Ka Sehloohong >> Thuto Ea Bophelo >> Delirium vs dementia: Bapisa lisosa, matšoao, kalafo le tse ling

Delirium vs dementia: Bapisa lisosa, matšoao, kalafo le tse ling

Delirium vs dementia: Bapisa lisosa, matšoao, kalafo le tse lingThuto ea Bophelo

Haeba u hlokomela motho eo u mo ratang 'me u qala ho hlokomela phetoho maemong a bona a kelello, joalo ka ho theoha ha mohopolo kapa pherekano, mohopolo oa hau oa pele e kanna ea ba' dementia '. Leha ho le joalo, ho ka ba le sesosa se seng: pherekano. Ho arolelana litšobotsi tse tšoanang, maemo ana a mabeli a ka ba thata ho khetholla. Ha re buisaneng ka phapang lipakeng tsa 'dementia' le delirium.

Lisosa

Delirium

Delirium hangatakgutlisetsoaphetoho maemong a kelello le / kapa pherekanong ea boits'oaro, hangata e qala ka tšohanyetso (empa eseng kamehla), ho bolela Lili Barsky, MD, sepetlele sa LA le ngaka ea tlhokomelo e potlakileng. O hlalosa lisosa tse tloaelehileng tsa pherekano: E ka hlaha ka lebaka la ts'oaetso, pherekano ea metabolic, liphetoho tse sa sebetseng moahong, meriana kapa chefo, ho hloka kutlo kapa boroko, ho buuoa kapa ho kena sepetlele.



Meriana e meng e ka lebisa boemong bona ba pherekano e matla, ho kenyeletsoa meriana ea anticholinergic le antipsychotic. Nalane ea bongaka, litlhahlobo, le liphetho tsa laboraka kaofela li thusa ho fumana pherekano.

Dementia ea kelello

Phapang e le 'ngoe lipakeng tsa delirium le' dementia 'ke hore hangata' dementia 'e ba teng ha nako e ntse e ea ka ha e ntse e tsoela pele ka tlhaho' me e ntse e phehella kapa e ntse e tsoela pele. 'Dementia' e ka bakoa ke mafu a methapo ea pelo, chefo, bokooa ba methapo, tšoaetso, mafu a itšireletsang mafung kapa a ho ruruha, mafu a methapo ea pelo, ho sithabela maikutlo, neoplasia kapa liphetoho tse ling bokong, Dr. Barky oa hlalosa.

'Dementia' hangata e bonoa ho batho ba baholo. Ho na le maemo a fapaneng a bakang 'dementia' hape. Maemo a mang a tloaelehileng a kenyelletsa lefu la Alzheimer, 'dementia' le 'mele e litšila, le lefu la Parkinson. Bopaki boa bontša kholofalo e kholo ea kutloisiso bathong ba nang le 'dementia'.



Delirium vs. lisosa tsa 'dementia'
Delirium Dementia ea kelello
  • Tšoaetso, joalo ka tšoaetso ea mosese
  • Pherekano ea metabolism
  • Liphetoho tsa sebopeho sa kahare
  • Meriana kapa chefo
  • Ho hloka kutlo kapa ho robala
  • Ho buuoa kapa ho kena sepetlele
  • Chefo ea lithethefatsi
      • Maloetse a tšoaetsanoang ke lefu
      • Chefo
      • Liphoso tsa vascular
      • Tšoaetso
      • Ho itšireletsa mafung kapa ho ruruha
      • Maloetse a Neurometabolic
      • Tsietsi
      • Neoplasia kapa liphetoho tse ling tsa sebopeho bokong
      • Mathata a liphatsa tsa lefutso

Ho ata

Delirium

Ho latela Buka ea Merck , ho pota 15% -50% ea batho ba baholo ba ba le delirium ka nako e 'ngoe nakong ea ho lula sepetlele. Phuputso e 'ngoe e fumane hore delirium e atile haholo ho ba ileng ba etsoa opereishene ea pelo, methapo ea pelo, ts'oaetso, radiotherapy le bakuli ba methapo. Pherekano ea Setsi sa Tlhokomelo e Matla (ICU), e amanang le nako e telele ea ho lula ha ICU, e na le sekhahla se hakantsoeng ho 31.8% ho latela qeto ea thuto ea 2018 .

