Cannabis, hemp, marijuana, weed, ze... Anɔ eme be ŋkɔ siawo nye esiwo nènya nyuie ŋutɔ. Ame aɖewo gblɔna be atikee, ame bubuwo gblɔna be enye atike si me afɔku le. Ŋutinya geɖewo li ku ɖe esia ŋu le hadomegbenɔnɔ me. Eyata nuka tututue wònye? Nukae wòwɔna ɖe ŋutilãa ŋu? Egbea, míadzro nukpɔsusu totro kple ŋutinya vavã siwo katã le esia ŋu me, dzro ko, abe ɖe míele nu ƒom na mía xɔlɔ̃ aɖe ene. Esia nye agbagbadzedze be yeana ŋuɖoɖo siwo me kɔ na biabia siwo le susu me na wò.
Mina míakpɔe ɖa gbã, nukae nye gbekui sia?
Togbɔ be ame geɖe zãa nya "marijuana" kple "cannabis" ɖe wo nɔewo yome hã la, vovototo sue aɖe le wo ame evea dome. Mina míase nya ma gɔme nyuie gbã.
- Cannabis: Esia fia nusianu si woɖe tso numiemie si woyɔna be `(Cannabis sativa)` me. Ema fia be numiemie ma ƒe seƒoƒo, aŋgba, ke, kple nuku ƒuƒu. Atike siwo wu 500 ye le dɔwɔƒe sia. `(Cannabidiol - CBD)` nye atike mawo dometɔ ɖeka.
- Marijuana: Esia fia `(Cannabis sativa)` numiemie ƒe akpa aɖewo alo nusiwo wowɔ siwo me atike si nye `(tetrahydrocannabinol - THC)` sɔ gbɔ ɖo. Atike sia `(THC)` (si woyɔna hã be `(cannabinoid)`) ye nye susu vevitɔ si ta nèxɔa "kɔkɔ", alo mu aha.
Kpuie ko la, marijuana katã nye gbekui (si tsoa gbekui ƒe numiemie me), gake menye gbekui katãe nye marijuana o (si fia be menye wo katãe me susuŋudɔwɔwɔ ƒe atike si nye THC sɔ gbɔ ɖo o).
Marijuana nye atike vɔ̃ɖi siwo wozãna wu le xexeame la dometɔ ɖeka, vevietɔ le sɔhɛwo dome. Gake le dzɔdzɔmeŋutinunya gome la, nu geɖe gakpɔtɔ li siwo míenya tso eŋu o. Numekulawo gale nu srɔ̃m tso nusiwo atike sia gblẽna le ame ŋu le ɣeyiɣi kpui aɖe kple ɣeyiɣi didi me ŋu.
Ðe gbekui nye nusi nana ame ƒe susu nɔa nu ŋua?
Le ŋutinya me la, dzɔdzɔmeŋutinunyalawo bu marijuana (THC) be enye nusi nana ame ƒe susu nɔa nu ŋu. Eyae nye nusi ate ŋu ana amewo nakpɔ alo ase nu siwo mele afima ŋutɔŋutɔ o. Gake menye ɣesiaɣi si wozã gbekui la, ŋusẽkpɔɖeamedzi siawo medzɔna o.
Togbɔ be marijuana zazã ate ŋu ana ame nakpɔ susumenuwo hã la, zi geɖe la, wotoa vovo na susumenuwo bubu siwo naa ame ƒe susu nɔa nu ŋu, abe LSD ene, ƒe ŋusẽkpɔɖeamedzi. Esia fia be marijuana ƒe ŋusẽkpɔɖeamedzi si nana ame ƒe susu nɔa nu ŋu ate ŋu awɔ dɔ le mɔ bubu nu wu nu bubu siwo nana ame ƒe susu nɔa nu ŋu.
Eyata nukae nye ‘atikewɔwɔ ƒe marijuana’?
Ðewohĩ èse be le dukɔ aɖewo me la, woɖe mɔ ɖe gbekui zazã ŋu le se nu na dɔléle aɖewo. Taɖodzinu vevitɔ si le esia ŋue nye be wòakpe ɖe ame ŋu wòaɖu dɔléle aɖe ƒe dzesiwo dzi . Medaa dɔlélea keŋkeŋ o. Nya siwo me wozãa gbekui le le atikewɔwɔ me dometɔ aɖewoe nye esi:
- Vevesese dzi ɖeɖe kpɔtɔ atraɖii: Kpɔ vevesese dzi, vevietɔ ahɔhɔ̃mekawo ƒe vevesese. Esia ate ŋu akpe ɖe ame ŋu hã be woaɖe vevesesenutsitike siwo nye opioid zazã dzi akpɔtɔ.
