Kuthatha Isikhathi Eside Kangakanani Ukuxosha Utshwala?

-Delile

• Umugqa wesikhathi
• 6 amahora
• Amahora angu-12 kuya kwangu-24
• Amahora angama-24 kuya kwangu-48
• Amahora angama-48 kuya emahoreni angama-72
• Amahora angama-72
• Izimpawu zokuhoxa
• Ezinye izinto
• Ukwelashwa
• Ungaluthola kanjani usizo
• Okubalulekile

Uma wenza isinqumo sokuyeka ukuphuza nsuku zonke futhi kakhulu, ungahle ube nezimpawu zokuhoxa. Isikhathi esithathayo ukukhipha ubuthi emzimbeni sincike ezintweni ezimbalwa, kufaka phakathi ukuthi uphuza kangakanani, uphuze isikhathi esingakanani, nokuthi ngabe uke wadlula emzimbeni yini ngaphambili.

Iningi labantu liyeka ukuba nezimpawu zokukhipha ubuthi emzimbeni izinsuku ezine kuya kwezinhlanu ngemuva kokuphuza okokugcina.

Funda ukuze ufunde kabanzi mayelana nokuthi yisiphi isikhathi okumele silindelwe lapho ukhipha ubuthi otshwaleni.

Umugqa wesikhathi

Ngokuya ngokubuyekezwa kwezincwadi zika-2013 ku, lokhu okulandelayo imihlahlandlela ejwayelekile yokuthi ungalindela ukuhlangabezana nini nezimpawu zokuhoxiswa kotshwala:

6 amahora

Izimpawu zokuhoxa ezincane zivame ukuqala cishe emahoreni ayisithupha ngemuva kwesiphuzo sakho sokugcina. Umuntu onomlando omude wokuphuza ngokweqile angaquleka emahoreni ayisithupha ngemuva kokuyeka ukuphuza.

Amahora angu-12 kuya kwangu-24

Amaphesenti amancane abantu abahamba ngokuhoxiswa kotshwala anezinto ezingekho okwamanje. Bangase bezwe noma babone izinto ezingekho. Yize lesi sibonakaliso singesabisa, odokotela abasibheki njengenkinga enkulu.

Amahora angama-24 kuya kwangu-48

Izimpawu zokuhoxa ezincane zivame ukuqhubeka ngalesi sikhathi. Lezi zimpawu zingafaka ikhanda, ukundindizela, nokucasula esiswini. Uma umuntu ehoxa okuncane kuphela, izimpawu zakhe zivame ukuphakama ngamahora angama-18 kuye kwangama-24 bese ziqala ukwehla ngemuva kwezinsuku ezine kuya kwezinhlanu.

Amahora angama-48 kuya emahoreni angama-72

Abanye abantu babhekana nohlobo olunzima lokuhoxiswa kotshwala odokotela abakubiza ngokuthi ama-delirium tremens (DTs) noma i-alcohol withdrawals delirium. Umuntu onalesi sifo angaba nokushaya kwenhliziyo okuphezulu kakhulu, ukuquleka, noma ukushisa komzimba okuphezulu.

Amahora angama-72

Lesi yisikhathi lapho izimpawu zokuhoxiswa kotshwala zivame ukuba zimbi kakhulu. Ezimweni ezingavamile, izimpawu zokuhoxa ezilinganiselayo zingahlala inyanga. Lokhu kufaka ukushaya kwenhliziyo okusheshayo nokukhohlisa (ukubona izinto ezingekho).

Izimpawu zokuhoxa

Utshwala budicilela phansi isimiso sezinzwa esiyinhloko. Lokhu kubangela imizwa yokuphumula nokujabula. Ngoba umzimba uvame ukusebenzela ukugcina ibhalansi, kuzokhombisa ubuchopho ukuthi benze ama-receptor amaningi we-neurotransmitter ajabulisa noma avuselele isimiso sezinzwa esiyinhloko.

Uma uyeka ukuphuza, uthatha utshwala hhayi kuphela kuma-receptors owawunabo ekuqaleni kodwa nakwezinye izamukeli ezengeziwe ezenziwe ngumzimba wakho. Ngenxa yalokho, isimiso sakho sezinzwa sisebenza ngokweqile. Lokhu kubangela izimpawu ezifana nalezi:

• ukukhathazeka
• ukucasuka
• isicanucanu
• ukushaya kwenhliziyo okusheshayo
• ukujuluka
• ukuthuthumela

Ezimweni ezinzima, ungahlangabezana nama-DTs. Izimpawu odokotela abazihlanganisa ne-DTs zifaka:

• ukusangana
• izinga lokushisa lomzimba eliphezulu
• ukukhohlisa
• ukuphambana
• isithuthwane

Lezi yizimpawu ezinzima kakhulu zokuhoxiswa kotshwala.

Ezinye izinto

Ngokwe-athikili ka-2015 ku I-New England Journal of Medicine, abantu abalinganiselwa ku-50% abanenkinga yokusebenzisa utshwala badlula ezimpawu zokuqaleka lapho beyeka ukuphuza. Odokotela balinganisela ukuthi amaphesenti amathathu kuya kwamahlanu abantu bazoba nezimpawu ezinzima.

