Ðe wòdze abe màte ŋu aɖu wò gbekui zazã dzi o enea? (Cannabis Use Disorder) Mina míaƒo nu tso esia ŋu!

Gbekui, si wogayɔna be marijuana, nye nusi ame geɖe zãna tsɔ ɖea modzakae, ne woƒo ƒu kple xɔlɔ̃wo. Gake ɣeaɖewoɣi la, ‘sue’ sia ate ŋu agbɔ eme akpa eye wòazu nusi dzi womate ŋu aɖu o. Emegbe edzea ŋusẽkpɔkpɔ ɖe wò gbesiagbedɔwo, ƒomedodowo, kple lãmesẽ dzi. Ðe kuxi aɖe le ŋuwò abe esia ene le gbekui zazã ta? Alo ɖe dɔléle sia le fu ɖem na ame aɖe si nènyaa? Eyata egbea míaƒo nu tso dɔléle si gbekui zazã sia hena vɛ ŋu, si nye , Cannabis Use Disorder .

Nukae Nye Cannabis Zazã ƒe Dɔléle?

Kpuie ko la, Cannabis Use Disorder (CUD) nye nɔnɔme si me gbekui (marijuana) zazã hea kuxiwo vɛ le wò agbe me eye wògblẽa nu le wò susu ƒe lãmesẽ ŋu. Enye Atike Vɔ̃ɖiwo Zazã ƒe Dɔléle (SUD) ƒomevi aɖe hã.

Ne míegblɔ be gbekui la, míefia nusianu si woɖe tso numiemie si nye `Cannabis sativa` me. Ema fia eƒe seƒoƒo ƒuƒuwo, aŋgbawo, kewo, kple nukuwo. Atike siwo wu 500 ye le numiemie sia me. `Cannabidiol` (`CBD`) nye atike mawo dometɔ ɖeka.

Marijuana fia `Cannabis sativa` numiemie ƒe akpa ɖesiaɖe alo eƒe nuwɔna, gake ele be atike si woyɔna be tetrahydrocannabinol (`THC`) ƒe agbɔsɔsɔ gã aɖe nanɔ eme. `THC` siae naa `kɔkɔ` ma, si nye ahamumu ƒe seselelãme. Marijuana nye gbekui ƒomevi aɖe, gake menye gbekui katãe nye marijuana o. `CUD` nɔnɔmea tsoa nusiwo me `THC` le (si nye marijuana) gbɔ koŋ.

`CUD` nɔnɔme sia ateŋu ato vovo le eƒe sesẽme me – ame aɖewo ateŋu akpɔ dzesi fafɛwo , bubuwo ƒe dzesiwo le titina , eye bubuwo ƒe dzesi sesẽwo . Zi geɖe la, ebia didi be yeazã gbekui si dzi womate ŋu aɖu o, mɔɖeɖe ɖe gbekui ŋu geɖe wu (si fia be ehiã be nàse le ɖokuiwò me geɖe wu be nàse le ɖokuiwò me abe tsã ene), kple asiɖeɖe le eŋu ƒe dzesiwo ne èdzudzɔ.

CUD ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò lãmesẽ, wò ƒomedodo kple ƒometɔwo kple xɔlɔ̃wo, kpakple wò agbemeŋkekewo katã dzi. Eyata ele vevie be nàdi kpekpeɖeŋu ne ènya dze dzesiawo kpɔkpɔ gɔme ko.

Vovototo kae le `CUD` sia kple marijuana zazã ƒe numame dome?

Míeyɔa gbekui zazã ƒe kuxi (CUD) be enye nusi mesẽ o, esi sɔ, alo esi nu sẽ. Marijuana zazã ƒe numame nye dɔlélea ƒe ƒomevi si nu sẽ wu. Efia be woayi edzi anɔ marijuana zãm togbɔ be kuxi siwo wòhena vɛ hã. Marijuana zazã ƒe numame dzɔna ne wò ahɔhɔ̃ ƒe teƒeɖoɖo ƒe ɖoɖoa va zu numame na wò be wòazã atike la, si ʋã wò nèdi.

Aleke gbegbee `CUD` nɔnɔme sia bɔe?

