Hei pawh hi i addicted em? Addiction chungchang hi han sawi ila!

A châng chuan, "Aw, hei hi ka paih bo thei lo," tih ang maiin kan inhria ṭhin a ni lawm ni? Thil tih dan tha lo tak a ni thei a, thil thuk zawk, ruihhlo ngawlvei a ni thei bawk. Vawiin hian eng nge a nih tak tak, engvangin nge a lo awm tih leh engtin nge kan chhuah theih ang tih kan sawi dawn a ni. Hei hi thupui buaithlak deuh a ni a, mahse awlsam taka sawi tum ila.

Addiction chu eng nge ni tak tak?

A awlsam zawngin, ruihhlo ngawlvei chu thil emaw, thiltih emaw nena inzawmna nghet tak a ni a, chu mi chuan a rah chhuah ṭha lo tak a nei dawn tih hre chung pawhin thunun lohvin a ti chhunzawm zel a ni. An dam chhung zawng a nghawng thei khawpa natna khirh tak a ni . Ngaihtuah teh, mi thenkhat chuan an thil tih hi a dik lo tih leh anmahni leh midangte a tichhe tih an hria a, mahse an ding thei lo va, buaina nasa takah an lut thei lo. Addiction hian i hriselna, chhungkaw inlaichinna, hnathawhna leh nunah engkim ah nghawng lian tak a nei thei a ni. Chuvangin, ruihhlo ngawlvei chhinchhiahna i hriat tan veleh tanpuina i zawn nghal a pawimawh hle.

Hei hi natna a ni em?

Ni e, ruihhlo ngawlvei hi natna a ni a, natna a ni . American Society of Addiction Medicine (ASAM) chhinchhiah dan chuan ruihhlo ngawlvei hi thluak lama natna rei tak a ni. Duhthlanna tlakchham vang emaw thutlukna siam that loh vang a ni lo. Addiction hian i thluak chemistry a tidanglam thin . Natna dang reng reng ang mai a ni a, zunthlum emaw thinlung natna emaw ang chi a ni.

Addiction chi hrang hrangte chu engte nge ni?

Ruihhlo ngawlvei chi hnih a awm a, chungte chu: 1. Ruihhlo ngawlvei (doctor-te chuan hei hi ``Substance Use Disorders'' an ti bawk). 2. Thil awm lo, chu chu thiltih thenkhat (``Behavioral Addictions'') addiction tihna a ni .

Substance addiction te hi a awm thei

Tunah chuan doctor leh damdawi lam pawlte chuan ruihhlo hmansualna hi ``Substance Use Disorders'' tiin an sawi ta a ni.American Psychiatric Association-in rilru natna hriat theihna tur manual ``DSM-5''-ah chuan ``Substance Use Disorders'' hriat theihna tur tehfung chiang tak a awm a ni.Heng thilte hi ruihhlo ngawlvei theihna nei an ni. Chungte chu prescription drug emaw, dan loa damdawi emaw pawh a ni thei. Entirna tlemte han thlir ila:

• Zu .
• Caffeine - Ni e, mi thenkhat chuan coffee leh tea-a awm caffeine hi an ruih hle bawk.
• Cannabis/Marijuana hman tur a ni.
• Hallucinogens - Entirnan PCP leh LSD te hi a ni.
• Hypnotics, sedatives leh anxiolytics - mut harsatna nei te hnena pek thin damdawi, benzodiazepines leh barbiturates te.
• Inhalants - paint thinner, spray, gas thenkhat, leh nitrites (poppers) te.
• Doctor-in a pek loh emaw, a pek loh emaw `(Opioids)` ei chi hrang hrang - .Natna tidamtu Codeine, Oxycodone , leh Heroin te ang chi te.
• Stimulants, doctor-in a pek emaw, a pek loh emaw pawh nise - Adderall ®, cocaine, leh methamphetamine (ice tia hriat bawk) te hi a ni.
• Tobacco /Nicotine - Cigarette zuk , electronic cigarette hman (e-cigarette emaw vaping emaw ).

Heng thilte hi an danglam hle nachungin, an vai hian i thluaka lawmman hmunpui (reward center) chu nasa takin an tichak a, hlimna leh phurna an pe che a ni. Substance Use Disorders hi heng substance te i hman hian a lo awm thei - mahse mi zawng zawng hian an nei vek lo. Heng dinhmunte hi a na lo, a hniam emaw, a na emaw pawh a ni thei. Addiction hi Substance Use Disorder natna khirh ber a ni.

