Ðe viwòa le fefem? Ðe wònye dɔléle si nye be woaɖu ame ƒe seselelãme dzia? Mina míaƒo nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me be viwòa le fefem ɣesiaɣi, eye mebua ame bubuwo ŋu oa? Ðe wòdoa dziku ɣeaɖewoɣi le nu suesuesuewo ta? Alo ɖe wògena ɖe xaxa gã aɖe me le esi mete ŋu dzudzɔ numame gbegblẽ aɖewo o ta? Abe dzila ene la, esɔ be nàlé blanui ŋutɔ, eye ɖewohĩ vɔvɔ̃ gɔ̃ hã, ne èkpɔ nu siawo tɔgbi. Egbea míele nu ƒom tso nuwɔna siawo ƒomevi ŋu, siwo le atikewɔwɔ me la, woyɔna be ``Impulse Control Disorders'' alo impulse control disorders.

Nukawoe nye seselelãme ƒe dɔléle siawo?

Kpuie ko la, ``Impulse Control Disorders'' nye susu kple nuwɔna ƒe nɔnɔmewo ƒe ƒuƒoƒo si nana wòsesẽna be woaɖu ame ƒe seselelãmewo, alo seselelãmewo, kple nuwɔna siwo kplɔa wo ɖo dzi. Zi geɖe la, nuwɔna mawo ate ŋu agblẽ nu le ame ŋutɔ alo ame bubuwo ŋu. Le go aɖewo me la, nuwɔna siawo hã ate ŋu ahe kuxiwo vɛ le sea ŋu.

Bu eŋu kpɔ, dziku si do kpata si na nèdo ɣli, tsɔ nuwo ƒu gbe, alo didi si dzi màte ŋu aɖu be yeaxɔ nane si nye ame bubu tɔ. Esiawo nye kpɔɖeŋu ʋɛ aɖewo ko.

Nuwɔna siawo siwo me kuxiwo le dometɔ aɖewoe nye:

• Dzikudodo kpata, ŋutasesẽtɔe kple nuwɔna siwo kpe ɖe eŋu.
• Nyahehe kple dzrewɔwɔ kple ame bubuwo ɣesiaɣi.
• Ame bubuwo ƒe nuwo kple dukɔa ƒe nunɔamesiwo tsɔtsrɔ̃.
• Tomaɖomaɖo hamemegãwo kple dziɖuɖumegãwo, aɖabaŋeŋe ƒu woƒe aɖaŋuɖoɖowo dzi.
• Fififi.
• Sewo dzi dada.

Zi geɖe la, ``Impulse Control Disorders'' siawo ƒe dzesiwo dzea egɔme tso ɖevime , eye ɣeaɖewoɣi la, ne womewɔ atike na wo o la, nɔnɔme siawo ateŋu anɔ anyi vaseɖe ame tsitsi me.

Nukawoe nye seselelãme ƒe dɔwɔwɔ dzi ɖuɖu ƒe kuxi ƒomevi veviwo?

Le Amerika Tagbɔdɔlélawo ƒe Habɔbɔ (Amerika Tagbɔdɔléle Habɔbɔ) ƒe mɔfiame si ku ɖe tagbɔdɔlélewo ƒe hatsotsowo me toto ŋu, DSM-5, nu la, wode dzesi ``Dziɖuɖu ƒe Dɔléle'' ƒomevi vevi geɖewo. Na míalé ŋku ɖe nusiwo wonye ŋu.

1. Tsitretsiɖeŋu ƒe Dɔléle (ODD) .

Nusi dzɔna le esia mee nye be ɖevia mewɔa toɖoɖo ŋusẽtɔwo (abe dzilawo, nufialawo ene), ʋlia nya kpli wo ɣesiaɣi, eye wòwɔa nu le mɔ si doa dziku na wo nu, si fia be ɣleti geɖe. Woate ŋu aɖoe koŋ ado dziku na ame bubuwo ahado dziku na wo. Gake menye eɖoɖo koŋ ƒe nyae esia nye o, ke boŋ enye kuxi si de to wu.

