Rilru lam harsatna leh ruihhlo hman pawh i nei em? Dual Diagnosis chungchang i zir dawn teh ang!

I rilru hahna leh lungkhamna tihziaawmna turin i hriat lohvin zu emaw, ruihhlo dang emaw i hawi ang maiin i inhria em? A nih loh leh i tih dan ṭhenkhatin i rilru hriselna a nghawng niin i hria em? Heng dinhmunte hi a takah chuan kan zingah a awm fo thin. Vawiin hian heng harsatna pahnih inzawmkhawm hi hriat theih dan tur leh i tih theih dan tur kan sawi dawn a ni.

Dual Diagnosis tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, dual diagnosis tih awmzia chu rilru lam hriselna (depression emaw anxiety ang chi) leh substance use disorder te chu a rualin i nei vek tihna a ni. Hei hi a chang chuan co-occurring disorder an ti bawk. A pawimawh ber chu dual diagnosis hi thil thar a ni lo va, awmsa pahnih inzawmkhawm a ni.

Mi pakhatin lungkhamna nasa tak a nei tih han ngaihtuah teh. An tuar thei lo va, hahdamna engemaw chen an hmuh theih nan zu an hmang ṭan ta a ni. Hun a kal zel a, zu ruihhlo an ngah ta a ni. Tichuan lungkhamna leh zu hmansualna an nei ve ve a ni. Chu chu dual diagnosis kan tih chu a ni.

Heta thil thleng hi chu condition pakhatin a dang a nghawng tih hi a ni. Vicious cycle ang mai a ni. Rilru lam harsatna enkawl loh chuan ruihhlo hmansualna a tizual thei a, ruihhlo hman a pun zel chuan rilru lam harsatna pawh a pung thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm (Dual Diagnosis)?

Hetiang dinhmun hi khawtlang nunah i ngaihtuah aiin a tam zawk. Research atanga a lan dan chuan substance use disorder nei zinga 50% vel chuan an dam chhungin engtik lai pawhin rilru lam natna an nei ve bawk . Chutiang bawkin rilru lam natna nei zinga 50% chuan ruihhlo hmansualna (substance use disorder) an nei bawk. Ngaihtuah teh, kum 2020 chhung ringawt pawh khan United States-ah hian puitling maktaduai 17 velin rilru lam natna leh ruihhlo hmansualna an nei ve ve a ni. Hetiang dinhmun hi Sri Lanka ramah hian a tam emaw a tlem emaw pawhin hmuh theih a ni.

A (Dual Diagnosis) natna lan chhuah dan chu engte nge ni?

Hei hi a buaithlak deuh a, a chhan chu i substance hman chungchanga harsatna nena inzawm i symptoms te chu i rilru lam harsatna nena inzawm symptoms te nen a danglam a ni. Chuvangin, dual diagnosis-a i symptoms i lantir chu i hman dan chi leh rilru hriselna dinhmun i neih danah a innghat a ni. Combination hrang hrang a awm thei a, chuvangin symptoms pawh a inang lo thei hle.

Substance hmansualna lan chhuah dan tlangpui thenkhat:

• Chhungte leh thiante laka inthiarfihlim tum .
• Thil engemaw takah chuanThil ngaihtuah harsa tak a ni.
• Nungchang lama inthlak danglamna lian tak tak lantir .
• Thil hlauhawm tak tak (e.g., zu rui chunga lirthei khalh) tih fo.
• Damdawi tolerance sang tak neih (a hmaa i ei zat kha a tawk tawh lo tihna a ni) leh/ emaw damdawi i ei loh hunah withdrawal symptoms neih .
• Ruihhlo anga inhriatna hi nun leh hnathawhna atan a pawimawh hle .

Rilru lam harsatna lan chhuah dan tlangpui thenkhat:

• Mood a inthlak nasa lutuk .
• Ka buai hle tih ka hria .
• Thil ngaihtuah harsat .
• Hnathawh tur emaw, sikulah emaw hna tha taka thawk thei lo .
• Midang nena inpawh tawn lohna .
• Mahni intihhlum tumna .

