Question 2: How to treat chronic alcoholism with routine treatment?
Treatment can only begin when alcoholics realize the danger of disease and agree to give up drinking. We must let them know that alcoholism can be cured, and we must establish confidence in overcoming the disease. Treatment is generally divided into two stages: one is withdrawal, sometimes called detoxification, and the other is rehabilitation. Because abstinence does not stop the desire to drink, the rehabilitation stage is often difficult to maintain. For patients with early alcoholism, abstinence will cause anxiety and insomnia; For patients who depend on alcohol for a long time, abstinence will lead to uncontrollable trembling, panic and tremor (DT). If DT patients are not treated by professionals, the mortality rate will exceed 10%. Therefore, patients with advanced alcoholism should abstain from drinking and be hospitalized.
Treatment may require the application of one or more drugs. Disulfiram can interfere with the metabolic process of alcohol, and a small amount of drinking can cause nausea, vomiting, confusion and dyspnea. Naltrexone can reduce the dependence on alcohol, but it is recommended to use it under the guidance of a doctor. Benzodiazepine is an anti-anxiety drug, which is often used to treat alcohol withdrawal symptoms such as anxiety and insomnia, and also to prevent seizures and delirium. Be careful when using them, because they are also addictive. Tricyclic antidepressants can be used to control anxiety and depression caused by any reason, but because these symptoms may disappear with withdrawal, they should not be used until these symptoms still exist after withdrawal.
Because alcoholics may become dependent on alcohol again, the key to the rehabilitation stage is to give up drinking completely. Various treatment measures can be taken in the rehabilitation stage, including education plan, classified treatment, family therapy, participation in self-help groups, etc.
Question 3: How to deal with chronic alcoholism caused by long-term excessive drinking? Alcoholics often lack a correct understanding of their current situation. So I think it is very necessary to know my situation, my thirst for alcohol, and how serious my deformity is. First of all, you should honestly admit that you are an alcoholic, an alcoholic and a heavy drinker. Only with accurate positioning can it be possible to prescribe the right medicine. Sincerely admit that there is nothing you can do about alcohol, and your life is a mess because of alcohol. Understand the inevitable causal relationship between staying awake and getting a healthy life. This is the first step towards abstinence. It is an important premise. Without this understanding, nothing else can be discussed. This is a most basic and extremely important attitude problem, where attitude determines everything.
We summarized some common drinking patterns: 1. We regard drinking as the most important or very important thing in life, occupying a central position in our hearts and never forgetting it. 2. Compared with the initial drinking, the amount of drinking increased gradually. 3. the speed of drinking is getting faster and faster. 4. Often drink secretly alone or behind your family's back. 5. Take wine as medicine to relieve emotional distress. 6. Possession of alcohol. 7. Often forget things after drinking. 8. Unplanned drinking often leads to accidents after drinking. 9. Drinking in the morning, commonly known as "open-eyed wine", some people even drink after waking up at night. 10. Drink before going to bed. 1 1. Like to drink on an empty stomach, and seldom eat vegetables when drinking. 12. Choose the brand of wine if possible. 13. Because drinking and quarreling with family members affect family harmony, or drinking affects work. 14. I once gave up drinking, but it didn't take long for my old illness to recur and get out of hand. Generally speaking, if a person's drinking behavior has more than three manifestations, it is highly suspected that it is alcohol dependence. It is often seen that some alcohol addicts have brought many adverse effects on their health, family harmony and work because of drinking, and even have some illegal behaviors after drinking. Although they feel guilty and regret for these consequences, they still can't completely stop drinking, stop drinking and drink again and again. Do they have no ambition and perseverance? No, this is because alcohol dependence is a disease, and it is a worsening disease. This disease, like diabetes and hypertension, cannot be completely eradicated. But it can be controlled. The reason for drinking again is related to the sensitivity of the body to alcohol and the psychological impulse to drink. No matter what bad consequences will be brought about by drinking again, you can't overcome it by your own perseverance. Like other diseases, there will be some characteristic clinical manifestations. Once you become dependent on alcohol, suddenly stop drinking or suddenly reduce the amount of alcohol you drink, there will be many physical discomfort symptoms, which is called alcohol withdrawal syndrome. For convenience, some people divide alcohol withdrawal syndrome into three stages according to time and severity: the first stage of alcohol withdrawal syndrome: it usually appears 6 ~ 12 hours after drinking, showing tremors in both hands. In severe cases, it can accumulate the whole upper limb or even the trunk. In severe