ʻO ka haʻalele ʻana i ka ʻalekohola

ʻO ka haʻalele ʻana i ka wai ʻona e pili ana i nā ʻōuli e hiki ke hiki i kahi kanaka e inu nui nei i ka waiʻona i kēlā me kēia manawa ke kū koke i ka inu ʻana i ka ʻalekohola.

ʻO ka haʻalele ʻana i ka waiʻona i ka manawa pinepine i nā mākua. Akā, hiki i nā ʻōpio a i nā keiki paha.

ʻO ka nui o kou inu pinepine ʻana, ʻo ka nui o ka hoʻomohala ʻana i nā ʻōuli o ke ʻalekohola ke pau kou inu ʻana.

Loaʻa paha iā ʻoe nā hōʻailona ʻoi loa keu inā loaʻa iā ʻoe kekahi mau pilikia olakino ʻē aʻe.

Kū pinepine nā ʻōuli haʻalele waiʻona ma waena o 8 mau hola ma hope o ka inu hope loa, akā hiki ke hana i nā lā ma hope. Kūleʻa ka nui o nā ʻōuli ma o 24 a 72 mau hola, akā hiki ke hala i mau pule.

ʻO nā ʻōuli maʻamau ka:

• Ka pīhoihoi a hopohopo paha
• Kaumaha
• Ka luhi
• Huhū
• Lele a luliluli paha
• Swings hāhuli
• Nā Moemoeā
• Ka noʻonoʻo ʻole ʻana

Hiki i nā ʻōuli ʻē aʻe ke:

• Ka huehue, ʻili paʻalulu
• Hoʻonui ʻia (dilated) haumāna
• ʻEha poʻo
• ʻO ka hiamoe (ka pilikia o ka hiamoe)
• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi
• Pallor
• Helu puʻuwai wikiwiki
• ʻO ka haʻalulu o nā lima a i ʻole nā ​​ʻāpana kino ʻē aʻe

ʻO kahi ʻano ʻino o ka haʻalele ʻana i ka waiʻona i kapa ʻia ʻo delirium tremens ke kumu:

• Hoʻoikaika
• Fiva
• Ke ʻike a manaʻo nei paha i nā mea ʻaʻole ma laila (hallucination)
• Ka hopu ʻana i nā maʻi
• Huikau nui

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia:

• Nā neʻe maka ʻole
• Nā ritme naʻau maʻamau
• Dehydration (ʻaʻole lawa nā wai i ke kino)
• Fiva
• Hanu wikiwiki
• Helu puʻuwai wikiwiki
• Nā lima haʻalulu

Hiki ke hana i nā hoʻāʻo ʻana o ke koko a me ka mimi, me kahi pakuhi ʻino.

ʻO ka pahuhopu o ka mālama ʻana:

• Hoʻoemi i nā hōʻailona haʻalele
• Kāohi i nā pilikia o ka hoʻohana ʻana i ka waiʻona
• Therapy e kiʻi iā ʻoe e hōʻoki i ka inu ʻana (abstinence)

LAAU INPATIENT

ʻO ka poʻe me nā ʻōuli kaulike-a-koʻikoʻi o ka haʻalele ʻana i ka waiʻona e pono ai i ka lāʻau maʻi ma ka haukapila a i ʻole nā ​​wahi ʻē aʻe e mālama ai i ka haʻalele ʻana i ka waiʻona. E nānā pono ʻia ʻoe no nā hallucination a me nā hōʻailona ʻē aʻe o ka haʻalulu delirium.

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Ka mālama ʻana i ke kaomi koko, ka mahana o ke kino, ka helu o ka puʻuwai, a me nā pae o ke koko o nā kemika like ʻole i loko o ke kino
• Nā Fluids a i ʻole nā ​​lāʻau i hāʻawi ʻia ma o ke aa (e IV)
• Hoʻomaha i ka hoʻohana ʻana i nā lāʻau a hiki i ka pau ʻana o ka haʻalele ʻana

KA LAPAAU ANA MAWAHO

Inā loaʻa iā ʻoe nā hōʻailona haʻalele wai ʻoluʻolu a kūwaena, hiki iā ʻoe ke mālama pinepine ʻia i kahi hoʻonohonoho maʻi. I loko o kēia kaʻina hana, pono ʻoe i kahi mea hiki ke noho me ka maka iā ʻoe. Pono paha ʻoe e kipa i kēlā me kēia lā i kāu mea lawelawe a kūpaʻa ʻoe.

