Taksa natna engmah nei lo mah la, natna i nei reng em? He (Somatic Symptom Disorder) chungchang hi han sawi ila!

Doctor hnenah i kal a, natna khirh tak i nei lo tih sawi mah la, i la na hle a, symptoms a hnungzuiin i la nei reng tih i hre ngai em? A nih loh leh, natna tenau i neih lai pawhin phurrit leh lungkhamna nasa tak i nei em? Heng thilte hian nitin hna mumal taka thawk thei lo turin a dal che em? Chutiang a nih chuan vawiina kan sawi tur thupui hi i tan a pawimawh hle ang.

``Somatic Symptom Disorder'' tih hi eng nge ni?

A awlsam zawngin, `(Somatic Symptom Disorder - SSD)` tih hi rilru lam natna a ni a, a takah chuan taksa natna a ni lo emaw, a dik zawk chuan thil tenau tak emaw pawh ni se, i tuar nasa lutuk a, thil engemaw i ngaihtuah buai thin. Hemi kawngah hian thil thleng chu i lungkhamna leh hlauhna hian taksa lama natna lan chhuahna a siam a, a nih loh leh chhinchhiahna awm tawhte chu a tizual sauh sauh a ni. Hei hian i nitin nun a tibuai thei a, nun nuam i tihzia a ti tlem thei bawk.

A pawimawh ber chu, heng mite hi an che lo. Chu hrehawmna, chu lungawi lohna chu an tawng tak zet a ni. Mahse a chhan chu taksaa natna khirh tak a neih aiin rilru hnathawh dan nen a inzawm zawk a ni. Heng mite hian Doctor hnenah an kal fo thin a, test an ti thin a, mahse rilru thlamuanna an nei lo.

`(Somatic Symptom Disorder)` leh `(Illness Anxiety Disorder)` te hi eng nge an danglamna?

Tunah chuan hei hi `(Illness Anxiety Disorder)` nen a inang em tih i ngaihtuah mai thei. An pahnih hian an danglam deuh hlek a. `(Illness Anxiety Disorder)` vei chuan taksa lama chhinchhiahna lian tham tak tak a nei lo fo thin a, mahse natna khirh tak tak a vei dawn tih a ngaihtuah fo thin a, a nih loh leh natna a nei tawh tih an hlau hle a, chu chu an ngaihtuah thin a ni. Mahse `(Somatic Symptom Disorder)`-ah chuan taksa lam natna lan chhuah dan chu a takin a lang a, chu chu an ngaihtuah ber leh an lungkham ber chu a ni.

`(Conversion Disorder)` leh `(Somatic Symptom Disorder)` te hi eng nge an danglamna?

Chutiang bawk chu `(Conversion Disorder - Functional Neurological Symptom Disorder)` ah pawh a ni. Hemiah hian nervous system hnathawhna lama harsatna a awm avangin (mahse taksa lama nerve tihchhiat vang erawh a ni lo), kea kal theih lohna, tawng thei lo, mitdelna ang chi symptoms a awm thin. Mahse, `(Conversion Disorder)`-ah chuan taksa lama natna lan chhuah dan chungchangah lungkham lutuk leh lungngaihna hi a langsar ber a ni lo. Mahse, `(Somatic Symptom Disorder)` -ah chuan a pawimawh ber chu taksa lama natna lan chhuah dan leh a vanga lungkhamna lo awm thinte ngaihtuah lutuk hi a ni.

He dinhmun hian tute nge a nghawng? Engtiang chiahin nge a hluar?

He ``(Somatic Symptom Disorder)`` natna hian naupang, thalai, leh puitlingte a nghawng thei a ni. A tam zawkah chuan he natna lan chhuah dan hi kum 30 an tlin hmain a lang tan a, hriat tur chu hmeichhiate hian mipa aiin a let sawm velin he natna hi an hmu tam zawk tih hi a ni.

Hei hi chutiang chuan a tlem lo. Doctor-te chuan puitling zinga 5% leh 7% inkar chuan he natna hi an nei thei niin an sawi.

`(Somatic Symptom Disorder)` chhinchhiahna leh lanchhuahna te chu engte nge ni?

