I-Delirium tremens: yini, izimbangela kanye nokwelashwa

-Delile

• Ungayibona kanjani
• Ungaqinisekisa kanjani
• Izimbangela eziyinhloko
• Yelashwa kanjani

O i-delirium, obizwa nangokuthi uDelirium Tremens, yisimo sokudideka kwengqondo esivela ngokungazelelwe, futhi sidale izinguquko ekwazini, ukunaka, isimilo, inkumbulo, ukucabanga, ukuma noma enye indawo yokuqonda, okwenza isimilo esivamise ukushintshashintsha ukozela ngokweqile nokuxokozela.

Eyaziwa nangokuthi i-Acute Confusional State, i- i-delirium ihlobene nezinguquko ekusebenzeni kobuchopho, futhi imvamisa ithinta, ikakhulukazi, asebekhulile abalaliswe esibhedlela noma ngohlobo oluthile lokuwohloka komqondo, njengesifo i-Alzheimer's, noma abantu abazithibayo otshwaleni nasezidakamizweni, yize imbangela yangempela ingakacaci.

Ukwelapha i- i-delirium kuyanconywa, ekuqaleni, ukulungisa izinto ezingadala lesi simo, njengokulapha ukutheleleka, ukulungisa imithi, ukuhlela imvelo noma ukujwayela ukulala, ngokwesibonelo. Ezimweni ezinzima kakhulu, udokotela futhi angancoma ukusetshenziswa kwemithi elwa nezengqondo, njengeHaloperidol, iRisperidone, iQuetiapine noma i-Olanzapine.

Ungayibona kanjani

Izimpawu eziyinhloko ezikhomba i-delirium kunjalo:

• Ukunganaki nokuyaluza;
• Ukozela noma ukunganaki;
• Ukwehluleka ukuthobela imiyalo;
• Ukuguqulwa komjikelezo wokulala, lapho umuntu ehlala ephapheme ebusuku futhi elele emini;
• Ukudideka;
• Ungawaqapheli amalungu omndeni noma obajwayele;
• Imemori iyashintsha, ngisho nokukhumbula amagama;
• Ukucasulwa njalo nentukuthelo;
• Ukushintsha okungazelelwe kwemizwa;
• Ukusangana;
• Ukukhathazeka.

Isici esibalulekile se- i-delirium ukufakwa kwayo okunamandla, kusuka ehoreni elilodwa kuya kwelilandelayo, futhi, ngaphezu kwalokho, kunenkambo eguquguqukayo, okungukuthi, iyahluka phakathi kwezikhathi zokujwayelekile, ukuxokozela noma ukozela ngalo lonke lolo suku.

Ungaqinisekisa kanjani

Ukuxilongwa kwe i-delirium ingaqinisekiswa ngudokotela, kusetshenziswa imibuzo efana ne Indlela Yokuhlola Ukudideka (CAM), okukhombisa ukuthi izici eziyisisekelo zokuqinisekisa yilezi:

Kubalulekile ukukhumbula ukuthi "I-Delirium " kuhlukile ku- "Delirium", njengoba kusho ukuguqulwa kwengqondo okubonakala ngokwakhiwa kwesahlulelo samanga mayelana nokuthile, lapho umuntu enesiqiniseko sokuthi kukhona okungenakwenzeka. Ngaphezu kwalokho, ngokungafani ne- i-delirium, i-delirium ayinayo imbangela engokwemvelo futhi ayibangeli izinguquko ekubhekeni noma ekuqwashiseni.

Funda kabanzi ngalolu shintsho ku-Kuyini nokuthi ungakubona kanjani ukukhohlisa.

Izimbangela eziyinhloko

Izici eziyinhloko zobungozi ekuthuthukiseni i- i-delirium faka:

• Ubudala ngaphezu kweminyaka engama-65;
• Ukuba nohlobo oluthile lokuwohloka komqondo, njengesifo i-Alzheimer's noma isifo sengqondo sikaLewy, isibonelo;
• Ukusetshenziswa kwemithi ethile, njengama-sedatives, amaphilisi okulala, i-amphetamine, ama-antihistamine noma amanye ama-antibiotic, isibonelo;
• Ukulaliswa esibhedlela;
• Ngemuva kokuhlinzwa;
• Ukungondleki kahle;
• Ukwehla kwamanzi emzimbeni;
• Ukusebenzisa kabi utshwala noma izidakamizwa;
• Ukuzibamba ngokomzimba, njengokulala embhedeni;
• Ukusetshenziswa kwemithi eminingi;
• Ukungalali kahle;
• Ukuguqulwa kwemvelo;
• Ukuba nanoma yikuphi ukugula ngokomzimba, njengokutheleleka, ukwehluleka kwenhliziyo noma ubuhlungu bezinso, isibonelo.

Kwasebekhulile, i-delirium kungaba ukuphela kokuvezwa kwanoma yikuphi ukugula okungathi sína, njenge-pneumonia, ukutheleleka kwe-urinary tract, isifo senhliziyo, isifo sohlangothi noma izinguquko kuma-electrolyte egazi, ngokwesibonelo, ngakho-ke noma nini lapho kuvela khona kufanele ihlolwe ngokushesha ngudokotela wezokwelapha noma udokotela ojwayelekile.

Yelashwa kanjani

Indlela eyinhloko yokwelapha i-delirium kungamasu asiza ukuqondisa umuntu, njengokuvumela ukuxhumana namalungu omndeni ngesikhathi sokulaliswa, ukugcina umuntu egxile maqondana nesikhathi, kumenza akwazi ukufinyelela kukhalenda newashi nokugcina indawo ezolile, ikakhulukazi ebusuku, ukuvumela ukulala ngokuthula.

Lezi zindlela zikhuthaza ukubuyela ekuqwashiseni nasekuziphatheni okuthuthukisiwe. Ngaphezu kwalokho, abantu asebekhulile abafaka izibuko noma izinsiza-kuzwa kumele bakwazi ukufinyelela kuzo, bagweme ubunzima bokuqonda nokukhulumisana. Bheka ukuqondiswa okwengeziwe kokuthi wenzeni ukuze uphile kangcono nabantu asebekhulile abanokudideka kwengqondo.

Ukusetshenziswa kwemithi kukhonjiswa ngudokotela, futhi kufanele kugcinelwe iziguli ezinokuphazamiseka okukhulu, ezimele ubungozi ekuphepheni kwazo noma kwabanye. Amakhambi asetshenziswa kakhulu ama-antipsychotic, njengeHaloperidol, Risperidone, Quetiapine, Olanzapine noma iClozapine, ngokwesibonelo. Ezimweni ze i-delirium kubangelwa ukungaphuzi utshwala noma izidakamizwa ezingekho emthethweni, ukusetshenziswa kwezidakamizwa ezithomalalisayo, njengeDiazepam, iClonazepam noma iLorazepam, kuyakhonjiswa.