Ðe nènya nu tso Amenyenye ƒe Dɔléle si Tsi Tre Ðe Hadomegbenɔnɔ Ŋu (ASPD) ŋua? Mina míaƒo nu!

Èkpɔ ame siwo blea ame bubuwo, wɔa ame bubuwo ŋudɔ, ŋea aɖaba ƒua se dzi, eye womesea veve ɖe woƒe nuwɔnawo ta oa? Ðewohĩ susu ƒe nɔnɔme aɖe le megbe na nusiawo. Emae nye nɔnɔme si ŋu míele nu ƒom tsoe egbea , Antisocial Personality Disorder (ASPD) . Togbɔ be nyati sesẽ aɖee nye esia hã la, mina míaƒo nu tso eŋu bɔbɔe eye míaƒo nu tso eŋu bubutɔe, elabena ele vevie ŋutɔ be míanɔ ŋudzɔ.

Nukae nye amenyenye ƒe dɔléle si tsi tre ɖe hadomenuwɔnawo ŋu (ASPD)?

Kpuie ko la, ASPD nye susumedɔléle si kpɔa ŋusẽ ɖe alesi ame bua tamee kple alesi wòwɔa nu kple ame bubuwoe dzi. Ame si ŋu dɔléle sia le ate ŋu:

• Woblea ame bubuwo alo daa alakpa na wo.
• Wozãa ame bubuwo alo wɔa wo ŋudɔ hena woawo ŋutɔ ƒe viɖe .
• Womedea bubu se alo ame bubuwo ƒe gomenɔamesiwo ŋu o .
• Womesea veve alo fɔɖiɖi aɖeke le nusi wowɔna ta o.

Zi geɖe la, wobua amesiwo ŋu ASPD le be womedea bubu ame ŋu o, woda se dzi, womenya nu tso woƒe nuwɔnawo me tsonuwo ŋu o, eye womelɔ̃na be yewoatsɔ agbanɔamedzia o. Esia ate ŋu anye nɔnɔme si me afɔku le, elabena ame siawo ate ŋu agblẽ nu le wo ɖokui kple ame bubuwo ŋu, le ŋutilã kple seselelãme siaa me.

Amenyenye ƒe kuxi geɖe dometɔ ɖeka koe ASPD nye . Amenyenye ƒe kuxiwo nye nɔnɔme siwo kpɔa ŋusẽ ɖe ale si nèbua tame kple ale si nèwɔa nui dzi.

Aleke gbegbee nɔnɔme sia bɔe?

Wobu akɔnta be ame tsitsi siwo le United States ƒe 1% va ɖo 4% ye xɔa dɔléle sia (ASPD). Wokpɔa nɔnɔme mawo tɔgbe le Sri Lanka hã, gake esesẽ be woakpɔ akɔntabubu siwo sɔ pɛpɛpɛ.

Nukae nye ame aɖe si ŋu `(ASPD)` le ƒe dzesiwo?

Ame si ŋu `(ASPD)` le ate ŋu aɖe dzesi siwo gbɔna afia:

• Ame bubuwo dzi dzedze ŋutilã me, fuléle, nuwɔna ŋutasesẽtɔe . Bu eŋu kpɔ, kasia nàdo dziku eye nàdze dzre gɔme le nusianu kloe ta.
• Wowɔa nu naneke ŋu bubu manɔmee, wowɔa nyametsotso kpata , abe ɖe wometsia dzi ɖe etsɔme ŋu o ene.
• Woda sewo dzi, wometsɔ ɖeke le hadomeɖoɖowo me o . Wotea wo kpɔ be woawɔ nu le seawo godo tso woƒe ɖevime ke.
• Wodoa dziku eye wosusuna be ŋusẽ le yewo ŋu eye yewode ŋgɔ wu ame bubuwo .
• Wozãa woƒe ayemɔ, nuƒoƒo, kple ameŋububu tsɔ blea ame bubuwo , eye wodaa alakpa ɖe woawo ŋutɔ ƒe viɖe alo dzidzɔkpɔkpɔ ta.
• Wometsɔa woawo ŋutɔ ƒe nuwɔnawo ƒe agbanɔamedzi o . Wobua fɔ ame bubuwo ɣesiaɣi.
• Womeɖea vevesese, blanuiléle, alo ɖetsɔtsɔ le woƒe nuwɔna me fiana o . Wowɔa nu abe ɖe naneke medzɔ o ene.

