Ukudideka

Ukudideka ukungakwazi ukucabanga ngokucacile noma ngokushesha njengoba ujwayele ukwenza. Ungazizwa udidekile futhi unenkinga yokunaka, ukukhumbula nokwenza izinqumo.

Ukudideka kungenzeka ngokushesha noma kancane ngokuhamba kwesikhathi, kuya ngesizathu. Izikhathi eziningi, ukudideka kuhlala isikhathi esifushane bese kuyahamba. Ngezinye izikhathi, ihlala unomphela futhi ayelapheki. Kungahle kuhlotshaniswe ne-delirium noma i-dementia.

Ukudideka kuvame kakhulu kubantu asebekhulile futhi kuvame ukwenzeka ngesikhathi sokuhlala esibhedlela.

Abanye abantu abadidekile bangaba nokuziphatha okungajwayelekile noma okungajwayelekile noma benze ngolaka.

Ukudideka kungadalwa yizinkinga ezahlukahlukene zezempilo, njenge:

• Utshwala noma ukudakwa kwezidakamizwa
• Isigaxa sobuchopho
• Ukuhlukumezeka ekhanda noma ukulimala ekhanda (ukuxubana)
• Imfiva
• Ukungalingani kwe-Fluid ne-electrolyte
• Ukugula kumuntu osekhulile, njengokulahlekelwa ukusebenza kobuchopho (ukuwohloka komqondo)
• Ukugula kumuntu onesifo sezinzwa esivele sikhona, njengesifo sohlangothi
• Izifo
• Ukungalali (ukuncishwa ubuthongo)
• Ushukela wegazi ophansi
• Amazinga aphansi e-oksijeni (ngokwesibonelo, avela kwizifo ezingapheli zamaphaphu)
• Imithi
• Ukushoda kokudla okunempilo, ikakhulukazi i-niacin, i-thiamine, noma i-vitamin B12
• Ukuquleka
• Ukwehla okungazelelwe ekushiseni komzimba (hypothermia)

Indlela enhle yokuthola ukuthi ngabe umuntu udidekile yini ukubuza lowo muntu igama lakhe, iminyaka yakhe kanye nosuku. Uma bengaqiniseki noma bephendula ngokungafanele, badidekile.

Uma umuntu engavami ukudideka, shayela umhlinzeki wezokunakekelwa kwempilo.

Umuntu odidekile akumele ashiywe yedwa. Ukuze kuphephe, lo muntu angadinga umuntu oseduze ozomthulisa futhi amvikele ekulimaleni. Kukaningi, izivimbelo zomzimba zinga-odwa nguchwepheshe wezokunakekelwa kwempilo.

Ukusiza umuntu odidekile:

• Hlala uzethula, noma ngabe lowo muntu wake wakwazi kangakanani.
• Imvamisa khumbuza umuntu ngendawo yakhe.
• Beka ikhalenda newashi eduze komuntu.
• Khuluma ngemicimbi yamanje nezinhlelo zosuku.
• Zama ukugcina indawo ezolile izolile, ithule futhi inokuthula.

Ngokudideka okungazelelwe ngenxa kashukela ophansi wegazi (ngokwesibonelo, emithini yesifo sikashukela), umuntu kufanele aphuze isiphuzo esimnandi noma adle isidlo esimnandi. Uma ukudideka kuthatha isikhathi esingaphezu kwemizuzu eyi-10, shayela umhlinzeki.

Shayela ku-911 noma inombolo ephuthumayo yendawo uma ukudideka kufike ngokungazelelwe noma kunezinye izimpawu, ezinjenge:

• Isikhumba esibandayo noma esimbumbulu
• Isiyezi noma ukuzwa ukuquleka
• Ishayela okusheshayo
• Imfiva
• Ubuhlungu bekhanda
• Ukuphefumula kancane noma ngokushesha
• Ukuqhaqhazela okungalawuleki

Phinda ushayele u-911 noma inombolo ephuthumayo yendawo uma:

• Ukudideka kufike ngokuzumayo kumuntu onesifo sikashukela
• Ukudideka kuvele ngemuva kokulimala ekhanda
• Umuntu uquleka noma kunini

Uma uhlangabezana nokudideka, shayela isikhathi sokubonana nomhlinzeki wakho.

Udokotela uzokwenza ukuhlolwa komzimba abuze imibuzo mayelana nokudideka. Udokotela uzobuza imibuzo ukuze afunde uma lowo muntu elazi usuku, isikhathi, nokuthi ukuphi. Imibuzo ngokugula kwakamuva nokuqhubekayo, phakathi kweminye imibuzo, nayo izobuzwa.

Izivivinyo ezinga-odwa zifaka:

• Ukuhlolwa kwegazi
• I-CT scan yekhanda
• I-Electroencephalogram (EEG)
• Ukuhlolwa kwesimo sengqondo
• Ukuhlolwa kwe-Neuropsychological
• Ukuhlolwa komchamo

Ukwelashwa kuya ngesizathu sokudideka. Isibonelo, uma ukutheleleka kubangela ukudideka, ukwelapha ukutheleleka kuzosusa ukudideka.

Ukudideka; Ukucabanga - akucaci; Imicabango - liguqubele; Isimo sengqondo esishintshiwe - ukudideka

• Impikiswano kubantu abadala - okufanele ubuze udokotela wakho
• Ukushayisana ezinganeni - okufanele ubuze udokotela wakho
• Ukuwohloka komqondo - okufanele ubuze udokotela wakho

• Ubuchopho

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Isimo sengqondo. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSiedel Wokuhlolwa Komzimba. Umhlaka 9. ISt Louis, MO: Elsevier; 2019: isahluko 7.

UHuff JS. Ukudideka. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 14.

UMendez MF, uPadilla CR. I-Delirium. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 4.