Uvavanyo olwenzelwe abafazi abakhulelweyo
Uvavanyo lwe-TWEAK lokuhlola utywala ngumbuzo omfutshane, onemibuzo emihlanu owawuyilungiselelwe ukujonga abesetyhini abakhulelweyo ngenxa yokuziphatha kakubi. Igama lokuvavanya luphawu lokunyamezela, ukukhathazeka, ukuvula amehlo, i-amnesia, kunye ne-k / ukusika (kunye nokusetyenziswa kwelayisenisi ye-poetic "K" endaweni ye "C" yokunciphisa utywala).
Ingemvela kwiTWEAK Test
Abaphandi kwi-Institute Institute of Addictions eBuffalo, eNew York, kwiSebe le-Obstetrics / iGynecology, kunye neYayunivesithi yeNtshona kaWayne bathuthule i-TWEAK njengesivivinyana esifutshane esenzelwe ukuba sibe neengxaki zokufumanisa iingxaki ziselo zotywala kwabasetyhini abakhulelweyo.
Uphando olulandelayo luye lwabonisa ukuba uvavanyo lwe-TWEAK lunokuba lusebenza ngakumbi kunokuba lube nokunyamezela, ukuxotsha, ukuCima, kunye novavanyo lwe-Eye-Opener (T-ACE) ekufumaneni ukusela okuyingozi kwabasetyhini. I-TWEAK iphinde isetyenziswe ukukhenkcela ukusela okubungozi kuluntu jikelele, izigulane, izigulane zezibhedlele, kunye nezicwangciso zegumbi lokuphucula.
Uvavanyo lweTWEAK
Uvavanyo lenziwe ngemibuzo emithathu ebonakalayo kwi-CAGE test, enye yeemvavanyo eziphambili zokuhlola i-alcohol, kunye nemibuzo emibini eyongezelelweyo-enye malunga nokunyamezela kwakho utywala kunye nomnye ngokumnyama. Imibuzo ehlolwayo ye-TWEAK iquka:
1. Zingaphi iziphuzo ezithathayo ukuze uzive uphakamileyo?
2. Ngaba nabahlobo abasondeleyo okanye izalamane zikhathazekile okanye zikhalaza ngokusela kwakho kunyaka owedlule?
3. Ngamanye amaxesha uthayelwa kusasa xa uvuka kuqala?
4. Ingaba umhlobo okanye ilungu lentsapho landixelele ngezinto ozithethileyo okanye wenzayo xa uphuze ungeke ukhumbule?
5. Ngaba ngezinye amaxesha unomuva wokufuna ukunciphisa ukusela?
Ukulinganisa uvavanyo lweTWEAK
Amanqaku amaninzi ekuvavanyeni amaphuzu asixhenxe, kunye nemibuzo yokuqala yokuqala ebalwe ngamanqaku amabini nganye kunye neyokugqibela ezintathu kwindawo nganye. Qaphela ngombuzo 1: Ukuba uyaphendula ukuba kuthatha iziphuzo ezintathu okanye ngaphezulu ukuziva uphezulu, ubeka amanqaku amabini.
Ukuba uyaphendula "ngaphantsi kwethathu," ubeka umlinganiselo kwimibuzo.
Amanqaku amaninzi amabini okanye ngaphezulu ekuvavanyeni yinkcazo yokusela okuyingozi kunye nokuhlolwa okuqhubekayo kuboniswe.
Ngamanye amaxesha okulandelayo umbuzo ungena endaweni enye: "Zingaphi iziphuzo onokuzibamba?" Ukuba uyaphendula ukuba unako ukubamba iziphuzo ezingaphezu kwezihlanu (oku kuthetha ukuba ungaphuza ngaphezu kwetlanu ngaphandle kokuphuma), ubeka amanqaku amabini; unika amanqaku angaphezulu xa ubika ngaphantsi kwamahlanu.
Kubalulekile ukuba abafazi abakhulelweyo abaziphuzeyo
Isizathu sokuba uvavanyo olukhawulezayo olwenziweyo ukufumanisa iingxaki zokuphuza kubafazi abakhulelweyo kuyadingeka kwizicwangciso zokunyamekela okokuqala ngengozi yokuba ukusela utywala kunokufumana umntwana ongakazalwa. Ukuba ukhulelwe kwaye unengxaki yokusela, umniki-nkonzo wakho wezempilo uyakufuna ukwazi ukuba unokunika uncedo okanye akuthumele kwinkqubo yokonyango. Impilo nenhlalakahle yengane yakho isengozini.
> Imithombo:
> Barry KL, Caetano R, Chang G, et al. Ukunciphisa Utywala-Izibhengezo ezibonisiweyo: Ingxelo yeSizwe soMsebenzi weNtsholongwane yoTywala wezoTywala kunye nomphumo wokuTywala kotywala . Amaziko okuLawula nokuKhuselwa kwezifo (CDC). Epapashwe ngoMatshi 2009.
> Russel M, Martier SS, Sokol RJ et. al. Ukuhlola ukukhulelwa komngcipheko-ukusela. Utywala: Uphando lwezonyango kunye noPhando. 2014; 18 (5): 1156-1161. i-doi: 10.1111 / j.1530-0277.1994.tb00097.x.
> USarkar M, u-Einarson T, uKoren G. Ukuqhathaniswa nokuphumelela kwe-TWEAK kunye ne-T-ACE ekunqumeni ingxaki yoNxila ekuTheni. Utywala kunye noTywala ngoJulayi 2010; 45 (4): 356-360. i-doi: 10.1093 / alcalc / agq022.