Alcoholism … Perhaps no single word is not related so much variety of problems as this. And what about rare disease occurs as myths, stereotypes, rumors, how about the addiction to alcohol. What is the nature of alcohol dependence, the person gets to the networks, can he get out of yourself and how you can help him? Is it possible to cure for alcoholism? On this and many other things we are talking with the General Director of the Clinic "AlkoMed" narcologists Maxim Borovkov Alexandrovich.
— What's the biggest misconception about alcoholism?
Rather, the attitude towards him as a kind of social promiscuity and permissiveness. A large majority of the population is currently alcoholism just as undisciplined behavior and the gradual slide into a man down the social ladder. Few people understand that alcoholism — this is the real disease, which is characterized by changes in metabolism in the body, due to which a person is unable to stop himself, even after the first drink.
— What's going on? Why alcohol is a vital human need?
Dependence is formed gradually. At first, people just get pleasure from taking alcohol, then the brain is formed by stable association: alcohol = fun. Thus is formed a psychological dependence. If time does not stop, the disease progresses. Ethanol (ethyl alcohol) burns easily not only in the air. In terms of our body alcohol very quickly "ignite" — split with the release of large amounts of energy. In humans, the energy is extracted from protein, fat and carbohydrates, alcohol is not only easy to integrate in your metabolism, but also, as a psychoactive substance contributes to addiction. Constantly receiving large amounts of alcohol, the body rebuilds it metabolism. That is, alcohol is the highest priority. The restructuring of this is irreversible. As soon as the "delivery" of alcohol terminated, the metabolism is gradually returning to normal track. But it is very slow and very painful — with severe mental and physical suffering that few can bear. It is much easier to give your body the next dose of "fuel".
— It seems that you describe breaking a drug addict …
And so it is, it's the same abstinence. The mechanism of occurrence of alcohol and drug addiction is the same. And clinical manifestations — intoxication, craving for the next dose, breaking with the cancellation — too.
— Let's go back to alcoholism. Is this curable disease?
No, it is not curable. Like drug addiction, alcoholism — a lifelong diagnosis. Another thing that a person can own or with the help of doctors to stop using alcohol or drink until the end of life. But even in this case we are talking about long-term remission, but not the cure. The fact that the very first glass of alcohol triggers "sleeping" arrangements already formed the disease with all its consequences. And this failure can occur at any time.
— What is the booze and what its dangers?
First of all, we should say that binges occur in a human suffering second stage of alcoholism. Drinking alcohol for a few days, the average person does not have a drinking bout, although such abuse brings serious harm to the body. The patient has the same alcohol binge starts with one or two shots taken, after which the body goes on a customary exchange of alcohol — and if alcohol is taken, there is abstinence. The man can not stop, because — as we said — the refusal of alcohol causes a pronounced physical suffering.
Dangerous binge metabolic disorders. People in a drinking bout, or do not eat, or eat very little. They energy through lack of alcohol. However, proteins, fats, vitamins, trace elements the body does not arrive, and the longer the bout, the harder violations by all organs and systems.
— Can a person get out of their own binge?
Can theoretically. But in practice it is very common and very rare. Independent access from the binge is associated with severe physical suffering, increased blood pressure, the load on the heart and the high risk of complications such as myocardial infarction, stroke, brain, gastric bleeding, epileptic seizures and delirium tremens ("blue devils").
— What is in this situation can help a doctor?
A doctor with a variety of drugs that are introduced, including, and intravenously, helps the patient through the period of the output of the binge with little or no risk of complications. Removed the so-called "Boy," is lowered blood pressure, reduced sleep, the body is food, restore electrolyte balance and, as a consequence, on the second — the third day the patient feels normal without alcohol in the blood.
— Is there a difference — to interrupt the booze at home or in the hospital?
The peculiarity of home treatment consists of a few moments. First of all, the patient is in his familiar surroundings under the supervision of relatives and friends. This is very important since the output of the binge is often fraught with various depressive disorders. And no, even the most highly trained nursing staff will not pay as much attention to the patient, as his family. In addition, after the relief of acute manifestations of a hangover our patients after 2-3 days can get to work, participate in social life. Treatment in a hospital, it usually takes much more time.
Home treatment requires a doctor's professionalism, experience and discipline. In a fairly short period of time he needs, not having the results of analyzes and instrumental studies, to assess the condition of the patient, to determine — what drugs and doses administered, predict the development of the situation and leave the families and friends of clear instructions how to act, what medicines to give. 1-1.5 hours doctor should restore the function of the body, which days, sometimes weeks subjected to the ravages of alcohol.
However, there are a number of situations in which admission is strictly necessary, try home treatment in these cases can only worsen the patient's condition. First of all, it is a long hard drinking, which led to a marked weakening of the body, as well as all cases where there is a high risk of "delirium tremens." Unconditional require hospitalization and acute binge against various chronic diseases such as peptic ulcer disease, and acute emergency conditions caused, for example, acute pancreatitis.
— How long after interrupting a person lives without drinking sessions?
But this is dependent on himself. In this case, we act as an ambulance, eliminating life-threatening consequences. But the cause is something. And nothing prevents the patient from 2-3 days after the "clean up" again to have a ball.
— And what do you do in such cases?
The clinic "AlkoMed"
— conclusion of the binge
— psychiatrist on call home
— tests and ECG at home
Block alcohol dependence, or, as more likely to say "encoded". There are two methods — psychotherapy and drug-induced. Psychotherapy is aimed at creating a person on a clear set sober, and the formation of a negative image of alcohol and all that it involves. However, there are some limitations. First of all, not all people are suggestible, in addition, in our country it is not accepted to talk to a psychologist or therapist, to pour out his soul. The second — to break the system of values, as a result of many years of steady intake of alcohol, very difficult. Requires painstaking and lengthy work.
Medical path blockade of alcohol dependence — is the introduction of a modern man of drugs that significantly reduce the craving for alcohol. At the same time the drug has an incompatibility with alcohol (the "torpedo"). However, psychot
herapeutic component of this method is also very important. The doctor does not just silently injects medicine, it must explain to the person what is happening, what the drug was administered (it is like a kind of insurance that keeps people from drinking).
— A sober lifestyle means that a person must give up any kind of alcohol? Or you can drink, following some rule?
If a person is diagnosed as "alcoholics", that should give off any alcohol. Even on non-alcoholic beer — because the smell, the taste of the drink, of the bottle cause excitatory effect, the person feels slight intoxication, which "remembers" the brain, and there is a failure.
— Is it possible to treat alcoholism without the knowledge of the man himself?
No you can not. The law provides for compulsory treatment only in cases when a person becomes socially dangerous. And while the person is sane, no personal violence is not permissible. And all the "miraculous" and "magic" means in the form of drops, tinctures, powders, and other things that are offered quietly mixed into food drinker — is nothing more than speculation on the issue and consumer fraud. In the treatment of alcoholism as a very serious illness, it is extremely important motivation of the patient's internal installation of a cure and a favorable outcome. If there is no motivation, no effect, no matter how trying to close relatives and drinking.
Alcoholism — a serious illness in which the development of the role played by numerous biological and social factors. For example, if a person has a genetic predisposition to the development of alcohol dependence — when his decomposing body expressed a lack of the enzyme alcohol — is starting to drink, he can earn alcoholism second stage after 2-3 months. Therefore, to address this problem should be professionals — doctors, drug experts. Our knowledge and experience, an arsenal of medicines and medical techniques allow us to help people who are even in the most difficult situation.
Source: Clinic "AlkoMed"