- Aɖuɖɔtoe dzi ɖeɖe kpɔtɔ: Abe atike si tsia ʋuʋudedi nu si xea mɔ na ʋuʋudedi kple ʋuʋudedi ene.
- Dzra dzesi aɖewo dzi: Dzra dzesiwo abe lãmekawo ƒe sesẽ (spasticity) si dɔlélewo abe ``Multiple sclerosis - MS'' hena vɛ dzi.
- Nuɖuɖudzroame: Na nuɖuɖudzroame nanɔ amesiwo dzroa nuɖuɖu me.
Gake ɖo ŋku edzi be le dukɔwo abe United States ene gɔ̃ hã me la, Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) bu marijuana be enye atike si dzi womelɔ̃ ɖo fifia be woazãe le atikewɔwɔ me o eye ate ŋu azu numame na ame ŋutɔ . Esia wɔe be ɖɔktawo mate ŋu "aŋlɔ" marijuana o. Gake le dukɔ siwo me woɖe mɔ ɖe eŋu le se nu me la, woate ŋu azãe atsɔ akpe asi ɖe atikewɔwɔ ƒe nɔnɔme aɖewo ŋu.
Dɔwɔƒe siwo woda asi ɖe edzi le xexeame meda asi ɖe gbekui ƒe numiemiea dzi haɖe be wòanye dɔléle aɖeke dada o. Gake woda asi ɖe atike geɖe siwo wowɔ to atike aɖewo siwo ŋu wokɔ tso gbekui ƒe numiemiea me dzi.
| Atike si dzi woda asi ɖo | Zãzã ƒe nɔnɔme |
|---|---|
| Cannabidiol (Cannabidiol - Epidiolex®) ƒe lãgbalẽ. | Be woaɖu alɔ̃madɔmadɔ dzi le asrãdɔ (fits) ƒomevi eve siwo mebɔ kura o siwo woyɔna be Lennox-Gastaut ƒe dɔléle kple Dravet ƒe dɔléle me . |
| Dronabinol (Marinol®) kple nabilone (Cesamet®) . | Be woaɖu ʋuʋudedi kple ʋuʋudedi si atikewo zazã na kansa hena vɛ dzi. Wozãa atike si nye dronabinol hã tsɔ xea mɔ na nuɖuɖudzroame kple lolo dzi ɖeɖe kpɔtɔ le HIV/AIDS dɔnɔwo me. |
Aleke gbekui kpɔa ŋusẽ ɖe dziwòe?
Esia le vevie ŋutɔ. Alesi gbekui kpɔa ŋusẽ ɖe ame ɖesiaɖe dzii la to vovo kura. Susu geɖewo tae wòle alea ɖo:
- Wò domenyiŋusẽfianu.
- wò ƒexɔxɔ.
- Wò ŋutsu alo nyɔnu nyenye.
- Gbekui agbɔsɔsɔme si wozãna kple ŋusẽ si le eŋu.
- Mɔnu si dzi nàto aɖu gbekui (atamanono, vaping, alo nuɖuɖu).
- Ɣeyiɣi didi kae nèzãa gbekui kple zi nenie nèzãnɛ.
- Eɖanye atike bubuwo alo atike bubuwo zãm nèle o.
Esia fia be ɖewohĩ xɔ̃wòa mase le ɖokuiwò me abe ale si nèsena le ɖokuiwò me ne èle marijuana zãm ene o. Azɔ hã, le ame ɖeka gɔ̃ hã gome la, nusiwo wògblẽna le ame ŋu ate ŋu ato vovo tso ŋkeke yi ŋkeke.
Nukawoe nye nusiwo dona tso eme enumake?
Ne èno marijuana la, `(THC)` xɔa kabakaba ŋutɔ tso lãkusi me yia ʋukawo me. Etoa ʋukawo me yia ahɔhɔ̃a kple ŋutinu bubuwo me. Gake ne èɖu marijuana alo noe la, `(THC)` gena ɖe ŋutilãa me vivivi. Ate ŋu axɔ abe miniti 30 va ɖo 60 ene hafi ase eƒe ŋusẽkpɔɖeamedziwo gɔme.
