Ðe wòle sesẽm na wò be nàɖu dziku si dona kpata dzia? Mina míaƒo nu tso Dɔléle si Wowóna le Ɣeyiɣi aɖe Me (IED) ŋu!

Ðe nèdoa dziku ɖe nu sue aɖe ŋu ɣeaɖewoɣi ale gbegbe be màte ŋu asusui gɔ̃ hã oa? Ðe nèdoa ɣli, tsɔa nane ƒua gbe ɖe anyigba, alo ƒoa ame aɖe gɔ̃ hãa? Esia ate ŋu anye nusi goglo wu "numame gbegblẽ" alo "ame si doa dziku kabakaba" ko. Egbea míele nu ƒom tso dziku ƒe dodo kpata sia ƒomevi ŋu, si nye susu ƒe lãmesẽ ƒe nɔnɔme si woyɔna be `(Intermittent Explosive Disorder - IED)`.

Nukae nye ``Nu Siwo Wowóna le Ɣeaɖewoɣi - IED''?

Kpuie ko la, Intermittent Explosive Disorder (IED) nye susumedɔléle si ƒe dzesi enye nuwɔna kpata, si dzi womate ŋu aɖu o, adãwɔwɔ alo dzikudodo. Nu vevitɔ kekeakee nye be ame siawo wɔa nu ɖe ​​dzikua ŋu le mɔ si to vovo kura na nɔnɔmea nu. Nu sue aɖe gɔ̃ hã gbɔ kpɔkpɔ sesẽna na wo ŋutɔ. Bu eŋu kpɔ, ne ame aɖe ti kpo dze ŋgɔwò le fli me, eye nèdo dziku ale gbegbe be nèdo le wò ʋua me hewu ɖokuiwò kplii la, ema menye dziku si sɔ o.

Gake nusi wɔ nuku enye be, ne womedo dziku o la, amesiwo ŋu ``IED`` le la wɔa nu le mɔ nyuitɔ nu ŋutɔ eye wonyo. Esia nye nɔnɔme si le ``Impulse control disorders`` ƒe hatsotso me, si nye dɔléle siwo me wòsesẽna be woaɖu seselelãme siwo dona le susu me dzi.

Numekukuwo ɖee fia be amesiwo ŋu IED le ƒe 80% ate ŋu anye susumedɔ bubu aɖe. Esiawo dometɔ siwo bɔ wue nye dzimaɖitsitsidɔ, susu ƒe dɔmawɔmawɔ nyuie, autism, kple susu ƒe dɔmawɔmawɔ nyuie.

Amekae ŋu `(IED)` nɔnɔme sia gblẽ nu le wu?

Nɔnɔme sia ate ŋu adze ɖevi siwo xɔ ƒe 6 pɛ ko alo ame tsitsiwo dzi. Gake zi geɖe la, sɔhɛ tsitsi siwo mexɔ ƒe 40 haɖe o ŋue wokpɔnɛ le . Wogblɔna hã be ebɔ ɖe ŋutsuwo me wu .

Numekulawo bu akɔnta be xexeamenɔlawo ƒe 1.4% va ɖo 7% ate ŋu anye Intermittent Explosive Disorder. Esia fia be togbɔ be mebɔ boo o hã la, ame gbogbo aɖewo kpea fu le nɔnɔme sia me.

Nukae nye `(Intermittent Explosive Disorder - IED)` ƒe dzesiwo?

Nu vevitɔ si ɖe dzesi le nɔnɔme sia ŋue nye be dziku dona zi ɖeka le mɔ si mesɔ kura o, si womeɖoe o, eye wòto vovo kura na nɔnɔmea nu. Ame siawo nya be yewoƒe nuwɔna mesɔ o eye mesɔ o, gake le ɣeyiɣi ma me la, esesẽna na wo be woaɖu wo ɖokui dzi.