Dzesi siawo medzena le mɔ ɖeka nu na amesiame o. Ame aɖewo ate ŋu adze dzesi aɖewo bɔbɔe wu.

Le veviẽ:Ne wò ŋutɔ alo ame aɖe si nènya le susum be yeagblẽ nu le ye ɖokui alo ame bubuwo ŋu la, taflatse di kpekpeɖeŋu. Kpɔ ɖɔkta gbɔ. Le Sri Lanka la, àte ŋu axɔ kpekpeɖeŋu tso habɔbɔ aɖe abe Sumithrayo (0112692909) ene gbɔ. Ne nɔnɔme kpata aɖe dzɔ la, ƒo ka na ƒe 1990 ƒe dɔnɔdzikpɔƒe.

Ƒe nenie nɔnɔme si nye `(ASPD)` la dzea egɔme?

Zi geɖe la, ASPD dzea egɔme hafi woxɔa ƒe 15. Wokpɔnɛ zi gbãtɔ be enye Agbenɔnɔ Ŋuti Dɔléle . Ðevi siwo ŋu Agbenɔnɔ Ŋuti Dɔmawɔmawɔ nyuie le la wɔa nu adãtɔe eye womewɔa toɖoɖo le mɔ siwo ate ŋu agblẽ nu le ame bubuwo ŋu nu o. Woate ŋu aka aʋatso, afi fi, ada sewo dzi, eye woawɔ anyra le ɖevi bubuwo ŋu.

Bu eŋu kpɔ, esime viwòa nye ɖevi, alo ɖevi aɖe si nènya la, ɖe nèkpɔe wònɔ anyra wɔm le ɖevi bubuwo ŋu atraɖii, le alakpa dam, le fi fim, alo le nu wɔm le mɔ si metsɔa ɖeke le se aɖeke dzi o nu kpɔa? Ɣeaɖewoɣi la, nuwɔna siawo ƒomevi nyea ``Agbenɔnɔ ƒe Tɔtɔ.`` Vevietɔ la, dzobibi le ɖevime kple lãwo gbɔ dɔdɔ nye afɔku eve siwo do ŋgɔ na ``ASPD`` nɔnɔme sia.

Ɣeaɖewoɣi la, dzilawo kple ɖɔktawo ateŋu ato ``Agbenɔnɔ ƒe Tɔtɔ`` ƒe dzesiwo ŋu elabena woateŋu atɔtɔ dzesi siawo kple nɔnɔme bubuwo. Le kpɔɖeŋu me:

• Susu ƒe dɔmawɔmawɔ nyuie/dɔwɔwɔ fũu akpa ƒe dɔléle (ADHD) .
• Teteɖeanyi
• Tsitretsiɖeŋu ƒe tsitretsitsi ƒe dɔléle (ODD) .

Ne wode dzesi ``Agbenɔnɔ ƒe Tɔtɔ`` kaba eye wodze atikewɔwɔ gɔme le woƒe ɖevime la, ɖewohĩ nuwɔna siawo manɔ anyi vaseɖe tsitsime o. Ke ne nuwɔna siawo gakpɔtɔ li la, wokpɔa wo be ``(ASPD)`` le ƒe 18 xɔxɔ vɔ megbe .

Numekukuwo ɖee fia be ASPD ƒe dzesiwo gblẽna wu le ƒe 20 va ɖo ƒe 40 dome, eye woɖiɖina vie le ƒe 40 xɔxɔ megbe .

Nukae nye nusiwo hea nɔnɔme si nye `(ASPD)` vɛ?

Ðɔktawo menya nusi tututu hea ASPD vɛ o, gake numekukuwo ɖee fia be nu vovovowo ate ŋu atso wò domenyiŋusẽfianu dzi va ɖo ale si nènyi kple nuteƒekpɔkpɔwo dzi.

Nu vevi ɖeka si gbɔ wòtsoe nye ahɔhɔ̃ me nugbagbeŋutinunya . Ate ŋu anye be serotonin ƒe agbɔsɔsɔ si le wò ahɔhɔ̃ me mesɔ o. Serotonin nye atike si kpɔa wò seselelãme kple seselelãmewo, abe dzidzɔkpɔkpɔ ene dzi. Tɔtrɔ siawo siwo vaa serotonin ƒe agbɔsɔsɔ me ate ŋu ahe ASPD ƒe nuwɔna vɛ.

Ðe `(ASPD)` nye nane si tso domenyiŋusẽfianu mea?

