Ðe nèwɔa nuvevi ɖokuiwò hã evɔ mènya oa? (Nonsuicidal Self-Injury Disorder) - Mina míaƒo nu tso esia ŋu!

Ɣeaɖewoɣi ne agbemekuxiwo do mo ɖa eye nèse le ɖokuiwò me be agba kpekpe aɖe le yeƒe susu me la, ate ŋu asesẽ ŋutɔ be nàdo. Ðe wòdzɔ ɖe dziwò nenema? Le ɣeyiɣi siawo tɔgbe me la, edzroa ame aɖewo be yewoawɔ nuvevi wo ɖokui le mɔ suesuesuewo nu be woatsɔ aɖe susu me vevesese si wosena le wo ɖokui me dzi akpɔtɔ. Togbɔ be esia nye nusi woate ŋu akpɔ le ame geɖe dome vaseɖe afi aɖe hã la, zi geɖe la, ame aɖeke meƒoa nu tso eŋu gaglãa o. Esia tae, egbea míaƒo nu tso esia ŋu vie.

Nukae nye nuvevi wɔwɔ ame ɖokui? Nukatae míewɔnɛ?

Kpuie ko la, nuvevi wɔwɔ ame ɖokui nye ne èɖoe koŋ gblẽ nu le wò ŋutilã ŋu le mɔ aɖe nu. Woyɔa esia le atikewɔwɔ me be ``Nonsuicidal Self-Injury Disorder''. Nu vevitɔ le afisiae nye be ame siwo wɔa nuvevi wo ɖokui alea la meɖonɛ be yewoawu yewoƒe agbe nu o. Susu bubuwo tae wowɔa esia ɖo.

Bu eŋu kpɔ, nukatae ame aɖe adi be yeawɔ nuvevi ye ɖokui? Susu vevi geɖewo tae:

• Abe alesi woanɔ te ɖe nɔnɔmea nu ene: Le ame aɖewo gome la, nuvevi wɔwɔ wo ɖokui ate ŋu ana gbɔdzɔe alo aɖe gbɔdzɔe tso nuteɖeamedzi me hena ɣeyiɣi aɖe. Le ame bubuwo gome la, ate ŋu anye mɔ si dzi woato aɖo kpe vevesese si gbegbe woate ŋu aɖu dzi na wo ɖokui. Ame aɖewo wɔa esia be woatsɔ aɖe seselelãme gbegblẽwo abe blanuiléle, dzikudodo, kple dziɖeleameƒo ene dzi akpɔtɔ.
• Seselelãmewo tɔtrɔ ɖe ememe: Ame bubuwo wɔa nuvevi wo ɖokui alea be yewoahe to na wo ɖokui alo aɖe woƒe dziku ɖe wo ɖokui ŋu. Abe ɖe mɔ bubu aɖeke meli si dzi woato aɖe asi le agba aɖe ŋu le woƒe susu me o ene.
• Abe dzesi be woabia kpekpeɖeŋu ene: Ɣeaɖewoɣi la, amewo ate ŋu awɔ esia atsɔ ana ame bubuwo nanya woƒe kuxiwo kple nuteɖeamedziwo , alo agblɔ le mɔ si mele tẽ o nu be, "Mehiã kpekpeɖeŋu."

Aleke nàwɔ awɔ nuvevi ɖokuiwò alea?

Mɔ geɖe li siwo dzi nàto agblẽ nu le ɖokuiwò ŋu. Wo dometɔ aɖewo bɔ wu bubuwo. Gake ele be míase egɔme be afɔku aɖewo le mɔnu ɖesiaɖe me . Mɔnu siwo wozãna wu dometɔ aɖewoe nye esi:

• Nu ɖaɖɛ tsɔtsɔ lãe: Ame aɖewo zãa nu ɖaɖɛwo, abe lũhɛwo alo ahuhɔ̃e kakɛwo ene tsɔ lãa woƒe ŋutigbalẽ heƒonɛ.
• Dzobibi: Dzotɔtɔ ŋutigbalẽa kple nuwo abe gayibɔti dzodzoewo, sigaret-gowo, dzotsitiwo, kple bubuawo Ɣeaɖewoɣi la, woate ŋu azã aƒeme atikewo gɔ̃ hã , abe aƒemeklɔtikewo ene na esia.
• ƒoƒo/gbãgbã: Nuvevi wɔwɔ ɖokuiwò to wò ŋutilã ƒe akpa aɖewo ƒoƒo ɖe nu sesẽwo dzi, abe asi ƒoƒo ɖe gli ŋu ene. Esia ate ŋu ana ame naxɔ abi le ememe (abi siwo woxɔna le ame ŋu) .
• Nuƒoƒo/aƒoƒo:Mɔ ɖekae nye be nàtsɔ wò ɖawo aƒo ŋutigbalẽa vaseɖe esime wòagblẽ.

