MENTAL ILLNESS : THE MORPHINISM (MORPHINISMUS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Occurs on the soil of chronic poisoning by morphine. Addictive depends on the increased ability of the body, especially the brain tissue, to decompose the poison; the ability to bind morphine is growing, which explains the addiction of the protoplasm of the nerve tissue to poison.
Symptoms of chronic poisoning:
Phenomena restraining from morphine, which appear a few hours after admission, expressed in painful anxiety, severe fatigue, sneezing, yawning, chill, sweating, painful paresthesia, twitching, bowel disorder, dizziness, fainting.
For. Signs of long-term poisoning by morphine found sometimes after only a few months, in other cases only after several years.
Recognition is not a problem. There is a characteristic phenomenon of poisoning (cramps, lack of appetite, eating disorders) and scars from the injection, along with the specific mental picture.
Treatment should be carried out in closed hospital. Patients should be asked for a receipt that they can be detained against their will. It is advisable at first to not give dates. Take morphine should, as a rule, immediately, but when pronounced phenomena abstinence to give 1 - 2 days morphine, on the night of luminal, alkaline water, injecting milk; gradually wean start with half the dose, which has reached the patient (the size of the dose patients usually exaggerating), and within 5 - 10 days to bring it to zero.
In order to mitigate the effects of abstinence:
After a period of detoxification - occupational therapy, physical education, cultural and educational activities. Helpful stay in the fresh air. Appropriate psychotherapy - suggestion awake. The treatment should last at least 2 to 4 months..