Ruihhlo hman avanga i nun thunun kawngah harsatna i nei ve em? (Substance Use Disorder - SUD) Hemi chungchang hi han sawi ila!

A châng chuan ruihhlo hman, zu emaw, cigarette emaw, ruihhlo dang emaw hman hian a kal thui lutuk niin i hria em, a nih loh leh hmangtu i hria em? Eng nge a bul tanna chu tlem a nuam deuh a, mahse tunah chuan thil tul tak a lo ni ta a, i nunah thil dang zawng zawng a buai vek tawh? Chutiang a nih chuan he thawnthu hi i tan a pawimawh hle ang. Vawiin hian Substance Use Disorder (SUD) tih hming pu condition kan sawi dawn a ni.

He substance use disorder (SUD) hi eng nge ni?

A awlsam zawngin, substance use disorder (SUD) hi rilru lam natna a ni a, chu chu i hmanna a nasat em avangin i hriselna, nun leh inlaichinna a tibuai a ni. Tun hma chuan "drug addiction" tia sawi a ni bawk.

Ngaihtuah teh, heng damdawi te hi kan hman hian kan thluak hnathawh hi a inthlak zauh zauh zauh zauh thin. Heng damdawi te hian kan thluak ah hian chemical (Dopamine) an tih chu a chhuah tir thin. He (Dopamine) hian hlimna leh tha taka min awmtirtu chu a ni. Mahse, chutih lai chuan ruihhlo nghawng a reh chuan chu hlimna pawh chu a bo ta vek a ni. Tichuan thluak leh taksa chuan chu "tha" feeling chu neih leh an duh ta a ni. I hriselna atan eng ang pawhin tha lo mah se, chu mamawh chu a la awm reng a ni. Hei hian i rilru hriselna, chhungkaw inlaichinna, zirna leh hnathawhnaah nghawng lian tak a nei thei a ni. A \henah chuan hei hian nunna a tichhe thei hial a ni.

He dinhmun (SUD) hian mi tinte chu degree hrang hrangin a nghawng thei a ni. Ṭhenkhat chuan symptoms na lo tak tak an nei thei , ṭhenkhat chuan symptoms moderate an nei thei a, ṭhenkhat chuan symptoms na tak tak an nei thei bawk . Khawi hmunah pawh awm la, hei hi enkawl theih dinhmun a ni tih hre reng ang che , i inpeih chuan tanpuina dawn theihna kawng tam tak a awm bawk.

Substance use disorder (SUD) chi hrang hrangte chu engte nge ni?

Hetiang natna thlen thei damdawi chi hrang hrang a awm a. A chi hrang hrang hman tlanglawn ber chu:

• Zu in chungchanga harsatna (Zu hmansualna).
• Cocaine hman chungchanga harsatna (Cocaine hmansualna).
• Cannabis hman chungchanga harsatna (Cannabis use disorder).
• Zuk leh hmuam hman chungchanga harsatna (Tobacco use disorder).
• Methamphetamine hman chungchanga harsatna (ice ang chi) (Methamphetamine hmansualna).
• Opioid (heroin leh morphine ang chi natna tidamtu) hman chungchanga harsatna (Opioid use disorder).

A châng chuan mi pakhat chu ruihhlo pakhat aia tam a ngawlvei thei a ni. Entirnan, zu ruala zuk leh hmuam hman. Hei hi Polysubstance hmansualna'' an ti a.

Dik tak chuan khawvel ram tam takah ang bawkin kan rama SUD'' chi hrang hrang hmuh tam ber pakhat chu zu kaihhnawih harsatna hi a ni.

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Hetiang natna lan chhuah dan hi engte nge ni?

Substance use disorder symptoms hi i hman dan chi hrang hrang a zirin a danglam thei. Symptoms hi chi hnih a awm a, chungte chu:

1. Intoxication: Hei hi damdawi ei hian a nghawng nghal leh hun rei lote chhunga a nghawng dan a ni. Mutthilh, mutthilh, phur lutuk leh rilru natna nasa tak te pawh a huam thei. I rorelna te, thutlukna siam dan te, leh taksa leh rilru hnathawh dan te a nghawng thei bawk.