Le nyateƒe me la, `CUD` nye nɔnɔme si bɔ vie. Ƒe 2021 ƒe numekuku aɖe ɖee fia be ame siwo xɔ ƒe 12 kple edzivɔ le United States la dometɔ siwo ade 5.8% (si nye ame miliɔn 16.3 lɔƒo) xɔ `CUD` le ɣleti 12 siwo va yi me. Woate ŋu akpɔ nɔnɔme sia le Sri Lanka hã le agbɔsɔsɔ gã alo sue aɖe me.

Nukae nye `Cannabis Use Disorder` ƒe dzesiwo?

Le Amerika Tagbɔdɔléle Habɔbɔ ƒe Diagnostic and Statistical Manual (DSM-5) ƒe nya nu la, esiawoe nye Cannabis Zazã ƒe Dɔléle ƒe dzesiwo:

• Gbekui geɖe zazã kple ɣeyiɣi didi wu alesi nèɖoe.
• Didi alo didi vevie be woazã gbekui.
• Agbagba siwo wodze be woaɖe gbekui zazã dzi akpɔtɔ alo aɖu edzi la do kpo nu.
• Exɔa ɣeyiɣi didi hafi woate ŋu ake ɖe gbekui ƒe ŋusẽkpɔɖeamedziwo ŋu, azãe, alo ahaya tso wo me.
• Dɔ siwo womate ŋu awɔ le dɔwɔƒe, suku, alo aƒeme o le gbekui zazã ta.
• Gbekui zazã dzi yiyi togbɔ be ƒomedodo me kuxiwo le eŋu hã.
• Asiɖeɖe le hadome, dɔwɔna, alo modzakaɖeɖe ŋu le gbekui zazã ta.
• Gbekui zazã enuenu, le nɔnɔme siwo me afɔku le gɔ̃ hã me , abe ʋukuku ene.
• Gbekui zazã dzi yiyi togbɔ be wonya be ele ŋutilã alo susu me kuxi aɖe hem vɛ hã.
• Mɔɖeɖe ɖe nu ŋu ƒe dzidziɖedzi (si fia be èhiã gbekui geɖe hafi nàse le ɖokuiwò me be yekɔ abe tsã ene).
• Dzesiwo kpɔkpɔ be woaɖe asi le gbekui ŋu ne wodzudzɔ gbekui nono, kple gbekui zazã ake be woatsɔ aɖu dzesi mawo dzi.

Ne dzesi siawo tɔgbe le ŋuwò la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.

Dzesi kple nuwɔna bubuwo

Tsɔ kpe ɖe esia ŋu la, woate ŋu akpɔ nɔnɔme kple nuwɔna bubu aɖewo:

• Tɔtɔ, susu tsɔtsɔ ɖo nu ŋu sesẽ.
• Ŋkuɖodzinyawo ƒe kuxiwo.
• Nu yeyewo sɔsrɔ̃ sesẽ.
• Nusiwo mele afima o kpɔkpɔ alo sese (`Hallucinations`).
• Ameflunyawo gbɔgblɔ.
• Adzɔge tso xɔlɔ̃wo kple ƒometɔwo gbɔ.
• Seselelãme kple nuwɔna ƒe tɔtrɔ kpata.
• Dzikudodo kple gbegbe ne ame aɖe bia nya tso gbekui zazã ŋu.
• Wometsɔ ɖeke le woƒe dzedzeme me abe tsã ene o.
• Nuwɔna le adzame be woatsɔ aɣla gbekui zazã.

Nukae nye nusiwo hea `Cannabis Use Disorder` vɛ?

Zi geɖe la, amesi le `Cannabis Use Disorder` xɔm ate ŋu awɔ ɖe ɖoɖo si le abe esia ene dzi:

1. Dodokpɔ me zazã.

2. Zãzã ɣeaɖewoɣi.

3. Zãzã sesẽ.

4. Atikewo zazã ƒe kuxi.

Mɔzɔzɔ sia sesẽ vie. Nu geɖe li siwo nana atike muamewo zazã ƒe kuxi aɖe va doa mo ɖa. Wo dometɔ vevitɔwoe nye:

• Dɔ si THC wɔna ɖe wò ahɔhɔ̃ ƒe dɔwɔwɔ dzi.
• Domenyiŋusẽfianu (ŋusẽkpɔɖeamedzi tso domenyiŋusẽfianu me).
• Susu ƒe lãmesẽ ƒe nɔnɔmewo.
• Gbekui xɔxɔ kple eƒe gododo bɔbɔe.

