Delirium - He aha ka mea? Ke etiology o delirium. Lapaau a me ka hopena

Delirium - He aha ka mea? Nauka i kona mau ho'ākāka 'ana - ia mea he exogenous psychosis, ua pōkole-makahiki ano. Loa pinepine ia mau mai i kekahi mau hola i kekahi mau lā. Ke me Kinohi hiki e:

• infectious maʻi;
• intoxication;
• vascular;
• traumatic.

Etiology a me pathogenesis o delirium

Delirium (mea ia mea, e nānā i ka 'atikala) loa pinepine e hoʻomōhala ana i ma:

• alcoholism (ua kapaia "delirium tremens");
• lāʻau (narcotic delirium);
• loa infectious maʻi oolea (ma ka noho pilikia loli ma ke kino ana wela);
• intoxications (a medicaments i pau);
• senile dementia ;
• maʻi o ka mea'ōnaehana mānowai koko'ōnaehana (hypertension, hahauʻana, ke kāʻili 'ana);
• traumatic lolo nā palapū a loa ke koko kahe;
• surgeries (delirium he hoʻonui i ka stress, Kanikani'āʻula, kuni).

E hoomanawanui i ka poe i lawe mai ia i ka moku'āina, ma lalo o like rula, e prone i ka recurrence.

Common symptoms o delirium

Nō kāu, i ka hoʻomaka o ia ka moku'āina i hele mai i loko o ka huʻi palapala. Eia naʻe, ina hele mai kekahi delirium, kekahi symptoms e hōʻike i ka hoʻomaka. Ka mea, i kapaʻia prodromal. Mau nā:

• kāna hana uunu nui;
• ka iini;
• i ka manao o ka makau;
• mahuahua pā lonoaʻili i ka malamalama a me ke kani;
• pioloke hoʻomanawanui ike paka, disorientation.

Inā e 'ike i kēia mau symptoms, e hiki ke olelo ia manawa mea he moku'āina o delirium. Ke kanaka i loko o keia ano i e pioloke moe, a me ka ike maopopo ana i ka 'aʻe' cyclical wā o ka hiamoe a me ka wakefulness. Nō hoʻi, nā mea maʻi i indistinguishable moe a me ka oiaio hallucinations. Hoemiia noonoo ana i ka pili 'stimuli i' ano oluolu e OIeEOEIeAeEIIe ia. Eia hou kekahi, a ua ka meheu o 'ē aʻe ka noʻonoʻo' keʻano o ka hanaʻana ia nunui. A kanaka hiki ole hoomanao mea i lilo aku ai i delirium, a lawe ia i ka hiamoe no e memorizing kanaka apana.

ʻike, no ka maʻi

Aia hoi he mau ana hoʻohālike e kōkua diagnose delirium:

1. Involuntary noonoo, i ka hoʻomanawanui mea,ʻaʻole hiki ke kālele ana ma luna o kekahi o kekahi kumuhana. No ka laʻana, ua he kanaka nele i ka hailona o ka manawa, e 'oe i ka nīnau, e lohe i ka pane.
2. Disorganization o ka manaʻo, a ua hoikeia ma ka oiaio i ka hoʻomanawanui me ka delirium Lele mai kekahi kumuhana i kekahi, a olelo aku i nā akua i ka puni hōʻike.
3. Hoemi nui o ka ike paka i (ole i ka malama ana i ka moku'āina o wakefulness ma ka lā), perceptual haunaele (hikiʻole kaʻike illusion ia paha hallucinations, lei moe, a i ike ma nā mea maʻi like me ka ike maopopo), kue o ka cyclicity o ka hiamoe a me ka wakefulness, mahuahua psychomotor haʻawina, paha, ma ka mea ku ole, kona emi , iaiyoe hoʻopilikia. Mau ana hoʻohālike i e ike ole i ka mea ia manawa, akā, wale kekahi o ia mau mea.
4. ? Ac? Moku'āina o delirium me ka hikiwawe e loaa. IeAUPIIe, IAa IO ka mea, aole e oi aku i kekahi mau lā.
5. Disorientation i ka manawa.

Hiʻona o kaʻike,

Delirium ua wehewehe aku e kokololio a me ka ulia hookahi o symptoms, hiki e diagnose i ka maʻi ma ka hale. Typical nō nā hoʻololi i loko o ka hōʻike ana i kekahi mau symptoms i ka lā. Kōkuaʻike, e kōkua pololei ike i ke ola o kekahi poo nā palapū a me kekahi mau 'kino ai' ole infectious mai, e like me alcoholism a me ka lāʻau 'ino.

Delirium (He aha ka keia, hōʻike mua) pili i ka maʻi i mea treatable. Inā o ka manawa, e wehe aʻe i ke kumu o ka a ia i kena ae la, ka mea he hana hiki hua maikaʻi hopena. Ma kekahi hihia i ka maʻi kahe kona iho, akā, mai malama ole i ke kulana, no ka mea, ka mea hiki complications.

