Damdawi chi hrang hrang hman dun hi a hlauhawm em? (Polysubstance Use Disorder) Kan sawi dawn nia!

Ruihhlo chi hrang hrang, pill emaw, ruihhlo emaw, zu emaw pawh ni se, vawi khatah hmang vek thin mi i hre tawh ngei ang. Mi thenkhat chuan pakhat an la a, chutah chuan pakhat an la leh thin. I ngaihtuah angin thil awlsam leh thil tenawm tak a ni lo. Hei hi polydrug hman kan tih chu a ni . Vawiin hian he tih dan hian i nun leh hriselna a nghawng theih dan te, i hneh theih dan tur te chipchiar takin kan sawi dawn a ni.

Polysubstance Use Disorder tih hi eng nge ni?

A awlsam zawngin, polysubstance use disorder chu damdawi chi khat aia tam i hman tihna a ni a, chu chu a ruala pahnih emaw a aia tam emaw, hun rei lote chhunga hman tihna a ni. Hei hi a hmain Polysubstance Abuse'' tia hriat a ni. Hei hi chu ruihhlo i tihbuai a , i hmanna chu i nitin hnathawhna, i hriselna leh i nunphung tibuaitu a nih chuan a ni.

Mi pakhatin zu nena natna tidamtu damdawi, a nih loh leh mutna damdawi nena stimulant ei lai han mitthla teh. Heng chi hrang hrangte hi a rawn lang chhuak thin. Hetiang ruihhlo pawlh hi a him lo tak zet a ni. I taksaah nghawng a neih theih dan tur chu sawi lawk theih loh a ni thei a, a tam zawkah chuan nunna atana hlauhawm tak a ni thei bawk. Mahse a pawimawh ber chu polysubstance use disorder hi rilru lam hriselna enkawl theih a ni. I inpeih chuan tanpuina i hmuh theih dan kawng tam tak a awm.

‘Polydrugs’ category-ah hian eng nge tla?

Dik tak chuan damdawi pahnih emaw a aia tam emaw i hman dun chuan polydrug hmannaah ngaih a ni. Entirnan, zu in laiin cocaine ang chi thil i hman chuan , chu chu thil pakhat aia tam i hman avangin he category-ah hian a tla a ni.

Hemi atan hian damdawi (prescription medications) hi hman theih a ni em?

Ni e, a dik tak zet. Doctor-in a pek damdawi i ei a nih pawhin, damdawi dang nena i hman chuan chu chu polydrug hmanna a ni thei. Chuvangin i doctor-in damdawi a pek che chauh ei a pawimawh em em a, a pek ang chiah chiah ei a pawimawh hle bawk.

Nitin damdawi eng emaw i ei chuan i doctor hnenah damdawi dang i ei zawng zawng, vitamin leh supplement te pawh i hrilh tur a ni. Damdawi thenkhat chu an inzawm thei a ni. Chumi hnuah chuan i doctor chuan i tan damdawi him ber a thlang thei ang. Tin, side effect i neih leh neih loh an enfiah bawk ang che.

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Polysubstance hmansualna (polysubstance use disorder) hi engte nge ni?

Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Damdawi chi leh hman zat a zirin a ni. Ruihhlo i ei hian a hnuaia mite hi i tawng thei a ni:

• Hlimna leh phurna nasa tak (euphoria) hriatna.
• I taksa chu a hlim chho zel ang maia inhriatna.
• Mutthilh a awm tih hriat.
• A nih loh leh, a châng chuan rilru hah lutuk leh lungkham lutuk tih hriatna.

Ruihhloin a nghawng chu a bo zel a, chu chu , withdrawal symptoms , a hnuaia symptoms te hi a lo lang thei a ni:

• Rilru lama inthlak danglamna, lungkhamna, buaina, leh lungngaihna te.
• Taksa na, taksa ruh a tikehsawm ang maia hriatna.
• Mut lo.
• Thawmhnaw hak.
• Kawthalo.
• Nausea leh luak chhuak.

He natna nena inzawm thil tih dan leh a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Ruihhlo hman hmasak, khawtlang leh mimal mawhphurhna ngaihthah.
• Mi dang hnen atanga ruihhlo hman.
• Nitin hna thawk tur pawhin ruihhlo mamawhna hmun thlenga thlen.
• Faina, hmel, ei leh in leh in tur ang chi thil ngaihsak lo.
• Miin ruihhlo hman chungchang a sawi hian thinrim leh hnial.

A châng chuan heng chhinchhiahnate hi hriat a harsa thei a, a chhan chu mi tam takin heng tih dante hi an thup a, an nitin nunah an inzawm khawm a ni.

Engvangin nge hetiang dinhmun hi a lo awm?