2. Agbenɔnɔ ƒe Tɔtɔ

Nɔnɔme sia sesẽ vie wu ``ODD''. Le afisia la, ɖevia alo sɔhɛa yia edzi wɔa nu ɖe ​​ame bubuwo ŋu adãtɔe, wɔa ŋlɔmi le lãwo ŋu, daa alakpa, fi fi, doa go le aƒea me le bebeme, eye wòdaa suku ƒe sewo dzi vevie . Womebua hadomenuwɔnawo alo ame bubuwo ƒe gomenɔamesiwo ŋu o.

3. Dɔléle si Nàwóna le Ɣeaɖewoɣi

Nukae dzɔna le esia me, .Dzikudodo kpata, le susu aɖeke manɔmee alo le susu sue aɖe ta, si nu sẽ ale gbegbe be manya wɔ be woaɖu edzi o. Kasia, wodoa ɣli, ƒoa fi dea amewo, tsɔa nuwo ƒua gbe ɖe anyigba, eye wodzea ame bubuwo dzi. Le dzikudodo sia megbe la, ate ŋu ave wo vevie. Gake le ɣeyiɣi ma me la, womete ŋu ɖua wo dzi o.

4. Kleptomania ƒe dɔléle

Esia nye nɔnɔme si to vovo vie. Nusi dzɔna le afisiae nye be didi vevie si dzi màte ŋu aɖu o le mewò be yeafi nusiwo ŋu asixɔxɔ aɖeke mele o eye mehiã gɔ̃ hã o. Ènya be fififi menyo o eye be woalé ye. Gake màte ŋu aɖu didi ma dzi ahafi fi o. Èsena le ɖokuiwò me be gbɔdzɔe gã aɖe le ye ŋu le fififi megbe, gake do ŋgɔ na ema la, èsea nyaƒoɖeamenu kple dzimaɖitsitsi geɖe.

5. Pyromania ƒe dɔléle

Esia nye nɔnɔme si mebɔ kura o. Nusi dzɔna le esia mee nye be didi vevie si dzi womate ŋu aɖu o, si nye be woaɖoe koŋ atɔ dzoe la li. Togbɔ be wonya be dzobibi agblẽ nu le ame ŋu hã la, womate ŋu aɖu didi ma dzi ahatɔ dzoe o. Wosea masɔmasɔ kple dzimaɖitsitsi geɖe hafi doa dzo, eye wokpɔa dzidzɔ kple gbɔdzɔe geɖe le dzoa dodo vɔ megbe. Womedoa dzo le susu bubu aɖeke ta o (abe hlɔ̃biabia, ga ene), ke boŋ le didi sia ta.

Aleke gbegbee ``Impulse Control Disorders'' siawo bɔe?

``Impulse Control Disorders'' siawo dometɔ ɖesiaɖe ƒe bɔbɔ le hadomegbenɔnɔ me to vovo. Le kpɔɖeŋu me, le akɔntabubu siwo le United States nu la:

• Tsitretsiɖeŋu ƒe Dɔléle (ODD): Ðeviwo kple sɔhɛ tsitsiwo ƒe 3.3% lɔƒo.
• Agbenɔnɔ ƒe Tɔtɔ: Ðeviwo kple sɔhɛ tsitsiwo ƒe 4% lɔƒo.
• Dɔléle si Bɔbɔna le Ɣeaɖewoɣi: Amewo katã ƒe 2.7% lɔƒo.
• Kleptomania: Anɔ abe 0.6% le amewo katã dome.

