Delirium: Mek wi tok abaut am

Imajin se wan ol pɔsin na yu os, sɔntɛm yu mama, yu papa, yu grani ɔ yu granpa, bin fayn yestede, bɔt wantɛm wantɛm i de biev difrɛn we tide. Dɛn nɔ kin tɔk fayn, dɛn nɔ kin no yu, dɛn nɔ kin ivin no usay dɛn de ɔ ustɛm i bi. Dis sכdεn stet fכ kכnfyushכn, agitεshכn εn chenj na di tכnk na wetin wi mεdikal kכl ‘delirium’.

Fɔ tɔk am simpul wan, wetin na Delirium?

Delirium na wan kɔnfyushɔn we de na di bren fɔ sɔm tɛm we kin apin wantɛm wantɛm, fɔ sɔm awa ɔ sɔm dez. I kin afɛkt di we aw yu de tink, mɛmba, aw yu de no bɔt di tin dɛn we de arawnd yu, ɛn aw yu ebul fɔ pe atɛnshɔn pan sɔntin. Dis kin mek yu biev difrɛn frɔm aw yu kin biev nɔmal wan.

De bεst pat na dat, if dεn fכnshכn de kכz εn trit am kwik, bכku tεm dεn kin kכl di sik kכmplit wan. Bɔt if dɛn nɔ trit am, i kin mek di bren pwɛl fɔ lɔng tɛm, ɛn sɔntɛnde, i kin ivin day.

Yu tink se men kayn delirium de?

Yes, yu kin sheb Delirium to tri men kayn. Dɛn klasification ya kin bi bay di we aw di pɔsin de biev. Sɔntɛnde, dɛn kayn tin ya kin chenj bak ɛn go bifo.

Wetin na di sayn dɛm fɔ dis sik?

De sayn dɛm fɔ delirium kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Dɔn bak, di sayn dɛm nɔr kin apin ɔltɛm ɔl di de, dɛn kin kam ɛn go. Bɔrku tɛm, de sik kin wɔs na nɛt.

Na sɔm pan di men tin dɛn we yu go si:

• Nɔr no bɔt di tin dɛm wae de arawnd yu: Nɔr kin ebul fɔ tɔk tin dɛm kɔrɛkt wan lɛk usai yu de (na os, na ɔspitul), us de i de, ɔr ustɛm i de.
• I nɔ izi fɔ pe atɛnshɔn: Nɔ ebul fɔ pe atɛnshɔn pan wan tin. Kwik kwik wan fɔgɛt wetin dɛn de tɔk. Nɔ ebul fɔ kip tin dɛn we yu de tink bɔt na wan ples.
• Prɔblɛm fɔ mɛmba: Fɔgɛt bɔt tin dɛn we dɔn apin dis biɛn tɛm, pipul dɛn nem, ɛn tin dɛn we apin.
• I nɔ izi fɔ tɔk: I nɔ izi fɔ mek wɔd dɛn, fɔ tɔk we nɔ gɛt wanwɔd, ɛn fɔ ansa kwɛstyɔn dɛn we nɔ gɛt natin fɔ du wit am.
• Di chenj we pɔsin de biev: Wantɛm wantɛm i kin vɛks, i kin vɛks, i kin fil bad, i nɔ kin rili rɛst. Sɔntɛnde, i kin rili slo, i kin slip.
• Chenj na di we aw yu de slip: Fɔ fil se yu de slip na de ɛn we yu wek na nɛt. Slip kin rivεs kpatakpata.
• Hallucinations: Fɔ si tin dɛn we nɔ rili de (lɛk insɛkt, animal, pipul), fɔ yɛri sawnd dɛn we nɔ rili de.
• Delusions: Fɔ biliv se tin na tru ivin we dɛn pruv se na lay. Fɔ ɛgzampul, fɔ tink se sɔmbɔdi de tray fɔ pɔyzin dɛn ɔ dɛn de ol dɛn as slev.

Wetin na de tin wae kin mek pɔrsin gɛt delirium?

Delirium nɔr kin kam bikɔs ɔf de strɛs wae wi kin gɛt na wi ɛvride layf. I kin apin we di bɔdi ɔ di bren gɛt strɛs we pɔsin nɔ go ebul fɔ bia wit. Ɛnitin we de ambɔg di nɔmal wok we di bren de du kin mek i apin.

