Reka twige ku ndwara ya Delirium Tremens, indwara ikomeye ishobora kubaho nyuma yo guhagarika inzoga!

Ese wigeze wumva ko hari abantu babaswe n'inzoga cyane bahita bareka kunywa inzoga bahura n'ibihe bibi cyane? Hari igihe batakaza ubwenge, umubiri wabo wose ugatangira kunyeganyega, maze bagahinduka akaga gakomeye. Rero, indwara ikomeye kandi iteje akaga ishobora kubaho iyo uretse inzoga ni iyo tugiye kuvugaho uyu munsi , Delirium Tremens , cyangwa DTs mu magambo ahinnye. Ibi rimwe na rimwe bishobora gushyira ubuzima mu kaga.

Delirium Tremens ni iki? Kuki bibaho?

Muri make, Delirium Tremens ni indwara ikomeye cyane ishobora kubaho iyo umuntu wabaye imbata ikomeye y’inzoga (cyane cyane umuntu ufite ikibazo cyo kunywa inzoga mu rugero ruciriritse cyangwa ikabije) ahagaritse kunywa inzoga burundu mu buryo butunguranye.

Noneho reka turebe uko ibi bikora. Iyo umuntu anyoye inzoga nyinshi igihe kirekire, umubiri we ujya mu ntambara idasanzwe. Tekereza nk'intambara yo gukurura. Ku ruhande rumwe, inzoga ni ikintu kigabanya uturemangingo tw'imitsi yo hagati (CNS) , nk'uko feri zifata imodoka. Iyi ngingo y'imitsi yo hagati igenzura uburyo duhumeka n'umutima wacu. Iyo inzoga igabanya uyu musaruro (ni ukuvuga ikora nk'ikintu kigabanya uturemangingo ), ku rundi ruhande, ingingo y'imitsi yo hagati irwanya ibi mu kongera imikorere yayo, igerageza gutuma umubiri ukora neza. Uko igihe kigenda gihita, ingingo y'imitsi yo hagati imenyera uru rwego rw'imikorere, maze itekereza ko ari rwo rwego "rusanzwe".

Rero, iyo uhagaritse kunywa inzoga mu buryo butunguranye, biba bimeze nk'aho waretse igice kimwe cy'umugozi. Uturemangingo tw'imitsi yo hagati ntabwo tugomba kongera imikorere yatwo kugira ngo turwanye ingaruka z'inzoga. Ariko na byo ntibishobora kugabanya imikorere yabyo icyarimwe. Ibyo bivuze ko uturemangingo tw'imitsi yo hagati tuba dukora cyane kuruta uko bikwiye. Kuba ukora cyane ni byo bituma n'imikorere karemano y'umubiri ihungabana, maze iki kibazo cyitwa delirium tremens kikabaho. Urabyumva?

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, ibibazo byo kunywa inzoga bikunze kugaragara cyane kurusha uko wabitekereza. Urugero, bivugwa ko abantu bakuru bagera kuri 29% by’Abanyamerika bazahura n’iki kibazo mu gihe runaka mu buzima bwabo. Ariko, ni bake cyane muri bo, bari hagati ya 1% na 1.5%, barwara indwara yo kwiheba (delirium tremens). Ariko, nubwo ari bake cyane, bishobora guteza akaga gakomeye.

Ni ibihe bimenyetso bya Delirium Tremens?

Delirium tremens (DTs) ishobora kugira ibimenyetso byinshi. Bimwe turabizi, mu gihe ibindi bitazwi cyane. Reka turebe bimwe mu bimenyetso by'ingenzi:

• Guhinda umushyitsi cyangwa kunyeganyega:Iki ni ikimenyetso abantu benshi bazi kandi bagikunda kubona. By'umwihariko amaboko arahinda umushyitsi cyane.
• Urujijo: Iyi ni indwara yo mu mutwe iterwa no kureka inzoga. Hari igihe abaganga bayita "impinduka mu miterere y'imitekerereze." Igice cya "delirium" cy'izina "delirium tremens" gikomoka kuri iyi ndwara yo mu mutwe kandi igice cya "termor" ni ugutitira.
• Guhangayika cyangwa guhangayika: Ibi bishobora gutuma umurwayi yitwara nabi kandi mu buryo bw'urugomo.
• Ibimenyetso by'indwara yo mu mutwe: Abantu bafite indwara yo kwiheba (delirium tremens) bashobora kugira ibihe nk'ibyo babona, bumva cyangwa bumva ibintu bitariho. Bashobora kandi kugira ibindi bimenyetso by'indwara yo mu mutwe, nko gucika intege.
• Guhungabana kw'amatwi no kubura umurongo: Abantu bafite ikibazo cyo kubura ubwenge (delirium tremens) ntibamenya neza ibibakikije kuko ibyumviro byabo bidakora neza.
• Kubira ibyuya byinshi (diaphoresis): Abantu bafite ikibazo cyo kubura ubwenge (delirium tremens) rimwe na rimwe bagira ibyuya byinshi, ntabwo ari ibyo gukomeza.
• Indwara zo kubura inzoga: Akenshi, ibimenyetso byo kureka kunywa inzoga bishobora kubanzirizwa n'indwara zo kubura inzoga, zishobora gutera indwara yo kwiheba (delirium tremens). Izi ndwara zishobora gushyira ubuzima mu kaga iyo zigeze ku ndwara ikomeye yitwa status epilepticus .
• Ubushyuhe bwinshi bw'umubiri (hyperthermia).
• Kuribwa umutwe.
• Isesemi no kuruka.
• Umutima wiyongera (umutima utera vuba - tachycardia).

Icy'ingenzi ni uko kimwe cyangwa byinshi muri ibi bimenyetso bishobora gutangira kugaragara mu minsi umwe cyangwa itatu uhereye igihe uhagaritse inzoga, ibimenyetso bikomeye cyane bikabaho nyuma y'iminsi ine cyangwa itanu.

Ni iki gitera Delirium Tremens?

Impamvu rukumbi itera delirium tremens (DTs) ni ukwiyongera kw'ibimenyetso byo kureka kunywa inzoga bitewe n'uko umuntu ufite ikibazo cyo kureka kunywa inzoga mu buryo butunguranye ahagaritse kunywa inzoga.

Ni ibihe bintu bishobora gutera Delirium Tremens?

Hari ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara delirium tremens (DTs). Ibi birimo:

• Niba warigeze kugira ibimenyetso byo kureka inzoga, gukubita, cyangwa kurota nk'uwihebye (DTs).
• Niba wararetse kunywa inzoga nyinshi hanyuma ukongera kuzinywa inshuro nyinshi.
• Kunywa inzoga nyinshi (uko unywa inzoga nyinshi, niko ibyago birushaho kwiyongera).
• Ubusinzi ku bindi biyobyabwenge (cyane cyane imiti igabanya ububabare cyangwaNiba ufata imiti igabanya ubukana bw'ubwonko icyarimwe, iyi miti inagabanya uburyo bwo kugabanya ubukana bw'imitsi yo mu mutwe.
• Imyaka iragenda yiyongera. Ibyago byo kurwara delirium tremens (DTs) byiyongera uko umuntu agenda akura. Abantu bari munsi y'imyaka 30 ntibakunze kugira ibimenyetso byo kureka kunywa inzoga cyangwa delirium tremens (DTs).
• Izindi ngorane z'ubuzima. Urugero, indwara nko kubura imirire, indwara z'umutima, n'indwara z'umwijima.

Ni izihe ngorane zishobora guterwa na Delirium Tremens?

Indwara yo kunywa inzoga cyangwa indwara yo kwibagirwa (DTs) byombi bishobora gutera ingorane nyinshi zikomeye. Zimwe muri zo ni izi:

• Kubura imirire, cyane cyane Wernicke-Korsakoff syndrome (kubura vitamine B1 biterwa no kunywa inzoga).
• Indwara zo mu mutwe.
• Guhangayika no kwiheba.
• Ibibazo byo gusinzira (Kubura ibitotsi).
• Ibibazo by'umutima n'imiyoboro y'amaraso.

Ni gute indwara ya Delirium Tremens ipimwa?

Ubusanzwe, umuganga wo mu cyumba cy’ubutabazi bw’ibanze cyangwa undi muganga ashobora gusuzuma indwara yo kwiheba (delirium tremens) akoresheje uburyo butandukanye n’ibikoresho bitandukanye. Ibi birimo:

• Isuzuma ry'umubiri.
• Isuzuma ry'imitsi.
• Urutonde rw'ibintu byihariye rutanga amanota agaragaza ko umuntu ashobora kugira ikibazo cyo kubura ubwenge (delirium tremens) hashingiwe ku bimenyetso. Urugero ni CIWA-Ar (Ikigo cy’ubuvuzi gishinzwe gusuzuma ikoreshwa ry’ibiyobyabwenge ku gipimo cyavuguruwe cy’inzoga) .
• Gupima muri laboratwari.

