I pum na tlem i nei a, a nih loh leh i dam lo mai mai ang tih han ngaihtuah teh. Engtin nge kan tih tlangpui? Tlem kan chawlh hahdam mai thei, a nih loh leh paracetamol kan la a, kan nghak chhuak mai thei bawk. Mahse, he chhinchhiahna tenau tak hi natna khirh tak, cancer pawh ni thei, bul tanna a ni thei ang tih i ring em? I ngaihtuah hian pressure leh hlauhna nasa tak i nei em? Doctor pakhat hnena i kal a, "engmah a dik lo" an tih hnuah i ring thei lo va, doctor engemaw zat hnenah i kal leh ta em ni? Chutiang a nih chuan vawiina kan sawi tur thupui hi i tan a pawimawh hle mai thei. Rilru lam natna pakhat `Somatic Symptom Disorder` (SSD) tih hi han sawi ila.
A awlsam zawngin, Somatic Symptom Disorder (SSD) hi eng nge ni?
Hei hi thupui buaithlak tak angin a lang thei a, mahse awlsam takin ka hrilhfiah ang che. `Somatic Symptom Disorder` (SSD) hi rilru lam natna a ni. Heta thil thleng chu mi pakhat hian taksa lama natna lan chhuahna pakhat emaw a aia tam emaw a nei tak tak a ni. Mahse, chutiang chhinchhiahnate chungchânga an rilru hahna, lungkhamna leh hlauhna chu a pangngai lo takin a sang a ni.
A pawimawh ber chu hei hi "imagined illness" a ni lo. Chu chu damlo chuan a fake lo tihna a ni. A takah chuan natna, hahna, a nih loh leh taksa lama harsatna dang a tawk a ni. Buaina chu chu hrehawmna chu chu miin a chhân lêt dânah a awm a ni. Entirnan, doctor chuan test a kalpui a, "Hei hi gastritis pangngai a ni a, ngaihtuahawm tur a awm lo," a ti mai thei a, mahse SSD vei chuan, "Ni lo, doctor chuan ka dinhmun hi a hre thei lo a, thil pawi zawk ka nei a, colon cancer pawh a ni mai thei," tiin a ngaihtuah mai thei. He hlauhna leh lungkhamna nasa lutuk hian an nitin, an nun pumpui a tibuai thei a ni.
Hriat reng tur pawimawh ber: SSD-ah chuan buaina chu taksa lam chhinchhiahna tak tak a ni lo. Chu chhinchhiahna chhehvela ngaihtuahna, rilru put hmang leh nungchang tam lutuk, thunun theih loh lo awmte chu a ni.
Hetiang rilru dinhmun dang hi a awm em? A danglamna i zir ang u.
Ni e, a châng chuan he dinhmun hi rilru lam dinhmun ang chi dangte nên pawh a inthlau thei a ni. A danglamna ber chu eng nge ni tih i lo en ang u. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.
| Rilru dinhmun | A bulpui ber a ni | A awlsam zawngin... |
|---|---|---|
| Somatic Symptom Disorder (SSD) a awm a, a natna hi a tha lo hle. | Taksa lam chhinchhiahna (e.g., natna, hahna) a awm tak tak a ni. Chumi chungchangah chuan lungkhamna leh hlauhna nasa lutuk a awm. | "Hetiang ka pum na avang hian hna engmah ka thawk thei lo. Hei hi natna hlauhawm tak a ni ngei ang." |
| Natna avanga lungkhamna (Illness Anxiety Disorder) a awm (Hmanlai chuan Hypochondriasis tia hriat thin) | Vawi tam tak chu taksa lama chhinchhiahna a awm lo , a nih loh leh a na lo hle chauh a ni. Mahse, natna an nei ang emaw, an nei tawh emaw tih hlauhna nasa tak a awm a ni . | "Tun dinhmunah chuan harsatna ka nei lo. Mahse, cancer ka vei theihna chance lian tak a awm niin ka hria. Ka ngaihtuah fo thin." |
| Piantharna (Conversion Disorder) a awm (Functional Neurological Symptom Disorder) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Nervous system nena inzawm symptoms (e.g., rilru hahna, seizures, thusawi thiam lohna) a awm a, mahse medical test-ah chuan taksa lam thil a awm lo . | "Vawilehkhatah ka ke chu a hring vek. Doctor-te chuan eng test pawh ti se, a chhan an hmu thei lo." (Hetah hian symptom chungchangah hian hlauhna a awm lo mai thei). |
SSD condition symptoms te chu engte nge ni?
He dinhmun hi hriatthiamna kawngah hian kawng hnih a awm a. Pakhat chu taksa hriatna a ni a, pakhat chu chu chu kan rilru leh nungchang lama kan chhân lêtna a ni.
