Ake sifunde nge-Delirium Tremens, isimo esibi esingase senzeke ngemva kokuyeka utshwala!

Wake wezwa ukuthi abanye abantu abalutha kakhulu utshwala ngokuzumayo bayeka ukuphuza baba nesikhathi esibi kakhulu? Ngezinye izikhathi balahlekelwa ingqondo, umzimba wabo wonke uqala ukuthuthumela, futhi baba yingozi ngendlela engenakucatshangwa. Ngakho-ke, isimo esibi kakhulu nesiyingozi esingaba khona uma uyeka utshwala yilesi esizokhuluma ngaso namuhla , i-Delirium Tremens , noma i-DTs ngamafuphi. Lokhu ngezinye izikhathi kungaba yingozi empilweni.

Kuyini i-Delirium Tremens? Kungani kwenzeka?

Kalula nje, i-Delirium Tremens yisimo esibi kakhulu esingaba khona lapho umuntu omlutha kakhulu wotshwala (ikakhulukazi umuntu onenkinga yokusebenzisa utshwala ngokulingene noma kakhulu) eyeka ngokuzumayo ukuphuza utshwala ngokuphelele.

Manje ake sibone ukuthi lokhu kusebenza kanjani. Uma umuntu ephuza utshwala obuningi isikhathi eside, umzimba wakhe uya empini engavamile. Cabanga ngakho njengokuhudula. Ngakolunye uhlangothi, utshwala buyisidambisi sesimiso sethu sezinzwa esiyinhloko (CNS) , njengamabhuleki emotweni. Lesi simiso sezinzwa esiyinhloko silawula ukuphefumula kwethu kanye nokushaya kwenhliziyo. Lapho utshwala bucindezela lo msebenzi (okungukuthi, busebenza njengesidambisi ), ngakolunye uhlangothi, isimiso sethu sezinzwa esiyinhloko silwa nalokhu ngokwandisa umsebenzi waso, sizama ukugcina umzimba usebenza kahle. Ngokuhamba kwesikhathi, isimiso sethu sezinzwa esiyinhloko siyajwayela leli zinga lomsebenzi elikhuphukile, futhi sicabange ukuthi leli izinga laso "elijwayelekile".

Ngakho-ke, uma uyeka ngokuzumayo ukuphuza utshwala, kufana nokuthi udedele ingxenye eyodwa yentambo. Isimiso sezinzwa esiyinhloko akudingeki sandise umsebenzi waso ukuze silwe nemiphumela yotshwala. Kodwa asikwazi ukunciphisa umsebenzi waso ngesikhathi esisodwa. Lokho kusho ukuthi isimiso sezinzwa esiyinhloko siba matasa kakhulu kunalokho okufanele sibe yikho. Ukuthi ukusebenza ngokweqile yikona okubangela ngisho nezinqubo zemvelo zomzimba ukuba ziphazamiseke, futhi lesi simo esibizwa ngokuthi i-delirium tremens siyenzeka. Uyaqonda?

Sivame kangakanani lesi simo?

Eqinisweni, izinkinga zokusebenzisa utshwala zivame kakhulu kunalokho ongase ucabange. Isibonelo, kulinganiselwa ukuthi cishe ama-29% abantu abadala baseMelika bazobhekana nalesi simo ngesikhathi esithile empilweni yabo. Kodwa-ke, iphesenti elincane kakhulu labo, eliphakathi kuka-1% no-1.5%, liba ne-delirium tremens (DTs). Kodwa-ke, ngisho nakulelo phesenti elincane, kungaba yingozi kakhulu.

Ziyini izimpawu ze-Delirium Tremens?

I-Delirium tremens (DTs) ingaba nezimpawu eziningi. Ezinye sizijwayele, kanti ezinye azikaziwa kakhulu. Ake sibheke ezinye zezimpawu eziyinhloko:

• Ukuthuthumela noma ukuthuthumela:Lesi yisibonakaliso abantu abaningi abasaziyo nabasibona njalo. Izandla ikakhulukazi ziyathuthumela kakhulu.
• Ukudideka: Lokhu ukuphazamiseka kwengqondo okuqondene ngqo nokuhoxa kotshwala. Odokotela ngezinye izikhathi bakubiza ngokuthi "isimo sengqondo esishintshile." Ingxenye "yokuphazamiseka kwengqondo" yegama elithi "ukudangala" ivela kulesi sifo sengqondo kanti ingxenye "yokuthuthumela" ingukuthuthumela.
• Ukukhathazeka noma ukukhathazeka: Lokhu kungabangela isiguli ukuba siziphathe ngendlela enobudlova neyobudlova.
• Izimpawu zengqondo: Abantu abane-delirium tremens (DTs) bangase babe nokubona izinto ezingekho, ukuzwa noma ukuzwa izinto ezingekho. Bangase babe nezinye izimpawu zengqondo, njengokuphazamiseka kwengqondo.
• Ukuphazamiseka kwezinzwa kanye nokudideka: Abantu abane-delirium tremens (DTs) banolwazi oluncane ngendawo ebazungezile ngoba izinzwa zabo azisebenzi kahle.
• Ukujuluka okukhulu (i-diaphoresis): Abantu abane-delirium tremens (DTs) babhekana nezimo zokujuluka okukhulu ngezikhathi ezithile , hhayi okuqhubekayo.
• Ukuquleka: Ngokuvamile, izimpawu zokuhoxa kotshwala zingandulelwa ukuquleka, okungase kuqhubeke kube yi-delirium tremens (DTs). Lokhu kuquleka kungaba yingozi empilweni uma kuqhubekela esimweni esiyingozi esibizwa ngokuthi i-status epilepticus .
• Ukushisa komzimba okuphezulu (i-hyperthermia).
• Ubuhlungu bekhanda.
• Isicanucanu nokuhlanza.
• Ukwanda kwesilinganiso senhliziyo (isilinganiso senhliziyo esisheshayo - i-tachycardia).

Okubalulekile, eyodwa noma ngaphezulu yalezi zimpawu ingase iqale ukuvela zingakapheli izinsuku ezintathu zokuyeka utshwala, kanti izimpawu ezimbi kakhulu zenzeka ngemva kwezinsuku ezine kuya kwezinhlanu.

Yini ebangela i-Delirium Tremens?

Imbangela eyodwa kuphela ye-delirium tremens (DTs) ukwanda kwezimpawu zokuhoxa ezibangelwa umuntu onenkinga yokusebenzisa utshwala ngokuzumayo ukuyeka ukuphuza utshwala.

Yiziphi izici ezibangela i-Delirium Tremens?

Ezinye izici zingase zandise ingozi yokuba ne-delirium tremens (DTs). Lezi zifaka:

• Uma uke waba nezimpawu zokuhoxa otshwaleni, ukuxhuzula, noma ukusangana (DTs).
• Uma uyeke ukuphuza kakhulu waphinde waqala kaningana.
• Ukuphuza utshwala ngokweqile (uma uphuza kakhulu, ingozi iba nkulu).
• Ukulutheka kwezinye izidakamizwa (ikakhulukazi izidakamizwa zokudambisa nomaUma uthatha ama-hypnotics ngesikhathi esifanayo, lezi zinto zicindezela nesimiso sezinzwa esiyinhloko.
• Ukukhula kweminyaka kuyakhula. Ingozi yokuba ne-delirium tremens (DTs) iyanda njengoba iminyaka ikhula. Abantu abangaphansi kweminyaka engama-30 ubudala banamathuba amancane okubhekana nezimpawu zokuhoxa kotshwala kanye ne-delirium tremens (DTs).
• Ezinye izinkinga zempilo. Isibonelo, izimo ezifana nokuntuleka kokudla okunempilo, isifo senhliziyo, kanye nesifo sesibindi.

Yiziphi izinkinga ezingaba khona ze-Delirium Tremens?

Kokubili i-Alcohol Use Disorder kanye ne-Delirium Tremens (DTs) kungabangela izinkinga eziningi ezinkulu. Ezinye zazo yilezi:

• Ukuntuleka kokudla okunempilo, ikakhulukazi i-Wernicke-Korsakoff syndrome (ukuntuleka kwevithamini B1 okubangelwa ukuphuza utshwala).
• Ukuquleka.
• Ukukhathazeka nokucindezeleka.
• Izinkinga zokulala (Ukuphazamiseka kokulala).
• Izinkinga zenhliziyo kanye nokujikeleza kwegazi.

I-Delirium Tremens itholakala kanjani?

Ngokuvamile, udokotela wegumbi lezimo eziphuthumayo noma omunye udokotela angaxilonga i-delirium tremens (DTs) ngokuhlanganisa izindlela eziningana namathuluzi. Lokhu kufaka phakathi:

• Ukuhlolwa komzimba.
• Ukuhlolwa kwemizwa.
• Izinhla zokuhlola ezithile ezinikeza amaphuzu abonisa amathuba okuthuthukisa i-delirium tremens (DTs) ngokusekelwe ezimpawini. Isibonelo yi -CIWA-Ar (Clinical Institute for Withdrawal Assessment for Alcohol Revised Scale) .
• Ukuhlolwa kwelebhu.

