Ðe nèléa blanui si womate ŋu ado dzi atsɔ o ne ame aɖe gbe wòa? Mina míaƒo nu tso Rejection Sensitive Dysphoria (RSD) ŋu!

Mí katã míedi be ame aɖe nagbe mí le míaƒe agbe me, alo? Ate ŋu anye le lɔlɔ̃ ƒe ƒomedodo me, xɔlɔ̃wɔwɔ me, alo le dɔwɔƒe gɔ̃ hã. Ne edzɔ alea la, esɔ be nàlé blanui, ado dziku, alo be dzi naɖe le ƒowò. Gake zi geɖe la, míate ŋu aɖu seselelãme mawo dzi ahaɖu wo dzi hena ɣeyiɣi aɖe eye míagatrɔ ava nɔ nɔnɔme si sɔ me.

Gake bu eŋu kpɔ, ne gbegbe aɖe na nèse veve le seselelãme gome ale gbegbe be màte ŋu ado dzi gɔ̃ hã o, ale gbegbe be màte ŋu abu seselelãme mawo dzi ɖuɖu gɔ̃ hã ŋu o ɖe? Ðewohĩ nusi ɖɔktawo yɔna be " rejection sensitive dysphoria" (RSD) le ŋuwò. Numekukuwo ɖee fia be ne Attention Deficit Hyperactivity Disorder (ADHD) , le ŋuwò la, anɔ eme be RSD adze dziwò.

Nuka tututue nye RSD sia?

RSD menye dɔléle si dzi dziɖuɖua da asi ɖo si ƒe dzesiwo woŋlɔ ɖi o. Eyae nye be womebunɛ be enye atikewɔwɔ ƒe nɔnɔme si to vovo o. Gake ɖɔktawo kple susuŋutinunyalawo zãa nya sia tsɔ ɖɔa seselelãme ƒe ŋuɖoɖo siwo gbɔ eme ne wogbee si do ƒome zi geɖe kple nuwɔna ƒe nɔnɔme siwo dzi dziɖuɖua da asi ɖo abe ADHD ene.

Nya "dysphoria" tso Helagbe me. Efia "vevesese sesẽ alo vevesese." Esesẽna na amesiwo ŋu RSD le la ŋutɔ be woanɔ te ɖe gbegbe nu. Le nyateƒe me la, esesẽna na wo be woatsɔ nya aɖɔ seselelãmea. Wozãa nyawo abe "nusi womate ŋu ado dzi atsɔ o" kple "nu gblẽa nu" ene zi geɖe. Le esia ta la, ame aɖewo ƒoa asa na hadede kple amewo le vɔvɔ̃ be woagbe yewo ta.

Kadodo kae le nɔnɔme sia kple ADHD dome?

Numekukuwo me mekɔ haɖe le amesiwo xɔa RSD kple alesi wòdo ƒome kple ADHD ŋu o, elabena esesẽ be woadzidze gbegbe. Gake eŋutinunyalawo xɔe se be amesiwo ŋu ADHD le la ate ŋu aɖe RSD ƒe dzesiwo afia wu le tɔtrɔ aɖewo siwo va le woƒe ahɔhɔ̃ ƒe wɔwɔme me ta.

Amesi ŋu ADHD le ƒe ahɔhɔ̃ ƒe ŋgɔgbekpa si to vovo vie, si kpɔa nuwo abe susu, gbegbɔgblɔ, hadomenunya, seselelãme dzi ɖuɖu, ʋɔnudɔdrɔ̃, kple kuxiwo gbɔ kpɔkpɔ dzi. Esia awɔe be hadomenuwɔna aɖewo ato ŋuwò, dɔwɔwɔ kple ƒuƒoƒo aɖe asesẽ na wò, alo màte ŋu alé ŋku ɖe nu ŋu tsitotsito o.

Le esia ta la, ne ame bubuwo gblɔ nya aɖe tso wò nuwɔna ŋu , alo gblɔ nya aɖe si me mekɔ o la, àte ŋu aɖe egɔme bubui be enye ɖeklemiɖeɖe, fewuɖuɖu, alo gbegbe .

Ðewohĩ RSD do ƒome kple tagbɔdɔ bubuwo kple seselelãme ƒe kuxiwo hã, gake numekuku geɖe hiã be woase esia gɔme bliboe.

Nukawoe nye RSD ƒe nɔnɔme siwo bɔ?

Togbɔ be RSD menye dɔléle si dziɖuɖua da asi ɖo o hã la, zi geɖe la, amesiwo ŋu dɔlélea le ate ŋu aɖe dzesi siwo gbɔna afia. Na míakpɔe ɖa be esiawo ɖi nusiwo nènya nyuie hã.

Ɣeaɖewoɣi la, vɔvɔ̃ be ame bubuwo makpɔ ŋudzedze ɖe ye ŋu alo agbe ye ate ŋu ana nàƒo asa na dɔ kple agbanɔamedzi aɖewo alo nàɖe asi le hadomenuwɔnawo ŋu kura. Esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi.

Nukae hea RSD vɛ?

Eŋutinunyalawo mese nusi gbɔ esia tsona gɔme bliboe haɖe o, gake ame aɖewo xɔe se be wò ahɔhɔ̃ ƒe wɔwɔme do ƒome kplii.