cases, besides common symptoms such as anorexia, insomnia and irritability, tongue trembling may also occur. The second stage of alcohol withdrawal syndrome: it occurs 24 ~ 72 hours after alcohol withdrawal. In addition to the above symptoms, auditory hallucinations often occur, and the content is mostly abuse or persecution, which can lead to impulsive behavior and less excitement. Three-stage alcohol withdrawal syndrome: delirium tremens, which often occurs 72 hours after the last drinking. At this time, the patient is unconscious, has obvious tremor, walks unsteadily, and may have various vivid hallucinations, such as seeing various small animals, and the patient shows nervousness, anxiety and fear. The memory of patients is obviously impaired, and some patients may have epileptic convulsions. Even in developed countries, once delirium tremens occurs, the total mortality rate of treated patients can still reach 10% ~ 15%, and even higher for untreated patients. Therefore, it is impossible for long-term drinkers to suddenly stop drinking. If you highly suspect alcohol dependence, you should go to a specialized hospital for treatment as soon as possible. People who form alcohol dependence can't control their drinking behavior or their drinking quantity, so can they still drink normally after a period of abstinence? As far as we know, no one has ever been able to drink "normally", or just stopped drinking for months or years in social situations. Once a person develops from binge drinking to uncontrolled and desperate binge drinking, there is no turning back. Alcoholics don't deliberately drink to cause trouble, but excessive drinking is bound to cause trouble. Many people who depend on alcohol think that it is okay to drink a few cans of beer or a few glasses of light wine after a period of abstinence. A bottle or two of beer will make you drunk ... >>
Question 4: What about alcoholism? 1 The first thing to stop drinking is to ensure that the source of alcohol is cut off. Generally, the progress of abstinence is controlled according to the degree of alcoholism. Lighter people can give up drinking at one time; In severe cases, alcohol can be gradually stopped by reducing the amount to avoid serious withdrawal symptoms and life-threatening. In the process of abstinence, especially in the first week of abstinence, patients' vital signs and consciousness should be closely observed and monitored.
Antagonists are used to treat abstinence from alcohol and sulfur. They are taken 24 hours after the last drinking, once a day, with 0.25-0.5g each time for three weeks. Alcohol sulfur inhibits acetaldehyde dehydrogenase. After taking this medicine and drinking, acetaldehyde accumulates in the body for a few minutes to produce "flushing reactions" such as nausea, vomiting, palpitations, anxiety and blushing, which makes them hate drinking. Do not drink alcohol for five days after taking alcohol-free sulfur. If you drink too much, you will have severe acetaldehyde syndrome. May be life-threatening. Cardiovascular diseases and physical dysfunction are prohibited.
Symptomatic treatment of chronic alcoholism patients should first take immediate intramuscular injection of vitamin B 1 100mg, one is to supplement the possible vitamin B 1 deficiency, and the other is to prevent Wernicke encephalopathy.
Question 5: Chronic alcoholism has been abstaining from alcohol for a long time now. Why is it still a little dizzy and sober? After two years and six months of abstinence-experience-feel.
A crucial link in abstinence is that an alcoholic who has no feelings at all will be declared dead if he leaves his feelings. Facts have proved that some old members seem to give others wrong advice, which led to the death of an alcoholic and destroyed a family. Therefore, when old members help others, they must be skillful, cautious and cautious. No matter how long you quit, your experience is only your own. Your life background and experience cannot represent others, so it varies from person to person. You can't copy it mechanically, because some drunkards are sober, but their way of thinking is also lacking. There may be twisted thoughts in the brain. Therefore, it is never too old to learn, and what we achieve is spiritual progress, not perfection.
After giving up drinking, please remember that if you don't want to go or make excuses not to go to the meeting, then please note that this is the time when you have to go to the meeting. At the beginning of sober-up, there will be a period of colorful clouds floating, and then at a certain stage, you may have anxiety and fear, which is the only way to sober up. Be sure to contact or call an old member. Some people say that the activity of alcohol:' enzyme' will be very active about two years after sober up. If you are an alcoholic who has accomplished nothing, you should pay more attention. After waking up, many new ideas and things will attract your brain, which will make you unable to accept them at once, and you will be upset, because your brain used to be just an empty thought, just an empty shell. These are what drunks have to face. It is hard work, not hard work, so everything needs to be done step by step. One bite won't make you fat. For example, if an alcoholic who wakes up is an alcoholic who doesn't drink, and you have a million dollars, it goes without saying that you will definitely drink. Only by slowly making progress and digesting can we maintain a good sobriety.
