So ɛyɛ den ma wo nso sɛ wubegyae nsa mpofirim? (Asanom a Wɔtwe Wɔn Ho) .

Wunim, nnipa binom a wɔanom nsa pii akyɛ na afei mpofirim ara wogyae asanom anaasɛ wɔtew wɔn asanom so no, wɔ bere a emu yɛ den yiye. Saa ahokyere yi, honam ne adwene mu nyinaa, ne nea yɛrebɛka ho asɛm nnɛ, anaa nea wɔfrɛ no `` Alcohol Withdrawal Syndrome''. Eyi betumi ate nka sɛ enye ankasa, nanso sɛ wunim a, ɛnyɛ den sɛ wubenya mmoa.

Dɛn ankasa ne Asanom a Wɔtwe Wɔn Ho?

Sɛ yɛbɛka no tiawa a, eyi ne sɛnea nipadua no yɛ n’ade bere a wugyae nsanom mpofirim anaasɛ wotew wo nom so kɛse bere a woanom nsa bere tenten akyi no. Wɔtaa hu eyi wɔ nnipa a wɔwɔ nsanom ho haw (AUD) mu.

Saa tebea yi betumi afi nea emu nyɛ den so kosi nea emu yɛ den wɔ nnipa binom mu. Wɔfrɛ nea emu yɛ den sen biara no `(Delirium Tremens)`. Ɛyɛ asiane kakra, na yɛbɛka saa asɛm no ho asɛm akyiri yi.

Fa no sɛ, wo nipadua no asua nsa. Sɛ ɛyera mpofirim a, ɛte sɛ nea nipadua no ho popo, na ɛka sɛ, "Oh, dɛn na ɛreto me?"

Saa tebea yi abu so dɛn?

Eyi abu so sen sɛnea ebia wubesusuw. Nnipa a wɔwɔ nsanom ho haw (`AUD`) bɛyɛ 50% nya saa ɔhaw yi bere a wogyae nsanom anaasɛ wɔtew wɔn nsanom so no. Wɔ ɔman te sɛ United States mpo mu no, ``AUD`` yɛ ɔhaw a abu so yiye.

Dɛn ne eyi ho sɛnkyerɛnne?

Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase wɔ nnɔnhwerew 6 kosi 24 akyi wɔ wo nsa a etwa to no akyi. Nsɛnkyerɛnne no betumi ayɛ soronko wɔ onipa biara ho, na ebetumi ayɛ soronko a egyina sɛnea tebea no mu yɛ den so. Momma yɛnhwɛ sɛnkyerɛnne ahorow a ɛtaa ba no bi, efi nea emu nyɛ den koraa so kosi nea emu yɛ den sen biara so:

• Tiyɛ: Ɛnyɛ tiyɛ a ɛyɛ daa kɛkɛ, na mmom ɛyɛ den kakra.
• Abufuw, ahomegye a enni hɔ, anaa abufuw: Abufuw a wɔte nka a ntease biara nnim, dadwen a wɔte nka.
• Dae a wuntumi nna: Sɛ wobɔ mmɔden sɛ wobɛda mpo a, wuntumi nna, na ɛsɛ sɛ wobɔ wo ho na wodannan wo ho.
• Fifiri a ɛboro so: Ɛsen fifiri a efi ɔhyew mu ara kwa.
• Yafunu a ɛhaw: Ebia wobɛte nka sɛ wobɛfe anaasɛ wo yafunu betumi ate nka sɛ ɛredannan.
• Koma a ɛbɔ: Nkate a ɛte sɛ nea wo moma so rebɔ.
• Mogya mmoroso a ɛkɔ soro.
• Nkɔanim a ɛba wɔ pulse rate.
• Nipadua mu hyew a ɛkɔ soro (Hyperthermia).
• Nsa anaa nipadua akwaa afoforo a ɛwosow: Eyi te sɛ tebea a nnipa pii nim sɛ "wowosow".
• Kesereneeyɛ:Ɛyɛ den sɛ wubehu nea ɛrekɔ so anaa baabi a wowɔ.
• Nneɛma a enni hɔ a wohu anaa wote (`Hallucinations`): Nneɛma a wohu anaa nnyigyei a enni hɔ a wobɛte. Wo de susuw sɛnea saa osuahu no bɛyɛ hu no ho hwɛ.
• Akisikuru a ɛma obi ho kyere no.
• Delirium: Eyi yɛ tebea a yɛadi kan aka ho asɛm, Delirium Tremens, no ho sɛnkyerɛnne titiriw. Ɛyɛ den yiye.

