Moferefere

Ho ferekana ke boemo bo sa thabiseng ba ho tsoha ho feteletseng. Motho ea ferekaneng a ka 'na a ikutloa a ferekane, a thabile, a tšohile, a ferekane kapa a halefa.

Moferefere o ka hlaha ka tšohanyetso kapa ha nako e ntse e feta. E ka nka metsotso e seng mekae, libeke kapa likhoeli. Bohloko, khatello ea maikutlo le feberu kaofela li ka eketsa ho ferekana.

Ho tsitsipana ka bohona e kanna ea se be sesupo sa bothata ba bophelo bo botle. Empa haeba matšoao a mang a hlaha, e ka ba sesupo sa lefu.

Ho ferekana ka phetoho ea tlhokomeliso (e fetotsoeng kelo-hloko) e ka ba sesupo sa pherekano. Delirium e na le lebaka la bongaka mme e lokela ho hlahlojoa ke mofani oa tlhokomelo ea bophelo hang hang.

Ho na le lisosa tse ngata tsa pherekano. Tse ling tsa tsona ke:

• Ho tahoa ke joala kapa ho tlohela
• Allergic reaction
• Botahoa ba caffeine
• Mefuta e meng ea lefu la pelo, matšoafo, sebete kapa liphio
• Ho tahoa kapa ho tlohela lithethefatsi ho sebelisoa hampe (joalo ka cocaine, matekoane, hallucinogens, PCP, kapa opiates)
• Ho kena sepetlele (batho ba baholo ba baholo hangata ba na le pherekano ha ba le sepetlele)
• Tšoelesa ea qoqotho e feteletseng (hyperthyroidism)
• Tšoaetso (haholo-holo ho batho ba hōlileng)
• Ho tlosoa ha nicotine
• Chefo (mohlala, chefo ea carbon monoxide)
• Meriana e meng, ho kenyeletsoa theophylline, amphetamines le steroids
• Tsietsi
• Khaello ea Vitamin B6

Moferefere o ka hlaha ka mathata a kelello le bophelo bo botle ba kelello, joalo ka:

• Ho tšoenyeha
• Dementia (joalo ka lefu la Alzheimer)
• Ho tepella maikutlo
• Lerato
• Boloetse ba kelello

Mokhoa oa bohlokoahali oa ho sebetsana le ho tsukutleha ke ho fumana le ho sebetsana le sesosa. Ho ferekana ho ka lebisa kotsing e eketsehileng ea ho ipolaea le mefuta e meng ea pefo.

Kamora ho sebetsana le sesosa, mehato e latelang e ka fokotsa ho ferekana:

• Tikoloho e nang le khutso
• Mabone a lekaneng motšehare le lefifi bosiu
• Meriana e kang benzodiazepines, 'me maemong a mang, li-antipsychotic
• Ho robala haholo

U SE KE UA thibela motho ea ferekaneng, haeba ho khonahala. Hangata sena se mpefatsa bothata. Sebelisa lithibelo ha feela motho a le kotsing ea ho intša kotsi kapa ho utloisa ba bang bohloko, 'me ha ho na tsela e' ngoe ea ho laola boits'oaro.

Ikopanye le mofani oa hau bakeng sa pherekano e reng:

• E nka nako e telele
• E matla haholo
• E etsahala ka mehopolo kapa liketso tsa ho intša kotsi kapa ho utloisa ba bang bohloko
• E etsahala le matšoao a mang, a sa hlaloseheng

Mofani oa hau o tla nka nalane ea bongaka mme a etse tlhahlobo ea 'mele. Ho utloisisa moferefere oa hau hantle, mofani oa hau a ka u botsa lintho tse ikhethileng ka pherekano ea hau.

Liteko li ka kenyelletsa:

• Liteko tsa mali (joalo ka palo ea mali, tlhahlobo ea tšoaetso, liteko tsa qoqotho kapa litekanyo tsa vithamine)
• Hlooho ea CT kapa hlooho ea MRI
• Lumbar puncture (pompo ea mokokotlo)
• Liteko tsa moroto (bakeng sa tlhahlobo ea tšoaetso, tlhahlobo ea lithethefatsi)
• Matšoao a bohlokoa (mocheso, ho otla ha pelo, sekhahla sa ho hema, khatello ea mali)

Kalafo e ipapisitse le sesosa sa pherekano ea hau.

Ho se phomole

Webosaete ea American Psychiatric Association. Schizophrenia spectrum le mathata a mang a kelello. Ka: Mokhatlo oa American Psychiatric. Buka ea Tlhatlhobo le Lipalopalo tsa Mathata a Kelello. La 5th. Arlington, VA: Khatiso ea Psychiatric ea Amerika; 2013: 87-122.

Inouye SK. Delirium ho mokuli ea tsofetseng. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 25.

Prager LM, Ivkovic A. Phekolo ea kelello ea tšohanyetso. 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 88.