Hoʻomaʻamaʻa maʻamau i:

• Nā lāʻau hoʻohiamoe e kōkua i ka hōʻoluʻolu i nā hōʻailona haʻalele
• Nā hoʻāʻo koko
• ʻO ka ʻōlelo aʻoaʻo a ka mea hoʻomanawanui a me ka ʻohana e kūkākūkā e pili ana i ka hopena lōʻihi o ka waiʻona
• ʻO ka hoʻāʻo ʻana a me ka mālama ʻana no nā pilikia olakino ʻē aʻe i pili i ka hoʻohana ʻana i ka waiʻona

He mea nui e hele i kahi nohona e kōkua i ke kākoʻo iā ʻoe i ka noho mālie. Loaʻa i kekahi mau wahi nā koho hale e hāʻawi i kahi kaiaulu kākoʻo no ka poʻe e hoʻāʻo nei e noho mālie.

ʻO ka pale mau loa a me ka lōʻihi o ke ola ʻana i ka waiʻona ka lapaʻau maikaʻi loa no ka poʻe i hala i ka haʻalele ʻana.

ʻO nā hui aʻe nā kumuwaiwai maikaʻi no ka ʻike pili i ka waiʻona.

• Anonymous Alcoholics - www.aa.org
• Nā Pūʻulu ʻohana Al-Anon / Al-Anon / Alateen - al-anon.org
• National Institute on Alcohol Abuse and Alcoholism - www.niaaa.nih.gov
• Hoʻomaʻamaʻa lawelawe kino a me nā lawelawe lawelawe olakino noʻonoʻo - www.samhsa.gov/atod/alcohol

Ma ke ʻano o ka hilinaʻi ʻana o ke kanaka i ka nui o nā pohō a me ka hiki i ke kanaka ke hoʻōki i ka inu ʻana. Hiki ke haʻalele i ka waiʻona mai kahi maʻi palupalu a hōʻoluʻolu ʻole i kahi kūlana koʻikoʻi a me ka hoʻoweliweli.

ʻO nā ʻōuli e like me ka loli o ka hiamoe, nā loli wikiwiki i ka naʻau, a me ka luhi i mau mau mahina. ʻO ka poʻe e hoʻomau i ka inu nui ʻana e hoʻomohala i nā pilikia olakino e like me ka ate, ka puʻuwai, a me nā maʻi ʻōnaehana.

ʻO ka hapa nui o ka poʻe e hele i loko o ka haʻalele ʻana i ka ʻalekohola e ola hou. Akā, hiki nō ka make, keu hoʻi inā kū ka haʻalulu.

ʻO ka haʻalele ʻana i ka waiʻona kahi ʻano koʻikoʻi e hiki ke lilo i mea hoʻoweliweli i ke ola.

Kāhea i kāu mea lawelawe a i ʻole hele i ka lumi pilikia inā ʻoe e noʻonoʻo i ka haʻalele ʻana i ka ʻalekohola, keu hoʻi inā ʻoe e hoʻohana pinepine ana i ka ʻalekohola a kū koke ʻia hoʻi. Kāhea i kahi manawa me kāu mea hāʻawi inā hoʻomau nā hōʻailona ma hope o ka mālama ʻana.

E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā hopu ʻia ke kuni, ke kuni, ka huikau nui, nā hallucination, a me nā puʻuwai kūlohelohe ʻole.

Inā hele ʻoe i ka haukapila no kahi kumu ʻē aʻe, e haʻi i nā mea hoʻolako inā inu nui ʻoe i hiki iā lākou ke nānā iā ʻoe no nā ʻōuli o ka haʻalele ʻana i ka waiʻona.

E hōʻemi a hōʻalo paha i ka ʻalekohola. Inā loaʻa iā ʻoe kahi pilikia inu, pono ʻoe e hōʻoki loa i ka waiʻona.

Detoxification - ʻalekohola; Detox - ʻalekohola

ʻO Finnell JT ʻO ka maʻi e pili ana i ka waiʻona. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 142.

Kelly JF, Renner JA. Nā maʻi e pili ana i ka waiʻona. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 26.

Mirijello A, DʻAngelo C, Ferrulli A, et al. Ka ʻike a me ka hoʻokele ʻana i ka maʻi ʻalekope alaka. Nā lāʻau. 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Hoʻohana i nā maʻi ʻona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 33.