Ðe nèse le ɖokuiwò me alea kpɔa? Ðeko wòle abe ɖe nèle wò ŋutilã godo eye nèle ɖokuiwò kpɔm ene. Alo nusiwo ƒo xlã wò mesena le ɖokuiwò me be yewole ŋutɔŋutɔ o, abe drɔ̃e ene. Nuteƒekpɔkpɔ siawo wɔ nuku vie, ɖewohĩ wodoa vɔvɔ̃ na ame gɔ̃ hã, alo? Egbea míele nu ƒom tso susu ƒe nɔnɔme si dzɔna ne nuteƒekpɔkpɔ siawo ƒomevi su asiwò zi gbɔ zi geɖe ŋu.
Nukae nye ame ɖokui kple nutoa me ƒe seselelãme sia si nye be yeɖe ye ɖokui ɖa?
Kpuie ko la, le nɔnɔme sia si woyɔna be ``Depersonalization-Derealization Disorder'' me la, àte ŋu ase le ɖokuiwò me be yeɖe ye ɖokui ɖa tso ye ɖokui gbɔ (si woyɔna be ``Depersonalization'') eye yeɖe ye ɖokui ɖa tso nusiwo ƒo xlã wò kple nuto si me nèle gbɔ (si woyɔna be ``Derealization'').
Tsɔe be èle fiase aɖe me yim be yeaƒle nane. Gake èsena le ɖokuiwò me be menye wòe o, ke boŋ ame bubu aɖe bɔbɔ nɔ wò ŋutilã me, le ʋuƒoa tum, le adzɔnuwo tiam, le wo xem. Ðeko wòle abe ɖe nèle ŋku lém ɖe nu ŋu tso axadzi ene. Ðewohĩ ne èkpɔ wò nɔnɔmetata le fiase aɖe ƒe fesre nu la, àse le ɖokuiwò me be yeɖe ye ɖokui ɖa ale gbegbe be màte ŋu ade dzesii gɔ̃ hã o. Esiae nye nusi míeyɔna be ``(Depersonalization)`` alo sese le ɖokuiwò me be yeɖe ye ɖokui ɖa . Esiae nye ne èse le ɖokuiwò me be yeƒe tamesusuwo, seselelãmewo, wò ŋutilã gɔ̃ hã menye ye tɔ o.
Akpa kemɛa nye `(Derealization)`. Eyae nye be nusiwo ƒo xlã wò, nuto si me nèle, sena le wo ɖokui me abe ɖe womele ŋutɔŋutɔ na wò o ene . Ate ŋu ase le ɖokuiwò me abe ɖe nèle xexeame kpɔm to fesre si me afu le nu ene, alo abe ɖe nèle sinima si nye ameyibɔ kple yevuwo kpɔm ene. Ɣeaɖewoɣi la, nuwo ƒe nɔnɔme kple lolome ate ŋu adze abe ɖe wole tɔtrɔm ene. Àte ŋu ase le ɖokuiwò me gɔ̃ hã be wole tɔtrɔm ne èle wo kpɔm. Tsɔe be ne èle zɔzɔm le ablɔdzi la, aƒewo kple atiawo katã dzena abe ɖe wotsɔ kakɛwo wɔe ene, abe fefenuwo ene. Emae nye nɔnɔme si woyɔna be `(Derealization)`.
Ame si ŋu Depersonalization-Derealization Disorder le ate ŋu ato nuteƒekpɔkpɔ siawo evea siaa me, alo ɖeka koe. Nu vevitɔe nye be nàkpɔe be nu siawo menye nu ŋutɔŋutɔwo o . Miebu miaƒe susu o. Gake enyanya be nuteƒekpɔkpɔ siawo menye nu ŋutɔŋutɔwo o eye ne yemate ŋu asi le wo nu o la, ate ŋu ahe nuteɖeamedzi kple dzimaɖitsitsi geɖe vɛ.
