Ðe aƒemenuzazãwo zazã be nàxɔ kɔkɔme zu numame na wòa? Mina míaƒo nu tso (Inhalant Use Disorder) ŋu

Èsusui kpɔ be woate ŋu azã aƒemenuzazã aɖewo siwo wozãna gbesiagbe, abe atike siwo wotsɔna klɔa nu, aŋe, alo aŋɔ si wotsɔna ƒua gbe ene, atsɔ ana wò dzi nakɔa? Le nyateƒe me la, esia ate ŋu anye kuxi gã aɖe na ame aɖewo. Esiae nye nusi míeyɔna be `(Inhalant Use Disorder)`. Kpuie ko la, esia hã nye atike muamewo zazã ƒe numame ƒomevi aɖe. Mina míaƒo nu tso esia ŋu tsitotsito vie egbea, elabena esia nye nusi wòle be mí katã míanya.

Nukae nye esia ``(Inhalant Use Disorder)''? Mina míase egɔme bɔbɔe, alo?

Kpuie ko la, ``(Inhalant Use Disorder)`` nye numame si nye agbagbadzedze be yeaxɔ kɔkɔ to atike aɖewo siwo wokpɔna le gbesiagbe aƒemenuzazãwo alo dɔwɔƒewo me la gbɔgbɔ me. Wogayɔnae be "snorting," "bagging" (ʋeʋẽ ɖe akplo me) alo "huffing" (ʋeʋẽ ɖe avɔ me). Bu eŋu kpɔ ko, atike siwo wu 1,000 li siwo woate ŋu azã alea! Wo dometɔ aɖewoe nye esi:

• Oven cleaner si wotsɔna dzraa dzodoƒe ɖo
• Kpɔɖeŋu glue
• Tsɔ amadede si wotsɔna ƒua gbe
• Paint thinner
• Tsi si wotsɔna klɔa nu ŋu
• Nusi ɖea ɖaƒoƒo ɖa
• Mɔ̃memi
• Lãmetsi si me kɔ wu

Ne èzã nusiawo la, atike mawo yia ahɔhɔ̃a me tẽ eye woʋãa ``ŋusẽdodo kple teƒeɖoɖo ƒe ɖoɖowo'' enumake le míaƒe ahɔhɔ̃ me. Abe atike bubuwo ene. Esia tae nusiawo ate ŋu azu numame na ame alea gbegbe ɖo. Ne wo zu numame na ame la, nu bubu ɖesiaɖe si le eƒe agbe me ate ŋu axɔ megbezikpui. Esia ate ŋu ahe emetsonu gbegblẽwo vɛ menye na woƒe lãmesẽ ɖeɖeko o, ke na woƒe agbemeŋkekewo katã hã.

Amekae ate ŋu adze nusia dzi bɔbɔe wu? Nukawoe nye afɔku siwo le eme?

Esia wɔ nublanui ŋutɔŋutɔ. Elabena, amesiwo zãa `(Inhalants)` siawo ƒe akpa gãtɔ nye ɖeviwo kple sɔhɛ siwo xɔ tso ƒe 12 va ɖo ƒe 17. Numekukuwo ɖee fia be ɣeaɖewoɣi la, ɖevi siwo xɔ ƒe 5 pɛ hã zã esiawo. Nukatae sɔhɛ siawo toa esia dzi? Susu vevitɔe nye be nu siawo ƒe asi bɔbɔ eye wo kpɔkpɔ le bɔbɔe. Wonye nane si woate ŋu akpɔ le aƒeme.

Bu eŋu kpɔ ko, esesẽna na ɖevi sue be wòaƒle sigaret alo aha sesẽ le fiase me. Gake mesesẽ nenema gbegbe be woaɣla atike si wotsɔna ƒua gbe alo aŋetu aɖe tso aƒeme o.

Zi geɖe la, sɔhɛ siawo dzea atike siwo wogbɔna la zazã gɔme hafi trɔna ɖe sigaret, aha sesẽ, alo atike sesẽ bubuwo ŋu. Azɔ hã, nɔnɔme sia ate ŋu agblẽ nu le ŋutsuwo ŋu wu nyɔnuwo.

