Delirium tremens: chii icho chiri, chinokonzeresa uye kurapwa

Zvemukati

• Ungaziva sei
• Maitiro ekusimbisa
• Zvinokonzera
• Kurapwa kunoitwa sei

O delirium, anonziwo Delirium Tremens, iyo mamiriro ekuvhiringidzika kwepfungwa anomuka nekukasira, uye anokonzeresa shanduko mukuziva, kutarisisa, maitiro, ndangariro, kufunga, kutungamira kana imwe nzvimbo yekuziva, zvichikonzera hunhu hunowanzo chinjana pakati pekukotsira zvakanyanya uye kusagadzikana.

Iyo inozivikanwawo seAcute Confusional State, iyo delirium zvine chekuita neshanduko yehuropi, uye inowanzo bata, kunyanya, vakwegura vari muchipatara kana nerumwe rudzi rwekushushikana, senge chirwere cheAlzheimer, kana vanhu vanorega kunwa doro uye zvinodhaka, kunyangwe hazvo chikonzero chaicho chisina kujeka.

Kurapa iyo delirium zvinokurudzirwa, pakutanga, kugadzirisa izvo zvinogona kukonzeresa mamiriro aya, sekurapa hutachiona, kugadzirisa mishonga, kuronga nharaunda kana kugadzirisa kurara, semuenzaniso. Mune zviitiko zvakakomba zvakanyanya, chiremba anogona zvakare kukurudzira kushandiswa kwemishonga yekurapa, seHaloperidol, Risperidone, Quetiapine kana Olanzapine.

Ungaziva sei

Zviratidzo zvikuru zvinoratidza delirium vari:

• Kutarisisa uye kusagadzikana;
• Kukotsira kana kusava nehanya;
• Kusakwanisa kuteerera mirairo;
• Kuchinjika kwekurara-kumuka kutenderera, mukati umo munhu anoramba akamuka husiku uye akarara masikati;
• Kuvhiringidzika;
• Usatambe nhengo dzemhuri kana vaunoziva;
• Kuyeuka ndangariro, kunyangwe kurangarira mazwi;
• Kakawanda kutsamwa uye kutsamwa;
• Kamwe kamwe kuchinja kwemanzwiro;
• Hallucinations;
• Kufunganya.

Chinhu chakakosha cheiyo delirium iko kuiswa kwayo kwakanyanya, kubva paawa imwe kuenda pane inotevera, uye, mukuwedzera, ine kosi inochinja-chinja, ndiko kuti, inosiyana pakati penguva yekujairika, kushungurudzika kana kukotsira mukati mezuva rimwe chetero.

Maitiro ekusimbisa

Kuongororwa kwe delirium inogona kusimbiswa nachiremba, uchishandisa mibvunzo yakaita seye Kuvhiringidzika Kuongorora Nzira (CAM), iyo inoratidza kuti hunhu hunokosha hwekusimbisa ndewe:

Zvakakosha kuyeuka kuti iyo "Delirium " zvakasiyana ne "Delirium", sezvo zvichireva kushandurwa kwepfungwa kunoonekwa nekuumbwa kwekutonga kwenhema pamusoro pechinhu, umo munhu ane chivimbo chekuti chimwe chinhu hachigone. Uyezve, kusiyana ne delirium, delirium haina chinokonzera organic uye haina kukonzera shanduko mukutarisa kana kuziva.

Dzidza zvakawanda nezve shanduko iyi muChii ichi uye kuti ungaziva sei kunyengera.

Zvinokonzera

Huru njodzi zviitiko zvekusimudzira kweiyo delirium zvinosanganisira:

• Zera rinopfuura makore makumi matanhatu nemashanu;
• Kuva nechimwe chimiro chedementia, senge chirwere cheAlzheimer kana Lewy dementia yemuviri, semuenzaniso;
• Kushandiswa kwemimwe mishonga, yakadai sedatives, kurara mapiritsi, amphetamine, antihistamine kana mamwe maantibayoti, semuenzaniso;
• Kuiswa muchipatara;
• Kuitwa oparesheni;
• Kushaya zvinovaka muviri;
• Kupera mvura mumuviri;
• Kushandisa doro zvisina kufanira kana zvinodhaka;
• Kuzvidzora panyama, sekurara pamubhedha;
• Kushandiswa kwemishonga yakawanda;
• Kushaya hope;
• Shanduko yenzvimbo;
• Kuva nechirwere chemuviri, senge hutachiona, kutadza kwemoyo kana kurwadziwa kweitsvo, semuenzaniso.

Mune vakwegura, delirium chingave chiratidziro chega chechirwere chakakomba, senge pneumonia, chirwere cheweti, chirwere chemwoyo, sitiroko kana shanduko mumaelectrolyte eropa, semuenzaniso, saka pese painomuka inofanira kuongororwa nekukurumidza nachiremba kana chiremba mukuru.

Kurapwa kunoitwa sei

Nzira huru yekurapa kushushikana iri kuburikidza nemazano anobatsira kutungamira munhu, sekubvumidza kusangana nenhengo dzemhuri panguva yekurapwa, kuchengetedza munhu akatarisana zvine hukama nenguva, zvichivaita kuti vakwanise kuwana karenda neawa uye nekuchengetedza nharaunda yakadzikama, kunyanya husiku, kubvumira kurara murunyararo.

Aya marongero anokurudzira kudzoka mukuziva uye nekuvandudza maitiro. Pamusoro pezvo, vanhu vakura vanopfeka magirazi kana zvekunzwa vanofanirwa kuwana kwavari, vachidzivirira matambudziko mukunzwisisa nekutaurirana. Tarisa uone rumwe gwara pane zvekuita kuti urarame zvirinani nevakuru nekukanganisika kwepfungwa.

Iko kushandiswa kwemishonga kunoratidzwa nachiremba, uye kunofanirwa kuve kuchichengeterwa varwere vane kwakanyanya kusagadzikana, inomiririra njodzi kune kwavo kuchengetedzeka kana kwevamwe. Mishonga inonyanyo shandiswa ndeye antipsychotic, senge Haloperidol, Risperidone, Quetiapine, Olanzapine kana Clozapine, semuenzaniso. Mune zviitiko zve delirium inokonzerwa nekurega kunwa doro kana zvinodhaka zvisiri pamutemo, kushandiswa kwemishonga yekunyaradza, senge Diazepam, Clonazepam kana Lorazepam, semuenzaniso, inoratidzwa.