Delirium tremens: chomwe chiri, chimayambitsa ndi chithandizo

Zamkati

• Momwe mungadziwire
• Momwe mungatsimikizire
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira

O delirium, wotchedwanso Delirium Tremens, ndimkhalidwe wosokonezeka wamaganizidwe womwe umabuka modzidzimutsa, ndipo umayambitsa kusintha kwa kuzindikira, chidwi, machitidwe, kukumbukira, kuganiza, malingaliro kapena gawo lina lazidziwitso, zomwe zimayambitsa machitidwe omwe nthawi zambiri amasinthasintha pakati pa kugona kwambiri ndi kusakhazikika.

Amadziwikanso kuti Acute Confusional State, the delirium imakhudzana ndikusintha kwa ntchito zamaubongo, ndipo nthawi zambiri imakhudza, makamaka okalamba omwe agonekedwa mchipatala kapena ali ndi matenda amisala, monga matenda a Alzheimer's, kapena anthu omwe amamwa mowa komanso mankhwala osokoneza bongo, ngakhale chomwe chimayambitsa sizikudziwika bwinobwino.

Kuchiza delirium tikulimbikitsidwa, poyamba, kukonza zomwe zingayambitse vutoli, monga kuchiza matenda, kusintha mankhwala, kukonza zachilengedwe kapena kugona mokwanira, mwachitsanzo. Pazovuta kwambiri, adotolo amalimbikitsanso kugwiritsa ntchito mankhwala ochepetsa matenda a psychotic, monga Haloperidol, Risperidone, Quetiapine kapena Olanzapine.

Momwe mungadziwire

Zizindikiro zazikulu zomwe zimawonetsa delirium ali:

• Kusamala ndi kusokonezeka;
• Kugona kapena mphwayi;
• Kulephera kumvera malamulo;
• Kusintha kwaulendo wogona, womwe umakhalabe wogalamuka usiku ndikugona masana;
• Kusokonezeka;
• Osazindikira abale kapena achibale;
• Kukumbukira kumasintha, ngakhale kukumbukira mawu;
• Kukwiya pafupipafupi ndi mkwiyo;
• Kusintha kwadzidzidzi kwamamvedwe;
• Kuyerekezera zinthu m'maganizo;
• Kuda nkhawa.

Mbali yofunikira ya delirium ndikukhazikika kwake, kuyambira ola limodzi kupita lotsatira, ndipo, kuwonjezera apo, imakhala ndi njira yosinthasintha, ndiye kuti, imasiyanasiyana pakati panthawi yanthawi zonse, kusakhazikika kapena kuwodzera tsiku lomwelo.

Momwe mungatsimikizire

Matendawa delirium akhoza kutsimikiziridwa ndi adotolo, pogwiritsa ntchito mafunso monga Njira Yoyeserera Yosokoneza (CAM), zomwe zikuwonetsa kuti zofunikira pakutsimikizira ndi izi:

Ndikofunikira kukumbukira kuti "Delirium " ndizosiyana ndi "Delirium", chifukwa kumatanthauza kusintha kwamisala komwe kumadziwika ndikupanga chigamulo chabodza chokhudza china chake, momwe munthuyo ali ndi chitsimikizo kuti china chake sichingatheke. Kuphatikiza apo, mosiyana ndi delirium, delirium ilibe chifukwa chilichonse ndipo sichimapangitsa chidwi kapena kuzindikira.

Dziwani zambiri zakusinthaku mu Kodi ndi chiyani komanso momwe mungadziwire chinyengo.

Zoyambitsa zazikulu

Zowopsa zazikulu pakukula kwa delirium monga:

• Zaka zoposa 65;
• Kukhala ndi matenda amisala, monga matenda a Alzheimer's kapena Lewy dementia, mwachitsanzo;
• Kugwiritsa ntchito mankhwala ena, monga mankhwala ogonetsa, mapiritsi ogona, amphetamine, antihistamines kapena maantibayotiki, mwachitsanzo;
• Kugonekedwa mchipatala;
• Atachitidwa opaleshoni;
• Kusowa zakudya m'thupi;
• Kutaya madzi m'thupi;
• Kumwa mowa mwauchidakwa kapena kugwiritsa ntchito mankhwala osokoneza bongo;
• Kuletsa thupi, monga kugona pakama;
• Kugwiritsa ntchito mankhwala ambiri;
• Kusagona bwino;
• Kusintha kwa chilengedwe;
• Kukhala ndi matenda aliwonse, monga matenda, kulephera kwa mtima kapena kupweteka kwa impso, mwachitsanzo.

Okalamba, delirium itha kukhala chiwonetsero chokha cha matenda aliwonse owopsa, monga chibayo, matenda am'mikodzo, matenda amtima, kupwetekedwa kapena kusintha kwama electrolyte am'magazi, mwachitsanzo, chifukwa chake ikawonekera iyenera kuwunikiridwa mwachangu ndi a geriatrician kapena dokotala wamba.

Momwe mankhwalawa amachitikira

Njira yayikulu yochizira matenda osokonekera ndi kudzera mu njira zomwe zimathandizira kuwongolera munthuyo, monga kulola kulumikizana ndi abale ake nthawi yachipatala, kumusungitsa munthuyo mogwirizana ndi nthawi, kuwapangitsa kukhala ndi mwayi wokhala ndi kalendala ndi wotchi ndikusunga bata, makamaka usiku, kulola kugona mwamtendere.

Njira izi zimalimbikitsa kubwerera ku kuzindikira ndi kusintha kwamakhalidwe. Kuphatikiza apo, okalamba omwe amavala magalasi kapena zothandizira kumva ayenera kukhala nazo, kuti apewe zovuta pakumvetsetsa komanso kulumikizana. Onani zowunikira zambiri pazomwe mungachite kuti mukhale bwino ndi okalamba osokonezeka m'maganizo.

Kugwiritsa ntchito mankhwala kumawonetsedwa ndi dokotala, ndipo kuyenera kusungidwa kwa odwala omwe ali ndi vuto lalikulu, kuyimira chiopsezo ku chitetezo chawo kapena cha ena. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi ma antipsychotic, monga Haloperidol, Risperidone, Quetiapine, Olanzapine kapena Clozapine, mwachitsanzo. Nthawi ya delirium chifukwa chakumwa mowa kapena mankhwala osokoneza bongo, kugwiritsa ntchito mankhwala osokoneza bongo, monga Diazepam, Clonazepam kapena Lorazepam, akuwonetsedwa.