- He natna hi damdawi hmanga enkawl theih a ni a, a bik takin cognitive behavioral therapy (CBT) ang chi enkawlna hmanga enkawl theih a ni.
- Nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan mahni chauha hrehawm tuar ai chuan doctor thiam tak hnen atanga thurawn lak a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh