Ruihhlo tihbo i tum a, hman leh duhna i nei em? (Relapse) Hemi chungchang hi i hre chhuak ang u!

Ruihhlo emaw zu ruih hmang emaw atanga chhuah tum i nih chuan i ngaihtuah angin zinkawng chu a awlsam lo tih i hria ang. A châng chuan, eng ang pawhin bei mah ila, kan tih dân hluiah kir leh duhin kan inhria thei a. Vawiin hian relapse chungchang kan sawi dawn a ni . Hei hi mi tam tak chunga thleng thin a nih avangin sawi hlau suh.

`Relapse` tih hi eng nge ni?

A awlsam zawngin, ``relapse'' chu i chawlhsan emaw, i chawlhsan tum emaw hnua thil (zu emaw ruihhlo dang ang chi) i hman tan leh hi a ni. Hei hian addictive thil hman tan leh tihna a ni fo. Mi thenkhat chuan hei hi ``slip-up'' an ti a, mahse tunlai hian health care provider te chuan ``returning to substance use'' an ti a ni.

He relapse hi mi zawng zawng tan a inang vek lo. Hun rei tak chhunga i pumpelh tawh zu emaw ruihhlo emaw i hmang leh thei a ni. Mi thenkhat chuan damdawi chi dang an hmang tan thin. Mahse, ``relapse`` chu i hman duh loh thil i hman tan hian a ni.

Substance Use Disorder hi damdawi lam natna i neih a ni. Tu nge i nih chungchanga rorelna a ni lo. Dik tak chuan he natna vei tam tak hi an dam leh hunah engtik lai pawhin an lo let leh ang. A pawimawh ber chu i natna lo lang leh hnua i rilru fim taka awm theihna tura i mamawh hriselna enkawlna leh tanpuina i neih hi a ni. I hman ṭan leh tawh a nih chuan (a nih loh leh i hmang ṭan tawh ang tih i hriat chuan) i rintlak tak chu biak rawh. I hmangaih takte, support group, mental health counselor , emaw healthcare provider emaw chuan an pui thei vek che a ni. An rorelsak lo vang che, an zahpui lo vang che. Anni chuan him, hrisel leh i dam lehna tur thil tum tihhlawhtlinna tura pui turin an duh che a ni.

`Relapse` neih hi eng nge a awmzia?

``Relapse'' tih hian i pumpelh duh emaw, pumpelh ngai emaw thil i hmang tihna a ni. Vawi khat tihsual tlemte a ni thei a, ruihhlo emaw zu emaw hman danah a lo lang leh thei bawk.

Mahse hriat reng tur pawimawh tak chu relapse hian hlawhchham emaw, mi tha lo emaw i ni tihna a ni lo. Dam lehna hi dam chhung zawnga thil tih tur a ni. School-a class ang maia pass leh fail theih thil a ni lo.

Substance hmansualna (Substance Use Disorder) a niHetiang hriselna dinhmun neih hian tu nge i nih a tichiang lo. Substance hmansualna lama kir leh hi i hriselna atan a hlauhawm thei a, chuvangin him taka awm a pawimawh. Mahse chutiang a nih chuan i dam leh theihna tur chu i thleng leh thei tawh ngai lo tihna erawh a ni lo. I tan thar thei reng a ni.

Eng thilin nge natna lo lang leh tûra chêttîr che?

Heng trigger te hi mi tin tan a inang lo vek. Mi zawng zawnga awm fo thin, natna lo lang leh thei thil thenkhat chu hetiang hi a ni:

• Mi emaw hmun emaw nena inzawmna siam leh: I hun kal tawha mi hmuh emaw, i hriatrengna hmuna kal emaw chu thlemna nasa tak a ni thei . I dam lehna kawngah hian ṭhian emaw, inzawmna emaw ṭhenkhat aṭangin i inhnukdawk mai thei. Anmahni hmuh leh chuan ruihhlo i hman lai aṭanga i hriat tawhte chu a rawn hruai kir leh thei a ni. Entîr nân, i in ṭhinna hmun i hmuh emaw, i ṭhian hlui i hmuh emaw chuan, chu hun laia kir leh duhna a siam thei a ni.
• I hriselna lama inthlak danglamna: Natna thar i neih tih i hriatchhuah hian ``relapse'' i nei thei a, natna awm tawh chu a zual zel thei bawk. He hlauhawmna hi a bik takin tun hmaa natna emaw hriselna lama harsatna dang emaw atan ruihhlo i lo hmang tawh a nih chuan a sang hle . Entirnan, tu emaw chuan ruh natna a vei a, tun hmaa a natna tihziaawm nan zu a hmang a nih chuan a natna a lo let leh hunah zu a hre reng mai thei.
• Ni pawimawh: Chawlhni, piancham, sakhaw chawlhni, a nih loh leh hun bik dangah ruihhlo duhna nasa tak i nei thei a. Tun hma pawhin ruihhlo hmangin heng ni hi i lo hmang tawh mai thei. Chutiang ni-ah chuan fimkhur a pawimawh hle.
• Nun a inthlak danglam: Hna thar thawh tan te, hna hloh te, chhungkua emaw inlaichinna lama harsatna te, emaw, hmangaih tak thihna te hian ruihhlo hman leh duhna a thlen thei vek a ni. Mi thenkhat chuan heng ang hun laia pressure an neih thin hi an tuar theih loh avangin ruihhlo lam an hawi thin.
• Stress emaw, rilru natna dang emaw: Stress, thinrim, hlauhna, sualna, mahni chauha awm emaw, rilru natna nasa tak dang emaw chuan ruihhlo hman dan tur ngaihtuah tir thei che a ni. Hei hi i rilru put hmang hmachhawn emaw, tlanchhuahna emaw atan ruihhlo i hman chuan a dik hle. Hlimna rilru pawh hi a châng chuan trigger a ni thei. I khawtlang nunah hlim taka i hlim lai te, thil i lawm lai te, ruihhlo i hman lai te kha han ngaihtuah la, chu hun hlimawm tak chu i ngaihtuah leh mai thei. Ruihhlo tel lova hlim taka awm thei leh hriatrengna tha tak siam thei tih hriat nan hun a ngai a ni.

`Relapse` hi eng stage nge ni?

Ruihhlo hman nawn leh chu thil thleng nghal mai angin a lang thei a, mahse mithiamte chuan mi tam tak chuan a lo let leh hmain stage engemaw zat an paltlang tih an hmuchhuak. Heng stage-te hi hriat chian hian nang leh i hriat dangte chu vaukhânna chhinchhiahnate hriat theih nân a ṭanpui thei a ni.

Emotional Relapse tih hi a ni

``Relapse'' stage hmasa ber pawh i ngaihtuah lo mai thei. Hman leh tur pawh i ngaihtuah lo mai thei. Mahse, ``trigger'' chuan sualna, thinrimna, lungngaihna, hlauhna, emaw lungkhamna ang chi rilru natna nasa tak a thlen thei che a ni . Chûng rilru put hmangte hmachhawn leh enkawl chu thil harsa tak a ni thei. Chutih hunah chuan hetiang hi i ti mai thei:

• I rilru put hmang enkawl tura a tlangpuiin ṭanpui thei tur support group emaw, i hmangaih tak takte emaw chu i pumpelh ṭhin.
• I rilru put hmang chu i chhungah bottle-ah i dah a, i hmangaih tak takte hnen atangin i thup a, i tha ang maiin i insiam thin.
• Chaw ei zat inthlak danglam (a ei tam lutuk nghal emaw, ei tur ngaihven loh emaw).
• I inthiarfihlim a, i tana ṭha mite, i thiltih nuam tak takte leh i thil tih nuam tak takte a\angin i inthiarfihlim ta a ni.
• Mut i hmuh zat a inthlak (zanah i mu thei lo mai thei, a nih loh leh nilengin i muhil thei bawk).
• A thinrim thuai a, thil tenawm tak takah a thinrim bawk.

Ngaihtuah teh, hun kal tawha i ṭhian pakhat i hrechhuak nghal a, i lungngai emaw, i thinrim emaw a ni. Chutih lai chuan i thian i biak fo thin kha i phone a, i tanpui ngai lo. Tumah hrilh lovin nangmah chauhin i lungngai thin. I room-ah i awm reng a. Hei hi rilru lama `Relapse` awm dan chu a ni. Hetih lai hian ruihhlo lam pawh i ngaihtuah lo mai thei a, mahse i nungchang chu a danglam tan tawh a ni.

Rilru lam natna (Relapse) a awm

``Relapse'' rilru lam dinhmun chu i rilru chu ruihhlo hman lam a pan leh tan atang hian a intan thin. I rilru thenkhatin, "Ni lo, hmang suh," a tih ang mai a ni a, a then chuan, "Tlemte neih pawh a pawi lo" tih a inhnial bawk.

If you have a substance use disorder , ruihhlo emaw zu emaw hian i thluak hnathawh dan chu a tidanglam reng thei a ni. Hei hian i ngaihtuahna emaw, i duhzawng emaw thunun thei lo ang maiin a siam thei che a ni. Ruihhlo hman i duh lo tih hria mah la, i thluak hian trick a khelhpui che ang maiin a lang thei.

• "Tlem tal lak pawh a pawi lo, ka control thei."
• "Hei hi vawi khat chauh, ka hmang leh tawh lo ang."
• "Tumah an man lovang."
• "A hmaa i hman lai khan engtiang chiahin nge nuam a tih?"
• "He `(Stress)` hi handle tur hian thenkhat i lak a ngai a ni."

Hetiang ngaihtuahna hi a lo thleng tan thin. Tun hmaa ruihhlo i hmanna hmun leh hmunte i ngaihtuah tan a. A ruka hman dan tur pawh i ngaihtuah mai thei.

Ruihhlo duhna chuan i chak lo emaw, thiltihtheihna nei lo emaw i ni tihna a ni lo. Natna peng pakhat a ni. Ṭanpuina dil hi a tlai ngai lo.Heng rilru put hmangte hi a lo thleng tih i hriat veleh i rintlak tak hnen atangin tanpuina dil rawh.

Taksa lama lo let leh

He ``relapse'' hnuhnung ber hi ruihhlo i hman tan leh tak tak hi a ni. Rilru inbeihna chu a tawp tawh a, thiltihin i ti leh ta a ni. Hei hi vawi khat tihsual a ni thei a, ruihhlo emaw zu emaw hman chhunzawm zelna lama kir lehna pawh a ni thei bawk.

Substance use disorder neia nung zawng zawngte chu engtik lai pawhin an lo let leh vek dawn tih hre reng ang che. Chu chu i tawp thei lo tihna a ni lo. Hun rei tak chhunga i thil tum chu ruihhlo laka invenna a nih chuan i tihlawhtling thei ngei ang. Healthcare provider leh support system dangte nen inbiakna neihpui la, bânsan theihna tura ṭanpuina dawng rawh.

Relapse lo awm leh tur venna tur strategy te chu engte nge ni?

Relapse lo awm leh tur venna atana puitu pawimawh ber chu enkawlna hmuna awm reng hi a ni. Hun a kal zel a, eng enkawlna nge i tan a tha ber tih i hre chhuak ang.

• I damdawi pek (a awm chuan) chu a hun takah ei thin ang che.
• Mental health advisor (counselor, psychiatrist) nen inbiakna neih chhunzawm zel ang che.
• Support group-a tel. Heng zawng zawng hian i dam lehna tur thil tumte chu i ngaihtuah reng theih nan a pui ang che.

Eng trigger nge i neih tih hriatthiam a \angkai hle bawk . Entîr nân, mi tam tak chuan chawlhni emaw, mi mal ni pawimawh tak emaw-ah lungkhamna, sualna, leh sualna rilru put hmang an nei a, chu chuan natna dang a thlen leh thei a ni. I natna lo lang leh theihna ber hun i hriat chuan, chutiang hun atân chuan i inbuatsaih thei a, i mamawh ṭanpuina leh thil dang i hmu thei bawk. Chutiang hunah chuan i rintlak mi pakhat nên hun tam zâwk i hmang thei a, a nih loh leh counselor nêna inhmuhkhâwmna hun i ruahman thei bawk.

Mi tam tak tan chuan ``relapse`` hi hman leh theihna hun bik emaw, hun remchang bik emaw an neih hian a thleng thin. ‘Engtin nge ka hmangaih takte hriat lohvin ka hman tan theih ang?’ tih ang chi ngaihtuahnate chu hriat tum ang che . Hetiang hunah hian i rintlak mi pakhat hnên aṭangin ṭanpuina dîl rawh.

Pawimawh: Biak tur i neih loh chuan, emaw, professional tanpuina i mamawh a nih chuan National Institute of Mental Health (NIMH) Sri Lanka emergency hotline 1926 (nitin darkar 24) ah i call thei ang. Tin, Sumithrayo ang pawl (phone number: 0112692909, 0112696666, 0112682535) te pawhin tanpui turin an inpeih reng bawk. Anni chu i thusawi ngaithla tûra zirtîr an ni a, i mamawh hmanrua zawng tûrin, eng ang pawhin i rilru put hmang pawh ni se, ṭanpui tûrin an zirtîr che a ni.

Substance use disorder neia nun hi dam chhung zawnga thil thleng a ni. Tu pawhin an dam chhungin substance hmannaah an lut leh thei a ni. Hei hian hlawhchham i ni tihna a ni lo. Dik tak chuan hlawhchhamna hi a awm lo. I tum ber chu ruihhlo laka awm reng a nih chuan engtikah emaw chuan i tihlawhtling thei ang.

Relapse i tawk a nih chuan nangmah chauhin i hmachhawn a ngai lo. I healthcare provider, i hmangaih te, leh support group te hian him takin an vawng reng thei che a, i rilru leh ngaihtuahna te enkawl turin an pui thei bawk che a ni.

He thuziaka i hriat reng tur pawimawh ber berte

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

• ``(Relapse)``, chu chu ruihhlo hmannaah kir leh hi thil pangngai a ni. Ruihhlo tihbo tum mi tam tak chuan he thil tawn hi an nei thin. I lam atanga chak lohna a ni lo va, hlawhchhamna i ni tihna a ni hek lo.
• Nangmah chauh i ni lo. He zinkawngah hian tanpui thei che leh chakna pe thei che mi tam tak an awm. I chhungte, i thiante, doctor te, counselor te, leh support group te hnena thlen hlau suh.
• Relapse thlentu trigger te chu hriatchhuah tir rawh. Tin, a lo let lehna stage (emotional, mental, physical) te pawh hre reng ang che. Hei hian inbuatsaih lawk tur leh tanpuina dil turin a pui ang che.
• I relapse leh a nih pawhin damna tur i zinkawng chu a tawp lo. I tum leh thei ang. A pawimawh ber chu tanpuina dil a, beih chhunzawm zel hi a ni.
• Ṭanpuina i mamawh chuan sawi chhuak rawh. Kum 1926, emaw National Institute of Mental Health ang chi service te chu i tan a awm reng a ni. Rorel ngai lovin an ngaithla ang che.

Dam lehna hi kawng thui tak a ni tih hre reng ang che. Kawngpuiah hian twist leh turn a awm thei. I hnungtawlh pawh a ngai mai thei. Mahse, i siam thei tho. I chak a ni. Hei hi i ti thei ang! Relapse vawi khat chu a tawpna a ni lo. Tho leh rawh.

` Ruihhlo, zu, hman nawn, relapse, ruihhlo ngawlvei, rilru hriselna, tanpui