Yiziphi izivivinyo zokuxilonga?

Izivivinyo eziningi ezisiza ekuxilongeni i-delirium tremens (DTs) zenziwa elabhorethri. Zidinga amasampula egazi noma omchamo. Lezi zivivinyo zifuna:

• Umsebenzi wezitho zakho zangaphakathi, ikakhulukazi isibindi sakho, izinso kanye nenhliziyo.
• Izinga lotshwala egazini.
• Ukuhlolwa kwemithi yomchamo.
• Amazinga e-electrolyte .

Kuye ngezimpawu zakho noma uma unezinye izinkinga zempilo, kungadingeka ukuthi wenze izivivinyo ezengeziwe. Udokotela wakho angakutshela okwengeziwe ngezivivinyo abazincomayo.

Iphathwa kanjani i-Delirium Tremens? Ingabe ingelapheka?

I-Delirium tremens (DTs) ayikwazi "ukwelashwa ngokuphelele", kodwa ingelashwa kahle kakhulu . Esinye sezici eziyinhloko ze-delirium tremens (DTs) ukulahlekelwa yinkumbulo. Ngenxa yalokho, abantu abanalesi simo abakwazi ukwenza izinqumo ezinolwazi mayelana nokwelashwa kwabo. Uma ungakwazi ukuzenzela izinqumo, umndeni wakho noma abathandekayo bakho kungase kudingeke bakwenzele lezo zinqumo.

Umgomo oyinhloko wokwelapha lesi simo ukunciphisa ukusebenza ngokweqile kwesimiso sezinzwa. Udokotela welapha lokhu ngokusebenzisa imithi enciphisa ukusebenza kwesimiso sezinzwa esiyinhloko (CNS). Kunezinhlobo eziningana zemithi yalokhu.

Ukwelashwa kwe-delirium tremens (DTs) kuvame ukuqala ngemithi yokudambisa . Lokhu kusiza ukunciphisa ukusebenza kwesistimu yezinzwa ephakathi (CNS). Lo msebenzi wezinzwa owedlulele uyimbangela yezinkinga eziningi eziyingozi kakhulu ku-delirium tremens (DTs). Imithi yokudambisa esetshenziswa kakhulu uhlobo lwemithi ebizwa ngokuthi i-benzodiazepines . Kodwa-ke, ezinye izinhlobo zemithi nazo zingasetshenziswa. Akuvamile kakhulu, abantu abanomsebenzi ophezulu kakhulu wesistimu yezinzwa ephakathi (CNS) bangadinga ukudambisa ngokuphelele futhi banikezwe i-anesthesia ejwayelekile ukuvimbela izimpawu eziyingozi kakhulu ze-delirium tremens (DTs).

Abantu abaningi abane-delirium tremens (DTs) nabo banenkinga yokuphelelwa amanzi emzimbeni , ukungalingani kwe-electrolyte, noma ukuntuleka kwamaminerali. Udokotela wakho angelapha lezi zimo ngokukunikeza isisombululo se-saline ( IV ) esiqukethe amavithamini namaminerali. Ezinye izixazululo ze-saline zenzelwe ngokukhethekile lezi zimo. Isibonelo, isisombululo se-saline esaziwa kakhulu ngodokotela ngokuthi "isikhwama sebhanana " (esibizwa kanjalo ngenxa yombala ophuzi wesisombululo). Siqukethe i-vitamin B1 ( thiamine ), i-vitamin B9 ( folate ), i-multivitamin, isisombululo se-electrolyte, nokuningi.

Ukwelapha Inkinga Yokusetshenziswa Kotshwala

Imbangela eyinhloko ye-delirium tremens (DTs) ukuphazamiseka kokusebenzisa utshwala. Ngemva kokwelapha i-delirium tremens (DTs), umgomo wesikhathi eside ukwelapha inkinga yokusebenzisa utshwala. Kunezindlela eziningi zokwelapha lokhu. Ukwelashwa kwalokhu kunganciphisa ingozi ye-delirium tremens (DTs) esikhathini esizayo.

Yiziphi izinkinga noma imiphumela emibi yokwelashwa?

