Waphazamiseka - ntoni na? I-umyalezo we tremens. Treatment kunye neziphumo

Waphazamiseka - ntoni na? Inzululwazi definition yaso - yinto psychosis zithe zadala, ukuba indalo elifutshane. Amaninzi buhlala ngokwexesha kwiiyure ezimbalwa ukuya iintsuku eziliqela. Imvelaphi ingaba:

• isifo esosulelayo;
• ukunxila;
• yegazi;
• esibuhlungu.

Umyalezo kunye Pathogenesis of tremens

Waphazamiseka (oko kukuthi, funda inqaku) amaninzi nesifo:

• etywaleni (ubizwa ngokuba "tremens");
• drug (waphazamiseka ezidakumbisayo);
• kakhulu namandla izifo ezosulelayo (kwi utshintsho elibalulekileyo lobushushu emzimbeni);
• intoxications (kwaye imithi kwindawo ethile);
• komqondo saka ;
• izifo nemithambo yegazi (lwegazi, ukufa kwamalungu omzimba, isifo);
• nokulimala kobuchopho traumatic okanye ukulahlekelwa igazi;
• utyando (waphazamiseka negalelo ntshikilelo, sokulibala, fever).

Izigulane abaye bangenela ukwimeko enjalo, phantsi kweemeko ezifanayo, sonke siyazenza ukuphinda.

Iimpawu Common of tremens

Ngokuqhelekileyo, isiqalo kwimeko enjalo iza ngohlobo yayiyazi. Noko ke, ukuba kuza waphazamiseka, ezinye iimpawu asenokubonisa ekuqaleni. Zibizwa ngokuba prodromal. Ezi ziquka:

• ukukhathazeka okungafanele;
• ukukhathazeka;
• imvakalelo yoloyiko;
• anda uvakalelo ekukhanyeni okanye isandi;
• ukwazi ubhideke nomonde, nokudideka.

Ukuba ngaba wehlelwa zezi mpawu, unako ukuba ngoku yimeko tremens. Umntu kule meko ukuba amaphupha bedidekile kunye ubunyani bezityholo ixesha wovandlakanyo ebuthongweni kunye uphaphama. Kwakhona, izigulane amaphupha enzima kunye nemibono okwenyaniso. ingqalelo zancitshiswa ezingabalulekanga kulula okuphakamileyo ungayicima. Ukongeza, kunye nezinye iinkqubo yengqondo lancipha kakhulu. Umntu akakwazi ukukhumbula ukuba kwenzeke ntoni kuye ngexesha waphazamiseka, okanye uyithabathe kuba babewelwe bubuthongo phezu nje ngentloko amaqhekeza ngamnye.

lokufunyaniswa kwesifo

Kukho ke iindlela ezithile gciwane tremens:

1. ingqalelo mbulo, isigulana lingenako ingqalelo ngombandela othile. Ngokomzekelo, umntu onjalo ufuna ixesha elininzi amaxesha ukuphinda umbuzo ukuva impendulo.
2. Disorganization yokucinga, nto leyo ichazwe kwinto yokuba umguli kunye waphazamiseka usuka isifundo omnye komnye, okanye ndithi kubantu ibinzana ezingqongileyo.
3. inqanaba Ukuncipha lokuqonda (nzima ukugcina imo uphaphama emini), ukuphazamiseka labona (ulwazi ukungakwazi inkohliso okanye ukuba nemibono, amaphupha ezimibalabala, ezo waqonda zizigulane njengento engokoqobo), waphula umthetho cyclicity okulala kunye kuvukwe, umsebenzi lengqondo ukwanda, okanye ngokuchasene noko, ukwehla yayo , memory sokunciphisa. Ezi nqobo ekhona hayi ngexesha elinye, kodwa mnye kuphela kubo.
4. isimo Uphuhliso waphazamiseka ngokukhawuleza kangangoko kunokwenzeka. Ngokuqhelekileyo ayenzi ingadluli kwiintsuku nje ezimbalwa.
5. Nokudideka ngexesha.

Iimpawu loxilongo

Waphazamiseka luphawulwa isiqalo ngokukhawuleza kwaye ngesiquphe iimpawu, sivumele ukuba ukuhlola isifo ekhaya. Kamabonwakude na utshintsho amazwi iimpawu ezithile ngexesha lasemini. Ukuququzelela uphethwe kuya kunceda ulwazi oluchanileyo ubukho naziphi ukonzakala entloko okanye isifo esithile ngokwasemzimbeni okanye ezasulelayo, kwakunye butywala okanye iziyobisi likhoboka lazo.

Waphazamiseka (yintoni na le nto, ochazwe ngaphambili) libhekisela kwizifo ziyanyangeka. Ukuba ixesha zokufumana isizathu apho iye yabangela, unyango lwangoku kunokuba nemiphumo emihle. Kwezinye iimeko sifo ihamba ngokwayo, kodwa musa lokukhathalela imeko, kuba iingxaki kunokwenzeka.