Dementia ea kelello

Ho ea ka Mokhatlo oa Lefatše oa Bophelo, Batho ba limilione tse 50 lefatšeng ka bophara ba na le 'dementia' - ba nang le linyeoe tse ncha tse limilione tse 10 selemo se seng le se seng. Mofuta o atileng haholo oa 'dementia' ke lefu la Alzheimer's, le ikarabellang ho 60% -70% ea linyeoe. WHO e hakanya hore 5% -8% ea batho ba baholo 60 le ho feta ba na le 'dementia'.

Delirium vs. ho ata ha 'dementia'
Delirium Dementia ea kelello
  • Batho ba tsofetseng ba 15-50% ba ba le delirium ka nako e 'ngoe nakong ea ho lula sepetlele.
  • E atile haholo ho liopereishene tsa pelo, methapo ea pelo, ts'oaetso, radiotherapy le bakuli ba methapo.
  • Delirium ea ICU e na le sekhahla sa ho ata se hakantsoeng ho 31.8%.
  • Batho ba limilione tse 50 lefatšeng ka bophara ba na le 'dementia'.
  • Ho na le linyeoe tse ncha tse limilione tse 10 selemo se seng le se seng.
  • 60-70% ea linyeoe tsa 'dementia' li tsoa ho lefu la Alzheimer's.
  • 5-8% ea batho ba baholo 60 le ho feta ba na le 'dementia'.

Matšoao

Delirium

Matšoao a delirium hangata a ba le ts'ohanyetso ea tšohanyetso. Hape, hangata li arabela bothata ba bongaka. Matšoao a kenyelletsa:



  • Pherekano
  • Ho ferekana maikutlo
  • Paranoia
  • Litlelase
  • Moferefere
  • Ho otsela
  • Ho holofala ha memori nako e khuts'oane
  • Mathata ka tlhokomelo le kutloisiso

Nako ea matšoao ana ea fetoha mme ea fetoha.

Dementia ea kelello

Le ha e ka ba le ho tšoana ho hongata ha matšoao ho delirium, 'dementia' ke ho holofala ho tsoelang pele ho amanang le ho fokotseha ha tšebetso ka kakaretso, hangata ho holang butle butle, ho bolela Dr. Barsky.

Matšoao a 'dementia' ea pele ho nako a kenyelletsa:



  • Ho holofala ha ho ithuta le ho hopola
  • Bothata ba ho tsepamisa mohopolo
  • Pherekano le mesebetsi e tloahelehileng
  • Litaba tsa ho fumana mantsoe
  • Maemo a fetoha
  • Ha e khone ho tloaela nako le sebaka, ho lahleha
  • Pono ea motlakase

Ho bohlokoa hape ho hlokomela hore matšoao a 'dementia' le 'ona a fapana pakeng tsa maemo ao a tsamaeang le' ona.

Delirium vs. matšoao a 'dementia'
Delirium Dementia ea kelello
  • Pherekano
  • Ho ferekana maikutlo
  • Paranoia
  • Litlelase
  • Moferefere
  • Ho otsela
  • Ho holofala ha memori nako e khuts'oane
  • Bofokoli ba ho hopola
  • Bothata ba ho tsepamisa mohopolo
  • Pherekano le mesebetsi e tloahelehileng
  • Litaba tsa ho fumana mantsoe
  • Maikutlo a fetoha haholo-holo ho teneha
  • Ho ferekana maikutlo

Ho lemoha

Delirium

HO mokhoa oa tlhahlobo ea pherekano (CAM) e sebelisetsoa ho khetholla boteng ba delirium, Dr. Barsky oa hlalosa. CAM e sheba likarolo tse 'ne:



  1. Ho qala hantle le ho feto-fetoha ha maemo
  2. Ho se tsotelle
  3. Monahano o sa hlophisehang
  4. Boemo bo fetotsoeng ba tsebo

Delirium e fumanoa haeba motho a e-na le likarolo tsa pele tse peli ntle le karolo ea boraro kapa ea bone.

