Fungidzira kuti mudiwa wako, pamwe amai vako, baba, kana ambuya/sekuru, vari muchipatara nekuda kwekurwara. Munhu wawakataura naye uye waunoziva nezuro akangoerekana asisakuzive, anodanidzira nekutya, haazive kuti inguvai, kana kuti uri kupi, uye anoita zvinhu zvisinganzwisisike. Waizonzwa kutya kukuru uye kushamisika, handiti? Mukurapa, rudzi urwu rwekuvhiringidzika kwepfungwa kunonzi delirium. Izvi hazvisi zvisinganzwisisike sezvaungafunga. Saka, zvakakosha kuziva izvi.
Zvichitaurwa zviri nyore, chii chinonzi Delirium?
Kuvhiringidzika kwepfungwa (delirium) chirwere chinoitika kamwe kamwe mukushanda kwepfungwa . Chirwere ichi chinogona kukura nekukurumidza mumaawa mashoma kana mazuva. Chinokonzera kuti kugona kwemunhu kufunga, kurangarira, kuisa pfungwa dzake pachinhu chimwe chete, uye kunzwisisa zvakamupoteredza kukanganiswe kwenguva pfupi.
Chinhu chakakosha ndechekuti delirium haisi chirwere chepfungwa. Inowanzo konzerwa nechimwe chirwere, hutachiona, kuvhiyiwa, kana mishonga. Izvi zvinoreva kuti kana chikonzero chacho chikaonekwa uye chikarapwa, chirwere chacho chinogona kurapwa zvachose.
Ndedzipi mhando huru dzepfungwa dzisina kugadzikana mupfungwa?
Dambudziko reDelirium rinogona kukamurwa kuita mhando nhatu huru, zvichienderana nemaitiro emurwere.
| Rudzi rwepfungwa dzekuvhiringidzika kwepfungwa | Ungaziva sei? (Hunhu) |
|---|---|
| Kuvhiringidzika kwepfungwa kwakanyanya | Vanhu ava havana zororo, havana zororo . Vanogara vachiedza kumuka pamubhedha, vachiedza kubvisa chubhu yemunyu, vachipopota, uye vachiita sevakashatirwa. Vakaoma kutarisira. Rudzi urwu rwuri nyore kuziva. |
| Kuvhiringidzika kwepfungwa | Vanhu ava vane hope dzakanyanya, sekunge vakaneta.. Havanyanyi kutaura, havana hanya nekudya kana kunwa, uye havana hanya nezvese. Nekuti vanhu ava havanetseki, dzimwe nguva izvi zvinogona kuregeredzwa, vachifunga kuti chikamu chechirwere pachacho. Asi izvi zvine njodziwo. |
| Kuvhiringidzika Kwepfungwa | Vanhu ava vanogona kuratidza zviratidzo zvakasiyana-siyana zvemhando mbiri dzataurwa pamusoro apa. Vanogona kunge vakavhiringidzika zvakanyanya pane imwe nguva yezuva, uye vakanyarara uye vane hope pane imwe nguva. |
Ndezvipi zviratidzo zvekusaziva zviri kuitika?
Zviratidzo zvekusaziva zviri kuitika zvinogona kusiyana kubva pamunhu kusvika pamunhu. Zvinogonawo kuuya zvichienda, uye zvinogona kutowedzera husiku .
Zvinhu zvikuru zvinoonekwa:
- Kusaziva zviri kuitika: Kukanganwa kuti vari kupi (muchipatara kana kumba), kuti izuva ripi, uye kuti inguvai.
- Kusakwanisa kuisa pfungwa pachinhu chimwe chete: Kuomerwa nekugara wakatarisa pane chimwe chinhu, kuramba uchitaura, uye kupindura mibvunzo nemazvo.
- Kurasikirwa nendangariro: Kukanganwa zviitiko zvechangobva kuitika, zvakaita semazita emhuri.
- Kuvhiringidzika kwepfungwa: Hurukuro dzinovhiringika. Kubva pane imwe nyaya kuenda pane imwe.
- Kuchinja kwemaitiro:
- Kuona kana kunzwa zvinhu zvisipo (kufungidzira zvinhu zvisipo) .