2. Withdrawal symptoms: Hengte hi damdawiin hun rei lote chhunga nghawng a neihte a reh a, damdawiin taksa a chhuahsan zauh zauh a, hei hi a ni. Hengte hi a nuam lo fo thin. Chung zingah chuan luak chhuak leh luak chhuak, luak chhuak, thawk hah, mut theih lohna, taksa ruh natna, leh mood swing te pawh a tel thei.

Substance use disorder (SUD) natna lan chhuah dan chu engte nge ni?

American Psychiatric Association-in Diagnostic and Statistical Manual of Mental Disorders a ziah dan chuan, (SUD)'' tih hming pu natna lan chhuah dan chu:

• Damdawi (a bik takin damdawi) pek zat aia tam emaw, hun bituk aia rei emaw ei.
• Ruihhlo hman duhna emaw, duhna nasa tak emaw .
• Ruihhlo hman tlem emaw, thunun emaw tumna hlawhchham .
• Ruihhloin a nghawng chhuah, a hman emaw, a dam leh theih nan hun tam tak hman .
• Ruihhlo hman avanga hnathawhna hmun, sikul, in lama mawhphurhna hlen harsa .
• Inlaichinna lama harsatna nei chung pawha ruihhlo hman chhunzawm zel .
• Ruihhlo hman avanga social, professional, emaw intihhlimna lam thil tih bansan .
• Ruihhlo hman nawn fo , mahni tan a hlauhawm thei tih hriat chung pawhin.
• Taksa emaw rilru lam emaw harsatna nei chung pawha ruihhlo hman chhunzawm zel, ruihhlo avanga harsatna awm thei emaw, a tizual thei emaw.
• Development of tolerance (damdawi hman zat tihpun a ngai a, chutiang bawka nghawng a neih theih nan - tolerance).
• Experiencing withdrawal symptoms , chu chu damdawi ei tam chuan a reh thei.

Heng symptoms pakhat emaw a aia tam emaw i nei nia i hriat chuan a rang thei ang bera doctor lam pan a pawimawh hle.

Engvangin nge heng ruihhlo hman avanga harsatna (SUD) te hi a lo awm?

Hei hi a chhan dik tak erawh hriat a la ni lo. Mahse, zirchianna chuan ruihhlo hi addictive nature a nih chhan chu i thluak "reward system" a inthlak vang a ni thei tih a tarlang. A awlsam zawngin, thluak chuan ruihhloin hun eng emaw chen atana hlimna a pek chu a thiam ta a, chutah chuan a duh ta hle a ni.

Engtin nge he substance use disorder (SUD) hi a lo awm?

Zirna hrang hrangah chuan he (SUD) dinhmun lo awm chhan hi thil tam takin a pui thei tih hmuhchhuah a ni. Entir nan:

• Social pressure: Ṭhiante hnen aṭanga nghawng nei, party leh event-a "try it a little" tia hrilh.
• Thil hriat duhna: Ruihhlo hman dan hriat duhna.
• Performance tihchangtlun: Mi thenkhat chuan hengte hian hnathawhna hmunah emaw, exam atan lehkha zirna kawngah emaw an ti tha zawk ang tih an ngaihtuah a.
• Stress relief: Hun engemaw chen chu stress, lungkhamna, hlauhna leh lungngaihna tihziaawm tum.

(SUD) dinhmun thlen fo thin pattern hi hetiang hian a lang thei:

1. Experimental use (or prescription use): Damdawi pakhat a vawi khatna atana enchhin emaw, doctor-in a pek angin damdawi hman emaw.

2. Tum khata hman: Tum khata hman, social setting-ah te, thiante nena kan inkawp lai te, doctor-in a tih loh dan danga damdawi hman te.

3. Heavy use: Ruihhlo hman chhunzawm zel, nitin deuhthaw emaw, ni engemaw zat danah emaw hman thin.

4. Substance Use Disorder (SUD): Miin nitin emaw, ni khata vawi eng emaw zat ruihhlo a hman thinna a ni. Ruihhlo hmang lova kal hun a awm lo hle.

Hei hi entirna mai a ni a, a chhan chu he dinhmun hi mi hrang hrangah a inang lo thei hle a, a nasat dan pawh a inang lo.

Tute nge substance use disorders (SUD) vei theihna chance sang zawk?