Dzikudodo siawo ƒe nɔnɔmee nye esi:

• Menye nusi woɖo koŋ wɔe o, ke boŋ enye nusi dzɔna kpata eye wòwɔa nu kpata. Menye nane si ŋu wowɔ ɖoɖo ɖo do ŋgɔe o.
• Dziku sia dzea egɔme le aɖabaƒoƒo ʋɛ aɖewo megbe tso esime nane dzɔ (dzikudodo).
• Zi geɖe la, dziku sia menɔa anyi wu miniti 30 o.
• Nudzɔdzɔ sia nana amesi ŋu nya ku ɖo la ƒe susu me tea ɖeɖi ame ŋu ŋutɔ eye wòléa blanui.
• Nuwɔna sia hea kuxiwo vɛ le suku, dɔwɔƒe, kple aƒeme.

Aleke dziku sia doa goe?

Dziku sia ate ŋu aɖe eɖokui afia le mɔ geɖe nu. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Dzikudodo: Nuwɔnawo abe anyigba ʋuʋu, avifafa, kple ɣlidodo abe ɖevi sue ene.
• Nyagbɔgblɔ ƒe ŋɔdzidoname: ɣlidodo, ŋɔdzidodo na ame bubuwo, atamkaka.
• Amewo alo lãwo dzi dzedze ŋutilã me: tutu, ƒoƒo, ƒoƒo, kple ɣeaɖewoɣi aʋawɔnu zazã gɔ̃ hã tsɔ wɔa nuvevi ame.
• Nusiwo gblẽ le nunɔamesiwo ŋu: nuwo tsɔtsɔ ƒu gbe le lɔlɔ̃nu nu, afɔkpodzidada, xɔmenuwo gbãgbã, ʋɔtruwo ƒoƒo.
• Aƒeme ŋutasẽnuwɔwɔ: Ŋutasẽnuwɔwɔ ɖe ƒomea me tɔwo ŋu.
• Dzikudodo le mɔ dzi: Tsɔe be èdo dziku ale gbegbe be nèdi be yeawu ame aɖe le esi ɖeko wòto ŋuwò le ʋuwo me ta.

Dziku ƒe nudzɔdzɔ siawo ate ŋu anye nu suesuesuewo ɣeaɖewoɣi, eye ɣeaɖewoɣi la, woate ŋu asẽ ale gbegbe be ame aɖe ate ŋu axɔ abi vevie, alo awui gɔ̃ hã.

Nu kawo ƒomevie nàte ŋu ase le ɖokuiwò me hafi ado dziku?

Hafi ŋutasẽnuwɔwɔ sia tɔgbe nadzɔ la, àte ŋu akpɔ dzesi siawo dometɔ aɖewo:

• Dziku, dziku ƒe seselelãme si womate ŋu alé ɖe susu me o.
• Dzikudodo.
• Mesea nyaƒoɖeamenu kple masɔmasɔ geɖe le nye dzi me.
• Ðeko wòle abe ɖe susu siwo le wò ta me la le du dzi sesĩe ɣesiaɣi ene.
• Nyemate ŋu aƒo nu kple ame bubuwo nyuie o.
• Ðeko wòle abe ɖe ŋusẽ geɖe va le nye ŋutilã ŋu zi ɖeka ene.
• Ʋuʋudedi.
• Dzi ƒe tsotso dzina ɖe edzi zi ɖeka (pulpitations).
• Akɔta ƒe tete.

Ne woɖe asi le dziku sia ŋu vɔ la, gbɔdzɔe aɖe nɔa ame ŋu ɣeyiɣi kpui aɖe, gake emegbe blanuiléle, vevesese, kple ŋukpe ƒe seselelãmewo doa mo ɖa. Èbiaa ɖokuiwò be, "Nukae mewɔ?"

Nukatae Intermittent Explosive Disorder (IED) dzɔna?

Numekulawo gale agbagba dzem kokoko be yewoanya nusi tututu gbɔ esia tso, gake wosusu be nu vevi etɔ̃ gbɔe wòtso:

1. Domenyiŋusẽfianu: Esia ate ŋu aƒu du le ƒomewo me. Esia fia be ne dɔléle sia le ame aɖe ŋu le wò ƒomea me la, anɔ eme be wò hã nàxɔe. Numekukuwo ɖee fia be domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi 44% va ɖo 72% le nuwɔna siwo me wowɔa nu kpata, siwo me wowɔa adã le alea ƒe dzɔdzɔ dzi.

2. Nu gbagbewo: Tɔtrɔ siwo vaa míaƒe ahɔhɔ̃ ƒe wɔwɔme kple dɔwɔwɔ me ate ŋu ana esia nadzɔ. Le kpɔɖeŋu me, MRI (Magnetic Resonance Imaging) ƒe fotowo ɖee fia be ahɔhɔ̃a ƒe akpa si woyɔna be amygdala, si kpɔa míaƒe seselelãmewo dzi la, kpɔa ŋusẽ ɖe edzi. Wokpɔe hã be ahɔhɔ̃mekawo ƒe dɔwɔwɔ si nye serotonin (atike si tsɔa gbedasiwo yia lãmekawo dome eye wòwɔa dɔ abe lãmetsiŋusẽ ene hã) ƒe agbɔsɔsɔ ɖiɖi wu alesi wòle le amesiwo ŋu IED le gome.

3. 3. .Nutoa me ƒe nɔnɔmewo: Nyagbɔgblɔ alo ŋutilã me ŋlɔmiwɔwɔ le ɖevime, alo ŋutasẽnuwɔwɔ teƒe kpɔkpɔ le aƒeme ate ŋu awɔ akpa aɖe le nɔnɔme sia ƒe dzɔdzɔ me. Azɔ hã, nudzɔdzɔ dziŋɔ ɖeka alo esi wu nenema siwo me to le ɖevime ate ŋu anye nusi gbɔ wòtso.

Aleke wokpɔa dɔléle si woyɔna be Intermittent Explosive Disorder (IED) dzea sii?

Ne èsusu be dzesi siawo ate ŋu anɔ ye alo ame aɖe si yenya, vevietɔ viwò, ŋu la, ele vevie be nàkpɔ ɖɔkta bibi gbã . Anɔ eme be woaɖo wò ɖe susumedɔdala aɖe si bi ɖe dɔléle siawo didi kple wo dada me gbɔ. Esia ate ŋu anye tagbɔdɔdala, susuŋutinunyala, alo hadomekpekpeɖeŋudɔwɔla le kɔdzi.

Wozãa dzidzenu tɔxɛ siwo tso Amerika Tagbɔdɔlélawo ƒe Habɔbɔ ƒe Tagbɔdɔlélewo Ŋuti Numekuku Kple Akɔntabubu Ŋuti Mɔfiamegbalẽ (DSM) me tsɔ dea dzesi IED. Woaƒo nu kpli wò nyuie eye woabia nya deto wò tso wò dzesiwo kple nuwɔna ŋu. Woabia nyawo tso nuwo abe:

• Wò kple wò ƒomea ƒe atikewɔwɔ ŋutinya, vevietɔ le susu ƒe lãmesẽnyawo gome.
• Le wò ŋutɔ wò ƒomedodowo ŋu (Relationship history).
• Suku kple dɔwɔƒe ŋuti nyatakakawo.
• Ku ɖe ŋutete si le asiwò be nàɖu wò seselelãmewo dzi ŋu.

Àte ŋu axɔ wò nuwɔna kple ŋutinya ŋuti nyatakakawo tso wò ƒometɔwo kple xɔlɔ̃ veviwo gbɔ gɔ̃ hã.