- Kutenda zvakasimba muzvinhu zvisiri zvechokwadi, semuenzaniso, kufunga kuti mumwe munhu ari kuedza kukuchetura (delusions) .
- Kusagadzikana, hasha, uye kushushikana .
- Kana kuti, kunyarara zvakanyanya, usimbe, uye hope.
- Kuchinja kwemanzwiro: Kungoerekana wanzwa hasha, kutya, kunetseka, kana kufara zvikuru. Manzwiro aya anochinja nekukurumidza.
- Kuchinja kwemaitiro ekurara: Kurara masikati uye kumuka husiku. Kurara kunokanganiswa zvachose.
Ndezvipi zvinokonzera delirium?
Kuora mwoyo hakukonzerwi nekushushikana kwatinosangana nako muhupenyu hwedu hwezuva nezuva. Kunokonzerwa nekushushikana kwemuviri kwakanyanya zvekuti muviri kana uropi hazvigone kubata. Kana uropi husina okisijeni, zvinovaka muviri, kana makemikari ahunoda, uropi hunomira kushanda zvakanaka.
Zvimwe zvezvikonzero zvakajairika:
- Utachiona hwakakomba: kunyanya hutachiona hwemunzira yeweti, hutachiona hwemapapu (pneumonia).
- Kuvhiyiwa kukuru: Kunyanya mushure mekuvhiyiwa kwemoyo kana kuvhiyiwa kwechiuno.
- Mishonga:Kutora mimwe mishonga inoderedza marwadzo, mapiritsi ekurara, mishonga yekurwara nepfungwa, kana mishonga yakawanda panguva imwe chete.
- Doro kana zvinodhaka: zvishandise kana kuti zvirege zvachose.
- Kushaya mvura mumuviri kana kushomeka kwezvekudya zvinovaka muviri.
- Kukuvara mumusoro nekuda kwetsaona.
- Zvirwere zvekukurumidzira zvakaita sekurohwa nemoyo uye sitiroko.
- Kusaenzana kwehuwandu hwemunyu (sodium, potassium) mumuviri.
- Kurwadziwa kwakanyanya.
- Kuzvimbirwa kana kutadza kuita weti.
- Nzvimbo yechipatara: Kuva munzvimbo yausingazive, muimba isina mahwindo, uye uchigara uchinetseka nekurara.
Kuvhiringidzika kwepfungwa kunowanzoitikawo pakupera kwehupenyu, kunyanya kune avo vanowana rubatsiro rwekurapa.
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Kunyange hazvo kuvhiringidzika kwepfungwa kuchigona kuitika chero pazera ripi zvaro, vamwe vanhu vari panjodzi huru.
- Vanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa.
- Vanhu vakambova nedambudziko rekuyeuka rakadai sedementia .
- Vanhu vane matambudziko ekuona kana kunzwa.
- Vanhu vakambova nepfungwa dzisina kunaka.
- Avo vakavhiyiwa zvakanyanya.
- Vanhu vanoshandisa mishonga yakawanda panguva imwe chete.
- Vanhu vane miviri isina simba uye yakaonda.
Chiremba anowana sei izvi?
Hapana bvunzo imwe chete yekuongorora delirium. Chiremba achaiongorora nekutarisa zvinhu zvakasiyana-siyana pamwe chete.
1. Kubvunza mhuri yemurwere nezvekuchinja kwepfungwa dzavo: Kuchinja kwepfungwa dzemurwere kwakakurumidza sei, kuti kuchinja kwemaitiro ake kwaive kupi. Zvakakosha kutsanangura zvakajeka zvaunoona kuna chiremba.
2. Kuongorora murwere: Unogona kubvunza mibvunzo mishoma iri nyore kuti uedze kutarisisa kwemurwere, kurangarira kwake, uye kugona kwake kufunga. (Muenzaniso: Nhasi izuva ripi? Uri kupi? Unogona kuverenga uchidzoka shure ne10 here?)