Nungchang lama addiction te

Behavioral addictions hi i thluak nuam tihna hmun tichaktu thiltih eng pawh nen a awm thei. Behavioral scientist-te chuan substance addiction, behavioral addiction, leh compulsive behavioral condition dang (Obsessive-Compulsive Disorder (OCD) leh Bulimia Nervosa ang chi) te inang lo leh danglamna an la zirchiang mek a ni. Tunah hian DSM-5-a official-a pawm, behavioral addiction awmchhun chu gambling disorder a ni. "Non-Substance Addictions" tih ah a awm. Behavioural addiction dangte hi DSM-5-ah hian an tel lo a, a chhan chu an chungchang zirchianna a la awm tawk lo a ni. Mahse, eng thiltih emaw, tih dan emaw chu i ni tin thiltih tibuaitu khawpa a lo buai a nih chuan, chu chuan rilru, khawtlang leh taksa hriselna lama harsatna a thlen thei a, chubakah a châng chuan sum leh pai lama harsatna a thlen thei bawk. Ruihhlo ngawlvei thei thiltih entirnan thenkhat:

• Pawisa khelh dan .
• Ei leh in - Mi thenkhat chuan an ei leh in thunun harsa an ti thin.
• Exercise emaw dieting emaw - Hengte hi a tam lutuk pawh hi harsatna a ni.
• Thil lei.
• Dawr rukbo emaw, thil dang hlauhawm tak tak emaw.
• Sex hman dan.
• Pornography en.
• Video gaming - Hei hi Internet Gaming Disorder an ti bawk.
• Internet hman (e.g. i phone, computer-a) - a bik takin social media hman dan.

Addiction awm tam ber chu eng nge ni?

United States-ah chuan natna tlanglawn ber chu zu insualna a ni. A dawttu chu nicotine leh cannabis te an ni. Kum 12 chunglam zinga 10% vel chuan zu insualna an vei a ni. Sri Lanka-ah pawh dinhmun hi a inang hle a, a bik takin zu leh zuk leh hmuam hman avanga harsatna awmte chu a inang hle.

Addiction chhinchhiahnate chu engte nge ni?

Addiction chhinchhiahna hi mi hrang hrangah leh ruihhlo ngawlvei thil emaw thiltih emaw a zirin a inang lo. Heng a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Titawp thei lo: Mi pakhat chuan ruihhlo hman emaw, ruihhlo ngawlvei thil hrisel lo tak tih emaw chu tihtawp a duh mai thei a, mahse a ti thei lo mai thei. Vawi tam tak cut down an tum a, mahse an hlawhtling lo. Hemi chungchangah hian an hmangaihte hnenah dawt an sawi emaw, an thup emaw pawh a ni thei. Entirnan, meizial zutu chuan nitin, "Vawiin hian ka zu leh tawh lovang," tiin a ngaihtuah mai thei a, mahse chutah chuan meizuk an tan leh ta a ni.
• Tolerance tihpun: Hun kal zelah chuan i hman thin nuam tihna/ nuam tihna ang kha i hmuh theih nan chuan chu thil chu hman tam emaw, tihnaah hun tam zawk i hman emaw a ngai a ni. Entîr nân, a tîra zu tlêm têa lungawi mi tu emaw chuan a tâwpah chuan chutiang hlimna chu a neih theih nân thil tam zâwk a mamawh ang.
• Intense focus on the substance or activity: Addiction nei mite chu thil danglam takin chu thil emaw, thiltih emaw chu an buaipui nasa hle. An ni tam zawk chu chu ruihhlo ngawlvei chuan an nun a luah khat niin an hria mai thei a, a chhan chu an ni tam zawk chu chu ruihhlo duhthusam, neih tumna leh ngaihtuah chhuahnaah an hmang a ni.
• Thunun theih lohna: An thil tih dan leh an thiltih danah thunun theih lohvin an inhria thei. An ruihhlo ngawlvei avanga an nunah thil thlengte avanga inthiam lohna te, lungngaihna te, leh phurrit rit tak an nei thei a ni.
• Mimal harsatna leh hriselna chungchang: Addiction hian nun kawng tinreng a nghawng a - taksa hriselna, rilru hriselna, mimal inlaichinna, hnathawh, engkim. Ruihhlo hman emaw, chutiang nungchang emaw chuan mi pakhat chu hnathawhna hmunah emaw, sikulah emaw, in lamah emaw a mawhphurhna hlen thei lo turin a siam thei a ni. Phên dangin sawi ila, an ruihhlo ngawlvei hian chhiatna a thlen tih hre reng chung pawhin an chawlhsan thei lo.
• Withdrawal: Ruihhlo ngaite chuan an hman tawh loh chuan rilru leh taksa lamah withdrawal symptoms an nei thei a ni . Taksa lama a lan chhuah dan chu khur, thawk hah, leh luak chhuak te a ni thei. Tin, rilru lam natna, lungkhamna leh thinrimna te pawh an nei thei bawk.