Pyromania ye nye esi mebɔ kura le esiawo dome o. Numekuku aɖe ɖee fia be amesiwo le gaxɔ me le dzotɔtɔ amewo ta ƒe 3% koe ɖe pyromania ƒe dzesiwo fia. Wokpɔa nɔnɔme mawo tɔgbe le Sri Lanka hã, gake esesẽna be woakpɔ akɔntabubu siwo de pɛpɛpɛ.

Nukae nye `(Impulse Control Disorders)` ƒe dzesiwo?

Togbɔ be ``Impulse Control Disorder`` ɖesiaɖe kple eƒe dzesi tɔxɛwo hã la, nusi bɔ ɖe wo katã me enye ŋutete si le ame si be wòaɖu eƒe nuwɔna dzi dzi ɖeɖe kpɔtɔ. Zi geɖe la, esia hea kuxiwo vɛ na ame bubuwo alo hea senyawo me kuxiwo vɛ.

Zi geɖe la, amesiwo ŋu ``Impulse Control Disorder'' le nya be yewoƒe nuwɔna mesɔ o eye mesɔ o. Gake womate ŋu atɔ te o. Hafi ame siawo nawɔ nu masɔmasɔ la, wosena le wo ɖokui me be nyaƒoɖeamenu kple dzimaɖitsitsi geɖe le yewo me. Ne wowɔ nuwɔna ma si mesɔ o vɔ la, wokpɔa gbɔdzɔe kple ablɔɖe geɖe.

Ne míagblɔe bubui la, amesiwo ŋu ``ICD'' siawo le la ɖea woƒe dziku, dzidzɔmakpɔmakpɔ, kple dziɖeleameƒo fiana to ame bubuwo dzi. Eyae nye be wole ``gotagome'' woƒe nuwɔna wɔm.Zi geɖe la, esia hea masɔmasɔwo vɛ kple ame bubuwo. Esia to vovo na nɔnɔmewo abe dzimaɖitsitsi alo seselelãme ƒe kuxiwo ene, afisi ame tsɔa eƒe nuteɖeamedzi kple nuteɖeamedziwo dea eɖokui me.

Gake nu vevi si dzi wòle be míaɖo ŋkui enye si. Ðevi geɖe, vevietɔ le woƒe ƒewuiwo kple woƒe ƒewuiwo me, wɔa nu dzimesesẽtɔe vie, eye womeɖoa to ame tsitsiwo o. Wowɔa esia be yewoanya nusiwo nye yewo ŋutɔ yewoƒe seɖoƒewo kple nusiwo nye ame bubuwo ƒe seɖoƒewo. Ema sɔ. Gake le ``Impulse Control Disorders'' me la, nuwɔna siawo dzɔna enuenu, wosẽna, eye wonɔa anyi ɣeyiɣi didi. Eye nuwɔna siawo kpɔa ŋusẽ gã aɖe ɖe ɖevia ƒe gbesiagbedɔwo, nusɔsrɔ̃, ƒomedodo kple ƒometɔwo, kple ƒomedodo kple xɔlɔ̃wo dzi.

Nukae nye nusiwo hea `(Impulse Control Disorders)` vɛ?

Numekulawo gale agbagba dzem be yewoanya nusiwo tututu gbɔ ``Impulse Control Disorders'' siawo tsona.`` Le alesi míenya nu la, anɔ eme be enye nusiwo wotsɔ ƒo ƒui.

