Kusagadzikana

Kusagadzikana inzvimbo isingafadzi yekumutsa kwakanyanya. Munhu anetseka anogona kunzwa kumutswa, kufara, kusagadzikana, kuvhiringidzika, kana kutsamwa.

Kusagadzikana kunogona kuuya kamwe kamwe kana nekufamba kwenguva. Inogona kugara kwemaminetsi mashoma, kwemavhiki, kana kunyange mwedzi. Marwadzo, kushushikana, uye kupisa muviri zvese zvinogona kuwedzera kushushikana.

Kusagadzikana pachako hakugone kuve chiratidzo chedambudziko rehutano. Asi kana zvimwe zviratidzo zvikaitika, zvinogona kuve chiratidzo chechirwere.

Kushungurudzika neshanduko mukusvinura (yakachinja kuziva) inogona kuve chiratidzo che delirium. Delirium ine chikonzero chekurapa uye inofanira kuongororwa nemupi wezvehutano ipapo ipapo.

Kune zvikonzero zvakawanda zvekushungurudzika. Mamwe acho ndeaya:

• Doro kudhakwa kana kubvisa
• Allergic reaction
• Caffeine kudhakwa
• Mamwe mafomu emoyo, mapapu, chiropa, kana hosha yeitsvo
• Kudhakwa kana kubvisa zvinodhaka zvekushungurudzwa (zvakadai secocaine, mbanje, hallucinogens, PCP, kana maopiates)
• Kuchengetwa muchipatara (vakuru vakuru vanowanzoita delirium vachiri muchipatara)
• Kunyanyisa kuita thyroid gland (hyperthyroidism)
• Utachiona (kunyanya kuvanhu vakwegura)
• Nicotine kubvisa
• Chepfu (semuenzaniso, carbon monoxide chepfu)
• Mimwe mishonga, inosanganisira theophylline, amphetamines, uye steroids
• Kushungurudzika
• Vitamin B6 kushomeka

Kusagadzikana kunogona kuitika nehuropi uye hutano hutano hwepfungwa, senge:

• Kufunganya
• Dementia (senge chirwere cheAlzheimer)
• Kushungurudzika
• Mania
• Schizophrenia

Nzira yakakosha kwazvo yekubata nekushushikana kutsvaga nekurapa chikonzero. Kusagadzikana kunogona kutungamira kune yakanyanya njodzi yekuzviuraya uye dzimwe nzira dzechisimba.

Mushure mekurapa chikonzero, matanho anotevera anogona kudzikisira kushushikana:

• Nzvimbo yakadzikama
• Kuvhenekera kwakakwana masikati uye rima usiku
• Mishonga yakadai se benzodiazepines, uye mune zvimwe zviitiko, antipsychotic
• Kurara kwakawanda

Usatore panyama munhu akatsamwa, kana zvichibvira. Izvi zvinowanzoita kuti dambudziko riwedzere. Shandisa kuzvidzora chete kana munhu wacho ari panjodzi yekuzvikuvadza kana vamwe, uye hapana imwe nzira yekudzora maitiro.

Bata mupi wako wekushushikana kuti:

• Inotora nguva yakareba
• Yakanyanya kwazvo
• Zvinoitika nemifungo kana zviito zvekuzvikuvadza iwe kana vamwe
• Inoitika nezvimwe, zvisingatsanangurike zviratidzo

Wako mupi anotora nhoroondo yezvokurapa uye oongorora muviri. Kuti unzwisise zviri nani kusagadzikana kwako, mupi wako anogona kukubvunza zvinhu zvakanangana nezvekushushikana kwako.

Miedzo inogona kusanganisira:

• Kuongororwa kweropa (senge kuverenga kweropa, kuongororwa kwehutachiona, kuongororwa kweiyo thyroid, kana mavitamini)
• Musoro CT kana musoro MRI scan
• Lumbar puncture (musana tap)
• Urine bvunzo (yehutachiona kuongororwa, kuongororwa kwezvinodhaka)
• Zviratidzo zveVital (kupisa, kupisa, kufema, kuwedzera kweropa)

Kurapa kunoenderana nechikonzero chekushushikana kwako.

Kusadzikama

American Psychiatric Association webhusaiti. Schizophrenia spectrum uye zvimwe zvinetso zvepfungwa. Mune: American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Publishing; 2013: 87-122.

Inouye SK. Delirium mune mukuru murwere. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 25.

Prager LM, Ivkovic A. Emergency psychiatry. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits 88.