Gambling hi i addict tawh em? Nge i hriat mi a ni em? (Gambling Disorder) Hemi chungchang hi han sawi ila!

A châng chuan, khelh nuam deuh, ṭhiante leh bet tlemte aṭanga i ṭan ṭhin chu zawi zawiin i hriat loha i nun thununtu harsatna lian tak a lo ni thei a ni. Chutiang thil tawn chu i tawng tawh em? A nih loh leh, i hriat mi emaw, i ṭhian emaw, i chhûngte emaw, he khelh addiction buaina tuar hi i hmu tawh em? He thupui hi mi tam takin sawi an hreh hle a, mahse sawi chhuah a ngai a ni. Chuvangin, vawiinah hian he dinhmun hi chipchiar takin kan sawi dawn a, chu chu Gambling Disorder , a nih loh leh a dik zawka sawi chuan, khelh addiction pangngai lo tak a ni.

Gambling Disorder tih hi eng nge ni?

A awlsam zawngin sawi ila, khelh harsatna hi rilru lam hriselna dinhmun a ni. Thunun theih loh, sawi nawn fo leh hrisel lo taka khelh dan a ni. Harsatna nasa tak a thlen thei a ni . Chhûngkaw inlaichînna, hnathawhna, sikul hnathawh, a nih loh leh sum leh pai dinhmunah nghawng lian tak a nei thei bawk.

"Gambling" kan tih hian mi pakhatin thil hlu tak (pawisa emaw thil neih emaw) chu thil hlu zawk a hlawh chhuah beiseina avanga hlauhawma a dahna thiltih eng pawh a kawk a ni. Gambling chi hrang hrang a awm a. A tlangpuiin casino game leh sports a betting te hi a ni . Mahse, khelh zawng zawng hian he ruihhlo hi an nei vek lo tih hriat reng a pawimawh.

American Psychiatric Association-in Diagnostic and Statistical Manual of Mental Disorders (DSM-5) chuan khelh addiction chu nungchang lama ruihhlo ngawlveiah a dah a ni . Dik tak chuan tuna DSM-5-a hriat chhuah zingah hian behavioral addiction awmchhun a ni. Kawng engemaw takah chuan khelh duhna hi substance use disorder nen a inang a ni . An pahnih hian i thluak chemistry a nghawng a ni. Tin, damdawi i hman tawh loh chuan withdrawal symptoms leh tolerance a thlen thei bawk.

Mi thenkhat chuan he dinhmun hi "Compulsive Gambling" emaw "Problem Gambling" emaw an ti bawk.

He dinhmun hian tute nge a nghawng ber?

Gambling addiction hian tleirawl leh puitlingte a nghawng thei a ni . United States ang ramah chuan kum 18 hnuai lam tan chuan khelh hi dan kalh ni mah se, chutiang kum lama awmte zingah chuan a tam hle. Kum naupan lai atanga khelh tan hi naupan laia khelh addiction neih theihna tur risk factor a ni tih hmuhchhuah a ni. Chuvangin, i fate tan he thu hi hriat chian a pawimawh hle.

Engtiang chiahin nge khelh addiction hi a hluar?

Zirchiangtute chuan American mipui 2% leh 4% vel chu he khelh duhna hian a nghawng niin an chhut. Mahse, heng statistics te hi a dik kim lo mai thei. A chhan chu he natna vei zawng zawng hian damdawi lam thurawn emaw, enkawlna emaw an zawng vek lo. Kan ramah pawh hian he harsatna hi a taka sawi chhuah a nih loh avangin mi engzat nge tuar tak tak tih sawi a harsa hle.

Gambling addiction chhinchhiahnate chu engte nge ni?

Gambling addiction chhinchhiahna langsar ber leh langsar ber chu i nun kawng pawimawh tak tak, chhungkaw inlaichinna te, hnathawhna te, leh sum leh pai lama innghahna te a tibuai hi a ni. Ngaihtuah teh, i ṭhian pakhat, sum lama harsatna nei reng, a chhûngte nêna insual, leh a hna ṭha taka thawk thei lo i nei a. Heng zawng zawng hi a khelh reng vang a nih chuan chu chu vaukhânna chhinchhiahna lian tak a ni.

