Hoʻohana maʻi ʻalekohola

ʻO ka maʻi hōʻino ka manawa o kāu inu ʻana i nā pilikia koʻikoʻi i kou ola, akā hoʻomau ʻoe i ka inu. Pono paha ʻoe i ka waiʻona hou a nui aʻe e ʻona. ʻO ka kū ʻana ke kumu o ka haʻalele ʻana i nā ʻōuli.

ʻAʻohe mea i ʻike i ke kumu o nā pilikia me ka waiʻona. Manaʻo nā loea olakino he hui pū paha ia na ke kanaka.

• ʻO Genes
• Kaiapuni
• Psychology, e like me ka impulsive a i ʻole ka hoʻohaʻahaʻa haʻahaʻa iā ʻoe iho

ʻOi aku ka makaʻu o ka wā lōʻihi o ka inu ʻana i ka nui o ka waiʻona inā:

• He kāne ʻoe i ʻoi aku ma mua o 2 mau inu i kēlā me kēia lā, a i ʻole 15 a ʻoi paha inu i hoʻokahi pule, a i ʻole pinepine he 5 a ʻoi paha nā mea inu i ka manawa.
• He wahine ʻoe i ʻoi aku ma mua o 1 inu i kēlā me kēia lā, a i ʻole 8 a ʻoi paha inu i hoʻokahi pule, a i ʻole pinepine he 4 a ʻoi paha inu i ka manawa.

Hoʻomaopopo ʻia kahi inu e like me 12 auneke a i ʻole 360 ​​milliliter (mL) pia (5% ʻikepili waiʻona), 5 auneke a i ʻole 150 mL o ka waina (12% ʻikepili waiʻona), a i ʻole 1.5-auneke a i ʻole 45-mL kī o ka waiʻona (80 hōʻoia, a i ʻole 40% ʻike ʻona).

Inā he makua kou me ka hoʻohana ʻana i ka wai ʻona, ʻoi aku kou makaʻu i nā pilikia ʻona.

E loaʻa paha iā ʻoe kekahi mau pilikia me ka waiʻona inā ʻoe:

• He makua ʻōpio paha ma lalo o ke kaomi o nā hoa
• Loaʻa kaumaha, maʻi bipolar, maʻi pīhoihoi, post-traumatic stress maʻi (PTSD), a i ʻole schizophrenia
• Hiki ke loaʻa maʻalahi ka ʻalekohola
• Loaʻa ka manaʻo hoʻohaʻahaʻa iā ʻoe iho
• Loaʻa nā pilikia me nā pilina
• E ola i kahi nohona koʻikoʻi

Inā hopohopo ʻoe i kou inu ʻana, kōkua paha ia i ka nānā pono ʻana i kāu hana ʻona.

Ua hoʻomohala nā mea lawelawe olakino i kahi papa inoa o nā hōʻailona e loaʻa i ke kanaka i ka makahiki i hala e ʻike ʻia me ka maʻi hoʻohana ʻalekohola.

Pākuʻi ʻia paha nā ʻōuli:

• Nā manawa ke inu ʻoe i ʻoi aku a lōʻihi paha ma mua o kāu i hoʻolālā ai.
• Makemake ʻia, a hoʻāʻo ʻia paha, e kua i lalo a oki paha i ka inu ʻana, akā ʻaʻole hiki.
• Hoʻolālā i ka manawa a me ka hoʻoikaika ʻana e loaʻa ka wai ʻona, hoʻohana iā ia, a i ʻole e hoʻi hou mai i nā hopena.
• Makemake ʻoe i ka wai ʻona a i ʻole makemake ikaika e hoʻohana.
• Ke hana nei ka hoʻohana ʻana i ka waiʻona iā ʻoe e haʻalele ai i ka hana a i ʻole ke kula, a i ʻole hana maikaʻi paha ma muli o ka inu ʻana.
• E hoʻomau i ka inu, ʻoiai ke hōʻino ʻia nā pilina me ka ʻohana a me nā hoaaloha.
• E hōʻoki i ka hana ʻana i nā hana āu e leʻaleʻa ai.
• ʻOiai a ma hope paha o ka inu ʻana, komo ʻoe i nā hanana i hiki ke hōʻeha iā ʻoe, e like me ka hoʻokele, hoʻohana ʻana i nā mīkini, a i ʻole ka moe kolohe ʻole.
• E hoʻomau i ka inu, ʻoiai ua ʻike ʻoe ke hana nei i kahi pilikia olakino i hopena ʻia e ka waiʻona.
• Pono i ka nui o ka waiʻona e ʻike i nā hopena a i ʻole ʻona.
• Loaʻa iā ʻoe nā hōʻailona haʻalele ke pau nā hopena o ka waiʻona.