Be woakpɔe be ``(IED)'' le ŋuwò godoo la, ele be nàɖe ŋutetemanɔamesi afia be yeaɖu adãwɔwɔ ƒe dzodzrowo dzi, abe:

• Alo, nudzɔdzɔ siwo bɔ wu, gake womegblẽa nu boo o: si nye nyagbɔgblɔ ƒe adãwɔwɔ (ɣlidodo, ŋɔdzidodo, nyaʋiʋli) alo amedzidzedze ɖe nunɔamesiwo, lãwo, alo amewo ŋu ŋutɔŋutɔ (gake nuveviwɔame gã alo nunɔamesiwo ƒe gbegblẽ manɔmee) si dzɔna zi eve ya teti le kwasiɖa me hena ɣleti etɔ̃ .
• Alo, nudzɔdzɔ siwo mebɔ o gake wosẽa ŋu: Nudzɔdzɔ etɔ̃ siwo me wogblẽ nunɔamesiwo kple/alo amedzidzedze ɖe lãwo alo amewo ŋu si na woxɔ abi, le ɣleti 12 ƒe ɣeyiɣi aɖe me (ƒe ɖeka) .

Nu vevitɔ kekeakee nye be dziku ƒe agbɔsɔsɔme mesɔ ɖe nɔnɔmea nu o eye wòsẽna le mɔ si mebɔ o nu. Eye esiawo menye nuwɔna siwo woɖo ɖi do ŋgɔ o. Wodzɔna kpata, le dziku alo nuwɔwɔ kpata ta. Azɔ hã, ɖɔktaa akpɔ egbɔ be menye tagbɔdɔ bubu, ŋutilãmedɔléle bubu, alo atike muamewo zazã gbɔe dzesi siawo tso o.

Ele be amea naxɔ ƒe 6 ya teti hafi woakpɔ dɔléle sia, gake zi geɖe la, edzena zi gbãtɔ le eƒe ɖevime alo ƒewuiwo ƒe nuwuwu.

Nukae nye atikewɔwɔ na ``Intermittent Explosive Disorder - IED''?

Tagbɔdɔléle sia dada koŋue nye susumedɔdada (nuƒoƒo ƒe atikewɔwɔ) kple ɣeaɖewoɣi atikewo zazã. Wò ɖɔkta anɔ te ɖe ƒe si nèxɔ, wò dzesiawo ƒe nɔnɔme kple woƒe sesẽ dzi atso nya me.

Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖe dzesiawo ɖa keŋkeŋ, alo ne mede ɖeke o la, woaɖe dzesi ɖeka alo eve ƒe sesẽ dzi akpɔtɔ. Togbɔ be ame aɖewo mate ŋu ahaya keŋkeŋ o hã la, taɖodzinuae nye be woana amea kple ame bubuwo ya teti nanɔ dedie eye woaɖe dzobibi ƒe sesẽme, eƒe sesẽme, kple enuenu dzi akpɔtɔ.

`(Tagbɔdɔléle ƒe atikewɔwɔ)` na `(IED)`

Tagbɔdɔdadae nye atike vevitɔ kple vevitɔ kekeake na esia. Vevietɔ , wozãa Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) dzidzedzetɔe ŋutɔ hena taɖodzinu sia.

>`(CBT)` nye atikewɔwɔmɔnu si woɖo ɖe ɖoɖo nu, si wotu ɖe taɖodzinu dzi. Le esia me la, atikewɔla kpena ɖe ŋuwò nèléa ŋku ɖe wò tamesusuwo kple seselelãmewo ŋu tsitotsito. Àte ŋu ase ale si wò tamesusuwo kpɔa ŋusẽ ɖe wò nuwɔnawo dzii gɔme. `(CBT)`, àte ŋu aɖe susu gbegblẽ, siwo gblẽa nu le ame ŋu kple nuwɔna gbegblẽ ƒe nɔnɔmewo ɖa le wò ta me eye nàsrɔ̃ alesi nàbu tame ahawɔ nu le mɔ si le lãmesẽ me wu nu boŋ. `(IED)` ateŋu akpeɖe amesiwo ŋu `(CBT)` le ŋu woakpɔ nɔnɔme sesẽwo gbɔ le gbesiagbegbenɔnɔ me eye woaɖu seselelãme siwo doa dziku dzi.