Nukae nye esia ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Ne èsusu be nane si le abe esia ene zu numame na viwò alo ame aɖe si nènya la, ke lé ŋku ɖe dzesi siawo ŋu.

Dzesi siwo woate ŋu akpɔ le ŋutilã me:

• To gbɔgbɔ alo to awudodo meAtikewo ƒe ʋeʋẽ lilili.
• Amadede alo ɖi bubuwo le wò asiwo, asibidɛwo, alo awuwo ŋu.
• Ne wole nu ƒom la , nyawo va tɔtɔna eye womekɔna o.
• Ʋu si le dodom le ŋɔti me alo ŋɔti me enuenu.
• Abi alo ŋutigbalẽ biã/dɔdzẽ le ŋɔti kple nu ŋu.
• Edzena ɣesiaɣi be ɖeɖi te eŋu.

Nuwɔna ƒe tɔtrɔ:

• Eɖea ɖekematsɔleme fiana ɖe nusianu ŋu.
• Nuɖuɖu ƒe dzodzro nu yina zi ɖeka eye woƒe lolo dzi ɖena kpɔtɔna .
• Kasia , xɔlɔ̃wo trɔna, modzakaɖeɖewo trɔna.
• Kplamatsedonu gã aɖe le sukudɔdasiwo me .
• Woƒe dzitsitsi ɖe dzadzɛnyenye kple ɖoɖowɔwɔ ŋu dzi ɖe kpɔtɔ.

Nusiwo woate ŋu akpɔ le susu me:

• Tɔtɔ.
• Esesẽ be woatsɔ susu aɖo nu ŋu (Poor concentration).
• Teteɖeanyi.
• Dzikudodo le susu manɔmee, dziɖeleameƒo (Dzikudodo).
• Fuléle.
• Paranoia doa mo ɖa le ame bubuwo ŋu.

Ne ède dzesi dzesi siawo dometɔ ɖeka alo esi wu nenema la, ele vevie ŋutɔ be nàlé to ɖe wo ŋu.

Kuxi kawoe esia ate ŋu ahe vɛ?

``(inhalants)'' siawo zazã ɣeyiɣi didi ateŋu ahe ŋutilã kple susu me kuxi geɖewo vɛ. Esiawo dometɔ aɖewo tsoa atike muamewo zazã gbɔ tẽ, gake bubuwo hã tsoa afɔku bubu siwo dona tso atike muamewo zazã me gbɔ (e.g., gbɔdɔdɔ si mele dedie o, aƒe si li ke ƒe anyimanɔmanɔ).

Ŋutilã me lãmesẽkuxiwo:

• Yɔmekpe ƒe dɔléle
• HIV/AIDS dɔlélea
• Dɔlékui siwo woxɔna to gbɔdɔdɔ me
• Aɖuɖɔtoedɔléle
• Asrãdɔ
• Sinusitis ƒe dɔléle

Susu ƒe lãmesẽnyawo:

• Teteɖeanyi
• Dzitsitsi
• Tagbɔdɔléle si gbɔgbɔtsixe hena vɛ
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe dɔléle gã alo esi mesẽ o
• Inhalant ahamumu delirium

Ne èse nya siawo la, èse alesi esia ate ŋu anye nu vevii gɔme, alo?

Aleke ɖɔktawo wɔa anya nɔnɔme siae?

Ðɔktawo dea dzesi Inhalant Use Disorder le Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ƒe nya nu. Kpuie ko la, wokpɔa nɔnɔme sia ne atike siwo wogbɔna zazã enuenu hea nuxaxa gã aɖe vɛ alo gblẽa nu le ame ƒe agbe ŋu, alo ne eŋudɔwɔwɔ ƒe ɖoɖo aɖe si me kuxi le le eŋu .