Izinkinga zokwelashwa kwe-delirium tremens (DTs) zincike kakhulu ekwelashweni okutholayo. Ngenxa yokuthi kunemithi eminingi ehlukene kanye nokwelashwa, imiphumela emibi ingahluka kakhulu. Udokotela wakho angachaza kangcono izinkinga ongase ubhekane nazo ngemva kokuba izimpawu zakho zithuthukile kanye ne-dementia yakho isiphelile. Noma, udokotela wakho uzokwabelana ngale mininingwane nabathandekayo abanikezwe imvume yokwazi ulwazi lwakho lwezokwelapha futhi bakwenzele izinqumo.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Izimpawu eziyinhloko ze-delirium tremens (DTs) zivame ukuthatha cishe izinsuku ezintathu kuya kweziyisikhombisa ukuze zixazululeke. Phakathi naleso sikhathi, uzoqala ukuzizwa ungcono kancane kancane. Ezimweni ezimbi kakhulu, ezinye izimpawu zingase ziqhubeke amasonto noma ngisho nezinyanga.

Yini okufanele ngiyilindele uma ngine-Delirium Tremens?

Uma une-delirium tremens, enye yezimpawu eziyinhloko ozothola ukudideka. Uzoba nobunzima bokuqonda okwenzekayo kuwe nokuthi kwenzekani eduze kwakho. Ungase futhi ube nemibono engekho. Lokhu kusho ukuthi izinto ozibonayo noma ozizwayo zingokoqobo kungenzeka zingabi khona ngempela.

Ngenxa yalezi zimpawu, ungase ungakwazi ukwenza izinqumo mayelana nokunakekelwa kwakho kwezokwelapha. Odokotela bazokwelapha ukuze bakuqinise (ngaphandle kokuthi ufake isiqondiso sezokwelapha kusengaphambili kubo). Bangase futhi bakhulume nomndeni wakho, abangane, noma abanye abantu abaseduze obanike imvume yokwazi ngokunakekelwa kwakho kwezokwelapha futhi benze izinqumo.

I-Delirium Tremens ihlala isikhathi esingakanani?

I-Delirium tremens (DTs) ivame ukuhlala cishe izinsuku eziyisikhombisa, yize abanye abantu bangase babe nezimpawu kuze kube amasonto amabili.

Iyini inhloso ye-Delirium Tremens?

Umbono we-delirium tremens uncike ezintweni eziningana. Lezi zihlanganisa:

• Ubunzima bezimpawu.
• Ubunzima bokuphazamiseka kwakho kokusebenzisa utshwala.
• Ezinye izimo zezokwelapha onazo.
• Indlela othole ngayo usizo lwezokwelapha ngokushesha.

Ngisho noma ukwelashwa kwelashwa, enye yezinkinga ze-delirium tremens (DTs) ukufa. Uma ingelashwa, cishe abantu abayi-15% abane-delirium tremens (DTs) bayafa. Ingozi yokufa iphakeme nakakhulu uma unezinye izimo zezokwelapha ezimbi. Ngokwelashwa, izinga lokusinda kwe-delirium tremens (DTs) licishe libe ngu-95%. Uma umuntu esheshe athole ukwelashwa kwe-delirium tremens (DTs), amathuba akhe okusinda ayanda futhi abe nomphumela omuhle.

Ingabe i-Delirium Tremens ingavinjelwa?

Indlela eqinisekile yokuvimbela i-delirium tremens (DTs) ukuyeka utshwala ngokuphelele.

Uma unenkinga yokusebenzisa utshwala futhi ufuna ukuyeka ukuphuza, khuluma nodokotela. Bangakusiza ukuthola izinsiza, ukunakekelwa, kanye nokusekelwa okuzokusiza ukunciphisa ukusetshenziswa kwakho kotshwala ngokuphephile. Bangancoma nezinhlelo zokuvuselela utshwala, odokotela abangochwepheshe, amaqembu okusekela, nokuningi.

Indlela engcono kakhulu yokuvimbela noma yokunciphisa ingozi yokuthola i-Alcohol Use Disorder (futhi ngenxa yalokho i-DTs) ukuphuza ngokulinganisela. Lokho kusho ukuphuza ngokweziqondiso ezilandelayo:

• Kwabesilisa: Inani elinconywayo leziphuzo ezidakayo ngosuku akufanele libe ngaphezu kwezimbili, futhi lingabi ngaphezu kweziyi-14 ngesonto.
• Kwabesifazane:Inani elinconywayo lamayunithi otshwala ngosuku akufanele lidlule elilodwa, futhi kungabi ngaphezu kwayisikhombisa ngesonto.

