Enye nusi sɔ be nàlé blanui, alé blanui, eye nu tea ɖeɖi ame ŋu vie ɣeaɖewoɣi. Amesiame kpɔa nusiawo ne agbea le edzi yim. Gake ɖe blanuiléle, mɔkpɔkpɔbuɖeame, kple ʋiʋli ƒe anyimanɔmanɔ sia le ŋuwò kwasiɖa geɖea? Ðe wòle abe alilikpo doviviti aɖe si le xɔxlɔ̃m ɖe wò susu dzi enea? Ðe ɖeɖi te ŋuwò ale gbegbe be màte ŋu awɔ wò gbesiagbedɔwo gɔ̃ hã nyuie oa? Ne nenemae la, ke nyati sia si ŋu míele nu ƒom tsoe egbea la anɔ vevie na wò ŋutɔ. Esiae nye nusi míeyɔna le atikewɔwɔ me be ‘blanuiléle’, alo Blanuiléle Gã alo Blanuiléle le Dɔdaƒe .
Nukae Nye Blanuiléle Gã?
Kpuie ko la, blanuiléle nye dɔléle si woate ŋu ada, si yi ŋgɔ wu blanuiléle ko eye wòlɔ atike siwo le míaƒe ahɔhɔ̃ me ɖe eme. Menye blanuiléle ŋkeke ɖeka alo eve koe wònye o, ke boŋ enye blanuiléle deto si nɔa anyi ŋkekea ƒe akpa gãtɔ kwasiɖa eve ya teti eye eƒe dzesi enye be mègatsɔ ɖeke le nusiwo doa dzidzɔ na wò tsã me o.
Le Diagnostic and Statistical Manual of Mental Disorders (DSM-5) ƒe nya nu la, dzesi bubu geɖewo li siwo woate ŋu akpɔ tsɔ kpe ɖe dzesi vevi eve siawo ŋu. Bu eŋu kpɔ, ɖe wò hã ètoa nusiawo mea?
| Dzesi si dzena | Aleke esia se le eɖokui me? |
|---|---|
| Ðeɖiteameŋu ɣesiaɣi | Mesena le ɖokuinye me be ŋusẽ aɖeke mele ŋunye o. Nyemesena le ɖokuinye me be mawɔ dɔ suetɔ kekeake gɔ̃ hã o. Ne medɔ alɔ̃ ŋkeke bliboa hã la, ɖeɖiteameŋua nu madzo o. |
| Seselelãme be viɖe aɖeke mele ye ŋu o alo fɔɖiɖi si mesɔ o | Mebua nuwo abe "Nyemetsɔ ɖeke le eme o", "Nusianu nye nye vodada" ene ŋu ɣesiaɣi. Vodada xoxowo veam ɣesiaɣi. |
| Esesẽna be wò susu nanɔ nu ŋu ahawɔ nyametsotsowo | Nyemate ŋu ana nye susu nanɔ agbalẽ xexlẽ, TV kpɔkpɔ, alo dɔwɔwɔ ŋu o. Mezãa gaƒoƒo geɖe tsɔ bua nyametsotso suetɔ kekeake gɔ̃ hã ŋu. |
| Alɔ̃dɔdɔ trɔna | Màte ŋu adɔ alɔ̃ aleke kee nèɖadze agbagba o (Alɔ̃madɔmadɔ) alo èsena le ɖokuiwò me be alɔ̃ le ye wum ŋkeke bliboa eye nèdɔa alɔ̃ wu alesi wòle be nàdɔ alɔ̃ (Hypersomnia). |
| Anhedonia (dzidzɔkpɔkpɔ ƒe anyimanɔmanɔ tso naneke me) . | Didi be maƒo nu kple xɔ̃nyewo, ase ha aɖe, alo akpɔ sinima aɖe si nɔ asinye tsã la nu yi keŋkeŋ fifia. Naneke mehea dzidzɔ vɛ nam o. |
| Ŋutilã ƒe dziɖeleameƒo alo kuviawɔwɔ | Èsena le ɖokuiwò me be yemeɖe dzi ɖi o eye màte ŋu anɔ teƒe ɖeka o, alo wò nuƒoƒo, tamebubu, alo azɔlizɔzɔ ƒe duƒuƒu dzi ɖena kpɔtɔna le mɔ si mesɔ o nu. |
| Tamesusu siwo ku ɖe ku alo ameɖokuiwuwu ŋu | Mesena le ɖokuinye me be gɔmesese aɖeke mele agbe ŋu o. Susuwo abe "Medi be meku" ene vaa susu me nam enuenu. |
| Tɔtrɔ ɖedzesi aɖe va le ame ƒe kpekpeme me | Nuɖuɖu ƒe dzodzro ƒe vɔvɔ, alo lolo akpa le nuɖuɖu fũ ta (lolo ƒe tɔtrɔ wu 5% le ɣleti ɖeka me). |
Nu vevitɔe nye be menye amesiame si ŋu dzesi siawo dometɔ ɖeka alo eve le lae blanuiléle le o. Gake ne dzesi siawo dometɔ geɖe do mo ɖa ɖekae eye wole ŋusẽ kpɔm ɖe wò gbesiagbegbenɔnɔ dzi ɣeyiɣi didi aɖe la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.
