I cannabis hman hi thunun theih loh angin a lang em? (Cannabis Use Disorder) Hemi chungchang hi han sawi ila!

Cannabis, marijuana tia hriat bawk hi mi tam takin intihhlimna atan an hmang a, ṭhiante nena an inkawp hian an hmang ṭhin. Mahse a chang chuan he ‘tlemte’ hi a tam lutuk thei a, thunun theih lohvin a awm thei bawk. Tichuan i nitin thiltih te, inlaichinna te, leh hriselna te a nghawng tan ta a ni. Cannabis hman avang hian hetiang harsatna hi i nei em? A nih loh leh i hriat mi pakhatin he natna hi a vei em? Chuvangin vawiin hian he cannabis hman avanga natna lo awm dan kan sawi dawn a, chu chu , Cannabis Use Disorder .

Cannabis Use Disorder tih hi eng nge ni?

A awlsam zawngin sawi ila, Cannabis Use Disorder (CUD) hi cannabis (marijuana) hman hian i nunah harsatna a thlen a, i rilru hriselna a nghawng a ni. Tin, Substance Use Disorder (SUD) chi khat a ni bawk.

Cannabis kan tih hian `Cannabis sativa` thing atanga chhuak product eng pawh kan sawina a ni. Chu chu a pangpar, a hnah, a zung leh a chi hring hring tihna a ni. He plant hian chemical 500 chuang a pai a ni. Chutiang chemical pakhat chu `Cannabidiol` (`CBD`) a ni.

Marijuana tih hian `Cannabis sativa` thing chi hrang hrang emaw, thil siam emaw a kawk a, mahse a chhungah hian chemical tetrahydrocannabinol (`THC`) tih chu a tam hle tur a ni. He `THC` hian chu `high`, chu chu zu ruih tih hriatna petu che a ni. Marijuana hi cannabis chi khat a ni a, mahse cannabis zawng zawng hi marijuana a ni vek lo. `CUD` dinhmun hi `THC` awmna thil (chu chu marijuana) vang a ni ber.

He `CUD` natna hi a nasat dan a inang lo thei – mi thenkhat chuan symptoms na lo tak tak an nei thei a , thenkhat chuan symptoms moderate an nei thei a, thenkhat erawh chuan symptoms na tak tak an nei thei bawk . A tlangpuiin cannabis hman duhna thunun theih loh, cannabis tolerance tihpun (i hman dan ang bawka inhriat theihna tur thil tam zawk i mamawh tihna a ni), leh i chawlhsan hunah withdrawal symptoms te a huam thin.

CUD hian i hriselnaah nghawng lian tak a nei thei a, chhungte leh ṭhiante nena in inzawmnaah leh i nun pum puiah nghawng lian tak a nei thei a ni. Chuvangin symptoms i hriat tan veleh tanpuina i zawn nghal a pawimawh.

He `CUD` leh marijuana addiction hi eng nge a danglamna?

Cannabis use disorder (CUD) hi mild, moderate, emaw severe emaw kan ti thin. Marijuana addiction hi a na ber a ni. Marijuana hian harsatna a thlen chung pawhin hman chhunzawm zel tihna a ni. Marijuana addiction hi i thluak lawmman system-in ruihhlo hman a thiam a, chu chuan zawn chhuah tir turin a fuih che a ni.

He `CUD` dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan `CUD` hi a awm fo thin. Kum 2021-a zirchianna pakhatah chuan United States-ah kum 12 leh a chunglam zinga 5.8% vel (chu chu mi maktaduai 16.3 vel a ni) chuan thla 12 kalta chhung khan `CUD` an nei tih hmuhchhuah a ni. Hetiang dinhmun hi Sri Lanka-ah pawh a tam emaw a tlem emaw pawhin hmuh theih a ni.

`Cannabis Use Disorder` natna lan chhuahna chu engte nge ni?

American Psychiatric Association-in Diagnostic and Statistical Manual (DSM-5) a tarlan dan chuan a hnuaia mi hi Cannabis Use Disorder chhinchhiahnate chu a ni.

