Khamaar qasab ah

Khamaarka qasabka ah ayaa iska celin kari la 'waxyaalaha khamaarka lagu qasbo. Tani waxay u horseedi kartaa dhibaatooyin lacageed oo daran, shaqo la'aan, dambi ama khiyaano, iyo waxyeelo ku timaadda xiriirka qoyska.

Khamaarka qasabka ah wuxuu badiyaa bilaabmaa bilowga qaan-gaarka ragga, iyo inta udhaxeysa 20 iyo 40 dumarka.

Dadka leh khamaar qasab ah ayay ku adag tahay inay iska caabbiyaan ama xakameeyaan rabitaanka khamaarka. Maskaxdu waxay falcelintan ka falcelineysaa isla qaabkii ay ula falgashay qof qabatimay aalkolo ama daroogo. In kasta oo ay wadaagaan astaamaha cilladda qasabka ah ee qasabka ah, khamaarka qasabka ah waxay u badan tahay inuu yahay xaalad ka duwan.

Dadka sameeya khamaarka qasabka ah, khamaarka mararka qaarkood wuxuu u horseedaa caado khamaar. Xaaladaha cakiran ayaa ka sii dari kara dhibaatooyinka khamaarka.

Dadka khamaarka qasabka leh badanaa waxay dareemaan ceeb waxayna isku dayaan inay ka fogaadaan inay dadka kale ogeysiiyaan dhibaatadooda. Ururka Cilmi-nafsiga Mareykanka wuxuu ku qeexayaa khamaarka noolaha inuu leeyahay 5 ama in ka badan astaamaha soo socda:

• Dambiyo la galo si lacag loogu helo qamaarka.
• Dareen deganaan la'aan ama xanaaq badan marka aad isku dayeyso inaad yareyso ama joojiso khamaarka.
• Khamaarista si looga baxsado dhibaatooyinka ama dareenka murugada ama walwalka.
• Khamaarista lacag aad u tiro badan si aad isugu daydo inaad dib u soo celiso khasaarihii hore
• Luminta shaqo, xiriir, waxbarasho, ama fursad shaqo khamaaris dartiis.
• Ka been sheegida waqtiga ama lacagta khamaarka lagu qaatay.
• Samaynta isku day badan oo aan lagu guulaysan si loo yareeyo ama loo joojiyo khamaarka.
• Baahida loo qabo in lacag la amaahdo khamaarista darteed.
• Ubaahan in lagu khamaro lacag aad u tiro badan si loo dareemo xamaasad.
• Waqti badan ku luminta ka fikirka khamaarka, sida xusuusinta waaya-aragnimadii hore ama siyaabo lagu helo lacag badan oo lagu khamaarayo.

Qiimeynta maskaxda iyo taariikhda ayaa loo isticmaali karaa in lagu ogaado khamaarka noolaha. Qalabka baaritaanka sida Gamblers Anonymous 20 Su'aalaha www.gamblersanonymous.org/ga/content/20-questions ayaa kaa caawin kara baaritaanka.

Daaweynta dadka leh khamaar qasab ah waxay ka bilaabmaysaa garashada dhibaatada. Khamaarayaasha qasbay badanaa waxay diidaan inay dhibaato qabaan ama daaweyn u baahan yihiin.

Badanaa dadka khamaarka noolaha waxay daaweeyaan keliya marka dadka kale cadaadiyaan.

Fursadaha daaweynta waxaa ka mid ah:

• Daaweynta habdhaqanka garashada (CBT).
• Kooxaha iscaawinta ee taageera kooxaha, sida Gamblers Anonymous. Gamblers Anonymous www.gamblersanonymous.org/ waa barnaamij 12-tallaabo ah oo la mid ah Alcoholics Anonymous. Hawlaha loo adeegsado in lagu daaweeyo noocyada kale ee balwadda, sida isticmaalka maandooriyaha iyo isticmaalka aalkolada, sidoo kale waxay kaa caawin kartaa daaweynta khamaarka noolaha.
• Daraasado kooban ayaa laga sameeyay daawooyinka lagu daaweeyo khamaarka qasabka ah. Natiijooyinka hore waxay soo jeedinayaan in antidepressants iyo opioid antagonists (naltrexone) ay gacan ka geysan karaan daaweynta astaamaha khamaarka noolaha. Si kastaba ha noqotee, weli ma cadda dadka ay ka jawaabi doonaan daawooyinka.

Sida khamriga ama balwadda daroogada, khamaarka noolaha waa cillad muddo-dheer ah oo u sii xumaaneysa daaweyn la'aan. Xitaa daaweynta, waa wax caadi ah in mar labaad la bilaabo khamaarista (soo noqoshada). Si kastaba ha noqotee, dadka khamaarka noolaha waxay ku fiicnaan karaan daaweynta saxda ah.

Dhibaatooyinka waxaa ka mid noqon kara:

• Dhibaatooyinka isticmaalka khamriga iyo daroogada
• Walaac
• Niyad jab
• Dhibaatooyin dhaqaale, bulsho, iyo sharciyeed (oo ay kujiraan musalafnimo, furiin, shaqo lumis, waqti xabsi)
• Wadne qabad (laga soo qaado walwalka iyo xiisaha khamaarka)
• Isku day ismiidaamin ah

Helitaanka daaweynta saxda ah waxay kaa caawin kartaa kahortagga inbadan oo dhibaatooyinkan ah.

Wac daryeel caafimaad bixiyahaaga ama xirfadlaha caafimaadka dhimirka haddii aad aaminsan tahay inaad leedahay astaamo khamaarka noolaha.

Ku-soo-gaadhista khamaarku waxay kordhin kartaa halista ah inuu ku dhaco khamaarka noolaha. Xaddididda soo-gaadhista ayaa caawin karta dadka halista ugu jira. Farogelinta faragelinta calaamadaha ugu horreeya ee khamaarka noolaha waxay ka hortegi kartaa in cilladdu sii xumaato.

Khamaarka - qasab ah; Khamaarka nafsadda; Khamaarka balwadda leh

Websaytka Ururka Cilmi-nafsiga Mareykanka. Cilladaha aan walxaha la xiriirin. Gudaha: Ururka Cilmi-nafsiga Mareykanka. Buug-tilmaameedka iyo tirakoobka ee Xanuunada Maskaxda. 5aad. Arlington, VA: Daabacaadda Maskaxda Mareykanka. 2013: 585-589.

Balodis IM, Potenza MN. Bayoolajiga iyo daaweynta khalkhalka khamaarka. Gudaha: Johnson BA, ed. Daawada Maandooriyaha: Sayniska iyo Tababarka. 2aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 33.

Weissman AR, Gould CM, Sanders KM. Ciladaha xakamaynta kicinta. Gudaha: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Isbitaalka Guud ee Massachusetts Isbitaalka Guud ee Caafimaadka Maskaxda. 2aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 23.