Delirium ea thothomela

Delirium tremens ke mofuta o matla oa ho tlohela joala. E kenyelletsa liphetoho tsa tšohanyetso le tse matla tsa kelello kapa methapo.

Delirium tremens e ka etsahala ha o khaotsa ho noa joala kamora nako ea ho noa haholo, haholo haeba o sa je lijo tse lekaneng.

Li-tremens tsa Delirium le tsona li ka bakoa ke ho tsoa hlooho, tšoaetso kapa bokuli ho batho ba nang le nalane ea tšebeliso e mpe ea joala.

E etsahala hangata ho batho ba nang le nalane ea ho tlohela joala. E tloaelehile haholo ho ba noang liponto tse 4 ho isa ho tse 5 (lilithara tse 1.8 ho isa ho tse 2.4) tsa veine, liponto tse 7 ho isa ho tse 8 (lilithara tse 3.3 ho isa ho tse 3.8) tsa biri, kapa pinte e le 'ngoe (1/2 litha) ea joala bo "thata" letsatsi ka leng likhoeli tse 'maloa. Delirium tremens le eona e ama batho ba sebelisitseng joala nako e fetang lilemo tse 10.

Matšoao a atisa ho hlaha nakong ea lihora tse 48 ho isa ho tse 96 kamora seno sa ho qetela. Empa, li ka hlaha matsatsi a 7 ho isa ho a 10 kamora seno sa ho qetela.

Matšoao a ka mpefala kapele mme a kenyeletsa:

• Delirium, e leng pherekano e matla ka tšohanyetso
• Ho thothomela ha 'mele
• Liphetoho ts'ebetsong ea kelello
• Ho ferekana, ho teneha kapele
• Boroko bo tebileng bo tšoarellang letsatsi kapa ho feta
• Thabo kapa tshabo
• Litlelase (ho bona kapa ho utloa lintho tse seng teng moo)
• Ho phatloha ha matla
• Ho fetoha ha maikutlo kapele
• Ho se phomole
• Ho nahanela khanya, molumo, ho ama
• Ho hloka kelello, boroko, mokhathala

Ho oa (ho ka etsahala ntle le matšoao a mang a DTs):

• E atileng haholo lihoreng tse 12 ho isa ho tse 48 tsa pele kamora ho nowa ha ho qetela
• E tloaelehileng haholo ho batho ba nang le mathata a nakong e fetileng ka lebaka la ho tlohela joala
• Hangata ho tšoaroa ke tonic-clonic ka kakaretso

Matšoao a ho tlohela joala, ho kenyelletsa:

• Matšoenyeho, khatello ea maikutlo
• Mokhathala
• Ho opeloa ke hlooho
• Ho hlobaela (ho thatafalloa ke ho robala le ho robala)
• Ho teneha kapa ho hlonama
• Ho felloa ke takatso ea lijo
• Ho nyekeloa ke pelo, ho hlatsa
• Ho tšoha, ho tlola, ho sisinyeha, ho otloa ke pelo (maikutlo a ho utloa ha pelo e otla)
• Letlalo le putswa
• Liphetoho tse potlakileng tsa maikutlo
• Ho fufuleloa, haholo liatleng tsa matsoho kapa sefahlehong

Matšoao a mang a ka hlahang:

• Bohloko ba sefuba
• Feberu
• Bohloko ba mala

Delirium tremens ke ts'ohanyetso ea bongaka.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Lipontšo li ka kenyelletsa:

• Ho fufuleloa haholo
• Keketseho e makatsang ea maikutlo
• Ho otla ha pelo ka tsela e sa tloaelehang
• Mathata ka motsamao oa mesifa ea mahlo
• Ho otla ha pelo ka potlako
• Ho thothomela ha mesifa ka potlako

Liteko tse latelang li ka etsoa:

• Tekanyo ea magnesium ea mali
• Boemo ba phosphate ea mali
• Phanele e akaretsang ea metabolic
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Sesepa sa Toxicology

Morero oa kalafo ke ho:

• Pholosa bophelo ba motho eo
• Fokotsa matšoao
• Thibela mathata

Ho lula sepetlele hoa hlokahala. Sehlopha sa tlhokomelo ea bophelo se tla hlahloba khafetsa:

• Liphetho tsa k'hemistri ea mali, joalo ka maemo a electrolyte
• Mekhahlelo ea mokelikeli oa 'mele
• Matšoao a bohlokoa (mocheso, ho otla ha pelo, sekhahla sa ho hema, khatello ea mali)

Ha a le sepetlele, motho o tla fuoa meriana ho:

• Khutsa 'me u phutholohe (sedated) ho fihlela li-DTs li felile
• Tšoara ho oa, ho tšoenyeha kapa ho thothomela
• Tšoara mathata a kelello, haeba a le teng

Kalafo ea nako e telele ea thibelo e lokela ho qala kamora hore motho a fole matšoao a DT. Sena se ka kenyelletsa:

• Nako ea "ho omella", eo ho eona joala bo sa lumelloeng
• Ho qoba joala ka botlalo le bophelo bohle
• Tlhabollo
• Ho ea lihlopheng tsa tšehetso (joalo ka Alcoholics Anonymous)

Kalafo e ka hlokahala bakeng sa mathata a mang a bongaka a ka bang teng ka ts'ebeliso ea joala, ho kenyelletsa:

• Tahi cardiomyopathy
• Lefu la sebete la joala
• Ho lemalla ho noa joala
• Lefu la Wernicke-Korsakoff

Ho ea sehlopheng sa ts'ehetso khafetsa ke senotlolo sa ho hlaphoheloa ts'ebelisong ea joala.

Delirium tremens e tebile mme e kanna ea beha bophelo kotsing. Matšoao a mang a amanang le ho tlohela joala a ka nka selemo kapa ho feta, ho kenyelletsa:

• Maikutlo a fetoha
• Ho ikutloa u khathetse
• Ho se robale

Mathata a ka kenyelletsa:

• Kotsi ea ho oa nakong ea ho oa
• Ho intša kotsi kapa ba bang ho bakoa ke boemo ba kelello (pherekano / pherekano)
• Ho otla ha pelo ho sa tloaelehang, ho ka beha bophelo kotsing
• Ho oa

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u na le matšoao. Delirium tremens ke boemo ba tšohanyetso.

Haeba u ea sepetlele ka lebaka le leng, bolella bafani ba litšebeletso haeba u ntse u e-noa haholo hore ba tle ba u hlahlobe matšoao a ho tlohela joala.

Qoba kapa fokotsa tšebeliso ea joala. Fumana kalafo ea bongaka kapele bakeng sa matšoao a ho tlohela joala.

Tšebeliso e mpe ea joala - delirium tremens; DTs; Ho tlohela joala - delirium tremens; Ho hlaphoheloa ha joala

Kelly JF, Renner JA. Mathata a amanang le joala. Ka: Stern TA, Fava M, Wilens TE, Rosenbaum JF, bahlophisi. Sepetlele sa Massachusetts General Comprehensive Clinical Psychiatry. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2016: khaolo ea 26.

Mirijello A, D'Angelo C, Ferrulli A, et al. Boitsebiso le taolo ea lefu la ho tlohela joala. Lithethefatsi. 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Mathata a ts'ebeliso ea joala. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 33.