1. Taksa lam chhinchhiahna
Hengte hi eng pawh a ni thei a, mahse a tlangpui ber chu:
- Natna: Hei hi a lan chhuah dan ber leh report tam ber a ni. Natna chi hrang hrang a ni thei a, lu na, pum na, hnungzang na emaw, ruh na emaw a ni thei.
- Fatigue or extreme fatigue: Chhan awm lova chau reng reng.
- Thâwk harsa: A rilruah a rit tih hriatna, thawk hah lutuk.
Heng symptoms te hi a takah chuan damdawi lam thil (e.g. gastritis) avanga lo awm a ni thei a, a chhan chiang tak pawh a awm lo thei bawk.
2. Ngaihtuahna, rilru put hmang leh nungchang tam lutuk
Hei hi SSD status bulpui ber a ni. Miin heng thilte hi a lantir chuan i ngaihtuah tur a ni:
- Hlauhna leh lungkham lutuk: Mahni taksa lama natna lan chhuah dan chungchangah hlauhna leh lungkhamna nasa lutuk nei reng reng. Ngaihtuahna fo thin, "He lu na tlemte hi thluak natna a ni em tih ka ngaihtuah thin."
- Thil chhe ber ngaihtuah: Simptom tenau tak pawh hi natna khirh tak chhinchhiahna a ni tih ngaihtuah hi.
- Doctor inthlak fo: Doctor pakhat rin ai chuan doctor pakhat atanga doctor dang pan chu "doctor shopping" ang mai a ni. A châng chuan, a rualin doctor engemaw zatin an enkawl thei che a ni.
- Test result rin lohna: Test engzat pawh i tih a, "harsatna a awm lo" tih i nih pawhin, result-ah i la lungawi lo va, "Test-ah hian tihsual a awm ngei ang," tiin i ngaihtuah thin.
- Doctor chungchanga ngaihdan dik lo: "Ka doctor hian min ngaihsak lo, ka natna hi a hrethiam lo" tih ang chi rilru put hmang.
- Hun leh chakna khawhral: Hun leh chakna tam lutuk hmanga zirchianna neih te, internet-a i hriselna lama harsatna awmte chhiar te, doctor-te hmuh te.
- Midangte chunga innghahna: Midangte tanpui leh enkawl tura ngen fo thin. Chu ṭanpuina chu dawn loh huna thinrim.
- Nitin hnathawh that lohna: Heng natna lan chhuah dan leh ngaihtuahna te hian nitin hnathawh te, hnathawh te, leh chhungkaw nun a tibuai vek thei a ni.
Engvangin nge mi pakhatin hetiang dinhmun hi a neih?
Hei hi chhan pakhat mah a awm lo. Zirchiangtute chuan genetic, environment leh psychological factors inkawp hian chanvo a nei niin an ngai. Risk factors langsar tak tak thenkhat chu:
- Naupan laia thil tawn harsa tak tak: A bik takin naupan laia taksa emaw, mipat hmeichhiatna lama tihduhdahna.
- Nu leh pate hnen atanga ngaihsak loh: Naupan laia rilru natna hriat leh enkawl dan tur kaihhruaina, hmangaihna leh ngaihsakna mumal neih loh.
- Rilru lam harsatna: Rilru lam harsatna dang, lungngaihna emaw, lungkhamna emaw nei tawh. SSD vei zinga 30% - 60% vel chuan heng natna pahnih emaw, pakhat emaw hi an nei thei a ni.
- Mihring mizia: Mihring nihna lama harsatna thenkhat nei te hian he natna hi an vei theihna a sang zawk.
- Ruihhlo emaw zu emaw hman: Ruihhlo emaw zu emaw addiction.
- Attention: Mahni taksaa inthlak danglamna tenau te pawh ngaihsak lutuk hi tih dan.
Engtin nge doctor hian he natna hi a hriat theih ang?
I taksa natna lan chhuah dan hrilh tura doctor hnena i kal hian a tih hmasak ber chu chutiang natna lan chhuahna taksa lam thil a awm leh awm loh enfiah a ni. A tul chuan taksa enfiahna emaw, thisen test emaw, ``scan'' dang emaw a ti ang.
Heng test neih hnu hian .
1. I natna lan chhuah dan tur taksa chhan hmuh theih a nih loh chuan, .
2. A nih loh leh, doctor-in i lungkhamna leh i lungkhamna chu natna nasatzia aiin a nasa zawk tih a hriat chuan, taksa natna i nei a nih pawhin, .
Ani chuan rilru lam hriselna lama mithiam, rilru lam doctor ang chi hnenah a refer thei che a ni.
