Ðe wò hã ètrɔ le nuveviwɔame sesẽ aɖe si nɔ anyi ɣeyiɣi didi aɖe megbea? Mina míaƒo nu tso CPTSD (Complex PTSD) ŋu!

Ele be mí katã míadze ŋgɔ nuteƒekpɔkpɔ sesẽ kple vevesese le míaƒe agbe me siwo míate ŋu asusu gɔ̃ hã o, alo? Gake nuteƒekpɔkpɔ aɖewo li siwo mewu enu le ŋkeke ɖeka alo eve me o. Wowɔa fu mí ɣeyiɣi didi aɖe, nɔa míaƒe dzi me kum. Egbea, míele nu ƒom tso susumekuxi aɖe si ate ŋu ado mo ɖa tso nɔnɔme dziŋɔ sesẽ siwo nɔ edzi yim ɣeyiɣi didi aɖe la ŋu. Woyɔa esia be CPTSD alo Nuteɖeamedzi Sesẽ Le Nuteɖeamedzi Megbe . Ðewohĩ èse nya sia kpɔ, alo wò ŋutɔ nèsea dzesi siawo le ɖokuiwò me. Na míakpɔ nusi wònye ɖa.

Nukae nye CPTSD (PTSD sesẽ)? Kpuie ko la,...

Kpuie ko la, CPTSD nye tagbɔdɔ si ate ŋu ado mo ɖa ne èdo go nuveviwɔame si nɔa anyi didi ɣeyiɣi didi aɖe. Esia ate ŋu ana tɔtrɔ ɖedzesiwo nava menye le wò susu me ko o, ke ate ŋu ahe tɔtrɔ gã aɖe vɛ le wò nuwɔna hã me. Bu eŋu kpɔ, abe alesi ko abi xɔa ɣeyiɣi hafi wòhaya ene la, seselelãme ƒe abi sesẽwo hã xɔa ɣeyiɣi hafi wohayana, eye ɣeaɖewoɣi la, woate ŋu ahe nɔnɔme siwo ɖea fu na ame vovovowo vɛ le susu me.

Nuteɖeamedzi ƒe ŋuɖoɖo vevi geɖewo li siwo woate ŋu akpɔ le CPTSD me:

• Dzimaɖitsitsi alo vɔvɔ̃ ɣesiaɣi (Dzimaɖitsitsi): Àte ŋu ase le ɖokuiwò me ɣesiaɣi be nu gbegblẽ aɖe le dzɔdzɔ ge.
• Nusiwo dzɔ va yi alo drɔ̃e baɖawo: Àte ŋu ase le ɖokuiwò me be nudzɔdzɔ dziŋɔa gadzɔ ake ŋutɔŋutɔ, alo àte ŋu aku drɔ̃e baɖa siwo do ƒome kplii enuenu.
• Ƒo asa na teƒewo, amewo, kple nusiwo do ƒome kple nudzɔdzɔ dziŋɔa: Ðewohĩ màse le ɖokuiwò me be yeanɔ teƒe siwo ɖoa ŋku nudzɔdzɔa dzi na wò alo ayi o.
• Seselelãmewo dzi ɖuɖu sesẽ (Seselelãme ƒe ŋuɖoɖo siwo nu sẽ): Àte ŋu ado dziku bɔbɔe, atsi dzimaɖi, awɔ nu kpata, eye nàva do dziku ɖe nu suewo gɔ̃ hã ŋu.
• Kuxi siwo nɔa anyi ɖaa le ƒomedodowo me léle ɖe asi me: Kadodo kple amewo, kaka ɖe wo dzi, kple kadodowo ɖoɖo sesẽ.

Bu eŋu kpɔ, ame aɖe li si ŋkɔe nye Nilanthi. Tso esime wònye ɖevi la, dzre nɔa aƒeme ɣesiaɣi, eye fofoa wɔa ŋlɔmi le dadaa kple eyama ŋu vevie. Ƒewo va yi alea. Togbɔ be Nilanthi nye ɖekakpui fifia hã la, vɔvɔ̃ ɖonɛ ɣesiaɣi, esesẽna nɛ be wòaka ɖe amewo dzi, eye wòdoa dziku ɖe nu suesuesuewo ta. Zi geɖe la, ekua drɔ̃e tso nusiwo dzɔ ɖe edzi esime wònye ɖevi la ŋu. Nɔnɔme ma ƒomevi ate ŋu anye CPTSD ƒe kpɔɖeŋu.