Nea ɛho hia: Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne ahorow yi bi, titiriw nea emu yɛ den (te sɛ adwene a ɛyɛ basaa, akisikuru, nneɛma a enni hɔ a wohu) a, kɔ ayaresabea dan a ɛbɛn hɔ a wɔhwɛ ntɛmpɛ so ntɛm ara anaa frɛ 911. Eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.

Ɔkwan bɛn so na saa sɛnkyerɛnne ahorow yi da adi? So bere kɔ so no, wɔsakra?

Ɛsono sɛnea saa sɛnkyerɛnne ahorow yi mu yɛ den ne bere tenten a egye, nanso bere nhyehyɛe a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so ne nea edidi so yi:

• Nnɔnhwerew 6 kosi 12 ntam wɔ nsa a etwa to a wɔnom akyi: Nsɛnkyerɛnne nketenkete te sɛ tiyɛ, dadwen a emu nyɛ den, ne nna a wontumi nna fi ase da adi.
• Wɔ nnɔnhwerew 24 akyi bere a woanom nsa nea etwa to no: Sɛ tebea no mu yɛ den a, wubetumi anya nsusuwii hunu .
• Nnɔnhwerew 24 kosi 72 ntam wɔ nsa a etwa to a wɔnom akyi: Wɔ nnipa pii fam, titiriw wɔn a wɔwɔ sɛnkyerɛnne a emu nyɛ den kosi nea ɛkɔ fam no, yare no ho sɛnkyerɛnne no kɔ soro (i.e., edu nea ɛsen biara) na afei efi ase brɛ ase. Nanso sɛ wowɔ yare no ho sɛnkyerɛnne a emu yɛ den anaasɛ ɛyɛ den a, asiane kɛse wom sɛ wobɛtɔ wo yare wɔ nnɔnhwerew 24 kosi 48 wɔ wo nsa a etwa to no akyi . ``Delirium Tremens'' a wosuro no betumi aba nnɔnhwerew 48 kosi 72 wɔ w'anom a etwa to no akyi.

Wɔ nnipa binom fam no, saa sɛnkyerɛnne ahorow yi (sɛ nhwɛso no, nna a wontumi nna, adwene a ɛsakra) betumi atra hɔ adapɛn pii, asram pii mpo. Enti eye sɛ wobɛhwehwɛ ano aduru ntɛm.

Saa nsɛnnennen yi betumi atra hɔ bere tenten ahe?

Mpɛn pii no, yare no ho sɛnkyerɛnne no yɛ nea enye koraa wɔ nnɔnhwerew 24 kosi 72 akyi wɔ anom a etwa to no akyi. Nanso, sɛnea yɛadi kan aka no, sɛnkyerɛnne ahorow bi betumi atra hɔ adapɛn pii.

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Eyi yɛ nyansahu mu nokwasɛm kakra, nanso ma menka no tiawa. Saa tebea yi ba bere a wonom nsa boro so bɛboro adapɛn abien na afei wogyae mpofirim anaasɛ wotew dodow so no. (Nkyerɛkyerɛmu bi wɔ hɔ a ɛkyerɛ nea ɛyɛ asanom bebrebe, nanso ebetumi ayɛ soronko kakra wɔ onipa biara ho.)

