Yu tink se i denja fɔ yuz difrɛn drɔgs togɛda? (Polysubstance Use Disorder) Lɛ wi tɔk bɔt am!

Yu go mɔs dɔn yɛri bɔt pipul dɛn we de yuz bɔku bɔku drɔgs, ilɛksɛf na pils, drɔgs, ɔ rɔm, ɔl wan tɛm. Sɔm pipul dɛn kin tek wan ɛn afta dat ɔda wan. I nɔ simpul ɔ i nɔ impɔtant lɛk aw yu go tink. Dis na wetin wi kɔl polydrug use . Tide, wi go tɔk bɔt aw dis abit kin afɛkt yu layf ɛn wɛl bɔdi, ɛn aw yu go ebul fɔ win am.

Wetin na Polysubstance Use Disorder?

Fɔ tɔk am simpul wan, polysubstance use disorder na we yu yuz mɔ pas wan kayn drɔgs, we min tu ɔ mɔr di sem tɛm, ɔr insay wan rili shɔt tɛm. Dis bin de bifo as ``Polysubstance Abuse''. Dis na we yu kin adikshɔn to dɛn drɔgs dɛn de ɛn di yus we yu de yuz kin bi so dat i kin ambɔg yu ɛvride wok, yu wɛlbɔdi, ɛn yu kwaliti layf.

Imajin se sɔmbɔdi de tek wan mɛrɛsin we de mek pɔsin fil pen wit rɔm, ɔ wan tin we de mek pɔsin fil pen wit pils fɔ mek i slip. Dis na di kayn tin dɛn we kin kam insay. Fɔ miks drɔgs lɛk dis nɔ sef atɔl. De effekt wae e kin du pan yu bodi kin bi wae yu nor kin no, en bɔrku tɛm, e kin mek yu layf de pan denja. Bɔt di tin we impɔtant pas ɔl na dat, di sik we dɛn kɔl polysubstance use disorder na mental wɛlbɔdi kɔndishɔn we dɛn kin trit. If yu rɛdi, bɔku we dɛn de fɔ gɛt ɛp.

Wetin de ɔnda di kategori we dɛn kɔl ‘polydrugs’?

Infakt, if yu yuz tu ɔ mɔ drɔgs togɛda, dɛn kin tek am se yu de yuz bɔku drɔgs. Fɔ ɛgzampul, if yu yuz sɔntin lɛk kɔkɛyn we yu de drink rɔm , dat de insay dis kategori bikɔs yu de yuz pas wan tin.

Yu tink se dɛn kin yuz mɛrɛsin dɛn we dɛn kin gi pɔsin fɔ dis?

Yɛs, na fɔ tru. Ivin if yu de tek mɛrɛsin we dɔktɔ gi yu, if yu de yuz am wit ɔda mɛrɛsin, dat kin bi polydrug use. Na dat mek i rili impɔtant fɔ tek di mɛrɛsin nɔmɔ we yu dɔktɔ tɛl yu fɔ tek, ɛn jɔs lɛk aw dɛn tɛl yu fɔ tek.

If yu de tek ɛni mɛrɛsin ɛvride, yu fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn sɔpɔtmɛnt dɛn. Sɔm mɛrɛsin kin miks wit dɛnsɛf. Dɔn yu dɔktɔ kin pik di mɛrɛsin dɛn we nɔ bad fɔ yu. Dɛn go de wach yu bak fɔ ɛni sayd ɛfɛkt.

Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de yuz bɔku sɔbstans?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I dipen pan di kayn drɔg ɛn di kayn drɔg we dɛn yuz. We yu de tek drɔgs, yu kin gɛt dɛn tin ya:

• Wan filin fɔ big gladi ɛn gladi at (euphoria).
• Fɔ fil lɛk se yu bɔdi de layt.
• Fɔ fil se yu de slip.
• Ɔ sɔntɛnde, i kin fil se i de mek i fil bad pasmak ɛn i kin wɔri.

As di tin dɛn we di drɔgs kin du kin west, dat na , di sayn dɛn we pɔsin kin lɛf fɔ tek drɔgs , dɛn tin ya kin apin:

• De chenj na yu maynd lɛk wae yu de wɔri, wae yu de rɔtin, ɛn wae yu gɛt pwɛl hat.
• Bɔdi pen, filin lɛk se dɛn de rɔtin di mɔsul dɛn.
• Nɔto fɔ slip.
• We pɔsin de swet.
• Rɔnbɛlɛ.
• Nɔs ɛn vɔmit.