Ahɔhɔ̃ ƒe atikewɔwɔ

Atike si nye `THC` kpɔa ŋusẽ ɖe wò ahɔhɔ̃ dzi, vevietɔ `teƒeɖoɖo ƒe teƒe`.

Wotsɔ nugbagbeviwo ƒe ka bla mí katã be míadi vivisese. Zi geɖe la, nu siwo le lãmesẽ me gbɔe vivisese sia tsona. Ne èzã ɣeyiɣi ɖe ame aɖe si nèlɔ̃ ŋu, alo ne èɖu nu vivi aɖe la, wò ŋutilã ɖea atike aɖe si woyɔna be dopamine . Esiae nana nèsena le ɖokuiwò me be dzi dzɔa ye eye yeƒe dzi dzea eme. Ele abe tsatsam ene; èdia nuteƒekpɔkpɔ siawo elabena wonana nèsena le ɖokuiwò me be yeƒe dzi dze eme.

Ne èzã atike vɔ̃ɖiwo abe marijuana ene la, dopamine ƒe agbɔsɔsɔ gã aɖe ƒua du toa wò ahɔhɔ̃ me. Gake le esi teƒe be dopamine ƒe agbɔsɔsɔ gbogbo siawo naʋã wò nàwɔ nusiwo wòle be nàwɔ be nàtsi agbe (nuɖuɖu, dɔwɔwɔ, ɣeyiɣi zazã ɖe wò lɔlɔ̃tɔwo ŋu) la, ate ŋu ana tɔtrɔ siwo gblẽa nu le ŋuwò nava wò tamesusuwo, seselelãmewo, kple nuwɔna me.

Esia nana nèdia vivisese geɖe tso marijuana me wu alesi nàdi tso nuteƒekpɔkpɔ siwo naa lãmesẽ me. Le ɣeyiɣi aɖe megbe la, marijuana (`THC`) trɔa wò ahɔhɔ̃ ƒe dɔwɔwɔ, si wɔnɛ be mègasea veve ɖe enu o. Ekema, èhiã nu geɖe wu be nàse ŋusẽkpɔɖeamedzi ma ke.

Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi (domenyiŋusẽfianu) .

Numekukuwo ɖee fia be afɔku si le atike muamewo zazã ƒe dɔléle ɖesiaɖe xɔxɔ me ƒe 40% va ɖo 60% nye domenyiŋusẽfianu. Esia fia be ne atike muamewo zazã ƒe dɔléle aɖe le ame aɖe si le wò ƒometɔ kplikplikpli me (nɔviwò, dzila) ŋu la, anɔ eme be wò hã nàxɔe. Dzɔdzɔmeŋutinunyalawo kpɔe be domenyiŋusẽfianu si woyɔna be CHRNA2 (si le domenyiŋusẽfianu 8 lia dzi) ƒe tɔtrɔ do ƒome kple CUD.

Susu ƒe lãmesẽ ƒe nɔnɔmewo

Ame siwo ŋu susu ƒe lãmesẽkuxi le la dometɔ siwo ade afã hã le atike muamewo zazã ƒe kuxi aɖe (e.g., `CUD`). Nenema ke tagbɔdɔléle le amesiwo ŋu atike muamewo zazã ƒe kuxi le la dometɔ siwo ade afã hã ŋu. Woyɔa esia be `dɔléle eve didi` .

Nu geɖe siwo do ƒome kple wo nɔewo gbɔe atike muamewo zazã ƒe kuxiwo kple susumedɔléle bubuwo tsona:

• Domenyiŋusẽfianu ƒe afɔkuwo.
• Kuxi siwo doa mo ɖa le ahɔhɔ̃a ƒe akpa mawo ke.
• Nutome ƒe ŋusẽkpɔɖeamedziwo.

Numekukuwo ɖee fia be susumedɔlélewo ate ŋu ana woazã atike muamewo, eye atike muamewo zazã ate ŋu ana woadze tagbɔdɔlélewo gɔme. Ame aɖewo ateŋu azã gbekui le agbagbadzedze be yewoakpɔ yewoƒe susu ƒe lãmesẽkuxiwo ƒe dzesiwo gbɔ (woyɔa esia be `ɖokuiŋudɔwɔwɔ`). Esia ateŋu awɔ akpa aɖe le nɔnɔme si nye `CUD` hã me.