• Cannabis tam zawk leh i tum aia rei hman.
• Cannabis hman duhna emaw, duhna emaw nasa tak .
• Cannabis hman tlem emaw, control emaw tumna pawh a hlawhchham.
• Cannabis hian a nghawng hmuh chhuah, hman emaw, a dam leh theih nan hun rei tak a ngai a ni.
• Cannabis hman avanga hnathawhna hmun, sikul, in lama hna thawh theih lohna.
• Inlaichinna lama harsatna awm mahse cannabis hman chhunzawm zel.
• Cannabis hman avanga khawtlang, hnathawhna, intihhlimna lam thil tih bansan.
• Cannabis hman nawn fo, dinhmun hlauhawm takah pawh , lirthei khalh ang chi.
• Cannabis hian taksa emaw rilru emaw a harsatna a thlen tih hria chung pawha hman chhunzawm zel.
• Tolerance tihpun (a hmaa a sang ang bawka i hriat theih nan cannabis tam zawk i mamawh tihna a ni).
• Cannabis tihtawp laiin withdrawal symptoms tawn te, chutiang symptoms hneh nan cannabis hman leh te.

Hetiang symptoms i neih chuan a rang thei ang bera damdawi lam pan a pawimawh hle.

Symptom leh nungchang dangte

Hei bakah hian mizia leh nungchang dang thenkhat hmuh tur a awm bawk:

• Buaina, ngaihtuahna seng harsa.
• Memory lama harsatna a awm.
• Thil thar zir harsa.
• Thil awm lo hmuh emaw hriat emaw (`Hallucinations`).
• Thil dik lo (delusions) te.
• Ṭhiante leh chhungte atanga hla taka awm.
• Mod leh nungchang inthlak danglam nghal.
• Miin cannabis hman chungchang a zawh chuan thinrim leh hnial.
• Tun hma anga an hmel lan dan ngaihtuah lo.
• Cannabis hman thup nan thuruk taka thil tih.

`Cannabis Use Disorder` awm chhante chu engte nge ni?

Mi pakhatin `Cannabis Use Disorder` a vei chuan hetiang hian a zawm thei tlangpui:

1. Experimental hmanga hman.

2. A chang chuan hman thin.

3. Hman nasat lutuk.

4. Ruihhlo hmansualna.

He zinkawng hi a buaithlak deuh a ni. Substance use disorder lo awm chhan hi thil engemaw zat a awm a. A bulpui berte chu:

• THC hian i thluak chemistry a nghawng dan.
• Genetic factors (heredity atanga lo chhuak).
• Rilru hriselna dinhmun.
• Cannabis awlsam taka hmuh theih leh ei theihna.

Thluak chemistry a ni

Chemical `THC` hian i thluak a nghawng a, a bik takin `reward center` a nghawng a ni.

Kan zavaiin biologically wired kan ni vek a, nuam tihna zawng turin. 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 dopamine tih chu a chhuah chhuak thin. Hei hian hlimna leh lungawina a thlentu chu a ni. Cycle ang mai a ni a; heng thil tawnte hi i zawng a, a chhan chu i rilru a hahdam tir a ni.

Marijuana ang chi ruihhlo i hman hian i thluak chhungah dopamine surge lian tak a rawn tlan lut thin. Mahse, dam khawchhuahna atana i tih tur (ei leh in, hnathawh, hmangaih tak takte nena hun hman) ti tura chêttîr che ai chuan, heng dopamine level sang tak takte hian i ngaihtuahna, i rilru put hmang leh nungchangah danglamna ṭha lo tak a thlen thei a ni.

Hei hian thil hrisel tak tak atanga i hmuh aiin marijuana atanga hlimna zawng tam zawk turin a hruai che a ni. Hun a kal zel a, marijuana (`THC`) hian i thluak chemistry a tidanglam a, chu chuan i sensitive lo hle. Tichuan, chutiang bawka nghawng nei tûr chuan thil tam zâwk i mamawh a ni.

Genetic influence (heredity) atanga lo chhuak a ni.

Research atanga a lan dan chuan eng substance use disorder pawh vei theihna 40% leh 60% inkar chu genetic a ni. Chumi awmzia chu i chhungte hnai ber (unau, nu leh pa) tu emaw chuan substance use disorder a neih chuan nang pawhin i vei tam zawk tihna a ni. Scientist te chuan gene pakhat CHRNA2 (chromosome 8-a awm)-a mutation awm chu CUD nen a inzawm tih an hmuchhuak a.