Imithetho zonyango lwe tremens

Ukuba unesifo "ingqondo", unyango kufuneka inyanzelekile ukwenza ugqirha. Umgaqo ezisisiseko unyango - ukuzimisela izizathu. Emva koko ukuqokelelwa uhlalutyo yesifundo nomonde. Ngokusekelwe kwiziphumo ugqirha efunyenweyo unika unyango okanye yotyando.

Ukongezelela yokunqanda oonobangela waphazamiseka, ezifana unyango butywala, amanyathelo athathiweyo ezijoliswe ekuququzeleleni ukuhamba sifo, kunye nokuthintelwa iingxaki kunokwenzeka. Ukuze benze oku, isigulana kuxhaswa yi ukutya okuthile, ngokunjalo electrolyte eseleyo iziselo.

Ukongeza unobangela waphazamiseka, ukhetho lonyango iphenjelelwa yokusingqongileyo apho lwabonakala iimpawu, ubudala yomguli kunye bakhe nobume luvo. Ngexesha inkqubo yokubuyisa ixesha ekuphulukenwe nalo, kubalulekile ukubonelela isigulane kunye neemeko zokuphila ukhululekile.

Umzekelo, unyango tremens lwenzeka ngokwezi nkqubo zilandelayo:

• lolwamkelo esikolweni "sibazona" yaye "sodium oxybutyrate";
• Ukuncipha kwesantya balance electrolyte;
• Ukuzinza nokuphefumla kunye ukusebenza kwemiphunga (usebenzisa i kulungiselelwa "Mannitol");
• iphelele wesibindi nezintso;
• ukuncitshiswa okanye ukuphelisa komzimba;
• unyango lwezifo ezihamba.

Izigulane abo zisoyika okanye ndlongondlongo, wamisela nadlamkisayo (uhlobo kunye idosi umiselwa igqirha khona).

tremens kunye neempawu zayo

Xa butywala, ukongeza kwezinye imeko abangcangcazelisi isigulana, tremens kunokwenzeka, okanye, ngamanye amazwi, ukuba tremens.

tremens (iimpawu ezifanayo United yezinye imvelaphi) - oku i psychosis yondele phantsi kweempembelelo zotywala. Loo isimo esibonakala waphazamiseka ngesiquphe, nemibono eyoyikisayo, nokudideka kwisithuba kunye nexesha, ukukhanya nezimvi, ukoyika kunzima kunye ndlongo, kwakunye uvuyo olukhulu.

Le meko idla yenzeka kwiintsuku ezimbini emva kokuba isigulane uphela, waphathwa. Kwezinye iimeko, kukho kukodwa ixesha anxile. Le waphazamiseka tremens hlaselo lokuqala kunokwenzeka emva kwexesha iindlamanzi ngokwaneleyo elide. Zonke ukuhlaselwa ezilandelayo musa kufuna iindlamanzi elide.

Indlela ukuqaphela tremens?

waphazamiseka syndrome Kulula ngobulungisa ukuqonda, kuba kukho ezinye iimpawu:

1. Isigulane siyeka ukusela utywala emva uzinkcinkca ngezizathu anako.
2. Xa Ngokuhlwa kwenzeka utshintsho isimo, kunye ngokwaneleyo ngesiquphe. Ngeli xesha, isigulane usenokuba nemincili kakhulu kwaye Ndandingonwabanga, ingxolo ngokungapheziyo, iwela ngaphandle.
3. imilenze ephuculweyo ukungcangcazela.
4. Unobunzima ilele. Yena uba ziyagungqa ze elifutshane, ngokufuthi isigulane ubona amabi. Emva kokuba ugwayi ingundoqo Inokwenzeka, nto leyo iphucula imvakalelo yokoyika, ukukhathazeka.
5. Ukuba nemibono kuvela ukuva nezibonwayo. Isigulane zinokuqalisa ukuva amazwi ezahlukeneyo okuthiwa esaba naye. imifanekiso Visual ezivelayo kakhulu ezoyikisayo. Suku ngalunye kwandisa ubukhulu ezi nemibono.

Esi simo umntu onesifo butywala, ingahlala iintsuku eziliqela.

