Utyando luxhomekeka kwiSityikethi seMpawu
inkuku uyeka ukusela, unako ukufumana ukuphulukiswa kotywala. Unokufuna unyango olunokukunceda. Umboneleli wakho wezempilo uya kusebenzisa amayeza ukuze azinqabise xa usuhoxiswa.
Iimpawu zokuLawula utywala
Iimpawu ezincinci zokumodareyitha iimpawu zokurhoxisa ziqhelekileyo xa uyeka ukusela utywala. Unokuphazamiseka, ukhathazekile, ungabi nesidlo, kwaye unenkathazo yokulala.
Ngeempawu zokuzihoxisa ngokulinganiselayo, ukutshatyalaliswa okanye ukuthatha i-hallucinations kwenzeka kwi-15 ukuya kwi-20 ekhulwini kwexesha ngaphandle kokuqhubela phambili kwi- delirium tremens . Ngeempawu ezimnene kunye nezocokisekileyo, unako ukunyangwa ngesifo sengqondo, nangona ukuba une-delirium tremens, kufuneka unyango lwezonyango.
Uphulo lwabaphululi bezonyango zoMoya oMnxeba oMgangatho oPhezulu
Ulwaphulo luya kusekelwe kwiimpawu ozifumanayo. Ikhosi yeentsuku ezine ze-anti-anxiety medication iyinto ebonakalayo ukuze impawu zokuhoxiswa ngokulula. Uyakucwangciselwa ukulandelwa kunye nokulungisa unyango. Kubalulekile ukuba ubuyele kwigumbi lexakeka ukuba iimpawu zakho zokurhoxisa zibe nzima. Ngethuba lokuhamba kwezi ntsuku zokuqala zokuhoxiswa, kukulungele ukunyamekelwa ngumhlobo okanye ilungu lentsapho lokukhusela.
I-Benzodiazepines: Izigulane zisoloko zinikwe enye yezilwanyana ezinokuxhalabisa nge-benzodiazepine, njengeValium (diazepam), i-Ativan (lorazepam), iLibrium (i-chlordiazepoxide) kunye ne-Serax (oxazepam).
Basebenza kwiiseli zesisongela kwingqondo ekukhuseleni i-delirium tremens kunye nomngcipheko wokubamba, ezi zimbonakaliso ezimbini zokuzikhupha. I-benzodiazepines esebenza ixesha elide kunye ne-metabolites esebenzayo (diazepam okanye i-chlordiazepoxide) ikhethwa ngabagulane abaninzi. Kodwa ukuba unobungozi besibindi, i-lorazepam okanye i-oxazepam iya kunikwa ngenxa yokuba ayinayo i-metabolites esebenzayo.
Iziphumo eziqhelekileyo zommandla we-benzodiazepines ziquka ukulala. Bangenza iingxaki zokuphefumula zibi nakakhulu. Bangakwazi ukusebenzisana namanye amachiza kwaye banoyingozi xa basetyenziswa ngokudibanisa notywala, nto leyo ixhalabisa umntu onokuqalisa ukusela. Iziphumo ezinokuthi zingaba nzima kubantu abadala. Zingenza iziphoso zokuzalwa, ngoko akufanele zisetyenziswe ngabafazi abakhulelweyo okanye ngexesha lokuncelisa. I-Benzodiazepines ilahlekelwa ngempumelelo emva kwexesha kunye nezigulane zinokuxhomekeka kuzo. Ukuba uthabatha iiveki ezine, unokufumana iimpawu zokuziyeka.
Ezinye iziyobisi ngenxa yokuzilahla
Ezi zithunywa ezilandelayo ziyakunikwa, ngokuxhomekeka kwiimpawu kunye nobunzima babo.
Beta-blockers . I-Beta-blockers, njengepropranolol (Inderal) kunye ne-atenolol (i-Tenormin), iyancipha inqanaba lentliziyo kwaye iyanciphisa intshukumo. Ngamanye amaxesha asetyenziswa ngokudibanisa ne-benzodiazepines.
Amachiza okulwa noTywala . Ama-anti-seizure agents, afana ne-carbamazepine (Tegretol) okanye i-divalproex sodium (i-Depakote) ingasetyenziselwa ukuba i-benzodiazepine encinci iyadingeka.
Ulwaphulo olukhethekileyo lweMpawu eziMandla
UkuPhatha i-Delirium Tremens : Ezi ziyingozi kwaye kufuneka ziphathwe ngokukhawuleza ukukhusela ukufa, ezinokufikelela kuma-20 ekhulwini xa zingaphathiswa.
Izigulane ze-Symptomatic zivame ukunikezelwa ngamachiza anxamnye nokuxhalabisa. I-Lidocaine (i-Xylocaine) inokunikwa abantu abaneengcamango zentliziyo eziphazamisekileyo. Unyango olunomsoco lubalulekile kwaye kunokuthinteka.
Ukunyangwa kwamaKhupha . Ukuqhwala ngokuqhelekileyo kuzinzileyo kwaye kuphathwa nge-benzodiazepine. I-intravenous phenytoin (i-Dilantin) inokunikezwa ngokungaphezulu xa umntu ohlawulayo unomlando wokwehliswa okanye ukubanjwa kwexinzelelo okanye ukuba ukuxhwaleka akulawuleki.
Psychosis . I-Haldol (i-haloperidol) inokunikezwa ukuba umntu oyeke ukuhoxiswa aphethe i-hallucinations okanye abonisa ukuziphatha kogonyamelo.
Olunye uhlobo lwengqondo yengqondo ebonwa kubantu abaphethwe yi-alcohol withdrawal is Korsakoff's psychosis, ebangelwa ukungabikho kwe-vitamin B1, kunye neenjini ze-vitamin ezinokuthi zenziwe.
Ukufuna Uncedo Lokususwa
Kubulumko ukuba ufumane unyango lwezonyango zakho. Ngelixa kunokuba nzima ukuba uvule kunye nomboneleli wakho wezempilo, kubalulekile ukukhusela iimpawu ezinzima kunye nokunika ithuba elingcono lokuphumelela ukuyeka utywala.
- Ngaba iimpawu zakho zokurhoxisa zibuhlungu okanye zinzima? Thatha i-Quiz yeAwahol
- Ukufumana inkcazo enzulu malunga neempawu zokurhoxiswa kotywala zibone uMhla wokuKhutshwa koTywala ngoMhla .
> Umthombo:
> H > offman >, RS, kunye. al. Ulawulo lwee-syndromes zokurhoxiswa kotywala. Isemgangathweno. Jan. 17, 2017. https://www.uptodate.com/contents/management-of-moderate-and-severe-alcohol-withdrawal-syndromes.