Na sɔm kɔmɔn bihayvya ɛn sayn dɛm wae gɛt fɔ du wit dis sik:

• Fɔ gi prayoritɛd to fɔ yuz drɔgs, fɔ nɔ pe atɛnshɔn to sɔshal ɛn pɔsin in yon rispɔnsibiliti.
• Yuz drɔgs sikrit wan frɔm ɔda pipul dɛn.
• Fɔ rich di say we yu nid drɔgs fɔ ivin du ɛvride wok.
• Nɔ bisin bɔt tin dɛn lɛk fɔ klin, fɔ luk, fɔ it, ɛn fɔ drink.
• Fɔ vɛks ɛn dinay am we pɔsin tɔk bɔt aw fɔ yuz drɔgs.

Sɔmtɛm, i nɔ kin izi fɔ no dɛn sayn ya bikɔs bɔku pipul dɛn kin ayd dɛn abit ya ɛn put dɛn insay dɛn ɛvride layf.

Wetin mek dis tin kin apin?

Dɛn nɔr no yet di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl polydrug use disorder, bɔt risach dɔn sho se di adikshɔn we drɔgs kin gɛt ɛn di tin dɛn we i kin du to di bren na di men tin we kin mek pɔsin gɛt am.

Fɔ tɔk am simpul wan, we yu de yuz drɔgs, di we aw yu bren de gi yu blɛsin kin wok fayn. kεmikכl dεm lεk dopamin dεn de travul כlsay na yu bren, we de gi yu "gud" filin, fil fכ gladi. As tɛm de go, yu bren kin bigin fɔ prɔyoritɛt dɛn atifishal "gud" filin ya pas wɛlbɔdi, gladi gladi filin. Afta sɔm tɛm, yu kin adikshɔn to dɛn.

Bɔku rizin kin de we kin mek pipul dɛn want fɔ yuz pas wan drɔgs. Sɔm pan di rizin dɛn we kin apin mɔ na:

• We wan mɛrɛsin nɔ ebul fɔ mek di tin we i want, pɔsin kin tray fɔ gɛt am wit ɔda mɛrɛsin.
• Tray fɔ kɔba di ifɛkt dɛm we wan drɔg gɛt wit ɔda wan (bɔt drɔgs nɔ kin rili ebul fɔ du dat, i jɔs tan lɛk se dɛn kin du am).
• Nɔ gɛt di sayn dɛm fɔ lɛf fɔ tek drɔgs we yu stɔp fɔ yuz drɔgs.
• Either extend di high or inkrisayz in intensiti.
• Fɔ ridyus di amount fɔ wan drɔg we dɛn de yuz ɛn fɔ tek ɔda wan in ples.
• Tray fɔ "sɛlf-mɛdikeshɔn" fɔ bɔdi ɔr maynd wɛl bɔdi kɔndishɔn.

Yu tink se kayn tin dɛn de we kin apin to dis?

Yɛs, dis sityueshɔn kin sheb to tu men kayn:

1. Yuz bɔku sɔbstans bay wilful: Insay dis kes, yu no se yu de yuz ɔda drɔg fɔ mek di ifɛkt dɛn we wan drɔg gɛt bɛtɛ.

2. Yuz polysubstans we yu nɔ want:If na so i bi, yu nɔ no se di mɛrɛsin we yu de yuz gɛt ɔda mɛrɛsin we dɛn miks insay we yu nɔ no bɔt. Fɔ ɛgzampul, sɔm drɔgs kin gɛt denja tin lɛk `(Fentanyl)` we dɛn miks sikrit wan insay dɛn.

Udat de pan denja pas ɔl fɔ dis?

Yu kin gɛt bɔrku risk fɔ dis sik fɔ dɛn rizin ya:

• If yu dɔn ɔlrɛdi sɔfa wit sɔbstans yus disɔda.
• If sɔmbɔdi na yu famili, dat na, yu fambul na yu blɔd, gɛt wan sik lɛk dis.
• If yu gɛt mɛntɛl hεlth kɔndishɔn (e.g. pwɛl hat, wɔri).
• If yu de na say we i izi fɔ gɛt drɔgs, if yu de gɛt am ɔltɛm.
• If yu dɔn gɛt bad bad tin dɛn we yu bin de du we yu bin smɔl.

Wetin na di prɔblɛm dɛn we kin apin we dis kin apin?

Bɔku kɔmplikeshɔn dɛn de we kin apin we pɔsin yuz bɔku drɔgs. Di tu tin dɛn we siriɔs pas ɔl na fɔ tek di mɛrɛsin pasmak ɛn fɔ day.