Engvangin nge mi pakhatin heng thilte hi a ruihhloh?

Addiction thlentu pakhat chauh a awm lo - a buaithlak hle a ni .Addiction awm chhan ber chu i thluak chemistry inthlak danglamna a ni.

Thluak chhunga chemical inthlak danglamna

Ruihhlo leh thiltih ṭhenkhat hian i thluak a nghawng a, a bîk takin lawmman dawngtu hmun . Mihring kan nih angin nuam leh lungawina zawng turin biologically wired kan ni. A tam zawkah chuan he nawmna hi thil hrisel tak tak atanga lo chhuak a ni. I hmangaih tak nena hun i hman hian emaw, chaw tui tak i ei hian emaw, i taksa chuan chemical pakhat dopamine , a tichhuak thin. Hei hian i rilru a ti hahdam thin. Cycle ang mai a ni: Heng thilte hi i zawng a, a chhan chu i rilru a hahdam tir a ni. Ruihhlo leh thil tih ṭhenkhat (e.g., sex hman, sum hman) pawhin i thluaka dopamine tam tak a chhuah bawk. Mahse, heng dopamine tam tak hian i tih duh thil (ei leh in, hnathawh, hmangaih tak takte nena awm) ti turin a fuih che ai chuan, i ngaihtuahna, i rilru leh nungchangah nghawng tha lo tak a nei thei a ni. Hei hian damdawi emaw, thiltih emaw duhna hrisel lo a thlen thei a, chu chuan thiltih hrisel atanga hlimna a tlahniam thei a ni. Hun a kal zel a, heng thil emaw thiltih emaw hian i thluak chemistry a tidanglam thin. An nghawng chu i desensitized ta a ni. Tichuan, i hmaa i hlimna ang kha i hmuh theih nan an tam zawk i mamawh a ni. Thil thenkhat, opioids ang chi te nen chuan withdrawal symptoms hi a nasat em avangin i hman chhunzawm zel a rinawm zawk.

Chhan dang

Addiction thlentu chhan dang engemaw zat a awm bawk:

• Genetics: Research atanga a lan dan chuan eng substance use disorder pawh vei theihna 40% atanga 60% inkar chu genetic factors vang a ni. Chumi awmzia chu i chhungkuaa mi (unaupa, unaunu, nu leh pa) hian he natna hi a neih chuan i hlauhawmna a sang deuh tihna a ni. Scientist te chuan he hlauhawmna thlentu gene bikte hi hriatchhuah tumin hma an la mek a ni.
• Rilru hriselna dinhmun: Addiction leh rilru hriselna dinhmun (e.g., depression, post-traumatic stress disorder, bipolar disorder) te hi inzawmna nghet tak a awm a ni . Rilru lama harsatna nei zinga a chanve vel pawhin ruihhlo hmansualna an nei a, ruihhlo hmansualna nei zinga a chanve vel pawhin rilru lam harsatna an nei bawk.
• Environment factors: Thil awlsam taka hmuh theihna hi environment risk factor lian tak a ni. Chhungte emaw, ṭhiante emaw ruihhlo hmangte neih emaw, damdawi hman dik loh theih (e.g., opioid, stimulant) pek an nih chuan thil chi hrang hrang nena inzawmna leh hman theihna a tipung thei a ni.Hetah hian Adverse Childhood Experiences (ACE) te pawhin hmun pawimawh tak an chang a ni. ACEs hi naupan laia thil thleng, stressful emaw traumatic emaw a ni. Chungte chu hriselna lama harsatna chi hrang hrang, ruihhlo ngawlvei, mi dam chhung zawnga lo awm thei nen a inzawm tlat a ni.

