Kuona zilubwelubwe - ndichiyani? The etiology ya kuona zilubwelubwe. Kuchiza ndi zotsatira

Kuona zilubwelubwe - ndichiyani? Science ali tanthauzo yake - izo ndi psychosis exogenous, ndi yochepa chikhalidwe. Nthawi zambiri chimakhala cha maola angapo masiku angapo. magwero kungakhale:

• nthenda;
• kuledzera;
• mtima;
• zoopsazi.

Etiology ndi pathogenesis ya kuona zilubwelubwe

Kuona zilubwelubwe (icho chiri, onani nkhani yakuti) nthawi zambiri kumakhala:

• uchidakwa (amatchedwa "kuona zilubwelubwe tremens");
• mankhwala (chomwa mankhwalawa kuona zilubwelubwe);
• aakulu nthenda mwamphamvu (pa kusintha yovuta kutentha thupi);
• intoxications (ndi medicaments makamaka);
• senile maganizo ;
• matenda a dongosolo mtima (oopsa, sitiroko, khunyu);
• kuvulala zoopsa ubongo kapena mavuto aakulu magazi;
• maopaleshoni (kuona zilubwelubwe zimachititsa mavuto tulo, malungo).

Odwala amene ayamba boma amenewa, pansi chofanana, sachedwa zisadzachitikenso.

zizindikiro zosonyeza kuona zilubwelubwe

Childs, chiyambi cha okhumudwa akubwera mu maonekedwe pachimake. Komabe, ngati mukubwera kuona zilubwelubwe, zizindikiro zina zingasonyeze chiyambi. Iwo amatchedwa prodromal. Njirazi ndi monga:

• nkhawa kwambiri;
• nkhawa;
• kumverera wa mantha;
• kuchuluka kudziwa kuwala kapena phokoso;
• osokonezeka mtima kutsitsimuka, disorientation.

Ngati muli ndi zizindikiro zimenezi, mukhoza kunena kuti tsopano amatanthauza kuona zilubwelubwe. Munthu mu chikhalidwe ichi mwina maloto asokonezeka ndipo chenicheni cha kuphwanya cyclical nthawi ya kugona ndi maso. Komanso, odwala ndi maloto osiyana ndi kuyerekezera zinthu m'maganizo woona. Yafupika chidwi zikuchitika sikuthandiza ndi mwachilungamo zovuta kusinthana izo. Komanso ndi njira zina maganizo zinthu mochedwa kwambiri. Munthu angathe kukumbukira zimene zinachitika pamene anali kuona zilubwelubwe, kapena kudzitengera tulo pa basi kuloweza munthu zidutswa.

matenda a matenda

Pali i ena kuti athandize oterewa kuona zilubwelubwe:

1. tcheru musanaganizire, wodwalayo sangathe kuganizira nkhani zina. Mwachitsanzo, ngati munthu ayenera nthawi zambiri kubwereza funso kumva yankho.
2. Disorganization maganizo, amene afotokozedwa mu chakuti mtima ndi kuona zilubwelubwe kudumpha nkhani wina ndi mzake, kapena kunena zachilendo mawu ozungulira.
3. Yafupika mlingo wa chikumbu (vuto kukhalabe boma la maso pa tsiku), amamva chisokonezo (kulephera kuzindikira nkhambakamwa kapena kuyerekezera zinthu m'maganizo, maloto zokongola, zomwe zazindikirika ndi odwala ngati zenizeni), kuphwanya cyclicity tulo ndi maso, kuchuluka psychomotor ntchito, kapena M'malo mwake, kuchepa ake , kukumbukira kuwonongeka. akwaniritsa zimenezi kungakhale pano pa nthawi yomweyo, koma mmodzi wa iwo.
4. Development boma ndi kuona zilubwelubwe posachedwapa. Kawirikawiri zilibe upambana masiku angapo.
5. Disorientation nthawi.

Features matenda

Kuona zilubwelubwe amakhala ndi mofulumira ndi modzidzimutsa chiyambire matendawa kulola matenda kunyumba. Chitsanzo ndi kusintha mawu akuti zizindikiro zina masana. Mutsogolere matenda kudzakuthandizani kudziwa zinthu molondola kuli kuvulala aliyense mutu kapena yeniyeni matenda thupi kapena matenda, komanso uchidakwa kapena kumwa mankhwala osokoneza bongo.

Kuona zilubwelubwe (ichi ndi chiyani, poyamba anafotokoza) amatanthauza matenda amene mankhwala. Ngati nthawi kupeza chifukwa cha zomwe kwachititsa, mankhwala panopa kungabweretse positive. Nthawi zina matenda akuthamanga yake, koma musanyalanyaze vuto, chifukwa mavuto zotheka.