Amekawoe blanuiléle gblẽa nu le wu?
Blanuiléle ate ŋu agblẽ nu le ame sia ame ŋu ŋutɔŋutɔ, le ƒe ɖesiaɖe me, gake ame aɖewo ya le afɔku me wu.
Ðe afɔku sia lolo wu na nyɔnuwoa?
Ɛ̃. Numekukuwo ɖee fia be blanuiléledɔ ate ŋu adze nyɔnuwo dzi zi gbɔ zi eve wu ŋutsuwo. Susu geɖewo tae wòle alea ɖo.
- Lãmetsiŋusẽ ƒe tɔtrɔ: Lãmetsiŋusẽ ƒe tɔtrɔ le sɔhɛmenɔɣi, dzinukpɔkpɔ, fufɔfɔ, vidzidzi megbe, kple dzinukpɔkpɔ me ate ŋu akpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe dɔwɔwɔ dzi eye wòahe blanuiléle vɛ.
- Agbenɔnɔ ƒe nyaƒoɖeamenu:Esia hã tso nuteɖeamedzi si nyɔnuwo tona le woƒe agbanɔamedziwo ta, abe dɔwɔwɔ kple aƒemedɔwo dadasɔ, ɖeviwo dzi kpɔkpɔ, kple dzila tsitsiwo dzi kpɔkpɔ ene, le míaƒe dukɔa ƒe dekɔnuwo me.
Ðe dzesiawo toa vovo na ŋutsuwo ne wolé blanui?
Zi geɖe la, ŋutsuwo nɔa blewu dea dzesi blanuiléle ne edzɔ. Elabena hadomenukpɔsusuwo abe "mele be ŋutsuwo nafa avi o" kple "mele be ŋutsuwo nasẽ ŋu" ene nana womedina be yewoaƒo nu tso yewoƒe seselelãmewo ŋu alo abia kpekpeɖeŋu o.
Eyata woƒe blanuilélea dona le mɔ bubu nu.
- Dzikudodo kple dzikudodo si me susu mele o.
- Atike muamewo zazã (ɣeaɖewoɣi la, blanuiléle gbɔe wòtsona, ɣebubuɣiwo la, etsoa blanuiléle gbɔ).
- Nuvevi wɔwɔ ame bubuwo alo ame ɖokui ƒe nɔnɔme.
- Nuwɔna siwo me afɔku le (abe duƒuƒu ene).
Nukawo koŋue hea blanuiléle vɛ?
Nu ɖeka aɖeke meli si hea blanuiléle vɛ o. Enye domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi, ahɔhɔ̃mekawo ƒe tɔtrɔ, kple agbemenudzɔdzɔwo ƒe ƒuƒoƒo. Esiawoe nye nu vevi siwo ate ŋu "ahe" blanuiléle ƒe nudzɔdzɔ aɖe vɛ.
- Lɔlɔ̃tɔ aɖe ƒe ku: to ku, srɔ̃gbegbe, alo ƒomedodo aɖe ƒe gbagbã me.
- Amewo ɖeɖe ɖe aga le hadome: Akogotsitsi, seselelãme be ye ɖeka koe li.
- Agbenɔnɔ ƒe tɔtrɔ gãwo: dɔ ge le ame si, dzudzɔxɔxɔledɔme, ʋuʋu yi nuto bubu me.
- Ƒomedodo me kuxiwo: Kuxi siwo nɔa anyi didi le ƒomea me, le dɔwɔƒe.
