Ukuqonda Izimpawu Ze-Delirium
I-Delirium ne- dementia yizimo ezingahle zidideke, kokubili ukuzwa nokuhlukanisa. Bobabili bangabangela ukulahlekelwa inkumbulo , ukwahlulela okungalungile , ukwehlisa ikhono lokuxhumana , nokusebenza kahle. Nakuba umbuzo we-delirium nge-dementia ungase ubonakale kunzima ukuphendula, kunezinhlobo eziningi phakathi kwalaba ababili, kuhlanganise okulandelayo:
Qala
I-Dementia: I- Dementia iqala kancane kancane futhi ihlonishwa kancane kancane ngokuhamba kwesikhathi. Uma umuntu ohlolwayo engaziwa, ukuthola umbiko wokusebenza kwakhe okujwayelekile kuyisihluthulelo.
I-Delirium: I- Delirium ivame ukushintsha ngokungazelelwe esimweni. Ngolunye usuku, othandekayo wakho wenza kahle, futhi okulandelayo, angase adideke kakhulu futhi akakwazi ukugqoka . I-Delirium nayo ibizwa ngokuthi yi -state acute confusional , enezinto eziyisihluthulelo ukuthi kuyingozi, noma ngokuzumayo.
Isizathu
I-dementia: Isimbangela somqondo we-dementia ngokuvamile isifo ezifana ne- Alzheimer's , ukucindezeleka kwengqondo , isifo somqondo sokungaboni kahle , ukucindezeleka kwangaphambili komzimba noma ukugula okuhlobene.
I-Delirium: I- Delirium ivame ukubangelwa ukugula okuthize, njengokutheleleka komgogodla , ukuphazamiseka komuthi, ukuphuma kwamanzi , ukusebenzisa izidakamizwa ezingekho emthethweni, noma ukuhoxiswa kwezidakamizwa noma utshwala. Imithi esebenzisanayo ingabangela futhi i-delirium , ngakho qiniseka ukuthi udokotela wakho uyayazi yonke imithi, izithako namavithamini osithathayo, noma ngabe izinto zendalo.
Isikhathi
I-Dementia: I- dementia ngokuvamile isifo esingapheli, esiqhubekayo esingenakuphulukiswa. (Kunezinye izimbangela ezibangelwa ukuguquka kwe-dementia ezifana ne- vitamin B12 ukuntuleka , ukucindezelwa okuvamile kwe-hydrocephalus , nokungasebenzi komzimba we-thyroid .)
Delirium: Delirium ingahlala izinsuku ezimbalwa ngisho nezinyanga ezimbalwa.
I-Delirium cishe njalo yesikhashana uma imbangela ibonakala futhi iphathwa.
Amakhono okuxhumana
I-Dementia: Abantu abane-dementia bangase babe nobunzima bokuthola amagama afanele , futhi ikhono lokuziveza liye linciphe kancane njengoba lesi sifo siqhubeka.
I-Delirium: I- Delirium ingabangela ukuthi umuntu akwazi ukukhuluma ngokubambisana noma ngokufanele.
Ukunakekelwa Ukuqapha Nokukhumbula
I-Dementia: Izinga lomuntu lokuqaphelisa alithintekile kuze kube sekugcineni kwezinyathelo ze-Alzheimer's , kanti inkumbulo ithinteke kakhulu kulo lonke lesi sifo.
Delirium: Ku-delirium, okuphambene kuyiqiniso. Ukusebenza kwememori kuvame ukungathinteki kakhulu ku-delirium kodwa ikhono lokugxila nokugcina ukunakekelwa kokuthile noma othile ompofu kakhulu.
Izinga lomsebenzi
I-Dementia: I- Dementia ivame ukungathinteli izinga lomsebenzi womuntu kuze kube yizigaba kamuva.
I-Delirium: Abantu abane-delirium bavame ukusebenza ngokweqile (hyper nokuphumula) noma ngaphansi-abakhuthele (lethargic futhi abasabela kancane) kuqhathaniswa ukusebenza evamile.
Ukwelapha
I-Dementia: Kukhona okwamanje imithi emincane yemithi evunyiwe yi-FDA yokuphatha isifo se-Alzheimer, uhlobo oluvame kakhulu lokuwohloka komqondo . Lezo mithi ayikhambi ukugula komqondo, kodwa ngezinye izikhathi kunganciphisa ukuqhubeka kwezimpawu, kuhlanganise nokulahleka kwememori, ukwahlulela okungalungile , izinguquko zokuziphatha nokuningi.
Delirium: Delirium idinga ukwelashwa ngokushesha ngudokotela. Njengoba ngokuvamile kubangelwa ukugula ngokomzimba noma ukutheleleka, imithi efana nama- antibiotics ngokuvamile ixazulula i-delirium.
Delirium kubantu abane-Dementia
Ukuhlukanisa phakathi kwe-delirium noma i-dementia kubalulekile; Kodwa-ke, umsebenzi olukhuni kungase kubonakale ukuthi kukhona umuntu osuvele ene-dementia. Ngokusho kocwaningo olwenziwa nguFick noFangan, cishe abantu abangu-22% asebekhulile emphakathini abanokukhubazeka kokuthuthukisa isisu. Kodwa-ke, lelo zinga lifinyelela kuma-89% kulabo abane-dementia futhi ababhedlela.
Ukukwazi ukuhlonza i-delirium kumuntu osevele edidekile kubalulekile ekunakekeleni okufanelekile nokuthola ngokushesha.
I-Delirium engaphezu komuntu onesifo sokuwohloka komqondo futhi ixhunywe nengozi engaphezu kokuphindwe kabili kokuqhathaniswa nalabo abane-delirium noma i-dementia yedwa.
Ngakho-ke, ungabona kanjani uDelium ku-Dementia? Nazi izibonakaliso ezingu-7 zokubheka:
- Ukwanda okukhulu
- Ukusekela ngokungajwayelekile ukukhathalela
- Phuma
- Ukusabela okumbi
- Ukunciphisa ukuxhumana
- Inattention
- Ukuphazamiseka kokushintshashintsha
Izwi kusuka
Ukuqonda umehluko phakathi kwe-delirium ne-dementia kungasiza ekuboneni ukuthi othandekayo wakho udinga ukubona udokotela ngokushesha, noma uma kufanele ahlolwe ngesikhathi sokuqokwa okuhleliwe phakathi kwamasonto ambalwa. Qinisekisa ukubika noma yiziphi izimpawu ze-delirium, ikakhulukazi ushintsho okungazelelwe ekusebenzeni noma empilweni, kudokotela wokuhlola kanye nokwelashwa okusheshayo.
Imithombo:
I-Alzheimer's Association. Delirium noma Dementia - Uyazi umehluko?
> Flanagan NM, Fick DM. I-Delirium ixhomeke kakhulu ku-Dementia: Ukuhlola nokuPhikisana. I-Journal ye-Nursing Gerontological . 2010; 36 (11): 19-23.
I-Journal of Gerontology: I-Medical Sciences. 2007, Umq. 62A, No. 11, 1306-1309. I-Delirium Enqotshwe Ngama-Dementia Okubikezelayo Ukusinda Kwamakhophi Ayishumi Nambili Ezigulini Ezikhulile Ezikhishwe Esikhathini Sokuvuselela Ukuvuselelwa.
> Lippmann S, Perugula ML. Delirium noma ukuwohloka komqondo? 2016; 13 (9-10). Https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5141598/.