Delirium - abin da yake da shi? A etiology na delirium. Magani da kuma sakamakon

Delirium - abin da yake da shi? Kimiyya na da definition - shi ne wani exogenous psychosis, da ciwon gajere yanayi. Mafi sau da yawa shi yana daga cikin 'yan sa'o'i da dama kwana. The asalin iya zama:

• cutar.
• maye.
• jijiyoyin bugun gini.
• traumatic.

Etiology da pathogenesis na delirium

Delirium (abin da shi ne, ka dubi talifin) mafi sau da yawa tasowa a:

• shan barasa (da ake kira "delirium tremens");
• miyagun ƙwayoyi (narcotic delirium).
• mai tsanani cutar mai tsanani (a m canje-canje a cikin jiki zafin jiki).
• intoxications (da medicaments musamman).
• na tsufa gigin-tsufa .
• cututtuka na zuciya da jijiyoyin jini tsarin (hauhawar jini, bugun jini, seizures).
• traumatic kwakwalwa rauni ko tsanani jini asara.
• tiyata (delirium taimakawa wajen danniya, rashin barci, da zazzabi).

Marasa lafiya suka riƙi up irin wannan jiha, a karkashin irin wannan yanayi, suna yiwuwa ga komawa.

Common bayyanar cututtuka na delirium

Yawanci, a farkon wannan wata jiha zo a cikin wani m form. Duk da haka, idan akwai ta zo a delirium, wasu cututtuka iya nuna farkon. Suna da ake kira prodromal. Wadannan sun hada da:

• tsoma bakin tashin hankali.
• tashin hankali.
• da na jin tsoro.
• ƙaru ƙwarai zuwa ga haske ko sauti.
• rude haƙuri sani, disorientation.

Idan ka fuskanci wadannan cututtuka, kana iya cewa a yanzu shi ne a Jihar delirium. The mutum a cikin wannan yanayin na iya zama rude mafarki da gaskiya daga cikin take hakkin cyclical lokaci na barci da kuma wakefulness. Har ila yau, marasa lafiya ne indistinguishable mafarki da gaskiya hallucinations. Rage da hankali ga m samuwar kasashe ne fairly sauki canzawa da shi. Bugu da kari, da sauran shafi tunanin mutum da tafiyar matakai an ragae saukar da yawa. A mutum ba zai iya tuna abin da ya faru da shi a lokacin delirium, ko kai shi ga barci a kan kawai haddacen mutum guda.

ganewar asali da cutar

Akwai wasu sharudda da cewa taimaka gane asali delirium:

1. Involuntary da hankali, da mãsu haƙuri ne ba su iya mayar da hankali a kan wani batu. Alal misali, irin wannan mutum yana bukatar mai yawa sau maimaita tambaya su ji amsar.
2. Disorganization na tunani, wanda aka bayyana, a gaskiya cewa haƙuri da delirium tsalle daga daya batu zuwa wani, ko ce m zuwa da kewaye magana.
3. Rage farkawarka (wahala a rike a Jihar wakefulness a lokacin da rana), perceptual disturbances (rashin sani mafarki da shi ko hallucinations, m mafarkai, wanda aka sani da marasa lafiya a matsayin gaskiya), take hakkin cyclicity na barci da kuma wakefulness, ta ƙara psychomotor aiki, ko, a akasin wannan, da rage , memory hanawa. Wadannan sharudda iya zama ba ba a lokaci guda, amma daya ne kawai daga cikin su.
4. Development Jihar delirium maza maza. Yawancin lokaci shi ba ya wuce 'yan kwanaki.
5. Disorientation a lokacin.

Features na ganewar asali

Delirium ne halin da m kuma kwatsam farko na bayyanar cututtuka, kyale don gane asali da cutar a gida. Hankula ne canje-canje a cikin magana da wasu cututtuka a lokacin da rana. Sauƙaƙe ganewar asali zai taimaka cikakken sani na da wanzuwar wani shugaban rauni ko wani takamaiman jiki ko cutar, kazalika da shan barasa ko miyagun ƙwayoyi buri.

Delirium (abin da yake wannan, baya aka bayyana) tana nufin cututtuka da suke da daman a. Idan lokacin da za a samu a cikin hanyar wanda shi ya sa, yanzu magani iya samar da sakamako mai kyau. A wasu lokuta da cutar gudanar da kansa, amma kada ka manta da halin da ake ciki, saboda yiwu rikitarwa.

