Ate era ofuna obuzibu okulekera awo omwenge mu bwangu? (Obulwadde bw’okunywa omwenge)

Omanyi abantu abamu abamaze ebbanga nga banywa ennyo omwenge ate ne balekera awo okunywa omwenge omulundi gumu oba ne bakendeeza ku kunywa, bafuna obuzibu bungi. Obutabeera bulungi buno, mu mubiri ne mu birowoozo, kye tugenda okwogerako leero, oba ekiyitibwa `` Alcohol Withdrawal Syndrome''. Kino kiyinza okuwulira obubi ddala, naye bw’oba ​​okimanyi, kyangu okufuna obuyambi.

Ddala Obulwadde bw’Okuggyawo Omwenge kye ki?

Mu ngeri ennyangu, eno y’engeri omubiri gye guddamu ng’olekera awo okunywa omwenge mu bwangu oba okukendeeza ennyo ku by’onywa oluvannyuma lw’okumala ebbanga eddene ng’onywa omwenge. Kino kitera okulabibwa mu bantu abalina obuzibu bw’okukozesa omwenge (AUD).

Embeera eno eyinza okuva ku butono okutuuka ku buzibu mu bantu abamu. Ekika ekisinga okuba eky’amaanyi kiyitibwa `(Delirium Tremens)`. Kiba kya bulabe katono, era ekyo tujja kukyogerako oluvannyuma.

Teebereza, omubiri gwo gumanyidde omwenge. Bwe kibula mu bwangu, kiba ng'omubiri bwe gusattira, nga gugamba nti, "Oh, kiki ekintuukako?"

Embeera eno ya bulijjo etya?

Kino kitera okubaawo okusinga bw’oyinza okulowooza. Abantu nga 50% abalina obuzibu bw’okukozesa omwenge (`AUD`) bafuna obuzibu obw’ekika kino bwe balekera awo oba nga bakendeeza ku kunywa omwenge. Ne mu nsi nga Amerika, ``AUD`` kizibu kya bulijjo nnyo.

Bubonero ki obulaga kino?

Obubonero buno butera okutandika mu ssaawa 6 ku 24 ng’omaze okunywa. Obubonero buyinza okwawukana okusinziira ku muntu, era buyinza okwawukana okusinziira ku buzibu bw’embeera. Ka tulabe obumu ku bubonero obusinga okulabika, okuva ku butono okutuuka ku businga:

• Omutwe: Si kulumwa mutwe bulijjo gwokka, wabula nga kusingako katono.
• Okunyiiga, obutawummula oba okunyiiga: Okuwulira obusungu awatali nsonga, okuwulira okweraliikirira.
• Obuteebaka: Tosobola kwebaka ne bw’oba ​​ogezaako okwebaka, era olina okuwuubaala n’okukyuka.
• Okutuuyana ekisusse: Kisingako ku kutuuyana olw’ebbugumu.
• Olubuto olutabuse: Oyinza okuwulira ng’ogenda okusesema oba olubuto lwo luyinza okuwulira nga lukyuka.
• Omutima okukuba: Okuwulira ng’ekifuba kikukuba.
• Puleesa okweyongera.
• Okwongera ku sipiidi y’omukka (pulse rate).
• Ebbugumu ly’omubiri okweyongera (Hyperthermia).
• Okukankana kw'emikono oba ebitundu by'omubiri ebirala: Kino kifaananako n'embeera abantu bangi gye bamanyi nga "okukankana".
• Okusoberwa:Kizibu okumanya ekigenda mu maaso oba gy’oli.
• Okulaba oba okuwulira ebintu ebitaliiwo (`Hallucinations`): Okulaba ebintu oba okuwulira amaloboozi agataliiwo. Teebereza engeri ekyo gye kyandibadde eky’entiisa.
• Okukonziba.
• Delirium: Kano kabonero kanene ak’embeera eyogeddwako emabegako, Delirium Tremens. Kiba kya maanyi nnyo.

Ekikulu: Bw’oba ​​ggwe oba omuntu gw’omanyi alina obubonero buno naddala obw’amaanyi (nga okutabulwa, okufiira, okulaba ebintu ebitaliiwo), genda mu kisenge ky’abalwadde ab’amangu mu ddwaaliro erikuli okumpi oba kuba 911. Kino si kintu kya kutwala ng’ekitono.