Na rula o ka hana maikaʻiʻole o ka delirium

Inā diagnosed me "delirium", ka iapaau ana e e OAXA e lawe mai i ke kauka. Ka walaʻauʻana rula o ka lapaʻau - manao paa o na kumu. Ma hope i ka ohi a me Ka Ikepili o ka hoʻomanawanui mahele. Ma muli o nā hualoaʻa loaa kauka waihona 'inikua aʻoki lāʻau lapaʻau lapaau.

Ma waho aʻeo ia ke kāpaeʻana i nā kumu o ka delirium, e like me lapaʻau o alcoholism, e lawe ana i ka mea nona e pono ai i ke kahe ana o ka maʻi, a me ka Kāohiʻana o ka hiki complications. E hana i kēia, i ka hoʻomanawanui ua kākoʻoʻia i kekahi ai, e like me electrolyte koena o fluids.

Ma waho aʻeo ia i ke kumu o ka delirium, i ke koho ana o ka iapaau ana ua 'ole ma o ka' ia i loko o a na symptomsʻikeʻia, i ke ahonui o ka makahiki, a me kona neurological kūlana. Iloko o ka loaa kaʻina hana, ka mea, he pono ia i ka hoʻomanawanui me ka oluolu o ka noho.

No ka laʻana, hana maikaʻiʻole o ka delirium tremens ia lŘlŘ e like me ka mea kēia noaia:

• ? eaia "sibazona" a me ka "paʻakai oxybutyrate";
• ka ho'ēmiʻana i loko o ka uku o ka electrolyte kaulike;
• Normalization ka hanu a me ka akemāmā kuleana pili i (ka hoʻohana 'ana i ka hoʻomākaukau "Mannitol");
• reconstitution o ke ake a me ka hakuʻala;
• ka ho'ēmiʻana a me ka hoʻopau o ka hyperthermia;
• lapaʻau o concomitant ka maʻi.

No nā mea maʻi i mea makau a meʻano pākīkē, hoonoho kiaha dala (mea a me ke ano laʻau heluna me ka nānā 'ana i ka hele kauka).

Delirium tremens a me kona ano

Ma alcoholism, ma ka hou i nā mea weliweli ana o ka hoomanawanui, delirium tremens hiki i hoʻomaka ai, a, ma na olelo e ae, o ka delirium tremens.

Delirium tremens (na symptoms e like me na Huiia o nā kumu) - keia mea he huʻi psychosis ma lalo o ka aoao o ka waiʻona. Oia ka moku'āina wehewehe aku ma ka ulia delirium, scary hallucinations, disorientation i ka wa a me ka manawa, kukui-headedness, ka inexplicable makau a me ka aggression, e like me ka nui o ke kāʻalaʻala.

Keia ano ana ia lŘlŘ i loko o nā lā ma hope o ka hoʻomanawanui aɃe ka bout. Ma kekahi mau hihia, he mea i loko ona iho i kaʻona wā. Ka mua pepehi delirium tremens ke'ākoʻakoʻa ma hope o ka pono lōʻihi wā binge. A pau mahope ho'āhewa wale mai i koi i ka lōʻihi binge.

Pehea eʻike delirium tremens?

delirium maʻi pale mea 'ano oluolu keʻike, no ka mea, aia nō kekahi mau hoailona:

1. Ke hoomanawanui aɃe inu waiʻona ma hope o ka binge ma luna o nā kumu i kana mau mea a.
2. Ma ke ahiahi ia ia lŘlŘ naʻau i loko loli, a lawa koke. I loko o kēia wā, i ka hoʻomanawanui i eʻoi aku ka hauʻoli a me ka restless, chattering incessantly, Huila Wai 'Aʻohe.
3. Hoʻokāʻoi 'lala haʻalulu.
4. Ua loaa iaʻu ka pilikia e hiamoe ana. He lilo restless a me ka pōkole-makahiki, pinepine i ka hoʻomanawanui ike loaʻa kūpono. Ma hope o ka loa Kanikani'āʻula kānāwai, a hoʻokāʻoi aʻe ana i ka manao o ka makau, a me ka uunu nui uuku au.
5. Hallucinations hou me ka hoolohe, a me ka pilikia makapō. Ke hoomanawanui i hoʻomaka e lohe kekahi mau leo i allegedly hōʻaʻa ia ia. Ke kākoʻo kiʻi i ala mai loa o kona makau i. Me kela mea keia mea, i koʻu hele lā maoli i ka nui o kēia mau hallucinations.

Kēia moku'āina o ke kanaka e loaa ana mai ka alcoholism, hiki mau mai i kekahi mau lā.