Ðɔktawo tsɔ nɔnɔme sia da ɖe hatsotso si nye ``Dissociative Disorder'' me le ``DSM-V'' ƒe hatsotso si nye tagbɔdɔlélewo me. Nɔnɔmewo abe ``Dissociative Identity Disorder'' (si nye nɔnɔme si me ame ƒe amenyenye geɖe le) kple ``Dissociative Amnesia'' (si nye nɔnɔme si me ŋkuɖoɖonudzi buna) hã le hatsotso sia me.
Aleke gbegbee nɔnɔme sia bɔe?
Le nyateƒe me la, mí katã míesena le mía ɖokui me be míele xexe sia me le míaƒe agbe ƒe ɣeyiɣi aɖe me o. Enye nusi sɔ. Woyɔa esia be ``amenyenye ɖeɖeɖa ɣeyiɣi kpui aɖe''. Efia ɣeyiɣi kpui aɖe ƒe seselelãme . Gake nusi ŋu míele nu ƒom tsoe enye ``Depersonalization-Derealization Disorder''. Esia menye nɔnɔme si nɔa anyi didi, alo nɔnɔme si vaa ame gbɔ eye wòdzona o . Zi geɖe la, nɔnɔme sia dzea ame ɖeka alo eve dzi le alafa ɖesiaɖe me (1%-2%). Gake ebɔ ɖe sɔhɛwo kple ɖevi siwo le woƒe ƒewuiwo me dome wu.Àte ŋu akpɔ esia vie wu.
Nukae nye esia ƒe dzesiwo?
Esesẽna na amesiwo ŋu nɔnɔme sia le be woagblɔ woƒe seselelãmewo ɖe nyagbewo me. Nya siwo ame aɖewo agblɔ, gake ame bubuwo mase egɔme o alo woasusu be yewometsɔ ɖeke le eme o. Gake Depersonalization-Derealization Disorder ƒe dzesi vevitɔe nye seselelãme sia si nye be yeɖe ye ɖokui ɖa eye yemele kadodo me o . Àte ŋu ato nusiwo le abe:
- Amenyenye ɖeɖeɖa nye seselelãme abe ɖe nèɖe ɖokuiwò ɖa tso wò tamesusuwo, seselelãmewo, kple ŋutilã gbɔ ene.
- Derealization nye seselelãme be yeɖe ye ɖokui ɖa tso nusiwo ƒo xlã wò kple nuto si me nèle gbɔ.
- Sese le ɖokuiwò me abe robot ene, alo ame siwo ƒo xlã wò ƒe seselelãme abe robot ene.
- Sese le ɖokuiwò me be yeƒe seselelãmewo nu sẽ, abe ɖe nèbu seselelãmewo katã ene.
- Ewɔna nam abe ɖe nèle afɔ ɖem le wò ŋutilã me hele ɖokuiwò kpɔm ene.
- Ewɔna nam abe drɔ̃eƒexexe aɖe me nɔnɔ ene.
- Seselelãmewo abe blanuiléle kple dzimaɖitsitsi ene.
Dzesi siawo ate ŋu ahe nuteɖeamedzi kple dzimaɖitsitsi geɖe vɛ na wò. Ðewohĩ àva nɔ eŋu bum be, ‘Ðe mewɔ nu gbegblẽ aɖea?’ Ðewohĩ adzro wò be nàde ŋugble le dzesi siawo ŋu ahadze agbagba aɖu wo dzi. Esia ate ŋu ana wò dzimaɖitsitsi kple vɔvɔ̃ nadzi ɖe edzi, eye wòana wò dzesiwo nagagblẽ ɖe edzi .
Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?
Ðɔktawo menya nusi tututu gbɔ Depersonalization-Derealization Disorder tsona haɖe o, gake zi geɖe la, edo ƒome kple nuteɖeamedzi alo nudzɔdzɔ dziŋɔ aɖe . Le kpɔɖeŋu me:
- Be woawɔ ŋlɔmi le ame ŋu le ŋutilã me.
- Aƒeme ŋutasẽnuwɔwɔ (si wokpɔ alo kpɔ ɖa).
