Kumvetsetsa Zizindikiro za Deliriamu
Deliriamu ndi matenda a maganizo ndizo zikhalidwe zomwe zingakhale zosokoneza, zonse kuti zidziwe ndi kusiyanitsa. Zonsezi zingayambitse kukumbukira kukumbukira , kusaweruzika , kuchepa kwa kuyankhula , ndi kuwonongeka kwa ntchito. Ngakhale kuti funso la delirium vs dementia lingakhale lovuta kuyankha, pali kusiyana kwakukulu pakati pa ziwiri, kuphatikizapo zotsatirazi:
Kuyamba
Dementia: Dementia imayamba pang'onopang'ono ndipo imazindikira pang'onopang'ono patapita nthawi. Ngati munthu yemwe akuyesedwa sakudziwika, kupeza mbiri ya ntchito yake yachizolowezi ndikofunika.
Deliriamu: Deliriamu nthawi zambiri amasintha mwadzidzidzi. Tsiku lina, wokondedwa wanu akuchita bwino, ndipo lotsatira, akhoza kukhala wosokonezeka komanso osakhoza kuvala . Delirium amadziwikanso ngati dziko lovuta kwambiri , komanso chinthu chofunika kwambiri, kapena mwadzidzidzi.
Chifukwa
Dementia: Chifukwa cha chifuwa cha dementia ndi matenda monga Alzheimer's , dementia , matenda ovutika maganizo , thupi la dementia , kapena matenda ena.
Delirium: Delirium nthawi zambiri imayambitsidwa ndi matenda ena, monga matenda a mkodzo , chibayo , kutaya thupi , kusokoneza mankhwala osokoneza bongo, kapena kuchotsa mankhwala osokoneza bongo kapena mowa. Mankhwala omwe amathandizana wina ndi mzake angayambitsenso delirium , kotero onetsetsani kuti dokotala wanu amadziwa mankhwala onse, mankhwala owonjezera ndi mavitamini omwe mukuwatenga, ngakhale ndi zinthu zachilengedwe.
Nthawi
Dementia: Matenda a Dementia nthawi zambiri ndi matenda osapitirira, osachiritsika. (Pali zifukwa zina zomwe zimayambitsa matenda a dementia monga vitamini B12, kuchepa kwa hydrocephalus , ndi kutsekemera kwa chithokomiro .)
Deliriamu: Deliriamu akhoza kukhala kwa masiku angapo kwa miyezi ingapo.
Delirium nthawi zonse amakhala yachisawawa ngati chifukwa chake chikudziwika ndi kuchiritsidwa.
Maluso Olankhulana
Dementia: Anthu omwe ali ndi matenda a 'dementia' akhoza kukhala ovuta kupeza mawu abwino , ndipo kuthekera kwa kudziwonetsa pang'onopang'ono kumawonongeka pamene matendawa akupita.
Deliriamu: Deliriamu akhoza kukhala yaikulu komanso yosasinthika kukhumudwitsa luso la munthu kulankhula molumikizana kapena moyenera.
Zindikirani Zomwe Zimakuchitikirani ndi Kukumbukira
Dementia: Kusamala kwa munthu sikungakhudzidwe mpaka kumapeto kwa Alzheimer's , pamene kukumbukira kumakhudza kwambiri matendawa.
Delirium: Mu delirium, zosiyana ndi zoona. Kugwira ntchito kukumbukira nthawi zambiri sikumakhudzidwa kwambiri ndi delirium koma kukhoza kuganizira ndi kusamalira kanthu kapena wina ndi wosauka kwambiri.
Mzere wa Ntchito
Dementia: Dementia samawoneka kuti sakhudzidwa ndi ntchito ya munthu mpaka nthawi zina.
Delirium: Anthu omwe ali ndi delirium nthawi zambiri amagwira ntchito mopitirira malire (hyper ndi osasinthasintha) kapena osagwira ntchito (lethargic ndi osamvera pang'ono) poyerekeza ndi kugwira ntchito nthawi zonse.
Chithandizo
Dementia: Pakalipano pali mankhwala ochepa ovomerezedwa ndi FDA kuti athetse matenda a Alzheimer, omwe ndi ofalitsa ambiri . Mankhwalawa samachiritsa matenda a maganizo, koma nthawi zina amalepetsa kuchepa kwa zizindikiro, kuphatikizapo kukumbukira, kusaweruzika , kusintha kwa khalidwe ndi zina.
Deliriamu: Deliriamu imafuna chithandizo mwamsanga ndi dokotala. Chifukwa kawirikawiri zimayambitsidwa ndi matenda kapena matenda, mankhwala monga antibiotics nthawi zambiri amathetsa vutoli.
Delirium mwa Anthu Amene Ali ndi Dementia
Kusiyana pakati pa delirium kapena dementia n'kofunika; Komabe, ntchito yovuta kwambiri ingakhale yodziwitsa munthu amene ali ndi matenda a maganizo. Malinga ndi kafukufuku wina wa Fick ndi Flanagan, pafupifupi akuluakulu 22% mwa anthu omwe ali ndi chifuwa chachikulu chotenga matenda aumtima. Komabe, chiwerengero chimenecho chimafika pa 89% kwa anthu omwe ali ndi matenda a 'dementia' ndipo ali m'chipatala.
Kudziwa momwe mungadziwitse delirium kwa munthu amene wasokonezeka kale ndikofunika kwambiri pa chithandizo choyenera ndi kuchiza msanga.
Delirium amapangidwira munthu yemwe ali ndi chifuwa chachikulu cha umfungo waumphawi komanso akuphatikizidwa ndi chiopsezo choposa chiwiri cha kufa poyerekeza ndi omwe ali ndi delirium kapena dementia okha.
Kotero, mungadziwe bwanji Deliriamu mu Dementia? Nazi zizindikiro zisanu ndi ziwiri zoti muyang'ane:
- Kuwonjezereka kwakukulu
- Zisamalidwe zosadziwika kuti zisamalire
- Imfa
- Zochitika zoopsa
- Kulankhulana kochepa
- Kusalandila
- Kusintha mosamala
Mawu ochokera
Kumvetsetsa kusiyana pakati pa delirium ndi dementia kungakhale kothandiza kudziwa ngati wokondedwa wanu akufuna kuonana ndi dokotala mwamsanga, kapena ngati ayesedwa pamsonkhano womwe uli mkati mwa masabata angapo. Onetsetsani kuti muwonetse zizindikiro zonse za delirium, makamaka kusintha kwadzidzidzi kuntchito kapena thanzi, kwa dokotala kuti awonetsetse ndi kuchiza mwamsanga.
Zotsatira:
Alzheimer's Association. Delirium kapena Dementia - Kodi mukudziwa kusiyana?
> Flanagan NM, Fick DM. Delirium Yadalirika Kwambiri pa Dementia: Kuyesa ndi Kuchitapo kanthu. Journal of Nursing Gerontological . 2010; 36 (11): 19-23.
Journal of Gerontology: Scientific Medical. 2007, Vol. 62A, No. 11, 1306-1309. Delirium Anaphatikizapo Zowonongeka za Dementia 12-Mwezi Kupulumuka Okalamba Okalamba Ochotsedwa Kumalo Otsitsimutsa Pambuyo.
> Lippmann S, Perugula ML. Delirium kapena dementia? 2016; 13 (9-10). Https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5141598/.