Ukwelashwa kwe-Alcohol Use Disorder (AUD)

-Delile

• Isifinyezo
• Yini inkinga yokusetshenziswa kotshwala?
• Yiziphi izindlela zokwelapha ukuphazamiseka kokusebenzisa utshwala?
• Yimiphi imishanguzo yokwelapha ukuphazamiseka kokusebenzisa utshwala?
• Yiziphi izindlela zokwelapha ezingelapha ukuphazamiseka kokusebenzisa utshwala?
• Ingabe ukwelashwa kokuphazamiseka kokusebenzisa utshwala kuyasebenza?

Isifinyezo

Yini inkinga yokusetshenziswa kotshwala?

Inkinga yokusebenzisa utshwala (i-AUD) ukuphuza okubangela ukucindezeleka nokulimala. Kuyisimo sezokwelapha lapho ukhona

• Phuza utshwala ngenkani
• Ayikwazi ukulawula ukuthi uphuza kangakanani
• Zizwe ukhathazekile, ucasukile, futhi / noma ucindezelekile uma ungaphuzi

I-AUD ingahluka isuke kokumnene iye kwesinzima, kuya ngezimpawu. I-AUD enamandla kwesinye isikhathi ibizwa ngokuthi umlutha wotshwala noma ukuncika otshwaleni.

Yiziphi izindlela zokwelapha ukuphazamiseka kokusebenzisa utshwala?

Iningi labantu abanenkinga yokusebenzisa utshwala bangazuza ngandlela thile yokwelashwa. Imithi yokwelashwa ifaka phakathi imithi kanye nokwelashwa kokuziphatha. Kubantu abaningi, ukusebenzisa zombili izinhlobo kubanikeza imiphumela emihle kakhulu. Abantu abathola ukwelashwa kwe-AUD bangakuthola futhi kuwusizo ukuya eqenjini lokusekelwa njenge-Alcoholics Anonymous (AA). Uma une-AUD nokugula ngengqondo, kubalulekile ukuthola ukwelashwa kwakho kokubili.

Abanye abantu bangadinga ukwelashwa okunamandla kwe-AUD. Bangaya esikhungweni sokwelashwa sokuhlala ukuze bavuselelwe (rehab). Ukwelashwa lapho kuhlelwe kakhulu. Imvamisa kufaka izinhlobo ezahlukahlukene zokwelashwa kokuziphatha. Kungafaka nemithi yokukhipha ubuthi emzimbeni (ukwelashwa kokukhipha utshwala) kanye / noma ukwelapha i-AUD.

Yimiphi imishanguzo yokwelapha ukuphazamiseka kokusebenzisa utshwala?

Imithi emithathu ivunyelwe ukwelapha i-AUD:

• I-Disulfiram kubangela izimpawu ezingathandeki ezifana nesicanucanu nokuxubha isikhumba noma kunini lapho uphuza khona utshwala. Ukwazi ukuthi ukuphuza kuzodala le miphumela engathandeki kungakusiza ukuthi uhlale kude notshwala.
• I-Naltrexone kuvimba ama-receptors ebuchosheni bakho akwenza uzizwe kahle lapho uphuza utshwala. Kunganciphisa nokulangazelela kwakho utshwala. Lokhu kungakusiza wehlise ekuphuzeni kwakho.
• I-Acamprosate ikusiza ukuthi ugweme utshwala ngemuva kokuyeka ukuphuza. Isebenza ezinhlelweni eziningi zobuchopho ukunciphisa izifiso zakho, ikakhulukazi ngemuva nje kokuyeka ukuphuza.

Umhlinzeki wakho wokunakekelwa kwezempilo angakusiza ukuthi wazi ukuthi ngabe enye yale mithi ikulungele yini. Aziluthisi, ngakho-ke akudingeki ukhathazeke ngokuhweba ngomlutha owodwa komunye. Azilona ikhambi, kepha zingakusiza ukuphatha i-AUD. Lokhu kufana nokuthatha imithi yokwelapha isifo esingelapheki njengesifuba somoya noma isifo sikashukela.

Yiziphi izindlela zokwelapha ezingelapha ukuphazamiseka kokusebenzisa utshwala?

Elinye igama lezindlela zokuziphatha ze-AUD ukwelulekwa ngotshwala. Kubandakanya ukusebenza nochwepheshe wezokunakekelwa kwempilo ukukhomba nokusiza ekushintsheni isimilo esiholela ekuphuzeni ngokweqile.

• Ukwelashwa kwengqondo yokuziphatha (I-CBT) ikusiza ukuthi ubone imizwa nezimo ezingaholela ekuphuzeni ngokweqile. Kukufundisa amakhono okubhekana nezinkinga, kufaka phakathi ukuthi ungaphatha kanjani ukucindezeleka nokuthi ungashintsha kanjani imicabango edala ukuthi ufune ukuphuza. Ungathola i-CBT ngomuntu ngamunye nomelaphi noma ngamaqembu amancane.
• Ukwelashwa kokukhuthaza okukhuthazayo ikusiza ekwakheni nasekuqiniseni ugqozi lokushintsha indlela oziphatha ngayo. Kubandakanya cishe izikhathi ezine ngesikhathi esifushane. Ukwelashwa kuqala ngokukhomba izinzuzo nezingozi zokufuna ukwelashwa. Ngemuva kwalokho wena nodokotela wakho nisebenza ekwakheni uhlelo lokwenza izinguquko ekuphuzeni kwakho. Amaseshini alandelayo agxile ekwakheni ukuzethemba kwakho nasekuthuthukiseni amakhono owadingayo ukuze ukwazi ukunamathela kuhlelo.
• Ukwelulekwa ngomshado nomndeni kufaka phakathi abashadile namanye amalungu omndeni. Kungasiza ukulungisa nokuthuthukisa ubudlelwane bakho bomndeni. Ucwaningo lukhombisa ukuthi ukusekelwa okuqinile komndeni ngokwelashwa komndeni kungakusiza ukuthi uhlale kude nokuphuza.
• Ukungenelela okufushane mancane, imihlangano yokwelulekwa ngamaqembu amafushane, eyodwa noma eyodwa. Kubandakanya iseshini eyodwa kuya kwezine. Umeluleki ukunika ulwazi mayelana nephethini yakho yokuphuza nobungozi obungaba khona. Umeluleki usebenza nawe ukubeka izinhloso futhi unikeze imibono engakusiza wenze ushintsho.

Ingabe ukwelashwa kokuphazamiseka kokusebenzisa utshwala kuyasebenza?

Kubantu abaningi, ukwelashwa kwe-AUD kuyasiza. Kepha ukunqoba inkinga yokusetshenziswa kotshwala inqubo eqhubekayo, futhi ungahle uphinde ubuye (uqale ukuphuza futhi). Kufanele ubheke ukubuyela emuva njengokubuyela emuva okwesikhashana, bese uqhubeka uzama. Abantu abaningi bazama kaningi ukunciphisa noma ukuyeka ukuphuza, babuyela emuva, bese bezama ukuyeka futhi. Ukubuyela emuva akusho ukuthi ngeke usalulama. Uma ubuyela emuva, kubalulekile ukubuyela ekwelashweni ngokushesha, ukuze ufunde kabanzi mayelana nezimbangela zakho zokubuyela emuva futhi uthuthukise amakhono akho okubhekana nakho. Lokhu kungakusiza ukuthi uphumelele kakhulu ngokuzayo.

I-NIH: Isikhungo Sikazwelonke Sokusetshenziswa Kokulutha Kotshwala Notshwala