- Afɔkuwo alo dzɔdzɔmefɔkuwo me toto.
- Nudzɔdzɔ siwo me afɔku le siwo ate ŋu ade agbe afɔku me.
- Ame vevi aɖe ƒe ku kpata.
- Tsitsi kple dzila si tagbɔdɔ sesẽ aɖe le fu ɖem na.
Bu eŋu kpɔ, ame aɖewo toa nudzɔdzɔ dziŋɔ aɖe me le woƒe ɖevime. Ame aɖewo xɔe se be kaklã ƒe seselelãme sia ate ŋu ado mo ɖa hã abe mɔ si dzi susua ato asi le susu me nuteɖeamedzi si womate ŋu ado dzi atsɔ o si dzɔna ɣemaɣi, be wòakpɔ eɖokui ta ene. Eyae nye be susua dzea agbagba be ‘yeaɖe ye ɖokui ɖa’ tso nuteƒekpɔkpɔ dziŋɔ ma gbɔ.
Amekae le afɔku me wu le nɔnɔme sia me?
Ame aɖewo ate ŋu anɔ afɔku gã aɖe me be woaxɔ vovototodedeameme ƒe dɔléle, alo kaklã ƒe nɔnɔme. Nu geɖe li siwo nana esia dzɔna:
- Ame ŋutɔ ƒe seselelãmewo manyamanya (i.e., ŋutete manɔamesi be wòase nusi tututu wòle sesem le eɖokui me gɔme).
- Amenyenye ƒe kuxi bubuwo alo susumedɔléle bubuwo ƒe amesinɔnɔ.
- Ŋutilãme nɔnɔmewo abe alɔ̃madɔmadɔ ene ƒe amesinɔnɔ.
Aleke nèwɔ de dzesi esia?
Ne dzesi siawo le ŋuwò la, ke susumedɔléle ŋuti aɖaŋuɖolae nènye., si fia be anyo wu be nàyi tagbɔdɔdala alo aɖaŋuɖola gbɔ. Abia nya ʋɛ aɖewo wò tso wò dzesiwo ŋu. Woadi susumedɔléle bubu siwo ate ŋu anɔ wò dzesiawo hem vɛ hã. Le kpɔɖeŋu me:
- Teteɖeanyi
- Dzitsitsi
- Nukpɔsusu ƒe Dɔléle (OCD) .
- Nuteɖeamedzi le Nuveviwɔame megbe (PTSD) .
- Amenyenye ƒe Dɔlélewo
Ne atikewɔwɔ ƒe nɔnɔme bubu aɖeke mele ŋuwò abe esia ene o, ne dzesi siawo medze le atike aɖeke nono vɔ megbe o, eye ne menye atike vɔ̃ɖi alo ahanono gbɔe nusiawo tso o la, wò ɖɔkta ate ŋu akpɔe be Depersonalization-Derealization Disorder le ŋuwò.
Ne èbia dodokpɔ kawoe wole wɔwɔm be woatsɔ anya esia hã la, wò ɖɔkta abia nya wò be yeanya nusiwo nye wò dzesiwo, zi nenie wodzena, kple alesi gbegbe wokpɔa ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzii. Woate ŋu ana dodokpɔ aɖewo hã wò be nàŋlɔ ɖi alo awɔe le kɔmpiuta dzi. Ate ŋu asesẽ be nàgblɔ alesi nèsena le ɖokuiwò me ɖe nyagbewo me, gake ele vevie be nàna wò nuteƒekpɔkpɔa me nakɔ alesi nàte ŋui . Esia ana wòanɔ bɔbɔe na wò ɖɔkta be wòakpe ɖe ŋuwò.
Nukawoe nye atike siwo wozãna na esia?
