I-Delirium tremens: yintoni, izizathu kunye nonyango

Umxholo

• Indlela yokuchonga
• Uqinisekisa njani
• Izizathu eziphambili
• Unyango lwenziwa njani

O Ukuphambuka, ekwabizwa ngokuba ngu-Delirium Iminyaka, Yimeko yokudideka kwengqondo evele ngesiquphe, kwaye ibangele utshintsho kulwazi, ingqalelo, isimilo, inkumbulo, ukucinga, ukuqhelanisa okanye enye indawo yokuqonda, ebangela isimilo esihlala sitshintshana phakathi kokozela kakhulu kunye nokuphazamiseka.

Ikwabizwa ngokuba yi-Acute Confusional State, i Ukuphambuka inxulumene notshintsho kwimisebenzi yobuchopho, kwaye ihlala ichaphazela, ubukhulu becala, ukulaliswa esibhedlele kwabantu abadala okanye uhlobo oluthile lwesifo sengqondo esixhalabisayo, njengesifo i-Alzheimer's, okanye abantu abazinkcinkca ngotywala nakwiziyobisi, nangona esona sizathu singacacanga.

Ukunyanga i Ukuphambuka Kuyacetyiswa, ekuqaleni, ukulungisa izinto ezinokubangela le meko, njengokunyanga usulelo, ukulungisa amayeza, ukulungelelanisa imeko-bume okanye ukulala rhoqo, umzekelo. Kwiimeko ezinzima kakhulu, ugqirha unokucebisa ukuba kusetyenziswe amayeza antipsychotic, njengeHaloperidol, iRisperidone, iQuetiapine okanye iOlanzapine.

Indlela yokuchonga

Iimpawu eziphambili ezibonisa Ukuphambuka bazi:

• Ukuqwalaselwa kunye nokuphazamiseka;
• Ukozela okanye ukungakhathali;
• Ukungakwazi ukuthobela imiyalelo;
• Ukuguqulwa komjikelo wokulala, apho umntu ahlala ephaphile ebusuku kwaye elele emini;
• Ukuphazamiseka;
• Ungawamkeli amalungu osapho okanye abantu obaziyo;
• Utshintsho lwenkumbulo, kwanokukhumbula amagama;
• Ukucaphuka rhoqo kunye nomsindo;
• Ukutshintsha ngesiquphe kwemood;
• Ukuba nemibono;
• Ixhala.

Inqaku elibalulekileyo le- Ukuphambuka ukufakwa kwayo okunamandla, ukusuka kwiyure enye ukuya kolandelayo, kwaye, ukongeza, inekhosi eguqukayo, oko kukuthi, iyahluka phakathi kwamaxesha esiqhelo, ukuphazamiseka okanye ukozela ngalo mini.

Uqinisekisa njani

Ukuxilongwa Ukuphambuka Unokuqinisekiswa ngugqirha, usebenzisa amaphepha emibuzo anje nge Indlela yoVavanyo lokuDideka (CAM), ebonisa ukuba ezona mpawu ziphambili zokuqinisekisa zezi:

Kubalulekile ukukhumbula ukuba "Delirium " yahlukile "kwiDelirium", njengoko ithetha inguquko yengqondo ebonakaliswa ngokwenziwa kwesigwebo esingeyonyani malunga nento ethile, apho umntu eqinisekile ukuba into ayinakwenzeka. Ngapha koko, ngokungafaniyo ne- Ukuphambuka, I-delirium ayinasizathu sendalo kwaye ayibangeli kutshintsho ekuqwalaseleni okanye ekwaziseni.

Funda ngakumbi ngolu tshintsho kwi Yintoni kunye nendlela yokuchonga inkohliso.

Izizathu eziphambili

Ezona zinto ziphambili zomngcipheko kuphuhliso lwe Ukuphambuka zibandakanya:

• Ubudala ngaphezu kweminyaka engama-65;
• Ukuba nohlobo oluthile lwesifo sengqondo esixhalabisayo, esifana nesifo sika-Alzheimer okanye isifo sengqondo esixhalabisayo seLeby, umzekelo;
• Ukusetyenziswa kwamayeza athile, njengokuthomalalisa, iipilisi zokulala, i-amphetamine, i-antihistamines okanye ezinye i-antibiotics, umzekelo;
• Ukulaliswa esibhedlele;
• Wenziwe utyando;
• Ukungondleki;
• Ukuphelelwa ngamanzi emzimbeni;
• Ukusetyenziswa gwenxa kotywala okanye iziyobisi;
• Ukuthintelwa komzimba, njengokulala ebhedini;
• Ukusetyenziswa kwamayeza amaninzi;
• Ukungalali ngokwaneleyo;
• Ukutshintsha kwendalo;
• Ukuba nakho nakuphi na ukugula emzimbeni, njengosulelo, ukusilela kwentliziyo okanye iintlungu zezintso, umzekelo.

Kubantu abadala, Ukuphambuka inokuba kuphela kwembonakalo yesifo esixhalabisayo, njenge-pneumonia, usulelo lomchamo, isifo sentliziyo, ukubetha okanye utshintsho kwii-electrolyte zegazi, umzekelo, ke xa sukuba kuvela kufuneka ivavanywe ngokukhawuleza ngugqirha wezonyango okanye ugqirha jikelele.

Unyango lwenziwa njani

Eyona ndlela iphambili yokunyanga i-delirium kukusebenzisa izicwangciso ezinceda ukukhokela umntu, njengokuvumela ukunxibelelana namalungu osapho ngexesha lokulaliswa esibhedlele, ukugcina umntu ejonge ngokunxulumene nexesha, ebenza ukuba babe nokufikelela kwikhalenda kunye newotshi kunye nokugcina imeko ezolileyo, ngakumbi ebusuku, ukuvumela ukulala ngoxolo.

Obu buchule bukhuthaza ukubuyela kulwazi kunye nokuziphatha okuphuculweyo. Ukongeza, abantu abadala abanxiba iiglasi okanye izixhobo zokuva kufuneka bafikelele kuzo, bathintele ubunzima ekuqondeni nasekunxibelelaneni. Jonga isikhokelo ngakumbi malunga nokwenza ukuba uphile ngcono nabantu abadala abanokudideka kwengqondo.

Ukusetyenziswa kwamayeza kubonisiwe ngugqirha, kwaye kufanele kugcinelwe abaguli abanokuphazamiseka okukhulu, okubeka umngcipheko kukhuseleko lwabo okanye olwabanye. Amayeza asetyenziswa kakhulu zii-antipsychotic, ezinje ngeHaloperidol, iRisperidone, iQuetiapine, iOlanzapine okanye iClozapine, umzekelo. Kwiimeko ze Ukuphambuka kubangelwa kukungasebenzisi tywala okanye iziyobisi ezingekho mthethweni, ukusetyenziswa kweziyobisi ezolisayo, ezinje ngeDiazepam, iClonazepam okanye iLorazepam, umzekelo, kuyaboniswa.