Obubonero buno bulabika butya? Zikyuka oluvannyuma lw’ekiseera?

Obuzibu n’obudde obubonero buno bwe bumala bwawukana okusinziira ku muntu, naye ekiseera ekigere eky’awamu kiri bwe kiti:

• Wakati w’essaawa 6 ne 12 oluvannyuma lw’okunywa omwenge ogusembayo: Obubonero obutonotono ng’okulumwa omutwe, okweraliikirira okutono, n’obuteebaka butandika okulabika.
• Mu ssaawa 24 ng’omaze okunywa: Singa embeera eyo eba ya maanyi, oyinza okulaba ebirooto .
• Wakati w’essaawa 24 ne 72 oluvannyuma lw’okunywa omwenge ogusembayo: Ku bantu bangi naddala abo abalina obubonero obutono oba obw’ekigero, obubonero butuuka ku ntikko (i.e., butuuka ku ntikko) olwo ne butandika okukka. Kyokka bw’oba ​​olina obubonero obw’amaanyi oba obuzibu, osinga kubeera mu bulabe bw’okulwala ekizibu wakati w’essaawa 24 ne 48 oluvannyuma lw’okunywa omwenge ogusembayo . ``Delirium Tremens'' etiisibwatiisibwa esobola okubaawo wakati w'essaawa 48 ne 72 oluvannyuma lw'okunywa kwo okusembayo.

Ku bantu abamu, obubonero buno (e.g., obuteebaka, okukyukakyuka mu mbeera) busobola okumala wiiki, wadde emyezi. Kale kirungi okunoonya eky’okugonjoola amangu.

Ebizibu bino bisobola okumala bbanga ki?

Obubonero butera okuba ku bubi nga wayise essaawa 24 ku 72 oluvannyuma lw’okunywa omwenge ogusembayo. Kyokka nga bwe kyayogeddwako emabegako, obubonero obumu busobola okumala wiiki eziwera.

Lwaki kino kigenda mu maaso? Ensonga eri etya?

Kino kintu kya ssaayansi katono, naye ka nkiteeke mu ngeri ennyangu. Embeera eno ebaawo ng’onywa omwenge ekisusse okumala wiiki ezisoba mu bbiri n’oluvannyuma n’ogulekera omulundi gumu oba okukendeeza ku bungi. (Waliwo ennyonyola ku kiki ekifuula okunywa ennyo omwenge, naye kiyinza okwawukana katono okusinziira ku muntu.)

Omwenge (`Ethanol`) kiziyiza (kikendeeza) omulimu gwa `Central Nervous System` (CNS) yaffe – kwe kugamba, obwongo n'omugongo. Bw’ogenda mu maaso n’okunywa omwenge oguyitiridde, `(CNS)` yo emanyiira kino okukendeera. N’olwekyo, `(CNS)` erina okukola ennyo okulwanyisa ebiva mu mwenge okusobola okukuuma emirimu gy’omubiri emirala nga gigenda mu maaso.

Kati lowooza ku kiki ekibaawo ng’olekera awo okunywa omwenge mu bwangu. Omwenge ogukukendeeza ku sipiidi bwe guggwaawo, CNS tesobola kugumanyiira. It becomes overexcited , kubanga tewali mwenge gugufuga oba okugukendeeza ku sipiidi. Okwo okucamuka ennyo kwe kuleeta obubonero bw’okuggwaamu amaanyi. Kiringa ensulo ekwatiddwa nnyo n’abuuka waggulu omulundi gumu.

Ani asinga okulwala embeera eno?

Kizibu okwogera ddala ani anaafuna kino, ani atajja kufuna, era bwe banaafuna, bwe kinaaba kya maanyi.

Si buli muntu nti y’omu. Waliwo ensonga endala eziwerako ezikosa kino:

• Chemistry y’omubiri gwo.
• emyaka gyo.
• Oba olina obulwadde obulala bwonna obw’omubiri oba obw’omutwe.
• Eddagala eddala ly’omira.
• Oba okozesa ebiragalalagala ebirala n’omwenge.