Ðɔkta aɖe si le nɔnɔme sia meÐo nya me, ele be nɔnɔme siwo gbɔna la dometɔ eve ya teti nanɔ anyi le ƒe ɖeka me:

• Didi vevie alo didi vevie be yeazã atike siwo gbɔa ya.
• Togbɔ be didi vevie le amewo me be woadzudzɔ atike siwo wogbɔna zazã hã la, agbagba siwo wodzena be woawɔe la doa kpo nu.
• Exɔa ɣeyiɣi geɖe hafi woate ŋu ake ɖe atike siwo wogbɔna ŋu, azã wo, ahahaya tso wo me.
• Esia hea kuxiwo vɛ le dɔwɔƒe, suku, kple ƒomekadodowo me, gake woyia edzi zãa atike siwo wogbɔna.
• Yagbɔgbɔ ƒe atikewo zazã nana wodzudzɔa dɔ veviwo, hadomenuwɔnawo, alo modzakaɖeɖedɔwo wɔwɔ.
• Togbɔ be amewo nya nu gbegblẽ siwo nusiawo gblẽna le ame ŋu le ŋutilã me hã la, woyia edzi zãa atike siwo wogbɔna.
• To get the same "high" you got before , fifia èhiã na gbɔgbɔtsixe (tolerance) geɖe wu.

Ne nu siawo dometɔ aɖe le ŋuwò la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukawoe nye atike siwo wozãna na esia?

Dzɔgbenyuietɔe la, atike aɖewo li na dɔléle sia, si nye Inhalant Use Disorder. Dɔdamɔnu siawo sɔ kple esiwo wozãna na atike muame bubuwo zazã ƒe numamewo ƒe akpa gãtɔ.

• Ame ɖekaɖekawo ƒe atikewɔwɔ: Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) wɔa dɔ nyuie ŋutɔ. Efia alesi nànɔ te ɖe nɔnɔme siwo tea ɖeɖi ame ŋu nu, aɖu wò didi be yeazã atike vɔ̃ɖiwo dzi, eye nàtsi tre ɖe hatiwo ƒe nyaƒoɖeamenu ŋu.
• Aɖaŋuɖoɖo na ƒomea: Esia kpena ɖe ame ŋu be dzeɖoɖo, ƒomedodo, kple nuwɔna ƒe nɔnɔmewo nyona ɖe edzi le ƒomea me. Elabena ƒomea ƒe kpekpeɖeŋu le vevie ŋutɔ le kuxi sia ƒomevi me.
• Nudede nyawo me si ʋãa ame: Esia nye aɖaŋuɖoɖo ƒomevi aɖe koŋ si naa ʋiʋli si hiã sɔhɛwo be woawɔ tɔtrɔ le woƒe agbenɔnɔ me.
• Dɔwɔna kple gomekpɔkpɔ le eme ƒe ɖoɖowo: Esiawo naa aɖaŋu yeyewo kple hadomenuteƒekpɔkpɔwo. Esiawo le vevie abe atike bubu si woazã ɖe ya si wogbɔna teƒe ene. Esiawo ate ŋu anye nusiwo le abe sinima me zãwo, ɣeɖuɖu, kple todzizɔzɔ ene. Woate ŋu akpe ɖe ŋuwò hã be nàdo go xɔlɔ̃ yeye siwo mezãa atike muamewo o.
• Kpekpeɖeŋunahawo kple afɔɖeɖe 12 ƒe ɖoɖowo: Kpɔɖeŋu aɖewoe nye ƒuƒoƒo siwo le abe `Ahatsunolawo ƒe Ŋkɔmaɖemaɖe` kple `Atike vɔ̃ɖiwo ƒe Ŋkɔmaɖemaɖe`. Esiawo kpena ɖe ame ŋu be wòaɖe afɔku si le eme be wòagadze dɔa ake dzi kpɔtɔna eye wòléa agbe si me atike muamewo manɔ o me ɖe asi.

Le amesiwo numame sesẽwo le gome la, atikewɔwɔ le atikewɔwɔ ƒe ɖoɖo si wowɔna le aƒeme ate ŋu ana nu nyuitɔ kekeake nado tso eme.

Nukae dzɔna ne èno atike siwo wogbɔna wògbɔa eme? Ðe wònye afɔkua?

Ẽ, afɔku le eme godoo!Atike siwo gblẽa nu le ame ŋu sɔ gbɔ ɖe atike aɖewo, vevietɔ atike siwo wotsɔna tsia lãme na ame kple esiwo wotsɔna ƒua gbe ɖe aerosol me. Esiawo gbɔgbɔ zi ɖeka gɔ̃ hã ate ŋu ana ame natsi dzodzodzoe, ame natsi alɔ̃ me, eye dzitodzito naku kpata gɔ̃ hã. Esia ate ŋu adzɔ ɖe amesi zãe zi gbãtɔ gɔ̃ hã dzi.

