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What should a person do if he is addicted to drinking?
Some people may say, "As long as you have perseverance, you can't quit without drinking?" In fact, once alcohol dependence is formed, the patient's thirst for alcohol is difficult for ordinary people to understand. Modern medicine believes that alcohol addiction is a chronic brain disease, which is caused by problems in brain structure or neurotransmitter transmission. Therefore, abstinence from alcohol can't be solved by perseverance alone. The key to success in abstinence is to overcome psychological cravings. With the development of science, many diseases can be effectively treated according to the cause, but the cause of alcohol addiction, like other addictive diseases, cannot be explained by a single cause, and the cause of the disease is not very clear. Therefore, there is no drug that can eliminate addiction at present. Some drugs may help reduce the degree of addiction, such as naltrexone and antidepressants, but taking these drugs still needs to be combined with psychological and behavioral therapy. At present, a treatment called "Alcoholism" or "Alcoholism Anonymous" (AA for short) is very popular in the world. This treatment was initiated by 1935 in the United States by two stockbrokers and surgeons who were heavily alcoholics. At present, more than 1 10 countries in the world have established such organizations, and thousands of alcoholics have recovered through this way of mutual aid and abstinence. People who receive this kind of treatment must first admit that they have the problem of uncontrollable drinking and hope to give up drinking. In the meeting, alcoholics discuss with each other the problems caused by alcohol and how to quit drinking. Successful alcoholics offer help to those who want to quit drinking. In the meeting, members remind and coach each other, understand the influence of alcohol on themselves and others, analyze their psychological and behavioral problems, and finally achieve the goal of completely abstaining from alcohol. The mutual aid society especially emphasizes the initiative to help others after abstinence, because you can constantly examine yourself in this process. At the same time, the misery of other alcoholics is also a reminder to themselves, which can effectively prevent recurrence. 2. Alcohol withdrawal treatment is the first step of alcohol withdrawal treatment. Various treatment methods are mainly adopted to help alcoholics transition from drinking heavily every day to abstinence. The main content is to treat alcohol withdrawal syndrome. Drugs that are cross-tolerant to alcohol, such as diazepam, should be selected for treatment. Adequate therapeutic dose (40 ~ 60mg/ day) was given at the beginning of treatment, and then the dose of diazepam was gradually reduced for 5 ~ 7 days until the drug was stopped. 3. The treatment of delirium tremens is a group of serious symptoms after abstinence, mostly caused by sudden abstinence. The reasons for abstinence are often because some diseases can't continue drinking, or because they are eager to quit drinking suddenly. The clinical manifestations are confusion of consciousness, wrong time and place, difficulty in remembering, hallucinations and delusions (hallucinations are mostly horrible) and anxiety after a few hours or days of sudden abstinence; At the same time, gross limb tremor and autonomic nervous dysfunction (sweating, rapid heartbeat, elevated blood pressure and dilated pupils) can be seen, which may be accompanied by dehydration, electrolyte disorder and abnormal liver function. When delirium tremens appears, it should be treated immediately, and diazepam should be injected intravenously until the symptoms are relieved. Then give a maintenance dose, and then gradually reduce it according to the condition. The course of treatment is about 10 ~ 30 days or longer. Haloperidol can be given to those with outstanding mental symptoms, and at the same time, attention should be paid to maintaining the balance of water and electrolyte, giving enough vitamin b 1( 100 ~ 200mg/ day), and liquid food should be given during the treatment to avoid choking and suffocation. Of course, these treatments must be carried out in the hospital. The most effective way to prevent this severe withdrawal symptom is to avoid sudden abstinence. 4. Treatment of related diseases * * * Diseases caused by long-term drinking will lead to various physical and mental diseases, such as alcoholic cardiomyopathy, alcoholic hepatitis or cirrhosis, vitamin deficiency, alcoholic hallucination, alcoholic paranoia, alcoholic memory, mental retardation or dementia, depression, etc. These diseases need to be treated with liver protection, brain cell metabolism promotion, antipsychotic drugs and antidepressants respectively. In short, alcohol dependence, like other dependent diseases, is a chronic brain disease with mental symptoms and needs long-term comprehensive treatment. Patients and their families should make long-term plans.
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