Polydrug use disorder awm chhan dik tak hi hriat chian a la ni lo a, mahse zirchianna atanga a lan dan chuan ruihhlo hi a addictive nature leh thluaka a nghawng dan hi a chhan ber a ni.

A awlsam zawngin, ruihhlo i hman hian i thluak lawmman pekna chu a tichak a ni. Chumi hnuah chuan dopamine ang chi chemical te chu i thluak zawng zawngah a kal kual a, "tha" tih hriatna, nuam tihna a pe che a ni. Hun a kal zel a, i thluak chuan heng artificial "tha" feelings te hi hrisel, nuam tihna aiin a dah pawimawh zawk tan thin. A tâwpah chuan anmahni chu i ngawlvei ta a ni.

Damdawi pakhat aia tam hmang tura thlemna chhan tam tak a awm thei. A chhan langsar zual thenkhat chu:

• Damdawi pakhatin duhthusam a siam theih loh chuan damdawi dang hmangin a thlen theih nan a bei thin.
• Damdawi pakhatin damdawi dang a nghawng chu do let tum (mahse ruihhlo hian chutiang chu a ti thei tak tak lo, an ti mai niin a lang).
• Ruihhlo i hman tawh loh hunah withdrawal symptoms te hi pumpelh rawh.
• High chu extend emaw, a intensity tihsan emaw pawh nise.
• Damdawi pakhat hman tlem a, a dang thlak.
• Taksa emaw rilru lam emaw hriselna dinhmun "mahni invenna" tum.

Hei hi chi hrang hrang a awm em?

Ni e, he dinhmun hi chi hnih ah then theih a ni:

1. Intentional polysubstance hman: Hetiang a nih chuan, hriat reng chungin damdawi dang pakhatin a nghawng tihpun nan damdawi dang i hmang a ni.

2. Tum loh taka polysubstance hman:Hetiang a nih chuan i damdawi hman tur hian i hriat loh damdawi dang a inhmeh tih i hre lo. Entirnan, ruihhlo thenkhatah chuan (Fentanyl) ang chi thil hlauhawm tak tak a rukin an pawlh thei a.

Hemi atan hian tute nge hlauhawm ber?

Hetiang dinhmun hi a hnuaia thil awmte avang hian i hlauhawm zawk thei a ni:

• Substance use disorder i vei tawh a nih chuan.
• I chhungkuaa mi pakhat, chu chu thisen zawmpui, hetiang thil hmansualna (substance use disorder) a vei a nih chuan.
• Rilru lam hriselna lama harsatna (e.g. depression, anxiety) i neih chuan.
• Damdawi awlsam taka hmuh theihna hmuna i awm a nih chuan, i tawk reng a nih chuan.
• Naupan laia thil tha lo tak tak i tawn tawh chuan.

Hei hian eng harsatna nge a thlen theih?

Polydrug hman avanga harsatna awm thei tam tak a awm. Chung zinga pawi ber pahnih chu overdose leh thihna hi a ni.

Overdose chu i taksain damdawi tha lo (pakhat emaw a aia tam emaw) a hman tam lutuk chuan a ni. Hei hian i taksa peng hrang hrangte hnathawh a titawp thei a ni. Enkawl vat loh chuan nunna atana hlauhawm pawh a ni thei.

Chuvangin hei hi ngaihthah tur a ni lo.

Engtin nge doctor-te hian he natna hi an hriat theih?

Doctor chuan he natna hi a biak che a, i natna lan chhuah dan te, i ruihhlo hman tawh dan te, i bânsan tum tawh leh tawh loh te, leh i bânsan laia i rilru put hmang te a zawt ang che.

I hriselna tlangpui enfiah turin taksa enfiahna i nei thei bawk. I enkawlna atana pui turin zun emaw thisen test emaw i nei thei bawk a, chu chuan i system-a damdawi awm mek dik tak chu i hre thei ang.

American Psychological Association-in Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)-ah chuan ruihhlo hmansualna chi hrang hrang a tarlang a. Mahse, edition thar ber hian "polysubstance use disorder" tih thumal hi chiang takin a sawi lo. Mahse, chutiang symptoms chu substance-related disorder dangte hnuaiah chuan a huam tel a ni.

Hei hi eng enkawl dan nge ni ang?

Polysubstance use disorder hi enkawlna bulpui engemaw zat a awm a:

• Detoxification: Taksa atanga thil tha lo paih chhuah.
• Counselling/Therapy: Rilru leh nungchang lama tanpuina pek.
• Damdawi: Symptom thenkhat control la, addiction tihziaawm.

