I fain an thinrimna thunun harsa a ti em? DMDD chungchang hi han sawi ila! (Disruptive Mood Dysregulation Disorder) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

I fate chu thil tenawm ber berte avang hian thunun theih lohvin a thinrim em? I inbual lai te, a sam i hrual lai te, a nih loh leh school bus-a chuang tum pawha tantrum a thlak em? Hei hi thil sual pangngai emaw, rilru na tak emaw mai a ni lo mai thei. Dik tak chuan he thiltih hnuaiah hian rilru lam hriselna dinhmun thuk zawk a awm thei a ni. Vawiin hian chutiang dinhmun pakhat, Disruptive Mood Dysregulation Disorder emaw, a tawi zawngin DMDD emaw kan sawi dawn a ni.

DMDD chu eng nge ni?

A awlsam zawngin sawi ila, DMDD hi rilru lam hriselna dinhmun a ni a, naupangte chuan an rilru natna, a bik takin thinrimna an thunun thei lo. Chuvang chuan tharum thawhna nasa tak an nei fo thin a, chu chu "temper tantrums" kan ti a, chu chu an tih chu a ni. Heng outburst te hi an tih duh loh thil an tih a ngaih hunah a thleng fo thin.

He natna hi kum 2013 khan Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-ah official-in dah a ni a, tun hma chuan naupang heng symptoms nei te hi pediatric bipolar disorder tia hriat sual an ni fo thin. Hei hi ven nan leh diagnosis dik zawk siam nan DMDD hi hman a ni. Chu chuan naupang tân in lamah te, sikulah te, leh ṭhiante nêna inlaichînnaah te, leh ṭhiante nêna inlaichînnaah te harsatna lian tak a thlen thei a ni.

DMDD natna lan chhuah dan chu engte nge ni?

Hengte hi DMDD vei naupang zingah hian a lan chhuah dan lian ber berte an ni.

• Thinrimna nasa tak: Hei hi thinrimna mai a ni lo. Chutah chuan tharum thawhna thiltih a huam a, chu chu ṭawngkam mawi lo, au thawm, thil paih, a nih loh leh mi pakhat taksa lama beih pawh a ni thei.
• Thinrim fo: Heng thinrim na tak takte hi kar khatah vawi thum emaw a aia tam emaw a awm thin.
• Thinrim loh lai pawhin lungkham: Naupang chuan thil lian tak a nei lo a nih pawhin, ni tam zâwk chu thinrim, lungkham, a nih loh leh thinrimna neiin a hmang thei a ni . Hei hi chhungte leh zirtirtuten an hriatthiam theih em em a ni.
• Buaina nena inmil lo chhanna: Naupang thinrim chhan i en chuan a chhanna a lantir chu a inhmeh lo tak zet a ni. Thil tenau ber pawh a puak darh vek.
• In leh sikula ngaihtuahna seng harsa: Hetiang rilru dinhmun hian naupang tan sikul hnathawh bakah homework-ah pawh a rilru a pe harsa hle.

DMDD Diagnosis leh A chhan

Tun thlenga zirchianna chuan hei hi DMDD thlentu a ni tih chiang takin a la hmu lo. Chuvangin nu leh pa i nih angin he thilah hian inthiam lohna nei suh.

I fain DMDD a vei nia i rinhlelh chuan a tha ber chu i fa doctor biak hi a ni . Doctor chuan i fate nungchang a zawt nasa ang che. I fa chu in lama a awm dân te, sikulah te, leh a chhuah leh chhuah huna a awm dân te sawi chhuak ngei ang che. Chumi hnuah chuan doctor chuan i fa chu a enfiah ang a, heng natna lan chhuahna thlentu taksa lam thil dang a awm leh awm loh a enfiah ang.

Tichuan, doctor chuan naupang chu rilru lam hriselna lama mithiam hnenah a refer fo ang a, DMDD hi rilru lam natna dang nen a inthlau thei a ni. Entir nan:

• Attention-Deficit/Hyperactivity Disorder (ADHD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Oppositional Defiant Disorder (ODD) tih a ni a, a rilru a buai em em a, a rilru a hah em em bawk.
• Lungkhamna (anxiety Disorder) a awm

Naupang pakhatin official-a DMDD a vei tih hriat a nih theih nan a hnuaia tehfungte hi a tlin a ngai a ni. Hei hi table pakhatah han thlir ila.

DMDD hi eng enkawlna nge ni?

DMDD hi natna hmuhchhuah thar a nih avangin doctor-te chuan enkawlna tha ber berte chu an la zirchiang mek a ni. Mahse enkawlna hlawhtling tak tak a awm tawh. Enkawlna chi hnih lian tak hman a ni.

1. Damdawi

Damdawi thenkhat hian DMDD symptoms, a bik takin thinrimna leh mood swing te control nan a pui thei a ni. Hengte hi doctor rawtna leh enkawlna hnuaiah chauh pek tur a ni.

• Stimulants: Hengte hi ADHD tan hman tlanglawn tak a ni a, DMDD-a hmuh thin irritability tihziaawmna atan a pui bawk.
• Antidepressants: Heng damdawi te hian thinrimna leh rilru lam harsatna a tiziaawm thei a ni.
• Atypical Antipsychotics: Hetiang damdawi chi hi naupang thinrim em em, a bik takin midang tana taksa lama harsatna nei nungchang nei te tan an pe fo thin.

2. Rilru lam enkawlna

Psychological treatment hi damdawi ang bawkin a pawimawh a, a pawimawh zawk lo a nih pawhin.

• Nu leh pa Training: Hei hi a pawimawh hle. Nu leh pate chu DMDD vei naupang enkawl dan tur zirtir an ngai a ni. Nu leh pate chuan an fate thinrimna thlentute hriat chian a ngai a, chu chu a lo thlen hunah dik taka chhân lêt a, an fate chu nungchang ṭha avânga fak an zir a ngai a ni.
• Naupang tan Therapy: Naupang tan direct therapy pawh a pawimawh hle. Hetah hian Cognitive Behavioral Therapy (CBT) hi a hlawk hle. Chu chuan naupang chu an thinrimna hriat thiam a, thunun theih dan te, mi dangte nena inbiakpawhna tha tak neih te, leh harsatna awm thei dinhmunte hmachhawn dan te a zir theih nan a pui a ni.