Hlimna atana i tih ṭan, emaw, stress tihziaawmna atân emaw thil i tih ṭan chu a tâwpah chuan i thunun theih loh khawpa nasa a lo ni ang em tih i ngaihtuah ngai em? "Engtik lai pawhin i chawlhsan thei ang" i ti a, mahse tunah chuan i chawlhsan thei tawh lo va, i hriselna, i inzawmna leh hnathawhna a nghawng mek em ni? Chutiang a nih chuan nangmah chauh i ni lo. Vawiin hian he natna khirh tak, mahse enkawl theih tak hi kan sawi dawn a ni.
Substance Use Disorder (SUD) tih hi eng nge ni?
A awlsam zawngin, substance use disorder, a nih loh leh "drug addiction" kan tih thin kha rilru lam hriselna dinhmun a ni . Chak lohna leh tih dan tha lo a ni lo. Natna a ni. I thil hman dan (zu, zuk leh hmuam, damdawi dang eng pawh) hian i hriselna leh nunah harsatna a thlen a nih chuan chu chu ``Substance Use Disorder (SUD)'' kan tih chu a ni.
Hetiang hian han ngaihtuah teh... Heng kan hman hian kan thluaka chemical `(Dopamine)` an tih chu a chhuak thin. Hei hian hlimna leh hahdam takin min siam thin. Mahse ruihhlo nghawng a reh chuan chu hlimna pawh chu a bo ta vek a ni. Tichuan kan thluak leh taksa hian chu "good feeling" chu neih leh an duh ta a ni. Hei hi kan hriselna atan eng ang pawhin tha lo mahse , chu duhna chu kan thunun thei lo. Hetiang dinhmun hian i rilru hriselna, chhungkaw inlaichinna, zirna, hnathawh, engkim hi nasa takin a nghawng thei a ni. A \henah chuan nunna atana hlauhawm pawh a ni thei.
A pawimawh ber chu he natna hi a na lo thei a, a hniam thei a, a na thei bawk. Eng stage-ah pawh awm mah la, hei hi enkawl theih leh tihdam theih a ni tih hre reng ang che . I inpeih chuan tanpuina i hmuh theih dan kawng tam tak a awm.
Hetiang dinhmun hi eng chi hrang hrang nge ni ber?
He harsatna hi damdawi chi hrang hrang nen a inzawm thei a ni. A chi hrang hrang hman tlanglawn ber chu:
- Zu in hmansualna
- Cocaine hmansualna a ni
- Cannabis hmansualna (disorder) a ni
- Zuk leh hmuam hmansualna
- Methamphetamine hmansualna a ni
- Opioid hmansualna (Opioid hmansualna) .
A châng chuan mi pakhatin a rualin damdawi pakhat aia tam a hmang thei bawk. Entîr nân, zu nên zuk leh hmuam an hmang thei a. Hei hi ``Polysubstance hmansualna'' kan ti a.
Hetiang natna lan chhuah dan hi engte nge ni?
Hetiang natna lan chhuah dan hi damdawi i hman dan azirin a inang lo. Symptoms hi chi hnih lian tak a awm a.
| Mihring ziarang category | Hrilhfiahna |
|---|---|
| Zu ruih hi a ni | Hengte hi damdawi ei hnua hun rei lote chhunga nghawng awm nghal te chu a ni. Chumi zingah chuan mutthilh, rilru hah lutuk, rilru hah lutuk, leh rilru natna sang lutuk te pawh a tel thei. I thutlukna siam theihna leh rilru leh taksa lama i thawh dan pawh a nghawng thei bawk. |
| Lachhuak | Hei hi damdawi nghawng a reh a, taksa atanga a chhuah tan chuan a thleng thin. Heng symptoms te hi a nuam lo hle. Chung zingah chuan luak chhuak, luak chhuak, pum na, thawk hah lutuk, mut theih lohna, taksa peng hrang hrang, leh mood inthlak fo te pawh a tel thei. |
Ruihhlo hmansualna i neih leh neih loh engtin nge i hriat theih ang?
