I-Delirium: Ilungelo eliphezulu lokufa kunye neengozi yokunyuka kwe-Dementia

I-Delirium yimeko enzima edla ngokubhekiselele kwintsholongwane , ukusebenzisana kwezidakamizwa okanye ukuhoxiswa kweziyobisi okanye utywala. Iimpawu ze-delirium ziquka ukudideka, ukulahleka kwememori , ukunciphisa amandla okuthetha, ukuguqulwa ekuqapheleni (kungakhathaliseki ukuzithemba nokuphazamiseka ) okanye ukunciphisa ingqwalasela. Nangona ngokuphindaphindiweyo ukuguqulwa, i-delirium ayikho into engasuswa ngokukhawuleza, ingakumbi xa ikhula kumdala omdala.

Izifundo ezininzi ziye zaphanda iziphumo ze-delirium kubantu. Ezi ziquka:

Ngoko, Ngoku Yintoni?

I-Delirium ichaphazela malunga nama-33% abantu abadala asebekhulile abakho kwiinkonzo eziphuthumayo zesibhedlele, kodwa uphando oluthile luqikelela ukuba ngaphantsi kwehafu yesigqibo se-delirium ziyabonwa kwaye ziphathwa (iYunivesithi yase-Arizona Medical School).

Ngokutsho kokuphononongwa kwezifundo ezininzi zophando, iziganeko zengozi ye-delirium ziquka imbali yengozi yomshushu (uxinzelelo oluphezulu lwegazi) , ubudala, ukusebenzisa i-ventilator mechanical, kunye nePhysical Psychological Acute kunye noVavanyo lwezeMpilo oluPhezulu (APACHE) II.

Yazi iimpawu ze-delirium, indlela yokwahlula phakathi kwe-delirium kunye nesifo sengqondo se-dementia, kunye nendlela yokubona i-delirium kumntu osuvele ene-dementia. Khumbula ukuba umntu onentsholongwane yentsholongwane kunye nesibhedlele isengozini yokuphuhlisa i-delirium.

Ukuba ubona iimpawu ze-delirium kwilungu lakho losapho, qhagamshelana ngokucacileyo kubasebenzi bezonyango ukuba ukuziphatha kwakhe kunye nezinga lokudideka akuqhelekanga kuye. Bamele bazi ukuba ubona utshintsho oluqhelekileyo.

Ukuba unako, chitha ixesha elongezelelweyo kunye nomthandayo wakho esibhedlele. Ubukho bakho obuqhelekileyo bunokunciphisa ukuxhalabisa kwaye mhlawumbi kunciphise imfuno yonyango engasetyenziselwa ukuzolalisa abantu okanye ukusetyenziswa kwezithintelo zomzimba. Nangona kukho iimeko apho la mayeza anceda kwaye asebenzayo, nawo anokukwazi ukusebenzisana namanye amayeza kwaye angabangela ukunyuka nokudideka kwamanye amaxesha.

Ezinye iindlela zokungenelela ukuzama ukukhusela okanye ukunciphisa i-delirium ziquka ukuqinisekisa ukuba iziglasi zamehlo kunye nezixhobo zokuvalelwa (ukuba zifanelekile) zikhona, kusetyenziswa ama-clocks kunye neekhalenda zokunyusa i- orientation , nokukhuthaza i-hydration eyaneleyo nokutya.

Imithombo:

UBongo 135 (2012) 2809-2816. I-Delirium yinto ebalulekileyo yengozi yengqondo yokudala komninzi endala: isifundo seqela esekelwe ngabantu. http://brain.oxfordjournals.org/content/135/9/2809.full?sid=4a215262-c27b-493e-8329-36fcab549826

Isibhedlele esiPhezulu sengqondo 34 (2012) 639-646. Ingozi, ubungakanani, umngcipheko kunye nesiphumo se-delirium kwiyunithi yonyango enzulu: uphando oluvela eNdiya. http://www.sciencedirect.com/science/article/pii/S0163834312002009

General Hospital Psychiatry. 2014 Meyi 17.pii: S0163-8343 (14) 00108-X. Uhlalutyo lweemeta lwezigulane ezigulayo lubonakalisa ubuninzi bezinto ezinobungozi bokuzidiliza. http://www.ncbi.nlm.nih.gov/pubmed/24950918

IYunivesithi yase-Arizona Medical Centre. NgoNovemba 17, 2013. I-Delirium. http://www.acponline.org/about_acp/chapters/az/13mtg/thienhaus.pdf