Nukae nye nɔnɔme sia ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Ne ame si wɔa nuvevi ɖokuiwòe nènye la, àte ŋu adze agbagba be yeaɣlae ɖe ame bubuwo. Àte ŋu ado awu ʋlaya legbewo kple pantalon legbewo, le ŋkeke siwo dzi yame xɔ dzo gɔ̃ hã, atsɔ atsyɔ abiawo dzi. Alo àte ŋu agblɔ ŋutinyawo tso alesi afɔku aɖe na abi siwo woxɔ la ŋu. Gake ame bubuwo ate ŋu ade dzesi dzesi aɖewo:

• Afi alo teƒe siwo ƒe nɔnɔme alo ƒuƒoƒo aɖe koŋ le teƒe ɖeka.
• Abi gbogbo siwo wotɔ dzoe siwo ƒe lolome alo nɔnɔme sɔ.
• Abi, abi, alo vuvu si tso ƒoƒo yeyewo, ɖuɖu, alo abi bubu siwo woyɔna zi geɖe be "afɔkuwo" gbɔ.
• Nya siwo ku ɖe seselelãme ƒe ŋusẽkpɔɖeamedzi dzi ɖuɖu ŋu . Le kpɔɖeŋu me, màte ŋu adzudzɔ nuƒoƒo le teƒe ɖeka le wò ŋutigbalẽ ŋu o.

Zi geɖe la, ŋutilã ƒe akpa kae gblẽna alea?

Ŋutilã ƒe akpa siwo ame siwo wɔa nuvevi wo ɖokui ate ŋu ade abi wo ŋu wue nye:

• Asiwo (vevietɔ abɔta ) .
• Asibidɛwo
• Woƒe ata ƒe ŋgɔgbe
• Ƒodo

Tsɔ kpe ɖe teƒe siawo ŋu la, nu gblẽ le ŋutilã ƒe akpa bubuwo hã ŋu, gake mebɔ vie o.

Nukatae ame aɖe dzea agbagba be yeawɔ nuvevi ye ɖokui? Nukawoe nye susu siwo tae?

Esesẽ be míagblɔ nusita tututu ame aɖe wɔa nuvevi eɖokui. Gake wokpɔe be susumedɔléle aɖewo do ƒome kplii. Wo dometɔ aɖewoe nye:

• Dzitsitsi
• Autism ƒe dɔléle
• Bipolar disorder – Le nɔnɔme sia me la, dzidzɔkpɔkpɔ kple blanuiléle ƒe seselelãmewo nɔa tɔtrɔm ɣesiaɣi.
• Amenyenye ƒe kuxi si le liƒo dzi – si ƒe dzesi enye seselelãme dzi ɖuɖu ƒe malikenyenye.
• Blanuiléle – Dzesiwo abe blanuiléle si gbɔ eme kple ɖekematsɔleme ɖe nusianu ŋu.
• Tɔtɔ, seselelãme-dziɖuɖu kple agbenɔnɔ ƒe kuxiwo – le kpɔɖeŋu me, `(Agbenɔnɔ ƒe kuxi)` kple `(Intermittent explosive disorder)` (ŋutete be woaɖu dziku kpata dzi).
• Dissociative disorders – nɔnɔme si me woɖea wo ɖokui ɖa tso nu ŋutɔŋutɔ gbɔ le amesi ame nye kple afisi wòle ŋu. Vevietɔ `(Dissociative identity disorder)` kple `(Dissociative amnesia)`.
• Nuɖuɖukuxiwo– Vevietɔ `(Anorexia nervosa)` (nuɖuɖu manɔmee).
• Obsessive-compulsive disorder ( OCD ) – dzizizi be woagbugbɔ nu ɖeka agblɔ alo abu eŋu zi gbɔ zi geɖe.
• Post-traumatic stress disorder (PTSD) – susu me nuteɖeamedzi si dzɔna le nudzɔdzɔ dziŋɔ aɖe megbe.
• Alɔ̃dɔdɔ ƒe kuxiwo
• Atikewo zazã ƒe nɔnɔmewo kple dɔlélewo – abe ahatsunono, ahanono ƒe kuxi, kple gbekui zazã ƒe kuxi ene.

Amekae le afɔku me wu le nɔnɔme sia me?