• Domenyiŋusẽfianu : Numekukuwo ɖee fia be ɖevi siwo ŋu ODD le dzilawo ate ŋu akpɔ seselelãme ƒe kuxiwo wu. Nenema ke nɔnɔmewo abe tagbɔdɔléle , susu ƒe dɔmawɔmawɔ nyuie ƒe dɔléle (ADHD), atike muamewo zazã ƒe kuxi (SUD), alo amenyenye ƒe kuxi siwo tsi tre ɖe hadomenuwɔnawo ŋu (ASPDs) ate ŋu anɔ ɖevi siwo ŋu Agbenɔnɔ Ŋuti Dɔléle le dzilawo ŋu. Esia fia be ɖewohĩ domenyiŋusẽfianu ƒe kadodo aɖe le wo dome.
• Nutoa me nɔnɔmewo : Numekukuwo ɖee fia be nutomenuwo ate ŋu awɔ akpa aɖe le ɖevi siwo tso ƒome siwo me ganyawo mede ame dzi le o me, ɖevi siwo tsi le hadomenutome si me ŋutasẽnuwɔwɔ bɔ ɖo me, ɖevi siwo dzilawo metsɔ ɖeke le eme na wo nyuie helé be na wo nyuie le woƒe ɖevime o, ɖevi siwo ŋu wowɔ ŋlɔmi le le ŋutilã alo susu me alo kpɔ wo teƒe, kple ɖevi siwo xɔlɔ̃ siwo le hadede gbegblẽwo me la nava.
• Nu gbagbewo ƒe nusiwo gbɔ wòtsona : Numekuku aɖewo ɖee fia be tɔtrɔ siwo mesɔ o nɔa amesiwo ŋu ICD le ƒe ahɔhɔ̃ ƒe dɔwɔwɔ alo lãmetsiŋusẽ ƒe agbɔsɔsɔ aɖewo me (le kpɔɖeŋu me, lãmetsi si nye cortisol).

Aleke woawɔ ade dzesi `(Impulse Control Disorders)`?

Susuŋutinunyalawo, abe tagbɔdɔdalawo alo susuŋutinunyalawo ene, ye dea dzesi nɔnɔme siawo. Wozãa dzidzenu siwo le DSM-5 me. Zi geɖe la, ele be dzesiawo nanɔ anyi ɣleti 6 va ɖo 12 ya teti. Ele be woahe nuxaxa gã aɖe hã vɛ alo ado kplamatse gbesiagbegbenɔnɔ.

Ne èsusu be ``Impulse Control Disorder'' ƒe dzesiwo ate ŋu anɔ ye alo viwò ŋu la, ele be nàyi tagbɔdɔdala alo susuŋutinunyala gbɔ godoo. Wozãa gbebiame kple dodokpɔmɔnu siwo ŋu wotrɔ asi le etɔxɛe tsɔ dea dzesi susu kple nuwɔna ƒe nɔnɔme siawo pɛpɛpɛ.

Zi geɖe la, dɔwɔla siawo xɔa nyatakakawo tso amesiwo te ɖe amea ŋu wu (abe dzilawo, nɔviwo, xɔlɔ̃wo, nufialawo ene) gbɔ be woakpɔ amea ƒe nuwɔna ƒe nɔnɔmetata blibo.

Aleke wowɔa atike na `(Impulse Control Disorders)`?

Fifia la, atike aɖeke meli si dzi United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖo koŋ be woatsɔ ada ``Impulse Control Disorders'' siawo o. Eyata atikewɔmɔnu vevitɔwoe nye atikewɔmɔnu vovovowo kple tɔtrɔ siwo hiã wɔwɔ le alesi dzilawo wɔa nu ɖe ​​wo viwo ŋui me.

Mɔnu nyui aɖewo siwo dzilawo ate ŋu azɔ ɖo atsɔ akpe asi ɖe ɖeviwo ƒe nuwɔna siawo siwo me kuxiwo le dzi ɖuɖu ŋue nye esi:

• Nu nyui siwo wowɔna ɖe nuwɔna siwo mesɔ o ŋu dzi ɖeɖe kpɔtɔ (e.g., nusi di ɖevia nana ne ele avi fam).
• Nublanuikpɔkpɔ kple belélename ƒe nuwɔna (prosocial behaviors) ƒe dzidedeƒo na ame bubuwo.
• Tohehemɔnu siwo me ŋutasẽnuwɔwɔ mele o zazã.
• Nyametsotso siwo mewɔa tɔtrɔ o, siwo woate ŋu agblɔ ɖi la wɔwɔ ne wole to hem na ɖeviwo (menye mɔ ɖeka dzi egbea o, etsɔ mɔ bubu).