Liteko tsa bongaka li kanna tsa etsoa nakong ea tlhahlobo ea delirium, sena se ka kenyelletsa tlhahlobo e felletseng ea boemo ba kelello, tlhahlobo ea 'mele, lithuto tsa laboratori, kapa liteko tsa boko ho laola maemo a mang, joalo ka stroke. Ntle le moo, ho ka ba molemo ho bua le litho tsa lelapa kapa bahlokomeli ba ka fanang ka nalane e eketsehileng le moelelo. Liteko tsa laboratori ho fumana sesosa sa pherekano joalo ka ho lekola maemo a fapaneng maling kapa morong le tsona li ka etsoa.



Dementia ea kelello

Liteko tsa tlhahlobo li ka sebelisoa ho thusa ho fumana 'dementia'. Ho na le liteko tse ngata tse ka sebelisoang ho lekola ts'oaetso. Liteko tse tloaelehileng ke tlhatlhobo ea boemo ba kelello ba kelello (MMSE) kapa tlhahlobo ea Mini-Cog. Liteko tsena li sheba bokhoni ba kelello mme li kenyelletsa likarolo tsa mohopolo, puo, tharollo ea mathata, boits'oaro le bokhoni bo bong ba ts'ebetso ea kelello. Hape, ho bua le litho tsa lelapa kapa bahlokomeli ho ka fana ka tlhaiso-leseling e ngata mabapi le boemo ba motho ka mong.

Hona le mefuta e meraro e tloaelehileng ea 'scans' ea boko ho etsa teko ea 'dementia'. Li kenyelletsa likhakanyo tsa computed tomography (CT), imaging resonance imaging (MRI), le litlhahlobo tsa positron emission tomography (PET).



Liteko tsa laboratori tse joalo ka ho hula mali le ho sheba maemong a fapaneng, joalo ka li-electrolyte le litekanyetso tsa qoqotho, le tsona li tla etsoa ho laola eng kapa eng, joalo ka delirium. Liteko tsa lefutso le tsona e ka ba sesupo se setle sa 'dementia'.

Delirium vs. ts'oaetso ea 'dementia'
Delirium Dementia ea kelello
  • Nalane e felletseng le tlhahlobo ea 'mele
  • Lipuisano le batho ba tšehetsang
  • Mokhoa oa Tlhatlhobo oa Pherekano (CAM)
  • Liteko tsa bongaka
    • Ho etsa liteko tsa laboratori
    • Litlhahlobo tsa 'mele
  • Nalane e felletseng le tlhahlobo ea 'mele
  • Lipuisano le batho ba tšehetsang
  • Teko ea litsebi tsa kelello ea kelello:
    • Tlhahlobo ea MMSE kapa Mini-Cog
  • Papiso ea boko ho khetholla liphetoho tsa sebopeho.
  • Ho etsa liteko tsa laboratori

Kalafo

Delirium

Kalafo ea delirium pele ho tsohle ke ho fumana sesosa sa pherekano le ho rarolla bothata bona. Sena se ka kenyelletsa ho phekola tšoaetso kapa ho emisa moriana. Kalafo e tla shebana le ho sebetsana le mathata afe kapa afe le maemo a bongaka a ka bang a etsahetse ka lebaka la pherekano. Sena se kanna sa kenyelletsa lintho tse kang ho fana ka phepo e lekaneng, taolo ea bohloko, le ho ruta litho tsa lelapa, bahlokomeli le mokuli.

Dementia ea kelello

Kaha mafu a fapaneng a ka baka 'dementia', kalafo e ipapisitse le sesosa. Hajoale, ha ho na pheko ea 'dementia'. Leha ho le joalo, ho na le lithethefatsi tse ling tse ka ntlafatsang matšoao ka nakoana. Lithethefatsi tse peli tse amoheloang ke Tsamaiso ea Lijo le Lithethefatsi ea U.S. (FDA) ho thusa ho phekola 'dementia' li kenyelletsa:

  • Cholinesterase inhibitors: Aricept ( entsengpezil hcl ), Moiketsi ( senatla )
  • Memantine: Namenda Xr ( memantine hcl er )

Khetho e 'ngoe ke ho nka karolo lithutong tsa bongaka le litekong tsa' dementia '. Mokhatlo oa Alzheimer o na le tlhaiso-leseling e batsi ka likhetho tse ka bang teng Mona .

