Utywala i-delirium yigama lenzululwazi yonyango yezinto ezibizwa ngokuba ngumfiva omhlophe. Esi sifo sisifo sengqondo ngenxa yempembelelo yotywala, emva kokuyeka ukusela ngenxa yesibini okanye yesihlanu. Kubonakaliswa kwindlela yokubonakalisa i-hallucinations, i-chills kwaye iyingozi kakhulu kuba isigulane sinokulimaza emzimbeni.
Delirium - yintoni na?
I-Delirium yithuba elifutshane (ukusuka kwiyure ukuya kwiintsuku eziliqela) kwengqondo. Eli gama livela kwisiLatini igama elithi delirium kwaye lithetha "ukuhlanya, i-delirium." Ukubonakaliswa kwengqondo ye-psychosis kukuphulaphula ulwazi ngendlela yokwakhiwa kweengcamango, ukuqonda okuxhambileyo, kunye ne-coma. Le meko ivela ngenxa yeengxaki ezidibene ne-cerebral nezifo eziqhelekileyo, phantsi kwefuthe leemichiza, xa unqande umlutha weziyobisi, ngokungabikho kokulala.
Izizathu ze-delirium
Utywala obunxilisayo - oku kubizwa kwimihla ngemihla umkhuhlane omhlophe, obangelwa ukupheliswa okudakileyo kotywala phakathi kwezidakwa, kunye nokudlula kakhulu - ukusetyenziswa ngokugqithiseleyo "kwenyoka eluhlaza". Ukubeka oku kuxilongwa ugqirha-ingqondo yengqondo kuphela ekuboniswaneni kunye ne-narcologist. Ubume bentsholongwane yengqondo echazwe rhoqo buyafana, oko kuxhomekeke kwizinto zangaphandle. Izizathu zesifo sengqondo zihlukaniswe ngamaqela amathathu:
- I-Delirium kwizifo zesistim se-nervous central - i-meningitis, isithuthwane.
- Ngezifo ze-somatic system - i-renal, i-pulmonary, ukuhluleka kwentliziyo .
- Ngenxa yokuxilisa ixesha elide lomzimba - utywala, iziyobisi, iimveliso zonyango.
Iimpawu zokunxiliswa kotywala
Izibonakaliso zesiselo sokusela utywala ziqala ngaphambi kokuhlaselwa ngokukhawuleza, ngamanye amaxesha kwiintsuku ezimbalwa. Isigulana siyeka ngokukhawuleza sisebenzisa utywala, sithetha ukuba utywala alunamdla kuye; Umoya wakhe uyatshintsha, ngoko ukuthuthumela kwimilenze, ukuhlaziya. Emva koko, kufutshane nobusuku bobusuku, kufike i-delirium ngokuchanekileyo ngokugqithiseleyo kunye nokuguqulwa kwamandla.
I-Delirium enoxwala ibonakaliswe ziimpawu ezilandelayo:
- Urhulumente jikelele.
- Hallucinations.
- Ukulahlekelwa kwememori (ngokukodwa: isigulane sikhumbula idatha yakhe - usuku lokuzalwa, igama lokugqibela - kodwa libala izinto ezilula ngabantu abasondeleyo, kuquka amagama ezihlobo, unokulibala indawo yokuhlala).
- Ukugubha (ukuthuthumela ezandleni, ngamadolo).
- Intetho engabonakaliyo, izivakalisi ezinje, i-delirium.
- Ukuphazamiseka, ukulahleka kwengqondo kunye nexesha.
- Ukufiphala, umkhuhlane, i-pallor, i-chills, ingcinezelo.
Ixesha lokugqibela kotywala ngokugqithiseleyo?
Ezi zigaba zilandelayo zedyrium yotywala zikwahluke kwifomu yayo ebonakalayo, enokuthi ibonakaliswe njengento yonke kanye, kwaye ihlale isuka kwiintsuku ezintathu ukuya kwezilishumi:
- Isiqalo - isimo somntu: ukungabi nantoni, intetho iqhubeka rhoqo. Izigulane ziphazamiseka rhoqo kwaye ziphikisana. Banobubele obunyukayo, bavalelwe ngokwabo, bahanjelwa ngeenkumbulo ezicacileyo.
- Isigaba seengcamango , apho iimpawu zangaphambili ziye zahliswa, ukunyuka kwenyuka kuyongezwa. Isigulane esengqondweni kukho imifanekiso eqingqiweyo yokucinga.
- I-delirium yoqobo yotywala iyimfiva emhlophe - umntu uyeka ukuhamba ngexesha, ukungabonakali kubonakala, i-hallucinations ayibonakali nje kuphela, kodwa i-auditory, ingacacile.
Utywala olutywala utywala
Ekubeni i-delirium yotywala ibonakaliswa ngurhulumente ovuyayo, akuyimfuneko ukuyeka ukuxhamla ekhaya. Unyango luyenzeka kwinkathalo enzulu, i-dispensary ye-narcological okanye isibhedlele sengqondo kwaye ihlala malunga neveki, ngamanye amaxesha ngaphantsi. Ukuqala, ukuxhatshazwa kwenziwa, kukho izigaba ezintathu zonyango:
- Ukulawulwa kwezocwangco: igumbi kwiwadi ngelilanga (ukukhanya okuqinileyo kuyisisindo, kwaye ubumnyama buqinisa intliziyo kunye neengcinga), ukwahlukana koluntu. Unyango lujoliswe ekupheliseni ukunyameka nokulala, kuba ukulala kokulala kukubonakalisa ukuba isigulane sinyango.
- Ukuqhayisa umonakalo ngokusebenzisa i-benzodiazepine imishanguzo enokuthula. Amachiza anikwa ngamanani amakhulu.
- Ukusetyenziswa kweziyobisi ukugcina intliziyo: ukusuka kwi- ascorbic acid kunye ne-glucose kwi-nicotinic acid, kuxhomekeke kwinkimbinkimbi yeso sizathu.
Utywala - delirium
Utywala i-delirium ikhula ngenxa yokusetyenziswa kotywala, okuyi-toxin-isetyhe yomzimba. Ukuba abadakayo basebenzisa utywala ekuphuzeni, basenomkhuhlane. Ngenxa yesisifo, kukho iintlobo ezahlukeneyo, kuquka nezifo ezibulalayo. Imiphumo ye-delirium yile ndlela ilandelayo:
- I-Cardiomyopathy (phantse kwiipesenti ezintlanu zamatyala-isiphumo esibulalayo).
- Pneumonia.
- Ukungaphumeleli kwe-Renal.
- Pancreatitis.
- I-cerebral edema.
- Ukuxhatshazwa kwerhafu yetyuwa.