Delirium: Kan sawi dawn nia

I in chhunga tar pakhat, i nu, i pa, i pi emaw, i pi emaw pawh nizan khan a dam tha a, mahse vawiinah chuan rang takin a nungchang a danglam vek niin han ngaihtuah teh. An thusawi chu a hlim lo hle a, an hre lo mai thei che a, an awmna hmun leh engtik lai nge tih pawh an hre lo mai thei. Hetianga buaina, buaina leh ngaihtuahna inthlak danglam nghal mai hi damdawi lama ‘delirium’ kan tih chu a ni.

A awlsam zawngin Delirium chu eng nge ni?

Delirium hi thluaka hun eng emaw chen atana buaina awm, a lo awm nghal a, darkar emaw ni emaw chhunga lo awm a ni. I ngaihtuahna te, hriatrengna te, i chhehvêl hriatna te, leh i ngaihtuahna fimkhur theihna te a nghawng a ni. Hei hian i nungchang pangngai aiin a danglam hle thei che a ni.

A tha ber chu a chhan hmuhchhuah a, enkawl vat a nih chuan a natna chu a dam vek thei fo thin. Mahse, enkawl loh chuan thluak hnathawh a tichhe thei a, a then phei chuan thihna thlengin a tichhe thei a ni.

Delirium chi hrang hrang lian ber ber a awm em?

Ni e, Delirium hi chi thum ah then theih a ni. Heng classification te hi damlo awm dan a zirin a ni. A châng chuan heng chi hrang hrangte hi an inthlak leh thei bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

Delirium symptoms hi mi hrang hrangah a inang lo thei. Tin, symptoms hi nitin a awm ngai lo va, a lo kal leh zel bawk. Vawi tam tak chu zan lamah symptoms a na zual thin.

I hmuh tur feature lian ber ber thenkhat chu hetiang hi a ni:

• A chhehvel hriatna hloh: I awmna hmun (in lamah, damdawi inah), eng ni nge tih, engtik lai nge tih ang chi thil dik taka sawi theih loh.
• Thil ngaihtuah harsa: Thil pakhat chauh ngaihtuah thei lo. Thusawi chu a theihnghilh nghal vat thin. Ngaihtuahna hmun khata dah thei lo.
• Hriatrengna lama harsatna: Tun hnaia thil thleng, mi hming leh thil thleng theihnghilh.
• Thusawi harsa: Thumal siam harsa, thusawi inrem lo, leh zawhna chhanna inzawm lo.
• Nungchang inthlak danglamna: Thinrim, buai, lungngai, rilru hah lutuk. A châng chuan a zawi hle a, mutthilh theih a ni.
• Mut dan inthlak danglam: Chhun lama muthilh theih loh leh zan lama harh chhuah. Mut chu a inher chhuak vek.
• Hallucinations: Thil awm tak tak lo (insect, rannung, mihring ang chi) hmuh, awm tak tak lo thawm hriat.
• Delusions: Thil dik lo a nihzia finfiah a nih pawhin a dik tih rin. Entîr nân, mi tu emaw chuan rimtui pêk a tum emaw, sal tâng emaw anga ngaihna.

Delirium hi engte nge ni?

Delirium hi kan nitin nunah stress kan tawh vang a ni lo. Taksa emaw thluak emaw chu tuar theih loh taksa lama harsatna a tawh hian a thleng thin. Thluak hnathawh dan pangngai tibuaitu eng thil pawh hian a thlen thei a ni.