Mental health professional chuan he natna hi tehfung bik tlemte enin a nemnghet ang. SSD vei nia hriat theih nan chuan mi pakhat chuan thla 6 tal nitin nun tibuaitu taksa lama natna lan chhuahna pakhat emaw a aia tam emaw a neih a ngai a ni . Chu bâkah, chutiang chhinchhiahnate chhân lêtna atân a hnuaia mi pakhat tal chu an nei tûr a ni:
- Mahni natna lan chhuah dan nasat dan ngaihtuah lutuk leh nghet taka ngaihtuah.
- Mahni hriselna emaw, natna lan chhuah dan emaw ngaihtuah reng reng.
- Mahni natna lan chhuah dan leh hriselna lama harsatna awmte zirchianna atana hun leh tha tam lutuk hman.
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu he natna hi enkawlna tur a awm tih hi a ni. Enkawlna tum ber chu taksa lama natna lan chhuah dan enkawlnaah tanpui a, chutih rualin a kaihhnawih rilru lam thilte pawh enkawl a ni.
- Psychotherapy: Hei hi enkawl dan ber leh hlawk ber a ni. Hetah pawh hian `Cognitive Behavioral Therapy` (CBT) tih dan hi a hlawk hle.
- Damdawi: A then phei chuan doctor chuan antidepressant ang chi damdawi a pe thei a, chu chuan underlying depression emaw anxiety emaw a enkawl theih nan a pui thei a ni. Mood tihchangtlun bakah hian heng damdawi te hian taksa natna, hahna, leh mut theih lohna te pawh a tiziaawm tih hmuhchhuah a ni bawk.
- Doctor pakhat nen inzawmna rintlak tak siam rawh: I primary care physician nen doctor pakhat chu vawng reng ang che. Hei hian a tul lo taka test leh doctor tlawh loh nan a pui thei a ni.
- A hun takah doctor hmu rawh: Ni ruat saah doctor hmu la, i taksa natna lan chhuah dan leh i hmachhawn dan tur sawipui rawh.
- Mental health professional nen inzawm fo rawh: I rilru lam natna lan chhuah dan, lungkhamna leh hlauhna te enkawl turin rilru lam doctor emaw counselor emaw hmu fo ang che.
- Exercise leh stress tihziaawm dan: Yoga, meditation, leh light exercise ang chi thil tih hi i rilru bakah i taksa tan pawh a tha thei hle.
- Somatic Symptom Disorder (SSD) hi "natna siam chhuah" a ni lo. Taksa lama natna langsar tak tak nena inzawm rilru hriselna dinhmun tak tak, enkawl ngai a ni.
- Hetiang dinhmunah hian buaina ber chu taksa lam natna lan chhuah dan a ni lo va, a vanga lungkham lutuk, hlauhna leh nungchang lama harsatna lo awm hi a ni.
- Doctor shopping tam leh tul lo taka test neih hian thil a tichhe zual thei a ni. Doctor pakhat nena inrintawkna nei reng a pawimawh hle.
- Talk therapy, a bik takin CBT hi he natna enkawlna atana hmanraw tangkai tak a ni.
- I taksa natna lan chhuah dan te, chutiang bawkin i hlauhthawn leh i lungkhamna te chu i doctor nen zalen taka sawipui hlau suh. Ṭanpuina dik tak dawn hi dam lehna hmasa ber a ni.
CBT hian i symptoms chungchanga i ngaihtuahna dik lo (distored) te hriatchhuah leh thlak danglam turin a pui mai che a ni. Entirnan, "Thinlung natna ka neih avangin ka lu a na" tih ngaihtuah ai chuan, "Tui ka in tlem vang pawh a ni mai thei," tih ang chi ngaihtuahna fim zawk chu i practice thei ang. Hei hian a pui ang che:
- Symptoms chungchanga hlauhna leh lungkhamna tihziaawm.
- I taksa lama harsatna awmte ngaihtuah reng reng kha bansan rawh.
- Hrehawmna karah pawh social leh active taka awm theihna tur kawng zawng rawh.
- Nitin hna tha takin thawk rawh.
Nangmah ngeiin i tih theih thilte leh hmalam hun thlir dan tur
SSD hi natna khirh tak a ni thei fo. Chumi awmzia chu a natna lan chhuah dan chu rei lo te chhung a reh thei a, a lo lang leh thei tihna a ni. Amaherawhchu, uluk taka enkawl a nih chuan mi tam zawk chuan an natna lan chhuah dan an thunun thei a, nun pangngaiin an hmang thei a ni.
Hetiang natna hi i vei tih hmuhchhuah a nih chuan heng step te hi zawm hian i dam lehna kawngah nasa takin a pui ang:
I taksa chhinchhiahnain a tihbuai em em a, nitin nunah i thawk thei lo a nih chuan nangmah chauhin hrehawm tuar suh. A rang thei ang bera Doctor hmu rawh. Hei hi taksa natna dang ang bawkin enkawl theih a ni tih hre reng ang che.
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