Iimpawu tremens

Iimpawu eziphambili waphazamiseka imvelaphi utshwala:

1. ngamaphupho Visual. Amaninzi, uhlaselo iqala ngokuhlwa kwaye inkqubela ngokukhawuleza ngokwaneleyo. Omnye uqala ukubona imifanekiso ebonwayo wengqikelelo, ukuthatha umthunzi izinto kwanezilo. Ukuba nemibono zixhomekeke uloyiko yesigulana. Kwezinye iimeko, ezi nemibono ukuba alubonwanga ngumntu njengoko zikhona yaye ngakumbi ngathi ukubukela imovie.
2. ngamaphupho ukuva. Ukuba azenzeki lilodwa, kodwa umthetho, kudityaniswe okubonakalayo kanye ngokupheleleyo nabo izifundo ezinxulumene. Esi sigulane asikwazi ukuva ingxolo ezahlukeneyo, ukumemeza, izicelo laseTsomo ukuba uncedo okanye izilumkiso. Lowo ucinga ukuba uza owujikelezileyo into embi kakhulu, ufuna ukunceda, kodwa woyika yafa, ukuba wenze oko. Ngamanye amaxesha uyakwazi ukuqhuba ingxoxo kunye interlocutors ecingelwayo.
3. ngamaphupho lafaka. Intshukumo kunye nembonakalo yobuso zomntu kunye tremens kuvumelana ngokupheleleyo umbono ukuba ndisatshutshiselwani. Isigulane uqalisa ukwakha phezu kwabo izilo, apho ubona, ukubagxotha, ukuzimela, ukuze amanqaku ekoneni. Ukongeza, loo mntu avakalelwa ngokucacileyo umthamo wakhe, u- okanye buhlungu ngenye indlela. Kulapho kwezo zihlandlo, oko kuyingozi kakhulu kwabanye kuba kuvunywa le nto kunye nokuqala abekwa yokusindisa umntu. Enye imiphumela abe ukuzibulala, nto ziinzame ukuba kude kwabo amazwi ukuba isigulane uyaliva ngaphakathi.
4. Nokudideka ngexesha kunye nendawo. Kwimo waphazamiseka iphawulwa noqhelaniso eziphosakeleyo kwISithuba ekuhambeni kwexesha. Esi sigulane asikwazi asazi kakuhle apho akhoyo, yena akafuni ukubona abantu bomthonyama, ulungiso kakuhle ixesha nalo yaphulwe. Noko ke, ukubiza igama, igama okanye ezinye datha ngaphandle kobunzima.

Ngokuqhelekileyo, ukuba waphazamiseka lokwenyaniso yesigulane, iimpawu ziya ngorhatya. Emva kwemini urhulumente omnye abe bhetele kancinane, kodwa akuyomfuneko ukuba ukuyeka unyango.

Kukho amaxesha xa isigulane phantse unyamalale ngokupheleleyo izenzo tremens. Esi simo kuthiwa isikhewu lyutseidny. Ngeli xesha, isigulana na onokumxelela lula ngazo zonke nemibono abenazo.

engaba khona

Ukuba washiya waphazamiseka alunyangwanga (oko kuchazwe ekuqaleni kweli nqaku), oko kunokubangela iingxaki, ingakumbi utshintsho ukusebenza komzimba;

• fever, kwezinye iimeko ukuya kutsho kuma-40;
• njengoxinizelelo olwandayo, engaqhelekanga intliziyo rhythm;
• emzimbeni;
• ukwandisa asidi;
• ubunzima ngemibutho;
• lafa;
• kuthibaza nokuxuba ne ukubila, maxa wambi kukho ivumba iinyawo ezingahlanjwanga;
• isibindi yesinye;
• mhlophe ulusu, okanye, icala, ububomvu yayo.

Ukuba ngaba uqale ngexesha ngonyango lwe waphazamiseka, ezi nguqu akunakuphepheka. Xa ngokubonakala ezi iingxaki ukuthetha malunga ntuthuko yenkqubo.

rhoqo unobangela wokufa tremens kukho izifo ezihamba, ezifana semiphunga (ikhatshwe ukuba waphazamiseka kakhulu ngo-30% amatyala), cardiomyopathy (ukusilela intliziyo), pancreatitis etsolo (enye comorbidities ezixhaphakileyo tremens), insufficiency etsolo sezintso, nokudumba ingqondo, rhabdomyolysis (rhabdomyolysis).

Prevention of waphazamiseka

Ukuze bazikhusele ekubonakalisweni waphazamiseka of imvelaphi ezahlukeneyo kunokwenzeka, kuyimfuneko ukwenza zokuthintela. Oku kuquka le misebenzi ilandelayo:

• ukugcina ngendlela esempilweni yobomi, ingakumbi ukunyanga ubunxila kunye likhoboka neziyobisi;
• unyango ngexesha echanekileyo zizifo ezahlukahlukeneyo luvo kunye somatic ukwenzela ukuthintela iingxaki kunokwenzeka;
• ukuthatha abazi amayeza, non-self, xa lakhula ezithile, hypnotics, anxiolytics;
• zokonga ngenyameko kwi kwixesha postoperative, ingakumbi abantu abadala.

Yintoni oogqirha enokunceda?

Ukuba uyakurhanela oku kusapho okanye kubahlobo bakho waphazamiseka, buza luvo okanye narcologist. Emva koko intlungu ezingafunekiyo ngokuyimfuneko kuphumelela.