Gbekui xɔxɔ kple eƒe gododo bɔbɔe

Alesi gbekui ƒe amesinɔnɔ le bɔbɔe nye nusi kpɔa ŋusẽ ɖe nutome dzi etɔxɛe. Nusiwo nana be woate ŋu axɔ gbekui ahazãe ɖe edzi dometɔ aɖewoe nye:

• Ame aɖe le gbekui zãm le wò aƒeme.
• Xɔ̃wòwo le gbekui zãm.
• Atikewɔwɔ ƒe marijuana ƒe ɖaseɖigbalẽ ƒe amesinɔnɔ (le dukɔ/nutome siwo me wòle se nu le me).

Nukae nye afɔku siwo le `Cannabis Use Disorder` me?

Nu aɖewo ate ŋu ana CUD xɔxɔ ƒe afɔkua nadzi ɖe edzi. Wo dometɔ aɖewoe nye:

• Ƒe: Amesiwo dze gbekui zazã gɔme hafi xɔ ƒe 18 la ate ŋu axɔ CUD zi gbɔ zi ene va ɖo adre wu ame tsitsiwo.
• Marijuana ƒe ŋusẽ: Marijuana si ŋu ŋusẽ le ŋutɔ zazã (i.e., THC ƒe agbɔsɔsɔ si sɔ) ate ŋu ana CUD ƒe afɔkua nadzi ɖe edzi. Azɔ hã, marijuana zazã ƒe mɔnu aɖewo (abe dabbing kple vaping concentrates ene) ate ŋu ana THC ƒe agbɔsɔsɔ si sɔ gbɔ ŋutɔ naɖo ŋutilãa me.
• Zãzã zi gbɔ zi geɖe: Numekuku aɖe ɖee fia be amesiwo zãa gbekui zi ɖeka le kwasiɖa me ƒe 17% kple amesiwo zãa gbekui gbesiagbe ƒe 18.8% ɖe dzesiwo fia be wonɔ te ɖe gbekui dzi.
• Blanuiléle: Amesiwo ŋu blanuiléle le ate ŋu axɔ CUD.
• Ŋutsu alo nyɔnu nyenye: Ŋutsuwo te ŋu xɔa CUD wu.
• Atike bubuwo zazã: Atike bubuwo abe aha sesẽ, nicotine, alo susumenuwo zazã ate ŋu ana CUD ƒe afɔkua nadzi ɖe edzi.

Nusiwo ate ŋu ana CUD nadze ame dzi, vevietɔ le ƒewuiviwo dome, dometɔ aɖewoe nye:

• Dzilawo ƒe atike muamewo zazã.
• Sukudede ƒe gbɔdzɔgbɔdzɔ.
• Nuwɔna siwo tsi tre ɖe hadomenuwɔnawo ŋu kple esiwo tsi tre ɖe wo nɔewo ŋu.
• Ahanono kple/alo nicotine zazã.
• Gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ le ɖevime.

Kuxi kawoe esia ate ŋu ahe vɛ?

CUD ate ŋu akpɔ ŋusẽ gbegblẽ ɖe wò susu, ŋutilã, kple hadome lãmesẽ dzi. Nɔnɔmea ƒe ŋutilã me kuxi siwo dona tso gbekui zazã me dometɔ aɖewoe nye:

• Tagbɔdɔléle si gbekui hena vɛ.
• Dzimaɖitsitsidɔ si gbekui hena vɛ.
• Alɔ̃dɔdɔ ƒe kuxi si gbekui hena vɛ.
• Cannabis hyperemesis ƒe dɔléle si nye hyperemesis ƒe dɔléle.
• Aɖuɖɔtoedɔléle si nɔa anyi didi ne ènoa marijuana alo tsɔa marijuana zãnɛ.
• Vidzidzi ŋuti nyawo.