Thil danglam bik dang hriat theih thenkhat chu hetiang hi a ni:

• Pawl chungchang ngaihtuah reng: Pawisa khelh hi i rilruah a awm reng a, thil dang ngaihtuah theih loh khawpin. Nakin lawkah sum i hmuh dan tur te, khawiah nge i kal ang a, khelh i tum ang tih te.
• Hlimna leh rilru tihchakna inang nei tur chuan sum tam zawk emaw thil hlu emaw hman a ngai (Tolerance): A tir lama sum tlemte hmanga inkhelh atanga lo chhuak hlimna chu, hun kal zelah, a tlahniam ta hle a ni. Chuvangin, chutiang nawmsakna chu dawng tur chuan sum tam zawka khelh duhna a ni.
• Vawi tam tak khelh dan thunun loh emaw, tihtawp loh emaw: Engtiang pawhin, "Ka khelh tawh lo vang," tiin ngaihtuah mah la, i ti thei lo mai mai.
• Pawisa khelh tawh loh tumnaah rilru hahdam lo emaw, thinrimna emaw (Withdrawal): Ruihhlo ngawlvei ang bawkin, khelh tihtawp tum hian lungkhamna, thinrim leh bo i nei thin.
• Stress i neih laiin khelh (negative emotions atanga "escape" angin): I lungngaih emaw, i lungkham emaw a nih chuan khelh hi chu a chhuah theihna tur kawng awmchhun niin i ngai thin.
• Chasing Losses: Tun hnaia khelh aṭanga hloh tawhte neih let leh tûra khelh , chu chuan hlohna tam zâwk a thlen fo ṭhîn.
• Hmangaihte hnena an khelh dan chungchanga dawt sawi emaw, thu hriat thup emaw: An khelh dan leh an sum hloh zat chungchang chhungte leh thiante hnena dawt sawi emaw, thup emaw.
• An khelhna sum leh pai emaw, khelh aṭanga hlohna phuhruk nân emaw mi dangte rinchhan: Mi dangte hnên aṭanga sum loan lak, in luah man, leh chutiang thil tih.
• Sum leh pai dinhmun, hnathawh, zirna, a nih loh leh mimal inlaichinna a nghawng tha lo tih hria chung pawha khelh chhunzawm zel: Engkim a tlakchhiat dawn tih hre reng chung pawha khelh tihtawp theih loh.

Nangmah emaw i hriat emaw hian heng symptoms pakhat emaw a aia tam emaw i neih chuan hmalak a hun tawh hle.

Gambling addiction awm chhante chu engte nge ni?

Gambling addiction, emaw, addiction dang emaw awm chhan pakhat chauh a awm lo . Condition buaithlak tak a ni. Gambling addiction thlentu thil ṭhenkhat chu hetiang hi a ni:

• Thluak chhunga chemical inthlak danglamna.
• Genetic influence te hi a ni.
• Mihring nihna leh rilru lam hriselna dinhmun dang awm dun te.

Thluak chemistry a ni

Gambling hian i thluak lawmman hmun (reward center) a nghawng a ni. Lawmman zawng turin biologically wired kan ni vek. Vawi tam tak chu heng lawmman te hi nungchang hrisel 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 hle. Cycle ang mai a ni: Chu thil tawnte chu i zawng a, a chhan chu rilru tha tak i neih vang a ni.

I khelh lai pawhin he `Dopamine` hi i thluaka luang chhuak tam tak i hmu thei a ni. Jackpot lian tak i hit laia i euphoria i neih thin kha han ngaihtuah teh! Mahse, dam khawchhuahna atana i mamawh thil (ei leh in, hnathawh ang chi) ti tura fuih che ai chuan heng `Dopamine` level sang tak takte hian i ngaihtuahna, i rilru leh nungchangah nghawng tha lo tak a nei thei a ni.

Hei hian thil hrisel tak takte hlim taka khelh ai chuan, khelh duhna hrisel lo tak a thlen thei a ni. Hun a kal zel a, khelh hian i thluak chemistry a tidanglam a, a nghawng chu i hrethiam lo ta hle a ni. Tichuan, a hmaa i hlimna ang kha i hmuh theih nan i khelh tam a ngai a ni. Hei hi tolerance an ti a .