Dokokin na lura da delirium

Idan kamu da "delirium", magani ya zama m domin su gudanar da likita. Babbar ka'idar magani - tabbatar da dalilin da haddasawa. Bayan da cewa tarin da kuma bincike na haƙuri binciken. Bisa ga sakamakon samu likita sanya likita ko m magani.

Bugu da kari ya kawar da Sanadin delirium, kamar magani daga shan barasa, matakan da ake dauka cewa suna da nufin gudanar da ya kwarara da cutar, da kuma rigakafin yiwu rikitarwa. Don yin wannan, da mãsu haƙuri ne da goyan bayan wani abinci, kazalika da electrolyte ma'auni na ruwaye.

Bugu da kari a cikin hanyar da delirium, zabi na magani aka rinjayi da yanayin da masu cututtuka bayyana, haƙuri da shekaru da neurological matsayi. A lokacin dawo da tsarin, yana da muhimmanci ga samar da haƙuri da dadi mai rai yanayi.

Alal misali, lura da delirium tremens faruwa bisa ga wadannan makirci:

• liyafar "sibazona" da "sodium oxybutyrate".
• raguwa a cikin kudi na electrolyte balance.
• Daidaita numfasawa da huhu aiki (ta amfani da wani shiri "mannitol");
• reconstitution na hanta da koda.
• rage ko kawar da hyperthermia.
• lura da concomitant cututtuka.

Ga marasa lafiya da suke firgita ko m, nada sedatives (abin da irin da kuma sashi ne m da halartar likita).

Delirium tremens kuma da halaye

A shan barasa, a Bugu da kari zuwa wasu mummunan yanayin da haƙuri, delirium tremens iya faruwa, ko, a cikin wasu kalmomi, da delirium tremens.

Delirium tremens (bayyanar cututtuka su ne kama da jihohin sauran asalin) - wannan shi ne wani m psychosis a ƙarƙashin rinjayar barasa. Irin wannan jiha halin kwatsam delirium, da ban tsoro hallucinations, disorientation a sarari da kuma lokaci, haske taurin, da inexplicable tsoro da zãlunci, kazalika da babban nishadi.

Wannan yanayin yakan auku a cikin kwana biyu bayan da haƙuri tsaya a nan fadan. A wasu lokuta, a can ne a kanta mãsu mãye lokaci. A harin farko delirium tremens iya faruwa bayan wani isasshe tsawon lokaci binge. All m harin ba ya bukatar wani dogon binge.

Yadda za a gane delirium tremens?

delirium ciwo ne fairly sauki gane, saboda akwai alamun:

1. A haƙuri tsaya a nan ba shan barasa bayan wani binge a kan filaye cewa ya Yã.
2. A yamma da shi ya auku yanayi canje-canje, da kuma isasshe ba zato ba tsammani. A wannan lokacin, da mãsu haƙuri iya zama ma m, kuma m, chattering fasawa, da dama baya.
3. Ingantaccen wata gabar jiki rawar jiki.
4. Ciwon matsala barci. Ya zama m da kuma gajere, sau da yawa haƙuri gani yãyen mafarki. Bayan da cikakkar rashin barci iya faruwa, wanda kara habaka ji tsoro, tashin hankali da kuma damuwa.
5. Hallucinations bayyana a matsayin mai ji mai gani. A haƙuri iya fara ji daban-daban muryoyin wanda ake zargin ya baka tsoro shi. Kayayyakin images cewa tashi quite tsoratarwa. Tare da kowane wucewa rana qara girma daga wadannan hallucinations.

Wannan Jihar wani mutum fama da shan barasa, zai iya wuce har zuwa kwanaki da dama.

