Delirium tshee: nws yog dab tsi, ua rau thiab kho mob

Zoo Siab

• Yuav ua li cas paub
• Yuav qhia li cas
• Cov tseem ceeb ua
• Yuav kho tus mob li cas

O delirium, tseem hu ua Delirium Tremens, nws yog lub xeev ntawm kev puas siab puas ntsws uas tshwm sim sai, thiab ua rau muaj kev hloov pauv ntawm kev nco qab, saib xyuas, tus cwj pwm, nco, xav, kev paub lossis lwm qhov chaw ntawm kev paub, ua rau tus cwj pwm uas feem ntau hloov ntawm kev haus luam yeeb ntau dhau thiab kev ntxhov siab.

Tsis tas li ntawd hu ua Acute Confusional State, tus delirium nws muaj feem xyuam rau kev hloov pauv ntawm lub hlwb kev ua ub no, thiab nws feem ntau cuam tshuam, feem ntau, cov neeg laus pw hauv tsev kho mob lossis nrog qee yam kev dementia, xws li Alzheimer tus kab mob, lossis tib neeg tsis haus cawv thiab siv tshuaj yeeb, txawm hais tias qhov tseeb tseem tsis tau paub meej.

Los kho tus delirium Nws pom zoo, thaum pib, txhawm rau kho cov xwm txheej uas yuav ua rau muaj qhov xwm txheej no, xws li kev kho tus mob, kho tshuaj noj, npaj ib puag ncig lossis ua kom pw tsaug zog zoo, piv txwv. Hauv qhov xwm txheej loj tshaj plaws, tus kws kho mob kuj tseem tuaj yeem pom zoo kom siv cov tshuaj tiv thaiv kabmob, xws li Haloperidol, Risperidone, Quetiapine lossis Olanzapine.

Yuav ua li cas paub

Cov tsos mob tseem ceeb uas qhia delirium lawv yog:

• Kev tsis xav raug thiab kev ntxhov siab;
• Kev nkees nkees lossis tsis quav ntsej;
• Tsis muaj peev xwm ua raws li cov lus txib;
• Inversion ntawm kev pw tsaug zog lub voj voog, nyob rau hauv uas ib tug tseem nyob thaum hmo ntuj thiab tsaug zog thaum nruab hnub;
• Kev Tsis Txaus Siab;
• Tsis pom cov neeg hauv tsev neeg lossis cov neeg tsis paub;
• Kev nco hloov, txawm tias nco ntsoov cov lus;
• Nquag npau taws thiab npau taws;
• Kev hloov pauv sai hauv kev xav;
• Kev ua si;
• Ntxhov siab vim.

Ib qho tseem ceeb ntawm tus delirium nws yog nws qhov mob hnyav, los ntawm ib teev mus rau tom ntej, thiab ntxiv rau, nws muaj qhov hloov pauv, uas yog, nws txawv ntawm lub sijhawm ntawm kev nyob ib txwm, ntxhov siab lossis tsaug zog thoob plaws ib hnub.

Yuav qhia li cas

Kev kuaj mob ntawm delirium tuaj yeem lees paub los ntawm tus kws kho mob, siv cov lus nug xws li Kev Ntsuam Xyuas Tsis Txaus Txoj Hau Kev (CAM), uas qhia tias cov yam ntxwv tseem ceeb rau kev pom zoo yog:

Nws yog ib qho tseem ceeb kom nco ntsoov tias "Thaij khoom " nws txawv ntawm "Delirium", raws li nws txhais tau tias lub hlwb hloov pauv los ntawm kev tsim cov kev txiav txim tsis muaj tseeb txog qee yam, uas tus neeg muaj kev ntseeg tias qee yam tsis yooj yim sua. Tas, tsis zoo li cov delirium, delirium tsis muaj cov organic ua thiab tsis ua rau muaj kev hloov pauv hauv kev saib xyuas lossis paub txog.

Kawm paub ntxiv txog qhov kev hloov pauv ntawm Qhov no yog dab tsi thiab yuav ua li cas thiaj paub qhov kev tsis meej.

Cov tseem ceeb ua

Cov ntsiab kev pheej hmoo tseem ceeb rau kev nthuav dav ntawm delirium suav nrog:

• Muaj hnub nyoog tshaj 65 xyoos;
• Piv txwv qee yam kev dementia, xws li Alzheimer tus kabmob lossis Lewy lub cev dementia, piv txwv;
• Siv qee yam tshuaj noj, xws li tshuaj noj kom tsaug zog, tshuaj tsaug zog, amphetamine, antihistamines lossis qee yam tshuaj tua kab mob, piv txwv;
• Raug mus pw kho mob;
• Tau txais kev phais mob sab nrauv;
• Kev noj haus tsis muaj zog;
• Lub cev qhuav dej;
• Kev siv dej caw lossis siv tshuaj yeeb;
• Kev tiv thaiv lub cev, xws li muab pub pw;
• Kev siv ntau yam tshuaj;
• Pw tsaug zog deprivation;
• Hloov ib puag ncig;
• Xws li muaj mob rau lub cev, xws li mob kis, mob plawv lossis raum mob, piv txwv.

Hauv cov laus, delirium nws yuav yog qhov tsuas pom ntawm ib qho mob loj, xws li mob ntsws, mob txeeb zig, mob plawv, mob hlab ntsha tawg lossis hloov ntshav electrolytes, piv txwv li, yog li thaum twg nws tshwm sim nws yuav tsum tau ntsuas sai sai los ntawm tus kws kho mob geriatrician lossis kws kho mob.

Yuav kho tus mob li cas

Qhov tseem ceeb ntawm kev kho tus mob delirium yog los ntawm cov tswv yim uas pab coj tus neeg, xws li kev tiv tauj nrog cov neeg hauv tsev neeg thaum mus pw hauv tsev kho mob, ua kom tus neeg mob siab rau kev sib raug zoo nrog lub sijhawm, ua rau lawv muaj kev nkag mus rau daim ntawv qhia hnub thiab moos thiab tswj hwm thaj chaw ib puag ncig. thaum tsaus ntuj, txhawm rau kom pw tau zoo.

Cov tswv yim no txhawb kom rov qab mus rau kev paub txog thiab txhim kho tus cwj pwm. Ntxiv rau, cov neeg laus uas coj tsom iav los yog cov khoom pab hnov ​​lus yuav tsum muaj kev nkag mus cuag tau lawv, zam kev nyuaj rau kev nkag siab thiab sib txuas lus. Txheeb xyuas cov lus qhia ntxiv kom paub seb yuav ua li cas thiaj li ua neej zoo dua nrog cov neeg laus nrog kev puas siab puas ntsws.

Kev siv tshuaj yog qhia los ntawm tus kws kho mob, thiab yuav tsum tseg rau cov neeg mob uas muaj kev ntxhov siab loj, sawv cev rau kev pheej hmoo rau lawv tus kheej kev nyab xeeb lossis lwm tus. Cov kev kho mob uas siv dav tshaj plaws yog tshuaj tua kab mob, xws li Haloperidol, Risperidone, Quetiapine, Olanzapine lossis Clozapine, piv txwv. Ntawm delirium tshwm sim los ntawm kev caiv tsis haus dej haus cawv los yog cov tshuaj txhaum cai, kev siv cov tshuaj sedative, xws li Diazepam, Clonazepam lossis Lorazepam, piv txwv, yog qhia.