Hetiang dinhmun hian kum, hnam, mipa leh hmeichhia, leh khawtlang nun dinhmun thliar lovin tu pawh a nghawng thei a ni. Mahse, a hnuaia thilte avang hian he natna hi i vei theihna chance a sang zawk thei a ni:

• Rilru lam natna dang (e.g. depression, anxiety) i neih tawh chuan.
• I chhungkuaa mi (biological relative) pakhatin (SUD) tih natna a neih chuan.
• Naupan laia thil tha lo tak tak i tawn tawh chuan.
• Genetic susceptibility a awm chuan (genetic mutations thenkhat chuan SUDs a thlen tam zawk thei).
• Ruihhlo nena inzawmna emaw awlsam taka hmuh theihna emaw .

Hetiang dinhmun atang hian eng harsatna nge lo awm thei?

SUD natna vei tam ber leh hlauhawm ber chu overdose hi a ni . Overdose chu damdawi i ei tam lutuk hi a ni. Hei hi medical emergency a ni!

Damdawi chi hrang hrang hian taksa peng hrang hrang a nghawng a. Entirnan, opioid i overdose chuan i thluak chhunga thawk controltu part chu a nghawng a ni. Enkawl vat loh chuan i thawk a ti hniam thei a, a tawp thei a, thihna thlengin a thlen thei bawk.

SUD hmang hian harsatna tam tak a awm thei a, a natna nasat dan leh damdawi hman chi hrang hrang a zirin a danglam thei bawk. Harsatna awm fo chu:

• Ngawt .
• Lungngaihna .
• Hri kai (e.g. (Hepatitis B), (Hepatitis C) leh (HIV)).
• Hriatrengna hloh .
• Zirna emaw hnathawhna lama harsatna awm thei .
• Mihring inkara inlaichinna lama harsatna awmte .
• Thil him lo, dan bawhchhiatna, a nih loh leh hlauhawm tak thiltih .

Engtin nge he substance use disorder (SUD) hi hmuhchhuah a nih?

Hetiang dinhmun hi hriat theihna tur test pakhat mah a awm lo. Chu ai chuan doctor-te chuan i damdawi lam chanchin leh ruihhlo hman dante uluk takin an zirchiang ang. I taksaah hian vawi khatah damdawi engzat nge awm tih leh eng chi nge awm tih hriat tumin drug test an nei thei bawk.

Doctor chuan i rilru lam hriselna chanchin pawh a zawt ang a, SUD hi rilru lam hriselna dinhmun dang nen a awm dun fo avangin.

American Psychiatric Association (DSM-5) manual-in a tarlan dan chuan, mi pakhatin "SUD" an tih natna a vei tih hriat theih nan thla 12 chhungin symptom section-a tarlan symptom pahnih tal a neih a ngai a ni

He natna hian a nasat dan level hrang hrang a nei thei tih hriat reng a pawimawh bawk:

• Symptom pahnih pathum a awm chuan (SUD) condition na lo tak a ni.
• Symptom pali panga a awm chuan (SUD) condition moderate a ni.
• Symptom paruk emaw a aia tam emaw a awm chuan (SUD) natna khirh tak a ni.

Hei hi eng enkawlna nge ni?

SUD enkawlna atana hmalakna hmasa ber chu withdrawal management a ni . Hei hian damdawi chu tihtawp a, i taksa atanga chhuah tir a huam a ni. Hei hi detox an ti bawk. A natna a nasat dan azirin doctor chuan damdawi a pe thei a, chu chu withdrawal symptoms-in a nghawng tihziaawmna tur a ni a, chu chu taksa leh rilru lamah pawh a harsa hle thei a ni.

Detox i tih zawh hnuah hetiang hian enkawlna i nei chhunzawm thei ang:

• Counselling leh Therapy hmanga enkawlna .
• Damdawi hman dan .

SUD enkawlna hi mimal tan a ni . I dam lehna kawngah hian hun hrang hrangah enkawlna chi hrang hrang i mamawh mai thei. Enkawlna hmun hrang hrang a awm a, chung zingah chuan residential leh outpatient treatment center, hun rei lote leh hun rei tak chhunga enkawlna community te pawh a tel.