Amygdala kple prefrontal cortex nye ahɔhɔ̃a ƒe akpa siwo wɔa gbegbe, kpododonu, seselelãme ƒe dzesidede, kple gbedasi gbegblẽwo ŋudɔ. Wole ahɔhɔ̃a ƒe ŋgɔgbe. Zi geɖe la, ne míele tsitsim la, akpa siawo va zua seselelãmewo dzi ɖuɖu kple wo ɖoɖo ɖe ɖoɖo nu nyuie wu.

Gake le amesiwo ŋu susu alo nuwɔna aɖewo le gome la, ahɔhɔ̃a mete ŋu ɖɔa dzesi siawo ɖo nyuie o. Ke boŋ ahɔhɔ̃a ɖea seselelãme manyomanyowo gɔme be wonye nusi vea ame akpa eye wògbɔa eme be womate ŋu akpɔ egbɔ o. Esiae eŋutinunyalawo yɔna be " seselelãme ƒe dɔmawɔmawɔ nyuie ."

Tsɔ kpe ɖe ahɔhɔ̃ ƒe wɔwɔme ŋu la, eŋutinunyala aɖewo xɔe se be domenyiŋusẽfianu ate ŋu akpɔ ŋusẽ ɖe ame dzi, vevietɔ esi wònye be ADHD, si nye dɔléle si do ƒome kplikplikpli kple RSD, tso dzidzime yi dzidzime ta.

Aleke wokpɔa dɔléle sia dzea sii hedaae?

Esi wònye be RSD menye atikewɔwɔ ƒe nɔnɔme si dziɖuɖua da asi ɖo o eye numekuku siwo wowɔ tso eŋu mesɔ gbɔ o ta la, ɖewohĩ wò ɖɔkta alo aɖaŋuɖola menya nu boo aɖeke tso eŋu o, alo ate ŋu atɔtɔe kple tagbɔdɔ bubu.

Gake ne wokpɔ ADHD alo tagbɔdɔ bubu aɖe le ŋuwò xoxo la, ɖewohĩ wò ɖɔkta ate ŋu ade dzesi gbegbe ƒe seselelãme ƒe nuwɔna sia.

Atike alo atike aɖeke koŋ meli na RSD o. Gake atike kple atikewɔmɔnu aɖewo siwo wozãna na ADHD kple tagbɔdɔ bubuwo ate ŋu akpe ɖe ame ŋu wòaɖɔ seselelãme ƒe ŋuɖoɖo sesẽ siawo ɖo.

Atike vɔ̃ɖiwo zazã

• Alpha-2 receptor agonists: Atikewo abe `guanfacine (Intuniv)` kple `clonidine (Kapvay)` na ahɔhɔ̃a ƒe ŋutete be wòaxɔ seselelãme ƒe dzesiwo ahawɔ dɔ tso wo ŋu la nyona ɖe edzi.
• Atike siwo doa ŋusẽ ame: Atikewo abe amphetamine (Adderall) kple methylphenidate (Ritalin) ene doa ŋusẽ atikewo ƒe dɔla (ahɔhɔ̃mekawo) siwo tsɔa dzesiwo le ahɔhɔ̃menugbagbeviwo dome. Esia kpena ɖe ahɔhɔ̃a ŋu wòwɔa dɔ tso gbedasi siwo wòxɔna ŋu nyuie wu.
• Monoamine oxidase inhibitors (MAOIs): Zi geɖe la, woŋlɔa esiawo na blanuiléle. Wokpɔe hã be wokpena ɖe ame ŋu be amewo ƒe seselelãme ɖe gbegbe ŋu dzi ɖena kpɔtɔna. Gake mele be woano atike siawo kple ADHD-tike bubuwo alo kple nuɖuɖu aɖewo (e.g., cheese si tsi, lã). Esia wɔwɔ ate ŋu ahe ʋusɔgbɔdɔ si me afɔku le vɛ.

Atikewɔwɔ

Tsɔ kpe ɖe atikewo zazã ŋu la, atikewɔwɔwo abe Cognitive Behavioral Therapy (CBT) kple nuƒoƒo ƒe atikewɔwɔ ene ate ŋu akpe ɖe ame ŋu ŋutɔ. Atikewɔmɔnu siawo kpena ɖe ŋuwò nèsea wò ŋutɔ wò seselelãme ƒe ŋuɖoɖowo gɔme.

Atikewɔwɔ sia kpena ɖe ŋuwò hã be nàtu numame nyuiwo ɖo, abe toɖoɖo ame kemɛa, biabia be woana eme nakɔ ne nuwo me mekɔ o, kple ɣeyiɣi didi be yeabu tame le esi teƒe be nàwɔ nu enumake ene. Le ɣeyiɣi aɖe megbe la, àte ŋu ato dɔwɔnu kple aɖaŋu siwo nèhiã be nàtsɔ akpɔ wò seselelãmewo gbɔ le hadome nɔnɔme vovovowo me vɛ.

Nyatakaka Tɔxɛ: Ne wò alo ame aɖe si nènya le susum be yeagblẽ nu le ye ɖokui ŋu la, taflatse yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò enumake. Ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.