Iimbangela, izinto ezijongene nobungozi, ukuxilongwa kunye nokunyangwa kwe-Delirium
Sibanzi
Izigulane ezininzi zididekile emva kokuhlinzwa, kodwa i-delirium uhlobo oluthile lokudideka olunokuthi lwenzeke esibhedlele kwaye ngexesha lokuphulukana nokuhlinzwa . Nangona i-delirium ibangela ukudideka, konke ukudideka akubangelwa yi-delirium.
I-Delirium yimeko yokudideka eyenzeka ngokukhawuleza. Ngokuqhelekileyo kuyimvelo kwimeko - emva kokuba ufumene unyango kwaye uphathwe, isigulane sibuyela kwizinga eliqhelekileyo lokucinga.
Isigulane esididekile kwimihla ngemihla siya kudideka, kwaye kwiimeko ezininzi, ziya kubuya kwinqanaba labo eliqhelekileyo lokudideka emva kokuba i-delirium isisombululo.
Izinto zobungozi
Nangona nabani na onokuhlakulela i-delirium, amaqela athile anakho amathuba okuphuhlisa i-delirium esibhedlele. Ubudala budlala indima, kodwa ubunzima bokugula okwangoku, isigulane esifanelekileyo somsebenzi wemihla ngemihla kwaye yonke impilo yesigulane idlala inxalenye.
- Abantu abadala kunye abadala
- Abantu abaneentsholongwane zeengqondo, i-Alzheimer's's disease okanye olunye uhlobo lweengxaki zempilo yengqondo elinciphisa ukucinga ngokucacileyo okanye kubangela ukudideka
- Abantu abanexinzelelo
- Izigulane
- Izigulane ze-ICU, izigulane ezigulayo
- Izigulane ezinezibhedlele zihlala ixesha elide
- Amanye amayeza
Njengoko unokucinga, umguli oselekhulile onomdemokhrasi ofuna ukunyamekela kakhulu unobungozi obukhulu kunokuba umntu omdala ongekho mingcipheko eyongezelelekileyo esecaleni labucala esibhedlele.
Amacandelo okunyamekela okunzulu , ngokukodwa, aphazamisekile kwiimeko eziqhelekileyo zokulala / ukuhamba, njengoko izigulane zifumana iimpawu ezibalulekileyo eziqhelekileyo, imithi rhoqo, zifumana amayeza amaninzi kwaye zihlala zihlala kumagumbi akhanyayo ngexesha elide . Ngaloo ndlela unokuva i-delirium ebizwa ngokuba yi "ICU Psychosis."
Kuqhelekileyo kubantu abadala kunye nabadala kodwa kunokwenzeka nakweyiphi na ibakala elidala. Kuqheleke ngakumbi kubantu abanomnye uhlobo lwengxaki yengqondo kwimpilo yabo yemihla ngemihla, njengengqondo.
Aba bantu abadala asebekhulile abaneengxaki zokugula komzimba banomngcipheko ophezulu wokuba behla ngokukhawuleza kwiqondo labo xa besesibhedlele.
Iimpawu zokuqala
Ngaphambi kokuba isigulane siqale ukubonisa iimpawu ze-delirium, kukho isigaba sangaphambili ukuba izigulane zinokufumana iiyure okanye iintsuku zangaphambili. Ngeli xesha, izigulane zingabonisa amaphupha acacileyo kakhulu, ubunzima bokulala, isimo sokwesaba okanye ukuxhalabisa okwakungekho phambi kwayo, kwaye unokuqala ukucela ukuhlala rhoqo kwelinye kwigumbi.
Ukutshintsha le miqondiso kwangoko kunokuthetha ukungenelela kwangaphambili kwaye kunokuthintela isigulane ukuba siphumelele kwi-delirium egcweleyo kwiintsuku ezizayo.
Iimpawu
Akukho mvavanyo ye-delirium, ayikwazi ukufunyaniswa ngomsebenzi webhu, kufuneka ufumaneke ngokujonga ukuziphatha kwesigulane kwaye uqinisekise ukuba ukuziphatha kwabo kufana nokuxilongwa kwe-delirium.
Ukuchonga i-delirium kunokuba ngumngeni njengoko kunokungafani kakhulu nesigulane nesigulane.
Ngokuqhelekileyo, abantu abane-delirium banokuba nobunzima bokugxila kwisihloko esisodwa, ngokuqhelekileyo kubonakala bephazamiseka kwaye kaninzi banokunciphisa izinga lokuqonda.
Ukuphazamiseka kwabo kunye neengxaki zengqondo zihlala zibi kakhulu ebusuku, imeko ebizwa ngokuba "ngabalimi bendalo" okanye "i-sununding".
Iingqungquthela kunye noNyango
Aba bantu banokufumana iingcinga kunye neengcinga. Ukutshatyalaliswa kukukholelwa kwenkohlakalo eqhutywe ngumntu. Ngokomzekelo, isigulane esinomdlavuza singakholelwa ukuba umongika uzama ukubabulala, okanye iinambuzane zihlalisa umbhede wazo.
Iintlukwano ziphazamiseka ezibonakalayo. Isigulane sinokubona izilwanyana ezijikelezayo ngeenxa zonke kwigumbi kwaye zibukele zisuka kwikona ukuya kwikona. Basenokungena kwaye bazama ukuchukumisa into engekho, okanye uthethe nomntu ongekhoyo okanye nokuba umntu ofile.
Izimpawu zoMzimba
Ngokomzimba, isigulane kaninzi asikwazi ukulala ngokufanelekileyo, kwaye sinokuqala ukuba nobunzima ngokugwinya, ukuthetha ngendlela eqondakala kalula kunye nengqiqo, kwaye inokuqala ukuthuthumela ngenxa yesizathu esicacileyo.