Nukawoe nye nuveviwɔame siwo nɔa anyi didi siwo ate ŋu ahe CPTSD vɛ?

• Ðeviwo ƒe ŋutilã alo gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ ɣeyiɣi didi.
• Aƒeme ŋutasẽnuwɔwɔ ɣeyiɣi didi.
• Amegbetɔ alo gbɔdɔdɔ ƒe asitsatsa ƒe futɔ nyenye.
• Agbenɔnɔ le nuto si me aʋawɔwɔ le me ɣeyiɣi didi aɖe (Aʋa).
• Nutoa me ŋutasẽnuwɔwɔ enuenu.

Menye amesiwo to nuveviwɔame sesẽwo me le woƒe ɖevime koe nɔnɔme sia bɔ o, ke ate ŋu axɔ CPTSD le woƒe tsitsime hã ne woto nuveviwɔame ma tɔgbe si nɔ anyi ɣeyiɣi didi me.

Ðe woda asi ɖe CPTSD dzi le atikewɔwɔ mea?

Esia nye nya si me kɔ vie. Le susuŋutinunya ŋuti nunyala bibiwo gɔ̃ hã dome la, nukpɔsusu vovovowo le wo si ku ɖe nenye be CPTSD nye nɔnɔme si to vovo alo PTSD (Post-Traumatic Stress Disorder) ƒe akpa aɖe ŋu.

Bu esia ŋu kpɔ: Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) yɔ CPTSD be enye nɔnɔme si to vovo le eƒe agbalẽ yeyetɔ si nye `Dukɔwo Dome Dɔlélewo ƒe Ƒomedodo (ICD-11),` me le ƒe 2019. Gake Amerika Tagbɔdɔlélawo ƒe Habɔbɔ (APA) melɔ̃ ɖe CPTSD dzi be enye nɔnɔme si to vovo le eƒe `Diagnostic and Statistical Manual of Mental Disorders (DSM-5) me o. Ke hã, nɔnɔme aɖe si woyɔna be `dissociative PTSD` le DSM-5 me abe PTSD ƒe akpa sue aɖe ene, eye eƒe dzesiwo ɖi CPTSD ŋutɔ.

Eŋutinunyala aɖewo xɔe se be CPTSD, PTSD, kple BPD (Borderline Personality Disorder) katã ate ŋu anye susumedɔléle siwo do ƒome kple nuveviwɔame le ɣeyiɣi ɖeka me. Eyae nye be, woate ŋu ado ƒome kple wo nɔewo le woƒe dzesiawo ƒe sesẽme nu.

Eyata vovototo kae le CPTSD kple PTSD dome?

Nya sia nye nya si ame geɖe biana. Vovototo vevitɔwoe nye ɣeyiɣi didi si dzidziƒoamea xɔna kple dzesiawo.

Tsã la, míesusuna be ɣeyiɣi kpui aɖe ƒe nuveviwɔame, abe afɔku alo dzɔdzɔmefɔku ene gbɔe PTSD tsona. Gake numekukuwo ɖee fia be amesiwo doa go nuveviwɔame ɣeyiɣi didi, enuenu la dzea dzesi bubuwo tsɔ kpe ɖe PTSD ŋu. Dzesi bubu siawo dzie wokpɔa CPTSD le.

Le CPTSD kple PTSD siaa me la, .

• Nudzɔdzɔa kpɔkpɔ ake (flashbacks), .
• Ŋudzɔnɔnɔ fũu akpa (ame ƒe ŋudzɔnɔnɔ ɣesiaɣi le nusiwo ƒo xlãe ŋu madzemadzee), .
• Woate ŋu akpɔ susu kple nuwɔna ƒe nuteɖeamedzi ƒe ŋuɖoɖowo, abe alesi nàƒo asa na nusiwo ɖoa ŋku nudzɔdzɔ dziŋɔa dzi na wò ene.

