Ukurhoxiswa kotywala

Ukurhoxiswa kotywala kubhekisa kwiimpawu ezinokuthi zenzeke xa umntu ebesela kakhulu utywala rhoqo ngesiquphe eyeka ukusela utywala.

Ukurhoxiswa kotywala kwenzeka rhoqo kubantu abadala. Kodwa, inokwenzeka kulutsha okanye ebantwaneni.

Okukhona usela rhoqo, kokukhona kuya kubakho iimpawu zokurhoxa etywaleni xa uyeka ukusela.

Unokuba neempawu ezinzima zokurhoxa ukuba unezinye iingxaki zonyango.

Iimpawu zokurhoxisa utywala zihlala zenzeka kwiiyure ezisibhozo emva kwesiselo sokugqibela, kodwa zinokwenzeka kwiintsuku kamva. Iimpawu zihlala ziphakama nge-24 ukuya kwiiyure ezingama-72, kodwa zinokuqhubeka iiveki.

Iimpawu eziqhelekileyo zibandakanya:

• Ixhala okanye uvalo
• Uxinzelelo
• Ukudinwa
• Ukucaphuka
• Ukutsiba okanye ukungcangcazela
• Ukuhamba kweemvakalelo
• Amaphupha amabi
• Ukungacingi kakuhle

Ezinye iimpawu zingabandakanya:

• Ukubila, ulusu olomeleleyo
• Abandisiweyo (abahluziweyo) abafundi
• Intloko ebuhlungu
• Ukuphuthelwa (ubunzima bokulala)
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu nokugabha
• Umtsalane
• Inqanaba lentliziyo elikhawulezayo
• Ukungcangcazela kwezandla okanye amanye amalungu omzimba

Uhlobo olomeleleyo lokurhoxa kotywala ekuthiwa yi-delirium tremens kunokubangela:

• Ukuphazamiseka
• Ifiva
• Ukubona okanye ukuziva izinto ezingekhoyo (ukubona izinto ezingekhoyo)
• Ukuxhuzula
• Ukudideka okukhulu

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba. Oku kunokutyhila:

• Ukuhamba kwamehlo okungaqhelekanga
• Isingqisho sentliziyo esingaqhelekanga
• Ukuphelelwa ngamanzi emzimbeni (alwanelanga ulwelo emzimbeni)
• Ifiva
• Ukuphefumla ngokukhawuleza
• Inqanaba lentliziyo elikhawulezayo
• Izandla ezingcangcazelayo

Uvavanyo lwegazi kunye nomchamo, kubandakanya isikrini esinetyhefu, sinokwenziwa.

Injongo yonyango ibandakanya:

• Ukunciphisa iimpawu zokurhoxa
• Ukuthintela iingxaki ekusetyenzisweni kotywala
• Unyango ukuze uyeke ukusela (ukuziyeka)

UNYANGO LWEZIGulana

Abantu abaneempawu zokumodareyitha ngokulingeneyo ukuya kwezobukrakra banokufuna unyango kwizibhedlele okanye kwenye indawo ephatha ukurhoxiswa kotywala. Uya kujongwa ngononophelo kubuchwephesha kunye neminye imiqondiso ye-tremens tremens.

Unyango lunokubandakanya:

• Ukujonga uxinzelelo lwegazi, ubushushu bomzimba, ukubetha kwentliziyo, kunye namanqanaba egazi eekhemikhali ezahlukeneyo emzimbeni
• Ulwelo okanye amayeza anikwa ngomthambo (ngu-IV)
• Ukuhlala usebenzisa amayeza de kugqitywe ukurhoxa

UNYANGO LWESIBHEDLELE

Ukuba uneempawu zokurhoxa etywaleni ngobumnene ukuya kumodareyitha, unokunyangwa kwisimo sokugula. Ngexesha lale nkqubo, uzakufuna umntu onokuhlala naye kwaye abeke iliso kuwe. Uya kudinga ukwenza utyelelo lwemihla ngemihla kumboneleli wakho de ube uzinzile.

Unyango luhlala lubandakanya:

• Amachiza okudambisa ukunceda ukunciphisa iimpawu zokurhoxa
• Uvavanyo lwegazi
• Iingcebiso ngesigulana kunye nosapho ukuxoxa ngomcimbi wexesha elide wotywala
• Ukuvavanywa nokunyangwa kwezinye iingxaki zonyango ezinxulunyaniswa nokusetyenziswa kotywala

Kubalulekile ukuba uye kwimeko yokuphila enceda ukukuxhasa ukuze uhlale ungonwabanga. Eminye imimandla inokukhetha izindlu ezibonelela ngendawo yokuxhasa abo bazama ukuhlala bengekho semdleni.

Ukusela utywala isigxina kunye nobomi bakho bonke lolona nyango luphambili kwabo baye barhoxa.

Le mibutho ilandelayo yimithombo elungileyo yolwazi malunga notywala:

• Iziselo ezinxilisayo ezingaziwa- www.aa.org
• Amaqela alusapho ka-Al-Anon / Al-Anon / Alateen-al-anon.org
• IZiko leLizwe leSizwe ngokuSetyenziswa gwenxa kotywala kunye notywala - www.niaaa.nih.gov
• Ukusetyenziswa gwenxa kweziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo- www.samhsa.gov/atod/alcohol

Ukusebenza kakuhle komntu kuxhomekeke kubungakanani bomonakalo womzimba nokuba umntu angayeka ukusela ngokupheleleyo. Ukurhoxiswa kotywala kunokubakho ukusuka kwisifo esipholileyo kunye nesingathandekiyo ukuya kwisimo esibi, esisongela ubomi.

Iimpawu ezinje ngokutshintsha kokulala, ukutshintsha ngokukhawuleza kwemood, kunye nokudinwa kunokuhlala iinyanga. Abantu abaqhubeka nokusela kakhulu banokufumana iingxaki zempilo ezinjengesibindi, intliziyo, kunye nesifo se-nervous system.

Uninzi lwabantu abahamba ngokurhoxiswa kotywala benza ukubuyiswa ngokupheleleyo. Kodwa, ukufa kunokwenzeka, ngakumbi ukuba kwenzeka i-delirium tremens.

Ukurhoxiswa kotywala yimeko enokubangela ukuba ubomi bube sengozini ngokukhawuleza.

Fowunela umboneleli wakho okanye uye kwigumbi likaxakeka ukuba ucinga ukuba unokuburhoxa utywala, ngakumbi ukuba ubusebenzisa utywala rhoqo kwaye usandula ukuyeka. Biza ukuqeshwa kunye nomboneleli wakho ukuba iimpawu ziyaqhubeka emva konyango.

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba ukuxhuzula, ifiva, ukudideka okunzima, ukubona izinto ezingekhoyo, okanye ukubetha kwentliziyo okungaqhelekanga.

Ukuba uya esibhedlele ngesinye isizathu, xelela ababoneleli ukuba ubusele kakhulu ukuze bakwazi ukujonga iimpawu zokurhoxa etywaleni.

Nciphisa okanye uphephe utywala. Ukuba unengxaki yokusela, kufuneka uyeke utywala ngokupheleleyo.

Detoxification - utywala; Detox - utywala

UFinnell JT. Izifo ezinxulumene notywala. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 142.

UKelly JF, uRenner JA. Ukuphazamiseka okunxulumene notywala. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

UMirijello A, D'Angelo C, uFerrulli A, et al. Ukuchongwa kunye nokulawulwa kwesifo sokurhoxisa utywala. Iziyobisi. 2015; 75 (4): 353-365. IINKCUKACHA: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Ukuphazamiseka ekusebenziseni utywala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 33.