Afɔku geɖe li siwo ate ŋu ana ame nade abi ame ɖokui ŋu si menye ameɖokuiwuwu o:

• Ŋutasẽnuwɔwɔ alo nuveviwɔame: Ame siwo to ŋlɔmiwɔwɔ alo nudzɔdzɔ sesẽ bubu siwo wɔ nuvevi ame le woƒe ɖevime la ate ŋu awɔ nuvevi wo ɖokui.
• Ƒe si woxɔ: Zi geɖe la, nuwɔna siawo dzea egɔme tso ƒe 12 va ɖo ƒe 14. Gake woate ŋu adze egɔme kaba. Ne ame aɖewo nya dze nuvevi wɔwɔ wo ɖokui gɔme ko la, woyia edzi wɔa esia ƒe geɖe. Esia bɔ ɖe sɔhɛ tsitsiwo dome , vevietɔ amesiwo xɔ ƒe si woatsɔ awɔ kɔledzi .
• Gbɔdɔdɔ ƒe dzodzro: Numekukuwo ɖee fia be amesiwo nye ŋutsu siwo dɔna kple ŋutsu alo ŋutsu kple nyɔnu ƒe gbɔdɔdɔ (gbɔdɔdɔ ƒe dzodzro suewo) la wɔa nuvevi wo ɖokui wu. Eŋutinunyalawo xɔe se be afɔku sia lolo wu elabena wodzea ŋgɔ agbemenuteƒekpɔkpɔ gbegblẽwo, abe hadomenyaƒoɖeamenu kple ameŋugblẽnyawo ene.
• Amewo ɖeɖe ɖe aga le hadome: Ame siwo sena le wo ɖokui me be yewoɖe yewo ɖokui ɖe aga eye yewotsi akogo, vevietɔ ɖevi siwo de suku, siwo ŋu wowɔa anyra le alo woɖea wo ɖokui ɖe aga le hadome le susu bubuwo ta la, ate ŋu awɔ nuvevi wo ɖokui.

Aleke ɖɔktawo dea dzesi esiae?

Ameɖokuiwuwu ƒe nuveviwɔame ƒe dɔléle ate ŋu asesẽ ɣeaɖewoɣi be woakpɔe adze sii elabena zi geɖe la, amesiwo wɔa nuvevi wo ɖokui ɣlaa woƒe abiwo eye womedina be yewoaƒo nu tso wo ŋu o.

Ðɔktawo mezãa dodokpɔ aɖe koŋ tsɔ dea dzesi dɔlélea o. Ke boŋ woléa ŋku ɖe wò abi siwo nèxɔ ŋu, eye wodia abi kple nɔnɔme siwo tso abi siwo nèxɔ va yi me. Wobiaa nyawo tso wò atikewɔwɔ ŋutinya kple hadome nɔnɔme ŋu. Woƒoa nu na wò hã tso nusiwo le edzi yim le wò agbe me le ŋkeke siawo me kple nusiwo le nuteɖeamedzi hem vɛ na wò ŋu . Le kpɔɖeŋu me, gakuxiwo, ku le ƒomea me, kuxiwo le suku alo dɔwɔƒe, anyrawɔwɔ, alo kaklã.

Nukawoe nye atike siwo wozãna na esia?

Ne èyi ɖɔkta gbɔ le esi nèle nu gblẽm le ɖokuiwò ŋu ta la, woada wò abiwo gbã ne ehiã. Le ɣeyiɣi didi me la, woate ŋu aɖo aɖaŋu na wò be nàzã atikewɔmɔnu kple/alo atike siwo akpe ɖe ŋuwò nàkpɔ susu ƒe lãmesẽ ƒe nɔnɔme kple nuteɖeamedzi ɖesiaɖe si le wò agbe me si ate ŋu ahe esia vɛ la gbɔ.

Ðo ŋku edzi be kpekpeɖeŋu biabia nye ŋusẽ ƒe dzesi, ke menye gbɔdzɔgbɔdzɔ o.

Afɔku kawoe le eme ne womewɔ atike na wo o?

Ele vevie ŋutɔ be woadi atike na ame ɖokui ƒe nuveviwɔame, elabena ate ŋu ahe afɔku geɖe vɛ le ɣeyiɣi kpui aɖe kple ɣeyiɣi didi me.

