Sɔbstans dɛn we de mek pɔsin adikshɔn: Wi no bɔt dis trap we de mek pɔsin denja?

Yu dɔn ɛva wɔnda wetin mek pipul dɛn kin adikshɔn to sɔm tin dɛn izi wan? Yu go mɔs dɔn si pipul dɛn lɛk dat rawnd yu. Tide wi go tɔk bɔt wetin dɛn ‘adiktiv tin’ ya rili bi, aw dɛn denja, ɛn if yu kin pul dɛn kɔmɔt. Dis na tɔpik we rili impɔtant, bikɔs dɛn kin afɛkt ɛnibɔdi, pan ɛni ej.

Wetin na dɛn "Addictive Substances" ya?

Fɔ tɔk am simpul wan, dɛn tin ya na kemikal, mɛrɛsin, ɔ drɔgs we wi dɔn adikshɔn to ɛn wi nɔ go ebul fɔ stɔp fɔ yuz. Fɔ tɔk di kɔrɛkt tin, dis na sik we nɔ de mɛn . Dat min se pan ɔl we yu no se dɛn tin ya de ambɔg yu, yu de kɔntinyu fɔ luk fɔ dɛn. I tan lɛk se dɛn de drɔ am to magnet.

Naw, lɛ wi tek wan luk pan wetin de insay dis kategori. Sɔm pan dɛn yu go dɔn yɛri bɔt, ɛn sɔm dɛn go nyu smɔl:

• Alcohol : So notin speshal de fo tok abaut dis.
• Kafinɛ : Yɛs, yes, di kafinɛ we de insay di ti ɛn kɔfi we wi de drink de insay dis grup bak. Bɔt di ifɛkt dipen pan di kwantiti.
• Cannabis/Marijuana : Dis na somtin tu we pipul de tok plenti rait nau.
• Halucinogens : εgzampl dεm na Fεnsayklidin (PCP) εn Lysergic acid diethylamide (LSD). Dɛn tin ya kin mek yu si tin wae yu nɔr kin si ɔ yɛri tin wae yu nɔr kin yɛri.
• Hipnotik, sedativ ɛn anxiolytics : Dis inklud mɛrɛsin lɛk `(Benzodiazepines)` ɛn `(Barbiturates)`. Ivin if dɔktɔ tɛl yu fɔ du am, i kin mek yu adikshɔn if yu nɔ yuz dɛn di rayt we.
• Inhalants : Tin dɛn lɛk tin dɛn we de mek di pent tan, sɔm aerosol sprɛy, gas, ɛn naytrayt. Dɛn tin ya rili denja.
• Prɛskrishɔn ɛn nɔ prɛskrishɔn opioid : Dis inklud pen kil lɛk `(Codeine)`, `(Oxycodone)`, ɛn bak di drɔg `(Heroin)`.
• Prɛskrishɔn ɛn nɔ prɛskrishɔn stimulant : Dɛn wan ya na Adderall® (we gɛt amphetamine/dextroamphetamine), kɔkɛyn, ɛn mɛtamfɛtamin (meth).
• Tobacco/Nicotine : Fɔ smok sigrɛt, fɔ yuz ilɛktronik sigrɛt (e-sigarɛt ɔ vaping) ɔl de insay dis kategori.

Di wɔd ‘sɔbstans’ insɛf de mek am klia se dis nɔ jɔs de pan ‘pauda’. Bɔku difrɛn tin dɛn de we kin mek wi gɛt adikshɔn ɛn we kin mek wi gɛt prɔblɛm wit wi wɛlbɔdi we wi nɔ kin ivin no.

Wetin na di tin dɛn we kin mek pɔsin adikshɔn pas ɔl? Wetin mek na so i bi?

Risach dɔn sho se sɔm tin dɛn kin mek pɔsin adikshɔn pas ɔda wan dɛn. Di wan dɛn we impɔtant pas ɔl na:

• Rum
• Kɔkɛyn
• Heroin we dɛn kɔl heroin
• Mɛtamfɛtamin
• Nikotin we dɛn kɔl

Mɛmba se nɔto ɔltin kin mek pɔsin adikshɔn di sem we. De chans fɔ mek pɔrsin gɛt adikshɔn to sɔm tin dɛm, ɔr dɛn "adikshɔn layabiliti," kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Dis kin dipen pan bɔku tin dɛn:

• Di we aw yu de yuz am: Fɔ ɛgzampul, di tin dɛn we kin apin to am kin difrɛn difrɛn wan if yu tek am bay mɔt, injɛkt am, ɔ inhal am. Di fast we i de go insay di blɔd, na di mɔ i go gɛt adikshɔn.
• di spid we i de rich na di bren εn di we aw i de mek di bren in "pleasure center" (riward pathway): sכm tin dεm de go stret na di bren εn stat wan kεmikכl prכsεs we de mek wi fil gladi εn satisfay. I tan lɛk se na smɔl ‘kik’ to di bren. i de afekt bak di spid we i de kכros di ``blכd-bren barεri''.
• Di tɛm we yu kin fil fɔ fil di bad tin dɛn we yu de du we yu yuz di tin: Di mɔ yu fil di tin dɛn we yu de du kwik kwik wan, na di mɔ yu go yuz am bak.
• Dis kin mek di bɔdi in "tolerance" go ɔp ɛn/ɔ di posisibul fɔ "withdrawal symptoms": wi go tɔk bɔt dis smɔl leta.

Wetin na "Kɔntrol Sɔbstans"?

‘Kɔntrol sɔbstans’ na drɔgs ɔ kemikal dɛm we gɛt bɔku pɔtnɛshɛl fɔ yuz am di rɔŋ we ɛn we gɛt bɔku risk fɔ gɛt sɔbstans Yuz Disɔda (SUD) . Yu nɔ go ebul fɔ bay dɛn tin ya na di kɔwnta.

Fɔ ɛgzampul, na Amɛrika, strɔng lɔ dɛn de bɔt aw fɔ mek ɛn sheb di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn. Sɔm ɛgzampul dɛn na mɔfin (wan tin we de mek pɔsin fil pen) ɛn mɛtilfenidat (wan tin we de mek pɔsin fil pen). I nɔ rayt bak fɔ gɛt ɛn sheb tin dɛn we dɛn kin bay na kɔt, lɛk mɛtilɛnidayɔksimɛtamfɛtamin (MDMA) ɛn heroin.

Di Drug Enforcement Administration (DEA) dɔn sheb dɛn tin ya we dɛn kin kɔntrol to fayv kategori, ɔ "schedules," we de gi wan aidia bɔt aw dɛn denja ɛn di lɛvɛl we dɛn nid fɔ kɔntrol.

• Schedyul I: Dis na di drɔgs we gɛt di ay pɔtnɛshɛl fɔ misyuz ɛn adikshɔn. Ɛgzampul dɛn: `(Heroin)`, `(LSD)`, `(MDMA)` ɛn marijuana `(Marijuana)`. (Pan ɔl we marijuana na lɔ na sɔm stet dɛn na Amɛrika, i stil de na dis kategori na di fedaral lɛvul.)
• Schedyul II: Dɛn tin ya bak kin gɛt bɔku risk fɔ yuz am di rɔŋ we ɛn fɔ gɛt adikshɔn. Ɛgzampul dɛn: `(Fɛntanil)`, `(Mɔfin)`, `(Mɛtamfɛtamin)` ɛn `(Ɔksikɔdɔn)`. Dɔktɔ dɛn fɔ fala strikt lɔ dɛn we dɛn de gi dɛn mɛrɛsin ya (e.g. nɔ rifil).
• Schedyul III: Dɛn drɔgs ya gɛt smɔl risk fɔ yuz am di rɔŋ we, bɔt sɔm risk fɔ adikshɔn. Ɛgzampul dɛn: Bɛnzfɛtamin, Kɛtamin, ɛn Anabolik stɛroyd. Dɛn drɔgs ya gɛt tɛm limit bak fɔ mek dɛn rilis dɛn (e.g., dɛn kin jɔs gi dɛn fayv tɛm insay siks mɔnt).
• Schedyul IV: I gɛt smɔl risk fɔ yuz am di rɔŋ we ɛn adikshɔn pas di fɔs tri schedule. Ɛgzampul dɛn: `(Klɔnazepam)`, `(Dayazepam)`, `(Lɔrazepam)`, `(Tramadɔl)` ɛn `(Triazolam)`. Ivin if dɛn gi di mɛrɛsin bak, dɛn kin wach am gud gud wan.
• Schedyul V: Dɛn drɔgs ya na di drɔgs we nɔ gɛt bɛtɛ pɔtnɛshɛl fɔ abiuz ɔ adikshɔn, bɔt dɛn nɔr de witout sɔm risk. Ɛgzampul: Sɔm mɛrɛsin dɛn we gɛt `(Codeine)`, antidiarheal mɛrɛsin we gɛt `(Atropine/diphenoxylate)`, `(Pregabalin)`. Dɔktɔ dɛn go de wach yu gud gud wan we dɛn de trit yu wit dɛn mɛrɛsin ya.

Pan ɔl we dis klasification nɔto di sem na Sri Lanka, i kin gi wi wan aidia bɔt aw dɛn fɔ kɔntrol sɔm tin dɛn ɛn dɛn fɔ jɔs yuz dɛn ɔnda dɔktɔ advays.