Ẽ, wò domenyiŋusẽfianu ƒe wɔwɔme.Esia ate ŋu ana ASPD xɔxɔ ƒe afɔkua nadzi ɖe edzi. Wole numekuku wɔm, gake womekpɔ de dzesi domenyiŋusẽfianu siwo tututu gbɔ nɔnɔme sia tso haɖe o. Numekukuwo ɖee fia be ne ASPD le wò ƒometɔ aɖe si ʋu ʋu me la, ke afɔku le eme be nàxɔ dɔlélea.

Nukae nye afɔku siwo le `(ASPD)` me?

ASPD ate ŋu agblẽ nu le ame sia ame ŋu. Gake ɖewohĩ ànɔ afɔku gã aɖe me be nàxɔ dɔlélea le susu siwo gbɔna ta:

• Be wokpɔe be Conduct Disorder le eŋu hafi wòxɔ ƒe 15.
• Ŋutsue nènye (nɔnɔme sia bɔ ɖe ŋutsuwo me wu).
• Nuveviwɔame alo ŋlɔmiwɔwɔ le ɖevime .
• Atike muamewo zazã ƒe dɔléle (SUD) ƒe amesinɔnɔ alo ƒomea me tɔ aɖe si ŋu dɔlélea le ƒe amesinɔnɔ.
• Tagbɔdɔléle ƒe ŋutinya ƒe amesinɔnɔ le wò ʋumetɔwo dome .
• Sukudede ƒe ɖoƒe si bɔbɔ ɖe anyi wu ne wotsɔe sɔ kple bubuwo.
• Gaxɔ me nɔnɔ .

Nukawoe nye kuxi siwo ate ŋu ado tso ASPD me?

ASPD nye nɔnɔme si me afɔku le, si ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi na amesi ŋu dɔlélea le kple amesiwo ƒo xlãe. Ate ŋu ahe kuxiwo abe:

• Ŋutasẽnuwɔwɔ alo ŋutasẽnuwɔwɔ.
• Ðekematsɔleme, ɖekematsɔleme.
• Ameɖokuiwuwu .
• Atike Vɔ̃ɖiwo Zazã ƒe Dɔléle .
• Ahanono ƒe Dɔléle .
• Ameléle kple gaxɔmenɔnɔ.
• Lãmesẽkuxi bubuwo.
• Susu ƒe lãmesẽ ƒe nɔnɔme bubuwo (e.g., blanuiléle , dzimaɖitsitsi) .
• Ame ŋutɔ ƒe agbanɔamedziwo, hadome, dɔwɔɖui, alo sukudede ƒe agbanɔamedziwo wɔwɔ ƒe ŋutete manɔamesi.

Aleke woawɔ ade dzesi `(ASPD)`?

Susuŋutinunyala, abe tagbɔdɔdala alo susuŋutinunyala ene, dea dzesi ASPD. Wowɔa susuŋutinunya me numekuku aɖe . Esia bia be woalé ŋku ɖe ame ƒe tamesusuwo kple nuwɔna ŋu akpɔe ɖa be ASPD ƒe dzesiwo le eŋu hã. Ðɔktawo zãa Diagnostic and Statistical Manual of Mental Illnesses, tata 5 lia, Text Revision (DSM-5-TR) abe mɔfianu ene.

Ame akpa gãtɔ siwo ŋu ASPD le medina be woakpɔ dɔlélea le wo ɖokui si o. Zi geɖe la, ne ʋɔnudrɔ̃ƒe ƒe sedede vɔ ko hafi wodina be woada tagbɔdɔlélawo kpɔ.

Ðe dodokpɔ tɔxɛ aɖe li na `(ASPD)`?

Ao, ameɖokuidodokpɔ, ʋudodokpɔ, alo fotoɖemɔ̃ aɖeke meli si ate ŋu anya ASPD o. Anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ètsi dzi ɖe wò dzesi alo nuwɔna aɖewo ŋu. Àte ŋu ayi atikewɔla gbãtɔ (PCP) gbɔ gbã. Axɔ wò atikewɔwɔ ŋutinya, awɔ wò ŋutilã dodokpɔ, eye wòada wò dzesiwo kpɔ. Emegbe woate ŋu aɖo wò ɖe tagbɔdɔdala alo susuŋutinunyala gbɔ be wòakpɔe be ASPD le ŋuwò.

Nɔnɔme bubu siwo woate ŋu atɔtɔ kple `(ASPD)` (Differential Diagnosis) .