Engtin nge addiction i nei tih i hriat theih ang? (Diagnosis) tih a ni.

Addiction i hriat theih nân, i doctor chuan rilru lam doctor, psychologist, a nih loh leh ruihhlo leh zu chungchanga counselor hnenah a refer thei che a ni. I doctor chuan i (leh i chhungte pawh a ni thei) i substance hman dan leh i thiltih dan buaithlak tak takte chungchangah zawhna a zawt ang che. Doctor pawhin taksa enfiah a duh mai thei a, thisen leh zun test turin thu a pe thei bawk. Heng test te hian i hriselna zawng zawng chungchang a hriattir a ni. Tin, hriselna lama harsatna i neih leh neih loh hriat theihna turin an pui thei bawk.

Ruihhlo ngaite enkawlna tur engte nge ni?

I doctor chuan enkawlna chi hrang hrang a rawt thei a, chung zingah chuan:

• Hospital enkawl dan: Thil engemaw i hman tawh loh huna withdrawal symptoms lo awm hi a hlauhawm thei hle. Heng natna lan chhuah dan atanga i dam leh theih nan special hospital unit-ah enkawl leh enkawl i ni ang.
• Damdawi: Damdawi thenkhat hian duhâmna, duhâmna, leh bânsan chhunzawm zelnate chu a tiziaawm thei a ni. Rilru lam natna dang (e.g., bipolar disorder, depression) i neih chuan i doctor pawhin damdawi hmanga enkawl te pawh a enkawl thei bawk.
• Rehabilitation/Rehab: Hei hi "sober living" emaw "residential treatment" emaw an ti bawk. Rehab center-te hian structured counseling, zirtirna, puihna leh fuihna te an pe thin. Rehabilitation center-a awm (inpatient rehab) emaw, scheduled session-a tel (outpatient rehab) emaw hmangin enkawlna i dawng thei bawk. Rehabilitation services hian i ruihhlo ngawlvei enkawl dan tur leh hun rei tak chhung nun hrisel tak neih theihna tura puih hi a ngaih pawimawh ber a ni.
• Counselling leh Therapy: Enkawl dan hrang hrang hian ruihhlo ngawlvei te chu thlirna thar nei turin a pui thei a, an nungchang pawh a thlak danglam thei bawk. I doctor chuan psychotherapy (talk therapy) a rawt thei a, chu chu cognitive behavioral therapy (CBT) emaw group therapy emaw a ni thei.
• Support group hrang hrangte:Mi tam tak chuan an ruihhlo ngawlvei chu support group puihnain an enkawl thin. Entirnan, Alcoholics Anonymous emaw, Narcotics Anonymous emaw. Al-Anon ang pawl hian ruihhlo hmansualna nei te chhungte leh thiante tanpui nan an pui thin. Heng pawlte hian mipuite chu an thil tawn te sawi chhuah theihna hun remchang an siam a, tanpuina an dawng chhunzawm zel bawk.

Addiction atanga i dam leh chuan eng ang nun nge i neih theih ang? (Hmuh dan tur) .

Enkawlna hmang hian mi tam tak chuan an ruihhlo ngawlvei chu an enkawl a, nun famkim, hrisel tak an hmang thin. Mahse, ruihhlo hmansualna leh nungchang lama ruihhlo ngawlvei aṭanga dam leh chu thil awlsam a ni lo . He enkawlna hlawhtling tak neih theih nan hian ṭhiante, chhungte, leh doctor-te ṭanpuitu te hian hmun pawimawh tak an chang a ni.

Enkawlna tel lo chuan ruihhlo ngawlvei hian hriselna lama harsatna lian tak a thlen thei a, thihna thlengin a thlen thei a ni. Mimal inlaichînna a tichhe thei a, sum leh pai lama harsatna a thlen thei a, dân lama harsatna a thlen thei bawk. Addiction enkawl loh hian chhungkaw a tichhe thei bawk a, a nghawng chu thlah tam tak chhung a daih thei bawk.

Ruihhlo laka invenna tur thil kan tih theih a awm em?