Kyokka, okunoonyereza kuzudde nti waliwo ebintu ebiwerako ebyongera obulabe bw’okufuna obubonero obw’amaanyi obw’okulekera awo okunywa omwenge . Mu bino mulimu:

• Okunywa omwenge ekisusse buli lunaku.
• Okubeera ng’alina emyaka egisukka mu 65 egy’obukulu.
• Okubeera n’ebyafaayo by’okulwala `(Delirium Tremens)` okwasooka oba okusannyalala okuva ku kunywa omwenge.
• Okubeera n’endwadde endala ezitawona.
• Okuggwaamu amazzi mu mubiri.
• Obutakwatagana mu busannyalazo.
• Ebiwundu ebimu ku bwongo.
• Enkola y’ekibumba etali ya bulijjo.

Omusawo kino akitegeera atya?

Abasawo bazuula embeera eno (Alcohol Withdrawal Syndrome) nga basinziira ku bino wammanga:

• Okukebera omubiri.
• Obubonero bwo.
• Ebyafaayo byo eby’okukozesa omwenge.
• Ebyafaayo byo byonna eby’obujjanjabi.

Ekikulu: Kikulu okubuulira omusawo wo amazima ku nkozesa yo ey’omwenge – n’eddagala eddala lyonna ly’okozesa – asobole okukuwa obujjanjabi obusinga obulungi. Okulimba kuyinza okwongera okuleeta ekizibu.

Omusawo ayinza n’okulagira okukeberebwa omusaayi n’okukeberebwa ekyuma ekikebera omutima (EKG) okukebera obulamu bwo okutwalira awamu. Kino kiri bwe kityo kubanga okunywa omwenge kiyinza okuleeta obuzibu obulala mu bulamu. Okugeza nga:

• Okubulwa amazzi mu mubiri n’obutakwatagana mu munnyo.
• Ebisago ku mubiri.
• Yinfekisoni.
• Obuzibu mu kibumba.
• Obulwadde bw’omutima.
• Okuvaamu omusaayi mu lubuto (GI).

Bujjanjabi ki eri kino?

Waliwo ebigendererwa ebikulu bisatu mu kujjanjaba obubonero bw’okulekera awo okunywa omwenge:

1. 1. .Okukendeeza ku bubonero bw’okuggwaamu amaanyi.

2. Okwewala ebizibu ng’okufiirwa.

3. Okusindikibwa okujjanjabibwa okumala ebbanga eddene olw’obuzibu bw’okukozesa omwenge (`AUD`).

Enkola y’obujjanjabi esinziira ku ngeri obubonero bwo gye buli obw’amaanyi n’engeri gye buyinza okweyongera.

Obujjanjabi bw’obubonero obutono oba obw’ekigero

Mu mbeera nga zino, abasawo batera okuwandiika eddagala ery’ekiseera ekitono okusobola okufuga obubonero.

• Singa obubonero tebuba bwa maanyi nnyo era nga tewali bulabe bwa kweyongera, omusawo ayinza okumuwa eddagala nga ``Carbamazepine`` oba ``Gabapentin`` okufuga obubonero.
• Singa wabaawo obubonero obw’ekigero, eddagala lya benzodiazepines (e.g., chlordiazepoxide, diazepam, lorazepam) oba barbiturates (e.g., phenobarbital) bye bisooka okulondebwa okuziyiza okukonziba n’okukendeeza ku bulabe bw’obulwadde bw’okusannyalala. Eddagala lino lirina okumira nga balabirirwa abasawo bokka.

Singa obubonero busigalawo wadde ng’omira eddagala lino, omusawo ayinza:

• Eddagala nga beta-blockers oba clonidine eriwonya puleesa etaggwaawo n’okukuba kw’omutima amangu.
• Kendeeza okwegomba omwenge nga okozesa `(Carbamazepine)` oba `(Gabapentin)`.

Okugatta ku ekyo, obujjanjabi obulala buyinza okuweebwa, gamba ng’okuwa omunnyo (IV fluids) okusobola okuggwaamu amazzi mu mubiri, okutereeza obutakwatagana mu munnyo, n’okuwa eddagala eriweweeza ku kusesema singa gubaawo.

Obujjanjabi bw’obubonero obw’amaanyi oba obuzibu

Eno mbeera eyeetaaga okuweebwa ekitanda mu ddwaaliro, oluusi mu Intensive Care Unit (ICU) . Bw’oba ​​oli mu mbeera eno, abasawo bajja kukulondoola buli kiseera okulaba oba ofuna ebizibu byonna ebiyinza okutta obulamu bwo.