Afɔku siwo ate ŋu ado tso eme ɣeyiɣi kpui aɖe

Ɣeaɖewoɣi la, nuvevi wɔwɔ ame ɖokui ate ŋu ahe kuxi siwo mèkpɔ mɔ na o vɛ:

• Atikewɔwɔ me kuxiwo: Nuwɔna siawo ate ŋu ahe dɔlékuiwo , lãmekawo ƒe gbegblẽ , kple abi siwo nɔa anyi ɖaa kple/alo sesẽwo vɛ . Le go aɖewo me la, esia ate ŋu ana ame naxɔ abi vevie alo aku gɔ̃ hã.
• Hadomekuxiwo: Nuveviwɔame le ɖokuiwò ŋu, eɖanye eɖoɖo koŋ alo manyamanya o, ate ŋu agblẽ nu le ƒomedodo si le mia kple ƒometɔwo, xɔlɔ̃wo, alo ame vevi bubuwo dome ŋu. Ate ŋu akpɔ ŋusẽ ɖe ale si nèsena le ɖokuiwò me le hadomenuwɔnawo, abe dɔwɔƒe kple suku ene hã dzi.

Afɔku siwo anɔ anyi ɣeyiɣi didi

Nuvevi wɔwɔ ame ɖokui ate ŋu ahe kuxi bubuwo vɛ le ɣeyiɣi didi aɖe megbe:

• Susu ƒe lãmesẽ si le gbegblẽm ɖe edzi : Esia ate ŋu ana ŋukpe, fɔɖiɖi, kple vevesese nase ame. Àte ŋu adze agbagba vevie be yeatsyɔ nu abi alo abiwo dzi alo aɣla wo, le vɔvɔ̃ be ame bubuwo akpɔ wo ta.
• Nuveviwɔame siwo nu sẽ wu: Zi geɖe la, nuwɔna siwo gblẽa nu le ame ɖokui ŋu la nu sẽna ɖe edzi . Àte ŋu adze nuvevi wɔwɔ ɖokuiwò gɔme zi geɖe, alo abi siwo nèxɔna ate ŋu asẽ ɖe edzi.
• Ameɖokuiwuwu ƒe afɔku: Le nɔnɔme si woyɔna be ``Nonsuicidal self-injury disorder'' me la, tameɖoɖo aɖeke meli be woawu ame ɖokui o. Gake afɔku si le ameɖokuiwuwu ƒe agbagbadzedze alo ku le ameɖokuiwuwu ta me sɔ gbɔ ŋutɔ le amesiwo wɔa nuvevi wo ɖokui dome. Esia nye nya si ŋu wotsi dzi ɖo vevie.

Ðe woate ŋu axe mɔ ɖe esia nua?

Ðewohĩ manya wɔ ɣesiaɣi be woaxe mɔ na ame aɖe be wòagagblẽ nu le eɖokui ŋu le gɔmedzedzea me o. Gake kpekpeɖeŋu didi tso tagbɔdɔdala gbɔ ate ŋu aɖe alesi wòate ŋu adzɔe be ame aɖe nayi edzi anɔ nu gblẽm le eɖokui ŋu dzi akpɔtɔ. Eyata ne wò alo ame aɖe si nènya le avu wɔm kple esia la, anyo wu be nàxɔ kpekpeɖeŋu kaba ale si nàte ŋui.

Ɣekaɣie wòle be nàkpɔ ɖɔkta ne èle nu gblẽm le ɖokuiwò ŋu?

Ne èkpɔe be ye (alo ame aɖe si nèlɔ̃) le nu gblẽm le yewo ɖokui ŋu la, .Taflatse yi ɖɔkta gbɔ. Ðewohĩ ahiã be woakpɔ atikewɔƒe na wò abi siwo nèxɔ. Akpe ɖe ŋuwò hã be nànya be menye ye ɖeka koe o. Wò ɖɔkta le afima be yeaɖo to wò ahakpe ɖe ŋuwò. Woakafu atikewɔwɔ nyuitɔ kekeake na wò.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne èse le ɖokuiwò me be yele nu gblẽ ge le ye ɖokui alo ame bubuwo ŋu la, yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ER) enumake, alo nàƒo ka na Suwaseriya Ambulance Service le ƒe 1990. Àte ŋu aƒo ka na Dukɔa ƒe Tagbɔdɔléle Ŋuti Kpekpeɖeŋunaƒe si le 1926 hã hena kpekpeɖeŋu le susumedɔlélewo gbɔ le Sri Lanka.

Tsɔ kpe ɖe eŋu la, ne wò abi la nu sẽ, vevietɔ ne dzesi siawo dometɔ aɖe le ŋuwò la, di atike kpata enumake:

• Yagbɔgbɔ sesẽ.
• Ʋu si le dodom si madzudzɔ o.
• Ŋutilã ƒe nɔnɔme madeamedzi aɖe.
• Wò alɔ alo afɔ ƒe ʋuʋu ƒe bu.

Aleke vevesese gblẽa nu le ame siawo ŋui?