A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Infection na tak: A bik takin zun kawng infection leh lung infection (pneumonia) te hi kum upa lam tan delirium thlentu ber an ni.
• Surgery: Hetiang dinhmun hi operation lian tak hnuah a awm thei a, hei hi anesthesia leh taksaa stress vang a ni.
• Damdawi thenkhat: Natna tidamtu, mutna damdawi, leh allergy damdawi thenkhat ang chi thilte hian he natna hi a thlen thei a, a bik takin damdawi engemaw zat a ruala i ei hian.
• Zu emaw ruihhlo emaw: Delirium hi withdrawal symptoms avanga lo awm thei a ni a, chu chu mi pakhatin zu in nasa taka a in tawh chuan zu a in loh thut chuan a awm thei a ni.
• Dehydration leh nutritional deficiencies: Taksa chhunga tui awm zat tlahniam leh ei tur tul mamawh tlakchhamna.
• Emergency medical conditions: Lung natna, stroke, thawkna lama harsatna ang chi te.
• Natna: Natna nasa tak, thunun theih loh nei.
• Damdawi ina awm: Damdawi in boruak, i hriat lar tak atanga inthen, mi hriat lohte’n an hual velna, khumah tube dahna hmuna inkhung te hian mi thenkhatah delirium a thlen thei a ni.
• Constipation: Constipation na tak pawh hi a chang chuan a chhan a ni thei.

Hemi hian tute nge nghawng nei tam ber?

Kum eng pawhah delirium hi awm thei mahse, mi thenkhat chu an hlauhawm zawk.

• Kum 65 chunglam: Kum an upat deuh deuh chuan thluak leh taksaah inthlak danglamna an tawk nasa zawk.
• Mihring hriatrengna nena inzawm natna, dementia ang chi nei tawhte.
• Tun hmaa delirium nei tawhte.
• Natna khirh tak tak, lung natna leh lung natna nei te.
• Mitdel emaw hriatna lama harsatna nei (glass emaw hearing aid emaw hman loh hunah).
• Zu emaw ruihhlo emaw ruihhlo ngaite.
• Damdawi tam tak a ruala hmang thinte.

Delirium avanga harsatna awm thei te chu engte nge ni?

Delirium hi enkawl vat a nih loh chuan harsatna hrang hrang a thlen thei a ni. Chung zinga ṭhenkhat chu hun eng emaw chen atan a ni a, ṭhenkhat chu hun rei tak chhung atan pawh a ni thei bawk.

• Tlu leh hliam: Buaina hian khum atanga tlu te, kal laiin tlu te, ruh tliak ang chi hliam te a thlen thei a ni.
• Bedsores: Khumah hmun khata rei tak awm chuan vun natna a thlen thei.
• Aspiration Pneumonia: Chaw, in tur emaw, chil emaw, rilru buai vanga lung chhunga a luh avanga pneumonia na tak a ni.
• Malnutrition leh dehydration: Ei leh in loh vang mai mai.
• Hun rei tak chhunga ngaihtuahna lama harsatna (Cognitive impairment).
• Dementia lo awm thar emaw, a zual zel emaw.
• Mahni chauhva hnathawh theihna hloh.

Engtin nge doctor hian hei hi a hriat theih?

Delirium hi chiang taka hriat theihna test pakhat mah a awm lo. Doctor chuan thil engemaw zat ngaihtuah hovin diagnosis a siam thin.

1. Symptoms chungchang zawh: Damlo leh chhungte hnenah heng inthlak danglamna te hi engtin nge a lo intan tih leh eng symptoms nge an neih tih chipchiar takin zawt rawh. Damlo nungchang a inthlak thut dan hi engtiang chiahin nge a nih tih hriat a pawimawh hle.

2. Taksa endik: Damlo chu uluk taka enfiah a ni.

3. Neurological exam: Thil hriatrengna, ngaihtuah thiamna, leh balance ang chi te a test thin.

4. Test: Heng test te hi delirium awm chhan hriat nan an ti thin.

• Thisen test: Infection, electrolyte imbalances, kidney leh liver function, etc. te enfiah thin.
• Zun test: Zun kawng infection a awm leh awm loh enfiah thin.
• Chest X-ray: Pneumonia ang chi dinhmun enfiah nan.
• ECG test: Thinlung hnathawh dan enfiah thin.
• Brain scan: Stroke ang chi natna rinhlelhna a awm chauhvin tih thin.

Engtin nge enkawl a nih?