Rilru hriselna dinhmun

Rilru lama harsatna nei zinga a chanve vel chuan ruihhlo hmansualna (e.g., `CUD`) an nei bawk. Chutiang bawkin, ruihhlo hmansualna nei zinga a chanve vel pawhin rilru lam harsatna an nei bawk. Hei hi `dual diagnosis` an ti a.

Substance hmansualna leh rilru lam hriselna lama harsatna dangte hi thil inzawmkhawm engemaw zat avanga lo awm a ni a:

• Genetic risk a awm thei.
• Thluak hmun khata harsatna awm thin.
• Environment-in nghawng a neih dan.

Research atanga a lan dan chuan rilru lam hriselna dinhmun hian ruihhlo hmanna a thlen thei a, ruihhlo hman hian rilru lam harsatna a thlen thei bawk. Mi thenkhat chuan an rilru lam harsatna chhinchhiahna enkawl tumin cannabis an hmang mai thei (hei hi `mahni invenna` an ti a). Hei hian `CUD` condition a siam thei bawk.

Cannabis awlsam taka hmuh theih leh ei theihna

Cannabis awlsam taka hmuh theih hi environment risk factor lian tak a ni. Cannabis hman leh hman theihna tipungtu thilte chu:

• I in chhungah mi pakhatin cannabis a hmang a.
• I thiante chuan cannabis an hmang thin.
• Medical marijuana certificate neih (dan anga hman theih ram/state-ah).

`Cannabis Use Disorder` vei theihna tur risk factors te chu engte nge ni?

Thil engemaw tak chuan CUD vei theihna a tipung thei a ni. Chung zinga ṭhenkhat chu:

• Kum: Kum 18 an tlin hmaa cannabis hman tan te hi puitling aiin a let li atanga a let sarih velin CUD an vei tam zawk.
• Marijuana thiltihtheihna: Marijuana chakna sang tak (i.e., THC level sang) hman hian CUD vei theihna a tipung thei a ni. Tin, marijuana hman dan thenkhat (dabbing leh vaping concentrates ang chi) hian taksaah THC level sang tak a pe thei bawk.
• A hman tam dan: Zirchianna pakhatah chuan kar khatah vawi khat cannabis hmang thin zinga 17% leh nitin cannabis hmang thin zinga 18.8% chuan cannabis innghahna chhinchhiahna an nei tih hmuhchhuah a ni.
• Depression: Depression nei te hi CUD vei an tam zawk.
• Gender: Mipa hian CUD an vei tam zawk.
• Ruihhlo dang hman: Ruihhlo dang, zu, nicotine emaw, hallucinogens emaw hman hian CUD vei theihna a tipung thei a ni.

CUD vei theihna tur risk factors, a bik takin tleirawl zingah chuan:

• Nu leh pate ruihhlo hman.
• Sikul zirna chak lohna.
• Khawtlang nun dodalna leh dodalna lam thil.
• Zu leh/ emaw nicotine hman.
• Naupan laia mipat hmeichhiatna hmansualna.

Hei hian eng harsatna nge a thlen theih?

CUD hian i rilru, taksa leh khawtlang hriselnaah nghawng tha lo tak a nei thei a ni. Cannabis hman avanga taksa lama harsatna awm ṭhenkhat chu:

• Cannabis avanga rilru lam natna (psychosis) a awm.
• Cannabis avanga lungkhamna (anxiety disorder) a awm.
• Cannabis avanga mutna lama harsatna awm.
• Cannabis natna hrik (hyperemesis) natna a ni.
• Marijuana i in emaw vape emaw i tih chuan chronic bronchitis.
• Fertility chungchang.

Naupang tê CUD vei te hian harsatna an nei tam zawk a, chungte chu:

• `CUD` (marijuana ruihhlo ngawlvei) na tak.
• Thluak hmasawnna nghawng thei.
• Thil hriatna lama harsatna (cognitive impairment) a awm.
• Zirna lama hlawhtlinna tihchak loh.
• Sikul chhuahsan theihna a tipung.
• Intelligence quotient (`IQ`) tlahniam.

Engtin nge hei hi i hriat chian?

Cannabis Use Disorder hriat theihna tur test pakhat mah a awm lo. Chu ai chuan healthcare provider-te chuan i medical history leh cannabis hman chungchanga i nungchangte chipchiar takin an enfiah ang. Ruihhlo test pawh an ti thei bawk.

