Kei te mōhio koe, ko ētahi tāngata kua roa e inu nui ana, kātahi ka mutu ohorere te inu, ka whakaiti rānei i tā rātou inu, he tino uaua te wā. Ko tēnei mamae, ā-tinana, ā-hinengaro hoki, koinei tā tātou e kōrero ai i tēnei rā, arā, ko te "Waipiro Whakamutu Waipiro ". Tērā pea ka tino kino te āhua o tēnei, engari ki te mōhio koe, he ngāwari noa te rapu āwhina.
He aha rawa te Mate Puta Waipiro?
He whakarāpopototanga noa iho, koinei te urupare a te tinana ina mutu ohorere te inu waipiro, ina whakaitihia rānei tō inu i muri i te waranga waipiro mō te wā roa. He mea noa tēnei e kitea ana i roto i te hunga e pāngia ana e te mate whakamahi waipiro (AUD).
Ka rerekē pea tēnei āhuatanga mai i te ngawari ki te kino mō ētahi tāngata. Ko te momo tino kino ko te `(Delirium Tremens)`. He ahua morearea, ā, ka kōrerohia e tātou i muri mai.
Whakaarohia, kua taunga tō tinana ki te waipiro. Ina ngaro whakarere atu, me te mea kei te mataku te tinana, me te mea, "Āe, he aha te mea e pā ana ki ahau?"
He pēhea te noa o tēnei āhuatanga?
He mea noa ake tēnei i tō whakaaro. Tata ki te 50% o te hunga whai mate waipiro (`AUD`) ka pāngia e tēnei momo uauatanga ina mutu, ina whakaiti rānei i tā rātou inu waipiro. Ahakoa i roto i tētahi whenua pērā i te Hononga o Amerika, he tino noa te raruraru ``AUD``.
He aha ngā tohu o tēnei?
Ko te tikanga ka tīmata ēnei tohu i roto i ngā haora 6 ki te 24 i muri i tō inu whakamutunga. Ka rerekē pea ngā tohu i ia tangata, i ia tangata, ā, ka rerekē pea i runga i te kaha o te mate. Me titiro tātou ki ētahi o ngā tohu tino kitea, mai i te iti rawa te kino ki te tino kino:
- Mamae upoko: Ehara i te mea he mamae upoko noa iho, engari he kaha ake.
- Te riri, te kore okiokinga, te pukuriri rānei: Te riri, te manukanuka, te kore take.
- Te kore moe: Kāore e taea e koe te moe ahakoa kei te ngana koe ki te moe, ā, me hurihuri noa koe.
- Te werawera nui: Ehara i te werawera noa iho i te werawera.
- Puku mamae: Tērā pea ka rite koe ki te ruaki, ka rite rānei tō puku ki te huripokitia.
- Te tere o te manawa: He ahua e pā ana te uma.
- Te pikinga o te toto toto.
- Te tere o te pā o te manawa.
- Te pikinga o te pāmahana tinana (Hyperthermia).
- Te wiri o ngā ringaringa, o ētahi atu wāhanga rānei o te tinana: He rite tēnei ki te āhua e mōhiotia ana e te tini o te tangata ko te "wiri".
- Pōhēhētanga:He uaua ki te mōhio he aha te mea e tupu ana, kei hea rānei koe.
- Te kite, te rongo rānei i ngā mea kāore i reira ('Whakaaroaro Hāunga'): Te kite, te rongo rānei i ngā oro kāore i reira. Whakaarohia te whakamataku o taua wheako.
- Ngā hopukanga.
- Pōrangi: He tohu nui tēnei o te mate kua whakahuatia ake nei, arā, ko te Delirium Tremens. He tino kino.
He mea nui: Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e tētahi o ēnei tohu, inā koa ko ngā tohu kino rawa atu (pēnei i te pōhēhē, te wiri, te kite i ngā mea kāore i reira), haere tonu ki te rūma ohorere o te hōhipera tata , waea atu rānei ki te 911. Ehara tēnei i te mea hei whakahawea.