Ɔvados na we yu bɔdi gɛt tumɔs pan pɔyzin drɔg (wan ɔ mɔ) fɔ handel. Dis kin mek yu bɔdi in ɔgan dɛn stɔp fɔ wok. I kin ivin mek pɔsin in layf de pan denja if dɛn nɔ trit am kwik.

So dis nɔto sɔntin we wi fɔ tek am layt.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ go no dis sik bay we i tɔk to yu ɛn aks yu kwɛstyɔn bɔt yu sik, yu histri bɔt aw yu de yuz drɔgs, if yu dɔn ɛva tray fɔ lɛf fɔ tek drɔgs, ɛn aw yu bin fil we yu du dat.

Yu kin du bak fɔ chɛk yu bɔdi fɔ chɛk yu jenɛral wɛlbɔdi. Yu kin gɛt urine ɔr blɔd tɛst bak fɔ ɛp wit yu tritmɛnt fɔ no ustɛm di mɛrɛsin dɛn de na yu sistɛm naw.

Di American Psychological Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) tɔk bɔt sɔm prɔblɛm dɛn we kin apin we pɔsin de yuz sɔbstans. Bɔt di las ɛdyushɔn nɔ tɔk mɔ bɔt di wɔd "polysubstance use disorder." Bɔt dɛn kin kɔba dɛn sayn dɛn de ɔnda ɔda sik dɛn we gɛt fɔ du wit sɔbstans.

Wetin na di tritmɛnt fɔ dis?

Bɔku men tritmɛnt dɛn de fɔ di sik we dɛn kɔl polysubstance use disorder:

• Ditɔksifikeshɔn: Fɔ pul tin dɛn we de ambɔg di bɔdi.
• Kɔnsul/Tɛrapi: Fɔ gi ɛp pan saykilɔjik ɛn bihayvya.
• Mɛrɛsin: Kɔntrol sɔm sayn dɛm ɛn ridyus adikshɔn.

Yu dɔktɔ go tɔk to yu, ɔndastand yu tritmɛnt gol dɛm, ɛn ɛp yu fɔ mek wan tritmɛnt plan we go wok fɔ yu. I go ɛp yu fɔ ridyus yu drɔgs ɔ stɔp am kpatakpata.

Wetin na ditɔksifikeshɔn?

Ditɔksifikeshɔn na di prɔses fɔ klin yu bɔdi frɔm bad bad drɔgs. Fɔ tɔk tru, dis na wan pan di tin dɛn we at fɔ du fɔ di tritmɛnt. I kin mek yu fil pen, sɔntɛnde i kin ivin mek yu fil bad. Yu kin fil bad bad wan fɔ sɔm dez te di drɔgs dɔn kɔmɔt na yu bɔdi kpatakpata. Bɔt sɔm mɛrɛsin dɛn de we kin ɛp fɔ pul dɛn sik ya.

Sɔm pipul dɛn kin lɛk fɔ de na ɔspitul ɔ rihabiliteshɔn sɛnta ɛn dɛn kin du dis ditɔksifikeshɔn prɔses ɔnda dɔktɔ in sɔpɔtishɔn. Da we de, yu go gɛt sɔpɔt fɔ 24 awa. Bɔt if yu lɛk fɔ du dis frɔm os, ɔda tin dɛn de bak we yu kin du fɔ go na do.

Wetin na kɔyl/tɛrapi?

Kɔnsul na fɔ sɛt gol fɔ yusɛf ɛn fɔ wok wit pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs fɔ mek yu ebul fɔ du dɛn. Di men gol dɛm fɔ advays fɔ di sik we dɛn kɔl polysubstance use disorder na fɔ:

• Fɔ ɛp yu fɔ ɔndastand wetin mek yu de yuz drɔgs.
• Fɔ ɔndastand yusɛf mɔ, wetin de mek yu want fɔ du sɔntin, ɛn di we aw yu de biev.
• Fɔ ɛp yu fɔ fɛn bɛtɛ we fɔ dil wit strɛs, kɔnflikt, ɔ tin dɛn we kin mek yu yuz sɔm kayn mɛrɛsin.