Wetin kin apin to di bren ɛn bɔdi we wi de yuz dɛn tin ya?

di imεdiεt ifekt we yu de yuz wan sכbstans dεn kכl am "intoxication." Bɔku tin dɛn de we kin apin na ya:

• Yu kin chenj di we aw yu de fil: Yu kin fil lɛk yu ed layt ɔ yu kin slip wantɛm wantɛm. Yu kin fil gladi pasmak ɛn yu kin gɛt trɛnk. Yu kin fil bak se yu de dawt ɔ yu de fil paranoid ɔda tɛm dɛn.
• Hallucinations: Fɔ si ɔ yɛri tin dɛn we nɔ rili de.
• Chenj na di we aw pɔsin de tink ɛn ebul fɔ disayd: nɔ ebul fɔ pik wetin rayt frɔm wetin rɔŋ, kɔnfyushɔn na di we aw i de tink.
• I nɔ izi fɔ mek yu gɛt kɔdineshɔn: I kin stɔp we yu de waka, i nɔ kin izi fɔ ol tin dɛn.
• Di apɛtit we de go ɔp ɔ we nɔ de it: Dis kin difrɛn difrɛn wan bay di tin we yu gɛt.

Eksakt aw yu fil de dipen pan wetin yu tek, aw yu tek, ɛn if yu bin gɛt ɔda mɛrɛsin ɔr drɔgs na yu sistɛm da tɛm de.

Fɔ Put Sɔbstans

We yu de yuz sɔntin ɔltɛm ɛn ɔltɛm, yu bɔdi kin yus to am. I tan lɛk sɔntin we yu de du ɛvride. Dɔn, we yu stɔp fɔ yuz am wantɛm wantɛm, ɔ we di tin dɛn we i de du to yu bɔdi dɔn, yu kin bigin fɔ gɛt sayn dɛn we nɔ fayn. Dɛn kɔl dis "withdrawal symptoms" ɔ "discontinuation symptoms."

Na sɔm sayn dɛm wae kin kam wae pɔrsin nɔr de it:

• Agiteshɔn
• Fɔ fil kol (Chills) .
• Rɔnbɛlɛ
• I nɔ izi fɔ slip
• Mɔsul dɛn kin at
• Nɔs ɛn vɔmit
• Bɛlɛ we de kramp
• We pɔsin de swet

Di kayn we aw dɛn kayn sik ya we yu kin gɛt fɔ lɛf fɔ smok kin dipen pan wetin yu dɔn de yuz ɛn aw yu bɔdi dɔn yus to am (tolerance). Sɔm tin dɛm, lɛk opioid, kin mek yu gɛt sayn dɛm wae yu dɔn lɛf fɔ tek yu mɛrɛsin wae kin so bad dat yu kin want fɔ yuse dɛm bak fɔ pul de pen. Dis na wae mek sɔmtɛm wae pɔrsin gɛt sɔbstans yuse disorder kin so tranga fɔ trit.

Ifekt pan di bren

dis adiktiv tin dεm de afekt di "pleasure center" na yu bren dairekt wan. Tink bɔt am, wi ɔl bayolojikal wan fɔ fil gladi ɛn fulfil. Bɔku tɛm, wi kin gɛt dis gladi at frɔm gud tin dɛn we gɛt wɛlbɔdi. We yu spɛn tɛm wit pɔsin we yu lɛk, ɔ we yu it fayn it, yu bɔdi kin mek wan kemikal we dɛn kɔl dopamine . Dis dopamine na in de mek wi fil gladi ɛn fulfil. So i tan lɛk saykl - yu kin gɛt gud filin, so yu want fɔ du dɛn tin dɛn de bak ɛn bak.

Yu no wetin kin apin we yu tek dɛn tin ya we kin mek yu adikshɔn? Yu bren kin mek bɔku bɔku dopamin wantɛm wantɛm. Dis min se i de mek bɔku pipul dɛn gladi. Dis ay dopamin lɛvɛl kin mek yu chenj bad bad wan na yu tink, filin, ɛn bihayvya. Dis min se yu kin gɛt mɔ chans fɔ du di atifishal gladi at we yu kin gɛt frɔm dɛn tin ya pas di gladi at we yu kin gɛt frɔm dɛn tin dɛn de we gɛt wɛlbɔdi.

As tɛm de go, dɛn tin ya kin chenj di we aw yu bren de wok. Dɔn, yu nɔ de fil di sem gladi at igen frɔm di mɔni we yu bin de tek bifo. Dis min se yu de divεlכp "tolerance" to di sכbstans. Dɔn, yu nid fɔ yuz mɔ ɛn mɔ pan di tin fɔ gɛt di sem gladi at. Dis kin mek yu yuz mɔ ɛn mɔ, tek denja dos, ɔ miks difrɛn tin dɛn. Dis kin mek yu gɛt tin dɛn we kin mek yu layf de pan denja lɛk "ɔvados."