Nsã (`Ethanol`) yɛ adwenemhaw (ɛbrɛ) yɛn `Central Nervous System` (CNS) dwumadi – kyerɛ sɛ, amemene ne akyi berɛmo. Sɛ wokɔ so nom nsa boro so a, wo `(CNS)` no bɛyɛ ne su sɛ eyi brɛ ase. Enti, ɛsɛ sɛ `(CNS)` yɛ adwumaden kɛse de ko tia nsa a ɛde ba no sɛnea ɛbɛyɛ a nipadua no dwumadi afoforo bɛkɔ so.

Afei susuw nea ɛba bere a wugyae nsanom mpofirim no ho. Sɛ nsa a ɛma wo brɛoo no fi hɔ a, CNS no ntumi nyɛ nsakrae wɔ mu. It becomes overexcited , efisɛ nsa biara nni hɔ a ɛbɛhyɛ so anaasɛ ɛbɛma ayɛ brɛoo. Saa anigye a ɛboro so no ne nea ɛde saa sɛnkyerɛnne ahorow a ɛma obi gyae adwuma yi ba. Ɛte sɛ asubura bi a woakura mu na ehuruw mpofirim.

Hena na ɛda adi sɛ obenya saa tebea yi?

Ɛyɛ den sɛ yɛbɛka pɔtee sɛ hena na obenya eyi, hena na ɔrennya, na sɛ wonya bi a, sɛnea ɛbɛyɛ den.

Ɛnyɛ obiara na ɔyɛ pɛ. Nneɛma afoforo pii wɔ hɔ a ɛka eyi:

• Wo nipadua mu nnuruyɛ.
• wo mfe a woadi.
• Sɛ́ ebia wowɔ nipadua anaa adwene mu nyarewa foforo biara.
• Nnuru afoforo a worenom.
• Sɛ́ ebia wode nnubɔne afoforo ne nsa di dwuma no.

Nanso nhwehwɛmu ahorow ada no adi sɛ nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya nsanom ho sɛnkyerɛnne a emu yɛ den no yɛ kɛse . Eyinom bi ne:

• Nsã a wɔnom boro so da biara da.
• Sɛ́ wadi boro mfe 65.
• Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ woadi kan ayɛ `(Delirium Tremens)` anaasɛ woayɛ akisikuru a ɛnam nsa a wogyaee so.
• Nyarewa afoforo a enni sabea a obi wɔ.
• Nsu a ɛho ntew wɔ nipadua no mu.
• Electrolyte a ɛnkari pɛ.
• Amemene mu haw ahorow bi (`Amemene mu akuru`).
• mmerɛbo no dwumadi a ɛnteɛ.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Nnuruyɛfo gyina nea edidi so yi so hu tebea yi (Alcohol Withdrawal Syndrome):

• Nipadua mu nhwehwɛmu.
• Wo sɛnkyerɛnne ahorow.
• Wo abakɔsɛm a ɛfa nsa a wɔnom ho.
• Wo aduruyɛ ho abakɔsɛm nyinaa.

Nea ɛho hia: Ɛho hia sɛ woka nokware a ɛfa wo nsa a wode di dwuma ho kyerɛ wo duruyɛfo – ne nnuru foforo biara a wode di dwuma – sɛnea ɛbɛyɛ a obetumi ama wo ayaresa a eye sen biara. Atoro a wodi betumi ama ɔhaw no asɛe kɛse.

Wo duruyɛfo nso betumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu ne electrocardiogram (EKG) mfa nhwɛ w’akwahosan nyinaa. Nea enti a ɛte saa ne sɛ nsa a wɔnom betumi de akwahosan ho haw afoforo aba. Nhwɛsoɔ:

• Nsu a ɛho ntew ne nkyene a ɛnkari pɛ.
• Nipadua mu apirakuru.
• Nyarewa a wɔde nyarewa ba.
• mmerɛbo mu haw ahorow.
• Koma mu yare.
• Mogya a ɛba yafunu mu (GI).

Dɛn ne ayaresa a wɔde sa eyi?