Ni ibihe bipimo byo gusuzuma indwara?

Ibizamini byinshi bifasha gusuzuma indwara yo kwiheba (delirium tremens) bikorerwa muri laboratwari. Bisaba ingero z'amaraso cyangwa inkari. Ibi bizamini bireba:

• Imikorere y'ingingo zawe z'imbere, cyane cyane umwijima, impyiko n'umutima.
• Urugero rw'inzoga mu maraso.
• Isuzuma ry'imiti y'inkari.
• Urugero rwa electrolyte .

Bitewe n'ibimenyetso byawe cyangwa niba ufite izindi ngorane z'ubuzima, ushobora gukenera gukorerwa ibizamini byinshi. Muganga wawe ashobora kukubwira byinshi ku bipimo agusaba.

Indwara ya Delirium Tremens ivurwa ite? Ese ishobora kuvurwa?

Delirium tremens (DTs) ntishobora "gukira burundu", ariko ishobora kuvurwa neza cyane . Kimwe mu bintu by'ingenzi biranga delirium tremens (DTs) ni ukwibagirwa. Kubera iyo mpamvu, abantu bafite iyi ndwara ntibashobora gufata ibyemezo birambuye ku bijyanye n'ubuvuzi bwabo. Niba udashobora kwifatira ibyemezo, umuryango wawe cyangwa abakunzi bawe bashobora kuba bagomba kugufatira ibyo byemezo.

Intego nyamukuru yo kuvura iyi ndwara ni ukugabanya gukora cyane kw'imitsi. Muganga avura ibi akoresheje imiti igabanya gukora kw'imitsi yo hagati (CNS). Hari ubwoko butandukanye bw'imiti ikoreshwa muri ibi.

Ubusanzwe, uburyo bwo kuvura indwara yo mu mutwe (delirium tremens) butangirana n'imiti igabanya ubukana . Iyi miti ifasha kugabanya imikorere y'imitsi yo mu mutwe (CNS). Iyi miti ikabije y'imitsi ni yo itera ibibazo byinshi biteje akaga ku ndwara yo mu mutwe (delirium tremens). Imiti ikoreshwa cyane ni ubwoko bw'imiti yitwa benzodiazepines . Ariko, hari n'indi miti ishobora gukoreshwa. Ni gake cyane, abantu bafite ikibazo gikomeye cy'imitsi yo mu mutwe (CNS) bashobora gukenera guhabwa ikiruhuko cyuzuye no guhabwa ikinya rusange kugira ngo hirindwe ibimenyetso biteje akaga cyane by'indwara yo mu mutwe (delirium tremens).

Abantu benshi bafite ikibazo cyo kubura amazi mu mubiri (delirium tremens - DTs) nabo bafite ikibazo cyo kubura amazi mu mubiri , kutagira electrolyte ihagije, cyangwa kubura imyunyu ngugu. Muganga wawe ashobora kuvura ibi bibazo aguha umuti wa saline ( IV ) urimo vitamine n'imyunyungugu. Hari imiti ya saline yakozwe by'umwihariko kuri izi ndwara. Urugero, umuti wa saline uzwi cyane mu baganga nka " banana bag" (ibyo bita kubera ibara ry'umuhondo ry'umuti). Urimo vitamine B1 ( thiamine ), vitamine B9 ( folate ), vitamine nyinshi, umuti wa electrolyte, n'ibindi.

Uburyo bwo kuvura indwara yo kunywa inzoga

Impamvu nyamukuru itera delirium tremens (DTs) ni ikibazo cyo gukoresha inzoga. Nyuma yo kuvura delirium tremens (DTs), intego y'igihe kirekire ni ukuvura ikibazo cyo gukoresha inzoga. Hari uburyo bwinshi bwo kuvura ibi. Kuvura ibi bishobora kugabanya ibyago byo kurwara delirium tremens (DTs) mu gihe kizaza.

Ni izihe ngorane cyangwa ingaruka mbi z'ubuvuzi?