E hāʻawi kāu mea hoʻolako:

• Nānā iā ʻoe
• E nīnau e pili ana i kāu mōʻaukala a me ka mōʻaukala ʻohana
• E nīnau e pili ana i kāu inu ʻona, a inā loaʻa iā ʻoe kekahi o nā ʻōuli i helu ʻia ma luna

E kauoha paha kāu mea hāʻawi i nā hoʻokolohua e nānā ai i nā pilikia olakino e maʻa mau i ka poʻe e inu ʻona ana. Pili pū paha kēia mau hoʻāʻo:

• Papa ʻalekohola koko (Hōʻike kēia inā ua inu ʻona ʻoe i kēia manawa i ka waiʻona. ʻAʻole ia e hōʻike i ka maʻi inu ʻona.)
• Helu piha koko
• Nā hoʻāʻo hana ate
• Hōʻike koko magnesium

Pono nā poʻe he nui me kahi pilikia ʻona e hoʻopau loa i ka hoʻohana ʻana i ka ʻalekohola. Kapa ʻia kēia he abstinence. ʻO ka loaʻa ʻana o ke kōkua kaiaulu a me ka ʻohana hiki ke kōkua i mea maʻalahi e haʻalele i ka inu ʻana.

Hiki i kekahi poʻe ke ʻokiʻoki i kā lākou inu ʻana. No laila inā ʻaʻole ʻoe e haʻalele loa i ka waiʻona, hiki paha iā ʻoe ke inu liʻiliʻi. Hiki i kēia ke hoʻomaikaʻi i kou olakino a me nā pilina me nā poʻe ʻē aʻe. Hiki iā ia ke kōkua iā ʻoe e hana maikaʻi ma ka hana a kula paha.

Eia nō naʻe, he nui ka poʻe inu nui ʻaʻole hiki iā lākou ke ʻokiʻoki wale. ʻO ka abstinence wale nō ke ala e mālama ai i kahi pilikia inu.

E HOOHOLO ANA E HELE

E like me ka nui o nā kānaka me kahi pilikia ʻona, ʻaʻole paha ʻoe e ʻike ua haʻalele ka inu ʻana i kāu inu ʻana. ʻO kahi hana mua nui e makaʻala i ka nui o kāu inu ʻana. Mālama pū kekahi ia e ʻike i ka pilikia o ke olakino.

Inā hoʻoholo ʻoe e haʻalele i ka inu ʻana, e kamaʻilio pū me kāu mea hāʻawi. Hoʻomaopopo ka hoʻomaʻamaʻa iā ʻoe e ʻike i ka nui o ka hōʻino ʻana o kāu waiʻona i kou ola a me nā ola e pili ana iā ʻoe.

Kaukaʻi ʻia i ka nui a me ka lōʻihi o kou inu ʻana, makaʻu paha ʻoe no ka haʻalele ʻana i ka ʻalekohola. Hiki ke hōʻoluʻolu loa i ka haʻalele ʻana a hiki i ka hoʻoweliweli o ke ola. Inā inu nui ʻoe, pono ʻoe e ʻoki a oki paha i ka inu ʻana ma lalo wale nō o ka mālama o kahi mea hāʻawi. E kamaʻilio me kāu mea lawelawe e pili ana i ka pehea e hōʻoki ai i ka hoʻohana ʻana i ka wai ʻona.

Kākoʻo LONG-TERM

Hiki i ke olakino hoʻōla a kākoʻo paha i nā polokalamu ke kōkua iā ʻoe e hōʻoki loa i ka inu ʻana. Hāʻawi pinepine kēia mau papahana:

• Ke aʻo e pili ana i ka hoʻohana ʻana i ka wai ʻona a me nā hopena
• Kūkākūkā a me ka hoʻōla e kūkākūkā ai pehea e kaohi ai i kou mau manaʻo a me kāu lawena
• Mālama olakino kino

No ka manawa kūpono o ke kūleʻa, pono ʻoe e noho me nā poʻe e kākoʻo i kāu mau hana e hōʻalo ai i ka waiʻona. Hāʻawi kekahi mau papahana i nā koho hale no nā poʻe me nā pilikia ʻona. Aia i kāu mau pono a me nā papahana e loaʻa ana:

• Hiki ke mālama ʻia ʻoe i kahi kikowaena hoʻōla kūikawā (inpatient)
• Hiki paha iā ʻoe ke hele i kahi papahana ʻoiai ʻoe e noho ana i ka home (outpatient)

Kau ʻia ʻoe i nā lāʻau a me ka ʻōlelo aʻoaʻo a me ka lāʻau lawena e kōkua ai iā ʻoe e haʻalele. Kāhea ʻia kēia i nā lāʻau lapaʻau i kōkua ʻia i ka lāʻau (MAT). ʻOiai ʻaʻole e hana ʻo MAT no nā mea āpau, he koho ʻē aʻe ia i ka mālama ʻana i ka maʻi.

• Kōkua ka Acamprosate i ka hōʻemi ʻana i ka ʻiʻini a me ka kaukaʻi ʻana i ka wai ʻona i ka poʻe i kū iki i ka inu ʻana.
• E hoʻohana wale ʻia ʻo Disulfiram ma hope o kou hōʻoki ʻana i ka inu. Kuhi ia i kahi hopena maikaʻi ʻole ke inu ʻoe, kahi mea e pale ai iā ʻoe mai ka inu ʻana.
• Paʻa ʻo Naltrexone i nā manaʻo leʻaleʻa o ka ʻona, kahi e kōkua ai iā ʻoe e ʻoki a hōʻoki paha i ka inu.

He kuhi hewa maʻamau ka lawe ʻana i ka lāʻau e mālama ai i ka maʻi ʻalekohola ke kālepa nei i kekahi mea hōʻalo no kekahi. Eia naʻe, ʻaʻole hoʻopili kēia mau lāʻau. Hiki iā lākou ke kōkua i kekahi poʻe e hoʻokele i ka maʻi, e like me ka poʻe me ka maʻi diabetes a me ka maʻi puʻuwai e lawe i ka lāʻau e mālama ai i ko lākou kūlana.

Inu paha ka inu ʻana i ke kaumaha a i ʻole nā ​​ʻano ʻano ʻē aʻe a i ʻole nā ​​maʻi hopohopo. Inā loaʻa ʻoe i kahi maʻi o ka naʻau, e lilo paha ia i mea nui ke ʻike ʻia ke pau ka inu ʻana. E mālama kāu mea hāʻawi i nā maʻi noʻonoʻo i ka hoʻohui ʻana i kāu lāʻau ʻalekohola.

Kōkua nā hui kākoʻo i nā poʻe he nui e pili ana i ka hoʻohana ʻana i ka waiʻona. E kamaʻilio i kāu mea hāʻawi e pili ana i kahi hui kākoʻo e kūpono iā ʻoe.

Ma ke ʻano o ka hilinaʻi a ke kanaka inā hiki iā lākou keʻoki kūleʻa a hōʻoki paha i ka inu.

E hoʻāʻo paha kekahi e hoʻōki i ka inu ʻana no ka maikaʻi. Inā ʻoe e ʻaʻa nei e haʻalele, mai haʻalele i ka manaʻolana. ʻO ka loaʻa ʻana o ka lāʻau, inā pono, me ke kākoʻo a me ka paipai ʻana mai nā pūʻulu kākoʻo a me ka poʻe a puni ʻoe hiki ke kōkua iā ʻoe e noho mālie.

Hiki i ka hoʻohauna waiʻona ke hoʻonui i kou makaʻu i nā pilikia olakino he nui, e like me:

• Kahe i ka mahele digestive
• Poino o ke kino lolo
• ʻO kahi maʻi lolo i kapa ʻia ʻo Wernicke-Korsakoff Syndrome
• Ka maʻi ʻaʻai o ka esophagus, ate, kolona, ​​umauma, a me nā wahi ʻē aʻe
• Nā hoʻololi i ka pōʻai menstrual
• Hoʻoweliweli Delirium (DTs)
• Dementia a me ka nalo ʻana o ka hoʻomanaʻo
• Kaumaha a me ka pepehi kanaka
• ʻO ka hana Erectile
• Poino puʻuwai
• Piʻi koko kiʻekiʻe
• Hoʻonā o ka pancreas (pancreatitis)
• ʻO ka maʻi akepaʻa, me cirrhosis
• Poino ke aʻa a me ka lolo
• ʻAnoʻai maikaʻi ʻole
• Pilikia hiamoe (hiamoe)
• Nā maʻi i hoʻoili ʻia i ka moekolohe (STI)

Hoʻonui ka hoʻohana ʻana i ka wai ʻona i kou makaʻi no ka hana ʻino.

ʻO ka inu ʻana i ka wai ʻona ʻoiai ʻoe hāpai ua hiki ke alakaʻi i nā hānau kīnā ʻole i kāu pēpē. Kapa ʻia kēia ʻo fetal alkohol syndrome. ʻO ka inu ʻana i ka wai ʻona ʻoiai ʻoe e hānai ana i ka waiū hiki ke hoʻopilikia i kāu pēpē.

E kamaʻilio me kāu mea hāʻawi inā ʻo ʻoe a i ʻole kekahi mea āu e ʻike nei he pilikia ʻona paha.

E ʻimi koke i ka lāʻau lapaʻau a kāhea paha i kāu helu pilikia kūloko (e like me 911) inā ʻo ʻoe a i ʻole kekahi mea āu e ʻike nei he pilikia ʻona a ulu i ka huikau nui, ka hopu ʻana a i ʻole ke kahe ʻana o ke kahe.

Paipai ka National Institute on Alcohol Abuse and Alcoholism:

• ʻAʻole pono nā wahine e inu ma mua o 1 inu i kēlā me kēia lā
• ʻAʻole pono nā kāne e inu ma mua o 2 mau inu i kēlā me kēia lā

Kaukaʻi ʻaʻakona; Hana ʻino; Inu pilikia; Pilikia inu ʻana; ʻAno ʻApekema; ʻAlekohola - hoʻohana waiona; Hoʻohana hoʻohana - ʻalekohola

• Cirrhosis - hoʻokuʻu
• Pancreatitis - hoʻokuʻu

• Kaʻu cirrhosis - CT scan
• ʻO ke ake momona - CT scan
• ʻO ke akepaʻa me ka momona momona - CT scan
• ʻAlekohola
• Hoʻohana maʻi ʻalekohola
• ʻAlekohola a me ka papaʻai
• Anatomia akepau

ʻAhahui Psychiatric ʻAmelika. ʻO nā maʻi e pili ana i ka lāʻau. I: ʻAhahui Psychiatric ʻAmelika. Nānā Diagnostic a me Statistics o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka Hoʻolaha Psychiatric ʻAmelika. 2013: 481-590.

Nā kikowaena no ka mālama ʻana i ka maʻi a me ka Kāohi ʻana; National Center for Prevent Disease Prevent a me ka Hoʻolaha Ola. Nā hōʻailona koʻikoʻi CDC: ka nānā ʻana i ka waiʻona a me ka ʻōlelo aʻoaʻo. www.cdc.gov/vitaligns/alcohol-screening-counseling/. Hoʻohou i Ianuali 31, 2020. Loaʻa iā Iune 18, 2020.

Reus VI, Fochtmann LJ, Bukstein O, et al. Hoʻomaʻamaʻa ka American Psychiatric Association i ka papa kuhikuhi no ka mālama ʻana i nā lāʻau i nā maʻi me ka maʻi ʻalekole. ʻO Am J Psychiatry. 2018; 175 (1): 86-90. PMID: 29301420 www.ncbi.nlm.nih.gov/pubmed/29301420/.

Sherin K, Seikel S, Hale S. ʻAlekika hoʻohana i nā maʻi. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 48.

ʻO ka Pūʻali Hana Hana Preventive US, Curry SJ, Krist AH, et al. ʻO ka loiloi ʻana a me nā hana aʻoaʻo aʻoaʻo e hana ai e hōʻemi i ka hoʻohana ʻana i ka waiʻona maikaʻi ʻole i ka poʻe ʻōpio a me nā mākua: ʻO ka ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2018; 320 (18): 1899-1909. PMID: 30422199 pubmed.ncbi.nlm.nih.gov/30422199/.

ʻO Witkiewitz K, Litten RZ, Leggio L. ʻO ka holomua i ka ʻepekema a me ka mālama ʻana i ka maʻi ʻona. ʻO Sci Adv. 2019; 5 (9): eaax4043. Paʻi ʻia 2019 Sep 25. PMID: 31579824 pubmed.ncbi.nlm.nih.gov/31579824/.