He pēhea te puta o ēnei tohu? Ka rerekē haere i roto i te wā?
Ka rerekē te kaha me te roa o ēnei tohu i ia tangata, i ia tangata, engari ko te rārangi wā whānui e whai ake nei:
- I waenganui i te 6 me te 12 hāora i muri i te inu whakamutunga: Ka tīmata te puta mai o ngā tohu iti pēnei i te ānini, te manukanuka ngawari, me te kore moe.
- I roto i ngā haora 24 o te inu whakamutunga: Mena he kino te mate, ka pāngia pea koe e ngā moemoeā .
- I waenganui i te 24 me te 72 hāora i muri i te inu whakamutunga: Mō te tini o te tangata, inā koa ko te hunga he ngawari ki te āhua ngoikore ngā tohu, ka piki ake ngā tohu (arā, ka eke ki tōna taumata teitei) kātahi ka tīmata te memeha. Heoi, ki te mea he kino, he uaua rānei ō tohu, ko te mea tino mōrearea koe ki te pāngia e te mate i waenganui i te 24 me te 48 hāora i muri i tō inu whakamutunga . Ka puta pea te "Delirium Tremens" whakamataku i waenganui i te 48 me te 72 hāora i muri i tō inu whakamutunga.
Mō ētahi tāngata, ka roa pea ēnei tohu (hei tauira, te kore moe, te rerekētanga o te wairua) mō ngā wiki, tae noa ki ngā marama. Nō reira, he pai ake te kimi wawe i tētahi otinga.
Kia pēhea te roa o ēnei uauatanga?
Ko te tikanga ka tino kino ngā tohu i roto i ngā haora 24 ki te 72 i muri i te inu whakamutunga. Heoi, e ai ki te kōrero i mua ake nei, ka roa pea ētahi tohu mō ngā wiki.
He aha tēnei e tupu nei? He aha te take?
He āhua pūtaiao tēnei, engari me kī māmā noa iho. Ka puta tēnei āhuatanga ina nui rawa te inu waipiro mō ngā wiki e rua neke atu, kātahi ka mutu, ka whakaiti rānei i te nui. (He whakamāramatanga anō kei reira mō te inu nui, engari he rerekē pea i ia tangata, i ia tangata.)
He mea whakapōturi te waipiro (‘Ethanol`) i te mahi a te `Pūnaha Io Matua` (CNS) – arā, te roro me te taurakira. Ina inu nui tonu koe i te waipiro, ka taunga tō `(CNS)` ki tēnei whakapōturi. Nō reira, me kaha ake te mahi a te `(CNS)` ki te whawhai ki ngā pānga o te waipiro kia mau tonu ai ngā mahi a ētahi atu o te tinana.
Whakaarohia te mea ka puta ina mutu ohorere koe i te inu waipiro. Ina ngaro te waipiro e whakaroa ana i a koe, kāore e taea e te CNS te urutau ki taua mea. Ka nui rawa te hihiri , nā te mea kāore he waipiro hei whakahaere, hei whakaroa rānei. Ko taua nui rawa te hihiri te take o ngā tohu whakaroa. He rite ki te puna kua puritia kia mau, ā, ka peke ake.
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?
He uaua ki te kī ko wai ka pāngia e tēnei mate, ko wai kāore, ā, ki te pāngia rātou, ka pēhea te kino.
Kāore te katoa i te rite. He maha atu anō ngā āhuatanga e pā ana ki tēnei:
- Te matū o tō tinana.
- tō tau.
- Ahakoa he mate tinana, he mate hinengaro rānei tōu.
- Ētahi atu rongoā e tangohia ana e koe.
- Ahakoa kei te whakamahi koe i ētahi atu tarukino me te waipiro.
Heoi anō, kua kitea e ngā rangahau he maha ngā āhuatanga e whakanui ake ana i te mōrearea o te whakawhanake i ngā tohumate nui o te tango waipiro . Ko ētahi o ēnei ko:
- Te nui rawa o te inu waipiro i ia rā.
