Weliweli ʻo Delirium

ʻO Delirium tremens kahi ʻano nui o ka haʻalele ʻana i ka ʻalekohola. Hoʻopili ia i ka loli a me ka loli o ka ʻōnaehana.

Hiki ke hana i nā haʻalulu Delirium ke kū ʻoe i ka inu ʻana i ka ʻalekohola ma hope o ka wā o ka inu nui ʻana, keu hoʻi inā ʻaʻole ʻoe e ʻai i ka meaʻai.

Hoʻokumu ʻia paha nā haʻalulu Delirium e ka ʻeha poʻo, ka maʻi, a i ʻole nā ​​maʻi i ka poʻe me ka mōʻaukala o ka hoʻohana ʻana i ka waiʻona nui.

Kū pinepine ia i ka poʻe i loaʻa ka mōʻaukala no ka haʻalele ʻana i ka waiʻona. ʻOi aku ka maʻamau i ka poʻe inu i ka 4 a i ka 5 pints (1.8 a i ka 2.4 liters) o ka waina, 7 a 8 pints (3.3 a 3.8 liters) o ka pia, a i ʻole 1 pint (1/2 lita) o ka ʻalekole "paʻakikī" i kēlā me kēia lā no kekahi mau mahina. Hoʻoweliweli pinepine ka Delirium tremens i ka poʻe i hoʻohana i ka waiʻona ma mua o 10 mau makahiki.

Kū pinepine nā ʻōuli ma waena o 48 a 96 mau hola ma hope o ka inu hope loa. Akā, hiki paha iā lākou ke 7 a 10 mau lā ma hope o ka inu hope loa.

E hele a ʻino koke paha nā ʻōuli, a hiki ke hoʻopili ʻia:

• ʻO Delirium, ʻo ia ka huikau nui loa
• Haʻalulu kino
• Hoʻololi i ka hana noʻonoʻo
• Hoʻonāukiuki, huhū
• Hiamoe nui e paʻa no hoʻokahi lā a ʻoi paha
• Hauʻoli a makaʻu paha
• Hallucination (ʻike a ʻike paha i nā mea ʻaʻole maoli ma laila)
• Hū o ka ikehu
• Hoʻololi ke ʻano wikiwiki
• Hoʻomaha ʻole
• ʻIke i ka mālamalama, kani, hoʻopā
• Pīhoihoi, hiamoe, luhi

Ka hopu ʻana (hiki paha me ka ʻole o nā ʻōuli o DT):

• ʻO ka maʻamau i ka 12 a 48 mau hola ma hope o ka inu hope loa
• ʻO ka mea maʻamau i nā poʻe me nā pilikia i hala aʻe nei mai ka haʻalele ʻana i ka ʻalekohola
• ʻO ka hopu maʻamau tonic-clonic maʻamau

Nā ʻōuli o ka haʻalele ʻana i ka waiʻona, me:

• Ka pīhoihoi, kaumaha
• Ka luhi
• ʻEha poʻo
• ʻO ka hiamoe (paʻakikī ka hāʻule ʻana a me ka hiamoe ʻana)
• Huhū a i ʻole pīhoihoi
• Loaʻa ka ʻai ʻole
• Nualea, luaʻi
• ʻO ka makaʻu, ka lele, ka haʻalulu, nā palpitations (ke ʻano o ka naʻau e kuʻi ka naʻau)
• ʻIli pale
• Hoʻololi wikiwiki i ka naʻau
• ʻO ka hou nui, ʻoi aku ma nā poho o ka lima a i ʻole ke alo

Nā ʻōuli ʻē aʻe e hiki mai:

• ʻEha ʻeha
• Fiva
• ʻEha ʻeha

ʻO Delirium tremens kahi pilikia olakino.