Addiction i neih theihna tur tihtlem nan thil engemaw zat i tih theih a awm a:

• Ruihhlo ngawlvei hman loh emaw tihtlem emaw: Damdawi damdawi pek loh hman loh emaw tihtlem emaw. Damdawi prescription i hman dawnin i doctor thupek zawm fo ang che. Damdawi damdawi in addict i nih i rin chuan i doctor hnenah hrilh nghal rawh.
• I chhungkaw chanchin hre rawh: I chhungkuaa mi tu emaw chuan ruihhlo hmansualna emaw, nungchang lama addiction emaw a neih chuan i hlauhawmna a sang hle thei. I doctor nen i risk tihtlem dan tur sawipui rawh.
• Stress hrisel taka enkawl: Stress leh nun inthlak danglam lai hian substance hman hlauhawmna a sang hle. Heng hun lai hian (e.g., exercise, meditation, hobby thar lak) hmachhawn dan hrisel tak tak zawn a pawimawh. Stress control harsa i tih chuan mental health counselor hmuh chu ngaihtuah rawh .

Engtin nge addiction nei mi i tanpui ang?

I hmangaih tak pakhatin nungchang lama addiction emaw, substance use disorder emaw a nei tih hriat chu thil harsa tak leh lungngaihna nasa tak a ni thei. I hmangaih tak leh nangmah tanpui theihna tur tips thenkhat chu hetiang hi a ni:

• Thu sawi hmasa rawh: Addiction nei mi pakhatin enkawlna a hmuh hma chuan a tha zawk. I lungkhamnate sawi la, a rang thei ang bera enkawlna zawng turin pui rawh. Helpline call la, doctor emaw mental health counselor emaw biak la , enkawlna program-a inziak lut turin rawtna siam la, a nih loh leh step 12-a kalpui program-ah kal rawh. Rorelna tel lovin i tanpuina leh thlawpna pe rawh.
• Lainatna nun hmang rawh: I hmangaih tak thusawi chu i inrem lo a nih pawhin, an thusawi chu ngun takin ngaithla rawh. I hmangaih tak chuan anmahni hrethiamtu nei ang maia an inhriat poh leh an rintlak tak angin an hmu thei che a ni.
• Dawhthei rawh: I hmangaih tak ruihhlo ngawlvei chu inbiakna vawi khat emaw, thiltih pakhat emaw hmanga tihdam theih beisei suh. Substance hmansualna leh nungchang lama ruihhlo ngawlvei hi thil buaithlak tak, chronic conditions a ni a, a chinfel dan tur pawh a awm lo.
• Nangmah pawh ngaihtuah teh: Ruihhlo ngaite ṭhiante leh chhûngte chuan lungngaihna te, lungngaihna te, lungngaihna te, leh mahni chauhna te an nei fo ṭhîn. Mahni rilru hriselna ngaihtuah a, heng symptoms te hi i neih chuan tanpuina dil a pawimawh. I khawtlang zinga support group emaw pawl emaw zawm tum ang che.

Doctor hmuh a ngai em?

Addiction hi natna khirh tak a ni. Nangmah emaw, i ngaihsak tu emaw hian ruihhlo ngawlvei a nei thei nia i ngaih chuan doctor biak nghal rawh. Treatment leh support group hrang hrang te tanpui turin an awm a ni.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Chuvangin, thutawp atan chuan ruihhlo ngawlvei hi natna a ni lo va, rilru chak lohna emaw, mizia dik lohna emaw a ni lo. Tu chungah pawh a thleng thei a, zunthlum emaw, thisen sang emaw ang bawkin. A pawimawh ber chu hneh theih a ni. Nangmah emaw i hriat mi emaw hian he natna hi i vei a nih chuan nangmah chauh i ni lo. Ṭanpuina dil hlau suh, zak suh. Doctor emaw, counselor emaw, puitling rintlak tak emaw nen inbiakna neihpui rawh. Enkawlna dik leh puihna dik tak a awm chuan mi maktaduai tam takin heng ruihhlo ngawlvei te hi an hneh a, nun hlim zawk, hrisel zawkin an hmang mek a ni. Khualzin chu a harsa mai thei a, kawng lakah hian tlakchhiatna a awm dawn a, mahse beidawng suh. Hei hi i hneh thei ngei ang. ` Addiction, Addiction, Ruihhlo, Zu, Gambling, Enkawlna, Rilru hriselna