Genetic influence te hi a ni

Gambling addiction hi chhungkuaah a kal tlangpui. Hei hian genetic link a nei thei tihna a ni . Twins inang chiah chiah zirchiannaah chuan environment factor (naupan laia thil tha lo thleng ang chi) aiin, genetic factors hian khelh addiction neih theihna a tipung zawk thei tih a tarlang. Chumi awmzia chu i chhungkuaa tu emaw hian he harsatna hi a lo nei tawh a nih chuan nang pawhin i hlauhawm thei tihna a ni.

Mihring nihna leh rilru hriselna lama harsatna dangte

Zirna engemaw zatah chuan khelh duhna nei zingah hian a hnuaia mize emaw, nungchang emaw hi a tam zawk tih hmuhchhuah a ni:

• Impulsivity: Ngaihtuah lova thil tih duhna.
• Sensation-seeking: Thil thar, ngaihnawm tak tak tih duhna.
• Compulsivity: Thil tih a ngai tih hriatna thunun theih loh.
• Thutlukna siam leh ruahmanna siam harsat.
• Affective instability: Hun khat chu hlim taka awm a, a dawt lehah lungngaihna nei.

Chu bâkah, khelh duhna nei mite chuan a rualin rilru lam hrisêlna dang an nei tam zâwk bawk. Chung zinga ṭhenkhat chu:

• Substance Use Disorder (SUD) a ni a, a bik takinZu in chungchangah harsatna (`Alcohol Use Disorder`) a awm.
• Impulse Control lama harsatna awm thei.
• Mood disorders, entirnan , lungngaihna.
• Lungkhamna (anxiety Disorder) a awm.
• Mihring nihna lama harsatna (Personality Disorders) a awm.

Mi ṭhenkhat chuan khelh an ngaina hmain heng dinhmunte hi an nei thei a ni. Mi dangte tân chuan heng dinhmunte hi khelh an ngaina hnuah a lo awm thei a ni.

Engtin nge khelh addiction hi kan hriat theih ang?

Gambling lama harsatna i neih leh neih loh hriat nân, i doctor chuan psychologist emaw, addiction counselor emaw hnenah a refer thei che a ni . Chutah chuan doctor chuan nangmah (leh i chhungte pawh a ni thei) i khelh dan chungchangah zawhna a zawt ang che.

Mental health professional-te chuan Diagnostic and Statistical Manual of Mental Disorders (DSM-5) atanga criteria hmangin khelh addiction an hriat theih nan an hmang thin. He diagnosis dawng tur hian kum kalta chhung khan khelh addiction symptom pali tal i nei tawh tur a ni .

Gambling addiction enkawlna tur engte nge ni?

U.S. Food and Drug Administration (FDA) chuan khelh addiction enkawlna atana damdawi bik engmah a la pawm lo . Mahse, rilru lam enkawlna chi hrang hrang hi a \angkai thei hle.

Psychotherapy hi enkawlna hrang hrang inzawmkhawm a ni a, chu chuan mi pakhat chu a rilru hrisel lo, ngaihtuahna leh nungchang hrisel lote hriatchhuah leh thlak danglam theihna a ni. Hei hi rilru lam hriselna counselor trained, licensed (psychiatrist emaw clinical social worker ang chi) te nen a thleng thin.

Therapy hian a pui thei che a ni:

• I khelh dan kha thunun rawh.
• Stress hi hrisel takin enkawl rawh.
• I hun hman dan tur dang zawng rawh.
• I sum leh pai chu uluk takin enkawl rawh.
• I hmangaih tak takte nen inlaichinna siam thar leh rawh.
• Recovery hnuah chuan chu state chu vawng reng la, triggers te chu pumpelh rawh.
• I khelh dan tichhe thei rilru lam hriselna dang i neih chuan chutiang pawh chu hmachhawn rawh.