Ho na le liphekolo tse ngata tse seng tsa lithethefatsi, hape. Koetliso ea ho hopola, ho ikoetlisa, ho matlafatsa sechaba, tlhabollo le ho ikoetlisa ke mekhoa e 'maloa feela e ka ntlafatsang ts'ebetso ea kelello.

Delirium vs kalafo ea 'dementia'
Delirium Dementia ea kelello
  • Ho sebetsana le sesosa se bakang pherekano
  • Ho phekola mathata
  • Koetliso ea ho hopola
  • Khothatso ea sechaba
  • Ho ikoetlisa
  • Meriana
  • Liteko tsa bongaka

Lisosa tsa kotsi

Delirium

Ho latela Thuto ea 2014 , Lisosa tse atileng haholo tsa kotsi ea delirium li kenyelelitsoe:

  • Dementia ea kelello
  • Botsofali
  • Bohloko ba ho kula
  • Bofokoli ba pono
  • Catheterization ea urinary
  • Boemo bo tlase ba albin (protheine ea mali)
  • Nako ea ho lula sepetlele

Dementia ea kelello

Ho latela Mokhatlo oa Alzheimer lisosa tse kaholimo ho kotsi tsa 'dementia' li kenyelletsa:

  • Lilemo
  • Nalane ea lelapa
  • Liphatsa tsa lefutso
  • Kotsi ea hlooho
  • Maemo a senyang pelo
Delirium vs. mabaka a kotsi a 'dementia'
Delirium Dementia ea kelello
  • Dementia ea kelello
  • Botsofali
  • Bohloko ba ho kula
  • Bofokoli ba pono
  • Catheterization ea urinary
  • Boemo bo tlase ba albin (protheine ea mali)
  • Nako ea ho lula sepetlele
  • Lilemo
  • Nalane ea lelapa
  • Liphatsa tsa lefutso
  • Kotsi ea hlooho
  • Maemo a senyang pelo

Thibelo

Delirium

Thibelo ea pherekano e etsoa ka ho e emisa pele e qala ka ho khetholla ba kotsing e kholo.

Batho ba kotsing e kholo ea ho ba le pherekano ba kenyelletsa ba nang le ts'oaetso ea kelello, ho ferekana maikutlong kapa ho robala, ho se khone ho tsamaea, le ho felloa ke metsi 'meleng kapa lintho tse ling tse bakang tšibollo ea' mele, Dr. Barsky o re. Ho khetholla kapele le taolo ea ts'oaetso ea bongaka kapa ea tikoloho ho bohlokoa ho thibela nts'etsopele ea delirium.

Dementia ea kelello

Ho thibela 'dementia' ho nka nako e telele, Dr. Barsky o tsoela pele. Ho na le bopaki ba hore ho ja bophelo bo botle, ho lula u le mafolofolo, ho qoba koae le joala, le ho boloka kelello ea motho e sebetsa le lilemo ho ka thusa ho thibela kapa ho liehisa ho qala ha 'dementia'. Ho bohlokoa hape ho lekola khatello ea mali le k'holeseterole, kaha maemo a phahameng a ona a ka lebisa ho 'dementia' ea methapo.

Mokhoa oa ho thibela delirium vs. 'dementia'
Delirium Dementia ea kelello
  • Thibelo ka ho khetholla ba nang le kotsi e kholo
  • Mokhoa oa bophelo o phetseng hantle
    • Ho ja hantle
    • Ho ikoetlisa
    • Ho qoba koae le joala
  • Ho hlahloba khafetsa khatello ea mali le k'holeseterole

Nako ea ho bona ngaka bakeng sa delirium kapa 'dementia'

Ha u bona phetoho maemong a kelello kapa ho putlama kelellong ho kenyelletsa pherekano, ho lahleheloa ke mohopolo, ho ferekana kapa matšoao a thathamisitsoeng kaholimo, ho bohlokoa ho bona setsebi sa tlhokomelo ea bophelo. Ho lemoha pejana maemo ana ka bobeli ho lebisa liphellong tse ntlehali.

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