- Be woawɔ ŋlɔmi le ame ŋu le susu me, ŋutilã me alo gbɔdɔdɔ me.
Aleke nàwɔ anya kple kakaɖedzi be blanuiléle le ŋuwò?
Esia nye nyabiase vevi aɖe ŋutɔ. Menyo be wò ŋutɔ nàtso nya me be blanuiléle le ye ŋu o. Eye ne èsusu be yewɔe la, manyo be nàɣlae o. Nu nyuitɔ si nàte ŋu awɔe nye be nàyi ɖɔkta bibi aɖe gbɔ.
Ðɔktaa ado wò kpɔ nyuie, abia wò dzesiwo, eye wòabia wò ŋutɔ wò kple wò ƒomea ƒe atikewɔwɔ ŋutinya.
Ðo ŋku edzi be ʋudodokpɔ, X-ray, alo dodokpɔ bubu aɖeke meli si ate ŋu ade dzesi blanuiléle o. Gake wò ɖɔkta ate ŋu awɔ ʋudodokpɔ aɖewo atsɔ akpɔe ɖa be dɔléle bubu aɖewo le ŋuwò siwo ate ŋu ahe dzesi siwo sɔ kple blanuiléle vɛ hã. Le kpɔɖeŋu me, hypothyroidism, si nye thyroid gland si mewɔa dɔ nyuie o, ate ŋu ahe dzesi siwo sɔ kple blanuiléle vɛ.
Nukawoe nye blanuiléle ƒe atikewo?
Nya nyuiae nye esi: Togbɔ be blanuiléle nye dɔléle sesẽ aɖe hã la, woate ŋu adae dzidzedzetɔe ahadae.
Atikewɔwɔ ƒe mɔnuwo toa vovo le alesi dɔlélea nu sẽe nu. Dɔdamɔnu vevitɔwoe nye:
1. Blanuilélenutsitikewo: Atike siwo ɖɔa ahɔhɔ̃mekawo ƒe masɔmasɔ ɖo le ahɔhɔ̃a me. Ele be nàzã esiawo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ. Ate ŋu axɔ kwasiɖa geɖe hafi woakpɔ emetsonuwo. Ne atike ɖeka mewɔ dɔ o la, wò ɖɔkta ate atike bubu kpɔ.
2. Tagbɔdɔléle: Wogayɔnae be "nuƒoƒo ƒe atikewɔwɔ," esia bia be nàƒo nu kple tagbɔdɔdala alo aɖaŋuɖola be wòakpe ɖe ŋuwò nàse wò seselelãmewo, tamesusuwo, kple nuwɔnawo gɔme ahakpɔ wo dzi.
Zi geɖe la, wokpɔa nu nyuitɔ kekeake ne wozã atikewɔmɔnu siawo evea siaa ɖekae. Le nɔnɔme siwo nu sẽ ŋutɔ me la, ne dɔlélea mewɔ nu ɖe atike ŋu o la, ɖɔkta ateŋu aɖo wò ɖe atike tɔxɛ bubuwo gbɔ, abe ``Electroconvulsive Therapy (ECT)`` ene.
Gbedasi si Wotsɔ Yi Aƒeme
- Blanuiléle menye dzi ƒe gbɔdzɔgbɔdzɔ alo nusi wosusuna le susu me o. Enye dɔléle ŋutɔŋutɔ si woate ŋu ada.
- Vovototo gã aɖe le blanuiléle ko kple blanuiléle dome. Nɔ ŋudzɔ ɖe blanuiléle deto, ɖekematsɔleme, kple dzesi bubu siwo anɔ anyi wu kwasiɖa eve ŋu.
- Ne wò alo ame aɖe si nènya le dzesi siawo kpɔm la, taflatse mègakpe fu wò ɖeka o. Ðo dze kple ɖɔkta aɖe. Kpekpeɖeŋu biabia nye ŋusẽdodo ƒe dzesi.
- Mègadzudzɔ atike si wò ɖɔkta ŋlɔ na wò, vevietɔ atikewo, nono susu manɔmee o. Ne èdzudzɔ atikeawo nono le esi wò lãme sẽ ta ko la, dɔlélea ate ŋu atrɔ ava.
- Kpekpeɖeŋu nyuitɔ kekeake si nàte ŋu ana ame aɖe si le blanuiléledɔ lém enye be nàse egɔme, aɖoe ɖe atikewɔƒe, eye nàna ŋusẽe wòazɔ mɔ ma.
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