Izici eziningi zingathinta ukuthi kungakuthatha isikhathi esingakanani ukuhoxa otshwaleni. Udokotela uzobheka zonke lezi zinto lapho elinganisela ukuthi izimpawu zakho zingahlala isikhathi eside kangakanani nokuthi zingaba nzima kangakanani.

Izici zobungozi ze-DTs zifaka:

• ukusebenza kwesibindi okungavamile
• umlando wama-DTs
• umlando wokubanjwa ngotshwala ngokuzihoxisa
• ukubalwa kweplatelet eliphansi
• amazinga aphansi e-potassium
• amazinga aphansi e-sodium
• ukuguga ngesikhathi sokuhoxa
• ukuphelelwa amandla kwamanzi okade kukhona
• ubukhona bezilonda zobuchopho
• ukusetshenziswa kwezinye izidakamizwa

Uma unezinye zalezi zinto eziyingozi, kubalulekile ukuthi uhoxe otshwaleni esikhungweni sezokwelapha esihlonyelwe ukuvikela nokwelapha izinkinga ezihlobene notshwala.

Ezinye izindawo zokuhlumelelisa zinikeza inqubo yokukhipha ubuthi ngokushesha. Lokhu kubandakanya ukufaka umuntu umuthi wokuthambisa ukuze angavuki futhi azazi izimpawu zakhe. Kodwa-ke, le ndlela ayifanele kahle kulabo abanezinye izinkinga zempilo, njengezinkinga zenhliziyo noma zesibindi.

Ukwelashwa

Ukuhlola izimpawu zokuhoxa komuntu nokuncoma ukwelashwa, odokotela bavame ukusebenzisa isikali esibizwa ngokuthi iClinical Institute for Withdrawal Assessment for Alcohol. Ukuphakama kwenombolo, ziba zimbi kakhulu izimpawu zomuntu kanye nokwelashwa okungenzeka bakudinga.

Ungahle ungadingi noma yimiphi imithi yokuhoxiswa kotshwala. Usengaphishekela amaqembu okwelashwa nawokweseka njengoba uhamba ekuhoxisweni.

Ungadinga imishanguzo uma unezimpawu zokuhoxa ezilinganiselwe ukuya kwezinzima. Izibonelo zalokhu zifaka:

• Ungaluthola kanjani usizo

  Uma ukuphuza kwakho kukwenza uzizwe ungalawuleki futhi ukulungele ukufuna usizo, izinhlangano eziningi zingakusiza.

  Ungaqala kuphi:

  Inombolo yosizo Kazwelonke ye-Substance Abuse and Mental Health Services Services (SAMHSA) ku-1-800-662-USIZO

  • Le nombolo yosizo inikeza ukwesekwa ubusuku nemini kubantu kanye nasemalungwini omndeni wabo abalwa nokusebenzisa kabi izidakamizwa.
  • Abasebenza ngezinombolo zosizo bangakusiza ukuthi uthole indawo yokwelashwa, owelapha, iqembu losizo, noma ezinye izinsiza zokuyeka ukuphuza.

  INational Institute on Alcohol Abuse and Alcoholism nayo inikela ngethuluzi le-Alcohol Treatment Navigator elingakusiza ekutholeni imishanguzo efanelekile esondele ekhaya.

  Ezinye izinsizakusebenza eziku-inthanethi ezinikezela ngemininingwane ecwaningwe kahle nokusekelwa kufaka phakathi:

  • Izidakwa Akaziwa
  • UMkhandlu Kazwelonke Wokuncika Kotshwala Nokuncika Kwezidakamizwa
  • INational Institute on Alcohol Abuse and Alcoholism

  Umhlinzeki wakho wokunakekelwa okuyisisekelo angakweluleka ngokuthi ungakutholaphi ukunakekelwa kwezimpawu zomzimba nezengqondo zokuhoxiswa kotshwala. Kubaluleke kakhulu ukufuna usizo uma ulwa nokusetshenziswa kabi kotshwala. Kungenzeka uthole ukwelashwa futhi uphile impilo enempilo, esangulukile.

  Eqinisweni, kulinganiselwa ukuthi ingxenye eyodwa kwezintathu zabantu abathola ukwelashwa ngezinkinga zotshwala basangulukile ngonyaka olandelayo, ngokusho kweNational Institute on Alcohol Abuse and Alcoholism.

  Ngaphezu kwabantu abasangulukile, abantu abaningi phakathi kwezingxenye ezimbili kwezintathu ezisele nabo baphuza kancane futhi baba nezinkinga ezimbalwa zezempilo ezihlobene notshwala ngemuva konyaka.

  Okubalulekile

  Uma ukhathazekile ngezimpawu ezingaba khona zokuhoxiswa kotshwala, khuluma nodokotela wakho. Udokotela angahlola umlando wakho wonkana wokuhlukunyezwa kwezempilo notshwala ukuze akusize unqume ukuthi kungenzeka kanjani ukuthi ube nezimpawu.