Difrɛn kayn advays de wae kin ɛp fɔ mɛn dis sik. Na sɔm ɛgzampul dɛn ya:

• Cognitive Behavioral Therapy (CBT): Insay dis, yu kin lan aw di tin dɛn we yu de tink bɔt kin afɛkt di we aw yu de biev. Dɔn yu kin sɛt gol dɛn ɛn wok fɔ du dɛn.
• Contingency Management: Insay dis, yu kin sɛt gol dɛn ɛn arenj dɛn di kayn we we yu go gɛt sɔm kayn blɛsin we yu rich dɛn gol dɛn de.
• Motivational Enhancement Therapy: Dis na wan we we de ɛnkɔrej yu fɔ sɛt gol dɛn we yu go ebul fɔ du ɛn tek stɛp fɔ rich dɛn.
• Famili Tɛrapi: Dis kin min fɔ kɔnɛkt wit di wan dɛm wae de nia yu wae kin ɛp yu pan yu joyn fɔ wɛl. Insay say we sef, una kin ɔndastand unasɛf ɛn wok fɔ rich di sem gol dɛn.

Us mɛrɛsin dɛn kin gi fɔ dis?

Dɔktɔ kin gi yu mɛrɛsin, mɔ if yu dɔn yuz drɔgs we gɛt opioid (e.g., heroin, morphine). Opioid na tin dɛm wae gɛt strɔng ifɛkt pan di bɔdi, mɔr lɛk wae yu de pul am. Mεdikeshɔn kin ɛp fɔ ridyus sɔm pan de strכng krayv dεm εn di sayn dεm wae de sho se yu nɔr gɛt di adikshɔn.

Na sɔm pan di mɛrɛsin dɛm we di US Food and Drug Administration (FDA) dɔn gri fɔ fɔ opioid dɛm:

• `Buprenɔfin`
• `Mɛtadɔn`
• `Naltrekson`

Dɛn mɛrɛsin ya kin mek pɔsin gɛt sayd ɛfɛkt bak. Yu dɔktɔ go ɛksplen dɛn tin ya to yu bifo yu bigin fɔ tek di mɛrɛsin. Fɔ avɔyd sayd ɛfɛkt, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn wok akɔdin to di tritmɛnt plan. Aks yu dɔktɔ if yu gɛt ɛni kwɛstyɔn.

Mεdikeshכn dεm de bak fכ ridyus di krayv εn di simptom dεm we yu kin fil fכ it we yu de drink rɔm (e.g., Naltrexone, Disulfiram, Acamprosate). I gɛt bak mɛrɛsin fɔ nikotin (sigrɛt), lɛk di wan dɛn we de tek nikotin in ples, Bupropion, ɛn Varenicline.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

No sɛt tɛm nɔ de we go wok fɔ ɔlman, ɛn nɔbɔdi nɔ go ebul fɔ tɔk fɔ tru aw lɔng i go tek fɔ mek yu wɛl. Dis na wan sik we nɔ de mɛn. Dis min se yu go mɔs gɛt fɔ manej dis polysubstance use disorder fɔ di res ɔf yu layf.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Di we aw yu de si tin kin difrɛn frɔm wan pɔsin to ɔda pɔsin, ɛn na yu dɔktɔ nɔmɔ go ebul fɔ tɔk kɔrɛkt wan bɔt wetin fɔ ɛkspɛkt bay di sik we yu gɛt.

Bɔt mɛmba se, polysubstance use disorder na wan sik wae dɛn kin trit, ɛn pɔrsin kin wɛl. Bɔt di tritmɛnt kin tek tɛm ɛn tray tranga wan. Yu kin gɛt fɔ tray difrɛn tritmɛnt dɛn fɔ fɛn di wan we go wok fɔ yu.

Yu kin gɛt di sik bak. Dis min se yu kin stɔp fɔ yuz drɔgs fɔ sɔm tɛm ɛn bigin bak. If dis apin, yu go gɛt fɔ ditɔks bak ɛn bigin di tritmɛnt saykl ɔl bak. Dis kin apin bɔrku tɛm wae yu de wɛl.

Bɔt mɛmba se nɔto yu wan de pan dis waka. Yu mɛdikal tim, di wan dɛn we yu lɛk de wit yu ɔltɛm. Dɛn go sɔpɔt yu we yu nid ɛp.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Bɔrku tin de wae yu kin du fɔ ridyus yu risk fɔ gɛt polydrug use disorder. Bɔt i impɔtant fɔ ɔndastand se i nɔ pɔsibul fɔ mek yu nɔ gɛt dis sik ɔltogɛda. Bɔku tin dɛn de we de apin na di say we yu de, di tin dɛn we de apin to yu, ɛn di we aw yu de liv yu layf, we de afɛkt di we aw drɔgs de afɛkt yu bɔdi.