Hei hi zawhna pawimawh tak a ni. Thla 12 kalta chhung khan a hnuaia symptom pahnih tal i neih tawh chuan he harsatna hi i nei thei a ni. Hei hi dik takin han ngaihtuah teh.
| Sign / mizia | A awlsam zawngin... |
|---|---|
| A lian leh a hun a tipung | Ruihhlo hi i tum aia tam emaw, rei zawk emaw i hmang thin. |
| Thunun theih lohna | Tih tlem emaw, hman tawh loh emaw tum pawh nise, a hlawhtling lovang. |
| Chakna | Nitin deuhthaw ruihhlo hman duhna leh duhna nasa tak ka nei a. |
| Hun tam tak a daih | Ruihhlo zawng chhuah te, hman te, a nghawng atanga dam lehna te hian i ni tam tak a la a ni. |
| Thuhriltu | Hetianga hmanna hian hnathawhna hmunah te, sikulah te, in lama mawhphurhnate dik taka hlen chhuah theih lohna a siam a ni. |
| Khawtlang leh mimal thil | Hei hian chhungte leh thiante tan harsatna a siam a, mahse i hmang chhunzawm zel a ni. |
| Hobby te bânsan | Hei vang hian social activity leh hobby an hlim thin te chu an bansan thin. |
| Hlauhawm taka hman | Ruihhlo hi taksa lama hlauhawmah pawh (e.g., lirthei khalh laiin) hman a ni. |
| Hriselna lam thil ngaihthah | Taksa emaw rilru lama harsatna thlentu/tizualtu a ni tih hre reng chung pawhin ruihhlo an hmang chhunzawm zel a ni. |
| Resistance (Tolerance) tihpun a ni. | A hmaa ka ei tlem lutuk khan tunah chuan nghawng a nei tawh lo. Chuvangin tun hmaa ka awm thin ang bawka ka awm theih nan tunah hian tam zawk ka lak a ngai a ni. |
| Withdrawal symptoms a awm thei | Ruihhlo hman a chawlhsan emaw, tihtlem emaw a nih chuan a hmaa kan sawi tawh ang chi natna lan chhuah dan duhawm lo (luak, taksa na, khur) te hi a lo lang thin. Heng symptoms te hi hman leh a nih chuan a bo vek thin. |
Engvangin nge hetiang dinhmun hi a lo awm?
Hei hi a chhan pakhat mah a awm lo a, mahse zirchianna chuan ruihhlo hi addiction a nih chhan chu thluak "reward system" tihdanglam vang a ni tih a tarlang.
Hetiang dinhmun hi a lo awm tlangpui chhan hrang hrang a awm a:
- Khawtlang nun nghawng: Ṭhiante nghawng ṭan emaw, khawtlang nunah pawm hlawh emaw.
- Thil hriat duhna: Hei hian eng ang rilru put hmang nge a pek dawn tih hriat tan.
- Performance tihpun nan: Hnathawhna hmunah emaw, sikulah emaw hnathawh tha zawk tan (e.g., mut hnua lehkha zir).
- Stress tihziaawmna atan: Lungngaihna, lungkhamna, hlauhna, leh lungngaihna te chu rei lo te chhunga tihreh nan hman.
Hei hian eng harsatna nge a thlen theih?
He natna avanga harsatna lian ber leh thihna thlen thei ber chu overdose hi a ni . Hei hi vawi khata damdawi i ei tam lutuk hian a ni. Hei hi medical emergency a ni. Entirnan, opioid overdose i ei chuan thluak chhunga thawk control tu chu a nghawng thei a ni. Enkawl vat loh chuan thawk a reh thei a, thihna hial a thlen thei bawk.
Harsatna dangte chu:
- Ngawt
- Lungngaihna
- Hri kai (hepatitis B, C, leh HIV ang chi) .
- Hriatrengna hloh
- Zirna leh eizawnna hloh
- Chhungkaw leh khawtlang inlaichinna inthen darh
- Thil him lo, dan bawhchhiatna leh hlauhawm tak takah inhmang
Engtin nge doctor hian he natna hi a hriatchhuah a, a enkawl?
Hei hi hriat theihna tur test pakhat mah a awm lo. Doctor chuan i medical history leh ruihhlo hman dan te uluk takin a zirchiang ang. A tul chuan i taksaa damdawi chi hrang hrang leh a zat hriat theih nan test an nei thei bawk.