Mɔnu tɔxɛ siwo wozãna na IED le CBT me dometɔ aɖewoe nye:

• Sidzedze ƒe tɔtrɔ: Esia bia be nàde dzesi nukpɔsusu totro kple susu gbegblẽ siwo le asiwò ku ɖe nudzɔdzɔ siwo doa dziku alo nusiwo nèbu be wonye ŋɔdzinu ŋu ahatrɔ wo.
• Hehenaƒe si ana nàɖe dzi ɖi: Yagbɔgbɔ deto kple lãmekawo ƒe ɖiɖiɖeme vivivi (mɔnu si dzi nètona tea lãmeka siwo le wò ŋutilã me heɖea dzi ɖi vivivi esime nèle nɔnɔme siwo hea dziku vɛ la kpɔm le susu me) ate ŋu akpe ɖe ŋuwò nàɖe alesi nèwɔa nu ɖe ​​dziku ŋui dzi akpɔtɔ.
• Tenɔnɔ ɖe nɔnɔmea nu ƒe hehenana: Fefewɔwɔ kple atikewɔla, nɔnɔme siwo me dziku ate ŋu ado mo ɖa le, kple nuwɔna siwo le lãmesẽ me, abe dzodzo le teƒea ene, sɔsrɔ̃.
• Mɔxexe ɖe dɔlélea gbugbɔgadzɔ nu: Wofiaa amesiwo ŋu IED le be esɔ be woagatrɔ ayi nuwɔna siwo me wowɔa adã le me, eye be mele be woabui be menye kpododonu o, ke boŋ be enye ‘vodada’ alo ‘gbugbɔgadzɔ’ sue aɖe.

Atikewo na `(IED)`

Atike aɖewo ateŋu adzi wò ``dzidzenu'' ɖe edzi, si fia be àteŋu ado dziku ɖe nu suetɔwo gɔ̃ hã ŋu boo o.

Fluoxetine (a Selective Serotonin Reuptake Inhibitor - SSRI) ye nye atike si ŋu wosrɔ̃ nu tsoe wu hena IED dada. Atike bubu siwo ŋu wosrɔ̃ nu tsoe na IED dometɔ aɖewoe nye Phenytoin, Lithium, Oxcarbazepine, kple Carbamazepine.

Zi geɖe la, ɖɔktawo ate ŋu aŋlɔ atike siawo ƒomevi na IED:

• `( Blanuilélenutsitikewo)`
• `(Antipsychotics)` (atike siwo wozãna na tagbɔdɔléle) .
• `(Anticonvulsants)` (atike siwo wonana na nɔnɔmewo abe asrãdɔ ene) .
• `(Atike siwo tsia dzimaɖitsitsi nu)` (atike siwo tsia dzimaɖitsitsi nu)
• `(Mood regulators)` (atike siwo nana seselelãme nɔa te)

Vevietɔ: Ðeko wòle be woano atike siawo le ɖɔkta ƒe dzikpɔkpɔ te, le agbɔsɔsɔ si woŋlɔ nɛ me, kple ɣeyiɣi si woɖo ɖi na wo. Atikewo nono alo wo dzudzɔ le lɔlɔ̃nu nu ate ŋu ahe kuxi sesẽwo vɛ.

Nukawoe nye afɔku siwo ate ŋu ana woaxɔ Intermittent Explosive Disorder (IED)?

Numekulawo de dzesi afɔku geɖe siwo hea nɔnɔme sia vɛ:

• Ðekakpui nyenye.
• Dɔmakpɔwɔe.
• Tre nyenye (si menye srɔ̃tɔ o).
• Sukudede ƒe ɖoƒe si mede ŋgɔ boo o.
• Ŋutasẽnuwɔwɔ alo gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ, vevietɔ le ɖevime.
• Ƒometɔ kplikplikpli aɖe si ŋu Intermittent Explosive Disorder le ƒe amesinɔnɔ.

Ne vɔvɔ̃ alo ɖikeke aɖe le mewò be nɔnɔme sia ate ŋu anɔ viwòa ŋu la, anyo wu be nàƒo nu tso eŋu na ɖɔkta.

Nukae nye nyagblɔɖi na amesi ŋu Intermittent Explosive Disorder (IED) le?