Hetiang natna vei hian taksa lamah natna chi hrang hrang a nei thei a. A lan chhuah dan tlangpui chu:

• Taksa na (hei hi a lan chhuah dan report tam ber a ni). Lu na, pum na, ruh natna thlengin eng pawh a ni thei.
• Chauhna, nunna nei lo anga inhriatna.
• Thâwk harsa (a châng chuan ``Dyspnea'' an ti a, chu chu thawk hah emaw, thawk harsa emaw tihna a ni).

Heng symptoms te hi a na lo thei a, a na hle thei bawk. Symptom pakhat emaw a aia tam emaw a awm thei. Hei hi damdawi lam chhan a awm thei a, a chhan chiang tak a awm lo thei bawk.

Mahse, heng taksa lama natna lan chhuah dan bakah hian ``Somatic Symptom Disorder`` ziarang ber chu heng mite hian an chhanna atana an ngaihtuahna, an awm dan leh an rilru put hmang hi a ni. Chu chu:

• An taksa lama natna lan chhuah dan tur chu an hlau lutuk a, an lungkham lutuk bawk.
• Symptom tenau tak pawh hi natna hlauhawm tak chhinchhiahna nia ngaih a ni. Ngaihtuah teh, i pum natna tenau i neih chuan ni tam tak chhung chu i lungkham ang a, ‘Aw, cancer pawh ka vei tawh em tih pawh ka hre lo’ tiin i ngaihtuah ang.
• Doctor te hnenah an kal a, test leh exam an nei a, result a lo let leh chuan an ring lo. "Doctor hian ka natna hi a hmuchhuak thei lo," tiin an ngaihtuah thin.
• Doctor hian ka symptoms hi a ngaihsak tak tak lo niin ka hria.
• Doctor pakhat atanga doctor dang pan, emaw, a ruala doctor engemaw zat hnen atanga damdawi lak (hei hi `doctor shopping` an ti bawk).
• An hriselna lama harsatna awmte ngaihtuahin, a chinfel dan tur zawngin hun leh tha tam tak an hmang thin.
• Damdawi ei avanga side effects hi ka sensitive hle niin a lang fo. ‘Aw, doctor, chu damdawi ka ei hnuah hetiang hi ka chungah a thleng a, hetiang hi ka chungah a thleng’ ka ti fo thin.
• Midangah an innghat tan ta a ni. Ṭanpuina an dil a, rilru lama ṭanpuina an dil bawk. An mamawh phuhruk a nih loh chuan an thinrim thin.
• An taksa chhinchhiahna chungchanga ngaihtuahna, rilru put hmang leh nungchangte chuan nitin hna mumal taka thawh theih lohna a siam a ni.

Pawimawh tak chu Somatic Symptom Disorder vei zinga 30% leh 60% inkar hian rilru lam hriselna lama harsatna awm dun, lungkhamna leh/ emaw lungngaihna te pawh an nei thei bawk.

Hei hi eng chhan nge ni?

Engvangin nge hetiang hi a lo awm? Zirchiangtute chuan a chhan awm thei engemaw zat a awm niin an sawi. Chûng zîngah chuan genetic influences, environmental factors, leh psychological factors te pawh a tel a ni. A chhan langsar tak tak thenkhat chu:

• Naupan laia taksa emaw, mipat hmeichhiatna lama tihduhdahna. Heng thil chi hrang hrangte hian emotional trauma a thlen thei a ni.
• Naupan laia mahni rilru put hmang dik taka hriatthiam leh enkawl thiam lohna. Hei hi a chang chuan `Parental Neglect` emaw `Lack of Emotional Closeness` emaw ang chi thil vang pawh a ni thei.
• I taksaa inthlak danglamna leh i thil hriat (`taksa kalphung`) chungchangah lungkham lutuk, ‘Ka damlo ang em?’ tih ngaihtuah reng reng hi.

Engtin nge hei hi hriat chhuah a nih?

Doctor i pan chuan a enfiah hmasa ang che (`Physical Exam`), thisen test, zun test, etc. (`Laboratory Tests`) pawh a order thei bawk. Hei hi i natna lan chhuah dan tur taksa lama chhan dang a awm leh awm loh en nan tih a ni. I natna hmasa (`Health History`) te pawh a zawt ang.

