Zvinoratidza Kunwa Kwako Kwemazuva Ano Kunogona Kuve Dambudziko

Zvemukati

• Chii Chinoumba Dambudziko Rekunwa?
• Chii Chaunofanira Kuita Kana Iwe Uchifunga Iwe Uine Dambudziko Rekunwa
• Ongororo ye

Humwe husiku muna Zvita, Michael F. akaona kuti kunwa kwake kwainge kwawedzera zvakanyanya. "Pakutanga kwedenda kwaitove kunakidza," anodaro Chimiro. "Kwakaita kunge musasa wabuda." Asi nekufamba kwenguva, Michael (uyo akakumbira kuti zita rake rishandurwe kuti adzivirire kusazivikanwa kwake) akatanga kunwa doro rakawanda, kare uye pakutanga kwezuva.

Michael haasi ega. Mumwe anonzi muvanhu vasere vemuAmerica vanonetseka nedambudziko rekushandisa doro, sekureva kwedzidzo yakaburitswa mu JAMA Psychiatry. Uye zvidzidzo zvakaratidza kuwedzera kukuru kwekunwa uye kushandisa zvinodhaka mukati meCOVID-19 denda. Retail uye data yevatengi chikuva Nielsen akataura nezve 54 muzana kuwedzera mukutengesa doro renyika muvhiki yekupedzisira yaKurume 2020, uye kuwedzera kwe262 muzana mukutengesa doro paInternet zvichienzaniswa ne2019. Muna Kubvumbi 2020, World Health Organisation yakayambira kuti kuwedzera kwe kunwa doro kunogona kuwedzera njodzi dzehutano, kusanganisira "huwandu hwezvirwere zvinopararira uye zvisingatapurirane uye hutano hwepfungwa, izvo zvinogona kuita kuti munhu atapurike kune COVID-19."

Nyanzvi dzezvehutano hwepfungwa dzinoverengera nezvekunwisa doro nekushandisa zvinodhaka vanoti pane zvinhu zvakasiyana zvinoita kuti mumwe munhu atange kunwa zvakanyanya. Uye iyo COVID-19 denda, zvinosuwisa, yakapa mazhinji acho.

"Hupenyu hwevanhu hwakavhiringidzwa. Vanhu vari kuwedzera kurara. Vari kuwedzera kunetseka, uye zvirokwazvo pane chinhu chekuzvirapa pachinhu ichi nedoro," anodaro Sean X. Luo, MD, Ph.D., muropa nepfungwa. muNew York. "Vanhu vari kunwa zvakanyanya kuitira kuti vanzwe zviri nani, kurara zviri nani, nezvimwe zvakadaro. Uye nokuti mamwe mamiriro ezvinhu anogona kukurudzira hupenyu hune hutano - varaidzo, basa rekugarisana nevamwe - havapo, vanhu vari kushandisa doro kuti vawane kugutsikana nokukurumidza. " (Zvinoenderana: Kusendamira Pakuita Maekisesaizi Kwakandibatsira Sei Kurega Kunwa Zvakanaka)

Kana iwe uri pakati peavo vatanga kunwa zvakanyanya panguva yedenda, unogona kunge uchinetseka kana zvasvika padanho redambudziko rekunwa. Hezvino izvo zvaunofanira kuziva.

Chii Chinoumba Dambudziko Rekunwa?

"Kudhakwa" hakusi kuongororwa kwepamutemo kwechiremba, asi "dambudziko rekushandisa doro," anodaro Dr. Luo. ("Kudhakwa" izwi rinowanikwa pachiitiko ichi, pamwe nerekuti "kushandisa doro zvisina mwero," uye "kudhakwa nedoro." kukurudzira kushandisa doro, kunyangwe mukutarisana nemhedzisiro yakaipa.

"Doro rekushandisa doro rinotsanangurwa sekushandisa doro izvo zvinokanganisa mashandiro evanhu munzvimbo dzakasiyana," anodaro Dr. Luo. "Hazvinyatso tsanangurwa kuti unonwa zvakadii kana kuti unonwa kangani. Zvisinei, kazhinji inopfuura imwe nhanho huwandu hwedoro hunogona kutsanangura dambudziko." Mune mamwe mazwi, mumwe munhu anogona kuonekwa se "chiedza" chinwiwa asi achine doro rekushandisa dambudziko, asi mumwe munhu anogona kunwa kakawanda asi ane mabasa asina kukanganisa haazoiti.