Question 6: Can people with severe chronic alcoholism stop drinking? Alcoholism is a progressive and fatal disease. This disease is caused by human sensitivity to alcohol and psychological impulse to drink. At present, there is no medicine or psychotherapy that can be "cured"-we can't simply change our characteristics by hospitalization or taking medicine, so as to return to the normal and moderate social drinking state in the early stage of drinking.
Thousands of alcoholics can't stop drinking. Not only do we see that many alcoholics drink to death because of D.T. syndrome or spasm, or because of cirrhosis caused by drinking, but many deaths caused by drinking are not officially attributed to alcoholism. Moreover, when car accidents, drowning, suicide, homicide, heart disease, fire, pneumonia or stroke are listed as the direct factors of death, the fact is that the serious drinking behavior of alcoholics leads to the conditions and direct causes of death.
Most of us haven't reached the final stage of terrible alcoholism, so now we feel far from that fate when drinking. But if we keep drinking, there is no doubt that we will only die.
Many alcoholics who can't give up drinking will blame themselves for their weak moral values, or think it's because of their unbalanced mentality. However, drinking is not morally wrong, because it is a disease. At this stage, it can't be overcome by one's own will, because alcoholics have lost the ability to choose freely in the face of alcohol.
So we don't have to be embarrassed about our illness. There's nothing to be ashamed of. It's not our fault. We don't want to be alcoholics. We don't want to get this disease, just like no one wants to get pneumonia. Experience shows that as long as you have a strong desire to quit drinking, fully realize the seriousness of the problem, and take care of yourself in an alcohol-free and happy way, you can still live a happy, healthy and valuable life like a normal person.
Find your own way
We don't think the problem of drinking is a trivial and boring topic, so we especially hope that this booklet can clearly express our views.
The problem of alcoholism deserves our serious attention. We don't think it's interesting to talk about alcoholics who are still suffering, unless we make fun of ourselves purely from the perspective of staying awake and benefiting ourselves. We don't find it interesting when someone provocatively threatens to get drunk. It's like playing a dangerous game like Russian roulette.
Although we take alcoholism seriously, you will also find that we can often talk about our past experiences and our rehabilitation process in a humorous and objective way. We think this is a healthy practice, but it certainly will not weaken our determination to obtain and maintain rehabilitation.
Most of us were on the verge of losing our lives, and we all felt the pain deeply, but we also felt a kind of exciting hope in our hearts.
We hope that this book will convey more encouragement to you than pain. If you are an alcoholic, you already know enough pain and loneliness. We sincerely hope that you can face the ups and downs in real life with a clear mind and a steady mind, and get some peace and joy from it.
There is no doubt that in living a sober life, at first we are only in the initial stage. As time goes on, slowly, we will always understand more ways that can be beneficial to us. When you stay awake, you will naturally think of some new ideas that have not been published in this book, and we hope so.
We also hope that when you really find new ideas on this issue, you are willing to pass them on. Please share it with everyone (you will remember that sharing actions will help you in the future).
If we can collect more experience, more alcoholics can get help. Some of us will repeat drinking once or so before we really reach a stable and sober state. If this happens to you, don't despair. Try to remember that, like other diseases, alcohol addiction is an extremely serious disease type. Like other diseases, it affects human health and may recur, but there is still a chance to recover.
Even if you are hindered by failures and setbacks, if you still want to recover, and are willing to try new methods, there is still hope for recovery.
According to our past experience, we are sure that you have joined thousands of our members and are moving towards happiness and health.