Nu bubu si me afɔku le enye be nàgbɔ ``(Inhalants)`` esime nèlé pepa alo aŋekotoku ɖe ta dzi. Esia ate ŋu ana ame nagbɔdzɔ eye wòaku. Azɔ hã, ne wogbɔ dzudzɔ siawo siwo me aɖi le ɖe oxygen teƒe le lãkusi me la, ate ŋu ana ame naku to gbɔgbɔtsixetsixe me.

Ne ame aɖe kpɔ ``(Inhalant Overdose)'' la, atikewɔwɔ kpatae nye be woada nɔnɔme si ate ŋu ade eƒe agbe afɔku me ɣemaɣi (e.g., dzidziƒoame nu tsotso, dzia gbugbɔgadze egɔme). Fifia la, atike aɖeke meli koŋ si woatsɔ atrɔ ``(Inhalant)'' ahamumu ƒe ŋusẽkpɔɖeamedziwo o.

Ðe woate ŋu axe mɔ ɖe esia nua?

Ẽ, míate ŋu adze agbagba axe mɔ ɖe esia nu vaseɖe afi aɖe. Numekukuwo ɖee fia be agbenɔnɔ ŋuti hehenana sɔhɛwo le sukuxɔ me te ŋu ɖe atike siwo wogbɔna zazã dzi kpɔtɔ. Agbenɔnɔ ŋuti hehexɔxɔ sia ku ɖe:

• Be woana bubudede ame ɖokui ŋu kple dzeɖoɖo ƒe ŋutetewo nanyo ɖe edzi.
• Be woatu ame ŋutɔ ƒe ƒomedodowo ɖo.
• Be woafia alesi woawɔ akpɔ dzimaɖitsitsi kple nyaƒoɖeamenu gbɔe.

Ðoɖo siwo wowɔna le sukuwo abe esia ene ɖe nu nyuiwo tso eme.

Ðe míate ŋu ado le nɔnɔme sia mea? Nukae nye mɔkpɔkpɔa?

Ŋutete si le ame si be wòahaya tso nɔnɔme sia me kple alesi wòagblɔe ɖi la nɔ te ɖe nu geɖe dzi.

• Dɔlélea ƒe sesẽme.
• Agbɔsɔsɔme si numame le.
• Ðokuitsɔtsɔna be yeadzudzɔ.
• Atikewɔwɔ ƒe ɣeyiɣi.
• Ale si woawɔ akpɔ nɔnɔme siwo tea ɖeɖi ame ŋu gbɔe.

Nu vevitɔe nye be ne kpekpeɖeŋu nyuitɔ na amesiwo ŋu nɔnɔme sia le la, woate ŋu ahaya ahanɔ agbe si sɔ, si me dzidzeme le. Eyata kpekpeɖeŋu biabia nye afɔɖeɖe gbãtɔ si ana ame nahaya. Kpɔ wò ɖɔkta eye nàƒo nu tso esia ŋu.

Aleke nàte ŋu akpe ɖe ame aɖe si te ɖe ŋuwò ŋu ne amesia nye amesi ŋu wowɔ nuvevii?

Ate ŋu anye nuteɖeamedzi kple kuxi gã aɖe be nànya be ame aɖe si nèlɔ̃ la le nusia me tom. Gake àte ŋu akpe ɖe wo ŋu.