Symptoms o delirium tremens

I ka papa kuhikuhiE symptoms o delirium o kanakaʻona mau me Kinohi mea:

1. Ke kākoʻo hallucinations. Loa pinepine, i ka hoouka hoʻomaka i loko o ke ahiahi, a ua holo pono hoʻokēʻai lawa. Kekahi helu kuhi puke e ike i ka pilikia makapō ka mana kiʻi, lawe malu mai i nā mea a pau o na i na kupu nui. Hallucinations hilinaʻi ma ka hoʻomanawanui ka hopohopo nona. Ma kekahi wahi, i hiki, mau hallucinations mea i ike ia e ke kanaka, e like me ka ike maopopo a oi e like nānā i ke kiʻiʻoniʻoni.
2. Auditory hallucinations. Ka mea, e mai ana ma ka hoʻokaʻawale, akā, me he rula, hui me ka pilikia makapō a me ka loa me ia hui kamaaina. Ke hoomanawanui ke lohe okoa ino, screams, fictional noi no ka kōkua a olelo ao. He Kahalaopuna e hele ana a puni ia mea loa ino, manao e kōkua, akā, mea mortally makaʻu i ka hana ia. I kekahi manawa ka mea, ke alakai mai i keʻano o ia me ka mana interlocutors.
3. Tactile hallucinations. Ka neʻe 'ana a me ka lehalehu t, ka' aoʻao o ke kanaka me ka delirium tremens loa hoʻopili like me ka hihiʻo i ka mea, ua a ahiahiia mai. Ke hoomanawanui hoʻomaka e kūkulu ma luna o ka poʻe i na kupu nui, a ua ike no ia, kāpae i ia, e hūnā, eʻai i loko o ke kihi. Eia hou, ua he kanaka pono Kahalaopuna i kona nahu, ke pa a ano e ae paha eha. Ma ia mau minute, ia mea pilikia loa i ka 'ē aʻe no ka mea, hiki Haiʻina mai i ka mea a me ka oleloia hoʻomaka' ana e hoola i kekahi. Kekahi hopena maikaʻi hopena hiki ia he he pepehi anaʻia iā iho, i mea, he mea kēia e hele aku mai o ia mau leo i ka hoʻomanawanui lohe loko.
4. Disorientation i ka manawa a me ka lewa. No ka moku'āina o delirium ua wehewehe aku ma ka erroneous kohoʻia ma ka makahiki, a me ka manawa. Ke hoomanawanui hiki ole ike pono i kona wahi mea, mea, aole ia i ike i ke kanaka maoli kanaka, manawa kohoʻia ua hoi lakou lehulehu ana. Eia naʻe, e hea aku i ka inoa, i ka inoa a me nā ikepili e hiki ole i kekahi pilikia.

E like me ka rula, ina ka hoʻomanawanui i ka oiaio delirium, symptoms worsen ma ke ahiahi hora. Ma ka auina la o ka ua moku'āina i e kānaka maikaʻi, akā nō,ʻaʻole ke kumukuai o ka mea, e haawi aku i lapaau.

Aia mau manawa, i ka wa o ka hoʻomanawanui ua kokoke loa nalo hoikeana o ka delirium. Keia ano ua kapaia lyutseidny nahā i. I keia manawa, i ka hoʻomanawanui hiki wawe ka hai aku e pili ana i nā mea a pau i ka hallucinations mau mea a pau.

ka hiki hopena

Inā haʻalele untreated delirium (mea ia ua ii aku ai ma ka hoʻomaka o ke 'atikala), ka mea hiki ke alakai i ka complications, pakahi aku la ia i ka physiological loli:

• wela, ma kekahi manawa i ka 40 degere;
• ulu puʻe, ole naʻau pāpana;
• dehydration;
• hoonuiʻakika;
• pilikia o ka neʻe 'ana;
• tremor;
• ole alternating me ka sweating, kekahi manawa he mea heʻala o unwashed kapuai;
• ake hoʻonui;
• paleʻili, a, conversely, kona redness.

Inā 'oe e e hoʻomaka ma ka manawa o ka iapaau ana o ka delirium, mau loli hiki ole ke käpae'. A hiki i ka hoike ana o kēia mau complications ke kamailio e pili ana i ka irreversibility o ke kaʻina.

Loa pinepine i ke kumu o ka make delirium tremens i pili maʻi e like me pneumonia (accompanies iloko loa delirium i loko o 30% o ka hoopii), cardiomyopathy (naau hoʻokō 'ole'), huʻi pancreatitis (kekahi o ka loa, he pono ole opportunistic maʻi delirium tremens), huʻiʻaʻa puʻuwai ole, edema lolo, rhabdomyolysis (rhabdomyolysis).

Kāohiʻana o ka delirium

I mea e hoʻopale ai ia lakou iho, mai hiki hoikeana o ka delirium o likeʻole kêia kanaka, ka mea i pono, e lawe mai Kāohiʻana. Ua nā nā kēia mau hana:

• ke ola i ala o ke ola, i ka pau o ka lapaau ana o alcoholism a me ka lāʻau 'ino;
• 'āwīwī a me ka pololei hana o kela neurological a me ka somatic maʻi i mea e pale aku hiki complications;
• manao ana o ka laau lapaau, ole-iho, i ka pau antidepressants, hypnotics, anxiolytics;
• akahele waiu, i loko o ka postoperative manawa, ka oi aku no ka mea kūpuna.

He aha kauka ke kōkua?

Inā e manaʻo ai i kēia ulu ana i loko o kou 'ohana a me nā hoaaloha delirium, nīnau aku i ka neurologist a narcologist. A laila, pale undesirable hopena pono holomua.