Delirium: Kupambana Kwambiri kwa Imfa ndi Kuopsa Kwambiri kwa Dementia

Delirium ndi vuto lalikulu lomwe nthawi zambiri limagwirizana ndi matenda , kugwiritsira ntchito mankhwala kapena kuchotsa mankhwala osokoneza bongo kapena mowa. Zizindikiro za delirium zimaphatikizapo chisokonezo, kukumbukira, kutaya mphamvu yolankhulirana, kusintha mwa kukhala maso (mwina osasunthika komanso osokonezeka ) kapena kuchepa. Ngakhale kuti nthawi zambiri imasinthika, delirium si chinthu chomwe chingachotsedwe mwachisawawa, makamaka pamene chimafika munthu wamkulu.

Kafukufuku wambiri wasanthula zotsatira za delirium kwa anthu. Izi zikuphatikizapo:

Kotero, Tsopano Chiyani?

Deliriamu amakhudza pafupifupi 33% akuluakulu omwe amapita kuzipatala zam'chipatala, koma kafukufuku wina akuwonetsa kuti osachepera theka la milandu ya delirium amavomerezedwa ndikuchiritsidwa (University of Arizona Medical School).

Malinga ndi kafukufuku wa kafukufuku wambiri, zoopsa za delirium zikuphatikizapo mbiri ya kuthamanga kwa magazi (kuthamanga kwa magazi) , zaka, kugwiritsa ntchito mawotchi, komanso mapulitsi apamwamba a Physiology ndi Chronicle Assessment (APACHE).

Dziwani zizindikiro za delirium, kusiyanitsa pakati pa delirium ndi dementia, ndi momwe mungazindikire delirium mwa munthu amene ali ndi chifuwa chachikulu cha dementia. Kumbukirani kuti munthu amene ali ndi matenda a dementia ndipo ali m'chipatala ali pachiopsezo chokhalira wokondweretsa.

Ngati muwona zizindikiro za delirium m'banja lanu, mvetserani kwa adokotala kuti khalidwe lake ndi msinkhu wake sizowoneka bwino kwa iye. Ayenera kudziwa kuti mukuwona kusintha kuchokera mwachizoloŵezi.

Ngati mungathe, pita nthawi yambiri ndi wokondedwa wanu kuchipatala. Kukhalapo kwanu kungachepetse nkhaŵa ndipo mwina kuchepetsa kufunikira kwa mankhwala omwe angagwiritsidwe ntchito kuti athetse anthu kapena kugwiritsa ntchito zoletsa. Ngakhale pali mankhwala omwe mankhwalawa ndi othandiza komanso ogwira ntchito, amakhalanso ndi mankhwala ena omwe amachititsa kuti asokonezeke komanso nthawi zina amasokonezeka.

Njira zina zomwe zingatheke pofuna kuchepetsa kapena kuchepetsa kuperewera zimaphatikizapo kuonetsetsa kuti magalasi a maso ndi zothandizira kumva (ngati zili zoyenera) akugwiritsidwa ntchito, kugwiritsa ntchito mawotchi ndi makalendala kuti apitirize kukambirana, komanso kulimbikitsa chakudya chokwanira komanso chakudya chokwanira.

Zotsatira:

Ubongo 135 (2012) 2809-2816. Delirium ndi chiwopsezo chachikulu cha matenda a maganizo a munthu akale kwambiri: kafukufuku wamagulu a anthu. http://brain.oxfordjournals.org/content/135/9/2809.full?sid=4a215262-c27b-493e-8329-36fcab549826

General Hospital Psychiatry 34 (2012) 639-646. Kuwonjezeka, kuchulukitsa, chiopsezo chotenga ngozi ndi zotsatira za delirium mu unit unit chachikulu: phunziro kuchokera ku India. http://www.sciencedirect.com/science/article/pii/S0163834312002009

General Hospital Psychiatry. 2014 May 17.pii: S0163-8343 (14) 00108-X. Kufufuza meta kwa odwala omwe akudwala kwambiri kumawulula zingapo zomwe zingayambitse vutoli. http://www.ncbi.nlm.nih.gov/pubmed/24950918

University of Arizona Medical Center. November 17, 2013. Delirium. http://www.acponline.org/about_acp/chapters/az/13mtg/thienhaus.pdf