A chunga kan sawi tak symptom 2-3 i neih chuan mild anga ngaih a ni tih hre reng ang che . Symptom 4-5 i neih chuan moderate anga ngaih a ni . Symptom 6 emaw a aia tam emaw i neih chuan na tak anga ngaih a ni .
Enkawl dan tur
Enkawlna hmasa ber chu taksa atanga damdawi lakchhuah (Withdrawal management emaw Detox) a ni. Hei hi rilru leh taksa lamah pawh a harsa hle thei. Chuvangin, Doctor enkawlna hnuaiah, `Withdrawal` symptoms tihziaawmna tur damdawi hmanga tih hi a him ber.
Chumi hnuah chuan enkawlna kawng hrang hrang pahnih a awm a, chungte chu:
1. Counselling leh Therapy: 1.1.
- Cognitive Behavioral Therapy (CBT): I nungchang leh ngaihtuahna tha lote hriatchhuah leh thlak danglam turin a pui che a ni.
- Family Therapy: Chhungkaw member te nena inlaichinna leh nungchang tihchangtlun nan a pui thin.
- Mahni invenna pawl: Narcotics Anonymous ang pawla tel hian midangte puihnain he dinhmun hi hneh turin chakna nasa tak a pe thei a ni.
2. Damdawi: 1.1.
Damdawi chi thenkhat tan chuan thluak chemistry tidanglamtu leh ruihhlo duhna leh withdrawal symptoms tihziaawmna damdawi a awm.
- Opioids tan chuan: `(Methadone)`, `(Buprenorphine)`, `(Naltrexone)` te hi a ni
- Zu atan chuan: `(Naltrexone)`, `(Acamprosate)`, `(Disulfiram)` te a ni
- Zuk leh hmuam atan: Nicotine patch, hnar spray, chewing gum, damdawi Bupropion emaw Varenicline ang chi te.
Hetiang dinhmun atang hian a pum puia dam leh theih a ni em?
Hei hi dam chhung zawnga natna khirh tak a ni. Mahse dam leh theih a ni ngei ang. Khualzin ang mai a ni. Mi hrang hrang hian thil tih dan hrang hrang an nei a.
He zinkawngah hian relapse hi a awm thei a ni. Hun engemaw chen ruihhlo tel lova kal a, hman tan leh tihna a ni. Hei hian i hlawhchham tihna a ni lo. I treatment plan kha i ngaihtuah nawn leh a ngai tihna chauh a ni. Chhungte, ṭhiante, leh medical team te pawh telna, support system nghet tak neih a pawimawh.
Engtikah nge doctor i hmuh ang?
I thil hman chu tih danah a lo chang tawh nia i hriat a, nangmah chauha i chawlhsan thei lo a nih chuan doctor pan ngei ngei tur a ni. Ṭanpuina dil chu hlau lo la, zak suh. Hei hi i sualna a ni lo, damdawi lam thil a ni a, enkawl ngai a ni.
Enkawlna zawng chu thil harsa tak a ni thei. Ruihhlo tihbo nan hun a mamawh hi a harsa khawp mai. Counselling hian rilru a ti na hle. Mahse dam lehna hi i dawn theih thilpek hlu ber a ni. He zinkawng i tan tirh hian i thian emaw, chhungte emaw rintlak tak hnen atangin tanpuina dil rawh. An fuihna chuan doctor hmuh theihna tura chakna i mamawh chu a pe thei che a ni.
Take-Home Thuchah a ni
- Substance use disorder (SUD) hi i lam atanga chak lohna a ni lo va, rilru lam natna a ni a, enkawl ngai a ni.
- He dinhmun atanga chhuahna tur hian tanpuina dawn hi a hmasa ber leh pawimawh ber a ni. Zak suh.
- Recovery hi zinkawng a ni. Kawng lakah hian relapse a awm thei a, mahse chu chuan i hlawhchham tihna erawh a ni lo. A pawimawh ber chu beih zel hi a ni.
- Nangmah emaw, i hriat emaw hian hetiang harsatna hi i neih chuan vawiin hian doctor thiam tak nen inbia ang che. Nangmah chauh i ni lo.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh