http://translate.google.com/I've never used this before, it doesn't work great but I am finding things about TSM on Finnish websites:
Sure it is: an alcoholic, can now safely enjoy a glass or two.
Anne Rikama
tan, only one bath a beer, that's all, assured Lappeenranta Esko Nupponen himself again one Saturday evening. As always, he already knew, the bottle korkatessaan that it was unable to stop drinking before you became a drunk. "And in the morning always struck a hangover, that admission was forced to continue," he remembers ten years ago. "I began to hold up liquor bottles tyynyni below so that you happen to wake during the night cometh, and the need," says now 56 years old Esko.
Esko Nupponen started drinking at age 17 released from the 1960s atmosphere. At first he felt quite reasonably to celebrate the weekend with my friends. Gradually, it became harder stroke. Each beer was able to begin day periods of the tube.
Involved in its preparation, and began to suffer from the age of 23 entered into a marriage of threatening bladders. "I will not tolerate ryyppäämistäsi", his wife finally reported. "Stop drinking or I go."
Esko was startled, because she knew that she was not kidding. "I will try," he replied. He did not want to lose his wife and ruin his life. Lust spirits, however, was stronger. Esko started to drink again, but now his wife secretly. Sometimes, though, he tried to stop the sport.
"I ran to almost compulsively, and I was drinking for years between the 1980s", he says.
"I flee to remain viable. Repsahdus was always at some stage. I felt afraid for the future and how the right life goes completely over. After completing the 45 years I understood was a serious alkoholisoitunut."
Esko applied to the early 1990s, assistance to the A clinic and tried under the skin in Antabuse-capsules. It was not for help as he left medicine and began drinking between the drug effect ended. Life was just as mad a mill, so that even in 1988, the couple's son is born hindered the pace.
Esko was the cut-off between the treatment and Heinola, while on the road. Although he had a desire to break the already out of control of drinking, he was not able to.
Four years ago in the spring of Esko Nupponen heard the new method in which alcoholics were treated in moderation with good success. This is Sinclair's method was based on the designated form of treatment, and away from dependence on learning that the naltrexone-called agent. Esko felt that he had no choice. He sought immediate treatment.
Sinclair has developed a method to Finland in 1971, naturalized American alcohol researcher, Dr. David Sinclair of psychology. Alkon biomedical institution while working, he discovered that naltrexone reduced the opiaattisalpaajiin belonging to a decisive test of rats alkoholisoitumista.
"Man alkoholisoituu when his nervous system learns to require alcohol, and it kind of tunes in the alcohol," is currently a researcher working with the National Public Health Institute, David Sinclair says.
"The use of naltrexone is really encouraging results," says Pekka Heinälä psychiatry. He makes use of naltrexone-doctoral the treatment of alcoholism. "It is a good option for those who are experiencing problems with alcohol and want to have to reduce drinking."
Sinclair's insight is dramatic and it opens up completely new perspectives for the treatment of alcoholism. In 1986, he found that the detoxification of drug addicts used naltrexone appeared with alcohol consumption diminishes. Therapies used so far have required the cessation of drinking, alcohol craving Sinclair's method shuts down the drinking.
Alcoholic, learning can take years or decades. Every time juodessamme endorphins or pleasure in producing endogenous opiates confirm the drinks. Alcohol craving a stronger draft, and that is why the alcoholic is a difficult, often impossible to reduce drinking.
How seriously, then alkoholisoitunut person may waive ryyppäämisestä, if allowed to take a minor? The treatment of alcoholism in Finland is traditionally moderate consumption unknown. It is an either-or, just as many drinker: one and twenty is too much too little. No one is born an alcoholic. Drinking is a learned way, which is in principle also be able to learn from.
Sinclair's method sounds like a layman, and at the same time appealing to the unbelievable. "Naltrexone with reasonably new learning takes place in such a way that decreases the desire to drink a glass of" inventor of the self-insured. "Drug efficacy based on the fact that the nerve cell is placed in the same location as endorphins. It thus blocks the endorphins on the brain, in which case the need to drink alcohol will not be strengthened, but gradually deteriorating. yes please note the influence of alcohol, but the desire to drink more is lost. "The medicine is not used on a daily basis, but only when it is intended to drink alcohol.
Assistance is needed. Finland has about 500 000 large consumer of alcohol, which alcohol is a serious health risk. Indirect economic, and social implications of kriminaaliset multiply the problem. Liquor resulting from the many hapless human cases, accidents, acts of violence, broken families and relationships. Finnish working-age men, an estimated one in ten use too much alcohol. Women's drinking has also increased dramatically in the last 30 years.
The benefit of the extra costs to society are enormous. The experts calculated that the direct negative costs of alcohol are 2,9 - 3,7 billion marks a year. When the calculated value of lost life and production losses due to work absenteeism, increase the total cost of up to 30 billion mark. Because the money could, for example to build a 60 000 year half-million mark single-family houses or arrange for the work of more than 100 000 staff. New therapeutic approaches are both social and economic order.
Finland seeking treatment each year about 50 000 - 80 000 trouble. Effective treatments is a huge market. The most common treatments are in hospitals and clinics to provide substance abuse detoxification, drug therapy containing disulfiram Antabuse and AA's offer self-help groups. Private clinics can be obtained ilokaasuhoitoa. Naltrexone for the treatment of alcoholism is also commonly A-clinics.
Sinclair method to slow down the spread of the price compared to other treatments. Care Package costs about 8 500 DM and social insurance payments after about 6 500 per length of treatment and the number of necessary drugs. Pharmaceutical allowance is granted only to an alcoholic, a declaration by the medical patients. Summer terraces on top of the cap will be entered in general treatments for self-pay, such as the Sinclair-care purchasers of the majority is doing.
"More and more customers will now also the employers and insurance companies pay a referral," says Olli Kymäläinen psychiatry. He is a medical doctor responsible for treatment, developed by Sinclair Contral companies marketing method. Treatment is applied in Finland, including Estonia, the United States, Britain, Russia, Israel and Venezuela.
Treatment results have been promising. One is short of Helsinki Eve. This 44-year-old kindergarten teacher's drinking habits were the last five years of harsh.
"I do not drink often, but when I took then, I have properly," says Eve. "In other words, I was unable to pull any kind of limit, but to join until passed out."
Eve, the quantities of alcoholic beverages were great, always far more than a dozen doses at once. Afterwards, he did not remember anything previous evening events. "It was really embarrassing for me and my husband," she says ..
A couple of years ago was a turning. "We had invited friends to our home on New Year's celebration," Eve says. "Join the wine with food, sip a cognac and schnapps, I do not even know how much, and eventually passed out the yard."
Others wore Eve inside to sleep. The next day he was ashamed eyes met. "Then I decided that such expenditure can not continue," he says. "I had read previously Sinclair's method, but delayed seeking treatment because I thought I was able to survive on their own ogelmasta."
First, the doctor explained the interview, Eve, alcohol use and related problems. She underwent a thorough medical examination and also examined, including liver and blood values. Duties included laboratory studies in addition to eight visits by a doctor and therapist.
"Basic Care program always takes at least three, in practice, usually 4 to 5 months", says the psychologist, the training co-ordinator Jari Lahti Contral Clinics.
"Alcohol should be monitored, inter alia, the customer's log-book kept by beverage through. Treatment of therapy is to help each client to develop the management of their own lives."
Eve is happy. "It has agreed with me very well," he says. "When I go out with my friends, I'll always naltreksonipillerin advance. Now I can enjoy the company of a few glasses, and do I still feel."
Eve calculates that he has gone so far the treatment of about 8 000. Each naltreksonipilleri pay compensation before the FPA's 30 land "So a couple of the price of a pint." Therapy is not exactly cheap, but it's worth, "Eve observes." Should be drinking more expensive than usual. "
All do not succeed
A large part is also suffering from depression with alcohol, which is already generally helps to reduce drinking. The blood pressure tends to fall, and too high cholesterol, heart rhythm disturbances and obesity problems will be easier. Liver and blood values are better in almost every turn. So far, about 700 alcoholics have tried the method. More than half of them have tried some other form of treatment in the past. "Approximately ten percent of the treatment is unsuccessful experiment with drinking reduction, the treatment program built Kymäläinen says. Of them have become part of the treatment such as a spouse or at the request of his own accord.
"Treatment success it is important that the patient himself wants to escape problems," Kymäläinen stress. "The drug dosage and timing critical."
Barriers to care are the only serious liver disease, opiate use, and very rare naltreksoniallergia. Naltrexone drug is not addictive, but it's medicine is confronted with consuming alcohol intake before the end of the age. Medicine has not been found to have serious side effects of mild nausea and a rare exception.
"Because drinking during treatment is permitted, the method should not try to, for example, that AA's to have been sober for a decade while," says Olli Kymäläinen.
Hope of hopeless
Colm, 34-year-old chemist in the metropolitan area, wanted rid of the alcohol, because it had become part of everyday life. "I'm not really a reason to drink," Colm said. "I was just totally physically dependent on alcohol. Join at least four evenings a week, and any excuse was enough, as bad or good day or a meal."
When Colm hankkiutui Sinclair-treatment a year ago, he doubted the success of miehesä. "That can not bite," he had doubts. "No one learns sober by drinking." Despite the misgivings, however, Seijaan treatment worked. "I now manage my alcohol and not me," he says. "I can take a glass of wine if I want, but I can not take ownership. Harmittaa only the fact that I sought treatment in the past."
Once in drinking Seija noticed that he is much more free time than before. "Alcohol withdrawal is a major life change so that the medication alone," says psychologist Anu Goodman Contral Clincsistä. "When the whole human life is, even decades revolved around alcohol, spirits cause abandonment of a vacuum. It is precisely this transformation, you need a very pragmatic and individual therapy for the support."
Seija was pleased to therapy and re-started my beloved hobby, playing flute.
Seeking treatment really does not need to be rapajuoppo. Alcohol problems are easier to get rid of at the outset. "Treatment, which determines the objective of the self," says Jari Lahti. "The end result may be complete abstinence, but the method is also well suited to those who do not want to stop drinking altogether."
A good example is the Espoo, Lauri, 57-year-old professor. Ryyppyputkensa began most of his work and on holidays. "I felt I did not manage käyttöäni booze, but I did not want to give up alcohol completely," Lauri says.
Lauri filed for and received the treatment, the method of Sinclair for help. Tastes like a glass to him now and then, but the amounts are substantially reduced. "I think it is important for the treatment of alcoholism pakottomuus and individuality. I also agree with outpatient treatment. It does not attract attention in the workplace and the employer, and society as a cut-off of traditional treatments less expensive."
Medical evidence of treatment efficacy is being sought, inter alia, double-blind, so that empirical evidence to the scientific evidence.
"Although the use of naltrexone efficacy of treatment methods are not scientifically proven, its efficacy has been demonstrated conclusively in itself," says Associate Professor Hannu Alho, Public Health Institute.
Esko Nupposelle suffice as proof of your own healing. Liver and blood levels have been drinking at the end of excellent health in general is good. Working documents are in order, a happy family life and leisure enough wicked.
"I've been sober now for four years, and my life is a model. Many of the old work and ryyppykaverini fifties are dead you booze", he says.
"I do not know just grown younger, but I feel I have received a whole new life."
Some person's name has been changed to protect their privacy.
Lower limit of the high consumption of alcohol:
Men from 24 per week
Women 16 doses per week
Single-use ceiling
Men 7 doses at once.
The Women 5 doses at once.
Dose refers to one medium bottle of beer, glasses (12 cl) of wine or a mild one (4 cl) of a drink.
02/00
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