Alamun delirium tremens

Babban bayyanar cututtuka na delirium na giya asalin su ne:

1. Kayayyakin hallucinations. Mafi sau da yawa, da kai hari ta fara a yamma, kuma an ci gaba da sauri isa. Daya fara gani na gani hasashen images, shan inuwa daga abubuwa na dodanni. Hallucinations dogara ne a kan haƙuri ta fargaba. A wasu yanayi, wadannan hallucinations aka ba sani da mutum a matsayin gaskiya da kuma mafi kamar kallon fim.
2. Auditory hallucinations. Ba su faruwa a kadaici, amma kamar yadda mai mulkin, a hade tare da na gani, kuma da cikakken tare da su Associated batutuwa. A haƙuri iya ji daban-daban noises, kururuwarta, almara, buƙatun ga taimako ko gargadi. Ya ji cewa faruwa a kusa da cewa wani abu da mummunar, yana so ya taimaka, amma shi ne mortally ji tsoro su yi shi. Wani lokaci yana iya gudanar da tattaunawa tare da hasashen interlocutors.
3. Tactile hallucinations. Yunkuri da fuska da mutum tare da delirium tremens cikakken dace da wahayi cewa ya ake tsananta. A haƙuri fara gina a kan waɗanda suke dodanni, wanda ya gani, a tsayar da su, to boye, to score a cikin kusurwa. Bugu da kari, irin wannan mutum a fili ji ya cizo, buga ko in ba haka ba ya ji rauni. A irin wannan lokacin, yana da matukar hatsari ga wasu, domin zai iya ansu rubuce-rubucen da abu da kuma zargin fara ceton wani. Wani mummunan sakamakon da zai iya zama wani kunar bakin wake, wanda shi ne wani ƙoƙari na samun daga wadanda muryoyin cewa haƙuri ji a ciki.
4. Disorientation a lokacin da sarari. Domin Jihar delirium ne halin da kuskure fuskantarwa a sarari, kuma cikin lokaci. A haƙuri ba zai iya sani ba daidai da inda yake, ba ya gane da 'yan qasar mutane, lokaci fuskantarwa ne ma karya. Duk da haka, ya kira da sunan, sunan ko wasu data iya ba tare da wata matsala.

Matsayin mai mulkin, idan haƙuri da gaskiya delirium, cututtuka worsen da yamma hours. A rana guda jihar iya zama dan kadan mafi alhẽri, amma har yanzu ba shi daraja ba har magani.

Akwai lokaci a lokacin da haƙuri ne kusan gaba daya bace manifestations delirium. Wannan yanayin da aka kira lyutseidny rata. A wannan lokaci, da mãsu haƙuri iya gaya game da duk hallucinations cewa ya yi.

da zai yiwu sakamakon

Idan bar untreated delirium (abin da aka fada a farkon labarin), shi zai iya kai wa ga rikitarwa, musamman ga physiological canje-canje:

• zazzabi, a wasu lokuta har zuwa 40 digiri.
• kara matsa lamba, sababbu zuciya kari.
• dehydration.
• kara acidity.
• wahala da ƙungiyoyi.
• tsãwa;
• jin sanyi alternating tare da sweating, wani lokacin akwai wani wari da marsa wanki ƙafafunsa.
• hanta kara girma;
• kodadde fata, ko, conversely, ta redness.

Idan ba ka fara a kan lokaci da magani daga delirium, wadannan canje-canje ba za a iya kauce masa. Lokacin da bayyanuwar wadannan rikitarwa iya magana game da irreversibility na tsari.

Sau da yawa sosai cikin hanyar mutuwa delirium tremens suna hade cututtuka irin su ciwon huhu (accompanies a lokacin tsanani delirium a 30% na lokuta), cardiomyopathy (zuciya rashin cin nasara), m pancreatitis (daya daga cikin na kowa opportunistic cututtuka delirium tremens), m na koda gazawar, edema kwakwalwa, rhabdomyolysis (rhabdomyolysis).

Rigakafin delirium

Domin kare kansu daga yiwu manifestations delirium na daban-daban asalin, shi wajibi ne a gudanar da rigakafin. Yana hada da wadannan ayyukan:

• rike da lafiya hanya ta rayuwa, musamman da magani daga shan barasa da miyagun ƙwayoyi buri.
• dace da daidai magani daga daban-daban neurological da somatic cututtuka a domin kauce wa yiwu rikitarwa.
• m shan magunguna, ba-kai, musamman antidepressants, hypnotics, anxiolytics.
• m reno a cikin postoperative zamani, musamman ga tsofaffi.

Abin da likitoci iya taimaka?

Idan ka zargin wannan ci gaba a cikin iyali ko abokai delirium, shawarci neurologist ko narcologist. Sa'an nan kauce wa a ke so sakamakon dole ci.