Malamulo a chithandizo cha kuona zilubwelubwe

Ngati anapezeka ndi "kuona zilubwelubwe", mankhwala ayenera kuvomerezedwa kuchita dokotala. Mfundo yaikulu ya mankhwala - motsimikiza zoyambitsazo. Pambuyo kuti deta ndi kusanthula phunziro mtima. Kuchokera pa zotsatira analandira dokotala anapereka mankhwala kapena opaleshoni.

Kuwonjezera kuthetsa mavuto a kuona zilubwelubwe, monga mankhwala chifukwa cha uchidakwa, mitsuko atengedwa kuti Cholinga chake mutsogolo otaya matenda, ndi kupewa mavuto zotheka. Kuti tichite zimenezi, wodwalayo imayendetsedwa ndi chakudya chinachake, komanso electrolyte muyezo wa madzi.

Kuwonjezera chifukwa cha kuona zilubwelubwe, ndi kusankha chithandizo zimakhudza chilengedwe imene zizindikiro anaonekera, zaka wodwalayo komanso udindo ubongo. Pa ndondomeko kuchira, ndikofunika kupereka mtima ndi zinthu omasuka moyo.

Mwachitsanzo, mankhwala a tremens kuona zilubwelubwe kumachitika malinga chiwembu zotsatirazi:

• phwando "sibazona" ndi "ndi sodium oxybutyrate";
• kuchepetsa mlingo wa bwino electrolyte;
• Normalization kupuma m'mapapo ntchito (ntchito yokonza "Mannitol");
• reconstitution a chiwindi ndi impso;
• kuchepetsa kapena Kupha hyperthermia;
• zochizira matenda concomitant.

Kwa odwala amene ali mantha kapena aukali, woikidwa mitsempha (wotani ndi mlingo anatsimikiza ndi dokotala kupezeka).

Kuona zilubwelubwe tremens ndi makhalidwe ake

Chidakwa, kuwonjezera chikhalidwe ena lowopsya la mtima, kuona zilubwelubwe tremens angayambe, kapena, mu kulankhula kwina, kuona zilubwelubwe tremens.

Kuona zilubwelubwe tremens (zizindikirozo ofanana ndi madera a magwero ena) - uyu ndi munthu psychosis pachimake atamwa mowa. Chotero boma yodziwika ndi kuona zilubwelubwe mwadzidzidzi, wowopsa kuyerekezera zinthu m'maganizo, disorientation mu malo ndi nthawi, kuwala imvi, kuopa zosamvetsetseka ndi kupsa mtima komanso kuyembekezera.

Matenda zambiri amapezeka mu masiku awiri pambuyo wodwala kugwira tikadwala. Nthawi zina, pali pakokha nthawi aledzera. Woyamba kuukira kuona zilubwelubwe tremens angayambe pambuyo mokwanira yaitali mwauchidakwa. kuukira onse wotsatira musati amafuna kudya nthawi yaitali.

Kodi kuzindikira ndi kuona zilubwelubwe tremens?

kuona zilubwelubwe syndrome ndi mwachilungamo zovuta kuzindikira, chifukwa pali zizindikiro;

1. Wodwala akasiya kumwa mowa mwauchidakwa pambuyo pa malo ali nazo.
2. Madzulo kumachitika amasinthasinthanso, ndi mokwanira mwadzidzidzi. Nthawi imeneyi, wodwalayo mwina kwambiri osangalala ndi wosakhazikika, phokoso kosaleka, kugwa popanda.
3. Kupititsa patsogolo miyendo kunjenjemera.
4. Zikumuvuta akugona. Iye akukhala wosakhazikika ndi yochepa, nthawi zambiri wodwala amaona zoopsa. Pambuyo tulo mtheradi kumachitika, zomwe timapitiriza kumverera mantha, nkhawa ndi madandaulo.
5. Kuyerekezera zinthu m'maganizo kuoneka ngati kumva ndi masomphenya. Wodwala angayambe kumva mawu osiyanasiyana amene ankati mantha iye. Zithunzi zithunzi amene angapeze mantha ndithu. Tsiku lililonse likadutsa kumawonjezera kufunika kwa kuyerekezera zinthu m'maganizo izi.

Izi boma la munthu amene akudwala uchidakwa, ukhoza kwa masiku angapo.

