Kusokonezeka

Kusokonezeka ndiko kulephera kuganiza bwino kapena mwachangu monga momwe mumaganizira. Mutha kukhala osokonezeka ndipo mumavutika kumvetsera, kukumbukira, komanso kupanga zisankho.

Kusokonezeka kumatha kubwera mwachangu kapena pang'onopang'ono pakapita nthawi, kutengera choyambitsa. Nthawi zambiri, chisokonezo chimatenga kwakanthawi ndipo chimatha. Nthawi zina, imakhala yokhazikika komanso yosachiritsika. Itha kuphatikizidwa ndi delirium kapena dementia.

Kusokonezeka kumakhala kofala kwambiri kwa okalamba ndipo nthawi zambiri kumachitika mukakhala kuchipatala.

Anthu ena osokonezeka akhoza kukhala ndi zachilendo kapena zachilendo kuchita kapena kumachita nkhanza.

Kusokonezeka kungayambitsidwe ndi matenda osiyanasiyana, monga:

• Kuledzera kapena kuledzera
• Chotupa chaubongo
• Kusokonezeka mutu kapena kuvulala pamutu (kusokonezeka)
• Malungo
• Kusamvana kwamadzimadzi ndi ma electrolyte
• Matenda mwa munthu wokalamba, monga kuchepa kwa ubongo (dementia)
• Matenda mwa munthu yemwe ali ndi matenda amitsempha omwe alipo kale, monga sitiroko
• Matenda
• Kusagona (kugona tulo)
• Shuga wamagazi ochepa
• Mpweya wochepa (mwachitsanzo, matenda am'mapapo)
• Mankhwala
• Kuperewera kwa zakudya, makamaka niacin, thiamine, kapena vitamini B12
• Kugwidwa
• Kutentha mwadzidzidzi kwa thupi (hypothermia)

Njira yabwino yodziwira ngati wina wasokonezeka ndikufunsa munthuyo dzina lake, zaka zake, komanso tsiku. Ngati sakudziwa kapena akuyankha molakwika, asokonezeka.

Ngati munthu samakhala ndi chisokonezo, pitani kuchipatala.

Munthu wosokonezeka sayenera kumusiya yekha. Pofuna chitetezo, munthuyo angafunike wina pafupi kuti awakhazike mtima pansi ndikuwateteza kuvulala. Nthawi zambiri, zoletsa zolimbitsa thupi zimatha kulamulidwa ndi akatswiri azaumoyo.

Kuthandiza munthu wosokonezeka:

• Nthawi zonse dziwitseni nokha, ngakhale munthuyo adakudziwani bwanji.
• Nthawi zambiri muzikumbutsa munthuyo za komwe amakhala.
• Ikani kalendala ndi wotchi pafupi ndi munthuyo.
• Kambiranani za zomwe zachitika komanso zomwe zikukonzekera tsikuli.
• Yesetsani kusunga malowa kukhala chete, abata, komanso amtendere.

Kusokonezeka mwadzidzidzi chifukwa cha shuga wochepa m'magazi (mwachitsanzo, mankhwala a shuga), munthuyo ayenera kumwa chakumwa chokoma kapena kudya chotupitsa. Ngati chisokonezocho chitenga nthawi yayitali kuposa mphindi 10, itanani wothandizirayo.

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati chisokonezo chabwera modzidzimutsa kapena pali zina, monga:

• Khungu lozizira kapena losalala
• Chizungulire kapena kukomoka
• Kutentha kwambiri
• Malungo
• Mutu
• Kupuma pang'onopang'ono kapena mofulumira
• Kugwedezeka kosalamulirika

Itanani 911 kapena nambala yadzidzidzi yakomweko ngati:

• Chisokonezo chabwera mwadzidzidzi mwa munthu yemwe ali ndi matenda ashuga
• Chisokonezo chinabwera pambuyo povulala pamutu
• Munthuyo amakomoka nthawi iliyonse

Ngati mwakhala mukukumana ndi chisokonezo, funsani nthawi yokumana ndi omwe amakupatsani.

Dokotala amamuyesa ndikufunsa mafunso okhudza chisokonezo. Dokotala adzafunsa mafunso kuti adziwe ngati munthuyo akudziwa tsiku, nthawi, komanso komwe ali. Mafunso okhudza matenda aposachedwa komanso opitilira muyeso, mwa mafunso ena, adzafunsidwanso.

Mayeso omwe atha kulamulidwa ndi awa:

• Kuyesa magazi
• Kujambula kwa CT pamutu
• Electroencephalogram (EEG)
• Kuyesedwa kwamalingaliro
• Mayeso a Neuropsychological
• Mayeso amkodzo

Chithandizo chimadalira chifukwa cha chisokonezo. Mwachitsanzo, ngati matenda akuyambitsa chisokonezo, kuchiza matendawa kumatha kuthetsa chisokonezo.

Kusokonezeka; Kuganiza - sikumveka; Malingaliro - mitambo; Kusintha kwa malingaliro - chisokonezo

• Zovuta mwa akulu - zomwe mungafunse dokotala wanu
• Zovuta mwa ana - zomwe mungafunse dokotala wanu
• Dementia - zomwe mungafunse dokotala wanu

• Ubongo

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Udindo wamalingaliro. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Siedel ku Kuyesa Thupi. 9th ed. St Louis, MO: Elsevier; 2019: mutu 7.

Huff JS. Kusokonezeka. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 14.

Mendez MF, Padilla CR. Delirium. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 4.