Ðevi sue siwo ŋu CUD le ate ŋu axɔ kuxiwo abe:

• `CUD` (marijuana zazã ƒe numame) sesẽ.
• Ŋusẽkpɔɖeamedzi ɖe ahɔhɔ̃a ƒe tsitsi dzi.
• Sidzedze ƒe dɔmawɔmawɔ nyuie.
• Sukudede me tsonu siwo gbɔdzɔ.
• Sukudede ƒe mɔnukpɔkpɔ si dzi ɖe edzi.
• Nunya ƒe xexlẽme si dzi ɖe kpɔtɔ (`IQ`).

Aleke nèwɔ de dzesi esia?

Dodokpɔ ɖeka aɖeke meli si ate ŋu anya Cannabis Use Disorder o. Ke boŋ lãmesẽdɔwɔlawo alé ŋku ɖe wò atikewɔwɔ ŋutinya kple nuwɔna siwo ku ɖe gbekui zazã ŋu tsitotsito. Woate ŋu awɔ atikewo dodokpɔ hã.

Esi wònye be ebɔ be susumedɔléle aɖe nanɔ amesiwo ŋu CUD le ŋu ta la, ɖɔktaa abia wò susu ƒe lãmesẽ ŋutinya hã.

Le Amerika Tagbɔdɔlélawo ƒe Habɔbɔ ƒe Diagnostic and Statistical Manual (DSM-5) ƒe nya nu la, hafi woakpɔe be Cannabis Use Disorder le ŋuwò la, ele be dzesi siwo ŋu míeƒo nu tsoe va yi dometɔ eve ya teti nanɔ anyi wu ɣleti 12 .

Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be `CUD` ateŋu anɔ anyi le ɖoƒe vovovowo:

• `CUD` fafɛ: Dzesi eve alo etɔ̃.
• `CUD` si le titina: Dzesi ene alo atɔ̃.
• CUD sesẽ: Dzesi ade alo esi wu nenema.

Nukawoe nye atikewɔmɔnuawo?

Atikewɔwɔ nyuiwo li na Cannabis Use Disorder. Atikewɔwɔ nɔ te ɖe nɔnɔmea ƒe sesẽ dzi, eye wòtoa vovo tso ame ɖeka gbɔ yi bubu gbɔ – àte ŋu ahiã atikewɔwɔ vovovowo le ɣeyiɣi vovovowo me.

Esi wònye be CUD nye dɔléle si nɔa anyi didi si ate ŋu agadzɔ ake ta la, ehiã beléle na ame atraɖii hafi atikewɔwɔ nadze edzi.

Esi wònye be zi geɖe la, susumedɔ bubuwo nɔa amesiwo ŋu CUD le ŋu ta la, zi geɖe la, enyo wu be woawɔ atike na wo ɖekae tsɔ wu be woada wo ɖe vovo.

CUD ƒe atikewɔwɔ ƒomevi vevi eve li:

1. Aɖi ɖeɖeɖa.

2. Sidzedze kple nuwɔna ƒe atikewɔwɔwo.

Azɔ hã, teƒe vovovowo kple mɔ vovovowo li siwo dzi woato akpɔ atike:

• Aɖaŋuɖoɖo na dɔnɔ siwo le kɔdzi.
• Dɔdamɔnu si wozãna le kɔdzi vevie.
• Dɔnɔdzikpɔƒe ƒe atikewɔwɔ.
• Atikewɔwɔ ƒe nuto siwo nɔa anyi ɣeyiɣi didi, abe nuto siwo me agbe le siwo me susu le ene.

Detoxification (aɖiwo ɖeɖeɖa le ŋutilã me) .

Aɖi ɖeɖeɖa bia be nàdzudzɔ gbekui zazã eye nàɖe mɔ wòado le wò ŋutilã me. Le alesi wò CUD ƒe sesẽme nu la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàɖe wò zazã dzi akpɔtɔ vivivi (taering off) be nàɖe asiɖeɖe le eŋu ƒe ŋusẽkpɔɖeamedziwo dzi akpɔtɔ. Esiae nye afɔɖeɖe vevi gbãtɔ le CUD dada me. Àte ŋu awɔ aɖinuwo ɖeɖeɖa le dɔnɔdzikpɔƒe alo dɔnɔdzikpɔƒe.

Dzɔdzɔmeŋutinunyalawo le numekuku wɔm tso atike siwo woatsɔ awɔ gbekui `detoxification` ŋu fifia.

