He uaua anō hoki ki a koe te whakahaere i tō inu waipiro? Me kōrero tātou mō te Mate Whakamahi Waipiro!

Kua rite koe ki te inu waipiro i tētahi pāti, i tētahi huihuinga rānei me ō hoa ki te "whakangahau" ā, kātahi ka tīmata te kore e taea te whakahaere? Tērā pea he raruraru nui atu tēnei i tō whakaaro. Koinei te mea e kiia nei e te hauora ko te Mate Whakamahi Waipiro . He mate tēnei e pāngia ana e te tini o te tangata, engari kāore i te tino kōrerohia.

He aha tonu te Mate Whakamahi Waipiro?

Ki te kī ngāwari, he mate hauora te `(Alcohol Use Disorder)`. Kāore e taea e te tangata whai mate pēnei te whakamutu, te whakahaere rānei i tana inu. Ahakoa he raruraru tā rātou inu, ehara i te mea mō tōna ake oranga anake, engari mō te oranga o te hunga e karapoti ana i a ia me tōna whānau, he uaua ki a rātou te whakamutu i te inu. Whakaarohia, kei reira ētahi tāngata e whakaaro ana me inu rātou i te oho ake i te ata, e whakaaro ana rānei kei roto rātou i te raruraru i te rā katoa. Kāore e taea e rātou te haere ki te mahi, kāore e taea e rātou te mahi tika i ā rātou kawenga o te whare. Engari kāore e taea e rātou te whakarērea tēnei whanonga.

Ka taea e tēnei āhuatanga te ngawari, te āhua taurite, te kino rānei . Ko te tikanga, ehara i te mea he rite tonu te katoa. Tērā pea ka pāngia ētahi e ngā tohu ngawari noa iho, ko ētahi ia ka pāngia e ngā tohu morearea. Ko te rongo pai, kei reira ngā maimoatanga e wātea ana. Ka taea e ngā rongoā me ngā whakaora whanonga te āwhina i te whakahaere i te āhuatanga. Ahakoa ka hoki anō ētahi tāngata i muri i te maimoatanga, kua whakaatuhia e ngā rangahau he maha ngā tāngata ka taea te whakaiti, te whakamutu rānei i te inu . Nō reira kaua e mutu te tumanako.

He aha ngā tohu o tēnei mate? Tirohia mēnā kei a koe anō ēnei...

Ina whakaaro tātou ki ngā tohu o te mate, ko te tikanga ka whakaarohia e tātou ngā mea pēnei i te kirika, te mare, me te mamae o te tinana. Engari he rerekē ngā tohu o te "Mate Whakamahi Waipiro". Ko te nuinga o ēnei e pā ana ki ngā huringa o tō wairua me tō whanonga. Tirohia mēnā e mōhio ana koe ki ēnei tohu:

• Te hiahia nui ki te waipiro: Ahakoa kei a koe anake, ka maumahara tonu koe ki te waipiro, ā, ka hiahia koe ki te inu. He tino uaua ki te whakahaere i taua hiahia nui.
• Ahakoa he raruraru tōu ki tō whānau, ki ō hoa, me tō mahi, ka inu tonu koe i te waipiro: ka puta ngā pakanga i te kāinga, ka riri ngā hoa, ā, ka ngaro pea tō mahi. Engari kāore e taea e koe te mutu te inu.
• Te inu nui atu i te mea i whakaritea, te inu rānei mō te wā roa atu i te mea i whakaritea: Ahakoa i te tīmatanga ka mea koe, "Ka inu au i te iti i tēnei rā," ka mutu ka nui te inu kāore he mana whakahaere. I ētahi wā ka inu koe mō ngā rā maha.
• Te whakapau i te nui o te wā ki te kimi waipiro, ki te inu, ki te whakaora rānei i te mate haurangi: Mena ko te nuinga o te rā e pau ana ki te mahi i ēnei mea, he raruraru anō hoki tēnā.
• Kei te ngana tonu koe ki te whakaiti i tāu inu, engari kāore e taea: Ahakoa kei te whakaaro koe, "Me mutu tēnei e au," kāore e taea e koe.
• Ka uaua te whakatutuki i ngā kawenga mahi me te whānau nā te inu waipiro: ka warewarehia ngā mahi kura me ngā mahi o te whare a ngā tamariki.
• Te whakarērea o ngā mahi pāpori, ngā mahi, ngā whakangahau rānei nā te mea he waipiro: Te kore e mahi i ngā mea i pai ai koe ki te inu nā te mea e hiahia ana koe ki te inu.
• Ka whakamahia hoki te waipiro i ngā āhuatanga morearea tinana: hei tauira, te taraiwa haurangi, te mahi rānei me ngā mīhini.
• Ka inu tonu rātou ahakoa e mōhio ana ka kino ake te waipiro i tētahi atu mate, i tētahi raruraru hinengaro rānei: Ahakoa te kī a te tākuta, "Kāore te inu i te pai mō tēnei mate," ka inu tonu rātou me te kore e whakarongo ki a ia.
• Te manawanui nui ki te waipiro: Kāore koe e haurangi pērā i mua, nō reira me nui ake tāu inu.
• Ka puta ngā tohumate o te tango waipiro ina mutu te inu waipiro, ina inu rānei koe hei karo i ēnei tohumate: te wiri o ngā ringa, te werawera, me te whanoke i te ata, ka hiahia anō koe ki te inu.

Ehara i te mea he "mate inu waipiro" te katoa nā te mea kotahi, e rua rānei o ēnei tohu kei a rātou. Engari ki te mea he maha āu tohu, he pai ake te kōrero ki te tākuta mō tēnei.

E hia te nui o te inu ka inuhia e koe i mua i tō "whiti i te rārangi"?

He pātai tēnei e pātaihia ana e te tini tāngata. E ai ki te American Medical Association, kāore e tika kia inu te tāne i te neke atu i te rua inu paerewa i te rā. E kīia ana ko te "inu nui" he rima, neke atu rānei ngā inu i te rā, he 15 rānei, neke atu rānei ngā inu i te wiki.

Me whakawhāiti ngā wāhine i a rātou anō ki te kotahi inu paerewa i te rā. Mō ngā wāhine, ko te "inu nui" e whakamāramahia ana ko te whā, neke atu rānei o ngā waeine ia rā, e waru, neke atu rānei o ngā waeine ia wiki.

He aha te "waeine paerewa"? Ko te tikanga, ko te waeine kotahi he kēne pia (tata ki te 350 ml), he karāhe waina (tata ki te 150 ml), he 45 ml rānei (he inu) o te waipiro pēnei i te arakku. Heoi, ka rerekē pea te nui o te waipiro o ētahi momo waipiro i Sri Lanka, nō reira he whakaaro whānui noa iho tēnei.

Ki te inu koe i tua atu i ēnei rohe, ka kiia he mōrearea.

He aha i pāngia ai ētahi tāngata e tēnei āhuatanga?

Kāore anō kia taea e ngā kairangahau te tautuhi i te tino pūtake o te mate inu waipiro. Heoi, kua tautuhia e rātou ētahi āhuatanga matua:

• Ngā ira: Mena he raruraru waipiro tō tētahi o tō whānau, pērā i ō mātua, i ō tuākana, tuākana rānei, ka nui ake te tūponotanga ka pāngia koe e te mate. Ko te tikanga tēnei he āhuatanga ira pea kei roto.
• Ngā āhuatanga hauora hinengaro: Ko te hunga whai āhuatanga hauora hinengaro ka nui ake te tūponotanga ka tahuri ki te waipiro. Hei tauira, te pouri, te mate ahotea muri-traumatic (PTSD) te mate kore aro/tino mahi rānei (ADHD)Tērā pea ka whakamatautauria te hunga whai mate pēnei i te pouri ki te whakamahi i te waipiro hei whakamama i ō rātou ahotea, pouri, me te manukanuka. Engari i roto i te ao tūturu, ka kino ake te raruraru.