Pawimawh: Nangmah emaw, i hriat miin emaw heng symptoms pakhat emaw a aia tam emaw an neih chuan doctor thurawn lak a pawimawh hle.

Heng condition pahnih zingah hian eng condition nge hmasa ber?

Hei hi "Eng nge lo kal hmasa ber, vawk nge artui?" A nihna takah chuan heng condition pahnih zingah hian eng condition nge hmasa ber tih chiang taka sawi a harsa hle . (Dual Diagnosis) Pakhat chu awm dun mah se, pakhatin a dang a thlen tihna a ni lo.

Mahse, substance hmansualna hian rilru lam harsatna a thlen nghal lo (leh a lehlamah pawh) mahse, an pahnih inkarah hian inzawmna chiang tak a awm a ni . Zu leh ruihhlo hian rilru lam natna lanchhuahna a tizual thei a ni. Tin, heng thilte hi hman chhunzawm zel chuan rilru natna vei theihna a tipung thei bawk.

Dual Diagnosis awm chhante chu engte nge ni?

Ruihhlo hman leh rilru lam harsatna a awm dun chhan chungchangah zirchiangtute chuan ngaihdan hrang hrang an pe a.

Risk factors inang tlang tak takte insem a ni

Rilru natna leh ruihhlo hmanna kawngah pawh risk factor thenkhat a awm thei.

• Genetics: Rilru natna ang bawkin ruihhlo hmansualna hi chhungkuaah a kal thei a. Chumi awmzia chu i chhungkuaa mi tu emaw chuan he natna hi a lo nei tawh a nih chuan i hlauhawmna a sang zawk tihna a ni. Research atanga a lan dan chuan he natna pahnih hi a puitu gene engemaw zat a awm a ni.
• Environment factors: Kan chhehvela thil thenkhat, stress leh trauma (naupan laia trauma emaw abuse emaw ang chi) te hian dinhmun pahnih hi a thlen thei a ni. A châng chuan, heng thil lungchhiatthlâk tak takte hian thlah kal zelah nghawng a nei thei a ni.

Rilru natna avanga ruihhlo hmansual

Rilru natna i neih chuan "mahni invenna" tih hi i thlem mai thei. Chumi awmzia chu zu emaw, ruihhlo emaw hmangin i rilru natna, lungkhamna, a nih loh leh lungngaihna i neihte chu rei lo te chhûng tihreh nân i hmang tihna a ni. Chûngte chuan i natna lan chhuah dân chu rei lo têah a tiziaawm thei a, mahse, a takah chuan hun rei tak chhûng chu a tizual thei a ni . Tin, rilru natna thenkhat hian i thluak "reward center" hnathawh dan a tidanglam thei bawk. Hei hian ruihhlo ngawlvei i neih theihna a tipung thei a ni.

Ruihhlo hman avanga rilru lam natna

Zu te, ruihhlo te, leh ruihhlo ngawlvei thil dangte i hman hian i thluak insiam dan leh hnathawh dan a nghawng thei a ni . Heng inthlak danglamna te hian rilru natna i vei theihna a tipung thei a ni. Entirnan, ruihhlo thenkhat chuan paranoia emaw delusions emaw, hallucinations emaw delusions emaw a thlen thei.

Engtin nge kan hriat theih ang (Dual Diagnosis)?

Kan sawi tawh ang khan dual diagnosis hi diagnosis thar a ni lo va, diagnosis pahnih inzawmkhawm a ni. Heng natna pahnih chhinchhiahna hi a inang thei a, a inzawm khawm thei bawk a, dik taka hriat chhuah chu a châng chuan thil harsa tak a ni thei a, doctor tan pawh a harsa thei bawk.