Botae atitiriw abiɛsa na ɛwɔ nsa a wɔgyae ho sɛnkyerɛnne ahorow a wɔsa mu:

1. 1. Nnipa a wɔte saa.Nsɛnkyerɛnne a ɛkyerɛ sɛ obi gyae aduru no so tew.

2. Kwati nsɛnnennen te sɛ akisikuru.

3. Wɔde obi bɛkɔ akɔyɛ ayaresa bere tenten wɔ nsanom ho haw (`AUD`).

Ɔkwan a wɔfa so sa yare no gyina sɛnea wo yare no ho sɛnkyerɛnne no mu yɛ den ne sɛnea ɛda adi sɛ ɛbɛkɔ so ayɛ kɛse no so.

Ayaresa a wɔde sa yare no ho sɛnkyerɛnne a emu nyɛ den kosi nea ɛkɔ fam

Wɔ nsɛm a ɛte sɛɛ mu no, nnuruyɛfo taa kyerɛw nnuru a wɔde di dwuma bere tiaa bi de siw yare no ho sɛnkyerɛnne ahorow ano.

• Sɛ sɛnkyerɛnne no mu nyɛ den dodo na asiane biara nni ho sɛ ɛbɛsɛe a, oduruyɛfo no betumi akyerɛw nnuru te sɛ ``Carbamazepine`` anaa ``Gabapentin`` de asiw sɛnkyerɛnne no so.
• Sɛ sɛnkyerɛnne ahorow a ɛkɔ fam wɔ hɔ a, benzodiazepines (sɛ nhwɛso no, chlordiazepoxide, diazepam, lorazepam) anaa barbiturates (sɛ nhwɛso no, phenobarbital) ne nea edi kan a wobetumi apaw de asiw akisikuru ano na ɛtew asiane a ɛwɔ hɔ sɛ obi benya delirium tremens no so. Ɛsɛ sɛ wɔnom nnuru yi wɔ nnuruyɛfo hwɛ ase nkutoo.

Sɛ yare no ho sɛnkyerɛnne kɔ so ɛmfa ho sɛ wonom aduru yi a, ebia wo duruyɛfo:

• Nnuru te sɛ beta-blockers anaa clonidine a wɔde sa mogya mmoroso a ɛkɔ so tra hɔ ne koma bɔ ntɛmntɛm.
• Fa `(Carbamazepine)` anaa `(Gabapentin)` tew nsa ho akɔnnɔ so.

Bio nso, wobetumi de ayaresa afoforo ama, te sɛ nkyene (IV nsu) a wɔde bɛma obi ama nsu a ɛho ayɛ fĩ, nkyene a ɛnkari pɛ a wɔbɛsiesie, ne nnuru a wɔde bɛma obi de afe sɛ ɛba a.

Ayaresa a wɔde sa yare no ho sɛnkyerɛnne a emu yɛ den anaasɛ ɛyɛ den

Eyi yɛ tebea a ɛhwehwɛ sɛ wɔde obi kɔ ayaresabea, ɛtɔ mmere bi a wɔde no kɔ Intensive Care Unit (ICU) . Bere a wowɔ tebea yi mu no, nnuruyɛfo bɛhwɛ wo bere nyinaa ahwɛ sɛ ebia wubenya ɔhaw bi a ɛde wo nkwa to asiane mu anaa.

Benzodiazepines a ɛyɛ adwuma kyɛ - a wɔtaa de fa ntini mu (Diazepam) anaa (Lorazepam) - na wɔde di dwuma titiriw de siw sɛnkyerɛnne a emu yɛ den ano.

Nea ɛka ho no, ebia ɛho behia sɛ wɔyɛ ayaresa afoforo ma akwahosan ho haw ahorow a ɛfa ho.

Ayaresa a wɔde sa nsanom ho haw (`AUD`) .

Bere a woresa yare a ɛkyerɛ sɛ obi agyae nsa no, wo duruyɛfo nso betumi akamfo akyerɛ sɛ hwehwɛ ayaresa ma nsanom ho haw (`AUD`) . Eyi ho hia sen biara wɔ bere tenten mu.