Le nyateƒe me la, numekulawo gale agbagba dzem kokoko be yewoakpɔ Depersonalization-Derealization Disorder ƒe atike nyuitɔ kekeake. Hafi nàdze atikewɔwɔ gɔme la, wò ɖɔkta aƒo nu tso wò atikewɔwɔ ŋutinya, dzesiwo, kple nusi nèkpɔ mɔ na tso atikewɔwɔ me ŋu na wò. Zi geɖe la, woate ŋu akafu atike kple susumedɔdada ɖekae . Esiawo ate ŋu anye susuŋudɔwɔwɔ ƒe atikewɔwɔ (CBT) alo ŋku ƒe ʋuʋu ƒe seselelãme kple wo gbugbɔgawɔ (EMDR).
Bu eŋu kpɔ, `(CBT)` ƒe atikewɔwɔ fia alesi nàwɔ nu ɖe wò susu kple seselelãme wɔnuku siawo ŋu, alesi nàdze ŋgɔ woe. Ne èse le ɖokuiwò me be ``Menye nyee menye o'' la, wofia wò be nàtsɔ nya ɖe susu ma ŋu, akpɔe le mɔ bubu nu. `(EMDR)` ƒe atikewɔwɔ ateŋu aɖe vi ŋutɔ, vevietɔ ne nɔnɔme sia do ƒome kple nudzɔdzɔ dziŋɔwo.
Atikewo
Wobua nuƒoƒo ƒe atikewɔwɔ be enye atike nyuitɔ kekeake na esia. Gake wò tagbɔdɔdala ate ŋu aɖo aɖaŋu na wò hã be nàzã atike ɖeka alo esi wu nenema be wòanye wò atikewɔwɔ ƒe akpa aɖe. Le kpɔɖeŋu me:
- `(Selective Serotonin Reuptake Inhibitors - SSRIs)` (Esiawo nye atike ƒomevi aɖe si wonana na blanuiléle kple dzimaɖitsitsi).
- Atike siwo tsia dzimaɖitsitsi nu.
- Atike siwo nana ame ƒe seselelãme nɔa te.
- Tagbɔdɔlékuiwutikewo nye atike siwo wonana na tagbɔdɔléle aɖewo.
Wona atike siawo be woakpe ɖe ame ŋu woaɖu dzesiawo dzi, gake ele vevie be míaɖo ŋku edzi be atike siawo ɖeɖe mate ŋu ada dɔlélea keŋkeŋ o.
Ðe atikeawo ƒe nugbegblẽ le ame ŋu aɖewo lia?
Esi wònye be wozãa atike vovovowo na Depersonalization-Derealization Disorder ta la, eƒe nugbegblẽ le ame ŋu ate ŋu ato vovo. Gake nugbegblẽ le ame ŋu siwo bɔ wu dometɔ aɖewoe nye esi:
- Miléle.
- Taɖuame.
- Alɔ̃dɔdɔ.
- Nu ƒuƒu.
- Nuɖuɖudzroame ƒe dzidziɖedzi.
- Atike, atike vɔ̃ɖi, alo aha sesẽ bubu siwo nèzãna ƒe nugbegblẽ le ame ŋu si ate ŋu adzɔ.
- Aɖuɖɔtoe sesẽ (Urinary retention).
- Kpekpeme ƒe dzidziɖedzi.
Eyata ele vevie ŋutɔ be nàna wò ɖɔkta nanya ne èkpɔ eƒe nugbegblẽ le ame ŋu . Emegbe ɖɔkta ate ŋu atrɔ atike ƒe agbɔsɔsɔme alo aŋlɔ atike bubu na ame ne ehiã.
Ɣeyiɣi didi kae nɔnɔme sia anɔ anyi?
Numekuku ŋuti nyatakaka geɖe mele esia hã ŋu o. Gake ne womewɔ atike nɛ o la, Depersonalization-Derealization Disorder ate ŋu anɔ anyi ƒe geɖe . Ɣeaɖewoɣi la, ate ŋu adzo le eɖokui si gɔ̃ hã. Gake ate ŋu akpɔ ŋusẽ gbegblẽ ɖe miaƒe ƒomedodowo kple dɔwɔwɔ dzi kokoko. Akpa nyuitɔ kekeakee nye be ne wowɔ atike nɛ la, zi geɖe la, dzesiawo dzea egɔme nɔa nyonyom ɖe edzi le ɣleti ʋɛ aɖewo megbe .