Lãmesẽnya aɖewo ate ŋu adze abe ASPD tɔ ene, eyata wò ɖɔkta abu nusiwo gbɔna ŋu hafi akpɔ dɔlélea le se nu:

• Borderline Personality Disorder (BPD) : Seselelãme siwo meli ke o kple ameŋububu ƒe nuwɔna.
• Narcissistic Personality Disorder (NPD) : Bubudede ame ɖokui ŋu fũ akpa.
• Substance Use Disorder : Atike vɔ̃ɖiwo alo ahanono ƒe numame.

Aleke wowɔa atike na ASPD?

Ðɔktawo ate ŋu akafu atike siwo gbɔna na ASPD:

• Atikewo: Atikewo ate ŋu akpe ɖe ŋuwò nàɖu dzesiwo abe adãwɔwɔ kple seselelãme ƒe tɔtrɔ ene dzi.
• Tagbɔdɔdada: Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) nye aɖaŋuɖoɖo ƒomevi aɖe si me wotsia dzi ɖe wò tamesusuwo kple nuwɔna tɔtrɔ ŋu. Atikewɔwɔ sia kpena ɖe ŋuwò nèsea alesi wò nuwɔna kpɔa ŋusẽ ɖe ame bubuwo dzii gɔme. Ame ɖekaɖekawo ƒe atikewɔwɔ, ƒuƒoƒo ƒe atikewɔwɔ, alo ƒome ƒe atikewɔwɔ ate ŋu aɖe vi na wò.

Ðɔktaa ate ŋu aɖo aɖaŋu hã be woazã atike kple susumedɔdada ɖekae. Azɔ hã, ne lãmesẽkuxi bubuwo li, abe atike muamewo zazã ene la, woada wo hã.

Ne míagblɔe tututu la, ASPD dada ate ŋu asesẽ vie. Elabena ɖewohĩ amesi ŋu dɔlélea le mate ŋu alɔ̃ ɖe edzi be yewoƒe nuwɔna kple tamesusuwo gblẽa nu le ame ŋu o. Enye nusi sɔ be nàdo dziku ahatsi tre ɖe eŋu ne ame aɖe va kpe ɖe ŋuwò. Gake nu vevitɔ si gɔme wòle be nàse enye be ne èle klalo be yeaxɔe la, ke atikewɔwɔ le asiwò. Mele bɔbɔe o, gake ne wowɔ atike na wò la, àte ŋu akpɔ ɖokuiwò kple amesiwo dome nèle ta.

Nukae nye atike siwo wonana na `(ASPD)`?

Atike aɖeke meli si dzi woda asi ɖo na ASPD o. Gake atikewo ate ŋu akpe ɖe ŋuwò nàɖu adãwɔwɔ, blanuiléle, alo seselelãme ƒe tɔtrɔ dzi. Wò ɖɔkta ate ŋu aŋlɔ atikewo abe:

• Blanuilélenutsitikewo: Esiawo ate ŋu akpɔ serotonin ƒe agbɔsɔsɔ si le ahɔhɔ̃a me dzi. Kpɔɖeŋuwo: Sertraline, Fluoxetine .
• Tagbɔdɔlékuiwutikewo: Woate ŋu aɖu ŋutasẽnuwɔwɔ alo adãwɔwɔ dzi. Kpɔɖeŋuwo: Risperidone, Quetiapine .
• Nusiwo Naa Seselelãme Lia:Kpena ɖe ame ŋu wòɖua tɔtrɔ sesẽ siwo vaa seselelãme alo nuwɔna me dzi. Kpɔɖeŋuwo: `(Lithium)`, `(Carbamazepine)` .

Nukae nye mɔkpɔkpɔ na `(ASPD)`?

ASPD nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me . Zi geɖe la, dzesiawo gblẽna wu le ƒe 20 xɔxɔ lɔƒo, eye ɣeaɖewoɣi la, woganyona ɖe edzi vie ne woxɔ ƒe 40. Numekukuwo le edzi yim be woase nusita dzesiawo trɔna ne ame tsi la gɔme.

Ne èxɔ atike la, wò nukpɔsusu ate ŋu anyo ɖe edzi. Gake be nàƒo asa na kuxiwo la, ele be nàyi atikewɔwɔ dzi le wò agbemeŋkekewo katã me. Ele vevie be míase egɔme be ASPD dada mele bɔbɔe o. Ebia ŋusẽ kple agbagbadzedze geɖe hafi ame ŋutɔ nawɔ tɔtrɔwo. Ne èdzudzɔ atikewɔwɔ la, wò dzesiwo ate ŋu agblẽ ɖe edzi , si ana afɔku si le eme be nàgblẽ nu le ɖokuiwò kple amesiwo dome nèle ŋu nadzi ɖe edzi.