De bɛst we fɔ ridyus yu risk fɔ gɛt dis sik na fɔ lan buk. We yu lan bɔt aw ɛni wan pan di mɛrɛsin dɛn kin afɛkt mɔtalman bɔdi, dat go ɛp yu fɔ ɔndastand wetin mek dɛn nɔ sef.

If yu gɛt disɔda fɔ yuz bɔku sɔbstans, tink bɔt fɔ kip dɛn tin ya wit yu fɔ yu sef:

• If ɔvados apin, wan drɔg lɛk ``Naloxone'' kin rivɛns am.
• Yu kin yuz Fentanyl tɛst strip fɔ chɛk fɔ denja tin dɛn lɛk Fentanyl insay difrɛn drɔgs.
• Wan fon nɔmba fɔ pɔsin we yu trɔst we yu kin kɔl we ɛnitin apin.

Ustɛm yu fɔ go to dɔktɔ?

If yu de yuz drɔgs ɛn i de ambɔg yu wɛlbɔdi ɛn aw yu de wok ɛvride, tɔk to dɔktɔ. Fɔ ɛgzampul, if yu want fɔ de "hay" ɔltɛm de ambɔg yu ɛvride rutin, yu de gɛt prɔblɛm fɔ go skul ɔ wok, yu de gɛt prɔblɛm fɔ kip kɔmpin wit gred ɔ pefɔmɛns, ɔ yu de gɛt prɔblɛm fɔ kip rilayshɔn wit yu padi dɛn, i impɔtant fɔ go to dɔktɔ da tɛm de. Dɔktɔ kin ɛp yu fɔ gɛt di tritmɛnt we yu nid.

Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?

If yu ɔ pɔsin we yu lɛk gɛt ɛni wan pan dɛn sayn ya we de sho se yu tek drɔgs pasmak, kɔl di imejensi savis dɛn (lɛk 911) wantɛm wantɛm:

• Lɔs pan kɔnshɛns (nɔ ebul fɔ wek).
• Sawnd lɛk fɔ snor ɔ fɔ snor.
• We yu de blo slo ɔ i de stɔp.
• di pupil dεm na di yay dεm sכm εn i lεk di tip fכ nidul.
• Lip ɔ finga nel dɛn we de sho se dɛn nɔ gɛt kɔlɔ (blu).

I kin tranga fɔ tink bɔt ɛni ɔda tin pas di drɔgs we yu de yuz da tɛm de, bɔt no se we yu rɛdi fɔ gɛt ɛp, ɛp de ɔltɛm.

Fɔ aks fɔ ɛp kin bi wan pan di tin dɛn we at fɔ du. Yu kin tray fɔ aks yu padi ɔ yu fambul fɔ ɛp yu. Di tin we dɛn de ɛnkɔrej yu kin bi di tin we de mek yu want fɔ go to dɔktɔ.

Fɔ wɛl na sɔntin we pɔsin kin du. I impɔtant fɔ gɛt grup we go sɔpɔt yu. Yu mɛdikal tim go de wit yu ɛvri step na di rod.

Faynal Mɛsej fɔ Tek-Hom

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we wi fɔ mɛmba:

• Yuz polysubstance na tin we rili denja. I kin mek yu bɔdi, yu maynd, ɛn yu layf bad bad wan.
• Dis na mɛntɛl hεlth sik wae yu kin trit, so nɔr ɛva giv ɔp op.
• If yu ɔr pɔrsin wae yu sabi de strɛs wit dis, nɔr frayd fɔ aks fɔ ɛp. Dɔktɔ dɛn, advaysa dɛn, yu famili, ɛn padi dɛn rɛdi fɔ ɛp yu.
• Di tritmɛnt prɔses kin tranga, bɔt i fayn fɔ du am. I go go fa fɔ ɛp yu fɔ mek yu layf go bak na di rayt we.
• Fɔ wɛl na joyn, nɔto sɔntin we kin apin wan nɛt. Sɔntɛm tin dɛn kin apin we yu nɔ go ebul fɔ waka, bɔt yu go gɛt trɛnk ɔltɛm fɔ grap bak.

If yu want fɔ no mɔ bɔt dis, ɔ if yu nid ɛp, duya go to dɔktɔ ɔ pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs we yu kin abop pan . Mɛmba ɔltɛm se nɔto yu wangren de.

` polysubstance use disorder, polydrug use, drug adiction, drɔg miks, drɔg sayd ɛfɛkt, drɔg tritmɛnt, mental wɛlbɔdi, drɔg yus dizayd