Cawv Tshem Tawm

Cawv Tshem Tawm

Tshuaj kho los ntawm Varixcare.cz. Hloov kho zaum kawg thaum Lub Peb Hlis 15, 2021.

Kev rho tawm cawv yog dab tsi?

Harvard Health Publishing

Kev tshem dej cawv yog qhov hloov pauv ntawm lub cev mus thaum ib tus neeg tau tso tseg tsis haus cawv tom qab siv cawv ntev thiab hnyav. Cov tsos mob suav nrog tshee tshee (tshee), pw tsis tsaug zog, ntxhov siab, thiab lwm yam tsos mob ntawm lub cev thiab lub paj hlwb.



Cawv muaj qhov ua kom qeeb (tseem hu ua sedating effect lossis depressant effect) ntawm lub hlwb. Hauv qhov hnyav, haus dej ntev, lub hlwb yuav luag txuas ntxiv mus rau qhov ua rau muaj kev nyuaj siab ntawm cawv. Lub sijhawm dhau los, lub hlwb hloov kho nws tus kheej tshuaj lom neeg los txhawm rau txhawm rau haus cawv. Nws ua qhov no los ntawm kev tsim cov tshuaj lom ib txwm muaj (xws li serotonin lossis norepinephrine, uas yog txheeb ze ntawm adrenaline) hauv qhov ntau dua li ib txwm.



Yog tias haus cawv sai sai, lub paj hlwb zoo li lub tsheb nrawm uas tau poob nws cov nres. Tsis xav tsis thoob, feem ntau cov tsos mob ntawm kev tshem tawm yog cov tsos mob uas tshwm sim thaum lub paj hlwb ntau dhau.

Daim ntawv txaus ntshai tshaj plaws ntawm kev haus cawv tshwm sim hauv kwv yees li 1 ntawm txhua 20 tus neeg uas muaj cov tsos mob tawm. Qhov mob no hu ua delirium tremens (tseem hu ua DTs).



Hauv delirium tremens, lub hlwb tsis tuaj yeem hloov kho nws cov tshuaj tom qab haus cawv lawm. Qhov no tsim lub xeev ntawm kev tsis meej pem ib ntus thiab ua rau muaj kev hloov pauv txaus hauv txoj kev uas koj lub hlwb tswj hwm koj txoj kev ncig thiab ua pa. Lub cev cov cim tseem ceeb xws li koj lub plawv dhia lossis ntshav siab tuaj yeem hloov pauv ntau lossis tsis tuaj yeem kwv yees, tsim kev pheej hmoo ntawm lub plawv nres, mob stroke lossis tuag.

40% hydrogen peroxide

Cov tsos mob

Yog tias koj lub paj hlwb tau hloov kho rau koj tus cwj pwm haus dej ntau, nws yuav siv sijhawm rau koj lub paj hlwb los kho rov qab. Cov tsos mob ntawm kev haus cawv tshwm sim hauv tus qauv uas tuaj yeem kwv yees tau tom qab koj haus cawv zaum kawg. Tsis yog txhua cov tsos mob tshwm sim hauv txhua tus neeg mob:

  • Kev tshee (tshee) - Cov no feem ntau pib hauv 5 txog 10 teev tom qab haus cawv kawg thiab feem ntau nce ntawm 24 txog 48 teev. Nrog rau kev tshee tshee (tshee tshee), koj tuaj yeem muaj lub plawv dhia nrawm, nce ntshav siab, ua pa nrawm, tawm hws, xeev siab thiab ntuav, ntxhov siab lossis lub xeev ceeb toom, npau taws, npau suav phem lossis npau suav tiag tiag, thiab pw tsis tsaug zog.
  • Cawv hallucinosis - Cov tsos mob no feem ntau pib hauv 12 txog 24 teev tom qab koj haus tas, thiab tuaj yeem kav ntev li 2 hnub thaum nws pib. Yog tias qhov no tshwm sim, koj ua rau xav tsis thoob (pom lossis hnov ​​tej yam uas tsis muaj tiag). Nws yog ib txwm muaj rau cov tib neeg uas thim cawv los pom ntau yam me me, zoo ib yam, txav khoom. Qee zaum lub zeem muag pom tau tias yog kab kab los yog npib poob. Nws muaj peev xwm ua rau kev haus cawv qaug cawv ua kom pom tseeb thiab pom kev zoo.
  • Cawv tshem tawm qaug cawv - Kev qaug dab peg tuaj yeem tshwm sim 6 txog 48 teev tom qab haus cawv zaum kawg, thiab nws muaj ntau zaus rau qaug dab peg tshwm sim ntau teev. Txoj kev pheej hmoo nce mus txog 24 teev.
  • Delirium tshee - Delirium tremens feem ntau pib ob txog peb hnub tom qab haus cawv kawg, tab sis nws yuav raug ncua ntau dua li ib lub lim tiam. Nws qhov siab tshaj plaws feem ntau yog plaub txog tsib hnub tom qab haus cawv tas los. Qhov xwm txheej no ua rau muaj kev hloov pauv txaus ntshai hauv koj txoj kev ua pa, koj txoj kev ncig thiab koj qhov ntsuas kub. Nws tuaj yeem ua rau koj lub plawv sib tw txaus ntshai lossis tuaj yeem ua rau koj cov ntshav siab nce ntxiv, thiab nws tuaj yeem ua rau lub cev qhuav dej txaus ntshai. Delirium tremens kuj tuaj yeem txo qis cov ntshav ntws mus rau koj lub hlwb ib ntus. Cov tsos mob tuaj yeem suav nrog kev tsis meej pem, kev tsis nco qab, kev txaj muag lossis tsis nco qab, kev xav tsis txaus lossis npau taws, kev ntseeg tsis raug cai, so tawm hws, pw tsaug zog thiab ua rau pom kev tsis meej.

Kev kuaj mob

Kev tshem tawm cawv yog ib qho yooj yim los txheeb xyuas yog tias koj muaj cov tsos mob tshwm sim tom qab koj tso tseg hnyav, ib txwm haus dej. Yog tias koj muaj kev paub dhau los ntawm cov tsos mob thim rov qab, koj yuav muaj peev xwm rov qab tau yog tias koj pib thiab tsum tsis txhob haus dej ntau dua. Tsis muaj qhov kev ntsuam xyuas tshwj xeeb uas tuaj yeem siv los txheeb xyuas kev haus cawv.



Yog tias koj muaj cov tsos mob thim rov qab los ntawm kev haus cawv, tom qab ntawd koj tau haus cawv txaus los ua kom puas rau lwm lub cev. Nws yog lub tswv yim zoo rau koj tus kws kho mob los tshuaj xyuas koj ua tib zoo thiab kuaj ntshav, kuaj xyuas kev haus cawv cuam tshuam rau koj lub siab, lub plawv, lub paj hlwb hauv koj txhais taw, suav cov xov tooj ntawm tes, thiab txoj hnyuv. Koj tus kws kho mob yuav tshuaj xyuas koj li kev noj zaub mov ib txwm muaj thiab tshuaj xyuas cov vitamins tsis txaus vim tias kev noj zaub mov tsis zoo tshwm sim thaum ib tus neeg vam khom cawv.

Nws feem ntau nyuaj rau cov neeg uas haus dej kom ua ncaj ncees txog qhov lawv tau haus ntau npaum li cas. Koj yuav tsum tshaj tawm koj li keeb kwm kev haus cawv ncaj qha rau koj tus kws kho mob kom koj tuaj yeem raug kho kom nyab xeeb rau cov tsos mob tawm.

Kev Cia Siab Ntev

Cov tsos mob ntawm kev tshem tawm cawv feem ntau txhim kho tsis pub dhau tsib hnub, txawm hais tias tsawg tus neeg mob yuav muaj cov tsos mob ntev, ntau lub lis piam.

Kev tiv thaiv

Kev haus dej cawv yog tshwm sim los ntawm ntau yam. Yog tias koj muaj ib tus nus muag lossis niam txiv muaj kev quav dej quav cawv, tom qab ntawd koj muaj peb lossis plaub zaug ntau dua li qhov nruab nrab los tsim kev haus cawv. Qee tus neeg nrog tsev neeg keeb kwm ntawm kev quav dej cawv xaiv kom tsis txhob haus cawv vim qhov no yog txoj hauv kev lav paub kom tsis txhob tsim kev quav cawv. Coob leej neeg tsis muaj keeb kwm tsev neeg kuj tsim kev quav dej quav cawv. Yog tias koj txhawj xeeb txog koj kev haus cawv, nrog koj tus kws kho mob tham.

