Delirium yog ib pab pawg ntawm cov tsos mob uas tshwm sim tam sim ntawd los ntawm kev ua haujlwm tsis zoo ntawm lub paj hlwb. Cov neeg nrog delirium feem ntau tsis meej pem, tsis tuaj yeem tsim cov kev xav sib xws lossis ua, thiab muaj teeb meem nrog lawv lub sijhawm nco luv. Qhov xwm txheej no feem ntau tshwm sim rau cov neeg laus thiab cov uas muaj mob hnyav, xws li mob ib ce. Yog tias ib tus neeg muaj qhov tsis meej pem, lawv yuav tsum tau kho los ntawm kws kho mob. Tus kws kho mob ntawd yuav tsom mus rau kev kho mob hauv qab thiab tswj tus cwj pwm cuam tshuam nrog kev nkag siab tsis meej uas yuav txaus ntshai lossis cuam tshuam.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Kho Delirium Kho Mob
Kauj Ruam 1. Kho tus mob
Muaj ntau yam teeb meem kev kho mob uas tuaj yeem ua rau delirium. Cov no tuaj yeem sib txawv ntawm kev mob kev phom sij rau lub neej, xws li mob stroke, rau cov teeb meem yooj yim uas tuaj yeem kho tau yooj yim, xws li lub cev qhuav dej. Hauv ntau qhov xwm txheej, thaum qhov teeb meem pib raug kho kom zoo, qhov kev nkag siab tsis meej ntawm nws tus kheej.
Vim tias delirium muaj ntau qhov sib txawv hauv paus ua, ib txoj kev kho mob yuav tsis ua haujlwm rau txhua tus neeg mob. Qhov no ua rau kev txheeb xyuas qhov tseeb ntawm tus mob yog qhov tseem ceeb ntawm kev kho kom raug
Kauj Ruam 2. Ua kev ceev faj txog kev nyab xeeb
Hauv ntau qhov xwm txheej, nws yog qhov zoo tshaj kom tsis txhob siv tshuaj rau cov neeg laus nrog kev tsis nco qab. Txawm li cas los xij, yog tias ib tus neeg muaj kev ntxhov siab heev lossis dhau los ua kev phom sij rau lawv tus kheej lossis lwm tus, lawv yuav tsum tau siv tshuaj kho mob. Tham nrog lawv tus kws kho mob txog cov tshuaj uas yuav ua haujlwm tau zoo kom txo lawv cov kev ntxhov siab tab sis yuav tso cai rau lawv kom muaj lub neej zoo tshaj plaws tau.
- Yog tias tus neeg mob delirium xav tau tshuaj, lawv feem ntau muab cov tshuaj tiv thaiv kab mob, xws li haloperidol. Qee qhov xwm txheej lawv tuaj yeem muab tshuaj sedative, tab sis qhov no tau ua tsawg heev.
- Hauv qee qhov xwm txheej tsis zoo, cov neeg mob yuav tsum tau txwv kom tiv thaiv lawv tus kheej thiab lwm tus. Qhov no yuav tsum siv tsuas yog qhov chaw kawg thaum tag nrho lwm cov kev kho mob tau siv tas.
Kauj Ruam 3. Sib txawv ntawm kev tsis nco qab, dementia, thiab mob hlwb
Delirium feem ntau yuam kev kuaj pom tias yog dementia vim tias lawv cov tsos mob zoo ib yam. Dementia yog tus cwj pwm los ntawm kev poob qis hauv ob lossis ntau lub hlwb ua haujlwm thiab yog cov tsos mob ntawm tus mob, xws li Alzheimer's disease lossis mob stroke. Delirium tseem tuaj yeem tsis meej pem rau kev mob hlwb, tshwj xeeb tshaj yog thaum muaj mob hnyav nyuaj rau kuaj mob.
- Cov uas muaj delirium feem ntau muaj lub sijhawm nyuaj ua kom muaj kev saib xyuas thiab saib xyuas ntau dua li cov uas muaj dementia.
- Cov tsos mob Delirium zoo li yuav hloov pauv ntau, thaum cov uas muaj dementia zoo li muaj kev nco zoo ib yam thiab kev txawj xav txhua hnub.
- Cov uas muaj kev tsis nco qab feem ntau muaj cov tsos mob ntxiv uas cuam tshuam nrog lawv cov mob hauv qab, thaum cov uas muaj dementia tsis ua.
- Kev mob hlwb thiab kev tsis nco qab feem ntau tuaj yeem txawv los ntawm kev txiav txim siab tus neeg muaj hnub nyoog li cas thiab seb lawv cov tsos mob tshwm sim sai li cas. Ib tus neeg laus uas tau txais cov tsos mob sai sai yuav zoo li tsis nco qab txog kev mob hlwb.