Delirium enkawlna tum ber chu natna chhan bulpui zawn leh enkawl hi a ni. Entirnan, hri kai vang a nih chuan antibiotics pek thin a ni. Saline hi tui tlakchham vang a nih chuan pek thin a ni. A chhan enkawl a nih chuan delirium dinhmun chu a ṭha chho zauh zauh a.

Chutih rual chuan, damlote himna tur leh thlamuanna pe turin supportive therapy pek a ni bawk. Damdawi lam thawktute hian damdawi inah heng thilte hi an tih lai hian nang pawhin in lamah pawh heng thilte hi i ti thei bawk.

• Environment muang tak siam rawh: Damlo room chu reh leh muang takin dah rawh. Zanah light chu dim la, mutna hmun nuam tak siam rawh.
• Ei leh in tha leh tui pe: Taksa dam nan ei leh in tha hi a pawimawh hle.
• Inhriatthiamna siam: In atanga thil hriat lar tak tak (thlalak, puan) rawn keng la, i chhehvelah dah rawh. Damlo chuan chhungte’n an biak fo chuan thlamuanna a hmu ang.
• An chhehvêl khawvêl hriatna: Calendar lian tak leh dârkâr chu hmuh theih tûr hmunah dah ula. Engtik lai nge tih leh eng ni nge tih hriat nawn tir fo thin ang che.
• Glasses leh hearing aids: Damloin a hmang a nih chuan a chhehvel nena inzawmna an hloh loh nan uluk takin hmang rawh se.
• A theih ang anga che: I doctor-in a thurawn angin, tlem tal kal kual leh i taksa peng hrang hrang tizau thei exercise tih hi i taksa leh i rilru tan a tha hle.

Hetiang dinhmun hi damdawi bik a awm em?

Tunah hian delirium enkawlna tur damdawi bik pawm a la awm lo. Mahse, a \henah chuan doctor-te chuan natna lan chhuah dan thunun nan damdawi an hmang \hin.

• Severe hyperactive delirium: Damlo chu mahni emaw midang emaw tihnat hlauhawm a nih chuan antipsychotics dose tlem te chu hun rei lote chhung pek thin a ni a, chu chuan a tihbuai loh nan a tichhe thei a ni.
• Zu in loh chhinchhiahna: Hei vang hian delirium a awm a nih chuan damdawi (benzodiazepines) ang chi damdawi pek thin a ni.
• Infection: Bacteria infection a nih chuan antibiotics pek thin a ni.
• Nun tawp lamah: Natna leh lungawi lohna tihziaawm nan damdawi chi hrang hrang pek thin a ni.

Delirium hi ven theih a ni em?

A pumpelh vek theih loh laiin, a hlauhawmna tihziaawmna tur thil kan tih theih a awm. Chhungkaw member tar tawh tak damdawi ina dah tur a nih chuan hengte hi a pawimawh zual hle.

• Hriselna tha: I thluak leh taksa chu active takin vawng reng ang che. Mut tawk rawh. Social takin awm rawh.
• Damdawi hlauhawm tak takte tihtlem: I doctor nen inbia la, buaina thlen thei damdawi hman tlem zawk rawh.
• A hmaa chhinchhiahna awmte chu fimkhur rawh: A bik takin damdawi ina awm damlote nungchang inthlak danglamna tlemte pawh i hmuh chuan doctor emaw nurse emaw hnenah hriattir nghal rawh.
• Chhungkaw member-te zirtirna: In lama mi hlauhawm an awm chuan chhungkaw tinte tan delirium symptoms hriat a pawimawh.

Delirium hi damlo leh an enkawltute tan pawh thil hlauhawm tak a ni thei. I hmangaih tak chu mi danglam tak ang maia a che nghal mai chu a lungchhiatthlak hle thei a ni. Mahse, a tam zâwk chuan hei hi rei lo tê chauh a ni tih hre reng ang che . A chhan hriat chian a nih a, a hmaa enkawl tan a nih chuan a natna lan chhuah dan a tha lehzual ang. Chuvangin a pawimawh ber chu heng chhinchhiahnate hi hriatchhuah a, a rang thei ang bera damdawi lam thurawn lak hi a ni.