Na sɔm pan di men rizin dɛn:

• Sivεr infεkshכn: εspεshali urinary tract infεkshכn εn lכng infεkshכn (nyumonia) na dεn men tin dεm we de mek dεn gεt delirium pan ol pipul dεm.
• Ɔpreshɔn: Dis sik kin apin afta dɛn dɔn du big ɔpreshɔn, bikɔs ɔf anestezi ɛn di strɛs we de na di bɔdi.
• Sɔm mɛrɛsin dɛn: Tin dɛn lɛk mɛrɛsin fɔ mɛn pen, slip pils, ɛn sɔm mɛrɛsin fɔ alɛji kin mek yu gɛt dis sik, mɔ we yu tek bɔku mɛrɛsin dɛn di sem tɛm.
• Alkol ɔr drɔgs: Delirium kin kam bikɔs ɔf di sayn dɛm wae pɔrsin kin drink pasmak wae kin kam wae pɔrsin wae dɔn de drink pasmak kin stɔp fɔ drink wantɛm wantɛm.
• Di wata we nɔ de na di bɔdi ɛn we i nɔ gɛt bɛtɛ tin fɔ it: Di wata we de na di bɔdi de go dɔŋ ɛn we i nɔ gɛt di it we i nid.
• Imejɛnsi mɛdikal kɔndishɔn: Kɔndishɔn lɛk at atak, strok, ɔr we yu nɔ ebul fɔ blo fayn.
• Pen: Fɔ gɛt siriɔs pen we yu nɔ ebul fɔ kɔntrol.
• Ɔspitul: Di say we yu de na ɔspitul, usay yu kin separet frɔm di say we yu sabi, usay yu nɔ kin no, ɛn yu kin put yu na bed wit tiub dɛn we de insay, kin mek sɔm pipul dɛn gɛt delirium.
• Kɔnstipɛshɔn: Ivin bad bad kɔnstipɛshɔn kin bi wan tin we kin mek dis apin sɔntɛnde.

Udat dɛn go mɔs afɛkt dis?

Pan ɔl we delirium kin apin to ɛnibɔdi we ol ɛni ej, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.

• Pipul wae dɔn pas 65 ia: Dɛn kin gɛt chenj na dɛn bren ɛn bɔdi as dɛn de ol.
• Pipul wae dɔn ɔlrɛdi gɛt wan sik wae de mɛk pɔrsin mɛmba lɛk dis maynia sik.
• Pipul wae bin dɔn gɛt delirium bifo.
• Pipul wae gɛt krɛse sik lɛk at sik ɛn lכng sik.
• Pipul dɛn we nɔ de si ɔ yɛri fayn (we dɛn nɔ de yuz glas ɔ ɛp fɔ yɛri).
• Pipul dɛn we gɛt adikshɔn to rɔm ɔ drɔgs.
• Pipul wae de yuse bɔrku mɛrɛsin di sem tɛm.

Wetin na de prɔblɛm wae kin kam wit delirium?

If dɛn nɔ trit di delirium kwik kwik wan, i kin mek yu gɛt difrɛn prɔblɛm dɛn. Sɔm pan dɛn tin ya na fɔ shɔt tɛm nɔmɔ ɛn sɔm kin de fɔ lɔng tɛm.

• Fɔdɔm ɛn wund: Kɔnfyushɔn kin mek yu fɔdɔm na bed, fɔdɔm we yu de waka, ɛn wund lɛk brok bon.
• Bedso: If yu de na bed na di sem pozishɔn fɔ lɔng tɛm, i kin mek yu skin gɛt sɔri.
• Aspiration Pneumonia: Na bad bad nyumonia we kin kam bikɔs it, drink, ɔ saliva de go insay di lɔng bikɔs ɔf kɔnfyushɔn.
• Malnutrition ɛn dehydration: Jɔs bikɔs yu nɔ de it ɔ drink.
• Lכng tεm impεryans fכ tink abiliti (Cognitive impairment).
• Nyu biginin ɔr de wɔs fɔ gɛt dis maynia sik.
• Lɔs di ebul fɔ wok fɔ yusɛf.

Aw dɔktɔ kin no dis?

Nɔr wan tɛst nɔr de wae de sho spɛshal wan fɔ no if yu gɛt delirium. Di dɔktɔ kin mek di diagnosis bay we i de tink bɔt sɔm tin dɛn togɛda.

1. Aks bɔt di sayn dɛm: Aks di sikman ɛn in fambul fɔ di ditel dɛm bɔt aw dɛn chenj ya bigin ɛn us sayn dɛm wae dɛn gɛt. I rili impɔtant fɔ no aw di pɔsin in bihayvya kin chenj wantɛm wantɛm.

2. Fɔ chɛk di pɔsin in bɔdi: Dɛn kin chɛk di pɔsin gud gud wan.

3. Nyurolɔjik ɛgzam: I de tɛst tin dɛn lɛk fɔ mɛmba, fɔ tink, ɛn fɔ balans.

4. Test: Dɛn kin du dɛn tɛst ya fɔ no wetin kin mek pɔsin gɛt delirium.

• Blɔd tɛst: Chɛk fɔ infɛkshɔn, ilɛktrɔlayt imbalans, kidni ɛn liva wok, ɛn ɔda tin dɛn.
• Yurin tɛst: Chɛk fɔ si if yu gɛt infɛkshɔn na yu urinary tract.
• Chɛst X-ray: Fɔ chɛk fɔ wan kɔndishɔn lɛk nyumonia.
• ECG test: Chɛk aw di at de wok.
• Bren skan: Dɛn kin du am nɔmɔ if dɛn tink se pɔsin gɛt wan sik lɛk strok.

Aw dɛn kin trit am?