Aleke nèléa be na ɖokuiwòe?
Ne Depersonalization-Derealization Disorder ƒe dzesiwo yi edzi le fu ɖem na wò la, ele be nu gbãtɔ si nàtsɔ aɖo nɔƒe gbãtɔ nanye be nàdi atike tso susumedɔléle ŋuti aɖaŋuɖola gbɔ . Ðewohĩ ahiã be nàkpɔ ame ʋɛ aɖewo gbã, emegbe nàwɔ kpekpe kple susuŋutinunyala edziedzi eye nàdo go kple tagbɔdɔdala ɣeaɖewoɣi. Susuŋutinunyala ate ŋu akpe ɖe ŋuwò nàkpɔ atike nyuitɔ na wò eye wòakpe ɖe ŋuwò nàkpɔ atikewo ƒe nugbegblẽ le ame ŋu gbɔ. Aɖaŋuɖola ate ŋu afia alesi nàwɔ akpɔ wò dzesiwo gbɔ to nuƒoƒo ƒe atikewɔwɔ me eye wòade dzesi nusiwo aʋã wò.
Hafi ɣemaɣi naɖo la, no atike siwo woŋlɔ na wò ɖe game dzi . Dɔmenyonyo na ɖokuiwò. Enyo ne màte ŋu agblɔ alesi tututu nèsena le ɖokuiwò me le nyagbewo me o. Enye nusi sɔ be nàtsi dzimaɖi ɖe wò lãmesẽ ŋu, gake mèganɔ eŋu bum o. Àte ŋu aɖe wò dzimaɖitsitsi dzi akpɔtɔ ne èwɔ nuwo abe gbɔgbɔtsixe ƒoƒo alo ŋugbledede ene .
Ðe nu aɖewo li siwo menyo be woaɖu alo ano nu oa?
Ne Depersonalization-Derealization Disorder le ŋuwò la, anyo wu be nàƒo asa na atike vɔ̃ɖiwo kple aha sesẽ zazã . Atike vɔ̃ɖiwo kple ahanono ate ŋu ahe amenyenye ƒe amenyenye ɖeɖeɖa kple nusi me susu mele o ƒe dzesiwo vɛ. Woate ŋu awɔ nu gbegblẽ kple atike siwo zãm nèle hã. Ne èle atike vɔ̃ɖiwo alo aha sesẽ zãm la, .Ðo nyateƒe na wò susumedɔlélewo ŋuti ƒuƒoƒoa tso eŋu ale be woate ŋu ana kpekpeɖeŋu si nèhiã be nàto eme dedie la wò.
Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?
Wò ɖɔktawo awɔ ɖoɖo ɖe ɣeyiɣi siwo me woakplɔ wò ɖo edziedzi be woalé ŋku ɖe wò lãmesẽ, dzesiwo, kple wò atikewɔwɔ ƒe nugbegblẽ le ame ŋu ŋu. Gake ɣeaɖewoɣi la, kuxi aɖe ate ŋu anɔ ŋuwò alo ahiã be woakpe ɖe ŋuwò, gake àte ŋu ato ɣeyiɣi aɖe si nèɖo ɖi la ŋu. Ne wò dzesiawo gagblẽ ɖe edzi la, mègahe ɖe megbe le wò ɖɔkta gbɔ yiyi me o . Ne èse le ɖokuiwò me be yeagblẽ nu le ye ɖokui alo ame bubu aɖe ŋu la, ke di kpekpeɖeŋu enumake . Le Sri Lanka la, yi kɔdzi si te ɖe ŋuwò ƒe xɔ si me wowɔa dɔ kpata le, alo nàƒo ka na xexlẽdzesi aɖe abe 1926 (Dukɔa ƒe Tagbɔdɔléle Ŋuti Kpekpeɖeŋunaƒe). (Le U.S.A. la, àte ŋu aƒo ka na 988 hena ameɖokuiwuwu kple xaxa ƒe kpekpeɖeŋu alo 911 hena kpekpeɖeŋu kpata, gake le Sri Lanka la, míezãa dɔwɔna siwo li le míaƒe dukɔa me.)