Haunga tēnei, ka pā mai anō hoki ngā āhuatanga pēnei i ngā awe pāpori, te taiao noho, me te ahotea ki tēnei.

He aha ngā raruraru ka puta mai mēnā ka mau tonu tēnei tikanga?

Ahakoa te āhua nei he mea ngahau te inu waipiro, he kino rawa te whakamahinga mō te wā roa me te nui rawa o te waipiro ki te tinana. Ko ngā raruraru tino noa ko te mate pāwera me te whakamutu i te inu. Engari he maha atu ngā raruraru kino ka puta.

I mōhio koe he matū whakaputa mate pukupuku te waipiro ? Arā, ka taea e ia te mate pukupuku. Mā te inu nui rawa i te waipiro mō te wā roa ka nui ake te tūponotanga ki te pāngia e te mate pukupuku korokoro . Ehara i te mea koinā anake:

• Te cardiomyopathy i puta mai i te waipiro: Ka ngoikore pea te ngākau, ka nui haere hoki.
• Te mate ate hepatitis i puta mai i te waipiro: Ka pupuhi, ka pakaru pea te ate.
• Paitini waipiro: Mā te inu nui i te wā kotahi ka ngaro te māramatanga, tae atu ki te mate.
• Te pirau o te roro nui: Ka raru pea te hikoi me te wiri i te pakaru o te wāhanga o te roro e whakahaere ana i te taurite.
• Te mate ate: Ka tata pakaru katoa te ate, ā, kāore e taea te mahi. He mate tino kino tēnei.
• Te Ngau Pōrangi (DT): He āhuatanga morearea tēnei ka puta ina mutu ohorere te inu waipiro. Ka kōrerohia e tātou i muri mai.

I mua i te aro atu ki ngā āhuatanga pēnei, he mea whakaaro nui kia tono āwhina.

Me pēhea te tautuhi tika a te tākuta i tēnei (Mate Whakamahi Waipiro)?

Ki te whakapae koe kei a koe te "Mate Whakamahi Waipiro", ko te mea pai ko te toro atu ki te tākuta. Ka tirotirohia koe e te tākuta, ka tirohia hoki mēnā he tohu tinana kē atu e puta mai ana i te whakamahinga waipiro.

Kātahi ka whakamahia e rātou ngā paearu i roto i te Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) hei whakarōpū i ngā mate hinengaro. Kia mahara ki ngā tohu i kōrerohia e tātou i mua ake nei? E hia o aua tohu kei a koe e whakamahia ana hei whakatau mēnā kei a koe te Alcohol Use Disorder, ā, mēnā koinā, he aha te kaha o taua tohu.

• Āhua ngawari: Mēnā e ōrite ana ngā tohu e rua, e toru rānei.
• Āhua āhua noa: Mēnā e ōrite ana ngā tohu e whā, e rima rānei.
• Āhua kino: Mēnā e ono, neke atu rānei ngā tohu e ōrite ana.

Kua oti tēnei whakarōpūtanga hei āwhina i a koe ki te whiriwhiri i te tikanga maimoatanga e tino tika ana mōu.

He aha ngā maimoatanga mō tēnei? Kaua e manukanuka, kei reira te āwhina!

Kei tō āhua te maimoatanga. Mena he kino rawa tō mate inu waipiro, ka tūtohu pea tō tākuta kia rongoatia koe ki te hōhipera, kia rongoatia rānei ki te whare noho. Ko ētahi atu whiringa maimoatanga ko:

• Te rongoā whanonga: Kei roto i tēnei ko te tohutohu hei āwhina i a koe ki te whakarerekē i tō whanonga inu. Ka taea e ngā kaitohutohu mō te waranga, ngā tohunga hinengaro rānei te āwhina i a koe ki tēnei. Ka kōrero rātou mō ngā take e whakamatautauria ai koe ki te inu, me pēhea e whakahaere ai koe i ō hiahia i taua wā, ā, ka āwhina i a koe ki te whakahaere i aua mea.
• Rongoā: Kua whakaaetia e te US Food & Drug Administration ngā rongoā `(Naltrexone)` me `(Acamprosate)` mō te `(Alcohol Use Disorder). Ka āwhina ēnei rongoā ki te whakaiti i te hiahia ki te waipiro me te whakaiti i ngā tohumate tango. Waihoki, kua kitea ko ngā rongoā `(Topiramate)` me `(Gabapentin)` ka āwhina ki te whakaiti i te hiahia ki te waipiro i roto i ētahi tāngata. Heoi, me tango noa ēnei rongoā i runga i te tohutohu a te tākuta.
• Ngā rōpū tautoko: He mea tino nui tēnei. He puna kaha nui ēnei rōpū hei kōrero me te whakapuaki i ngā wheako ki ētahi atu e raru ana i te raruraru kotahi ki a koe. Kua rongo pea koe i ngā rōpū pēnei i te "Alcoholics Anonymous (AA)". He mea pai hoki te whakaaro kāore koe i te mokemoke.

Ka taea te whakatutuki i ngā hua pai mā te whakamahi i tētahi, i ētahi rānei o ēnei maimoatanga i te wā kotahi.

Ka taea te whakaora katoa i tēnei? Ka taea rānei te whakahaere?

Kua whakaatuhia e ngā rangahau ko te nuinga o te hunga e pāngia ana e te "Mate Whakamahi Waipiro" ka ora ake . Arā, ka whakaitihia e rātou te nui o tā rātou inu, ka mutu rānei te inu. Heoi, i ētahi wā ka hoki anō te tangata ki te inu. He mea noa tēnei, ā, ehara i te mea pai kia ngakaukore tātou i tēnei.

Ina koa ka pāngia koe e tētahi raruraru nui o te ao, e tētahi ahotea rānei – hei tauira, te ngaronga o tētahi mahi, te whakarere, te ngaronga rānei o tētahi mema o te whānau, o tētahi hoa tata rānei – tērā pea ka taupokina koe e te pouri, ā, ka whakamatautauria koe ki te inu anō. Ki te mea kei te pāngia koe e te ahotea, ki te whakamatautauria rānei koe ki te inu anō, kōrero tonu atu ki tō tākuta, ki tō kaitohutohu rānei. Ka taea e rātou te āwhina i a koe.

He aha ngā mea ka taea te mahi hei karo i tētahi āhuatanga e pā ana ki te waipiro?

Hei karo i tēnei āhuatanga, me karo koe i te inu waipiro mōrearea. Ko te tikanga:

• Ngā Wāhine: Kaua e inu i te neke atu i te whā waeine waipiro paerewa ia rā, i te waru rānei waeine waipiro ia wiki.
• Ngā Tāne: Kaua e inu i te neke atu i te rima waeine waipiro paerewa ia rā, i te tekau mā rima rānei waeine waipiro ia wiki.

Ki te nui atu tāu inu i tēnei nui, whakaarohia te whakaiti, te whakamutu rānei. Kōrero ki tō tākuta mō ngā huarahi hei āwhina.

Mena he tangata koe e ngana ana ki te ora ake i tēnei āhuatanga, me pēhea koe e tiaki ai i a koe anō?

Mena kua tīmata koe i te maimoatanga mō te `(Alcohol Use Disorder)`, kua takahia e koe tētahi taahiraa nui ki te tiaki i a koe anō. Ehara tēnei i te mea ka puta i te pō kotahi, he haerenga. Me mahi e koe i ia rā i ia wā, i ia taahiraa i ia wā. Anei ētahi whakaaro hei āwhina i a koe i tēnei haerenga:

• Korikori Tinana: He huarahi pai te korikori tinana hei whakahaere i te ahotea. Ka taea e te korikori tinana te āwhina i te ahotea o te oranga o ia rā, tae atu ki te ahotea e pā ana ki a koe ina noho puku koe. Hīkoi, oma, tākaro, mahi i tētahi mea e pai ana ki a koe.
• Tāutuhia ō mea e whakaoho ana i te hiahia ki te inu waipiro: Ina pāngia koe e te mate inu waipiro, ka taea e ētahi āhuatanga, tāngata, me ngā wāhi te whakaoho i a koe kia hiahia anō ki te inu. Tāutuhia ēnei mea e whakaoho ana i te hiahia ki te inu waipiro, ā, ngana kia matara atu i a rātou i ngā wā katoa e taea ana.
• Rapua he āwhina: He kaupapa 12-taahiraa pea tēnei, he kōrero rānei ki tētahi kaiwhakatakoto whakaaro. He tino whakamarie te kōrero ki tētahi e mārama ana ki tō āhuatanga, ā, ka hoatu he kaha ki a koe ki te anga whakamua. Ka taea hoki e tō whānau me ō hoa pono te āwhina i tēnei.

Kia maumahara, kāore koe i te mokemoke. Ehara te tono āwhina i te ngoikore, engari he kaha.

Āhea koe me rapu tohutohu hauora?

Ka rerekē tēnei i runga i tō āhuatanga. Hei tauira, ki te mea kei te rongoatia koe mō tētahi āhuatanga pēnei i te cirrhosis o te ate i puta mai i te inu waipiro, me kōrero koe ki tō tākuta mēnā ka kite koe i ētahi huringa hou, i ētahi tohu rānei i roto i tō tinana. Mēnā kei te whiwhi koe i te tohutohu, pātai atu ki tō kaiārahi mō te whakahaere i tō ahotea me ō hiahia ki te inu anō, me te mea hoki me hiahia koe ki ētahi atu tautoko hinengaro.

Āhea koe me haere ki te rūma whawhati tata? He mea tino nui tēnei!

Ki te mutu ohorere te inu waipiro a te hunga he nui, he āhua taumaha rānei te mate inu waipiro, ka pāngia rātou e te mate e kiia nei ko te delirium tremens (DT) . He mate tino kino tēnei, he mate morearea hoki, ka puta ina mutu te inu waipiro. Ka puta pea ngā tohu kino pēnei i te haurangi me te moemoeā. Ki te puta tēnei, me rapu tonu koe i te awhina hauora ohorere. Nō reira, kaua e mutu ohorere te inu me te kore tohutohu a te tākuta, ina koa he tangata inu nui koe.

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ina rongoatia koe mō tēnei mate, tera pea ka pā mai he maha ngā raruraru i a koe e ora ana. Anei ētahi o aua raruraru:

• Ki tō whakaaro kei a au te `(Alcohol Use Disorder)`?
• Mena koinā, he mate kino rawa atu rānei?
• He aha te momo maimoatanga e taunaki ana koe?
• Ka āwhina te maimoatanga i ahau ki te whakamutu i te inu waipiro?
• Kia pēhea te roa o te maimoatanga?
• Me aha ahau kia kore ai e hoki anō ki te waipiro?

Kaua e whakamā ki te pātai i ēnei pātai. Mā te mārama ake ki tō āhua, ka nui ake te tūponotanga o tō oranga.

Ētahi mea nui hei maumahara māu (Karere hei tango ki te kāinga)

Ki te whakaaro koe kei a koe te Mate Waipiro, kia mārama tuatahi kāore koe i te mokemoke. E miriona ngā tāngata huri noa i te ao e pāngia ana e tēnei mate. Ko te mōhio kei a koe tētahi raruraru te taahiraa tuatahi me te taahiraa nui rawa atu ki te whakaora. Nō reira kaua e mangere ki te kōrero ki tētahi tākuta. Ka taea e rātou te taunaki i te maimoatanga me ngā rauemi tika māu, me te āwhina i a koe ki te wikitoria i te Mate Waipiro.

Kia maumahara, he mate tēnei. Me rongoā. Mā te āwhina tika me tō whakapau kaha, ka taea hoki e koe te wikitoria i tēnei mate, ā, ka ora i te oranga hauora, harikoa hoki. Ko te mea nui ko te whakatau i tō whakaaro mō tēnei mate.

` Te waranga ki te waipiro, Te mate whakamahi waipiro, Te whakamahinga waipiro, Ngā tohu waipiro, Te maimoatanga waipiro, Te hauora hinengaro, Te haurangi