- Neke atu i te 65 tau te pakeke.
- He hītori o mua mō te '(Delirium Tremens)', te haurangi rānei i puta mai i te whakamutu i te inu waipiro.
- Kei a koe ētahi atu mate pūmau.
- Te maroke o te tinana.
- Ngā taurite kore o te irahiko.
- Ētahi mate roro ('Ngā whara roro').
- Te mahi ate rerekē.
Me pēhea te mōhio o te tākuta ki tēnei?
Ka tātaritatia tēnei mate e ngā tākuta (Alcohol Withdrawal Syndrome) i runga i ēnei e whai ake nei:
- Te whakamātautau tinana.
- Ō tohumate.
- Tō hītori o te whakamahinga waipiro.
- Tō hītori hauora katoa.
He mea nui: He mea nui kia kōrerotia te pono ki tō tākuta mō tō whakamahinga waipiro – me ētahi atu raau taero e whakamahia ana e koe – kia taea ai e ia te hoatu i te maimoatanga pai rawa atu ki a koe. Mā te teka ka kino ake te raruraru.
Tērā pea ka tonoa e tō tākuta he whakamātautau toto me te electrocardiogram (EKG) hei tirotiro i tō hauora whānui. Nā te mea ka pā mai ētahi atu raruraru hauora i te whakamahinga o te waipiro. Hei tauira:
- Te maroke me te kore taurite o te tote.
- Ngā whara o te tinana.
- Ngā mate urutā.
- Ngā raruraru ate.
- Mate ngakau.
- Te toto o te puku (GI).
He aha te rongoā mō tēnei?
E toru ngā whāinga matua mō te rongoā i ngā tohumate o te tango waipiro:
1.Te whakaiti i ngā tohu whakamomori.
2. Te karo i ngā raruraru pēnei i te mate pāwera.
3. Te tuku i te rongoā mō te mate whakamahi waipiro (`AUD`).
Ko te tikanga maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me te tūponotanga ka kino haere.
Te maimoatanga mō ngā tohu ngawari ki te āhua taurite
I ngā āhuatanga pēnei, ka tohua e ngā tākuta ngā rongoā mō te wā poto hei whakahaere i ngā tohumate.
- Mena kāore i te tino kino ngā tohu, ā, kāore he mōrearea ka kino haere, ka tohua pea e te tākuta he rongoā pēnei i te "Carbamazepine" me te "Gabapentin" hei whakahaere i ngā tohu.
- Mena he āhua ngawari ngā tohu, ko ngā benzodiazepines (hei tauira, chlordiazepoxide, diazepam, lorazepam) me ngā barbiturates (hei tauira, phenobarbital) te kōwhiringa tuatahi hei ārai i ngā hopukanga me te whakaiti i te mōrearea o te delirium tremens. Me tango noa ēnei rongoā i raro i te tirotiro a te tākuta.
Mena ka mau tonu ngā tohu ahakoa te tango i tēnei rongoā, ka taea e tō tākuta te:
- Ngā rongoā pēnei i ngā beta-blockers , clonidine rānei hei rongoā mō te toto toto tiketike tonu me te tere o te ngakau.
- Whakaitihia te hiahia ki te waipiro mā te whakamahi i te `(Carbamazepine)` me te `(Gabapentin)` rānei.
Hei tāpiritanga, ka taea te hoatu i ētahi atu maimoatanga, pērā i te hoatu tote (wai IV) hei whakaora i te matewai, te whakatika i te kore taurite o te tote, me te hoatu rongoā hei whakaora i te ruaki mēnā ka puta.
Te maimoatanga mō ngā tohumate kino, uaua rānei
He āhuatanga tēnei e hiahia ana kia noho ki te hōhipera, i ētahi wā i roto i te Wāhanga Tiaki Kaha (ICU) . I a koe i roto i tēnei āhuatanga, ka tirotirohia tonutia koe e ngā tākuta kia kite ai mēnā ka pāngia koe e ētahi raruraru e morearea ai te ora.