Le miqondiso kunye neempawu kufuneka zithathwe njengeqela, kungekhona ngabanye. Umntu onokukhawuleza unengxaki yokugwinya mhlawumbi akanalo i-delirium, kodwa isigulane esingakwazi ukuhlala sisekho, asinako ukugwinya, ubona iintaka kwindawo yokubhedlele esibhedlele kwaye engalalanga iintsuku mhlawumbi.
Iintlobo
I-Delirium ingabonisa njengoluhlobo olungapheliyo lwe-delirium okanye uhlobo olungapheliyo. I-delirium engasebenziyo ibangele ukuphazamiseka, isigulane sinokuba siphapheme kakhulu ukuba sinokuthi singakwazi ukulala iintsuku, kwaye kunokubonakala ngathi ziphezulu. Basenokubonakala "bexhatshazwa" okanye baphumule, njengokungathi banakho i-caffeine yokulala. Lo mkhuba uvame ukungaqhelekanga kwimeko yokulaliswa kwabo esibhedlele - bavuke xa umntu kulindeleke ukuba afune ukuphumla kangangoko kunokwenzeka.
Izigulane ze-deliriactive ze-delirium zinokubonakala zibuhlungu, zinyanzele ukunyamezela umsebenzi, zixinezelekile, zilele, kwaye zingenakukwazi ukuzibandakanya kwingxoxo. Olu hlobo luhlala lukhuni kunzima ukuhlula ukugula nokukhathala kunokuba luhlobo olusebenzayo.
Kutheni Kukho Okuqhelekileyo Emva Kobuchopho
I-Delirium ibonakala ngokuphindaphindiweyo kwizigulane zonyango kunabantu abaninzi esibhedlele ngenxa yezizathu ezininzi, zivame ukuba zigula ngaphezu komyinge, zifumana imishanguzo ye- anesthesia engakwazi ukufaka isandla kwi-delirium. ukubuyiswa kwazo kunye nezinye iziyobisi ezinokudambisa i-delirium.
Unyango
Ngaphandle kokunceda isigulane sithole ubuthongo obuphezulu abayidingayo kakhulu, izigulane nge-delirium ziya kufuna kwakhona inkxaso ekunyamekeleni iimfuno eziphambili neziyimfuneko ezingenakukwazi ukulawula xa zigula.
Xa isigulane sinomdilizo, kubalulekile ukuba abasebenzi bebhedlele (kunye nabentsapho kunye nabahlobo abanokutyelela) banceda ukubonelela isigulane ngezinto ezibalulekileyo eziyimfuneko. Ezi zinto zibandakanya ukulala okungaphazamisekiyo, ukutya kunye nokusela rhoqo, ukunyamekela iimfuno zokuhlambela kunye nokuhlaziya rhoqo isiguli esididekile.
Ukuphindaphinda rhoqo kuthetha ukunyamezela isigulane ukuba basesibhedlele, kutheni balapho kwaye liphi usuku kunye nexesha. Ngentsapho kunye nabahlobo, kubaluleke kakhulu ukuba ungabambisani nesigulane esididekile okanye ufumana ukukhohlisa okanye ukucinga. Unokuzama ukunyamekisa isigulane ukuya apho kwaye kwaye kutheni, kodwa ukuphikisana kuya kuphazamisa isigulane kunye nelungu lentsapho.
Kwakhona kubalulekile ukuba ungavusi isigulane xa belele ngaphandle kokuba kubaluleke kakhulu, kwaye abasebenzi banokukhetha ukushiya uphawu olubalulekileyo okanye i-middle medication night that can wait till morning if it means to allow the patient to sleep. Ezinye izakhiwo zibonelela izigulane kunye neenyawo zamehlo kwizigulane ukwenzela ukwandisa umgangatho wobuthongo ngokukhusela ukukhanya okuqhubekayo kunye nengxolo.
Ukuba isiguli asinakuthenjwa ukuba sibe yedwa ngaphandle kokulimala ngenxa yokuwela embhedeni okanye eminye imisebenzi, intsapho, abahlobo okanye abasebenzi basebhedlele kuya kufuneka ukuba babe kwigumbi ngamaxesha onke.
Mayeza
Ukuchonga imbangela ebangela ukuba i-delirium ibalulekileyo kwonyango. Ukuba unyango lubangela ingxaki, yima. Ukuba ukurhoxiswa kotywala , iziyobisi ezingekho mthethweni okanye imithi yinkinga, yiphathe. Ukuba ukulahlwa kanzima kwimeko, unyango lubandakanya ukubonelela indawo efanelekileyo yokulala kunye namayeza okukhuthaza ukulala.
Izibonelelo zokulala zokubhala, ezifana neRamelteon (Rozerem), zisoloko zinikwe ukwenzela ukuba kube lula ukulala , ngelixa ezinye iyeza ezinjengeAtivan zinokubonelelwa ukunciphisa ukuphazamiseka kunye naziphi na iimpawu zokurhoxisa ezikhoyo. Amachiza e-Antipsychotic njengeHald ne-Risperdal angasetyenziselwa, kodwa kufuneka awanikwe kwiindlela eziphantsi kakhulu zokukhusela ukuxakeka kokudideka kwesigulane.
Umthombo:
I-Delirium esebenzayo kwi-Elderly: ukuxilongwa nokuphathwa. Ukongenelela kweZliniki ekuguga. UThomas Robinson noBen Eiseman. Kufumaneka ngoJanuwari 2015. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2546478/