Ðe woate ŋu ada ASPD keŋkeŋa?

Ao, atike aɖeke meli na ASPD o. Gake woate ŋu akpɔ nɔnɔmea gbɔ to atikewɔwɔ nɛ le woƒe agbemeŋkekewo katã me. Atikewɔwɔ nyuitɔ ate ŋu akpe ɖe ŋuwò nàtrɔ wò nuwɔna eye wòaɖe nusiwo nègblẽna le ame siwo dome nèle ŋu dzi akpɔtɔ. Ƒomedodo nyuiwo me léle ɖe asi kple nuto si doa alɔ ame ƒe amesinɔnɔ nye nu vevi eve siwo ana woakpɔ ASPD dzi ɣeyiɣi didi.

Ðe woate ŋu axe mɔ ɖe ASPD nua?

Mɔ aɖeke meli si dzi woato axe mɔ ɖe ASPD nu o. Gake ne wokpɔ dɔlélea dze sii eye wodae le eƒe ɖevime la, ate ŋu aɖe afɔku si le ASPD xɔxɔ me le tsitsime dzi akpɔtɔ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne dzesi siawo dometɔ aɖe le wò alo ame aɖe si nènya ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake :

• Seselelãme ƒe tɔtrɔ sesẽwo .
• Nuvevi wɔwɔ ame ɖokui ƒe susuwo alo nuwɔnawo .
• Ameɖokuiwuwu ƒe susuwo .
• Ŋutasẽnuwɔwɔ ƒe nuwɔna .

Le Sri Lanka la, ne èdi tagbɔdɔléle ƒe kpekpeɖeŋu kpata la, àte ŋu aƒo ka na Dukɔa ƒe Tagbɔdɔléle ƒe Kpekpeɖeŋunaƒe 1926. Azɔ hã, Sumitrayo (0112692909 / 0112682535) naa kpekpeɖeŋu le adzame. Ne nɔnɔme kpata aɖe dzɔ la, ƒo ka na dɔnɔdzikpɔƒe ƒe dɔwɔƒe si nye 1990 alo kpovitɔwo ƒe xexlẽdzesi 119 si kpɔa nudzɔdzɔ kpatawo gbɔ.

Nya kawoe wòle be nàbia wò ɖɔkta?

Àte ŋu abia wò ɖɔkta nyawo abe:

• Atikewɔwɔ ka ƒomevie nèkafu?
• Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?
• Ðe wòhiã be mayi atikewɔwɔ dzi togbɔ be nye lãme sẽa?
• Tagbɔdɔléle ƒe atikewɔwɔ ka ƒomevie nèkafu?
• Ɣeyiɣi didi kae wòhiã be made susumedɔdamɔnu?

Mlɔeba la, ɖo ŋku edzi be...

Ame geɖe susuna be ASPD nye amenyenye ƒe kuxi si wɔnɛ be womelɔ̃a ame bubuwo gbɔ nɔnɔ o eye wodina be yewo ɖeɖe yewoanɔ anyi. Gake le nyateƒe me la, ASPD nye susumedɔléle sesẽ aɖe.. Amesiwo ŋu nɔnɔme sia le ate ŋu awɔ nu evɔ womabu woƒe nuwɔna me tsonuwo alo alesi wòkpɔa ŋusẽ ɖe ame bubuwo dzii ŋu o. Zi geɖe la, le nuwɔna siwo mele se nu o ta la, ʋɔnudrɔ̃ƒee dea se be woakpɔ dɔlélea ahadae. Esia ate ŋu axɔ ame ɖe agbe.

Nu vevitɔe nye be nàse egɔme be atikewɔwɔ menye tohehe o. Ne ame siwo dome nèle la léa be na wò hekpena ɖe ŋuwò la, atikewɔmɔnu aɖewo li siwo ate ŋu akpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe lãme sẽ. Eya ta mègavɔ̃ be yeabia kpekpeɖeŋu o.

` Amenyenye ƒe dɔléle si tsi tre ɖe hadomenuwɔnawo ŋu, ASPD, susu ƒe lãmesẽ, nuwɔna ƒe kuxiwo, amenyenye ƒe kuxiwo, nuwɔna ƒe kuxiwo, atikewɔwɔ