Saka panzvimbo pokuisa pfungwa pahuwandu hwaunonwa, zviri nani kufunga nezvetsika dzakasiyana-siyana kuti uone kana kunwa kwako doro kwave kunetsa kana kuti kwete, anodaro Dr. Luo. "Kana iwe ukavhura iyo Kuongorora uye Statistical Chinyorwa cheMapfungwa Kushushikana, [dambudziko rekushandisa doro rinotsanangurwa ne] kurega uye kushivirira, izvo zviri kuwedzera huwandu hwedoro raunoshandisa, "anodaro." Asi zvakare, zvinonyanya kutsanangurwa nezvinhu zvakaita sekuwedzera nguva yauri kushandisa kushandisa, kuwana, kana kupora mukushandisa. "

Kana kunwa kunotanga kukanganisa kushanda kwako mushe kana basa, kana iwe ukatanga kuita zvinhu zvine njodzi panguva imwechete senge kunwa uye kutyaira, ndicho chiratidzo idambudziko, anodaro. Mimwe mimwe mienzaniso yezviratidzo zvekushandisa doro kusagadzikana kunosanganisira kuda kunwa zvakanyanya zvekuti haugone kufunga nezve chimwe chinhu, kuramba uchinwa kunyangwe zvichikanganisa hukama hwako nevadikani, kana kuona zviratidzo zvekusiya zvakadai sekushaya hope, kusagadzikana, kusvotwa, kudikitira, kurovera pamoyo, kana kushushikana kana iwe usinganwe, maererano neNational Institute on Alcohol Abuse and Alcoholism.

Dr. Luo anotaura kuti kana iwe uine "mamiriro epfungwa uye ezvokurapa" izvo zvingave zvichiwedzerwa nemaitiro ako ekunwa (zvakadai sechirwere cheshuga) "kana kana kunwa kunokonzera kuora mwoyo kukuru uye kuzvidya mwoyo uye iwe uchiri kuramba uchinwa, izvi zvinoratidza kuti doro. rava kunetsa. "

Chii Chaunofanira Kuita Kana Iwe Uchifunga Iwe Uine Dambudziko Rekunwa

Kusiyana nemafungiro anowanzoitwa pamusoro pekushandisa doro, vanhu vazhinji unokwanisa kuderedza kunwa kwavo kana kuti kurega zvachose vari voga, anodaro Mark Edison, MD, Ph.D., chiremba wepfungwa uye mazvikokota wedoro.” Mumwe muvanhu vakuru gumi nevaviri, chero nguva, ari kudhakwa munyika ino,” anodaro Dr. Edison. "Gore rakatevera, vazhinji vavo havana dambudziko nedoro zvakare."

Imwe 2005 yekuongorora vanhu vane doro kudhakwa vakawana kuti chete makumi maviri neshanu muzana yevatori vechikamu vaive vachiri kusarudzwa sevanodhakwa nedoro rimwe gore gare gare, kunyangwe chete 25 muzana yevatori vechikamu vakagamuchira kurapwa. Chidzidzo chegore ra2013 chekutevera chakawanawo kuti vazhinji vevaya vakapora kubva mukutsamwa nedoro havana "kuwana chero nzira yekurapa kana gumi-nhanho kutora chikamu." Yakawana kushamwaridzana pakati pekugadzirisa uye zvinhu zvakaita sekuve chikamu cheboka rezvinamato uye uchangobva kuroora kekutanga kana kuenda pamudyandigere. (Zvakafanana: Ndezvipi Zvakanakira Kusanwa Doro?)

"Kune ngano zhinji [pamusoro pekushandisa doro]," anodaro Dr. Edison. "Imwe nhema ndeyokuti iwe unofanira kusvika 'pasi pasi' usati wachinja. Izvozvo hazvitsigirwi nekutsvakurudza." Imwe ngano ndeyekuti iwe unofanirwa kuenda wakasvinura zvakakwana kudzora kunwa kwako doro. Kutaura zvazviri, nekuda kwekugona kwezviratidzo zvekurega, kubvisa kushandiswa kwedoro kunowanzoita zvakanaka kurega "cold turkey."