Nya kawoe wòle be nàbia wò ɖɔkta?
Mègavɔ̃ alo nàtsi dzodzodzoe be yeabia nya wò ɖɔkta o. Wò gomenɔamesie. Ɣeaɖewoɣi ne ɖɔkta bia be, "Ðe nya aɖewo le asiwòa?", míete ŋu bua naneke ŋu enumake o. Eyata anyo be nàŋlɔ nya siwo wòle be nàbia la ɖi . Àte ŋu abia nya siawo tɔgbe:
- Ɣeyiɣi didi kae wòaxɔ hafi magase le ɖokuinye me abe nye ŋutɔ ene?
- Nu gbegblẽ kawoe wòle be makpɔ mɔ na tso atikewɔwɔa me?
- Ɣeyiɣi didi kae wòahiã be mano atike eye/alo ayi nuƒoƒo ƒe atikewɔwɔ dzi?
- Ne nyabiase alo nya aɖe le asinye la, aleke mawɔ aƒo ka na wò?
- Nukae wòle be mawɔ ne nye dzesiwo gagblẽ ɖe edzi? Ke ne woƒe lãme sẽ le dɔ megbe alo le kwasiɖanuwuwu ya ɖe?
Ele bɔbɔe be nàse le ɖokuiwò me be yeɖe ye ɖokui ɖe aga ne Depersonalization-Derealization Disorder le ŋuwò. Ðewohĩ àse le ɖokuiwò me be yeɖe ye ɖokui ɖa tso ye ɖokui alo xexe si ƒo xlã ye gbɔ. Alo àte ŋu ase le ɖokuiwò me abe drɔ̃e mee nèle ene, alo àse le ɖokuiwò me abe ɖe nèle agbe kpɔm to ahuhɔ̃e ɣi si me afu le me ene. Seselelãme siawo ate ŋu ana nàse le ɖokuiwò me be yeɖe ye ɖokui ɖe aga. Gake ɖo ŋku edzi be wò susumedɔlélewo gbɔ kpɔha le afima be yewoakpe ɖe ŋuwò . Eye wò ƒomea, xɔ̃wòwo... togbɔ be ate ŋu asesẽ na wo be woase wò nu ŋutɔŋutɔ gɔme hã la, wolɔ̃ wò. Womadzudzɔ kpekpeɖeŋu nana wò le esi womate ŋu ase wò gɔme o ta o. Gblɔ nusi nèhiã tso wo gbɔ na wo . Ekema woanya alesi woakpe ɖe ŋuwòe.
Mlɔeba la, nu vevitɔ kekeake
Eyata ne míagblɔe kpuie ko la, Depersonalization-Derealization Disorder nye susu ƒe nɔnɔme si nana seselelãme wɔnuku siwo me susu mele o nɔa ŋuwò le ɖokuiwò kple nusiwo ƒo xlã wò ŋu. Esia menye wò vodada o, eye menye gbɔdzɔgbɔdzɔ hãe o . Esia nye dɔléle si woate ŋu ada. Menye wò ɖeka koe o . Ne dzesi siawo le ŋuwò la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo. Ne wowɔ atike na wò nyuie la, àte ŋu aganɔ agbe abe alesi wòle ene ake.Dze dɔme na ɖokuiwò, gbɔ dzi ɖi, eye mègavɔ̃ be yeabia kpekpeɖeŋu o.
` Detachment from self, detachment from environment, Depersonalization-Derealization Disorder, susu ƒe lãmesẽ, vovototodedeameme ƒe kuxi, dzimaɖitsitsi, nuteɖeamedzi











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