Kev kho mob

Yog tias koj ntuav hnyav, qaug dab peg lossis tshee tshee tshee tshee, qhov chaw nyab xeeb tshaj plaws rau koj los kho yog nyob hauv tsev kho mob. Txog kev tshee tshee tshee tshee, kev kho mob hauv chav kho mob hnyav (ICU) feem ntau xav tau. Hauv ICU, koj lub plawv dhia, ntshav siab, thiab ua pa tuaj yeem saib xyuas tau zoo thaum muaj xwm txheej pab lub neej xwm txheej (xws li ua pa tsis zoo los ntawm lub tshuab).

Cov tshuaj hu ua benzodiazepines tuaj yeem txo cov tsos mob ntawm kev haus cawv. Feem ntau siv cov tshuaj hauv pab pawg no suav nrog chlordiazepoxide (Librium) thiab lorazepam ( Ativan ).

Cov neeg haus cawv feem ntau uas muaj cov tsos mob tawm muaj qhov tsis txaus ntawm ntau cov vitamins thiab cov zaub mov thiab tuaj yeem tau txais txiaj ntsig los ntawm kev noj zaub mov zoo. Tshwj xeeb, kev quav cawv tuaj yeem tsim qhov tsis txaus ntawm folate, thiamine, magnesium , zinc thiab phosphate. Nws kuj tuaj yeem ua rau cov ntshav qab zib tsawg.

Thaum Hu Rau Tus Kws Tshaj Lij

Nrhiav kev pab yog tias koj lossis ib tus neeg koj hlub muaj teeb meem cuam tshuam nrog cawv. Kev haus cawv yog ib yam kab mob uas tuaj yeem kho tau.

Yog tias koj muaj teeb meem quav cawv thiab tau txiav txim siab tsis haus cawv, hu rau koj tus kws kho mob kom pab. Koj tus kws kho mob tuaj yeem qhia koj thiab tuaj yeem sau ntawv tshuaj kom ua rau cov tsos mob thim rov qab yog tias lawv tshwm sim. Koj tus kws kho mob tseem tuaj yeem cuam tshuam koj nrog cov peev txheej hauv cheeb tsam uas yuav pab koj kom tsis txhob haus cawv.

Kev kwv yees

Kev tshem tawm cawv yog ib txwm muaj, tab sis delirium tremens tsuas yog tshwm sim hauv 5% ntawm cov neeg uas haus cawv. Delirium tremens yog qhov txaus ntshai, tua ntau npaum li 1 ntawm txhua 20 tus neeg uas txhim kho nws cov tsos mob.

Tom qab kev tshem tawm tiav, nws yog qhov tseem ceeb uas koj tsis pib haus cawv ntxiv. Cov txheej txheem kho cawv yog ib qho tseem ceeb vim tias lawv txhim kho koj txoj hauv kev kom tsis txhob haus cawv. Tsuas yog kwv yees li 20 feem pua ​​ntawm cov neeg haus dej cawv tuaj yeem zam kev haus cawv tas mus li yam tsis muaj kev pab los ntawm kev kho mob lossis kev pabcuam tus kheej xws li Alcoholics Anonymous (AA). Ntawm cov neeg tuaj koom AA, 44 feem pua ​​ntawm cov neeg uas tsis haus cawv dawb rau 1 xyoos tej zaum tseem yuav tsis nyob twj ywm rau lwm xyoo. Daim duab no nce mus txog 91% rau cov uas tseem tsis tau muaj npe thiab tau koom AA rau 5 xyoos lossis ntau dua.

Qhov nruab nrab, tus neeg haus dej cawv uas tsis tso tseg kev haus cawv tuaj yeem cia siab tias yuav txo nws lub neej kev cia siab yam tsawg 15 xyoos.

Cov peev txheej sab nraud

National Institute on Alcohol Abuse and Alcoholism (NIAAA)
http://www.niaaa.nih.gov/

Kev Tsim Txom Cov Tshuaj thiab Kev Pabcuam Kev Puas Hlwb (SAMHSA)
www.samhsa.gov

Alcoholics Anonymous World Services
www.aa.org

Cov ntaub ntawv ntxiv

Ib txwm sab laj nrog koj tus kws kho mob kom ntseeg tau tias cov ntaub ntawv tso tawm ntawm nplooj ntawv no siv rau koj tus kheej li xwm txheej.

Kev Tsis Pom Zoo Kho Mob