Delirium: Isikhundla Esiphezulu Sokufa kanye Nengozini Yokukhula Ye-Dementia

I-Delirium yisimo esinzima esivame ukuhlobene nokutheleleka , ukusebenzisana kwezidakamizwa noma ukuhoxiswa kwezidakamizwa noma utshwala. Izimpawu ze-delirium zifaka ukudideka, ukulahlekelwa inkumbulo , ukunciphisa ikhono lokukhulumisana, ushintsho ekuqapheleni ( okungenakuphumula nokuthukuthela noma ukwehla) nokuncipha ukunakwa. Ngenkathi kuvame ukuguqulwa, i-delirium akuyona into engasuswa ngokukhululekile, ikakhulukazi uma ikhula kumuntu omdala osekhulile.

Ucwaningo oluningi luye lwacwaninga imiphumela ye-delirium kubantu. Lokhu kufaka:

Ngakho, manje?

I-Delirium ithinta cishe abantu abangama-33% asebekhulile abafika eminyangweni yezimo eziphuthumayo esibhedlela, kodwa ucwaningo oluthile lucacisa ukuthi ngaphansi kwengxenye yamacala e-delirium ahlonishwa futhi aphathwa (i-University of Arizona Medical School).

Ngokwezibuyekezo zocwaningo oluthile, izici zokubeka ingozi ye-delirium zihlanganisa umlando wegazi ophezulu (umfutho wegazi ophakeme) , ubudala, ukusetshenziswa kwe-ventilator mechanical, kanye nePhysical Physiology Ephakeme kanye Nokuhlolwa Kwezempilo Okungapheli (APACHE) II.

Yazi izibonakaliso ze-delirium, ukuthi ungahlukanisa kanjani i-delirium ne-dementia, nokuthi ungabona kanjani i-delirium kumuntu osevele ene-dementia. Khumbula ukuthi umuntu onesifo sengqondo sokugula nokugula esibhedlela usemngciphekweni wokuthuthukisa i-delirium.

Uma ubona izimpawu ze-delirium kulungu lomndeni wakho, xhumana ngokucacile nabasebenzi bezokwelapha ukuthi ukuziphatha kwakhe kanye nezinga lokudideka akuyona into evamile kuye. Kudingeka bazi ukuthi ubona ushintsho oluvamile.

Uma ukwazi, sebenzisa isikhathi esengeziwe nomuntu othandekayo esibhedlela. Ukuba khona kwakho okujwayelekile kunganciphisa ukukhathazeka futhi mhlawumbe kunciphise isidingo semithi engasetshenziselwa ukuzolalisa abantu noma ukusetshenziswa kwezivimbelo zomzimba. Yize kunezimo lapho lezi mithi ziwusizo futhi zisebenzayo, nazo zinekhono lokusebenzisana neminye imithi futhi zingabangela ukuqina nokudideka okukhulu ngezikhathi ezithile.

Okunye ukungenelela okungenzeka ukuzama ukuvimbela noma ukunciphisa i-delirium kuhlanganisa ukuqinisekisa ukuthi izibuko zeso nezindlebe zokuzwa (uma kufanelekile) zikhona, zisebenzisa amawashi namakhalenda ukwandisa ukuma , nokugqugquzela ukutholakala kokudla okufanele nokudla.

Imithombo:

Ubuchopho 135 (2012) 2809-2816. I-Delirium iyinhloko engozini yokudemeka kwengqondo kundala endala: isifundo seqembu esisekelwe kubantu. http://brain.oxfordjournals.org/content/135/9/2809.full?sid=4a215262-c27b-493e-8329-36fcab549826

I-General Hospital Psychiatry 34 (2012) 639-646. Ukukhubazeka, ukusabalalisa, ingozi yengozi kanye nomphumela we-delirium enyunithi yokunakekela kakhulu: isifundo esivela eNdiya. http://www.sciencedirect.com/science/article/pii/S0163834312002009

I-General Hospital Psychiatry. 2014 Meyi 17.pii: S0163-8343 (14) 00108-X. Ukuhlaziywa kwemitha yezigulane ezigulayo kubonisa amathuba amaningana angabangela ingozi ye-delirium. http://www.ncbi.nlm.nih.gov/pubmed/24950918

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