Kana iwe uchinzwa kunwa kwako kwave dambudziko, pane zvinhu zvakawanda zvaunogona kuita izvozvi kuti zvikubatsire kuderedza kunwa kwako doro nenzira yakachengeteka uye ine hutano. Dr. Edison vanokurudzira vanhu kuti vashanyire webhusaiti yeNIAAA, iyo inopa yakawandisa yeruzivo pane zvese kubva maitiro ekuona kuti kana kunwa kwako kunonetsa here kune ekudyidzana mapepa ekushandira uye macalculator kuti akubatsire iwe kuchinjisa maitiro ako ekunwa.

SmartRecovery.org, mahara, boka revatsigiri vezera revanhu vangave vachida kuderedza kunwa kwavo kana kurega zvachose, chimwe chinhu chinobatsira kune avo vari kutsvaga kuita shanduko, anodaro Dr. Edison. (Yakabatana: Maitiro Ekurega Kunwa Doro Pasina Kunzwa Senge Pariah)

"Unogona kusada kuve mune [vezera rutsigiro] boka pakutanga, uye unofanira kuedza kanenge katatu mapoka usati wafunga kuti woramba uchienda here," anodaro Dr. Edison. (Izvi zvinokupa mukana wekutsvaga maitiro emisangano anokunakira iwe.) "Asi uchawana kurudziro kubva kunhengo dzeboka. Uchawana mhinduro nekuteerera kune vamwe vanhu vachiedza kuzvibatsira. Uchanzwa nyaya sedzako. . Zvino, uchanzwawo dzimwe nyaya dzinoshungurudza, asi uchayeuchidzwa kuti hausi wega."

Kujoinha boka rekutsigira vezera rako kunogona kuita kuti unzwe kutsigirwa zvakanyanya mukuedza kwako kupora kubva mukushandisa doro doro, uye kudzikisira kushuvira doro, mhosva, kana kunyadziswa, zvinoenderana nechinyorwa chiri Kushandisa zvinodhaka uye Kudzoreredza. Chinyorwa ichi chinotaura kuti muzviitiko zvakawanda, kutsigirwa nevezera rako hakutsivi kurapwa nachiremba wepfungwa, sezvo vafambisi vasina dzidziso yakakwana "yekugadzirisa mamiriro epfungwa kana mamiriro ezvinhu ane njodzi." Iwe unofanirwa kusangana neyehutano hwepfungwa nyanzvi iyo inogona zvakare kukurudzira kubatana neboka rekutsigira vezera. (Yakabatana: Maitiro Ekuwana Akanaka Chiremba Kwauri)

Nyanzvi dzakawanda dzehutano hwepfungwa dzinoona nezvekupindwa muropa vari kupa nguva dzekupa mazano kuburikidza neZoom, uye vamwe vakwanisa kuvhura zvakachengeteka mahofisi avo kuti vape kuraira kwevanhu, anodaro Dr. Luo. "Pamusoro pazvo, kune marapiro akanyanya uko [varwere] vanogona kuparadzaniswa kubva munzvimbo dzavanogara kana kuti kana vachinge vachifanira kubvisa huturu kubva mudoro uye hazvina kuchengetedzeka kuzviita murwere," (munyaya yevanhu vakamborapwa. kunwa doro rakawanda uye kutanga kuona zviratidzo zvakakomba zvekurega zvakadai sekuona zvisingaoneki kana kugwinha), anotsanangura kudaro Dr. Luo. "Saka unokwanisa kuenda kunorapwa varwere mune izvi zvinogonesa, izvo zvakare zvakavhurika kunyangwe denda." Kana iwe uchifunga kuti une dambudziko rekushandisa doro, iyo NIAAA inokurudzira kuti uongororwe nemurapi kana chiremba kuti uone kuti ndeipi nzira yekurapa yakakunakira.

Kana iwe ukatarisa kunwa kwako doro mukati meiyo Covid-19 denda uye uchifungidzira kuti une dambudziko, zvinobatsira nguva dzose kutsvaga zano renyanzvi yekushandisa zvinodhaka uye kutaura nenhengo dzemhuri dzakavimbika, shamwari, uye/kana. vadikani kuti vawedzere rutsigiro.

Ongororo ye