Gake amesiwo ŋu CPTSD le hã doa go kuxi bubuwo :

• Kuxi siwo nɔa anyi didi eye wobɔ ɖe seselelãmewo dzi kpɔkpɔ me: Dzikudodo bɔbɔe ɖe nu suesuesuewo ta, blanuiléle, kple seselelãmewo dzi ɖuɖu ƒe ŋutetemanɔamesi.
• Nya siwo ku ɖe amenyenye kple ame ɖokui ƒe seselelãme ŋu: Susu gbegblẽ siwo ku ɖe amesi nènye kple asixɔxɔ si le ŋuwò ŋu. Ŋukpe, fɔɖiɖi, kple kpododonu ƒe seselelãmewo bɔ.
• Kuxi siwo le ƒomedodowo me léle ɖe asi me: Esesẽna ŋutɔ be woatu ƒomedodo sẽŋu si ŋu gɔmesese le ɖo kple ame bubuwo ahalé wo me ɖe asi.

Vovototo kae le CPTSD kple BPD (Borderline Personality Disorder) dome?

Dzesi ɖeka tɔgbe geɖe le CPTSD kple BPD ŋu, abe nuwɔna kpata, sese le wo ɖokui me be viɖe aɖeke mele yewo ŋu o, kple ƒomedodo si li ke me léle ɖe asi sesẽ. Esia na eŋutinunyala aɖewo ke ɖi nenye be nɔnɔme eve siawo to vovo ŋutɔŋutɔ.

Le dzidzenu siwo li fifia nu la, vovototo vevitɔe nye be CPTSD bia be nuveviwɔame si nɔa anyi didi hafi wòadze egɔme. Togbɔ be BPD mehiã kokoko be nuveviwɔame nadze ame dzi o hã la , zi geɖe la, BPD do ƒome vevie kple nuteƒekpɔkpɔ dziŋɔwo, abe ɖevimenɔɣi ƒe ŋlɔmiwɔwɔ alo ɖekematsɔleme ene.

Vovototo bubue nye be zi geɖe la, BPD dzena le sɔhɛmenɔɣi, gake CPTSD ate ŋu adzɔ le ƒe ɖesiaɖe me.

Aleke gbegbee CPTSD bɔe?

Esi wònye be CPTSD nye dɔléle si wokpɔ yeyee ta la, womewɔ numekuku si sɔ le alesi wòbɔe ŋu haɖe o. Ke hã, eŋutinunyalawo bu akɔnta be nɔnɔmea ate ŋu agblẽ nu le xexeamenɔlawo ƒe 1% va ɖo 8% ŋu. Esia fia be ame aɖewo ate ŋu anɔ Sri Lanka siwo ŋu nɔnɔme sia le.

Nukawoe nye CPTSD ƒe dzesiwo?

Le Xexeame ƒe Lãmesẽ Habɔbɔ ƒe `ICD-11` ƒe hatsotso nu la, CPTSD lɔ PTSD ƒe dzesi vevi geɖewo ɖe eme. Ema nye:

• Nusiwo dzɔ va yi: Sese le ɖokuinye me abe ɖe nudzɔdzɔ dziŋɔa gadzɔ ake ŋutɔŋutɔ ene.
• Ƒo asa na amewo, nudzɔdzɔwo, kple nutoa me ƒe nusiwo hea nuveviwɔamea vɛ kple wo ɖokui ɖeɖeɖa tso wo gbɔ.
• Ŋudzɔnɔnɔ fũu akpa nye ŋudzɔnɔnɔ fũ akpa ɣesiaɣi le vɔvɔ̃ na afɔku ta.
• Susu kple seselelãme manyomanyowo ŋu bubu enuenu.