Nukae dzɔna le ahɔhɔ̃a me? Atike aɖe li si woyɔna be `(anandamide)` si nɔa míaƒe ahɔhɔ̃ me le dzɔdzɔme nu. `(THC)` ƒe nɔnɔme sɔ kple `(anandamide)` ŋutɔ. Eyata `(THC)` ateŋu abla ɖe ahɔhɔ̃a me xɔla siwo do ƒome kple `(anandamide)` ŋu eye wòana akpa mawo nawɔ dɔ akpa. Esia tae ŋusẽkpɔɖeamedzi vovovowo dzɔna ɖo.
| Gbekui zazã ƒe ŋusẽkpɔɖeamedzi ɣeyiɣi kpui aɖe | |
|---|---|
| Ŋusẽ si wòkpɔna ɖe ahɔhɔ̃a ƒe dɔwɔwɔ dzi | |
| Seselelãme siwo trɔ | Amadedewo dzena nyuie wu, ʋeʋẽwo nu sẽna wu. |
| Ɣeyiɣi kple teƒe ƒe seselelãme si trɔ | Sese le ame ɖokui me be ɣeyiɣi le yiyim vivivi. |
| Seselelãme ƒe tɔtrɔ | Dzidzɔkpɔkpɔ ƒe seselelãme le susu aɖeke manɔmee. |
| Tamebubu kple ŋkuɖoɖonudzi ƒe kuxiwo | Kuxiwo gbɔ kpɔkpɔ sesẽ, ŋkuɖoɖonudzi nyuie o. |
| Dadasɔ kple nuwɔwɔ aduadu ƒe kuxiwo | Azɔlizɔzɔ sesẽ, nuwɔna ƒe ɣeyiɣi si nɔa blewu. |
| Nusiwo wògblẽna le ame ŋu bubuwo | Alɔ̃dɔdɔ, taɖuame, vɔvɔ̃ ƒe amedzidzedze. |
| Nusiwo ate ŋu ado tso atike si wozãna wògbɔa eme me | |
| Susumenuwo ƒe susumenuwo | Nu siwo mele afima ŋutɔŋutɔ o kpɔkpɔ alo wo sese. |
| Ameflunyawo gbɔgblɔ | Nu siwo menye nyateƒe kura o dzi xɔxɔ se vevie. |
| Tagbɔdɔléle | Kadodo kple nu ŋutɔŋutɔ ƒe bu. Afɔku sia lolo ŋutɔ na amesiwo zãa marijuana si ŋu ŋusẽ le ŋutɔ enuenu. |
| Nu bubu siwo wògblẽna le ŋutilãa ŋu ɣeyiɣi kpui aɖe | |
| Ŋutilã ƒe nɔnɔmewo | Nu me ƒuƒu, ʋuʋudedi, dzi ƒe tsotso ƒe dzidziɖedzi (ate ŋu anɔ anyi gaƒoƒo 3), nuɖuɖu ƒe dzodzro ƒe dzidziɖedzi. |
Nukae dzɔna ne èzãe ɣeyiɣi didi?
Numekulawo gale nu geɖe srɔ̃m tso ŋusẽ si gbekui gblẽna le ame ŋu ɣeyiɣi didi ŋu. Wonɔ te ɖe nusiwo ŋu woke ɖo vaseɖe fifia dzi gblɔ be gbekui zazã ɣeyiɣi didi ate ŋu ahe nusiwo gbɔna vɛ:
- Ŋusẽkpɔɖeamedzi ɖe ahɔhɔ̃a ƒe tsitsi dzi: Ne èdze gbekui zazã gɔme, vevietɔ le wò ɖevime (hafi ahɔhɔ̃a natsi bliboe) la, ate ŋu agblẽ nu le ahɔhɔ̃mekawo ƒe kadodo siwo le ahɔhɔ̃a me siwo kpɔa dɔwɔwɔwo abe susu, ŋkuɖoɖonudzi, kple nusɔsrɔ̃ ene dzi. Nusiwo dona tso eme siawo ate ŋu anɔ anyi le eƒe agbemeŋkekewo katã me .
- Nusiwo gblẽ le lãkusiwo ŋu:Abe atama ene la, nusianu nono gblẽa nu le lãkusi ŋu. Marijuana nono ate ŋu agblẽ nu le lãkusiwo ŋu, ahe dɔlélewo abe aɖuɖɔtoedɔléle ene vɛ, eye wòagblẽ nu le ʋuka suewo ŋu.
- Dzidɔ kple ʋusɔgbɔdɔ ƒe afɔku: Marijuana nono nana ʋusɔgbɔdɔ, dzidɔ , kple ʋuka me dɔléle bubuwo ƒe afɔkua dzina ɖe edzi.
- Afɔku si le tagbɔdɔléle me: Amesiwo zãa gbekui enuenu, vevietɔ amesiwo ƒe domenyiŋusẽfianu le tagbɔdɔléle me, le afɔku me be woaxɔ tagbɔdɔ sesẽwo (tagbɔdɔléle) abe tagbɔdɔléle ene.
- Aɖuɖɔtoe si nɔa anyi ɖaa: Amesiwo noa THC ƒe agbɔsɔsɔ gbogbo aɖe ɣeyiɣi didi ate ŋu axɔ nɔnɔme aɖe si woyɔna be cannabis hyperemesis syndrome, si ƒe dzesi enye ʋuʋudedi enuenu eye wòsẽna.