E hana ka mea mālama ola i kahi hoʻokolohua kino. Pākuʻi ʻia paha nā ʻōuli:

• Hoʻoikaika ka sweating
• Hoʻonui i ka reflex startle
• Paʻi kuʻi ʻole
• Nā pilikia me ka neʻe ʻana o ka mākala maka
• Helu puʻuwai wikiwiki
• Haʻalulu nāʻiʻo wikiwiki

E hana ʻia paha kēia mau hoʻāʻo:

• Pae magnesium koko
• Pae pae phosphate
• Panela metabolic piha
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Pākuhi Toxicology

ʻO nā pahuhopu o ka mālama ʻana i:

• Hoʻopakele i ke ola o ke kanaka
• Hōʻoluʻolu i nā ʻōuli
• Kāohi i nā pilikia

Pono kahi noho haukapila. E nānā pinepine ka hui mālama ola:

• Nā hopena kemika koko, e like me nā pae electrolyte
• Nā pae wai o ke kino
• Nā hōʻailona koʻikoʻi (ka mahana, ka lāʻau, ka nui o ka hanu, ke koko)

ʻOiai ma ka haukapila, e loaʻa i ke kanaka nā lāʻau i:

• Noho mālie a hoʻomaha (hoʻomaha) a pau nā DT
• Hana i ka hopu ʻana, ka hopohopo, a me ka haʻalulu
• E mālama i nā maʻi noʻonoʻo, inā paha

Pono e hoʻomaka ka mālama pale lōʻihi ʻana ma hope o ke ola ʻana o ke kanaka mai nā hōʻailona DT. Pili paha kēia:

• He wā "hoʻomaloʻo", kahi i ʻae ʻole ʻia ai ka waiʻona
• Hōʻalo ka huina a me ka ola āpau i ka waiʻona (abstinence)
• ʻLelo aʻoaʻo
• Ke hele nei e kākoʻo i nā pūʻulu (e like me Alcoholics Anonymous)

Pono paha e mālama i nā pilikia olakino ʻē aʻe i hiki ke hana ʻia me ka hoʻohana ʻana i ka waiʻona, e like me:

• ʻO ka cardiomyopathy ʻalekohola
• Maʻi maʻi ʻalekohola
• ʻO ka neuropathy ʻona
• ʻO Wernicke-Korsakoff Syndrome

ʻO ka hele pinepine ʻana i kahi hui kākoʻo he kī nui i ka hōʻola ʻana mai ka hoʻohana ʻana i ka ʻalekohola.

He koʻikoʻi ka haʻalulu Delirium a hoʻoweliweli paha i ke ola. ʻO kekahi mau hōʻailona e pili ana i ka haʻalele ʻana i ka wai ʻona e noho no hoʻokahi makahiki a ʻoi paha, e like me:

• Huli ke ʻano o ka naʻau
• Luhi luhi
• Hiamoe ʻole

Hiki i nā pilikia ke hoʻopili:

• ʻO ka ʻeha mai ka hāʻule i ka wā o ka hopu ʻana
• Ka ʻeha iā ʻoe iho a i ʻole nā ​​mea ʻē aʻe i hoʻokumu ʻia e ka mokuʻāina noʻonoʻo (huikau / hilahila)
• Kuʻi puʻuwai ʻole, hoʻoweliweli paha i ke ola
• Ka hopu ʻana i nā maʻi

E hele i ka lumi pilikia a kāhea paha i ka helu pilikia kūloko (e like me 911) inā loaʻa nā ʻōuli. ʻO Delirium tremens kahi kūlana pilikia.

Inā hele ʻoe i ka haukapila no kahi kumu ʻē aʻe, e haʻi i nā mea hoʻolako inā inu nui ʻoe i hiki iā lākou ke nānā iā ʻoe no nā ʻōuli o ka haʻalele ʻana i ka waiʻona.

Hōʻalo a hōʻemi paha i ka hoʻohana ʻana o ka wai ʻona. E kiʻi koke i ka lāʻau lapaʻau no nā ʻōuli o ka haʻalele ʻana i ka ʻalekohola.

ʻAno ʻino - haʻalulu ka delirium; Nā DTs; ʻO ka haʻalele ʻana i ka waiʻona - haʻalulu ka delirium; ʻO ka haʻalele ʻana i ka waiʻona

Kelly JF, Renner JA. Nā maʻi e pili ana i ka waiʻona. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 26.

Mirijello A, DʻAngelo C, Ferrulli A, et al. Ka ʻike a me ka hoʻokele ʻana i ka maʻi ʻalekope alaka. Nā lāʻau. 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Hoʻohana i nā maʻi ʻona. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 33.