Delirium tshee hnyo

Delirium tremens yog ib qho cawv hnyav rau tshem tawm. Nws cuam tshuam nrog kev hloov pauv sai thiab hnyav lub paj hlwb lossis lub paj hlwb.

Delirium tshee tshee tuaj yeem tshwm sim thaum koj tsis haus cawv tom qab lub sijhawm haus cawv ntau, tshwj xeeb yog tias koj tsis noj zaub mov txaus.

Cov tsos mob delirium tshee tuaj yeem yog mob taub hau, kis mob, lossis mob hauv cov neeg uas muaj keeb kwm ntawm kev haus cawv ntau dhau.

Nws tshwm sim feem ntau hauv cov neeg uas muaj keeb kwm ntawm kev haus cawv. Nws yog qhov tshwj xeeb tshaj yog nyob rau hauv cov uas haus 4 rau 5 pints (1.8 txog 2.4 litres) ntawm cawv txiv hmab, 7 rau 8 pints (3.3 txog 3.8 litres) npias, lossis 1 pint (1/2 litres) ntawm dej cawv "nyuaj" txhua hnub tau ntau lub hlis. Cov zaub mov Delirium tshee muaj feem ntau cuam tshuam rau cov neeg uas tau haus cawv ntau dua 10 xyoo.

Cov tsos mob feem ntau tshwm sim li ntawm 48 rau 96 teev tom qab haus dej zaum kawg. Tab sis, lawv yuav tshwm sim li 7 mus rau 10 hnub tom qab haus dej zaum kawg.

Cov tsos mob yuav mob heev dua tuaj, thiab tuaj yeem suav nrog:

• Delirium, uas yog qhov tsis meej pem tam sim ntawd
• Lub cev tshee tshee
• Hloov pauv ntawm lub hlwb
• Agitation, txob taus
• Cov neeg tsaug zog tsaug zog uas ntev txog ib hnub lossis ntev dua
• Txaus siab lossis ntshai
• Kev ua qhov muag (pom los yog hnov ​​cov khoom uas tsis muaj tiag)
• Kev tawg ntawm lub zog
• Kev hloov pauv sai
• Nyob tsis tswm
• Hnov mus rau lub teeb, suab, kov
• Lub siab ruam, nkees nkees, qaug zog

Mob chua leeg (tej zaum yuav tshwm sim yam tsis muaj lwm cov tsos mob ntawm DTs):

• Feem ntau tshwm sim hauv thawj 12 rau 48 teev tom qab haus dej zaum kawg
• Feem ntau cov tib neeg muaj teeb meem yav dhau los los ntawm kev haus cawv tawm
• Feem ntau feem ntau tonic-clonic qaug dab peg

Cov tsos mob ntawm kev haus cawv, nrog rau:

• Kev ntxhov siab, kev nyuaj siab
• Nkees
• Mob taub hau
• Insomnia (nyuaj poob thiab pw tsaug zog)
• Txoj kev tsis paub qhov muag lossis qhov npau taws
• Tsis qab los noj mov
• Xeev siab, ntuav
• Mob tsaj, dhia zoo li, tshee tshee, tshee tshee xwb (kev xav ntawm lub siab khiav ceev)
• Tawv nqaij daj
• Hloov kev xav ceev ceev
• Tawm hws, tshwj xeeb tshaj yog ntawm xib teg ob txhais tes lossis ntsej muag

Lwm cov tsos mob uas yuav tshwm sim:

• Kev mob hauv siab
• Ua npaws
• Plab mob

Delirium tremens yog mob ti tes ti taw.