- Lãmesẽkuxi bubuwo: Aɖuɖɔtoedɔléle, vevesese ƒe nɔnɔme siwo nɔa amesiwo ŋu sickle cell dɔléle le ŋu enuenu, kple ŋutsu ƒe tsinyenye ƒe kuxiwo ate ŋu agblẽ nu le vidzidzi ŋu.
Ðe nàte ŋu azu numame na gbekui zazãa?
Ẽ, anya wɔ godoo.
Ame tsitsi siwo zãa gbekui dometɔ ɖeka le 10 ɖesiaɖe me la va xɔa nɔnɔme aɖe si woyɔna be ``Gbekui zazã ƒe kuxi''. Esia nye tagbɔdɔléle si do ƒome kple atike muamewo zazã (substance use disorder - SUD). Kpuie ko la, esiae nye nusi míeyɔna be "numame."
Ame siwo dzea gbekui zazã gɔme, vevietɔ le woƒe ɖevime la, ate ŋu axɔ dɔléle sia zi gbɔ zi ene va ɖo adre wu ame tsitsiwo.
Numame sia ate ŋu akpɔ ŋusẽ gbegblẽ ɖe wò lãmesẽ, ƒomekadodowo, dɔwɔɖui, kple wò agbenɔnɔ ƒe akpa sia akpa dzi. Eyata ne wò alo ame aɖe si nènya le nɔnɔme sia ƒe dzesiwo kpɔm la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Gbekui zazã le fufɔfɔ kple no nana me
Esia nye nya vevi aɖe ŋutɔ. Xexeame ƒe lãmesẽnyawo gbɔ kpɔlawo ɖo aɖaŋu vevie be woagazã CBD, THC, alo marijuana le mɔ aɖeke nu le fufɔɣi alo ne wole no nam vi o .
Gbekui zazã le fufɔɣi ate ŋu ahe emetsonu sesẽwo abe:
- Nusiwo gblẽ le vidzĩa ƒe ahɔhɔ̃ ƒe tsitsi ŋu le vidzidɔa me: THC si le vidadaa ƒe ʋu me ate ŋu age ɖe vidzĩa ƒe ahɔhɔ̃ me. Numekukuwo ɖee fia be esia ate ŋu akpɔ ŋusẽ ɖe nuwo abe vidzĩa ƒe susu, ŋkuɖoɖonudzi, kple kuxiwo gbɔ kpɔkpɔ ƒe ŋutete dzi.
- Vidzĩ siwo ƒe kpekpeme mede o ƒe afɔku si dzina ɖe edzi.
- Afɔku si le vidzidzi kaba kple ɖewohĩ vi si le vidzidɔa me ƒe ku me ƒe dzidziɖedzi .
Azɔ hã, vaseɖe ŋkeke ade le vidadaa zã marijuana megbeTHC ate ŋu anɔ no me notsi me. Eyata ele vevie be woaƒo asa na marijuana zazã keŋkeŋ ne èle no nam. THC ate ŋu ato notsi me ayi vidzĩa gbɔ eye wòakpɔ ŋusẽ ɖe ahɔhɔ̃a ƒe tsitsi dzi.
Tsɔ kpe ɖe eŋu la, atike siwo gblẽa nu le ame ŋu abe atamadzudzɔ ene la dometɔ geɖe le marijuana dzudzɔ me. Eyata mègano marijuana le vidzĩwo alo ɖevi suewo ŋkume gbeɖe o.
Gbedasi si Wotsɔ Yi Aƒeme
- Marijuana nye numiemiea ƒe akpa aɖe si me susuŋudɔwɔwɔ ƒe atike si woyɔna be ``THC'' le si naa wò "kɔkɔ."
- Nusiwo gbekui gblẽna le ame ŋu la toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye ƒe si nèxɔ, domenyiŋusẽfianu, kple agbɔsɔsɔ si nèzãna.
- Gbekui zazã ɣeyiɣi didi, vevietɔ le eƒe ɖevime, ate ŋu agblẽ nu le ahɔhɔ̃ ƒe tsitsi, lãkusi, kple dzi ŋu vevie.
- Cannabis zazã ƒe kuxi nye susumedɔ ŋutɔŋutɔ si hiã be woawɔ atike nɛ.
- Gbekui zazã le fufɔfɔ kple no nana me gblẽa nu le vidzĩa ŋu ŋutɔ. Eyata ele vevie ŋutɔ be míaƒo asa nɛ keŋkeŋ .
- Ne nyabiase alo dzimaɖitsitsi aɖewo le asiwò ku ɖe gbekui zazã alo eƒe ŋusẽkpɔɖeamedzi ŋu la, mègahe ɖe megbe le nuƒoƒo kple wò ɖɔkta me o . Wole afima be yewoakpe ɖe ŋuwò.
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