Numekukuwo ɖee fia be amesiwo ŋu IED le la ƒe agbe medzea ame ŋu boo o eye woƒe agbenɔnɔ medea ŋgɔ boo o. Esia ate ŋu akpɔ ŋusẽ gbegblẽ ɖe wò lãmesẽ bliboa dzi, eye wòahe kuxi gãwo vɛ le wò ŋutɔ wò agbenɔnɔ, ƒomegbenɔnɔ, dɔwɔƒe, kple hadomekadodowo me.

Nya nyuiae nye be woate ŋu akpɔ IED gbɔ dzidzedzetɔe to Cognitive Behavioral Therapy (CBT) kple ne ehiã la, atikewo zazã me. Gake ele vevie be míaɖo ŋku edzi be numekukuwo ɖee fia be zi geɖe la, IED nyea dɔléle si nɔa anyi didi, si nɔa anyi ƒe 12-20, alo eƒe agbemeŋkekewo katã gɔ̃ hã.

Tsɔ kpe ɖe eŋu la, amesiwo ŋu IED le ate ŋu ato nɔnɔme siawo me wu:

• `( Blanuiléle)` (Blemaɖemaɖe) .
• `(Dzimaɖitsitsi)` (Dzimaɖitsitsi) .
• `(Ahanono ƒe kuxi)` (Ahanono ƒe numame)
• `(Atikewo zazã ƒe dɔléle)` (Atike bubuwo zazã ƒe numame)

Vevietɔ ŋutɔ: Ame siwo ŋu IED le la le afɔku me be woawɔ nuvevi wo ɖokui (e.g., lãɖeɖe, dzobibi) kple wo ɖokui wuwu. Eyata ne èsusu be Intermittent Explosive Disorder ate ŋu anɔ ye alo yeƒe ƒomea me tɔ aɖe ŋu la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ale si nàte ŋui.

Aleke mawɔ akpɔ ɖokuinye dzi ne Intermittent Explosive Disorder (IED) le ŋunye?

Ne wokpɔ dɔléle si nye Intermittent Explosive Disorder le ŋuwò la, nu vevi aɖewo li nàte ŋu awɔ atsɔ alé be na ɖokuiwò. Esiawo dometɔ vevitɔe nye be nàdi atikewɔla bibiwo kple atikewɔlawo eye nàlé eme ɖe asi. Le atikewɔwɔ me la, àte ŋu asrɔ̃ nu geɖe siwo ate ŋu akpe ɖe ŋuwò be dziku nagadzɔ o eye ne edzɔ la, nàɖu edzi:

• Ðiɖiɖeme ƒe mɔnuwo: Nuwo abe gbɔgbɔ deto ƒe kamedede kple ŋugbledede ene.
• Alesi nèbua tame ƒe tɔtrɔ (Cognitive restructuring): De dzesi tamesusu siwo hea dziku vɛ kple wo tɔtrɔ.
• Dzeɖoɖo ƒe ŋutetewo: Srɔ̃ alesi nàgblɔ wò seselelãmewo kple nuhiahiãwo na ame bubuwo eme nakɔ dziku manɔmee.
• Trɔ nuto si me nèle, eye nàsrɔ̃ alesi nàdzo le teƒe siwo nuteɖeamedzi le ne anya wɔ: Ɣeaɖewoɣi la, tete ɖa le teƒe alo ame aɖe gbɔ hena ɣeyiɣi aɖe ko ate ŋu ana tɔtrɔ gã aɖe nava.

Nu bubu si le vevie ŋutɔe nye be nàƒo asa na ahanono kple atike vɔ̃ɖi bubuwo zazã keŋkeŋ. Esiawo ate ŋu aɖe wò ŋutete be nàɖu wò seselelãmewo dzi akpɔtɔ geɖe wu eye wòana ŋutasẽnuwɔwɔ ƒe afɔkua nadzi ɖe edzi.

Ɣekaɣie wòle be makpɔ ɖɔkta tso `(Intermittent Explosive Disorder - IED)` ŋu?