CUD vei te hian rilru lam harsatna an neih hi thil awmze nei tak a nih avangin doctor chuan i rilru lam hriselna chanchin pawh a zawt ang.

American Psychiatric Association-in Diagnostic and Statistical Manual (DSM-5) a tarlan dan chuan, Cannabis Use Disorder vei nia hriat tur chuan a hmaa kan sawi tawh symptom pahnih tal chu thla 12 aia rei a awm a ngai a ni

Hriat tur pawimawh ber chu `CUD` hi level hrang hrangah a awm thei tih hi a ni:

• Mild `CUD`: Symptom pahnih emaw pathum emaw a awm.
• Moderate `CUD`: A lan chhuah dan pali emaw panga emaw a awm.
• CUD na tak: Symptom paruk emaw a aia tam emaw a awm.

Enkawlnate chu engte nge ni?

Cannabis Use Disorder hi enkawlna tha tak tak a awm a. Enkawlna chu natna nasat danah a innghat a, mi hrang hrangah a inang lo – hun hrang hrangah enkawlna hrang hrang i mamawh thei bawk.

CUD hi natna khirh tak a nih avangin a lo lang leh thei a, enkawlna hlawhtling tur chuan enkawl chhunzawm zel a ngai a ni.

CUD vei te hian rilru lam natna dang an neih fo avangin, a hranpaa enkawl ai chuan enkawl dun a tha zawk tlangpui.

CUD enkawlna hi chi hnih a awm a, chungte chu:

1. Detoxification tihchhuah.

2. Cognitive leh nungchang lama enkawlna (cognitive leh behavioral therapies) te.

Tin, enkawlna hmun leh kawng hrang hrang a awm bawk:

• Outpatient-te hnena counselling pek a ni.
• Outpatient enkawlna nasa tak a awm.
• Inpatient enkawl a ni.
• Hun rei tak chhunga enkawlna hmun, sober living community ang chi te.

Detoxification (taksa atanga toxins paih chhuah) .

Detoxification tih hian cannabis hman kha tihtawp a, i taksa atanga chhuah tir a huam a ni. I CUD nasat dan azirin doctor chuan withdrawal effects tihziaawm nan i hmanna (tapering off) chu zawi zawiin tihtlem turin a rawt thei ang. Hei hi CUD enkawlna atana hmalakna lian ber hmasa ber a ni. Inpatient emaw outpatient emaw pawhin detoxification i nei thei bawk.

Tunah hian scientist-te chuan cannabis detoxification atana damdawi an zirchiang mek a ni.

Cognitive leh behavioral therapies te a ni

Psychotherapy (talk therapy) hian CUD leh rilru lam hriselna lama harsatna dang awm dun te enkawlna kawngah a pui thei a ni. Therapy hian hrisel taka hmachhawn dan tur a zirtir bawk.

Healthcare provider-te chuan cognitive leh behavioral therapies chauh emaw, damdawi nena hman dun emaw an rawt thei a ni.

CUD vei puitling tan enkawlna hlawhtling thenkhat chu:

• Cognitive Behavioral Therapy (CBT): CBT hi rilru lam enkawlna chi khat, thil tum neia tih tur a ni. CBT-ah hian mental health counselor chuan i ngaihtuahna leh i rilru put hmang thuk takin a en theih nan a pui thin. CBT hmang hian ngaihtuahna leh nungchang hrisel lote thlahthlam i zir thei a, ngaihtuahna leh tih dan hrisel zawk i siam thei bawk. CBT for CUD hian inthlak danglamna fuih te, enkawlna chungchang zirtirna te, leh natna lo lang leh tur venna te pawh a ngaih pawimawh ber a ni.
• Dialectical Behavior Therapy (DBT): DBT hi a bik takin an rilru put hmang enkawl leh thunun harsa tak takte tan a tangkai hle. DBT hian rilru lam natna chi hrang hrang enkawlna leh enkawlna kawngah a tangkai hle tih hmuhchhuah a ni a, CUD pawh a tel.
• Assertive Community Treatment (ACT): ACT hian khawtlang nunah rilru lam hriselna lama service a pe a, chenna in emaw damdawi inah emaw a pe lo. ACT hi mimal tinte tana siam chhuah enkawlna a ni. I enkawlna tur ruahmanna chu i chakna, i mamawh leh i hmalam hun atana i thil tumte a zirin a ni.
• Therapeutic Communities (TCs): TCs hi hun rei tak chhunga chenna hmuna enkawlna a ni a, CUD vei te chu ruihhlo hman dan leh a kaihhnawih rilru lam hriselna dinhmun chungchangah hlutna leh nungchang thar leh hrisel zawk siam turin a pui thin.
• Contingency Management (CM): CM hian nungchang tha lawmman pekna hmanga nungchang hrisel fuih a huam a ni. Vawi tam tak chu CUD vei te hi cannabis hman loh tura fuih nan sum lama hlu tak tak an pe thin. Entirnan, drug test-a result negative i hmuh chuan lawmman emaw gift voucher emaw dawn theihna hun i nei a ni.