Heng test neih zawhah hian taksa natna khirh tak i nei lo tih finfiah a nih chuan, emaw, i natna lan chhuah dan nasat dan tur damdawi lam chhan hmuh theih a nih loh chuan, i doctor chuan rilru lam hriselna counselor , rilru lam doctor emaw, rilru lam doctor emaw hnenah a refer thei che a ni.

Mental health counselor chuan ``Somatic Symptom Disorder`` tih hming pu condition i neih leh neih loh chu criteria bik hmangin a rel ang. Hei hi a hriat theih nan mi chuan:

1. I nitin nun tibuaitu leh thla ruk tal lungngaihna thlen thei taksa lama chhinchhiahna pakhat emaw a aia tam emaw i nei tur a ni .

2. Tin, chutiang chhinchhiahnate chhanna atan chuan ngaihtuahna, rilru put hmang, emaw nungchang tam lutuk a awm tur a ni. Chu chu a hnuaia mi pakhat tal a awm tur a ni tihna a ni:

• Taksa lama natna lan chhuah dan nasat dan ngaihtuah lutuk leh rei tak ngaihtuah.
• Hriselna emaw taksa lama natna lan chhuah dan emaw chungchangah lungkhamna sang tak neih reng.
• Taksa natna lanchhuahna leh hriselna lama harsatna nei te tan hun leh tha tam lutuk hman.

Hetiang `(Somatic Symptom Disorder)` vei tan chuan an lungkhamna leh hlauhthawnna chu "a tam lutuk" tih pawm a harsa thei hle.

Hei hi enkawl dan tur a awm em?

Ni e, a dik tak zet. Enkawlna tum ber chu taksa lama natna lan chhuah dan control a ni a, chutih rualin rilru lam natna pawh enkawl a ni. Hei hian talking therapies (psychotherapy) leh a châng chuan a hnuaia lungkhamna leh lungngaihna damdawi ei a huam a ni .

Cognitive Behavioral Therapy (CBT) hi rilru lam enkawlna chi khat hman tlanglawn tak a ni. Mite chu an ngaihtuahna leh nungchang thlak danglam turin a pui a, chu chuan an rilru put hmang a tidanglam a ni. Psychiatrist emaw psychologist emaw kaihhruaina hnuaiah CBT hian miten lungkhamna leh lungkhamna an hmachhawn theih nan leh dinhmun hrang hrang an hmachhawn theih nan a pui thei a ni.

`(Somatic Symptom Disorder) i neih chuan `(CBT)` hian hetiang thil hi a pui thei ang:

• I taksa natna lan chhuah dan leh hriselna zawng zawng chungchanga i rilru put hmang leh i rin dante tehfung siam rawh.
• I symptoms chungchanga stress leh lungkhamna tihziaawm dan tur zawng rawh.
• I taksa symptoms chungchangah obsessing kha bansan rawh.
• Eng thil nge i taksa lama natna lan chhuahna tizualtu tih hre rawh.
• Natna emaw, symptom dang emaw i nei a nih pawhin, active leh social taka awm theihna tur kawng zawng rawh.
• Nitin hna i thawh tur chu tha zawkin thawk rawh.

A châng chuan i doctor chuan antidepressant ang chi damdawi a pe thei bawk . Mood a tihchangtlun bakah hian hengte hian natna, hahna, ruh natna, leh mut theih lohna ang chi symptoms te a tiziaawm tih an sawi bawk.

Hetiang dinhmun hi engte nge ni?

Zirna hrang hrangah chuan he natna lo awm theihna tura puitu risk factor engemaw zat hmuhchhuah a ni. Entirnan:

• Taksa hriatna ngaihven lutuk.
• Substance hmansualna (Substance Use Disorder) a ni.
• Zu hmansualna (Alcohol Use Disorder) a ni.
• Naupan laia ngaihsak loh.
• Taksa leh mipat hmeichhiatna lama tihduhdahna tawk.
• Nunphung buaithlak/Trauma.
• Naupan laia natna rei tak tuar (`Chronic illness during childhood`).
• Rilru hriselna lama harsatna dang, a bik takin lungkhamna emaw, lungngaihna emaw neih.
• Mihring lam harsatna thenkhat nei, entirnan, Avoidant Personality Disorder, Paranoid Personality Disorder, leh Obsessive-Compulsive Personality Disorder te.

Psychotherapy hian SSD vei te chu stress leh symptoms tipungtu trigger te hmachhawn dan dang an zir theih nan a pui thei a ni. Hei hian an symptoms nasatzia a tihziaawm thei a ni.