Therapy hmanga enkawl a ni

SUD leh rilru lam natna dang awm dun thei enkawlna atana pui thei tur enkawlna chi hrang hrang a awm. Puitlingte tana SUD enkawlna tha ber ber thenkhat chu:

• Assertive Community Treatment (ACT) hmanga enkawl dan: 1.1.Hei hi rilru lam hriselna enkawlna atana khawtlang nunphung a ni a, inpatient emaw hospital setting emaw aiin. Personalized tak a ni. I enkawlna ruahmanna chu i chakna, i mamawh leh i hmalam hun atana i thil tumte ang zela siam a ni.
• Cognitive Behavioral Therapy (CBT): Hei hian i nungchang leh ngaihtuahna buaithlak tak takte chu a hriat theih nan a pui che a ni. Harsatnate chu hrisel taka hmachhawn turin thiltum i siam thei a ni.
• Contingency management: He therapy hian mimal thil tum siam turin a fuih che a ni. Tum i tihhlawhtlin chuan lawmman i dawng a ni.
• Dialectical Behavior Therapy (DBT): Hei hi thusawi therapy a ni a, CBT nen a inang hle. Emotion nasa tak i enkawl theih nan leh i ngaihtuahnain i nungchang a nghawng dan hriatthiamna a pe che a ni.
• Chhungkaw therapy: Hei hian chhungkua emaw pawl emaw chhunga inlaichinna leh nungchang tihchangtlun nan a pui thin.
• Motivational enhancement therapy: Hei hian thil tum tihhlawhtlin theih tur siam turin a fuih che a ni. Mental health counselor chuan chutiang thil tumte chu thawk turin a fuih ang che.
• Therapeutic communities (TCs): Hei hi hun rei tak chhunga chenna hmuna enkawlna a ni a, miten ruihhlo hmanna leh a kaihhnawih rilru lam hriselna lama harsatna dangte nena inzawm hlutna leh nungchang thar, hrisel tak tak an neih theih nan a pui a ni.

Narcotics Anonymous ang chi self-help group-a tel hian SUD enkawlna kawngah pawh chanvo a nei thei bawk. Heng programme te hian mite chu mahni invenna leh peer support hmangin an nungchang thlak danglam turin a pui thin. Group therapy hian SUD vei te chu an fimkhur theih nan leh ruihhlo hman loh nan a pui thin.

Doctor-te chuan heng enkawlnate hi a ringawt emaw, damdawi nena hman dun emaw a rawt thei a ni.

Hemi atana hman tur damdawi te

Damdawi hian i thluak chemistry thlak danglamin SUD natna thenkhat enkawlnaah a pui thei a ni. Tin, duhâmna leh withdrawal symptoms te pawh a tiziaawm thei bawk.

US Food and Drug Administration (FDA)-in damdawi hmanga enkawlna a pawmpui ṭhenkhat chu:

• Opioid tan chuan: (Methadone), (Buprenorphine) leh (Naltrexone) te hi a ni.
• Zu tan: (Naltrexone), (Acamprosate) leh (Disulfiram) te a ni.
• Zuk leh hmuam atan: nicotine patch, hnar spray, chewing gum emaw lozenges emaw; (Bupropion) emaw (Varenicline) emaw a ni thei.

Heng ruihhlo hman kaihhnawih harsatna (SUD) te hi ven theih a ni em?

SUD vei zawng zawng hi ven theih a ni lo, a chhan chu he natna lo awm chhan hi thil tam tak a awm avangin (a tam zawk chu i thunun theih loh a ni). Mahse, i risk tihziaawmna turin hma i la thei a ni.

Sikul, khawtlang leh chhungkaw chhunga zirna pekna hmangin, hian a vawi khatna atana ruihhlo hman emaw, damdawi pek dik loh emaw a tihtlem thei a ni. SUD laka inven dan dangte chu:

• I prescription-a tarlan ang chiah kha zawm rawh. A pek zat aia tam ei loh tur. Entirnan, opioid hmansualna nena inzawm harsatna chu ni nga chauh hman dik loh hnuah a intan thei a ni.
• I damdawi pek tur chu midang hnenah share ngai suh la , i damdawi pawh hralh ngai suh. Naupangte hmuh theih lohna hmun him takah dah fo ang che.
• Enkawlna tawp lamah damdawi pek chhuah (opioid ang chi) la awm i neih chuan, him taka paih theihna turin khawtlang atanga damdawi lakkhawm program emaw, mail-in pharmacy return program emaw zawng rawh.