Benzodiazepines ezikola okumala ebbanga - ezitera okuweebwa mu misuwa (Diazepam) oba (Lorazepam) - zisinga kukozesebwa kufuga bubonero obw’amaanyi.

Okugatta ku ekyo, obujjanjabi obulala buyinza okwetaagisa ku bizibu by’obulamu ebikwatagana nabyo.

Obujjanjabi bw'obuzibu bw'okukozesa omwenge (`AUD`) .

Nga ojjanjaba obubonero bw’okuggwaamu omwenge, omusawo wo ayinza n’okukuwa amagezi okunoonya obujjanjabi bw’obuzibu bw’okukozesa omwenge (`AUD`) . Kino kisinga obukulu mu bbanga eggwanvu.

Waliwo pulogulaamu ez’enjawulo ezikolebwa okujjanjaba AUD. Ebiseera ebisinga, bino mulimu okugatta obujjanjabi bw’eby’omwoyo mu bibinja n’eddagala . Omusawo wo asobola okukuwa amawulire agakwata ku pulogulaamu zino.

Kiki ekibaawo oluvannyuma lw’embeera eno? Kinaatereera?

Ekiddako (okuteebereza) kisinziira nnyo ku ngeri obubonero gye buli obw’amaanyi.

• Abantu abasinga obungi abalina obubonero obutono oba obw’ekigero tebajja kwetaaga kuweebwa ddwaaliro.
• Kyokka bw’oba ​​olina obubonero obw’amaanyi oba obuzibu, kiyinza okwetaagisa okumala ebbanga eddene mu ddwaaliro, mpozzi n’okubeera mu kifo awajjanjabirwa abalwadde abayi (ICU).

Tewerabira: Obulwadde bwa Delirium Tremens bulwadde obutta omuntu . Abantu abali wakati wa 5% ne 10% abafuna ekizibu kino bafa. Kale tokitwala nga kitono.

Kino tekiyinza kuziyizibwa?

Engeri enkulu ez’okuziyiza embeera eno ze zino:

1. Okwewala okunywa omwenge mu bujjuvu.

2. Bw’oba ​​olowooza nti oyinza okuba ng’olina obuzibu bw’okukozesa omwenge (`AUD`), noonya obuyambi bw’abakugu mu bwangu. Gy’okoma okutandika amangu obujjanjabi, gy’okoma okunyuma.

Obubonero bw‟okulekera awo okunywa omwenge kizibu kya maanyi era ekiyinza okuba eky‟akabi olw‟obuzibu bw‟okukozesa omwenge. Ne bw’oba ​​olina obubonero obutono, kikulu okugenda mu basawo amagezi. Kizibu okulagula obubonero buno bwe bunaaba obw’amaanyi mu kusooka.

Bw’oba ​​olina obuzibu bw’okukozesa omwenge era nga weetaaga obuyambi okuwona, omusawo asobola okukusindika mu bikozesebwa n’enteekateeka z’okuddaabiriza eziyinza okukuyamba. Jjukira nti omusawo wo aliwo okukuyamba, so si kukusalira musango.

Kale, kiki ekisinga obukulu kye twetaaga okujjukira okuva mu mboozi eno?

Mu ngeri ennyangu, singa ggwe oba omuntu gw’omanyi amaze ebbanga ng’onywa omwenge era mu bwangu n’atandika okufuna obubonero obw’ekyewuunyo (ekintu kyonna okuva ku kulumwa omutwe okutuuka ku kuzimba) ng’ogezaako okulekera awo, kiyinza okuba ``Alcohol Withdrawal Syndrome''. Si kintu kya kuswala oba okukweka.

Noonya mu bwangu omusawo. Genda mangu mu ddwaaliro naddala ng’obubonero bwo buba bwa maanyi (nga okutabulwa, okufiira, okulaba ebintu ebitaliiwo). Bw’ofuna obujjanjabi obulungi, embeera eno esobola okufugibwa. Era kya magezi okufuna obuyambi okuvvuunuka omuze gw’okunywa omwenge. Toli wekka era waliwo abantu bangi abasobola okuyamba.

` okunywa omwenge, okulekera awo okunywa omwenge, okulekera awo okunywa omwenge, obubonero bw‟okunywa omwenge, delirium tremens, omuze gw‟okunywa omwenge, obuzibu mu kunywa omwenge