Marijuana Anonymous ang chi self-help group-a tel hian CUD enkawlna kawngah pawh hmun pawimawh tak a chang thei bawk.

`Cannabis Use Disorder` vei hian eng ang hmalam hun nge a beisei theih ang?

Cannabis Use Disorder prognosis hi thil engemaw zat ah a innghat a:

• `CUD` chi leh a nasat dan.
• Ruihhlo innghahna level leh ruihhlo bânsan harsatna an tawh dan.
• Ruihhlo laka inthiarfihlim vek tura inpekna.
• Enkawl hun chhung.
• Genetic factors atanga lo chhuak a ni.
• Engtin nge i rilru hahna i hmachhawn?

Substance hmansualna, Cannabis Use Disorder te pawh hi dam chhung zawnga natna a ni. Mahse, i dam leh thei a, nun famkim i hmang thei a ni. Dam lehna atan tanpuina dawn hi a pawimawh hle. Mi hrang hrangin hmanraw hrang hrang chu a hlawk hle niin an hria a, mahse therapy kalpui mek leh mahni invenna pawlte chuan mi tam tak an pui thin.

CUD hi natna lo lang leh thei a ni. Recovery-a i awm chuan relapse risk sang tak i nei a ni. Hei hi cannabis i hman hnuhnun ber atanga kum tam tak hnuah a thleng thei.

Relapse a awm theih avangin enkawl chhunzawm zel i mamawh dawn a ni. I doctor chuan i enkawlna ruahmanna chu nangmah nen a enfiah ang a, i mamawh danglam zel ang zela siamrem ang che.

He `Cannabis Use Disorder` hi engtin nge kan pumpelh theih ang?

Cannabis hman telin substance hmansual theihna hi stress leh nun inthlak danglam lai hian nasa takin a pung a ni. Puitling tan chuan ruihhlo hmansualna hi inthenna, hna hloh emaw, a hmangaih tak thihna emaw ang chi thil avang hian a pung thei a ni. Naupang tê tê tan chuan insawn emaw, chhûngkaw inṭhen emaw, sikul kal danglam emaw ang chi thilte avângin a hlauhawmna chu a pung thei a ni.

Hetiang ang inthlak danglamna hun lai hian hrisel taka hmachhawn dan tur ruahmanna siam a pawimawh a, chu chu exercise, ngaihtuahna seng, emaw, hobby thar zir te hi a ni. I lungkhamna thunun harsa i tih chuan, rilru lam hriselna lama counselor hmuh chu ngaihtuah rawh .

A tawp berah chuan thil hriat reng tur

Cannabis Use Disorder hi rilru lam hriselna leh thluak lam natna khirh tak a ni. I thluaka inthlak danglamna avang hian cannabis hman tawh loh chu i duh pawhin tihtawp a harsa thei hle. Nangmah emaw i hmangaih emaw Cannabis Use Disorder i neih chuan a rang thei ang bera healthcare provider nen inbia ang che. Trained professional chuan i mamawh enkawlna tur a kaihruai thei che a ni. Ṭanpuina dil hi chak lohna a ni lo, chakna a ni tih hre reng ang che! Nangmah chauh i ni lo va, he zinkawngah hian tanpui thei tur che mi tam tak an awm bawk.

` Cannabis, Marijuana, Cannabis Use Disorder, Ruihhlo, Addiction, Rilru hriselna, Enkawlna