Dwumadi ahorow wɔ hɔ a wɔde sa AUD yare. Mpɛn pii no, nea ɛka eyinom ho ne kuw adwene mu ayaresa ne nnuru a wɔde ka bom . Wo duruyɛfo betumi de nhyehyɛe ahorow yi ho nsɛm ama wo.

Dɛn na ɛba wɔ tebea yi akyi? So ɛbɛyɛ yiye?

Nea ɛbɛba akyi (nkɔmhyɛ) gyina sɛnea sɛnkyerɛnne ahorow no mu yɛ den no so kɛse.

• Ɛho renhia sɛ wɔde nnipa dodow no ara a yare no ho sɛnkyerɛnne a emu nyɛ den kosi nea ɛkɔ fam no kɔ ayaresabea.
• Nanso, sɛ wowɔ yare no ho sɛnkyerɛnne a emu yɛ den anaasɛ ɛyɛ den a, ebia ebehia sɛ wotra ayaresabea hɔ kyɛ, ebia mpo wɔ baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU).

Mma wo werɛ mmfi: Delirium Tremens yɛ tebea a ɛde wo nkwa to asiane mu . Nnipa a wonya saa ɔhaw yi mu 5% kosi 10% wuwu. Enti mfa nyɛ hwee.

So wontumi nsiw eyi ano?

Akwan titiriw a wobetumi afa so asiw tebea yi ano ne:

1. Twe a wobɛtwe wo ho afi nsanom ho koraa.

2. Sɛ wususuw sɛ ebia worehu amane wɔ nsanom ho haw bi (`AUD`) a, hwehwɛ mmoa a efi animdefo hɔ ntɛm ara sɛnea wubetumi. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na eye.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi agyae nsanom yɛ ɔhaw a anibere wom na ebetumi ayɛ asiane a efi nsanom ho haw mu ba. Sɛ wowɔ yare no ho sɛnkyerɛnne a emu nyɛ den mpo a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu. Ɛyɛ den sɛ yebehu sɛnea saa sɛnkyerɛnne ahorow yi mu bɛyɛ den mfiase no.

Sɛ wowɔ nsanom ho haw na wuhia mmoa na ama wo ho atɔ wo a, oduruyɛfo betumi de wo akɔ nneɛma ne nhyehyɛe ahorow a wɔde siesie wo ho a ebetumi aboa wo. Kae sɛ wo duruyɛfo no wɔ hɔ sɛ ɔbɛboa wo, na ɛnyɛ sɛ obebu wo atɛn.

Enti, dɛn ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Sɛ yɛbɛka no tiawa a, sɛ wo anaa obi a wunim no anom nsa akyɛ na mpofirim ara ofi ase nya sɛnkyerɛnne ahorow a ɛyɛ nwonwa (biribiara fi tiyɛ so kosi akisikuru so) bere a wobɔ mmɔden sɛ wubegyae no a, ebetumi ayɛ ``Alcohol Withdrawal Syndrome''. Ɛnyɛ biribiara a ɛsɛ sɛ yɛfɛre anaasɛ yɛde sie.

Hwehwɛ ayaresa ntɛm ara. Kɔ ayaresabea ntɛm ara, titiriw sɛ wo sɛnkyerɛnne no mu yɛ den (te sɛ adwene a ɛyɛ basaa, akisikuru, nneɛma a enni hɔ a wuhu). Sɛ wɔsa yare yiye a, wobetumi adi tebea yi so. Nyansa wom nso sɛ wubenya mmoa na ama woadi nsa a ɛka wo hɔ no so. Ɛnyɛ wo nko ara, na nnipa pii wɔ hɔ a wobetumi aboa.

` nsa a wɔtwe, nsa a wogyae, nsa a wogyae, nsa a wɔgyae ho sɛnkyerɛnne, delirium tremens, nsa a wɔde di dwuma, nsa a wɔde di dwuma ho haw