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.