Substance Abuse

A person using an inhalant

**Substance abuse**, n lahi nyɛ bɛ ni mi shɛli ni  **drug abuse la**, di nyɛla tima volibu bee bin kpema kpuɣibu m paari sahashɛli  ka ŋa ti lahi mali barina n ti ŋun kpuɣili maa bee o mini  salo shabi ban be  bɛihigu puuni.  Ŋa nyɛla silimiingi ni boli shɛli ni substance-related disorder la. Ŋa lahibaya mini di tuma zaa nyɛli din be tuma duri kamani public health, medical, nti pahi  criminal justice nim kundi nim ni bee subbu nim ni. Sahashɛŋa,  bɛhishɛŋa bɛhigu ni bi saɣiritiri nyɛla din nyɛ lala bindiri diribi ŋɔ tuma saha kam ka di nyɛla bɛ yi ti kpuɣi lala niɛma ŋɔ,  ka ŋa lan nyɛ din taɣiri bɛ hala. pahigu zaŋchanŋ yaɣa kamani physical, social, nti pahi psychological barinanima, ti shɛŋa valibu nyɛla din tahiri bibɛilim tuma na ʒilɛlini .

Tima nyɛla din tooi punpu n mali nɛima nim kamani silimiingi ni boli shɛŋa ni  alcohol, amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, hallucinogens, methaqualone, nti pahi opioids ŋa nim puuni. Yɛlikpani shɛli din tahiri ti-volibo yiriŋyiriŋ na nyɛla bin shɛɣu din na bi niɛndɔya,  amaara bin yɛra ayi ka niribi lihira ka nim n nyɛ; ni din tooi nyɛla din be daadam ʒim ni ka bɛ dɔɣi o ni dina,  ni bee bɛihishili niribi ni bɔhindi bɛ tabi sani. Ka di yi ti niŋ ka ŋun kpuɣirili maa di kpe o ʒim ni hali ka o ti ku tooi lahi chɛli, din naai yan zaŋmi n leegi dɔri yɔli o ningbuna ni.

IYuuni 2010 ni, salo kamani kɔbigi puuni vaabu bunu (230 million) n nyɛ ban kpuɣiri lala binkpuɣira ŋɔ.  Lala salo ŋɔ puuni, bɛ miliyɔŋ pishi ni ayɔpoin n nyɛ lala bin dira ŋɔ ni mali barina n ti shaba, n mali barina n ti bɛ daalaafee,  ka tiriba yilibinsim, ka lahi  tahiri ʒilɛlini bibɛlim tuma na ka di che ka bɛ kuli be futiina ni.Yuuni 2015 ni,  ti kpema kpuɣibu dɔriti nyɛla din daa di salo ban daa paai  307,400 nyɛvuya,  binshɛɣu din daa kpuɣi yuuni 1990 salo ban daa yiɣisi  165,000 n zaŋkana  Ban bɔŋɔ puuni, ban galisi n nyɛ ban da-nyubo dɔriti ni daa gbahi shaba ka bɛ kalinli yiɣisi  137,500, nti pahi  opioid use disorders ka bɛ gba ban daa kpi kalinli yiɣisi 122,100, ni amphetamine use disorders ban gba daa paai 12,200 , n ti pahi cocaine use disorders ban gba daa yiɣisi 11,100.

## Classification

### Public health definitions
[thumb|A drug user receiving an injection of the [opiate heroin]]
Public health tuntumdibi nyɛla ban kpuɣi soli ni bɛ n nniiŋ vihigu nyɛ ti dini n nyɛ niribi ni diri pam, ka kuli kpaŋsirila ʒilɛli shee bukaaata,. Kaya ni taada. Alaafee tuma yili baŋdibi shɛbi nyɛla ban je ni bɛ booni lala bindira kamani dintdi tu dham ka silimiingi bolli ni alcohol or drug "abuse" la bolibu, ka nain yi booni li ni  "substance and alcohol type problems" bee  "harmful/problematic use" of drugs. Alaafee tuma yili kpambi ban be British Columbia yuuni 2005 zalikpani kundi gbaŋ cheeni yɛliya;  *A Public Health Approach to Drug Control in Canada* — has adopted a public health model of psychoactive substance use that challenges the simplistic black-and-white construction of the binary (or complementary) antonyms "use" vs. "abuse". This model explicitly recognizes a spectrum of use, ranging from beneficial use to chronic dependence.

## Medical Definition

## Value Judgment

## Nyama yaha

*ΔFosB
*Combined drug intoxication
*Drug addiction
*Handbook on Drug and Alcohol Abuse
*Harm reduction
*Hedonism
*International Day Against Drug Abuse and Illicit Trafficking
*List of controlled drugs in the United Kingdom
*United States drug overdose death rates and totals over time
*List of deaths from drug overdose and intoxication
*Low-threshold treatment programs
*Needle-exchange programme
*Nihilism
*Poly drug use
*Polysubstance abuse
*Responsible drug use
*Supervised injection site
*Wellness check

## Kundivihira

People overdose drugs to try to forget their  problems at home, and some use them for fun because they saw people using drugs at television advertising them.

## External links

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*  Dr. Robert Anda of the U.S. Centers for Disease Control describes the relation between childhood adversity and later ill-health, including substance abuse (video)