Sidzedze kple nuwɔna ƒe atikewɔwɔwo

Tagbɔdɔdada (nuƒoƒo ƒe atikewɔwɔ) ate ŋu akpe ɖe ame ŋu woada CUD kple susumedɔléle bubu siwo dzɔna ɖekae. Atikewɔwɔ fiaa tenɔnɔ ɖe nɔnɔmea nu ƒe mɔnu siwo le lãmesẽ me hã.

Lãmesẽdɔwɔlawo ate ŋu aɖo aɖaŋu be woazã susuŋudɔwɔwɔ kple nuwɔna ŋuti dɔdamɔnu ɖeɖeko alo woatsɔe akpe ɖe atikewo ŋu.

Atikewɔwɔ dzidzedzetɔe na ame tsitsi siwo ŋu CUD le dometɔ aɖewoe nye:

• Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT): CBT nye susumedɔdadamɔnu si woɖo ɖe ɖoɖo nu, si wotu ɖe taɖodzinu dzi. Le CBT me la, susumedɔléle ŋuti aɖaŋuɖola kpena ɖe ŋuwò nèléa ŋku ɖe wò tamesusuwo kple seselelãmewo ŋu tsitotsito. To CBT dzi la, àte ŋu asrɔ̃ alesi nàɖe asi le susu kple nuwɔna siwo mele lãmesẽ me o ŋu eye nàtu tamebubu kple numame siwo le lãmesẽ me wu ɖo. CBT na CUD hã léa fɔ ɖe tɔtrɔ ʋãme, nufiafia tso atikewɔwɔ ŋu, kple mɔxexe ɖe dɔlélea gbugbɔgadzɔ nu ŋu.
• Dialectical Behavior Therapy (DBT): DBT wɔa dɔ nyuie na amesiwo ƒe seselelãmewo dzi kpɔkpɔ kple wo dzi ɖuɖu sesẽna na. Wokpɔe be DBT wɔa dɔ nyuie le susumedɔléle vovovowo dada kple wo dzi kpɔkpɔ me, siwo dome CUD hã le.
• Assertive Community Treatment (ACT): ACT naa susumedɔlélewo gbɔ kpɔkpɔ le nutoa me, ke menye le aƒeme alo kɔdzi o. ACT nye atikewɔwɔ si wowɔ ɖe ame ɖesiaɖe nu. Wò atikewɔwɔ ƒe ɖoɖoa nɔ te ɖe wò ŋutetewo, nuhiahiãwo, kple etsɔme taɖodzinuwo dzi.
• Atikewɔwɔ ƒe Nutowo (TCs): TCs nye atikewɔwɔ si wozãna le aƒeme ɣeyiɣi didi si kpena ɖe amesiwo ŋu CUD le ŋu be woatu dzidzenu yeyewo kple nuwɔna siwo le lãmesẽ me wu ɖo ku ɖe atike muamewo zazã kple susu ƒe lãmesẽ ƒe nɔnɔme siwo do ƒome kplii ŋu.
• Contingency Management (CM): CM bia be woade nuwɔna siwo le lãmesẽ me ƒe dzi ƒo to nuwɔna nyuiwo teƒeɖoɖo me. Zi geɖe la, wonaa nane si ŋu asixɔxɔ le le ga gome amesiwo ŋu CUD le be wòade dzi ƒo na wo be woatsri gbekui zazã. Le kpɔɖeŋu me, ne èkpɔ dodokpɔ me tsonu manyomanyo le atike vɔ̃ɖi dodokpɔ me la, mɔnukpɔkpɔ asu asiwò be nàxɔ fetu alo nunana ƒe agbalẽvi.

Gomekpɔkpɔ le kpekpeɖeŋunahabɔbɔwo abe Marijuana Anonymous ene me hã ate ŋu awɔ akpa gã aɖe le CUD dada me.

Etsɔme ka ƒomevie amesi ŋu `Cannabis Use Disorder` le ate ŋu akpɔ mɔ na?