Ne wokpɔ dɔléle si nye Intermittent Explosive Disorder le ŋuwò alo viwòa ŋu la, ele be nàdo go kple wò atikewɔlawo ƒe ƒuƒoƒo (ɖɔkta, atikewɔla) edziedzi akpɔe ɖa be wò atikewɔwɔ (tagbɔdɔléle kple/alo atikewo) le dɔ wɔm hã eye nenye be ehiã be woawɔ tɔtrɔ aɖewo hã.

Ne viwò alo viwò ƒe nuwɔna le nu gblẽm alo le afɔku hem vɛ na ame bubuwo (ame bubuwo, lãwo) la, di atikewɔlawo ƒe kpekpeɖeŋu enumake. Azɔ hã, ne ame aɖe si ŋu `(IED)` le le tame bum be yeawɔ nuvevi ye ɖokui alo ate ye ɖokui wuwu kpɔ la, kpekpeɖeŋu hiã enumake. Taflatse na ɖɔkta alo ame aɖe si dzi nèka ɖo nanya enumake, alo nàyi susumedɔlélewo gbɔ kpɔƒe si te ɖe ŋuwò (e.g., dukɔa ƒe kɔdzi ƒe tagbɔdɔlélawo ƒe dɔwɔƒe).

Ðo ŋku edzi be Intermittent Explosive Disorder (IED) nye susumedɔléle. Menye numame gbegblẽ alo numame gbegblẽe wònye o. Abe alesi wòle le tagbɔdɔléle ɖesiaɖe gome ene la, kpekpeɖeŋu didi ne ènya de dzesi dzesiawo ko ate ŋu akpe ɖe ŋuwò nàɖe tɔtɔ kple kuxi siwo le wò agbe me dzi akpɔtɔ. Susuŋutinunyalawo ate ŋu ana atikewɔwɔ ƒe ɖoɖo si sɔ na wò eye wòakpe ɖe ŋuwò nàkpɔ wò tamesusuwo kple nuwɔnawo dzi.

Zi geɖe la, amesiwo ŋu IED le ƒe ƒometɔwo kple woƒe lɔlɔ̃tɔwo ate ŋu ase le wo ɖokui me be nu te ɖe yewo dzi ŋutɔ, yewoalé blanui, eye yewotsi akogo. Ele vevie be nàlé be na wò ŋutɔ wò susu ƒe lãmesẽ eye nàdi kpekpeɖeŋu ne dzesi siawo le ŋuwò. Ne èle ƒomedodo me kple ame aɖe si ŋu IED le la, bu afɔ siwo nàɖe atsɔ akpɔ ɖokuiwò kple viwòwo ta ŋu kpɔ.

Nu vevitɔ kekeake siwo wòle be wòanɔ susu me na wò (Take-Home Message) .

Enyo, eyata mina míaƒo nu vevi aɖewo siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me kpuie.

• Intermittent Explosive Disorder (IED) nye susumedɔléle ŋutɔŋutɔ. Menye "dziku gbegblẽ" alo "dziku gbegblẽ" koe wònye o.
• Woate ŋu akpɔ nɔnɔme sia gbɔ dzidzedzetɔe to susumedɔdada kple ne ehiã la, atikewo zazã me.
• Anyo wu be nàxɔ kpekpeɖeŋu kple atikewɔwɔ kaba ale be woate ŋu akpɔ kuxiwo gbɔ hafi woava zu nu sesẽ.
• Mègana ŋu nakpe wò be nàbia kpekpeɖeŋu le nɔnɔme sia tɔgbe me o. Menye wò ɖeka koe o.
• Abe amesi ŋu IED le ene la, woƒe ƒomea me tɔwo hã hiã kpekpeɖeŋu kple kpekpeɖeŋu. Woawo hã ate ŋu akpe fu le esia ta.

Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, taflatse ƒo nu kple ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola bibi aɖe .

` Intermittent Explosive Disorder, IED, dziku dzi ɖuɖu, nuwɔna si me wowɔa nu kpata, susu ƒe lãmesẽ, CBT, atikewɔwɔ