Gambling addiction-a ṭanpui thei enkawlna bik ṭhenkhat chu hetiang hi a ni:

• Cognitive Behavioral Therapy (CBT): Hei hi targeted, structured treatment a ni. Mental health counselor chuan i ngaihtuahna leh i rilru put hmangte chu a chhui chhuak thei che a ni. I ngaihtuahnain i thiltih a nghawng dan i zir ang. CBT hmang hian ngaihtuahna leh nungchang hrisel lo leh thunun theih loh i thlak thei a, ngaihtuahna leh tih dan hrisel zawk i siam thei bawk. CBT hi khelh addiction enkawlna atana psychological intervention hman tlanglawn ber a ni.
• Motivational Interviewing: He therapy hian hrisel taka inthlak danglamna siam chungchangah nangmah ngei pawhin i inrintawk lohnate hriatchhuah leh hmachhawn turin a pui che a ni. Hetiang hmang hian i khelh dan buaithlak tak takte chu i zirchiang a, mipui zahawm takte khelh dan nen i khaikhin a ni. Hei hian nungchang tihdanglam turin a fuih che a ni. Doctor-te chuan therapies dang nen an hmang dun fo thin.
• Psychodynamic Therapy: He therapy hian hriat loh thil kalphung (unconscious process)-in i nungchang a nghawng dan a en a. A tum ber chu i mahni inhriatthiamna leh i thil tih tawhte’n tuna i nungchang a nghawng dan hriatthiamna tihpun hi a ni.
• Group Therapy: Hei hi rilru lam enkawlna chi khat a ni. Hetah hian mipui pawl khat chu rilru lam hriselna lama mithiam enkawlna hnuaiah an harsatnate sawiho turin an inkhawm a. Group therapy hi khelh lama harsatna nei te tan chuan rilru tichaktu leh rilru lama puihna hlu tak a ni thei a, a bik takin an dinhmun avanga thiante leh chhungte laka inhlat tak takte tan chuan a hlu hle thei a ni.
• Chhungkaw Therapy: He enkawlna hian i hmangaih tak takte chu he natna chungchang hi a zirtir thei a, in lama boruak muanawm zawk a siam thei bawk.

Pawisa khelh hian mi zawng zawng a nghawng dan a inang lo. Gambling chi hrang hrang a awm bawk. Chuvangin, enkawlna thenkhat chuan mi thenkhat tan midang aiin a thawk tha zawk mai thei. I tana hmanraw dik tak emaw, therapist dik tak emaw zawn nan hun engemaw chen a ngai mai thei. Mahse, beih chhunzawm zel a pawimawh.

Gambling addiction hi ka veng thei ang em?

Ni e, khelh duhna i neih theihna tur tihtlem nan hmalakna engemaw zat a awm a:

• Pawisa khelh dan kha pumpelh emaw, tihtlem emaw: I khelh kha pumpelh emaw, tihtlem tum emaw. Chumi awmzia chu i khelh tam zia te, vawi khata i khelh rei zawng te, leh khelhna atana sum i hman zat te fimkhur tihna a ni. Gambling hian i nun a luah tan tawh nia i hriat chuan doctor emaw mental health counselor emaw pan nghal rawh.
• I chhûngkaw chanchin hre rawh: I chhûngkuaa mi tu emaw chuan ruihhlo hmansual emaw, nungchang lama addiction emaw a neih tawh chuan, khelh lama harsatna i neih theihna chance a sang zâwk thei a ni. I doctor nen i risk tihtlem dan tur sawipui rawh.
• Stress hrisel taka enkawl: Stress leh nun inthlak danglam lai hian addiction hlauhawmna a sang hle. Hetiang hun lai hian hrisel taka hmachhawn dan, exercise, ngaihtuahna, emaw, hobby thar neih te hi a pawimawh hle. Stress emaw, rilru lam hriselna lama harsatna dang emaw i enkawl harsat chuan rilru lam hriselna counselor pan rawh .

Gambling addiction hi eng prognosis nge ni?

Gambling addiction, chu chu dam leh theihna tur thlirna chu thil engemaw zatah a innghat a ni:

• A natna a nasat dan.
• Enkawlna i zawng emaw zawng lo emaw.
• Rilru lam hriselna lama harsatna dang i neih leh neih loh.

Vanduaithlak takin, khelh addiction nei zinga 10% aia tlem chuan professional treatment an zawng thin . Mi tam tak chuan anmahni chauhin work out an tum thin. Mental health counselor nena therapy hmanga enkawlna hian he natna hi a enkawl thei che tih hre reng ang che.