Zizindikiro za tremens kuona zilubwelubwe

Zizindikiro zazikulu za kuona zilubwelubwe chiyambi mowa ndi:

1. Zooneka kuyerekezera zinthu m'maganizo. Nthawi zambiri, matenda akuyamba madzulo ndipo akuchita kudya mokwanira. Munthu wayamba kuona zithunzi zithunzi kungoganiza, kutenga mthunzi ku zinthu za zoopsa za. Kuyerekezera zinthu m'maganizo zimadalira mantha wodwalayo. Nthawi zina, kuyerekezera zinthu m'maganizo izi si anazindikira mwa munthu monga zenizeni ndi zambiri monga kuonera kanema.
2. Makutu kuyerekezera zinthu m'maganizo. Iwo sanalembedwepo kwayekha, koma monga ulamuliro, pamodzi ndi zithunzi ndi kwathunthu nawo nkhani okhudzidwa. Wodwala akhoza kumva phokoso osiyana, kukuwa, zopempha zopeka thandizo kapena machenjezo. Iye akuona kuti akupita mozungulira kuti chinachake choipa kwambiri, amafuna kuthandiza, koma ndi chitavulala akuopa kuchita izo. Nthawi zina zikhoza kuchititsa kukambirana ndi interlocutors kungoganiza.
3. Chogwirika kuyerekezera zinthu m'maganizo. Kayendedwe ndi nkhope ya munthu ndi tremens kuona zilubwelubwe kwathunthu zizigwirizana masomphenya amene akuzunzidwa. Wodwala ukuyamba pa mizukwa zimenezo zimene amaona, kuwabweza, kubisa, kuti mphambu mu ngodya. Komanso, munthu wotero bwino amamvera kuluma wake, anagunda kapena kuvulaza. Pa nthawi ngati zimenezi, ndi choopsa kwambiri kwa anthu ena chifukwa angathe kukatenga chinthu ndi ananena kuyamba kupulumutsa munthu. zotsatira zina zoipa angakhale kudzipha, chomwe ndi kuyesa kuti nditalikane ndi mawu amene wodwala akumva mkati.
4. Disorientation nthawi ndi malo. Wa boma la kuona zilubwelubwe amakhala ndi lathu ndi olakwika mu malo ndi nthawi. Wodwala kudziwa kwenikweni pamene iye ali, iye alibe kuzindikira kuti anthu okhala, nthawi lathu ndi nayenso waswa. Komabe, nudzamutcha dzina, dzina kapena deta ena popanda vuto.

Monga ulamuliro, ngati kuona zilubwelubwe woona wodwalayo, zizindikiro kuvutika maola madzulo. Masana boma Zingakhalenso pang'ono bwino, koma sikuthandiza kupereka chithandizo.

Pali nthawi pamene wodwala pafupifupi kwathunthu kutha kuwonekera kuona zilubwelubwe. Matenda amatchedwa lyutseidny kusiyana. Panthawi imeneyi, wodwala mosavuta kumuuza za kuyerekezera zinthu m'maganizo zonse zimene anali nazo.

zotsatira zotheka

Ngati sanalandire chithandizo kuona zilubwelubwe (zimene zafotokozedwa mu koyambirira kwa nkhani ino), ndiye kuti akhoza mavuto, makamaka kusintha thupi:

• malungo, zina mpaka madigiri 40;
• amayamba kuthamanga, osasamba mtima mungoli;
• madzi m'thupi;
• kuonjezera acidity;
• movutikira kayendedwe;
• kugwedeza;
• kuzizira alternating ndi thukuta, nthawizina pali fungo la mapazi osasamba;
• kukulitsa chiwindi;
• wotumbululuka khungu, kapena, Tikawonetsetsa redness ake.

Ngati inu musayambe pa nthawi mankhwalawa kuona zilubwelubwe, kusintha n'zosapeŵeka. Pamene chiwonetsero cha mavuto amenewa akhoza kulankhula za irreversibility kwa ndondomekoyi.

matenda Nthawi zambiri chifukwa cha kuona zilubwelubwe tremens imakhudzana monga chibayo (zimathera pa kuona zilubwelubwe kwambiri 30% milandu), cardiomyopathy (mtima kulephera), pachimake kapamba (amodzi mwa matenda ambiri okhudzidwa ndi kuona zilubwelubwe tremens), pachimake aimpso kulephera, edema ubongo, rhabdomyolysis (rhabdomyolysis).

Kupewa kuona zilubwelubwe

Pofuna kudziteteza ku mawonetseredwe mwina kuona zilubwelubwe ya chiyambi osiyanasiyana, m'pofunika kuchita kupewa. Pamafunikanso ntchito zotsatirazi:

• kukhalabe njira zabwino moyo, makamaka mankhwala a uchidakwa ndi mankhwala osokoneza bongo;
• yake ndi lolondola mankhwala a matenda osiyanasiyana a ubongo ndi somatic pofuna kupewa mavuto angakwanitsire;
• amazindikira kulandira mankhwala, si odzikonda mu antidepressants makamaka, hypnotics, anxiolytics;
• mosamala okalamba mu nthawi postoperative, makamaka achikulire.

Kodi madokotala angathandize?

Ngati mukukayikira kuti zimenezi banja kapena anzanu kuona zilubwelubwe, kukaonana ndi matenda okhudza ubongo kapena narcologist. Kupewa mavuto osafunika kwenikweni bwino.