• Ðo dze kpli wo enumake: Anyo wu be nàƒo nu tso eŋu ne ènya kpɔe be kuxi aɖe li ko. Zi alesi amesi ŋu Inhalant Use Disorder le xɔ atike kaba la, zi nenemae wòanyo wu. Ƒo nu tso wò dzimaɖitsitsiwo ŋu na wo eye nàkpe ɖe wo ŋu woakpɔ atike kaba ale si nàte ŋui.
• Ðo toe kple veveseseɖeamenu: Ne mèlɔ̃ ɖe eƒe nuwɔnawo dzi o hã la, ɖo to nya si wòagblɔ la nyuie. Zi alesi wòse egɔme be "eɖoa to nya si magblɔ" la, zi nenemae wòaʋu eƒe dzi me na wò eye wòakpɔ wò abe amesi dzi wòate ŋu aka ɖo ene.
• Gbɔ dzi ɖi:Mègasusu be nuƒoƒo tso eŋu zi ɖeka alo afɔɖeɖe ɖeka ɖeɖe ko akpɔ kuxi sia gbɔ o. Inhalant Use Disorder nye nɔnɔme sesẽ aɖe. Mɔnu aɖeke meli si woate ŋu akpɔ egbɔ kaba o.
• Lé be na ɖokuiwò: Ne èle kpekpem ɖe ŋuwò la, àte ŋu alé blanui, nu te ɖe dziwò, yetsi akogo, alo alé blanui. Ema sɔ. Gake ele vevie be nàlé be na wò ŋutɔ wò susu ƒe lãmesẽ. Zi alesi nèsẽ ŋui la, zi nenemae nàte ŋu akpe ɖe ame bubu ŋu nyuie wu. Ne èhiã kpekpeɖeŋu la, wò ŋutɔ nàxɔ kpekpeɖeŋu.

Inhalant Use Disorder nye numame si dzɔna ne èzã inhalants be nàxɔ ʋusɔgbɔdɔ. Ne èse le ɖokuiwò me be yeƒe yagbɔgbɔ ƒe atikewo zazã le ŋusẽ kpɔm ɖe yeƒe lãmesẽ, ƒomedodo, dɔwɔƒe, suku, alo yeƒe agbe ƒe akpa bubuwo dzi la, ɣeyiɣia de be nàdi kpekpeɖeŋu. Ne ède dzesii be ame aɖe si te ɖe ŋuwò le dzesi siawo ɖem fia la, do susua ɖa be wòaxɔ kpekpeɖeŋu kaba ale si nàte ŋui. Abe atike muamewo zazã ƒe dɔléle bubuwo ene la, atike siwo wogbɔna zazã ƒe kuxi nye dɔléle si woate ŋu ada. Ƒo nu kple wò ɖɔkta eye nàɖe afɔ gbãtɔ si ana nàhaya.

Nusiwo ŋu míeƒo nu tsoe ƒe kpukpui (Take-Home Message) .

Egbea míeƒo nu tso nɔnɔme aɖe si woyɔna be ``Inhalant Use Disorder'' si ame geɖe menya o, gake ateŋu anye afɔku gã aɖe ŋu.

• Kpuie ko la, esia nye numame si nye "ahamumu" to gbesiagbe aƒemenuzazãwo ƒe ʋeʋẽ (ta, aŋe, dzadzɛnyenyenuwo) me.
• Ðevi suewoe te ŋu xɔa esia bɔbɔe wu , elabena nu siawo kpɔkpɔ le bɔbɔe.
• Esia ƒe dzesiwo ate ŋu anye ŋutilã, nuwɔna, kple susu me . Ele vevie be nànɔ ŋudzɔ ɖe wo ŋu.
• Esia ate ŋu ahe lãmesẽkuxi sesẽwo vɛ eye wòaku gɔ̃ hã .
• Nu nyuitɔ kekeakee nye be, atikewɔmɔnu aɖewo li na esia. Àte ŋu axɔ kpekpeɖeŋu to nusiwo le abe `(Cognitive Behavioral Therapy - CBT)`, ƒomea ƒe aɖaŋuɖoɖo, kple kpekpeɖeŋunahawo me.
• Mɔxexe ɖe enu hã le vevie. Ðoɖo siwo tua agbemenuhiahiãwo ɖo le sukuxɔ me kpena ɖe esia ŋu.
• Ne kuxi sia le fu ɖem na wò alo ame aɖe si nènya la, taflatse di atikewɔlawo ƒe aɖaŋuɖoɖo. Zi alesi nèxɔ kpekpeɖeŋu kaba la, zi nenemae nàte ŋu ahaya kaba.

Ðo ŋku edzi be mehiã be wò ɖeka nàkpe fu le nɔnɔme sia tɔgbe me o. Kpekpeɖeŋu biabia doa ŋusẽ ame.

` atike siwo wogbɔna, atike vɔ̃ɖiwo, numame, sɔhɛwo ƒe lãmesẽ, susu ƒe lãmesẽ, atike siwo wogbɔna zazã ƒe kuxi, atike muamewo zazã, Sri Lanka