I-Delirium inyikima

I-Delirium tremens luhlobo olunzima lokurhoxisa utywala. Kubandakanya utshintsho olukhawulezileyo nolomeleleyo lwengqondo okanye lwe-nervous system.

I-Delirium tremens inokwenzeka xa uyeka ukusela utywala emva kwexesha lokusela kakhulu, ngakumbi ukuba awutyi kutya ngokwaneleyo.

I-Delirium tremens nayo inokubangelwa kukulimala kwentloko, usulelo, okanye ukugula kubantu abanembali yokusebenzisa kakhulu utywala.

Kwenzeka rhoqo kubantu abanembali yokurhoxa etywaleni. Kuqheleke kakhulu kwabo basela i-4 ukuya kwi-5 yeepuni (i-1.8 ukuya kwi-2.4 yeelitha) zewayini, i-7 ukuya kwi-8 yeepuni (i-3.3 ukuya kwi-3.8 yeelitha) zebhiya, okanye i-pint enye (1/2 ilitha) yotywala "obunzima" yonke imihla iinyanga ezininzi. I-Delirium tremens ikwachaphazela ngokuqhelekileyo abantu abasele utywala ngaphezulu kweminyaka eli-10.

Iimpawu zihlala zivela kwiiyure ezingama-48 ukuya kwezi-96 emva kwesiselo sokugqibela. Kodwa, zinokubakho kwiintsuku ezisi-7 ukuya kwezi-10 emva kwesiselo sokugqibela.

Iimpawu zinokuya zisiba mandundu ngokukhawuleza, kwaye zinokubandakanya:

• I-Delirium, edideka ngesiquphe
• Ukungcangcazela komzimba
• Utshintsho ekusebenzeni kwengqondo
• Ukuxhalaba, ukucaphuka
• Ubuthongo obunzulu obuhlala usuku okanye ngaphezulu
• Imincili okanye uloyiko
• I-hallucinations (ukubona okanye ukuziva izinto ezingekho ngokwenene)
• Ukuqhuma kwamandla
• Utshintsho lweemvakalelo ezikhawulezayo
• Ukungazinzi
• Ubuntununtunu bokukhanya, isandi, ukuchukumisa
• Isiphukuphuku, ukozela, ukudinwa

Ukuxhuzula (kunokwenzeka ngaphandle kwezinye iimpawu ze-DTs):

• Eyona nto ixhaphakileyo kwiiyure zokuqala ezili-12 ukuya kweziyi-48 emva kwesiselo sokugqibela
• Eyona nto ixhaphakileyo kubantu abaneengxaki ezidlulileyo zokurhoxisa utywala
• Ngokwesiqhelo ukuxhuzula okwenziwe ngetoni-clonic

Iimpawu zokurhoxiswa kotywala, kubandakanya:

• Ixhala, uxinzelelo
• Ukudinwa
• Intloko ebuhlungu
• Ukuphuthelwa (kunzima ukuwa nokulala)
• Ukucaphuka okanye ukonwaba
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu, ukugabha
• Ukoyika, ukuxhumaxhuma, ukungcangcazela, ukubetha kwentliziyo (imvakalelo yokuziva ukubetha kwentliziyo)
• Ulusu oluthuthu
• Utshintsho olukhawulezileyo lweemvakalelo
• Ukubila, ngakumbi ezintendeni zezandla okanye ebusweni

Ezinye iimpawu ezinokuthi zenzeke:

• Iintlungu zesifuba
• Ifiva
• Intlungu yesisu

I-Delirium tremens yimeko engxamisekileyo yezonyango.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Iimpawu zinokubandakanya:

• Ubile kakhulu
• Ukonyusa ukothuka
• Ukubetha kwentliziyo ngokungaqhelekanga
• Iingxaki ngokuhamba kwemisipha yamehlo
• Inqanaba lentliziyo elikhawulezayo
• Ukungcangcazela kwemisipha ngokukhawuleza

Olu vavanyo lulandelayo lunokwenziwa:

• Inqanaba legazi le-magnesium
• Inqanaba lephosphate yegazi
• Iphaneli yemetabolism ebanzi
• I-Electrocardiogram (ECG)
• I-Electroencephalogram (i-EEG)
• Isikrini seToxicology

Iinjongo zonyango zezi:

• Gcina ubomi bomntu
• Nciphisa iimpawu
• Thintela iingxaki

Ukuhlala esibhedlele kuyafuneka. Iqela lokhathalelo lwempilo liza kujonga rhoqo:

• Iziphumo ze-chemistry yegazi, ezinje ngamanqanaba e-electrolyte
• Amanqanaba omzimba womzimba
• Iimpawu zeVital (ubushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, uxinzelelo lwegazi)

Ngelixa usesibhedlele, umntu uya kufumana amayeza:

• Hlala uzolile kwaye ukhululeke (uhleli) de kube kugqityiwe ii-DTs
• Phatha ukuxhuzula, unxunguphalo, okanye ukungcangcazela
• Nyanga ukuphazamiseka kwengqondo, ukuba kukho

Unyango lwexesha elide lokuthintela kufuneka luqale emva kokuba umntu echache kwiimpawu ze-DT. Oku kunokubandakanya:

• Ixesha "lokoma", ekungavunyelwanga butywala
• Iyonke kunye nokuthintela ubomi bakho bonke utywala (ukubusebenzisa)
• Iingcebiso
• Ukuya kumaqela enkxaso (anje ngeeAlcoholics Anonymous)

Unyango lunokufuneka kwezinye iingxaki zonyango ezinokubakho ngokusetyenziswa kotywala, kubandakanya:

• I-cardiomyopathy enxilisayo
• Isifo sesibindi esinxilisayo
• I-neuropathy yotywala
• Isifo seWernicke-Korsakoff

Ukuya kwiqela lenkxaso rhoqo sisitshixo sokuchacha kwakhona ekusebenziseni utywala.

I-Delirium tremens inzima kwaye inokubusongela ubomi. Ezinye iimpawu ezinxulumene nokurhoxiswa kotywala kunokuhlala unyaka okanye nangaphezulu, kubandakanya:

• Ukutshintsha kweemvakalelo
• Ndiziva ndidiniwe
• Ukungalali

Iingxaki zinokubandakanya:

• Ukwenzakala ngenxa yokuwa ngexesha lokuthinjwa
• Ukuzenzakalisa okanye abanye kubangelwa yimeko yengqondo (ukudideka / ukuphambana)
• Ukubetha kwentliziyo ngokungaqhelekanga, kunokuba sesichengeni sobomi
• Ukuxhuzula

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba uneempawu. I-Delirium tremens yimeko engxamisekileyo.

Ukuba uya esibhedlele ngesinye isizathu, xelela ababoneleli ukuba ubusele kakhulu ukuze bakwazi ukujonga iimpawu zokurhoxa etywaleni.

Kunqande okanye kunciphise ukusetyenziswa kotywala. Fumana unyango kwangoko kwiimpawu zokurhoxa etywaleni.

Ukusetyenziswa gwenxa kotywala - i-delirium tremens; Ii-DTs; Ukurhoxiswa kotywala - i-delirium tremens; Ukurhoxiswa kotywala

UKelly JF, uRenner JA. Ukuphazamiseka okunxulumene notywala. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

UMirijello A, D'Angelo C, uFerrulli A, et al. Ukuchongwa kunye nokulawulwa kwesifo sokurhoxisa utywala. Iziyobisi. 2015; 75 (4): 353-365. IINKCUKACHA: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Ukuphazamiseka ekusebenziseni utywala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 33.