Wetin na di difrɛns bitwin fɔ jɔs yuz am ɛn fɔ gɛt adikshɔn?

Simply ‘yuz’ (yuz sɔbstans) ɛn ‘misuz’ (sɔbstans misyuz) difrɛn frɔm wan krɛse, abit patɛn we kin mek pɔsin gɛt Sɔbstans Yuz Disɔda (SUD) . Pɔsin kin yuz sɔntin wan wan tɛm, bɔt dat nɔ kin mek dɛn bi ``SUD''.

Bɔt, nɔto ɔlman kin gɛt da chans de. Sɔmtɛm, ivin if yu nɔr yuz am kɔrɛkt wan tu ɔ tri tɛm, yu bɔdi kin yus to am (tolerance) ɛn i kin bi adikshɔn. Dat min se yu kin fɔdɔm insay dis trap izi wan pas aw yu tink.

De impɔtant tin na dat, sɔbstans yuse disɔda na wan sik wae dɛn kin trit. If yu rɛdi, tritmɛnt, advays, ɛn mɛrɛsin de wae kin ɛp yu fɔ kɔntrol dis sik wae nɔr de mɛn.

Aw wi fɔ tek kia ɔf dis na ɛvride layf?

Sɔntɛnde, dɔktɔ dɛn kin gi sɔm mɛrɛsin dɛn fɔ ɛp fɔ mek pɔsin fil bad bad wan afta dɛn dɔn du am ɔpreshɔn ɔ fɔ mek i ebul fɔ kɔntrol wan sik we nɔ de mɛn. Sɔm kemikal dɛn de bak we dɛn kin yuz na os (e.g., sprɛy fɔ klin kibɔd). Dɛn tin ya na tin dɛn we nid fɔ apin.

Bɔt, i kin kɔmɔn bak fɔ yuz dɛn tin ya di rɔŋ we. So, i impɔtant fɔ no gud gud wan bɔt di mɛrɛsin dɛn we yu dɔktɔ gi yu ɔ di prɔdak dɛn we yu gɛt na os. Kip dɛn na say we sef ɛn yuz dɛn jɔs lɛk aw dɛn tɛl yu fɔ du am .

If yu tink se yu ɔ pɔsin we yu lɛk go de pan denja fɔ gɛt adikshɔn, nɔ shem fɔ tɔk to dɔktɔ . Dɛn de fɔ ɛp yu ɛnitɛm we yu rɛdi. Nɔ fred, nɔ shem. Dis kin apin to ɛnibɔdi, ɛn ɛp de fɔ dis.

Fɔ dɔn, sɔm tin dɛn we yu fɔ mɛmba (Take-Home Message) .

So, frɔm wetin wi dɔn tɔk bɔt, yu go mɔs dɔn gɛt sɔm aidia bɔt aw dɛn tin ya we de mek pɔsin adikshɔn siriɔs, ɛn aw i impɔtant fɔ no bɔt dɛn.

• Adikshɔn nɔto wikɛd tin, na sik: i kin afɛkt ɛnibɔdi. So i nɔ fayn fɔ marginalize ɛnibɔdi.
• Di adikshɔn pɔtnɛshɛl fɔ ɛni sɔbstans difrɛn: sɔm tin kin adikshɔn kwik pas aw wi tink.
• Ivin di mɛrɛsin dɛn we dɛn kin gi yu kin denja if yu nɔ yuz am fayn: Du wetin yu dɔktɔ tɛl yu ɔltɛm.
• Yu bren de divεlכp tolerance to dεn tin ya: dat min se yu nid mכr εn mכr pan dεm as tεm de go. Dis na denja.
• Fɔ lɛf fɔ it kin tranga: Dis na di rizin we mek bɔku pipul dɛn kin tɛmpt fɔ yuz am bak.
• Ɛp de! If yu ɔ pɔsin we yu sabi gɛt dis prɔblɛm, dɔktɔ ɛn advaysa dɛn de fɔ ɛp. Nɔ sɔfa yu wan.

I kin tranga fɔ tɔk bɔt dis. Bɔt, fɔ no na di fɔs tin we yu fɔ du. Yu ɛn yu famili nid fɔ tɔk bɔt dis ɛn no. Na da tɛm de nɔmɔ wi go ebul fɔ avɔyd dɛn trap dɛn ya ɛn liv fayn layf. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ fred fɔ aks dɔktɔ.

` Adikshɔn, drɔgs, rɔm, nikotin, sɔbstans yus dizayd, mental wɛlbɔdi, dopamin