Tsɔ kpe ɖe esia ŋu la, dzesi bubu geɖewo li siwo le etɔxɛ na CPTSD:

• Nuwɔwɔ ɖe seselelãme gbegblẽwo, dzikudodo, kple adãwɔwɔ ŋu fũ akpa (Affective dysregulation): Kpuie ko la, dzikudodo kabakaba, dzikudodo, kple esesẽna na wò be nàɖu seselelãmewo dzi le nu suetɔ kekeake gɔ̃ hã dzi.
• Ameɖokui ƒe seselelãme manyomanyo ƒe amesinɔnɔ: Ŋukpe, fɔɖiɖi, kpododonu ƒe seselelãme, kple viɖemanɔamesi ƒe fukpekpe ɣesiaɣi.
• Esesẽna ŋutɔ le ƒomedodo siwo ŋu gɔmesese le ɖoɖo kple wo me léle ɖe asi me: Esesẽna ŋutɔ be woaka ɖe amewo dzi ahaɖo ƒomedodo kplikplikpli me.

"Meɖo ŋku edzi be, xɔ̃nye aɖe nɔ asinye si kpe fu geɖe le eƒe ɖevime. Mete ŋu ka ɖe ame bubuwo dzi gbeɖe o. Ne ame aɖe ko alɔgbɔnu heƒo nu kplii hã la, esusu be yele mɔ̃ aɖe ɖom. Xɔlɔ̃ ʋɛ aɖewo koe nɔ esi." – Woateŋu akpɔ nɔnɔme sia ƒomevi le CPTSD me.

Nukae hea CPTSD vɛ? Nukae dzɔna ɖe míaƒe ahɔhɔ̃ dzi?

Le ICD-11 ƒe nya nu la, nudzɔdzɔ dziŋɔ aɖe alo nudzɔdzɔ siwo kplɔ wo nɔewo ɖo siwo me ŋɔdzi le ŋutɔ gbɔe CPTSD tsona. Zi geɖe la, nudzɔdzɔ siawo nɔa anyi didi, wogbugbɔna yia edzi, eye wolɔa nɔnɔme siwo me sisi manya wɔ o alo afɔku gɔ̃ hã le eme.

Kpɔɖeŋu aɖewoe nye:

• Aƒeme ŋutasẽnuwɔwɔ ɣeyiɣi didi.
• Gbɔdɔdɔ alo ŋutilã me ŋlɔmiwɔwɔ le ɖevime.
• Funyafunya.
• Ameƒomevi aɖewo tsɔtsrɔ̃ ɖa dze ŋgɔe.
• Kluvinyenye.

Nuteɖeamedzi sesẽ sia ƒomevi si nɔa anyi didi si ate ŋu ana nàtrɔ asi le wò ahɔhɔ̃ ƒe dɔwɔwɔ kple eƒe wɔwɔme ŋu . Numekukuwo ɖee fia be nuveviwɔame ate ŋu ana tɔtrɔ siwo anɔ anyi ɖaa nava míaƒe ahɔhɔ̃ ƒe akpa vevi geɖe. Akpa siawoe nye:

• `Amygdala`: Esia nye míaƒe ahɔhɔ̃ ƒe akpa vevitɔ si wɔa dɔ tso vɔvɔ̃ kple seselelãme bubuwo ŋu. Ele abe titina sue aɖe si kpɔa míaƒe seselelãmewo dzi ene, vevietɔ esiwo dea dzesi seselelãmewo abe vɔvɔ̃ ene. Akpa sia ate ŋu awɔ dɔ akpa le nuveviwɔame ta, si tae míevɔ̃na ɣesiaɣi eye míenɔa ŋudzɔ ɖo.
• Hippocampus: Esiae nye míaƒe ahɔhɔ̃ ƒe akpa vevitɔ si dzraa míaƒe ŋkuɖodzinuwo ɖo eye wòkpena ɖe mía ŋu míesrɔ̃a nu yeyewo. Nuveviwɔame ate ŋu aɖe akpa sia ƒe dɔwɔwɔ dzi akpɔtɔ, si tae wòsesẽna na mí ɣeaɖewoɣi be míaɖo ŋku nudzɔdzɔwo dzi ahasrɔ̃ nu yeyewo ɖo.
• Prefrontal cortex: Afi siae míewɔa nu vevi geɖe le, abe ɖoɖowɔwɔ, nyametsotsowo wɔwɔ, míaƒe amenyenye ɖeɖefia, kple hadomenuwɔnawo dzi ɖuɖu ene. Nuveviwɔame ate ŋu atrɔ nuto sia ƒe dɔwɔwɔ hã, si tae wòsesẽna be woaɖu seselelãmewo dzi ahawɔ nyametsotso kpata ɖo.