Ko ngā benzodiazepines roa te mahi - e hoatu ana mā te uaua - koia te maimoatanga matua mō ngā tohu kino.
Hei tāpiritanga, tera pea e hiahiatia ētahi atu maimoatanga mō ngā raruraru hauora e pā ana.
Te rongoā mō te mate whakamahi waipiro (`AUD`)
I a koe e rongoā ana i ngā tohumate whakatārewatanga, ka tūtohu pea tō tākuta kia rapu koe i te rongoā mō te mate whakamahi waipiro (`AUD`) . He mea nui tēnei mō te wā roa.
He maha ngā kaupapa e wātea ana hei rongoā i te AUD. I te nuinga o te wā, ko te whakakotahitanga o te hinengaro ā-rōpū me te rongoā kei roto i ēnei. Ka taea e tō tākuta te whakarato i ngā mōhiohio e pā ana ki ēnei kaupapa.
Ka aha i muri i tēnei āhuatanga? Ka pai ake rānei?
Ko te mea ka tupu i muri mai (te matapae) ka whakawhirinaki nui ki te kaha o ngā tohu.
- Ko te nuinga o te hunga he ngawari ki te āhua ngoikore ngā tohu kāore e hiahiatia kia haria ki te hōhipera.
- Heoi, ki te mea he kino, he uaua rānei ō tohumate, me noho pea koe ki te hōhipera mō te wā roa, tae atu pea ki te wāhanga tiaki nui (ICU).
Kaua e wareware: He mate morearea te Delirium Tremens. I waenganui i te 5% me te 10% o te hunga e pāngia ana e tēnei raruraru ka mate. Nō reira kaua e whakahawea.
Kāore e taea te ārai i tēnei?
Ko ngā huarahi matua hei aukati i tēnei āhuatanga ko:
1. Te kore rawa e inu waipiro.
2. Ki te whakaaro koe kei te pāngia koe e te mate inu waipiro (`AUD`), rapua he awhina ngaio i te wā e taea ai. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake.
He āhuatanga kino, he āhuatanga morearea pea ngā tohumate o te tango waipiro i te mate inu waipiro. Ahakoa he iti noa ngā tohumate, he mea nui kia rapu tohutohu hauora koe. He uaua ki te matapae i te kaha o ēnei tohumate i te tīmatanga.
Mena he mate inu waipiro tōu, ā, me āwhina koe ki te ora ake i taua mate, ka taea e te tākuta te tuku i a koe ki ngā rauemi me ngā kaupapa whakaora hei āwhina i a koe. Kia maumahara, kei reira tō tākuta hei āwhina i a koe, ehara i te mea hei whakahē i a koe.
Nā, he aha te mea tino nui hei maumahara mā tātou i tēnei pūrākau?
Ki te kī ngāwari, ki te mea kua roa koe, kua roa rānei e inu waipiro ana, ā, ka tīmata ohorere koe ki te pāngia e ngā tohu rerekē (mai i te mamae o te upoko ki te haurangi) ina ngana koe ki te whakamutu, tera pea ko te "Waipiro Whakamutu Waipiro". Kāore he mea hei whakama, hei huna rānei.
Rapua tonutia te awhina hauora. Haere tonu ki te hōhipera, ina koa mēnā he kino rawa ō tohu (pēnei i te pōhēhē, te wiri, te kite i ngā mea kāore i te kitea). Mā te maimoatanga tika, ka taea te whakahaere i tēnei āhuatanga. He mea whakaaro nui hoki te rapu āwhina hei wikitoria i tō waranga waipiro. Kāore koe i te mokemoke, ā, he tokomaha ngā tāngata ka taea te āwhina.
te whakamutu waipiro, te whakamutu waipiro, te whakamutu waipiro, ngā tohu whakamutu, te wiri o te wairangi, te waranga waipiro, te mate whakamahi waipiro
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