De men gol fɔ trit delirium na fɔ fɛn ɛn trit de ɔndalayn kɔz fɔ de sik. Fɔ ɛgzampul, dɛn kin gi dɛn antibayɔtik if na bikɔs ɔf infekshɔn. Dɛn kin gi salin if na bikɔs ɔf di wata we nɔ de na di bɔdi. We dɛn trit di kɔz, di delirium kɔndishɔn kin bɛtɛ smɔl smɔl.

Na di sem tɛm, dɛn kin gi sɔpɔt tritmɛnt fɔ gi kɔmfɔt ɛn mek shɔ se di pɔsin sef. Pan ɔl we di dɔktɔ dɛn kin du dɛn tin ya na di ɔspitul, yu kin du dɛn tin ya bak na os.

• Mek ples we kol: Kip di pɔsin in rum kwayɛt ɛn kol. Dim di layt dɛn na nɛt fɔ mek yu slip fayn.
• Gi gud it ɛn wata: Gud it impɔtant fɔ mek di bɔdi wɛl.
• Fɔ mek pipul dɛn no bɔt dɛn: Briŋ tin dɛn we yu sabi frɔm os (pikchɔ, blankit) ɛn kip dɛn rawnd. Di pɔsin we sik go gɛt kɔrej we i de mek in famili tɔk to dɛn ɔltɛm.
• Aw fɔ no bɔt di wɔl we de rawnd dɛn: Kip big kalenda ɛn klok na say we pɔsin kin si. Mɛmba dɛn ɔltɛm ustɛm na ɛn us de i bi.
• Glas ɛn tin fɔ ɛp pɔsin fɔ yɛri: If di pɔsin de yuz am, mek i yuz am fayn so dat i nɔ go lɔs kɔntakt wit di tin dɛn we de arawnd am.
• Muv as yu ebul: As yu dɔktɔ advays yu, fɔ waka rawnd smɔl ɛn du ɛksɛsayz we de strɛch yu an ɛn fut dɛn fayn fɔ yu bɔdi ɛn yu maynd.

Ɛni spɛshal mɛrɛsin de fɔ dis sik?

Naw, no patikyula mɛrɛsin nɔ de we dɛn dɔn gri fɔ fɔ trit dilirium. Bɔt sɔntɛnde, dɔktɔ dɛn kin yuz mɛrɛsin fɔ kɔntrol di sayn dɛn we pɔsin kin gɛt.

• Sivεr haypa aktif delirium: If di sikman de pan risk fכ du bad to insεf כ כda pipul dεm, dεn kin gi am lכw dos dεm fכ antisaykotik fכ sכm tεm fכ ridyus di agitεshכn.
• Di sayn dɛm wae de sho se yu nɔr de drink rɔm: If na dis kin mek yu gɛt delirium, dɛn kin gi yu mɛrɛsin lɛk bɛnzodiazepin .
• Infεkshכn: If na baktri infεkshכn, dεn kin gi am antibaytik.
• We yu layf dɔn: Dɛn kin gi yu difrɛn mɛrɛsin dɛn fɔ mek yu nɔ fil pen ɛn fɔ mek yu nɔ fil fayn.

Yu tink se dɛn kin mek dɛn nɔ gɛt dilɛria?

Pan ɔl we i nɔ pɔsibul fɔ mek wi nɔ gɛt am kpatakpata, tin dɛn de we wi kin du fɔ ridyus di prɔblɛm. Dɛn tin ya impɔtant mɔ if pɔsin we dɔn ol na di famili go go na ɔspitul.

• Gud wɛlbɔdi abit: Mek yu bren ɛn bɔdi wok. Gɛt inof slip. Stay soshal layf.
• Limit di mɛrɛsin dɛn we de mek yu gɛt prɔblɛm: Tɔk to yu dɔktɔ ɛn nɔ yuz mɛrɛsin dɛn we go mek yu kɔnfyus.
• Yu fɔ de wach fɔ di sayn dɛn we yu go gɛt kwik kwik wan: If yu notis ivin smɔl chenj pan di we aw yu de biev, mɔ pan di wan dɛn we de na ɔspitul, tɛl di dɔktɔ ɔ nɔs wantɛm wantɛm.
• Fɔ tich di famili mɛmba dɛm: If pɔsin de we de pan denja na os, i impɔtant fɔ mek ɔlman na di famili no bɔt di sayn dɛm we de sho se pɔsin de fil bad.

Delirium kin bi wan tin wae de frayd fɔ de pɔrsin ɛn di wan dɛm wae de kia fɔ dɛn. I kin rili pwɛl yu at we yu si pɔsin we yu lɛk de du tin lɛk pɔsin we rili difrɛn wantɛm wantɛm. Bɔt mɛmba se bɔku tɛm, dis na fɔ shɔt tɛm nɔmɔ . If dɛn no di kɔz ɛn bigin fɔ trit am kwik, di sayn dɛm go bɛtɛ. So di tin we impɔtant pas ɔl na fɔ no dɛn sayn ya ɛn go to dɔktɔ kwik kwik wan.