Atikewɔwɔmɔnu tɔxɛ aɖewo siwo kpena ɖe esia ŋue nye:

• Dzilawo ƒe Dɔwɔnawo Dzikpɔkpɔ ƒe Hehenasuku (PMT) : Esia bia be woana hehe dzilawo alo dɔnɔdzikpɔlawo le aɖaŋu siwo akpe ɖe wo vi ŋu wòana eƒe nuwɔna nanyo ɖe edzi eye wòasrɔ̃ aɖaŋu yeyewo ŋu. Taɖodzinu si le atikewɔwɔ sia ŋue nye be woana amehehe si nɔa anyi ɖaa esime wole nya nyui siwo sɔ nam ɖe ɖevia ƒe nuwɔna nyuiwo ŋu.
• Multisystemic Therapy (MST) : Atikewɔwɔ sia zãa ƒomea ƒe ŋusẽ tsɔ dea tenɔnɔ ɖe nɔnɔme nyuiwo nu ƒe dzi ƒo. Atikewɔla si si mɔɖegbalẽ le wɔa dɔ kple dzilawo tsɔ kpena ɖe wo ŋu woado ŋusẽ nuwɔna nyuiwo eye woaɖe nuwɔna gbegblẽwo dzi akpɔtɔ. Wokpena ɖe ƒomea hã ŋu be woatu agbanɔamedzi kple kuxiwo gbɔ kpɔkpɔ ƒe ŋutete ɖo.
• Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) : CBT nye susumedɔdamɔnu si woɖo ɖe ɖoɖo nu, si wotu ɖe taɖodzinu dzi. Zi geɖe la, wozãnɛ kpe ɖe hehenana vihehe ŋu. Le CBT me la, atikewɔla kpena ɖe ɖevia ŋu wòléa ŋku ɖe woƒe tamesusuwo kple seselelãmewo ŋu. Emegbe ɖevia sea alesi woƒe tamesusuwo kpɔa ŋusẽ ɖe woƒe nuwɔnawo dzii gɔme. To CBT dzi la, ɖevia te ŋu trɔa tamebubu gbegblẽ, gbegblẽ kple nuwɔna ƒe nɔnɔmewo eye wòsrɔ̃a tamebubu kple nuwɔna ƒe nɔnɔme siwo le lãmesẽ me wu.

Nukae nye `(Impulse Control Disorders)` ƒe ŋgɔdonya?

Mɔkpɔkpɔ na `(Impulse Control Disorders)` siawo, si nye alesi nɔnɔmea anɔ, ateŋu ato vovo le nɔnɔmea kple eƒe sesẽ nu. Ke hã, le goawo katã me la, `(ICD)` siawo ate ŋu anye nɔnɔme siwo nɔa anyi didi . Eye woate ŋu akpɔ ŋusẽ ɖe ame si ŋu nya ku ɖo kple woƒe ame veviwo ƒe agbenɔnɔ dzi vevie.

Numekukuwo ɖee fia be amesiwo ŋu ICD le ate ŋu ato nusiwo gbɔna me le etsɔme:

• Trɔtrɔ ɖe atike vɔ̃ɖiwo zazã ŋu.
• Teteɖeanyi.
• Afɔku si nye be dɔ ge le ame si.
• Ƒomedodowo me léle ɖe asi sesẽ.

Gake atikewɔwɔ ƒe nudede nyawo me vevie ate ŋu awɔ akpa gã aɖe le kpekpeɖeŋu nana be woaɖu nuwɔna siawo siwo me kuxiwo le dzi me.

Ðe woate ŋu axe mɔ ɖe ``Impulse Control Disorders'' nua?

