Kuchotsa mowa

Kuledzeretsa mowa kumatanthauza zizindikilo zomwe zimachitika munthu amene amamwa mowa wambiri nthawi zonse mwadzidzidzi asiya kumwa mowa.

Kuchotsa mowa kumachitika nthawi zambiri mwa akuluakulu. Koma, zimatha kuchitika pakati pa achinyamata kapena ana.

Mukamamwa pafupipafupi, mumakhala ndi mwayi wambiri wosiya kumwa mukasiya kumwa.

Mutha kukhala ndi zisonyezo zoopsa zakusiya ngati muli ndi mavuto ena azachipatala.

Zizindikiro zakumwa mowa zimachitika pakadutsa maola 8 mutangomaliza kumwa, koma zimatha kuchitika patadutsa masiku ochepa. Zizindikiro nthawi zambiri zimakwera ndi maola 24 mpaka 72, koma zimatha kupitilira milungu ingapo.

Zizindikiro zodziwika ndizo:

• Kuda nkhawa kapena kuchita mantha
• Matenda okhumudwa
• Kutopa
• Kukwiya
• Kudumpha kapena kugwedezeka
• Maganizo amasintha
• Kulota maloto oipa
• Kusaganizira bwino

Zizindikiro zina zitha kuphatikiza:

• Thukuta, khungu losalala
• Kukula (kukulitsa) ophunzira
• Mutu
• Kusowa tulo (kugona movutikira)
• Kutaya njala
• Nseru ndi kusanza
• Pallor
• Kuthamanga kwa mtima mwachangu
• Kugwedezeka kwa manja kapena ziwalo zina za thupi

Mtundu woipa kwambiri wochotsa mowa wotchedwa delirium tremens ungayambitse:

• Kusokonezeka
• Malungo
• Kuwona kapena kumva zinthu zomwe kulibe (kuyerekezera zinthu m'maganizo)
• Kugwidwa
• Chisokonezo chachikulu

Wothandizira zaumoyo wanu adzakuyesani. Izi zitha kuwulula:

• Kusuntha kwamaso kosazolowereka
• Nyimbo zosadziwika bwino zamtima
• Kutaya madzi m'thupi (madzi osakwanira mthupi)
• Malungo
• Kupuma mofulumira
• Kuthamanga kwa mtima mwachangu
• Manja ogwedezeka

Mayeso amwazi ndi mkodzo, kuphatikiza chophimba cha poizoni, zitha kuchitika.

Cholinga cha chithandizo chimaphatikizapo:

• Kuchepetsa zizindikiritso zakutha
• Kupewa zovuta zakumwa mowa
• Thandizo lakuimitsani kumwa (kudziletsa)

CHITHANDIZO CHOPIRIRA

Anthu omwe ali ndi zizindikilo zoopsa za kusiya kumwa mowa angafunike kulandira chithandizo chamankhwala kuchipatala kapena malo ena omwe amachotsa mowa. Mudzawonetsedwa mosamala chifukwa cha kuyerekezera zinthu m'maganizo ndi zisonyezo zina za delirium tremens.

Chithandizo chingaphatikizepo:

• Kuwunika kuthamanga kwa magazi, kutentha kwa thupi, kugunda kwa mtima, komanso kuchuluka kwamagazi amthupi osiyanasiyana
• Madzi kapena mankhwala operekedwa kudzera mumtsempha (mwa IV)
• Kukhazikika pogwiritsa ntchito mankhwala mpaka kumaliza kumaliza

CHITHANDIZO CHOPATULIKA

Ngati muli ndi zizolowezi zochepa pochepetsa kumwa mowa, mutha kuchiritsidwa kuchipatala. Munthawi imeneyi, mufunika wina yemwe angakhale naye ndikukuyang'anirani. Muyenera kuti mupite kukaonana ndi omwe amakupatsani tsiku ndi tsiku mpaka mutakhazikika.

Chithandizo chimaphatikizapo:

• Mankhwala osokoneza bongo amathandizira kuchepetsa zizindikiritso zakutha
• Kuyesa magazi
• Upangiri waodwala ndi mabanja kuti akambirane za nkhani yayitali yakumwa
• Kuyesedwa ndi chithandizo cha zovuta zina zamankhwala zolumikizidwa ndi kumwa

Ndikofunikira kupita kuzinthu zomwe zimakuthandizani kuti musakhale oganiza bwino. Madera ena amakhala ndi nyumba zomwe zimapereka mwayi kwa iwo omwe akuyesa kukhala osamala.

Kuletsa mowa kwamuyaya ndi moyo wawo wonse ndi njira yabwino kwambiri kwa iwo omwe atha kusiya.

Mabungwe otsatirawa ndi zida zabwino zodziwitsa zauchidakwa:

• Mowa Osadziwika - www.aa.org
• Al-Anon Banja / Al-Anon / Alateen - al-anon.org
• National Institute on Alcohol Abuse and Alcoholism - www.niaaa.nih.gov
• Kugwiritsa Ntchito Mankhwala Osokoneza bongo ndi Maganizo a Zaumoyo - www.samhsa.gov/atod/alcohol

Momwe munthu amachitila bwino zimadalira kuchuluka kwa ziwalo zomwe zawonongeka komanso ngati munthuyo atha kumwa kwathunthu. Kuledzeretsa mowa kumatha kuyambira kungokhala wofatsa komanso wovuta kukhala wovuta, wowopsa.

Zizindikiro monga kusintha kwa tulo, kusintha kwakanthawi, komanso kutopa kumatha miyezi. Anthu omwe akupitiliza kumwa kwambiri amatha kudwala monga chiwindi, mtima, ndi matenda amanjenje.

Anthu ambiri omwe amasiya kumwa mowa amachira. Koma, imfa ndiyotheka, makamaka ngati delirium tremens imachitika.

Kuchotsa mowa ndi vuto lalikulu lomwe limawopseza moyo wathu.

Itanani omwe akukuthandizani kapena pitani kuchipinda chodzidzimutsa ngati mukuganiza kuti mwina mukumwa mowa, makamaka ngati mumamwa mowa pafupipafupi komanso posachedwa. Funsani nthawi yokumana ndi omwe amakupatsani ngati zizindikiro zikupitilira mutalandira chithandizo.

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati kugwidwa, malungo, chisokonezo chachikulu, kuyerekezera zinthu m'maganizo, kapena kugunda kwamtima kosazolowereka.

Mukapita kuchipatala pa chifukwa china, auzeni omwe akukuthandizaniwo ngati mumamwa mowa kwambiri kuti athe kukuyang'anirani ngati muli ndi vuto lomwa mowa.

Kuchepetsa kapena kupewa mowa. Ngati muli ndi vuto lakumwa, muyenera kusiya kumwa mowa kwathunthu.

Kutulutsa poizoni - mowa; Detox - mowa

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Kelly JF, Renner JA. Matenda okhudzana ndi mowa. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 26.

Mirijello A, D'Angelo C, Ferrulli A, ndi al. Kuzindikiritsa ndikuwongolera zakumwa zoledzeretsa. Mankhwala osokoneza bongo. 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Kusokonezeka kwa mowa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.