Ukurhoxiswa kotywala kuyimpawu engathandekiyo yeziphuzo ezinxilisayo xa ziyeka ukusela. Abantu abaninzi banxila kakhulu rhoqo emva kwexeshana, kwaye abaninzi banokusela kakhulu ixesha elininzi. Nangona kuluvo olukhulu lokuyeka ukusela, kufuneka ucinga nokuba unokuba neengxaki zokuyeka ukuphuza utshwala, nendlela yokuzilawula, ngaphambi kokuyeka ukubandisa .
Ngokuxhomekeke kwindlela ophuze ngayo kwaye ixesha elide, iimpawu zokuyeka ukuphuza utywala zinokuba nzima kwaye nokuba usongela ubomi, ngoko uthetha ugqirha wakho ngcebiso. Eli nqaku lijoliswe kukukunceda ukuba uqonde oko kwenzeka ntoni xa uyeka ukusela kwaye akungena endaweni yeengcebiso zonyango.
Ngaba Ndiya kuKhutshwa xa Ndiyeka ukuNxila?
Ukuba uphuze kakhulu ixesha elithile, nokuba ngumzekelo oqhelekileyo, kwiibinges , okanye ukuba uye waba ngumlutha , unokufuna ukwazi ukuba ungalindela ntoni ukuba unqabe ukusela kwaye uphume ekuxothweni kotywala.
Kulabo ababenomlutha wotywala, unokufumana iimpawu zokuyeka ukuyeka, kodwa ukuhoxiswa kuya kwenzeka kwakhona emva kokusela kakhulu. Isibilini sokuqala singahluka ngexesha kunye nobukhulu kwaye singaphelela iiyure, kodwa ngokuqhelekileyo uya kuqala ukuziziva ungcono ngosuku. Ngokwahlukileyo, ukuhoxiswa kotywala kunokugqithisa ngaphezu kweeyure ezimbalwa zokuqala kunye neentsuku kwaye zihlala iintsuku ukuya kwiveki okanye ngaphezulu.
Abanye abaselayo bafumana iiveki okanye iinyanga zokukhupha iimpawu, ezibizwa ngokuba yi- post-withdrawal syndrome (PAWS).
Amava okuchithwa kotywala ehlukile kumntu kumntu, kwaye ubunzima buxhomekeka kwiimeko ezininzi, kodwa kukho izinto ezithile eziqhelekileyo, ezichazwe apha.
Ukukhanga Utywala
Uninzi lwabantu abahoxayo kwi-alcohol experience banqwenela ukusela ngaphezulu. Oku kwaziwa ngokuba neenqwenela , kwaye izifiso ziqhelekile kubantu abahoxayo kwizinto ezininzi eziluthayo. Ingxenye yenkanuko iqhutywa ngumnqweno wokunciphisa iimpawu zokurhoxiswa kotywala, kwaye inxalenye yalo ngumnqweno wokuphinde ufumane ukuzonwabisa kotywala kotywala.
Utshintsho lwemodi
Ukurhoxiswa kotywala kukuthatha umonakalo. Enye indlela yokucinga malunga nokuhoxiswa kukuba kufana nokuhlawula imali mboleko. Ufumana imva ngezinye iimvakalelo ezilungileyo ngelixa udakiwe, kodwa ke ubophelelwe ngetyala leemvakalelo ezifanayo ngexesha lokuxotha. Oku kubizwa ngokuba yimpembelelo yempembelo kwaye inxalenye yendlela yakho yomzimba yokugcina i- homeostasis . Emva kokuba uhlawule "ityala," unokuva ulungele kwakhona ngokwendalo.
Abantu abaninzi banxila ukuba bazive bekhululekile kwaye bevuya. Ngoko xa ulahla utywala, ungalindela ukuziva uxhalabele kwaye uhlunguzeleke, ngenxa yokuba umzimba wakho ulungelelanisa ukuphuphuma kunye nefuthe elibangelwa yimiphunga yotywala engekho.
Esinye isizathu sokuba ukuhoxiswa kukubi kakhulu kukuba abantu abaninzi basela ukufihla imizwa engathandekiyo, njengentlungu, ukukhathazeka kunye nokukhungatheka.