Ðewohĩ womate ŋu axe mɔ ɖe nɔnɔme siawo nu keŋkeŋ o. Gake ne ènya dɔlélea hedae kaba ale si nàte ŋui , àte ŋu aɖe nuteɖeamedzi kple nɔnɔme sesẽ siwo me viwò kple ƒomea ato dzi akpɔtɔ ŋutɔ. Menye ema ɖeɖeko o, ke ateŋu akpeɖeŋu hã be woaxe mɔ ɖe kuxi bubuwo (abe sukudede ƒe tɔtɔ kple senyawo ene) siwo ateŋu ado ƒome kple ``ICD'' siawo nu.

Ðeviwo kple sɔhɛ siwo wɔa nu adãtɔe heda le sewo dzi nye kuxi gã aɖe na dzilawo. Togbɔ be esɔ be ɖevi suewo kple sɔhɛwo nawɔ nu le mɔ si me wowɔa nu le manyamanya me tso ɣeyiɣi yi ɣeyiɣi hã la, ne wowɔa nu ɣesiaɣi eye wògblẽa nu le ame bubuwo ŋu la, ate ŋu anye ``Dziɖuɖu ƒe Dɔléle`` ƒe dzesi.

Ele vevie ŋutɔ be woadze atikewɔwɔ gɔme na `(Impulse Control Disorders)` siawo kaba ale si woate ŋui. Afɔɖeɖe gbãtɔ si nàwɔ le atikewɔwɔ didi mee nye be nàdo go wò ƒomea ƒe ɖɔkta, tagbɔdɔdala, alo susuŋutinunyala aɖe eye nàƒo nu tso esia ŋu. Mègavɔ̃ be yeabia nya siwo le susu me na wò o. Wole afima be yewoakpe ɖe ŋuwò.

Kpuie Kpuie Kple Gbedasi si Wotsɔ Yi Aƒeme

``Impulse Control Disorders'' siwo ŋu míeƒo nu tsoe la nye nuwɔna siwo wowɔna le susu me siwo dzi womate ŋu aɖu o ko. Esiawo menye "ɖevi vɔ̃ɖi" ƒe dɔwɔwɔ ko o, woate ŋu anye nɔnɔme si goglo wu si bia be atikewɔlawo nade nu eme.

Nu vevitɔe nye be nàdi dɔwɔla bibiwo ƒe kpekpeɖeŋu ne ètsi dzi vevie le viwòa ƒe nuwɔna ŋu, tsɔ wu be nàŋe aɖaba aƒu edzi. Zi alesi wokpɔe dze sii kaba la, zi nenemae atikewɔwɔ me tsonuawo nyona ɖe edzii.

Ɖo ŋku edzi:

• Nuwɔna siwo wokpɔna le ɖevime dometɔ aɖewo sɔ, gake le ICD-wo me la, nuwɔna siawo dzɔna enuenu, wosẽna, eye wonɔa anyi didi.
• Domenyiŋusẽfianu, nutome, kple nugbagbeviwo ate ŋu akpɔ ŋusẽ ɖe nɔnɔme siawo dzi.
• Atikewɔwɔmɔnu kple dzilawo ƒe hehenana ɖoɖowo kpɔa dzidzedze ŋutɔ abe atikewɔwɔ ene.
• Menye wò ɖeka koe o. Dzila bubu geɖewo hã le kuxi mawo tɔgbe me tom, eye dɔwɔla bibi aɖewo li siwo ate ŋu akpe ɖe ŋuwò.

Ne èsusu be kuxi aɖe le viwòa ŋu abe esia ene la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo. Nudede nyaa me kaba ate ŋu ahe akɔfafa gã aɖe vɛ na ɖevia kple ƒome bliboa.

` Impulse control, nuwɔna ƒe kuxiwo, ɖeviwo ƒe susu ƒe lãmesẽ, ODD, Conduct Disorder, dzilanyenye ŋuti aɖaŋuɖoɖo, susumedɔdada