Numekuku aɖewo siwo wowɔ tso ahɔhɔ̃mekawo ƒe nɔnɔmetatawo ŋu ɖee fia be tɔtrɔ siawo dzena le amesiwo ŋu CPTSD le ƒe ahɔhɔ̃ me wu amesiwo ŋu PTSD le.

Aleke nàwɔ ade dzesii pɛpɛpɛ ne CPTSD le ŋuwò?

Dodokpɔ aɖeke meli si koŋ woatsɔ anya CPTSD o. Ke boŋ ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola abia nya wò tso nya siwo gbɔna ŋu:

• Wò dzesiwo.
• Wò atikewɔwɔ ŋutinya.
• Wò susu ƒe lãmesẽ ŋutinya.
• Alesi nèdo go nuveviwɔame.

Ðɔktawo zãa dzidzenu siwo le Xexeame ƒe Lãmesẽ Habɔbɔ ƒe `ICD-11` me tsɔ dea dzesi CPTSD. Gake esi wònye be CPTSD nye dɔléle si wokpɔ yeyee ta la, ɖewohĩ ɖɔkta aɖewo menyae o. Eyata ate ŋu asesẽ vie be woakpɔ dɔlélea le dziɖuɖua gbɔ. Ðɔkta ate ŋu agblɔ na wò gɔ̃ hã be PTSD le ŋuwò ɖe CPTSD teƒe. Eyata ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàkpɔ susumedɔléle ŋuti aɖaŋuɖola si bi ɖe dɔ sia me.

Nukawoe nye CPTSD ƒe atikewo?

Nya nyuiae nye be atike aɖewo li na CPTSD! Atikewɔwɔ vevitɔe nye susumedɔdada, alo "nuƒoƒo ƒe atikewɔwɔ" abe alesi mí katã míenyae ene. Etɔxɛe la, ezãa nuwɔna ŋuti dɔdamɔnu aɖe si woyɔna be CBT si wotu ɖe nuveviwɔame dzi .

Susuŋutinunyala si xɔ hehe, si si mɔɖegbalẽ le , abe susuŋutinunyala alo tagbɔdɔdala ene, ye wɔa atike sia. Atikewɔwɔ sia naa kpekpeɖeŋu, hehe, kple mɔfiame wò kple wò lɔlɔ̃tɔwo be wòakpe ɖe ŋuwò nàwɔ dɔ nyuie wu eye wò nyonyo nanyo ɖe edzi.

Le Trauma-focused CBT me la, nusiawo dzɔna:

• Èsrɔ̃a nu tso alesi wò ŋutilã wɔa nu ɖe ​​nuveviwɔame kple nuteɖeamedzi ŋui ŋu.
• Srɔ̃ alesi nàwɔ akpɔ dzesiawo gbɔe.
• Ekpena ɖe ame ŋu wòdea dzesi tamebubu ƒe ɖoɖo siwo me kuxiwo le eye wòtrɔa wo (reframing).
• Atikewɔwɔ na ame: Zi geɖe la, amesiwo ŋu PTSD kple CPTSD le ƒoa asa na nuwo alo nɔnɔme siwo do ƒome kple woƒe nuveviwɔame. Esia wɔe be mɔnukpɔkpɔ mesu wo si be woasrɔ̃e be yewoate ŋu aɖu yewoƒe vɔvɔ̃ dzi ne wodo go nu mawo siwo doa ŋusẽ yewo gɔ̃ hã o. Le atikewɔwɔ si me woɖea nu le ame ŋu me la, atikewɔla la tsɔa wò dea nɔnɔme siwo nana nèvɔ̃na me vivivi. Wona hehe wò be nànɔ nɔnɔme mawo me ahadze ŋgɔ wo.