Tus kws kho mob yuav kuaj xyuas lub cev. Cov cim tej zaum yuav muaj:

• Kev tawm hws hnyav
• Nce startle reflex
• Lub plawv dhia tsis xwm yeem
• Teeb meem nrog lub qhov muag txav
• Lub plawv dhia nrawm
• Cov leeg ceev ceev tshee

Cov kev xeem hauv qab no tuaj yeem ua:

• Cov ntshav magnesium qib
• Ntshav phosphate theem
• Cov vaj huam sib txig ua tiav ntawm vaj tsev
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Toxicology npo

Lub hom phiaj ntawm kev kho mob yog:

• Txuag tus neeg lub neej
• Txo cov tsos mob
• Tiv thaiv kom tsis txhob muaj teeb meem

Xav tau nyob hauv tsev kho mob. Pab neeg saib xyuas kev noj qab haus huv yuav tshuaj xyuas tas li:

• Ntshav chemistry cov txiaj ntsig, xws li cov qib electrolyte
• Qeb hauv lub cev theem
• Cov cim qhia tseem ceeb (ntsuas kub, mem tes, ua pa npaum li cas, ntsuas ntshav)

Thaum nyob hauv tsev khomob, tus neeg yuav tau txais tshuaj:

• Nyob twj ywm thiab so (sedated) kom txog thaum DTs tiav lawm
• Kho mob qaug dab peg, ntxhov siab lossis tshee
• Kho kev puas siab puas ntsws, yog tias muaj

Lub sij hawm ntev tiv thaiv kev kho mob yuav tsum pib tom qab tus neeg zoo los ntawm DT cov tsos mob. Qhov no yuav koom nrog:

• Lub sijhawm "ziab tawm", nyob rau hauv uas tsis pub dej cawv
• Kev zam tag nrho thiab lub neej tsis pub haus cawv (quav cawv)
• Kev sab laj
• Mus txhawb nqa pawg (xws li Cawv Cawv Tsis Qhia)

Kev kho mob tej zaum yuav xav tau rau lwm cov teeb meem kev kho mob uas tuaj yeem tshwm sim nrog haus cawv, suav nrog:

• Quav cawv cardiomyopathy
• Cawv muaj mob rau daim siab
• Cawv mob neuropathy
• Mob ntsws Wernicke-Korsakoff

Mus koom ib pab txhawb nqa tsis tu ncua yog tus yuam sij rau rov zoo los ntawm kev haus cawv.

Delirium tshee muaj qhov hnyav thiab ua rau muaj kev phom sij txog lub neej. Qee cov tsos mob ntsig txog tshem tawm cawv yuav nyob rau ib xyoo lossis ntev dua, suav nrog:

• Kev xav kev xav
• Cov nkees nkees
• Tsis tsaug zog

Teeb meem tuaj yeem suav nrog:

• Kev raug mob los ntawm kev ntog thaum qaug dab peg
• Raug mob rau nws tus kheej lossis lwm tus mob los ntawm lub hlwb (tsis meej pem / delirium)
• Lub plawv dhia tsis xwm yeem, yuav ua lub neej tsis zoo
• Qaug dab peg

Mus rau chav kho mob ceev lossis hu rau tus npawb xov tooj xwm ceev hauv nroog (xws li 911) yog tias koj muaj cov tsos mob. Delirium tshee tshee yog qhov xwm ceev.

Yog tias koj mus rau lub tsev kho mob rau lwm qhov laj thawj, qhia rau cov kws kho mob yog tias koj tau haus cawv ntau dhau lawm lawv tuaj yeem tsom kwm koj txog cov tsos mob ntawm kev haus cawv.

Txav lossis txo qis kev haus cawv. Tau txais kev kho mob sai rau cov tsos mob ntawm kev tshem tawm cawv.

Cawv kev tsim txom cawv - delirium tshee; DTs; Cawv tshem tawm - delirium tshee; Cawv kev tshem tawm delirium

Kelly JF, Renner JA. Cawv-cuam tshuam txog dej cawv. Hauv: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Tsev Kho Mob Chaw Kho Mob Chaw Kho Mob Puas Siab NtswsCov. 2nd ed. Philadelphia, PA: Elsevier; 2016: chap 26.

Mirijello A, D'Angelo C, Ferrulli A, li al. Kev txheeb xyuas thiab kev tswj hwm ntawm tus neeg haus cawv haus cawv. TshuajCov. Xyoo 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

OOOG PG. Kev siv dej cawv ua rau muaj teeb meem. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.