Mahse, i doctor chuan heng natna pahnih hi i test theih nan special screening tools a hmang ang. Hetih lai hian doctor nen in inbiak hian a rinawm thei ang bera awm a pawimawh . I chhânna a\angin eng damdawi lam dinhmun nge i neih theih ang tih leh eng enkawlna nge i tâna ṭha ber tih an hre thei ang.

Dual Diagnosis enkawlna tur engte nge ni?

Dual diagnosis enkawl hian, a hlawk ber chu i rilru hriselna dinhmun leh i substance use disorder pahnih hi a ruala enkawl hi a ni . Nang leh i doctor hian heng dinhmun pahnih hian engtin nge a nghawng tih in hriatthiam a ngai a ni. Chumi hnuah chauh chuan enkawlna ruahmanna \ha ber i thlang thei ang.

Dual diagnosis atanga dam leh vek tur chuan i ruihhlo ngawlvei damdawi hman chu i bansan vek a ngai a ni . Mi tam tak tan chuan hei hi detoxification tih atanga intan a ni. Residential detoxification-ah chuan healthcare provider-te chuan kar khat vel nitin darkar 24 chhung an enkawl che a ni. Damdawi atanga zawi zawiin i hnute i chhuahsan theih nan an pui che a, damdawi ei loh avanga nghawng tha lo awm thei tihziaawmna tur strategy an pe bawk.

I dinhmun azirin Dual Diagnosis enkawlnaah hian behavioral therapy , damdawi , support group, emawIn-patient care pawh a tel thei bawk.

Thiltih dan (Behavioral Therapy) a ni

Heng co-occurring conditions enkawlna kawngah hian behavioral modification therapies engemaw zat a awm a:

• Cognitive Behavioral Therapy (CBT): (CBT) hi therapy chi khat a ni a, i ngaihtuahnaa dysfunctional patterns te hriatchhuah, hmachhawn leh thlak danglam dan a zirtir che a ni. Chu chuan harsatna hmachhawn dân thar zir tûrin a ṭanpui thei che a ni.
• Dialectical Behavioral Therapy (DBT): DBT hi enkawl dan a ni a, mahni intihhlum tumna, a bik takin ruihhlo hmansual, kut zungtang, leh mahni intihhlum tumna emaw thiltih te tihziaawmna tur a ni. I rilru put hmang enkawl dan zir leh mi dangte nena inlaichinna tha zawk neih theih nan a pui thei che a ni.

Damdawi ei tur

I doctor chuan i natna pakhat emaw, a pahnih emaw atan damdawi a pe thei che a ni . Damdawi thenkhat hian dual diagnosis-ah hian natna pahnih symptoms enkawlnaah a pui thei a ni. Entirnan, damdawi bupropion hi FDA chuan depression (Wellbutrin® angin) leh nicotine dependence (Zyban® angin) enkawlna atan a pawm a ni.

Support Group hrang hrangte

Support group te hi i rilru fim taka awm theihna tura i mamawh emotional leh social support i hmuhna hmun tha tak a ni. Heng pawla mite hi nangmah ang bawka awm tawhte an ni. I ṭhiante chuan an thil tawnte an hrilh thei che a, i zawhnate pawh an chhang thei bawk. Tin, nitin nunah harsatnate hmachhawn dan tur thurawn an pe thei bawk che a ni. Alcoholics Anonymous (AA) leh Narcotics Anonymous (NA) te hi puihna pawl hriat hlawh tak an ni.

In-patient enkawlna a ni

Ruihhlo hman addiction na tak leh rilru lam natna i neih chuan dual diagnosis treatment center-a residential treatment i dawn chuan hlawkna nasa tak i nei thei a ni Chutah chuan damdawi leh rilru lam hriselna lama service, damdawi, therapy, leh i mamawh puihna te chu hmun khatah i hmu thei vek a ni.

Engtin nge (Dual Diagnosis) hlauhawmna tihziaawm theih ang?