Susu ɖeka si tae nuvevi wɔwɔ ame ɖokui nye tenɔnɔ ɖe nɔnɔmea nu na ame aɖewoe nye ale si míaƒe ŋutilã wɔa nui ne míese veve.

Ne nane si ate ŋu agblẽ nu le ŋuwò dzɔ ɖe wò ŋutilã dzi la, lãmeka siwo ƒe nuwuwu le afisi nèxɔ abi le la ɖoa dzesi kpatawo ɖe wò ahɔhɔ̃. Nu ɖeka si wò ahɔhɔ̃ wɔna le dzesi siawo ŋue nye be wòɖea atike siwo woyɔna be beta-endorphins . Atike siawo nana nèsena le ɖokuiwò me be “yeƒe lãme sẽ” hena ɣeyiɣi aɖe, abe alesi vevesese dzi ɖena kpɔtɔna ene. Ke hã, ŋusẽkpɔɖeamedzi sia menɔa anyi didi o. Eyata ate ŋu ate ame siwo wɔa nuvevi wo ɖokui la kpɔ be woawɔ esia enuenu ne wodi be yewoƒe dzi nadze eme.

Le ame geɖe gome la, nuwɔna siwo gblẽa nu le wo ɖokui ŋu gɔmesese ate ŋu asesẽ. Gake le amesiwo wɔa nuvevi wo ɖokui gome la, ewɔwɔ ate ŋu adze abe mɔ ɖeka kolia si dzi woato ase le wo ɖokui me be yewoƒe dzi nadze eme alo akpɔ ŋusẽ aɖe ɖe woƒe agbenɔnɔ dzi ene. Ne amewo meɖoe be yewoawɔ nuvevi yewo ɖokui o hã la, afɔkuwo nɔa nuvevi wɔwɔ wo ɖokui me ɣesiaɣi. Menye mɔ si dzi nàto ase le ɖokuiwò me be yeƒe lãme sẽ le ɣeyiɣi didi aɖe megbe o, eye ate ŋu akpɔ ŋusẽ gbegblẽ ɖe wò ŋutilã kple susu ƒe lãmesẽ kple nyonyo dzi.

Ne èse le ɖokuiwò me be yeawɔ nuvevi ye ɖokui, alo ne èle nu gblẽm le ye ɖokui ŋu xoxo la, naneke megblẽ le kpekpeɖeŋu biabia ŋu o. Atikewɔwɔ didi le nuveviwɔame ɖokui ŋu le abe ŋutilãmedɔléle aɖe ƒe atikewɔwɔ didi ene. Ne mèse le ɖokuiwò me fifia o hã la, àte ŋu aɖo afi aɖe si nàte ŋu ase le ɖokuiwò me be yeƒe lãme sẽ le ŋutilã kple susu me. Menye wò ɖeka koe o.

Mlɔeba la, nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui

Nuveviwɔame ame ɖokui nye nya sesẽ aɖe, gake kpekpeɖeŋu kple atikewɔwɔ li.

• Menye wò ɖeka koe o: ame geɖe toa nuteƒekpɔkpɔ sia me, eyata mègakpe ŋu alo abu fɔ ɖokuiwò o.
• Ƒo nu:Ƒo nu kple ame aɖe si dzi nèka ɖo – xɔ̃wò, ƒometɔ, nufiala, alo dɔwɔwɔ ŋuti aɖaŋuɖola – tso wò seselelãmewo ŋu.
• Na kpekpeɖeŋu tso dɔnyala bibiwo gbɔ: Tagbɔdɔdala alo aɖaŋuɖola ate ŋu akpe ɖe ŋuwò nàɖu nɔnɔme sia dzi. Woate ŋu awɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wò.
• Srɔ̃ alesi nànɔ te ɖe nɔnɔmea nu: Ne èle dzi ɖem le ƒowò la, mɔ bubuwo li siwo dzi nàto akpɔ wò seselelãmewo gbɔ evɔ màwɔ nuvevi ɖokuiwò o. Le kpɔɖeŋu me, kamedede, haƒoƒo sese, nutata, alo ŋugbledede ƒe mɔnu siwo naa ame ƒe dzi dzea eme la sɔsrɔ̃.
• Di wò ɣeyiɣi, mègawɔ kaba o: Exɔa ɣeyiɣi hafi nàhaya tso esia me. Ðewohĩ ŋkeke nyuiwo kple ŋkeke gbegblẽwo anɔ asiwò. Nu vevitɔ kekeakee nye be nàyi edzi anɔ agbagba dzem.

Ne wò alo ame aɖe si nènya le avu wɔm kple nane si le abe esia ene la, taflatse bia kpekpeɖeŋu. Mɔkpɔkpɔ li ɣesiaɣi.