Delirium: Kuwedzerwa Kwakafa Kwekufa uye Kuwedzera Kwengozi yeDementia

Dharirium inzvimbo yakaoma iyo inowanzobatana nehutachiona , kupindira kwemishonga kana kubvisa pamishonga kana doro. Zviratidzo zve delirium zvinosanganisira kuvhiringidzika, kukanganwa kwepfungwa , kuderera kwaniso yekukurukurirana, kuchinja mukucherechedza (zvimwe kusagadzikana uye kushungurudzika kana kunetseka) uye kuderera kwekutarisa. Kunyange zvazvo kazhinji kuchinjwa, chirrium hachisi chimwe chinhu chinogona kubudiswa pachena, kunyanya kana chichikura kune munhu mukuru.

Ongororo dzakawanda dzakatsvakurudza migumisiro ye delirium pavanhu. Izvi zvinosanganisira:

Saka, Zvino Chii?

Dheriamu inobata vanenge 33% vevakuru vakwegura vanouya kuchipatara dhipatimendi rekukurumidzira, asi kumwe kutsvakurudza kunofungidzira kuti zvishoma kwehafu yezviitiko zvekuriri zvinozivikanwa uye zvichirapwa (University of Arizona Medical School).

Maererano nekuongororwa kweongororo dzakawanda dzekutsvakurudza, zvinokonzerwa nehuwandu hwemuviri zvinosanganisira nhoroondo yehutachiona (high blood pressure) , zera, kushandiswa kwema mechanical ventilator, uye yepamusoro Acute Physiology uye Chronic Health Assessment (APACHE) II chikamu.

Ziva zviratidzo zve delirium, kuti ungasanure sei pakati pemaramiro uye chikonzero chekuita chirwere chemangwana, uye kuti ungaziva sei delirium kune umwe munhu atova nehutano hwekushaya mungozo. Yeuka kuti mumwe munhu ane dementia uye ari muchipatara ari pangozi yekukuridzira delirium.

Kana iwe ukaona zviratidzo zve delirium mu nhengo yako yemumhuri, taura zvakajeka kune vashandi kuti maitiro ake nehuwandu hwekuvhiringidzika hazvisi zvaro kwaari. Vanofanira kuziva kuti uri kuona shanduko kubva kune yaunowanzoita.

Kana iwe uchikwanisa, pedza nguva yakawedzerwa nemudiwa wako kuchipatara. Uhu hunozivikanwa hunogona kuderedza kuzvidya mwoyo uye zvichida kuderedza kudiwa kwemishonga inogona kushandiswa kugadzirisa vanhu kana kushandiswa kwekudzivirira. Kunyange zvazvo pane mamiriro ezvinhu apo mishonga iyi inobatsira uye inobudirira, inogonawo kuyanana nemimwe mishonga uye inogona kukonzera kutadza uye kuwedzera kuvhiringidzika pane dzimwe nguva.

Zvimwe zvinogona kuwanikwa kuti zviedze kudzivirira kana kuderedza zvinoratidzira zvinosanganisira kuisa magirazi eziso nekunzwa (kana zvakakodzera) zviripo, achishandisa maawa nemakendeni ekuwedzera maitiro , nekukurudzira kukwana kwakakwana kwekudya uye kudya.

Sources:

Bongo 135 (2012) 2809-2816. Delirium inonyanya kukonzera chikonzero chekuita chirwere chemangwana mukati mekare-yekare: chikwata chevanhu vanoongorora chekuita. http://brain.oxfordjournals.org/content/135/9/2809.full?sid=4a215262-c27b-493e-8329-36fcab549826

General Hospital Psychiatry 34 (2012) 639-646. Nharaunda, kupararira, njodzi chinokonzerwa nemigumisiro ye delirium muimba huru yekuchengetedza: chidzidzo kubva kuIndia. http://www.sciencedirect.com/science/article/pii/S0163834312002009

General Hospital Psychiatry. 2014 Mbudzi 17.pii: S0163-8343 (14) 00108-X. Meta-kuongororwa nevarwere vanorwara zvinoratidzira huwandu hunogona kuisa mungozi yekupedza. http://www.ncbi.nlm.nih.gov/pubmed/24950918

University of Arizona Medical Center. November 17, 2013. Delirium. http://www.acponline.org/about_acp/chapters/az/13mtg/thienhaus.pdf