Stress leh nun inthlak danglam lai hian substance hmansual theihna a sang hle. Puitling tan chuan inthenna, hna hloh, a nih loh leh a hmangaih tak thihna ang chi thilte hian ruihhlo hmansualna a tipung thei a ni. Naupang tê tê tân chuan insawn, chhûngkaw inṭhen, a nih loh leh sikul inthlâk danglamna ang chi thilte chuan a hlauhawmna a tipung thei a ni. Hetiang ang inthlak danglamna hun lai hian hmachhawn dan hrisel tak tak zawn a pawimawh a, chu chu exercise lak te, ngaihtuahna seng te, hobby thar zir te hi a ni. Stress i enkawl harsatna i neih chuan mental health counselor pan rawh .

Hetiang dinhmun hi eng nge a thlir ang?

Hetiang dinhmun hi a hmalam hun tur hi thil engemaw zat ah a innghat a ni:

• (SUD) chi leh a nasat dan .
• Enkawlna leh dam lehna tura inpekna level .
• Genetic atanga nghawng a neih dan .
• I stress lai hian engtin nge i hmachhawn ?

Ruihhlo ngawlvei hi dam chhung zawnga natna a ni . Mahse, dam leh theih a ni ngei ang . Mi hrang hrangin hlawhtlinna kawng hrang hrangin an hmu thin. Mi tam tak chuan Narcotics Anonymous ang chi support group leh ongoing therapy hmangin hlawhtlinna an hmu thin.

SUD-ah hian relapses hi a awm fo thin . Relapse chu hun engemaw chen damdawi i chawlhsan a, i hman tan leh hi a ni. Chumi hnuah chuan detox i siam a ngai a, treatment cycle chu i tan leh vek a ngai a ni. Hei hi thil buaithlak tak a ni thei. Damdawi i hman hnuhnun ber atanga kum tam tak hnuah i lo let leh thei a ni. Relapse hlauhawm tak i nih chuan i rintlak support system nghet tak neih hi a \angkai hle thei a ni.

I doctor chuan i enkawlna tur ruahmanna chu a enfiah fo tur a ni. I thil tum emaw, i nunphung emaw a inthlak hi thil pangngai a ni. Chu chu enkawlna dang emaw, damdawi thar emaw i enchhin a ngai mai thei tihna a ni. Doctor chuan i dam chhung zawnga a tul anga inthlak danglamna siam turin a pui thei che a ni.

Engtikah nge Doctor i hmuh ang?

Tunah hian damdawi i hmang fo a, mahni chauha i tihtawp theih loh tih dan a lo ni ta tih i ngaihtuah a nih chuan doctor nen inbiakna neih a pawimawh hle I fate SUD chungchang sawipui dan tur leh hlauhawma an inhriat chuan tanpuina dawn dan tur doctor hnen atangin kaihhruaina i dawng thei bawk.

Substance Use Disorder (SUD) hi rilru lam natna khirh tak a ni. Ruihhlo hian i thluak hnathawh dan a thlak danglam avangin ruihhlo hman tawh loh a harsa thei a, i duh pawh nise. Mahse, thil harsa ber zinga mi ni mah se, i mamawh chuan tanpuina dil chu thil pawi a ni lo.

A tawp berah chuan i sawi tur chu...

Enkawlna hi a harsa khawp mai. Detoxing hi a nuam lo. Therapy hi emotionally draining tak a ni. Mahse dam leh hi a hlu em em a ni. I enkawlna zinkawng i tan tirh hian i ṭhian emaw, i chhungte emaw i rintlak tak aṭangin ṭanpuina i zawng duh mai thei. An fuihna chu doctor biak tûra i mamawh chêttîrtu a ni thei.

SUD hi natna khirh tak a nih avangin i dam chhung zawnga enkawl chhunzawm zel i mamawh mai thei. I care team chu i kalna apiangah i bulah an awm reng tih hre reng ang che. He zinkawng hi nangmah chauhin i paltlang a ngai lo. Ṭanpuina dil la, dam rawh.