Ukuphazamiseka

Ukuphazamiseka yimeko engathandekiyo yokuvuselela inkanuko. Umntu onomsindo unokuziva ekhathazekile, enochuku, exakekile, edidekile, okanye ecaphuka msinya.

Ukuphazamiseka kunokuza ngesiquphe okanye ngokuhamba kwexesha. Inokuhlala okwemizuzu embalwa, iiveki, okanye iinyanga. Intlungu, uxinzelelo kunye nomkhuhlane konke kunokunyusa ukuphazamiseka.

Ukuxambulisana kukodwa akunakuba luphawu lwengxaki yezempilo. Kodwa ukuba ezinye iimpawu zenzeka, inokuba luphawu lwesifo.

Ukuxubana notshintsho kulumko (utshintsho olwenziweyo) inokuba luphawu lokuphambana. I-Delirium inesizathu sonyango kwaye kufuneka ihlolwe ngumboneleli wezempilo kwangoko.

Zininzi izinto ezibangela ukuphazamiseka. Ezinye zazo zezi:

• Utywala butywala okanye ukurhoxa
• Ukuphendula ngokuchaseneyo
• Caffeine ukunxila
• Iindidi ezithile zentliziyo, imiphunga, isibindi, okanye isifo sezintso
• Ukunxila okanye ukurhoxa kwiziyobisi zokuxhatshazwa (ezinje ngecocaine, intsangu, hallucinogens, PCP, okanye opiates)
• Isibhedlele (abadala abadala bahlala benesifo esibhedlele ngelixa besesibhedlele)
• Ukugqithisa kwe-thyroid gland (hyperthyroidism)
• Usulelo (ngakumbi kubantu abadala)
• Ukurhoxa kweNicotine
• Ityhefu (umzekelo, ityhefu yekhabhon monoksayidi)
• Amanye amayeza, kubandakanya i-theophylline, amphetamines, kunye nee-steroids
• Umonzakalo
• Ukusilela kweVitamin B6

Ukuxhalaba kunokwenzeka ngengqondo kunye nokuphazamiseka kwempilo yengqondo, enje nge:

• Ixhala
• Isifo sengqondo esixhalabisayo (esifana nesifo se-Alzheimer)
• Uxinzelelo
• Imania
• Ischizophrenia

Eyona ndlela ibaluleke kakhulu yokujongana nokuphazamiseka kukufumana nokunyanga unobangela. Ukuphazamiseka kunokukhokelela kumngcipheko wokuzibulala kunye nezinye iindlela zobundlobongela.

Emva kokunyanga unobangela, la manyathelo alandelayo anokunciphisa ukunciphisa:

• Indawo ezolileyo
• Ukukhanya okwaneleyo emini kunye nobumnyama ebusuku
• Amayeza afana ne-benzodiazepines, kwaye kwezinye iimeko, ii-antipsychotic
• Ubuninzi bokulala

MUSA ukubamba ngokwasemzimbeni umntu ophazamisekileyo, ukuba kunokwenzeka. Oku kuhlala kuyenza mandundu ingxaki. Sebenzisa izithintelo kuphela xa umntu esemngciphekweni wokuzenzakalisa okanye abanye abantu, kwaye ayikho enye indlela yokulawula indlela yokuziphatha.

Nxibelelana nomnikezeli wakho ngenkathazo ethi:

• Ihlala ixesha elide
• Inzima kakhulu
• Kwenzeka ngeengcinga okanye ngezenzo zokuzenzakalisa wena okanye abanye
• Ivela nezinye, iimpawu ezingachazwanga

Umboneleli wakho uya kuthatha imbali yezonyango kwaye enze uvavanyo lomzimba. Ukuqonda ngcono ukuphazamiseka kwakho, umboneleli wakho unokukubuza izinto ezithile malunga nokuphazamiseka kwakho.

Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi (njengokubalwa kwegazi, ukuhlolwa kosulelo, uvavanyo lwe-thyroid, okanye amanqanaba e-vitamin)
• Intloko ye-CT okanye intloko ye-MRI scan
• Ukugqobhoza iLumbar (impompo yomqolo)
• Uvavanyo lomchamo (kuvavanyo losulelo, ukuvavanywa kweziyobisi)
• Iimpawu zeVital (ubushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, uxinzelelo lwegazi)

Unyango luxhomekeke kwisizathu sokuphazamiseka kwakho.

Ukungazinzi

Umbutho weAmerican Psychiatric Association iwebhusayithi. Ischizophrenia spectrum kunye nokunye ukuphazamiseka kwengqondo. Ku: Umbutho wezengqondo zaseMelika. Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika; Ngo-2013: 87-122.

Inouye SK. I-Delirium kwisigulana esidala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 25.

UPrager LM, u-Ivkovic A. Uxinzelelo lwengqondo olungxamisekileyo. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahl 88.