I doctor chuan a bia che ang a, i enkawlna tumte chu a hrethiam ang a, i tana tha tur enkawlna ruahmanna siam turin a pui ang che. I ruihhlo hman tlem emaw, tihtawp vek emaw a pui ang che.

Detoxification chu eng nge ni?

Detoxification chu i taksa atanga damdawi tha lo tihfai nan a ni. Dik tak chuan hei hi enkawlna kawnga thil harsa ber pakhat a ni. Thil hrehawm tak a ni thei a, a châng chuan rilru hahna pawh a tichhe thei bawk. I taksa atanga damdawi te chu a bo vek hma loh chuan ni engemaw zat chu i dam lo hle mai thei. Mahse, heng natna lanchhuahna tihziaawmna tur damdawi thenkhat a awm.

Mi thenkhat chuan damdawi in emaw rehabilitation center emaw-ah awm an duh zawk a, he detoxification process hi medical supervision hnuaiah an nei thin. Chutiang chuan darkar 24 chhungin tanpuina i nei ang. Mahse, in atanga tih i duh chuan outpatient option pawh a awm bawk.

Counselling/therapy tih hi eng nge ni?

Counselling chu nangmah tan thil tum siam a, chu chu tihhlawhtlin nan rilru lam hriselna counselor nen thawhhona tha tak neih a ni. Polysubstance use disorder avanga counseling pek tum berte chu:

• Ruihhlo i hman chhan hriatthiamna tura puitu che.
• Nangmah leh i chêttîrna leh i nungchang hriatthiam belh nân.
• Stress, inhnialna, emaw, ruihhlo hmanna tibuaitu thilte hmachhawn dan tur kawng tha zawk zawng tura tanpui che.

Hetiang dinhmun enkawlna atana pui thei tur counseling method hrang hrang a awm. Entirna thenkhat chu hetiang hi a ni:

• Cognitive Behavioral Therapy (CBT): Hetah hian i ngaihtuahnain i nungchang a nghawng dan i zir a. Tichuan thiltum i siam a, chu chu i tihlawhtling ta a ni.
• Contingency Management: Hetah hian thil tum i siam a, chu thil tum chu i tihhlawhtlin hunah lawmman eng emaw zat i dawng ang tih angin i ruahman a ni.
• Motivational Enhancement Therapy: Hei hi thil tum tihhlawhtlin theih tur siam tur leh tihhlawhtlin theih tura hma la tura fuihtu approach a ni.
• Chhungkaw Therapy: Hei hian i dam lehna kawngah i hnaih berte nena inzawmna siam a huam a ni. Hmun him takah chuan in inhriatthiam tawn a, thil tum inang nei turin in thawk thei a ni.

Hemi atan hian eng damdawi nge pek thin?

Doctor chuan damdawi a pe thei a, a bik takin opioid (e.g., heroin, morphine) te pawh telna damdawi i hman tawh chuan. Opioids hi taksaah nghawng nasa tak nei thil a ni a, a bik takin i inhnukdawk lai hian. Damdawi hian ruihhlo ngawlvei duhna nasa tak leh inhnukdawkna chhinchhiahna thenkhatte chu a tihziaawm thei a ni.

US Food and Drug Administration (FDA)-in opioids atana a pawmpui damdawi thenkhat chu hetiang hi a ni:

• Buprenorphine tih a ni
• Methadone tih a ni
• Naltrexone tih a ni

Heng damdawi te hian side effect a thlen thei bawk. Damdawi i ei tan hmain i doctor chuan hengte hi a hrilhfiah ang che. Side effect laka inven nan doctor thupek dik taka zawm a, enkawl dan tur ruahmanna anga hnathawh a pawimawh hle. Zawhna i neih chuan doctor zawt rawh.

Zu avanga duhna tihziaawmna leh zu in bânsan theihna damdawi (e.g., Naltrexone, Disulfiram, Acamprosate) a awm bawk. Nicotine (cigarette) damdawi a awm bawk a, chu chu nicotine thlakna tur, Bupropion, leh Varenicline te hi a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Mi zawng zawng tana hnathawk thei tur hun bituk a awm lo va, i dam leh theih nan eng chen nge a rei dawn tih pawh tumahin an sawi chiang thei lo. Hei hi natna khirh tak a ni. Hei hian a awmzia chu he polysubstance use disorder hi i dam chhung zawngin i enkawl a ngai mai thei tihna a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Mi tin i thlirna chu a inang lo thei a, i dinhmun azira i beisei tur dik tak chu i doctor chauhvin a pe thei che a ni.

Mahse, polysubstance use disorder hi enkawl theih a ni tih hre reng ang che, dam leh theih a ni. Mahse enkawlnaah hian hun leh thahnemngaihna a ngai a ni. I tana tha ber tur zawng turin enkawlna hrang hrang i enchhin a ngai mai thei.