- Txawm li cas los xij, cov neeg uas muaj dementia zoo li yuav tau delirium. Tus neeg mob tuaj yeem muaj ob qho xwm txheej thiab lawv yuav tsum raug kho cais.
TSWV YIM TSHUAJ
Alex Dimitriu, MD
Sleep Medicine & Psychiatry Professional Alex Dimitriu, MD is the Owner of Menlo Park Psychiatry and Sleep Medicine, a clinic based in the San Francisco Bay Area with expertise in psychiatry, sleep, and transformational therapy. Alex earned his Doctor of Medicine from Stony Brook University in 2005 and graduated from the Stanford University School of Medicine's Sleep Medicine Residency Program in 2010. Professionally, Alex has dual board certification in psychiatry and sleep medicine.
Alex Dimitriu, MD
Sleep Medicine & Psychiatry Professional
Delirium is similar to a dream state
Delirium, in many ways, is the invasion of dreams into your waking life. Unfortunately, for some people, it becomes hard to tell where your dreams end and where reality begins.
Method 2 of 3: Giving Supportive Care
Kauj Ruam 1. Ua tib zoo saib xyuas tus neeg kom xis nyob, nyob ntsiag to, thiab txaus siab rau
Koj xav ua kom ib puag ncig ntawm ib tus neeg nrog delirium kom nyob ntsiag to thiab so kom txaus li sai tau. Qhov no yuav ua rau lawv cov sijhawm sawv los nyob kaj siab lug thiab tuaj yeem muab qee qhov kev nplij siab thaum lawv muaj lub sijhawm nyuaj.
Ua kom tus neeg nyob ntsiag to thiab xis nyob kuj tseem yuav txhawb kom pw tsaug zog, uas qee zaum tuaj yeem yog teeb meem rau cov neeg mob tsis nco qab
Kauj Ruam 2. Ua kom lawv ib puag ncig ruaj khov
Thaum ib tus neeg muaj kev nkag siab yuam kev lawv tuaj yeem ua rau yws lossis tsis meej pem los ntawm kev hloov pauv me me hauv lawv ib puag ncig. Txhawm rau txo qhov no, sim tsis txhob txav cov khoom hauv lawv chav nyob ib puag ncig. Khaws cov rooj tog nyob hauv tib qhov chaw thiab muab cov khoom uas nqa tuaj thiab tshem tawm txhua hnub, xws li cov tais diav zaub mov, nyob hauv tib qho chaw txhua lub sijhawm.
Tej zaum koj kuj tseem xav siv tib cov tais diav txhua hnub kom ua tau qhov ruaj khov ntawm lawv li niaj zaus
Kauj Ruam 3. Nyob ib puag ncig lawv nrog cov neeg paub
Muaj phooj ywg, paub ntsej muag nyob ib puag ncig tuaj yeem ua rau tus neeg nrog kev nkag siab tsis meej thiab zoo siab. Khaws cov neeg hlub nyob ze thaum twg los tau thiab sim ua tib tus neeg saib xyuas ib puag ncig txhua hnub, yog tias ua tau.
Qhia tus neeg nrog duab delirium ntawm lawv cov phooj ywg thiab tsev neeg tsis tu ncua kom lawv tuaj yeem nco txog cov neeg uas hlub thiab saib xyuas lawv
Kauj Ruam 4. Khaws lawv cov sijhawm tib hnub
Kev teeb tsa cov txheej txheem feem ntau yuav ua rau tus neeg muaj kev nkag siab tsis meej thiab tsis nkag siab ntau. Ua kom lawv noj lawv cov pluas noj, tawm dag zog, thiab muaj cov neeg tuaj ntsib tib lub sijhawm txhua hnub tuaj yeem txo qis kev ntxhov siab thiab ntxhov siab.