Inkinga yokusebenzisa utshwala ayibangelwa yimbangela eyodwa kuphela. Umlando womndeni, izimo zempilo yengqondo, nezinye izici eziningi zingaba nomthelela kukho. Uma ukhathazekile ngengozi yakho yokuba nenkinga yokusebenzisa utshwala, kuwumqondo omuhle ukukhuluma nodokotela. Bangakusiza uqonde izingozi zakho futhi bakunike iseluleko ngalokho okufanele ukwenze ngazo.

Kuyini "isiphuzo esisodwa"?

"Isiphuzo esisodwa" silingana namagremu ayi-14 (14 g) otshwala obumsulwa. Ngenxa yokuthi ezinye izinhlobo zotshwala zinezinga eliphezulu lotshwala, "isiphuzo esisodwa" singafika ngezindlela eziningi.

Izibonelo ezilandelayo zilingana "nesiphuzo esisodwa":

• Ama-ounces angu-12 kabhiya ojwayelekile (cishe ama-355 ml)
• Ama-ounces angu-8-10 (cishe ama-237-296 ml) we-malt liqueur
• Ama-ounces ama-5 ewayini (cishe ama-148 ml)
• Lokho esikubiza ngokuthi "i-shot" ama-ounces angu-1.5 (cishe ama-ml angu-44) ezipirithi (isib. i-gin, i-rum, i-whisky, i-vodka) (okuyi-40% yotshwala ngomthamo).

Kuthatha malini ukuthuthukisa i-Delirium Tremens?

Noma ubani ohlangabezana nezindinganiso zokuphuza kakhulu angaba ne-delirium tremens (DTs). Kwabesilisa, lokhu kusho ukuphuza iziphuzo ezintathu noma ngaphezulu ngosuku kanye neziphuzo ezingu-15 noma ngaphezulu ngesonto. Kwabesifazane, lokhu kusho ukuphuza iziphuzo ezimbili noma ngaphezulu ngosuku kanye neziphuzo eziyisishiyagalombili noma ngaphezulu ngesonto. Kodwa-ke, lapho uphuza kakhulu futhi uqhubeka nokuphuza kakhulu, kulapho amathuba okuba ne-delirium tremens (DTs) abe maningi khona.

Kunzima ukunikeza inombolo ethile esebenzela wonke umuntu ngoba wonke umuntu uhlukile. Abanye abantu babekezelela kakhulu utshwala. Abanye abantu banamathuba amaningi okudakwa utshwala ngenxa yezakhi zofuzo. Abanye bangase babe namathuba amaningi okudakwa futhi bahlushwe yi-delirium tremens (DTs) ngenxa yemithi abayithathayo, izimo zempilo, nezinye izici.

Ngenxa yokuthi i-delirium tremens (DTs) ingenzeka kubantu abaphuza utshwala ngamazinga ahlukene, indlela engcono kakhulu yokuvimbela i-delirium tremens (DTs) ukuphuza ngokulinganisela noma ukungaphuzi nhlobo.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Delirium Tremens yisimo esibi kakhulu, esisongela ngisho nokuphila esingase senzeke lapho umuntu onenkinga yokusebenzisa utshwala eyeka ngokuzumayo ukuphuza utshwala. Uma unenkinga yokusebenzisa utshwala, ukunciphisa noma ukuyeka ngokuphelele ukuphuza kuyisinyathelo esibalulekile ongasithatha ukuze uthuthukise impilo yakho. Kodwa kuwumgomo okudingeka uwufinyelele ngokuphepha, futhi akudingeki ukwenze wedwa.

Uma unenkinga yokusebenzisa utshwala futhi ufuna ukunciphisa noma ukuyeka ngokuphelele ukuphuza, umhlinzeki wokunakekelwa okuyinhloko angakusiza ukuthola izinsiza kanye nezinhlelo zokuvuselela ezingakusiza. Abantu abaningi banamahloni noma besaba ukucela lolu hlobo losizo. Kodwa-ke, umsebenzi kadokotela wakho ukukusiza, hhayi ukukwahlulela. Ngaleyo ndlela, unganciphisa ngokuphephile ukuphuza kwakho futhi uthuthukise impilo yakho, inhlalakahle, kanye nekhwalithi yokuphila iyonke.

Ukudangala , ukuyeka utshwala, imiphumela emibi, ukuyeka utshwala, umlutha wotshwala, i-DTs, i-dementia