Whether you follow in our footsteps or in your own way ... >>
Question 7: How can alcoholism be cured? As a neurotropic substance, alcohol has an inhibitory effect on the central nervous system. Feel relaxed and warm after drinking, relieve tension, eliminate fatigue and relieve discomfort or pain. Drinking a lot at a time can lead to drunkenness, which is a common acute alcoholism. Long-term heavy drinking can lead to the degeneration of cerebral cortex, cerebellum, pons and corpus callosum, damage to liver, heart and endocrine glands, malnutrition, lack of enzymes and vitamins, etc. Avoid drinking alcohol to the fullest, you may get drunk and suffer from acute alcoholism. When drinking on an empty stomach, 60% alcohol can be absorbed within 1 hour, and the absorption amount can reach 955 in 2 hours. Alcohol is a kind of slight toxicity, which is an inhibitor of the central nervous system and acts on the cerebral cortex. After drinking, the initial performance is excitement, and then it can involve subcortical center and cerebellum activities, affect the vascular movement center and inhibit the respiratory center, and even cause respiratory and circulatory failure in severe cases. 90% alcohol is decomposed by the liver, so it can also cause liver damage. The manifestations of acute alcoholism can be divided into three stages: the first stage is the excitement period, which is characterized by bloodshot eyes, flushing, dizziness, people's interest, increased speech and decreased self-control; The second stage is ataxia, which is characterized by uncoordinated movements, unstable gait and unbalanced body; The third stage is drowsiness, which is characterized by drowsiness, pallor, cold and wet skin, purple lips, even deep coma, and even respiratory paralysis and death. The severity of acute alcoholism is related to alcohol consumption and personal sensitivity. The lethal dose of most adults is 250 ~ 500ml pure alcohol (the alcohol concentration of liquor is 50 ~ 60%). Slightly drunk people can lie still, preferably on their side, to prevent aspiration pneumonia and keep warm. Treatment can be appropriate orange peel, baking, grinding into fine powder, adding a little salt, taking with warm water, or mung bean 50 ~ 100g, boiling and drinking. For severe alcoholism, press the tongue root with chopsticks or spoon handle to induce vomiting quickly, and then lavage the stomach with 1% sodium bicarbonate (baking soda) solution. If the poisoned person is unconscious, he should be sent to the hospital for treatment immediately. Treatment of alcoholism Alcoholism can be divided into acute alcoholism (various drunkenness) and chronic alcoholism (alcohol dependence, delirium tremens, alcohol hallucinations, alcohol paranoia, alcohol dementia, Wernicke encephalopathy, etc. ). Acute alcoholism is mainly treated by internal medicine, and chronic alcoholism must be treated with alcohol withdrawal at the same time.
1, treatment of withdrawal symptoms. Patients with chronic alcoholism will inevitably have withdrawal symptoms when they quit drinking. I usually give up drinking for 3 days and disappear naturally after 5-7 days. If it lasts for more than 7 days, alcohol hallucinations often occur. Most withdrawal symptoms are mild, so you can pay attention to observation and take diazepam. However, there are also quite serious cases, even convulsions or tremulous delirium, which must be dealt with in time. Pay attention to the balance of water and electrolyte, supplement vitamins, strengthen nutrition and give drugs to promote brain metabolism. For those who have insomnia, nervousness and anxiety, vomiting or convulsions, benzodiazepines such as diazepam can be injected orally or intramuscularly. People with delusions and hallucinations can take antipsychotic drugs. Pay attention to the heart condition of patients with delirium tremens and prevent heart failure. Giving insulin hypoglycemia treatment every day (30-40 times as a course of treatment) is beneficial to improve nutrition and relieve withdrawal symptoms. A large amount of vitamin B 1B 12 can also be used in combination with adrenocortical hormones in patients with Wernicke encephalopathy. When liver injury and nicotinic acid deficiency occur, corresponding treatment measures should be taken.
2. Drug treatment. Antialcoholism drugs are mainly used for patients with chronic poisoning: (1) Disulfuron (Antabuse). The medicine is used to stop compulsive drinking, thus blocking the process of alcohol oxidation and making acetaldehyde accumulate in the blood. If you continue to drink alcohol after taking the medicine, you will have nausea, vomiting, vasodilation, rapid pulse, blushing, sweating, strong throbbing sensation in your head, neck and heart, and discomfort such as dyspnea, suffocation, dizziness, blurred vision, weakness and anxiety. In this way, patients are afraid of alcohol and never dare to drink it again. Sulfur abstinence must be taken 24 hours after the last drinking, and patients should be informed of the danger of drinking when taking this medicine the day before treatment. Contraindications of this product are coronary heart disease, cardiomyopathy, severe pulmonary liver disease, acute poisoning and acute psychosis. The initial dose of this medicine is 250 mg once a day, then 500 mg once a day for 7 days, and then gradually decrease, and continue to take it for 2-3 weeks. Don't drink alcohol while taking the medicine. On the 7th day after administration, 50- 100 ml of alcohol and 150-200 ml of water were mixed and given to the patient for trial, which would produce the above-mentioned pharmacological reaction and make the patient experience ... & gt