Txawm li cas los xij, nco ntsoov tias muaj sijhawm teem sijhawm tsis yog ib txwm ua tau. Qee lub sij hawm siv zog ua kom tus neeg lub sijhawm ruaj khov raws li qhov ua tau yog txhua yam koj tuaj yeem ua tau thiab koj yuav tsum tau hloov kho vim yog kws kho mob mus ntsib lossis lwm yam kev lav phib xaub
Txoj Kev 3 ntawm 3: Kev Txheeb Xyuas Delirium
Kauj Ruam 1. Txheeb xyuas cov tsos mob
Muaj ntau yam tsos mob uas ib tus neeg nrog delirium tuaj yeem ntsib. Cov tsos mob feem ntau tuaj sai sai thiab suav nrog:
- Hais lus tsis meej
- Ua kom tsis txhob ncua sijhawm
- Tsis muaj kev paub txog ib puag ncig
- Nyob tsis tswm
- Kev pw tsaug zog txawv txav
- Tsis meej pem thiab tsis meej pem
- Lub sij hawm luv nco poob
- Hloov mus rau qhov kev xav ib txwm muaj
- Kev hloov pauv tus kheej
- Kev tsis taus
- Pom kev tsis pom kev
- Cov tsos mob ntawm tus mob (xws li ua npaws, ua daus no, mob, thiab lwm yam)
Kauj Ruam 2. Mus ntsib kws kho mob
Nws yog ib qho tseem ceeb uas ib tus neeg xav tias muaj kev tsis nkag siab yog mus ntsib kws kho mob. Yog tias ib tus neeg raug kev txom nyem los ntawm kev tsis meej pem, tsis nco qab, thiab tsis sib xws tas li, lawv yuav tsum tau mus ntsib kws kho mob tam sim ntawd. Coj tus neeg ntawd mus rau chav kho mob xwm txheej ceev lossis mus rau lawv tus kws kho mob lub chaw haujlwm tam sim ntawd.
Txij li delirium yog ib pab pawg ntawm cov tsos mob uas feem ntau tshwm sim los ntawm kev mob, cov uas tau txais nws feem ntau nyob hauv kev saib xyuas ntawm kws kho mob twb tau. Txawm li cas los xij, yog tias koj pom cov cim ntawm kev tsis nco qab hauv ib tus neeg uas tau pw hauv tsev kho mob lossis tau txais kev saib xyuas mob nkeeg, koj yuav tsum tseem ua rau tus neeg ntawd tus kws kho mob lossis kws saib xyuas neeg mob paub tias lawv tau tshwm sim
Kauj Ruam 3. Ua kom tiav qhov kev ntsuam xyuas mob hlwb
Txhawm rau txheeb xyuas qhov tsis meej pem, koj tus kws kho mob yuav pib tsis raug cai los ntawm kev sib tham nrog tus neeg mob los txiav txim siab lawv lub siab lub ntsws tag nrho. Lawv yuav nug lawv cov lus nug yooj yim uas yuav qhia tus kws kho mob seb lawv puas muaj teeb meem nrog kev nco, meej, thiab nkag siab lawv ib puag ncig.
- Tus kws kho mob tuaj yeem nug ntau yam lus nug los tshuaj xyuas tus neeg lub hlwb kev ua haujlwm, xws li teeb meem lej yooj yim, nws yog hnub twg lossis xyoo twg, thiab lawv tsev neeg npe li cas.
- Yog tias ib tus neeg muaj kev sib raug zoo ntev nrog kws kho mob, tus kws kho mob yuav muaj sijhawm yooj yim pom cov cim ntawm kev tsis nco qab. Qhov no yog vim lawv paub tus neeg ntawd tus yam ntxwv thiab tuaj yeem pom qhov kev coj txawv txawv.
Kauj Ruam 4. Mus kuaj lub cev
Tom qab tus kws kho mob tshuaj xyuas tus neeg mob txoj kev puas siab puas ntsws, lawv ib txwm ua qhov kev kuaj lub cev ib yam. Qhov no tuaj yeem pab kws kho mob txheeb xyuas ib qho kev mob hauv qab uas tuaj yeem ua rau ua rau tsis nco qab.
- Kev kuaj lub cev suav nrog ntsuas tus neeg ntshav siab thiab ntsuas kub, thiab ntsuas lawv lub zog thiab txhua qhov chaw ntawm qhov mob lossis tsis xis nyob.
- Qee qhov kws kho mob tseem yuav xaj kom kuaj ntshav lossis tso zis tam sim ntawd kom lawv tuaj yeem tshuaj xyuas seb puas muaj kab mob tshwm sim hauv lub cev.
Kauj Ruam 5. Ua qhov kev kuaj mob paj hlwb
Yog tias koj tus kws kho mob xav tias koj muaj kev tsis nkag siab lawv yuav tsum siv sijhawm los tshuaj xyuas lub hlwb ua haujlwm tshwj xeeb. Txhawm rau ua qhov no, tus kws kho mob yuav tshuaj xyuas tus neeg mob lub zeem muag, kev sib koom tes, thiab cov leeg nqaij rov qab los saib seb lub paj hlwb puas teb zoo.
- Kev kuaj kab mob hauv lub paj hlwb tuaj yeem pab kws kho mob txiav txim siab yog tias qhov delirium yog cov tsos mob ntawm teeb meem hauv lub hlwb, xws li mob stroke.
- Nws kuj tseem yuav tsim nyog los kuaj lub paj hlwb txhawm rau txheeb xyuas qhov ua rau tsis nco qab.