Cannabis Use Disorder ƒe ŋgɔdonya nɔ te ɖe nu geɖe dzi:

• `CUD` ƒe ƒomevi kple eƒe sesẽme.
• Alesi gbegbe atike muamewo zazã ɖe mɔ gbegblẽ nu kple kuxi siwo wodoa goe le atike muamewo dzudzɔ me.
• Ðokuitsɔtsɔna be yeatsri atike vɔ̃ɖiwo keŋkeŋ.
• Atikewɔwɔ ƒe ɣeyiɣi.
• Domenyiŋusẽfianu ƒe nuwɔna.
• Aleke nèwɔna nɔa te ɖe enu ne nuteɖeamedzi le fu ɖem na wò?

Atikewo zazã ƒe kuxiwo, siwo dome Cannabis Use Disorder hã le, nye dɔléle siwo woxɔna le ame ƒe agbemeŋkekewo katã me. Ke hã, àte ŋu ahaya ahanɔ agbe blibo. Kpekpeɖeŋu xɔxɔ le vevie hafi ame nahaya. Ame vovovowo kpɔnɛ be mɔnu vovovowo wɔa dɔ nyuie, gake atikewɔwɔ kple kpekpeɖeŋunana wo ɖokui ƒe ƒuƒoƒo siwo yia edzi kpena ɖe ame geɖe ŋu.

CUD nye dɔléle si gbugbɔna vaa ame dzi. Ne èle hayahayam la, ke èle afɔku gã aɖe me be nàgadze dɔa ake. Esia ate ŋu adzɔ ƒe geɖe le esi nèzã gbekui zi mamlɛtɔ megbe.

Le alesi wòate ŋu adzɔe be nàgadze dɔa ake ta la, ahiã be woawɔ atike na wò atraɖii. Wò ɖɔkta adzro wò atikewɔwɔ ƒe ɖoɖoa me kpli wò eye wòatrɔ asi le eŋu be wòasɔ ɖe wò nuhiahiã siwo le tɔtrɔm nu.

Aleke woawɔ aƒo asa na `Cannabis Use Disorder` sia?

Afɔku si le atike muamewo zazã ɖe mɔ gbegblẽ nu, si me gbekui zazã hã le, dzina ɖe edzi ŋutɔ le nuteɖeamedzi kple agbenɔnɔ ƒe tɔtrɔɣiwo. Le ame tsitsi gome la, atike muamewo zazã ƒe afɔkua ate ŋu adzi ɖe edzi le nuwo abe srɔ̃gbegbe, dɔ ƒe gege le ame si, alo eƒe ame vevi aɖe ƒe ku ta. Le ɖevi sue gome la, afɔkua ate ŋu adzi ɖe edzi le nuwo abe ʋuʋu, ƒome ƒe srɔ̃gbegbe, alo suku tɔtrɔ ta.

Le tɔtrɔɣiwo abe esiawo ene me la, ele vevie be nàƒo ɖokuiwò ɖe tenɔnɔ ɖe nɔnɔmea nu ƒe mɔnu nyuiwo abe kamedede, ŋugbledede, alo modzakaɖeɖe yeye aɖe sɔsrɔ̃ ene me. Ne wò nuteɖeamedzi dzi ɖuɖu le sesẽm na wò la, bu susumedɔléle ŋuti aɖaŋuɖola aɖe gbɔ yiyi ŋu kpɔ .

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Cannabis Use Disorder nye susu ƒe lãmesẽ kple ahɔhɔ̃ ƒe dɔléle sesẽ aɖe. Le tɔtrɔ siwo vaa wò ahɔhɔ̃ me ta la, ate ŋu asesẽ be nàdzudzɔ gbekui zazã, ne èdi gɔ̃ hã. Ne Cannabis Use Disorder le ŋuwò alo ame aɖe si nèlɔ̃ la, ƒo nu kple lãmesẽdɔwɔla kaba ale si nàte ŋui. Dɔwɔla si xɔ hehe ate ŋu afia mɔ wò le atikewɔwɔ si nèhiã ŋu. Ðo ŋku edzi be kpekpeɖeŋu biabia menye gbɔdzɔgbɔdzɔ o, ke boŋ enye ŋusẽ! Menye wò ɖeka koe o, eye ame geɖewo li siwo ate ŋu akpe ɖe ŋuwò le mɔzɔzɔ sia me.

` Cannabis, Marijuana, Cannabis Zazã ƒe Dɔléle, Atike Vɔ̃ɖiwo, Numame, Susu ƒe Lãmesẽ, Atikewɔwɔ