Mipui zahawm takte nêna khaikhin chuan, khelh duhna nei mite chu mahni intihhlum an hlauhawm zâwk . Enkawlna zawngtute zirchianna pakhatah chuan an zinga 32% chuan mahni intihhlum tumna an nei tih a tarlang a, 17% chuan vawi khat tal mahni intihhlum an tum tih a tarlang bawk.

Mahni intihhlum tumna i neih chuan i rintlak mi biak nghal la, a nih loh leh damdawi lam thurawn la rawh. Sri Lanka-a rilru lam hriselna lama ṭanpuina number (e.g. Sumitrayo 0112696666, National Institute of Mental Health 1926)-ah pawh i call thei bawk.

Gambling lama harsatna ka neih chuan engtin nge ka inven theih ang?

Professional tanpuina i zawn bakah hian, i khelh duhna (gambling addiction) enkawl dan tur i tih theih tur thenkhat chu hetiang hi a ni:

• Gamblers Anonymous (GA) ang chi support group zawm hi ngaihtuah rawh. Sri Lanka ramah hian hetiang group emaw support service emaw an awm em tih zawng rawh.
• Pawl khelh duhna i neih chuan thil dang tih hmangin i ngaihtuahna tibuaitu i ni ang. Lehkhabu chhiar te, music ngaihthlak te, exercise lak te, a nih loh leh ṭhian nena inbiakna te ang chi.
• Pawl khelh duhna i neih hunah dawhthei takin awm rawh. Hun engemaw chen i inpe a nih chuan, chu duhna chu a bo emaw, a chak lo emaw pawh a ni thei.
• Mahni chauh awm suh. I hmangaih tak takte hnen atangin tanpuina dil rawh. I harsatnate sawipui rawh.

Engtin nge khelh ngaina mi chu ka ṭanpui theih ang?

I hmangaih mi pakhatin khelh lama harsatna a nei tih hriat chu thil harsa tak leh lungkhamna nasa tak a ni thei. I hmangaih tak leh nangmah tanpui theihna tur tips thenkhat chu hetiang hi a ni:

• Thusawi rawh: Pawisa lama harsatna 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 hmu la , a nih loh leh Gamblers Anonymous ang hmuna kal turin rawtna siam rawh. Rorelna tel lovin i tanpuina leh thlawpna pe rawh.
• Empathy tih hi practice rawh:I hmangaih tak nen in inrem lo a nih pawhin an thusawi chu ngun takin ngaithla la. An thusawi i ngaihthlak tam poh leh an rintlak angin an hmu ang che.
• Dawhthei takin awm rawh: I hmangaih tak ruihhlo ngawlvei chu inbiakna vawi khat emaw thiltih pakhat chauh hmanga tihdam theih beisei suh. Gambling addiction hi thil buaithlak tak, rei tak a ni. Chu chu hneh theihna tur quick fix a awm lo.
• Nangmah pawh enkawl rawh: Pawisa khelh ngaina neite ṭhiante leh chhûngte chuan lungngaihna te, lungngaihna te, lungngaihna te, leh mahni chauhna te an tuar fo ṭhîn. Mahni rilru hriselna enkawl a pawimawh a, heng symptoms te hi i tawn a nih chuan tanpuina dil a pawimawh.

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

I khelh danah harsatna i nei tih pawm chu i zak mai thei a, a nih loh leh nangmah chauhin i siam ṭha thei ang tih i ngaihtuah mai thei bawk. Mahse, khelh harsatna i nei tih pawm chu thil dik lo a awm lo tih hre reng ang che. Ṭanpuina i hmuh hma poh leh i dinhmun a ṭha zawk ang. I khelh dan i ngaihtuah chuan i doctor emaw, rilru lam hriselna chungchanga counselor emaw nen inbia . I tanpui tur leh thlawp turin an awm a ni.

He zinkawng hi nangmah chauhin i paltlang a ngai lo. Ṭanpuina dil la, thiltihtheihna a pe a ni.

` Gambling addiction, gambling, rilru hriselna, addiction, nungchang addiction, dopamine, psychotherapy