Kev Kho Mob Nyob ntawm Qhov Kev Xeeb Txawm
Yog tias koj haus dej haus cawv, koj yuav muaj cov cawv tawm ntawm cov cawv. Koj tuaj yeem nrhiav kev kho mob uas yuav pab txo tau cov no. Koj tus neeg muab kev pab kho mob yuav siv tshuaj los pab nqhis koj thaum koj mus dhau.
Cim Cuam Tshuam Tiv Thaiv
Cov tsos mob me me mus rau ib nrab yog feem ntau thaum koj tsis haus dej haus cawv. Koj tuaj yeem ntxhov siab, muaj kev tshee tshee, tsis muaj qab los noj mov, thiab muaj teeb meem pw tsaug zog.
Nrog rau cov tsos mob tsis tshua muaj zog, qaug dab peg los yog kev pom kev tshwm sim tshwm sim li 15 mus rau 20 feem pua ntawm cov sij hawm tsis tau nce mus rau cov cua tshuab tsis zoo . Nrog rau cov tsos mob me thiab tsos mob, koj tuaj yeem raug coj los kho tus kab mob sab nraud, txawm yog tias koj muaj cov ntxhiab tsw qab, yuav tsum tau mus pw hauv tsev kho mob.
Kev Kho Mob Thaum Tshaj Tawm Kev Tiv Thaiv Mob Me Ntsis Rau Kev Tiv Thaiv Txwv
Txoj kev kho yuav ua raws li cov tsos mob uas koj muaj. Kev siv tshuaj tiv thaiv plaub-hnub yog qhov mob me me rau cov tsos mob kom tsis txhob muaj ntsis. Koj tuaj yeem raug teem caij rau kev rov qab kho thiab kho dua. Nws tseem ceeb heev uas koj rov tuaj rau hauv chav kho mob ceev yog tias koj cov tsos mob tawm mus ua mob hnyav. Thaum mus dhau thawj hnub ntawm kev tshem tawm, nws yog qhov zoo tshaj plaws uas yuav saib xyuas tom qab los ntawm ib tug phooj ywg lossis neeg hauv tsev neeg kom muaj kev nyab xeeb.
Benzodiazepines: Cov neeg mob feem ntau yog muab ib qho tshuaj benzodiazepine tshuaj tiv thaiv kev ntxhov siab, xws li Valium (diazepam), Ativan (lorazepam), Librium (chlordiazepoxide), thiab Serax (oxazepam).
Lawv ua haujlwm ntawm paj hlwb nyob hauv lub hlwb kom tiv thaiv delirium tremens thiab qhov kev pheej hmoo ntawm qaug dab peg, uas yog ob qho kev mob loj. Cov kab mob ntev-benzodiazepines nrog cov metabolites (diazepam los yog chlordiazepoxide) yog cov neeg mob feem ntau nyiam. Tab sis yog tias koj muaj kev puas tsuaj rau lub siab, lorazepam los yog oxazepam yuav muab vim lawv tsis muaj cov metabolites.
Cov kev mob tshwm sim ntawm benzodiazepines muaj xws li nruab hnub thaum nkees nkees. Lawv tuaj yeem ua rau muaj teebmeem ntxiv ntawm kev ua pa. Lawv tuaj yeem cuam tshuam nrog lwm cov tshuaj thiab muaj kev txaus ntshai thaum lawv siv cawv, uas yog kev txhawj xeeb ntawm ib tus neeg uas yuav rov haus dua. Tej kev phiv kuj yuav ua rau cov neeg laus dua. Lawv tuaj yeem ua rau menyuam yug tsis raws sijhawm, yog li lawv yuav tsum tsis txhob siv los ntawm cov poj niam cev xeeb tub los yog thaum pub niam mis. Benzodiazepines tsis ua hauj lwm zoo dua lub sij hawm thiab cov neeg mob tuaj yeem ua rau lawv. Yog tias koj coj lawv mus rau plaub lub lim tiam, tej zaum koj yuav pom cov tsos mob tawm ntawm lawv.
Lwmyam Tshuaj Rau Me Ntsig Txog Kev Tawm Tseg
Cov hauv qab no kuj yuav raug muab, raws li cov tsos mob thiab lawv qhov hnyav.
Beta-blockers . Beta-blockers, xws li propranolol (Inderal) thiab atenolol (Tenormin), qeeb lub plawv dhia thiab txo kom tsawg. Lawv siv qee zaus siv nrog benzodiazepines.
Tshuaj Txhaj Tshuaj Tiv Thaiv . Cov neeg siv tshuaj tiv thaiv, xws li carbamazepine (Tegretol) los yog divalproex sodium (Depakote) yuav siv tau tsawg dua benzodiazepine.
Kev Kho Mob Tshwj Xeeb Rau Cov Kev Mob Loj
Kho Cov Ntshav Qab Zib (Delirium Tremens) : Cov no yog qhov txaus ntshai heev thiab yuav tsum tau kho tam sim ntawd kom tsis txhob tuag, uas tuaj yeem raug 20 feem pua yog tias tsis kho.
Cov neeg mob cov neeg mob feem ntau yog siv cov tshuaj tua kab mob los tiv thaiv kev quav tshuaj. Lidocaine (Xylocaine) tej zaum yuav muab rau cov neeg uas muaj kev puas siab ntsws plawv rhythms. Kev kho mob nrog kua yog ib qho tseem ceeb thiab yuav tsum muaj kev tswj xyuas.
Kho Cov Nteev . Kev qaug dab peg feem ntau yog txwv txiav thiab kho nrog benzodiazepine. Tso cov tshuaj phenytoin (Dilantin) kuj muab ntxiv rau yog tias tus neeg tsis tu ncua muaj keeb kwm ntawm qaug dab peg lossis qaug dab peg lossis yog tias qhov qaug dab peg tsis raug tswj.
Psychosis . Haldol (haloperidol) tej zaum yuav muab rau yog tias tus neeg tsis kam nrog kev pom muaj kev xav los yog lawv tab tom qhia tus cwj pwm phem.
Ib hom kev xav ntawm cov neeg quav dej quav cawv yog cov neeg tsis paub qab hau yog Korsakoff's psychosis, los ntawm vitamin B1 deficiency, thiab txhaj cov tshuaj vitamin yuav muab tshuaj rau nws.
Nrhiav Kev Pab Thim Nqi Tshem Tawm
Nws yog qhov zoo kom tau txais kev pab txhawb rau koj cov tsos mob tawm. Txawm tias nws tuaj yeem yooj yim los qhib nrog koj tus kws kho mob, nws yog qhov tseem ceeb los tiv thaiv cov tsos mob nyhav dua qub thiab yuav ua rau koj muaj kev zoo dua ntawm kev txiav yeeb dej cawv.
- Puas yog koj cov tsos mob tawm me me lossis mob hnyav? Ceeb Toom Txog Cawv Thoob Xeeb.
- Rau cov lus qhia ntxaws txog kev haus dej cawv tshem tawm tau pom Cawv Cug Hnub Txiav Hnub .
> Source:
> H > offman >, RS, thiab. al Kev tswj kev haus dej qab zib tsawg thiab cov cawv qaub ncaug tshem tawm. UpToDate. Lub Kaum Ib Hlis 17, 2017. https://www.uptodate.com/contents/management-of-moderate-and-severe-alcohol-visdrawal-syndromes.