I relaps leh mai thei. Hei hian hun engemaw chen ruihhlo i bansan a, chutah chuan i tan leh tihna a ni. Chutiang a nih chuan detox i tih leh a ngai dawn a, treatment cycle chu i tan leh vek a ngai dawn a ni. Hei hi i dam chhungin vawi tam tak a thleng thei.

Mahse, he zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. I medical team, i hmangaih tak takte chu i bulah an awm reng a ni. Ṭanpuina i mamawh hunah an thlawp ang che.

Hetiang dinhmun hi ven theih a ni em?

Polydrug use disorder vei theihna tur thil tam tak a awm a. Mahse, he natna hi pumpelh kim theih a ni lo tih hriatthiam a pawimawh. Ruihhlo hian i taksa a nghawng dan hi environment, biological leh social factor tam tak a awm a.

Hetiang natna i vei theihna tur tihtlem dan tha ber chu zirna hi a ni. Damdawi tin hian mihring taksa a nghawng dan i zir hian a him loh chhan i hrethiam ang.

Polysubstance use disorder i neih chuan i himna atan heng thilte hi i bulah dah reng hi ngaihtuah rawh:

• Overdose a awm chuan Naloxone'' ang damdawi hian a tidanglam thei a ni.
• Damdawi chi hrang hranga Fentanyl ang chi thil hlauhawm awm leh awm loh enfiah nan Fentanyl test strip i hmang thei bawk.
• Emergency-a i biak theih tur i rintlak phone number.

Engtikah nge doctor i hmuh ang?

Damdawi i hman a, i hriselna leh nitin hnathawh a tibuai a nih chuan Doctor nen inbia ang che. Entirnan, engtik lai pawha "high" nih i duhna hian i nitin nun a tibuai a, sikul emaw hnathawhnaah emaw kal harsatna i nei a, grade emaw performance emaw zawm harsa i ti a nih chuan, emaw, ṭhiante nena inlaichinna vawng reng turin harsatna i tawk a nih chuan, chutih lai chuan doctor thurawn lak a pawimawh hle. Doctor chuan i mamawh enkawlna i hmuh theih nan a pui thei che a ni.

Emergency-ah eng nge tih tur?

Nangmah emaw, i hmangaih tak emaw chuan ruihhlo hman tam lutuk avanga a hnuaia chhinchhiahnate hi i neih chuan emergency services (911 ang chi) call nghal rawh:

• Thil hriatna hloh (harh thei lo).
• Hriselna emaw, bengchheng emaw ang chi thawm.
• Thâwk lak a slow emaw, a tawp emaw.
• Mit pupil te hi a te a, needle tip ang mai a ni.
• hmui emaw kut zungtang emaw a rawng danglam (blue) anga lang.

Chutih lai chuan ruihhlo i hman mek tih loh chu ngaihtuah a harsa mai thei, mahse tanpuina dawng tura i inpeih hunah chuan tanpuina chu a awm reng tih hria ang che.

Ṭanpuina dîl hi i tih theih harsa ber pakhat a ni thei. I ṭhian emaw, chhungte emaw hnenah ṭanpuina dîl i tum thei a ni. An fuihna chu doctor hmuh tûra i mamawh chêttîrtu a ni thei.

Recovery hi thil tih theih a ni. Group supportive neih a pawimawh. I medical team te chu i kalna apiangah an awmpui ang che.

Take-Home Thuchah hnuhnung ber

Okay, chuti a nih chuan, kan sawi tawh atang chuan hengte hi kan ngaihtuah tur pawimawh ber berte chu an ni:

• Polysubstance hman hi a hlauhawm hle. I taksa, rilru leh nunah chhiatna nasa tak a thlen thei a ni.
• Hei hi rilru lam natna enkawl theih a nih avangin beiseina hi bansan ngai suh.
• Nangmah emaw, i hriat emaw hian he thil hi i buaipui a nih chuan tanpuina dil hlau suh. Doctor te, counselor te, i chhungte leh i thiante te tanpui turin an inpeih reng a ni.
• Enkawl dan hi a harsa thei hle a, mahse a hlu hle. I nun kawng dik zawh lehna kawngah kawng thui tak a zawh ang.
• Recovery hi zinkawng a ni a, zan khata thil thleng mai a ni lo. Kawng lakah hian tlakchhiatna a awm thei a, mahse, tho leh turin chakna i hmu reng ang.

Hemi chungchang hi hriat belh i duh chuan, emaw, tanpuina i mamawh a nih chuan, doctor rintlak emaw, rilru lam hriselna chungchanga counselor emaw hnenah zawhfiah rawh . Nangmah chauh i ni lo tih hre reng ang che.