Hetiang dinhmun hi eng prognosis nge ni?

Somatic Symptom Disorder hi hun rei tak (chronic) a nih a rinawm. Chu chu, natna lan chhuah dan a lo awm leh awm loh, a remission hun chhung, thla engemaw zat atanga kum tam tak chhunga awm thei dinhmun a ni thei tihna a ni.

Enkawl loh chuan Somatic Symptom Disorder hian a hnuaia mite hi a thlen thei a ni.

• Nitin hnathawh tur tihkhawtlai.
• Hna hmuh theih lohna emaw hnathawhna hmuna efficiency tlahniam emaw.
• Rilru lama harsatna nei.
• Nunphung quality tlahniam.
• Zu leh ruihhlo ngawlvei.

Mahse thu lawmawm tak chu enkawl a nih chuan mi tam tak chuan an natna lan chhuah dan chu a dam emaw, nasa takin a tlahniam thei a ni. Chuvangin beiseina nei reng a pawimawh.

Engtin nge ka in enkawl ang?

Somatic Symptom Disorder i vei tih hmuhchhuah i nih chuan heng step te hi i enkawlna leh dam lehna kawngah a pui ang:

• I primary healthcare provider, doctor i pan fo thin nen hian inzawmna tha tak, thawhhona tha tak leh rintlak tak siam rawh.
• Primary care physician ang chiah kha vawng reng ang che. Hei hian a tul lo taka test leh treatment lak loh nan a pui thei che a ni.
• I taksa natna lan chhuah dan i hmachhawn dan tur hriat tumin i doctor hmu fo ang che.
• I rilru lam hriselna lama i natna lan chhuah dan, lungkham lutuk leh hlauhna te enkawl leh enfiah turin i rilru lam hriselna lama mithiam (psychologist emaw counselor) hmu fo ang che.

Hemi chungchangah hian engtikah nge doctor ka hmuh ang?

Heng zinga pakhat tal i neih chuan i primary healthcare provider leh/ emaw mental health professional te hmuh a pawimawh hle:

• I taksa symptoms te chu engmah tih theih loh khawpa i lungkham a nih chuan, emaw, nitin i thiltih tibuaitu a nih chuan.
• Lungngaihna emaw, lungngaihna emaw chhinchhiahna i neih chuan (lungngai reng reng, engmah ngaihven lo, mut harsatna, ei theih loh, etc.).

Hriat reng tur pawimawh tak chu Somatic Symptom Disorder (SSD) hi rilru lam natna a ni tih hi a ni. Rilru hriselna dinhmun zawng zawng ang bawkin, natna lan chhuah veleh tanpuina zawng hian i nun tibuaitu chu a tiziaawm thei a ni. Mental health professional-te chuan i ngaihtuahna leh nungchang enkawl dan tur ruahmanna siamsak thei che a ni.

Chuti a nih chuan, he thawnthu atang hian eng nge kan hruai haw ang?

A awlsam zawngin sawi ila, ``Somatic Symptom Disorder`` hi taksaah natna lian tham awm lo mahse taksa lama natna lan chhuah dan tur ngaihtuah lutuk leh lungkham lutuk tihna a ni. Hei hi i suangtuahna thil a ni lo va, i hriat tak tak a ni. A chhan chu taksa aiin rilru nen a inzawm zawk a ni.

• Hetiang symptoms i neih chuan, taksa lam symptoms rual hian, chu chu hlauhna leh lungkhamna nasa tak i nei tihna a ni a, chu chuan i nitin hnathawhna a tibuai a, doctor emaw mental health counselor emaw hmuh chu zak lo la, hlau suh
• Enkawlna dik (a bik takin psychotherapy CBT ang chi leh a tul chuan damdawi) leh tanpuina pek a nih chuan he natna hi uluk taka enkawl theih a ni.
• Nangmah chauh i ni lo, midang pawhin heng thilte hi an tawng tawh a ni. A pawimawh ber chu tanpuina dil a, inenkawlna zawng hi a ni. Chhawmdawlna kan hmuh theih dan kawng tam tak a awm.

` Somatic symptom disorder, taksa lam natna, rilru hriselna, lungkhamna, lungngaihna, CBT, psychotherapy