Atike bubu si wozãna tsɔ léa ŋku ɖe nuveviwɔame ŋue nye Eye Movement Desensitization and Reprocessing (EMDR) . Le atikewɔwɔ sia me la, èbua nudzɔdzɔ (wo) dziŋɔ la ŋu esime nèle susu hem yi gbeɖiɖi alo ʋuʋu tɔxɛ siwo atikewɔla la to vɛ ŋu. Taɖodzinuae nye be nàɖe nuteɖeamedzi si nèsena le ɖokuiwò me le nudzɔdzɔ mawo ŋu dzi akpɔtɔ le ɣeyiɣi aɖe megbe.

Cognitive Processing Therapy (CPT) nye atikewɔwɔ ƒomevi bubu si me wotsia dzi ɖe nuveviwɔame ŋu. Atikewɔwɔ sia ku ɖe tamesusu kple seselelãme siwo ɖea fu na wò eye zi geɖe la, kuxiwo doa mo ɖa le susu me na wò le nudzɔdzɔ dziŋɔ aɖe megbe gbɔ kpɔkpɔ ŋu.

Atike si wozãna na CPTSD

Fifia la, atike aɖeke meli si dzi United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖo be woatsɔ ada PTSD alo CPTSD o. Gake ɖɔktawo ate ŋu aŋlɔ atikewo abe esiawo ene be wòakpe ɖe ŋuwò nàkpɔ CPTSD ƒe dzesi aɖewo gbɔ:

• Blanuilélenutsitikewo: Abe `Selective Serotonin Reuptake Inhibitors (SSRIs)` alo `Serotonin kple Norepinephrine Reuptake Inhibitors (SNRIs).`
• Atike siwo tsia dzimaɖitsitsi nu.
• Alɔ̃dɔdɔ ƒe atikewo.

Ðeko atike siawo ɖea dzesiwo dzi kpɔtɔna, ke menye be wodaa dɔlélea keŋkeŋ o. Eyata susumedɔdadae nye atike vevitɔ.

Nukae nye CPTSD ƒe ŋgɔdonya?

Esi wònye be CPTSD nye dɔléle yeye si wokpɔ ta la, mɔnukpɔkpɔ mesu atikewɔwɔ ŋuti numekulawo si haɖe be woawɔ numekuku siwo xɔ ɣeyiɣi didi tso eŋu o.

Le ame geɖe gome la, CPTSD ate ŋu anye dɔléle si anɔ anyi le woƒe agbemeŋkekewo katã me. Gake mègatsi dzi o! Nu nyuitɔ kekeakee nye be woate ŋu akpɔ wò dzesiwo gbɔ nyuie to susumedɔdada kple ne ehiã la, atikewo zazã me. Esia fia be atikewɔmɔnu siawo ate ŋu akpe ɖe ŋuwò nànɔ agbe si sɔ.

Ne CPTSD le ŋuwò la, aleke nèkpɔa ɖokuiwò dzii?

Tsɔ kpe ɖe atikewɔwɔ didi ŋu la, nu geɖe li nàte ŋu awɔ na wò ŋutɔ wò susu ƒe nyonyo:

