Delirium amanjenjemera

Delirium tremens ndi mtundu woopsa wa kusiya mowa. Zimakhudza kusintha kwadzidzidzi komanso kwamphamvu kwamisala.

Kutetemera kwa Delirium kumatha kuchitika mukasiya kumwa mowa mukamamwa mowa kwambiri, makamaka ngati simudya chakudya chokwanira.

Delirium tremens amathanso kuyambika chifukwa chovulala kumutu, matenda, kapena matenda kwa anthu omwe ali ndi mbiri yakumwa mowa kwambiri.

Zimachitika kawirikawiri mwa anthu omwe ali ndi mbiri yakuledzera. Zimapezeka kwambiri kwa iwo omwe amamwa mapiritsi 4 mpaka 5 (1.8 mpaka 2.4 malita) a vinyo, mapiritsi 7 mpaka 8 (3.3 mpaka 3.8 malita) a mowa, kapena painti 1 (1/2 lita) ya mowa "wolimba" tsiku lililonse kwa miyezi ingapo. Delirium tremens imakhudzanso anthu omwe akhala akumwa mowa kwazaka zopitilira 10.

Zizindikiro nthawi zambiri zimachitika pakadutsa maola 48 mpaka 96 mutangomaliza kumwa. Koma, amatha masiku 7 mpaka 10 mutamwa chomaliza.

Zizindikiro zimatha kukulirakulira, ndipo zimaphatikizapo:

• Delirium, yomwe ndi chisokonezo chachikulu mwadzidzidzi
• Thupi limanjenjemera
• Kusintha kwa magwiridwe antchito
• Kusokonezeka, kukwiya
• Kugona tulo tokwanira komwe kumatenga tsiku limodzi kapena kupitilira apo
• Chisangalalo kapena mantha
• Kuyerekezera zinthu m'maganizo (kuwona kapena kumva zinthu zomwe kulibe)
• Kuphulika kwa mphamvu
• Kusintha kwakanthawi
• Kusakhazikika
• Kuzindikira kuwala, mawu, kukhudza
• Kupusa, kugona, kutopa

Kugwidwa (kumatha kuchitika popanda zizindikilo zina za DTs):

• Ofala kwambiri m'maola 12 mpaka 48 oyamba mutamwa kotsiriza
• Ambiri mwa anthu omwe ali ndi zovuta zam'mbuyomu chifukwa chosiya mowa
• Kawirikawiri zowombetsa mkota zimandilimbikitsa-khunyu

Zizindikiro zakumwa mowa, kuphatikizapo:

• Kuda nkhawa, kukhumudwa
• Kutopa
• Mutu
• Kusowa tulo (kuvutika kugona ndi kugona)
• Kukwiya kapena kusangalatsa
• Kutaya njala
• Nseru, kusanza
• Mantha, kulumpha, kugwedezeka, kugundana (kutengeka kwakumva kugunda kwa mtima)
• Khungu lotumbululuka
• Kusintha kwakanthawi kwamalingaliro
• Kutuluka thukuta, makamaka m'manja kapena pankhope

Zizindikiro zina zomwe zingachitike:

• Kupweteka pachifuwa
• Malungo
• Kupweteka m'mimba

Delirium tremens ndi vuto lazachipatala.

Wothandizira zaumoyo adzayesa. Zizindikiro zimatha kuphatikiza:

• Thukuta lolemera
• Kuchuluka kwadzidzidzi
• Kugunda kwamtima kosasintha
• Mavuto ndi kuyenda kwa minofu yamaso
• Kuthamanga kwa mtima mwachangu
• Minyewa yothamanga imanjenjemera

Mayesero otsatirawa akhoza kuchitika:

• Mulingo wama magnesium wamagazi
• Mulingo wamankhwala amwazi
• Zowonjezera zamagetsi
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Chophimba cha Toxicology

Zolinga zamankhwala ndi:

• Pulumutsani moyo wa munthuyo
• Pewani zizindikiro
• Pewani zovuta

Kugona kuchipatala ndikofunikira. Gulu lazachipatala limayang'ana pafupipafupi:

• Zotsatira zamagetsi zamagazi, monga milingo yama electrolyte
• Madzi amadzimadzi
• Zizindikiro zofunikira (kutentha, kutentha, kupuma, kuthamanga kwa magazi)

Ali muchipatala, munthuyo alandila mankhwala ku:

• Khalani odekha komanso omasuka (okhazikika) mpaka ma DTs atha
• Chitani khunyu, nkhawa, kapena kunjenjemera
• Chitani matenda amisala, ngati alipo

Chithandizo chachitetezo chanthawi yayitali chiyenera kuyamba munthuyo atachira kuzizindikiro za DT. Izi zitha kuphatikiza:

• Nthawi "yowuma", pomwe mowa suloledwa
• Kupewa kumwa mowa kwathunthu komanso kwa moyo wanu wonse (kudziletsa)
• Uphungu
• Kupita kumagulu othandizira (monga Alcoholics Anonymous)

Chithandizo chitha kufunikira pamavuto ena azachipatala omwe angachitike ndikumwa mowa, kuphatikizapo:

• Mowa woledzeretsa
• Matenda a chiwindi
• Matenda osokoneza bongo
• Matenda a Wernicke-Korsakoff

Kupita pagulu lothandizira pafupipafupi ndichinsinsi kuti mupulumuke pakumwa mowa.

Delirium tremens ndiwovuta ndipo akhoza kukhala pachiwopsezo cha moyo. Zizindikiro zina zokhudzana ndi kusiya mowa zimatha chaka chimodzi kapena kupitilira apo, kuphatikiza:

• Maganizo amasinthasintha
• Kumva kutopa
• Kusagona

Zovuta zitha kukhala:

• Kuvulala chifukwa cha kugwa panthawi yakugwa
• Kudzivulaza wekha kapena ena chifukwa cha matenda amisala (chisokonezo / chisokonezo)
• Kugunda kwamtima kosasintha, kumatha kukhala pachiwopsezo cha moyo
• Kugwidwa

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati muli ndi zizindikiro. Delirium tremens ndichikhalidwe chadzidzidzi.

Mukapita kuchipatala pa chifukwa china, auzeni omwe akukuthandizaniwo ngati mumamwa mowa kwambiri kuti athe kukuyang'anirani ngati muli ndi vuto lomwa mowa.

Pewani kapena kuchepetsa kumwa mowa. Pezani chithandizo chamankhwala mwachangu pazizindikiro zakumwa.

Kumwa mowa mwauchidakwa - delirium tremens; Zowonjezera; Kuchotsa mowa - delirium tremens; Mowa wosiya mowa

Kelly JF, Renner JA. Matenda okhudzana ndi mowa. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 26.

Mirijello A, D'Angelo C, Ferrulli A, ndi al. Kuzindikiritsa ndikuwongolera zakumwa zoledzeretsa. Mankhwala osokoneza bongo. 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Kusokonezeka kwa mowa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.