3. Kuongororwa kwemuviri: Muviri unoongororwa kuti hauna hutachiona here kana zvimwe zviratidzo.
4. Miedzo: Miedzo yakasiyana-siyana inoitwa kuti paonekwe chikonzero chaicho.
- Kuongororwa kweropa (kutarisa hutachiona, mazinga emate)
- Kuongororwa kweweti (ona hutachiona hwemunzira yeweti)
- X-ray yechipfuva
- Kuongororwa kweECG (kuongorora mashandiro emoyo)
- Dzimwe nguva kuskena kweuropi (CT/MRI scan)
Kuvhiringidzika kwepfungwa kunorapwa sei?
Chinangwa chikuru chekurapa ndechekuwana nekurapa dambudziko riripo rinokonzera kuvhiringidzika kwepfungwa . Semuenzaniso, mishonga inorwisa utachiona kana munyu wemvura mumuviri.
Pamusoro pezvo, nzira dzinoshandiswa kubatsira kupa nyaradzo kumurwere uye kumuchengetedza akadzikama uye akachengeteka.
Kurapa kusiri kwemishonga
- Gadzira nzvimbo yakanyarara uye yakanyarara: Deredza ruzha rweterevhizheni, dzima mwenje inopenya, uye deredza huwandu hwevanhu vanoswedera pedyo nemurwere panguva imwe chete.
- Gara uchitaura nemurwere: Taura zvinyoro nyoro, nemashoko akapfava. Kutaura zvinhu zvakaita sekuti, "Uri muchipatara, uchava zvakanaka, tiripo kuti tikubatsire" kunogona kubatsira kuderedza kutya kwemurwere.
- Ita kuti vanhu vazive nezvenzvimbo yakapoteredza: Isa wachi hombe nekarenda panogona kuonekwa nemurwere. Chengeta mahwindo akavhurika masikati.
- Kuva pedyo nemhuri: Kuona zviso zvevanoziva uye kunzwa manzwi evadikanwi zvinozorodza murwere zvikuru.
- Kushandisa magirazi nezvinhu zvinobatsira kunzwa: Kana usina kuona zvakanaka kana kunzwa zvakanaka, zvakakosha kuti uve nemidziyo yakakodzera zvaunoda.
- Ipai chikafu chakanaka uye mvura.
- Kana zvichibvira, famba-famba zvishoma sezvakarairwa nachiremba wako: Dambudziko iri rinogona kuipa kana ukagara panzvimbo imwe chete.
Kurapa nemishonga
Parizvino hapana mushonga chaiwo unobvumirwa wekurapa delirium. Zvisinei, kana murwere akashatirwa zvakanyanya uye ari panjodzi yekuzvikuvadza kana kukuvadza vamwe, chiremba anogona kunyora mushonga mudiki kwazvo werudzi rwemishonga inonyaradza (antipsychotic) kwenguva pfupi.
Zvinokwanisika here kupora zvachose kubva pakuora mwoyo?
Kazhinji, kuvhiringidzika kwepfungwa kunopera zvachose mukati memazuva mashoma kana mavhiki kana chikonzero chacho charapwa. Zvisinei, vamwe vanhu, kunyanya avo vakwegura kana vane zvirwere zvakaita sedementia, vanogona kutora mwedzi yakati wandei kuti vaporeswe. Dzimwe nguva, panogona kunge paine zvikanganiso zvidiki mukurangarira kana kugona kufunga.
Kuvhiringidzika mupfungwa chiitiko chinotyisa, kune murwere uye kune mhuri inomutarisira. Asi kana ukaziva nekukurumidza uye ukarapwa zvakanaka, mudiwa wako anogona kupora.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiringidzika kwepfungwa hakusi chirwere chepfungwa. Kukanganisika kwekushanda kwepfungwa kamwe kamwe kunokonzerwa nechimwe chirwere mumuviri.
- Uku kuvhiringidzika kwepfungwa kunoitika kamwe kamwe kwenguva pfupi, senge maawa mashoma kana mazuva.
- Zviratidzo zvinogona kusiyana mukati mezuva uye zvinogona kutowedzera kuipa husiku .
- Kana mumwe munhu wepedyo newe, kunyanya munhu mukuru kana mumwe munhu ari muchipatara, akangoerekana atanga kuita seavhiringidzika, usazviregeredza. Udza chiremba nekukasika.
- Kurapa chikonzero chiripo kazhinji kunogona kurapa zvachose delirium.
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