Ngaphandle kwempembelelo yobunxila, kwaye ngaphandle kokujongana nesizathu saloo mvakalelo engathandekiyo, unokuziva ukhululekile ngokomzwelo, nje xa usenamandla. Ngenxa yesi sizathu, kunengqiqo ukugqithiswa kwimeko yokuxhaswa, apho iimvakalelo ezimbi zingayi kubacaphukisa. Inokwenziwa ekhaya, kodwa le nto yinto efanelekileyo ukuba intsapho yakho okanye abanye abantu ekhaya baya kuba nobubele, banobuchule kunye nenkxaso ngexesha le nkqubo, ngoko uxoxe nabo ngaphambili. Kwaye kusengumzekelo omuhle ukuthetha ngogqirha wakho, ngoko banokukunika unyango olungakhusela iimpawu ezinzima kakhulu ukuba zenzeke.
Iingxaki Zokulala
Nangona ukhathala uvakalelwa kukuba, ukuhoxiswa kotywala kunokuvame ukubangela ukulala (kungenakunzima ukulala okanye ukulala).
Isihlunu okanye ukuvota
Ukuvuthwa, okanye ukuziva ngathi uya kuhlanza (isicupunu) yinto ephawulekayo yokurhoxisa utywala. Mhlawumbi awuyi kuva ngathi uphume kwaye malunga nantoni na, kodwa naphi apho ukhona, qiniseka ukuba unesindlu yokuhlambela kufuphi.
Ukuguquka komzimba
Abantu abadlula ngokuphuza utywala baziva bexhala. Oku kuyenyuka ngokunyuka kwentlawulo yenhliziyo nokukhupha. Unokufumana ukugubha komzimba kwaye uqaphele izandla zakho zingqongqo. Kucacile ukuba oku kuya kukwenza uzive ukhululekile, kodwa kubalulekile ukuqaphela ezi zibonakaliso zokurhoxisa ukuba ziphi, kwaye kungekhona nje iimpawu zokubanda okanye umkhuhlane. Ukuba ufumana ezi zibonakaliso kwaye awufumani unyango lokurhoxiswa kotywala, jonga ugqirha wakho okanye uye kwigumbi lexakeka kwisibhedlele sakho esiseduze. Amachiza anokuthintela ezinye iimpawu zokuyeka ukugxotha, ezinjengeengcamango kunye nokutshatyalaliswa.
Hallucinations
I-hallucinations, enokuthi yenzeke yodwa okanye ibe yingxenye yesifo esibuhlungu sokukrazula kwe-delirium tremens (DT), ziphakathi kweempawu ezinzima zokwehliswa kotywala-kodwa akusiyo wonke umntu oya kuhoxiswa. I-hallucinations ibandakanya ukubona, ukuva okanye ukuva izinto ezingekho, kwaye kungenakwenzeka. Abanye abantu abafumana i-hallucinations bafumana bekwesaba baze bacinge ukuba bahamba. Ukuba kunjalo, ngelixa abanye abantu bekwazi ukuhlakulela i-psychosis eyenziwa yi-substance ngenxa yokusetyenziswa kotywala okanye ezinye iziyobisi, kwiimeko ezininzi, i-hallucinations iyayeka emva kokuba unyango okanye emva kokuhoxiswa kwenkqubo. Kungcono ukubona ugqirha uze ufumane unyango kunokuba uzame kwaye ujamelane nawe, njengoko oku kunokukhusela enye yesifo esinokuyingozi kakhulu sokurhoxisa utywala.
Ukuxhamla
Nangona ukuxhatshazwa kungavamile, ziyimpawu eziqhelekileyo zokuxilwa kotywala, kwaye kufuneka uhlale uzilungiselela kwaye uphephe umngcipheko wokubanjwa ngokufumana unyango olufanelekileyo. Ukuxoshwa ngexesha lokuxilwa kotywala kunokusongela ubomi, ngoko kubiza u-911 ukuba ucinga ukuba ucinga umntu otywala utywala.
Imithombo:
Umbutho wezeMpilo waseMerika. I-Diagnostic and Statistical Manual yeengxaki zeengqondo i-DSM-IV-TR yesihlanu I-DSM-5. Umbutho wezeMpilo waseMerika. 2013.
IJustice Institute yaseBrithani Columbia. Isixhobo sokuSebenzisa / ukusetyenziswa kakubi kweeSatifikethi seSatifikethi. Victoria, BC. 2001.