• Ƒo ɖokuiwò ɖe kamedede si mesẽ o me be nàɖe nuteɖeamedzi dzi akpɔtɔ eye wò seselelãme nanyo ɖe edzi. Azɔlizɔzɔ kpui aɖe alo nane abe yoga ene gɔ̃ hã nyo.
• Ðo taɖodzinu ŋutɔŋutɔ siwo gbɔ nàte ŋu aɖo. Mègakpɔ mɔ na nu gãwo zi ɖeka o. Dzi nedzɔ wò ɖe aʋadziɖuɖu suesuesuewo ŋu.
• Zã ɣeyiɣi ɖe ame siwo dzi nèka ɖo ŋu. Gblɔ nusi me nèto kple nusiwo ate ŋu ahe wò dzesiawo vɛ na wo.
• De dzesi ɣeyiɣi kple teƒe siwo ana nàse le ɖokuiwò me be yevo eye yeƒe dzi dze eme, ƒo ɖokuiwò ɖe wo me enuenu, eye nàyi teƒe mawo.
• Wɔ ɖeka kple kpekpeɖeŋunaha aɖe na amesiwo to nuveviwɔame me. Enye ŋusẽdodo be nàƒo nu kple ame siwo to nɔnɔme mawo ke me abe wò ene.
• Dze dɔme na ɖokuiwò, gbɔ dzi ɖi. Ðo ŋku edzi be dzesiawo nu yina le zã ɖeka me o. Wova blewu.

Nu vevitɔe nye be nàse egɔme be menye wò ɖeka koe o. Mègavɔ̃ be yeabia kpekpeɖeŋu o.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Esi wole CPTSD dam na wò la, ele vevie ŋutɔ be nàkpɔ wò ɖɔkta kple/alo susumedɔdala gbɔ edziedzi. Ne wò dzesiawo gagblẽ ɖe edzi la, na wò ɖɔkta nanya enumake.

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

Ne èse le ɖokuiwò me be yeawɔ nuvevi ye ɖokui alo yeɖoe be yeawu ye ɖokui la, yi xɔ si te ɖe ŋuwò kpata enumake, alo ƒo ka na xexlẽdzesi kpata si sɔ le Sri Lanka (e.g. 1926 National Mental Health Helpline).

Kpekpeɖeŋu biabia le nudzɔdzɔ dziŋɔ aɖe megbe ate ŋu asesẽ ŋutɔ. Gake ɖo ŋku edzi be CPTSD ƒe atikewɔwɔ xɔxɔ le vevie ŋutɔ. Le ɣeyiɣi aɖe megbe la, atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàhaya. Ðo dze kple wò ɖɔkta tso atikewɔmɔnu siwo nàte ŋu azã ŋu. Wole afisia be yewoakpe ɖe ŋuwò ahakpe ɖe ŋuwò.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata, míeƒo nu geɖe tso CPTSD ŋu egbea. Esi nèle esia xlẽm la, ɖewohĩ èkpɔ alesi gbegbe susu ƒe nɔnɔme sia sesẽ eye wòsesẽe.

• CPTSD nye susu me nuteɖeamedzi si tsoa nuveviwɔame sesẽ si xɔa ɣeyiɣi didi gbɔ.
• Tsɔ kpe ɖe PTSD ŋu la, esia hea kuxiwo vɛ le seselelãmewo dzi kpɔkpɔ, bubudede ame ɖokui ŋu, kple ƒomedodowo me léle ɖe asi hã ŋu.
• Nɔnɔme sia dzedze ate ŋu asesẽ vie, gake dɔnyala bibi ate ŋu awɔe.
• Nu nyuitɔ kekeakee nye be woate ŋu akpɔ nɔnɔme sia gbɔ nyuie to susumedɔdada (vevietɔ Trauma-focused CBT, EMDR, CPT) kple, ne ehiã la, atikewo zazã me.
• Ne dzesi siawo le ŋuwò la, mègakpe fu wò ɖeka o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo. Kpekpeɖeŋu biabia menye gbɔdzɔgbɔdzɔ ƒe dzesi o, ke boŋ enye ŋusẽ gãtɔ kekeake siwo ate ŋu anɔ asiwò na ɖokuiwò la dometɔ ɖeka.

Ðo ŋku edzi be togbɔ be màte ŋu aɖu nusiwo dzɔ va yi dzi o hã la, àte ŋu aɖe afɔ aɖe egbea atsɔ ana wò etsɔme nanyo ɖe edzi. Medi be ŋusẽ nanɔ mia ŋu miawɔe nenema!

` CPTSD, nuteɖeamedzi si sesẽ le nuveviwɔame megbe, susu ƒe lãmesẽ, nuveviwɔame, nuteɖeamedzi, susumedɔdada, PTSD