Ingorane zo kuvurwa na delirium tremens (DTs) ziterwa ahanini n'ubuvuzi uhabwa. Kubera ko hari imiti myinshi itandukanye n'uburyo bwo kuvura, ingaruka mbi zishobora gutandukana cyane. Muganga wawe ashobora gusobanura neza ingorane ushobora guhura nazo nyuma y'uko ibimenyetso byawe birushijeho kumera neza kandi indwara yawe yo kwibagirwa ikavaho. Cyangwa, muganga wawe azasangiza aya makuru arambuye inshuti ze zemerewe kumenya amakuru yawe y'ubuvuzi no kugufatira ibyemezo.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Ibimenyetso by'ingenzi bya delirium tremens (DTs) akenshi bifata iminsi itatu kugeza kuri irindwi kugira ngo bikemuke. Muri icyo gihe, uzatangira kumva umeze neza buhoro buhoro. Mu bihe bikomeye, bimwe mu bimenyetso bishobora kumara ibyumweru cyangwa amezi.

Ni iki nakwitega mu gihe mfite indwara ya Delirium Tremens?

Niba ufite delirium tremens, kimwe mu bimenyetso by'ingenzi uzabona ni urujijo. Uzagorwa no gusobanukirwa ibiri kukubaho n'ibiri kubera iruhande rwawe. Ushobora kandi kugira ibihe bitagaragara. Ibi bivuze ko ibintu ubona cyangwa wumva ari ukuri bishobora kuba bitahari.

Kubera ibi bimenyetso, ushobora kudashobora gufata ibyemezo ku bijyanye n'ubuvuzi bwawe. Abaganga bazaguvura kugira ngo bagufashe gutuza (keretse niba warabashyikirije amabwiriza y'ubuvuzi mbere y'igihe). Bashobora kandi kuvugana n'umuryango wawe, inshuti zawe, cyangwa abandi bantu ba hafi wahaye uburenganzira bwo kumenya ibijyanye n'ubuvuzi bwawe no gufata ibyemezo.

Delirium Tremens imara igihe kingana iki?

Ubusanzwe indwara yo kwiheba (Delirium tremens) imara iminsi irindwi, nubwo hari abantu bashobora kugira ibimenyetso kugeza ku byumweru bibiri.

Ni iki kizere cy’uko indwara ya Delirium Tremens izagenda?

Uko indwara yo kurota iterwa n'ihungabana ry'umutima ihagaze biterwa n'ibintu byinshi. Muri byo harimo:

• Ubukana bw'ibimenyetso.
• Ubukana bw'ikibazo cyawe cyo kunywa inzoga.
• Izindi ndwara ufite.
• Uburyo wahawe ubuvuzi vuba.

Nubwo umuntu yavurwa, imwe mu ngorane ziterwa no kubura ubwenge ni urupfu. Iyo bitavuwe, abantu bagera kuri 15% bafite kubura ubwenge bapfa. Ingaruka zo gupfa ziba nyinshi kurushaho iyo ufite izindi ndwara zikomeye. Iyo umuntu avuwe, igipimo cyo kubura ubwenge kigera kuri 95%. Uko umuntu avurwa vuba kubera kubura ubwenge, ni ko amahirwe ye yo kurokoka aba menshi kandi akabona umusaruro mwiza.

Ese indwara ya Delirium Tremens ishobora kwirindwa?

Uburyo bwonyine bwizewe bwo kwirinda indwara yo kwiheba (delirium tremens) ni ukureka burundu kunywa inzoga.

Niba ufite ikibazo cyo kunywa inzoga kandi ukaba ushaka kureka kunywa inzoga, vugana na muganga. Bashobora kugufasha kubona amikoro, ubuvuzi, n'inkunga bizagufasha kugabanya ikoreshwa ry'inzoga mu buryo butekanye. Bashobora kandi kukugira inama yo kuvura inzoga, abaganga b'inzobere, amatsinda y'ubufasha, n'ibindi byinshi.

Uburyo bwiza bwo kwirinda cyangwa kugabanya ibyago byo kurwara indwara yo kunywa inzoga (ndetse no kunywa inzoga zisanzwe) ni ukunywa mu rugero. Ibyo bivuze kunywa ukurikije amabwiriza akurikira:

• Ku bagabo: Umubare w’ibinyobwa bisindisha usabwa ku munsi ntugomba kurenza bibiri, kandi ntugomba kurenza 14 mu cyumweru.
• Ku bagore:Umubare w’inzoga zisabwa ku munsi ntugomba kurenza kimwe, kandi ntugomba kurenza birindwi mu cyumweru.