Rilru natna ang bawkin, ruihhlo hmansualna pawh hi thluak natna a ni . An ven kim theih loh laiin, i hlauhawmna tihtlem nan a hnuaia mite hi i ti thei ang:

• I biological family history kha hre reng ang che . Chu chu, i chhungkuaah hian hetiang rilru natna emaw, ruihhlo hmansualna emaw nei tawh an awm em tih zawng chhuak rawh.
• Zu i in chuan a zat kha tihtlem la .
• Rilru lama harsatna emaw, harsatna emaw i neih chuan i doctor nen inbia ang che.A hmaa hmuhchhuah a nih chuan enkawl a awlsam zawk.

Dual diagnosis i neih chuan eng nge i beisei theih ang?

Enkawlna dik tak i neih chuan dual diagnosis atanga dam leh theihna chance i nei tha zawk hle . I nunphung i tichangtlung thei a, rah tha tak i beisei thei bawk. Mahse, he damna hi vawng reng tur chuan i doctor leh/ emaw support group te nen thawhhona i neih chhunzawm zel a ngai a ni . Ṭanpuina dil chu hlau ngai suh.

Dual diagnosis nei hmangaih tak chu engtin nge kan tanpui theih ang?

Co-occurring disorder nei mi pakhat tanpui chu thil harsa tak a ni thei . I hmangaih tak chuan harsatna an nei tih a hnial thei a, enkawlna zawng pawh a duh lo mai thei. Enkawlna an tan pawh ni se, dam lehna kawng chu a rei thei hle.

I tih theih leh tih theih lohte hrethiam rawh. I hmangaih tak chu ruihhlo aṭanga chhuak tur emaw, damdawi ei tur emaw, counseling-a kal turin i nawr thei lo vang.

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Mahse, nangmah ngeiin thu tlûkna ṭha i siam thei a ni . I hmangaih tak chu tanpuina dawng turin i fuih thei a, i hmangaihna leh thlawpna thuhmun i pe thei bawk. An thusawi ngaithla la, hriatthiam tum rawh.

Dual diagnosis i vei a nih chuan, “kawng dik lovah” awm angin i inhria mai thei. Nangmah ngeiin i tih angin i inhria thei bawk. Mahse, rilru lam natna leh ruihhlo hmansual hi damdawi lama hriat chhuah a ni tih hriat reng a pawimawh . “Hmuh theih loh” an nih vang mai mai chuan an tak tak lo tihna a ni lo. Doctor hmu a, tanpuina dil chu hlau suh. An hnênah rinawm tak leh inhawng takin awm la, i mamawh enkawlna i hmuh theih nân an ṭanpui thei ang che. Ṭanpuina dil hi damna kawng zawh hmasak ber a ni.

Thupui tawi (Take-Home Message) 1.1.

• Dual diagnosis chu rilru lam harsatna leh ruihhlo hmansualna a ruala neih theihna a ni . Hei hi i ngaihtuah aiin a tam zawk.
• Heng dinhmun pahnih hi an inzawm khawm thei a , vicious cycle angin an thawk thei bawk .
• Hei hi genetic causes, environment factors, stress tihziaawmna atana damdawi hman leh ruihhloin thluaka nghawng a neih vang a ni thei.
• A natna lan chhuah dan hriatthiam a pawimawh hle a , damdawi lam thurawn lak a pawimawh hle .
• Enkawlna kawng hrang hrangte chu nungchang siam\hatna therapy, damdawi, \anpuitu pawl, leh chenna in lama enkawlna te a ni . An pahnih inzawmkhawm hi a hlawk ber.
• Enkawlna leh puihna dik tak a awm chuan dual diagnosis hian damna famkim a thlen thei a ni. Ṭanpuina dil hlau suh, chu chu a pawimawh ber a ni.

`Dual Diagnosis, rilru hriselna, ruihhlo hmansual, ruihhlo ngawlvei, rilru lam natna, enkawlna, co-occurring disorder