Indwara yo kunywa inzoga ntiterwa n'impamvu imwe gusa. Amateka y'umuryango, indwara zo mu mutwe, n'ibindi bintu byinshi bishobora kuyitera. Niba uhangayikishijwe n'ibyago byo kurwara indwara yo kunywa inzoga, ni byiza kuvugana na muganga. Bashobora kugufasha gusobanukirwa ingaruka zawe no kukugira inama z'icyo wakora kuri izo mpamvu.

"Ikinyobwa kimwe" ni iki?

"Ikinyobwa kimwe" kingana na garama 14 (garama 14) z'inzoga z'umwimerere. Kubera ko ubwoko bumwe bw'inzoga bufite inzoga nyinshi, "ikinyobwa kimwe" gishobora kuza mu buryo bwinshi.

Buri rugero muri uru rukurikira rungana n'"ikinyobwa kimwe":

• Agarama 12 z'inzoga isanzwe (hafi mililitiro 355)
• Liqueur y'ubunyobwa ingana na mililitiro 237-296 (8-10ml)
• Divayi 148 ml (5 ml)
• Icyo twita "umuti" ni ounces 1.5 (hafi mililitiro 44) z'inzoga zidasanzwe (urugero: gin, rum, whisky, vodka) (ni ukuvuga 40% by'inzoga ukurikije ingano).

Bisaba angahe kugira ngo umuntu agire indwara ya Delirium Tremens?

Umuntu wese wujuje ibisabwa kugira ngo anywe inzoga nyinshi ashobora kurwara delirium tremens (DTs). Ku bagabo, ibi bivuze kunywa ibinyobwa bitatu cyangwa birenga ku munsi n'ibinyobwa 15 cyangwa birenga ku cyumweru. Ku bagore, ibi bivuze kunywa ibinyobwa bibiri cyangwa birenga ku munsi n'ibinyobwa umunani cyangwa birenga ku cyumweru. Ariko, uko unywa inzoga nyinshi kandi ugakomeza kunywa inzoga nyinshi, niko urushaho kugira amahirwe yo kurwara delirium tremens (DTs).

Biragoye gutanga umubare runaka ukorera buri wese kuko abantu bose baratandukanye. Hari abantu bashobora kwihanganira inzoga cyane. Hari abantu bashobora gusinda inzoga cyane bitewe n'imiterere y'umubiri. Abandi bashobora gusinda cyane no kurwara indwara yo kwiheba (delirium tremens) bitewe n'imiti bafata, uburwayi bwabo n'ibindi bintu.

Kubera ko indwara yo kwiheba ishobora kugaragara ku bantu banywa inzoga ku rugero rutandukanye, uburyo bwiza bwo kwirinda indwara yo kwiheba ni ukunywa ku rugero ruciriritse cyangwa kutanywa na gato.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Delirium Tremens ni indwara ikomeye, ndetse ishobora no gushyira ubuzima mu kaga iyo umuntu ufite ikibazo cyo kunywa inzoga ahagaritse kunywa inzoga mu buryo butunguranye. Niba ufite ikibazo cyo kunywa inzoga, kugabanya cyangwa guhagarika burundu kunywa inzoga ni intambwe y'ingenzi ushobora gutera kugira ngo urusheho kugira ubuzima bwiza. Ariko ni intego ugomba kugeraho mu mutekano, kandi ntugomba kubikora wenyine.

Niba ufite ikibazo cyo kunywa inzoga kandi ukaba ushaka kugabanya cyangwa kureka burundu kunywa inzoga, umuganga w’ibanze ashobora kugufasha kubona ibikoresho na gahunda zo kugufasha mu buzima busanzwe. Abantu benshi bagira isoni cyangwa ubwoba bwo gusaba ubwo bufasha. Ariko, akazi ka muganga wawe ni ukugufasha, ntabwo ari ukugucira urubanza. Muri ubwo buryo, ushobora kugabanya inzoga zawe mu buryo butekanye no kunoza ubuzima bwawe, imibereho myiza, n’imibereho myiza muri rusange.

Kubabara mu mutwe , kureka inzoga, ingaruka mbi, kureka inzoga, kuba imbata y'inzoga, indwara zo mu mutwe, indwara zo mu mutwe