Delirium tremens

Delirium tremens wani mummunan nau'i ne na janyewar barasa. Ya haɗa da canje-canje na hankula masu tsanani na hankali ko na juyayi.

Delirium tremens na iya faruwa lokacin da ka daina shan giya bayan tsawon lokacin shan giya mai yawa, musamman idan ba ka cin abinci isasshe.

Hakanan Delirium tremens na iya haifar da rauni ta kai, kamuwa da cuta, ko rashin lafiya a cikin mutanen da ke da tarihin amfani da giya mai yawa.

Yana faruwa galibi a cikin mutanen da suke da tarihin shan barasa. Ya zama ruwan dare musamman ga waɗanda suke shan pints 4 zuwa 5 (lita 1.8 zuwa 2.4), giya 7 zuwa 8 (lita 3.3 zuwa 3.8), ko pint 1 (lita 1/2) na "mai wuya" a kowace rana na tsawon watanni. Delirium tremens kuma galibi yana shafar mutanen da suka yi amfani da giya fiye da shekaru 10.

Kwayar cutar galibi tana faruwa ne tsakanin awanni 48 zuwa 96 bayan abin sha na ƙarshe. Amma, suna iya faruwa kwanaki 7 zuwa 10 bayan abin sha na ƙarshe.

Kwayar cutar na iya yin muni da sauri, kuma na iya haɗawa da:

• Delirium, wanda kwatsam ya rikice
• Girgizar jiki
• Canje-canje a cikin aikin hankali
• Tsanani, bacin rai
• Barci mai zurfin da yake tsawan kwana daya ko sama da haka
• Farin ciki ko tsoro
• Hallucinations (gani ko jin abubuwan da basa wurin da gaske)
• Ursarar ƙarfi
• Saurin yanayi yana canzawa
• Rashin natsuwa
• Hankali ga haske, sauti, taɓawa
• Stupor, bacci, gajiya

Karkarwa (na iya faruwa ba tare da sauran alamun DTs ba):

• Mafi yawan gaske a cikin awanni 12 zuwa 48 na farko bayan abin sha na ƙarshe
• Mafi yawancin mutane a cikin matsalolin da suka gabata daga janyewar barasa
• Yawancin lokaci rikice-rikice na yau da kullun na yau da kullun

Kwayar cutar shan barasa, gami da:

• Raguwa, damuwa
• Gajiya
• Ciwon kai
• Rashin barci (wahalar faduwa da bacci)
• Jin haushi ko wuce gona da iri
• Rashin ci
• Tashin zuciya, amai
• Ciwan jiki, tsalle, rawan jiki, bugun zuciya (jin jin bugun zuciya)
• Fata mai haske
• Saurin canje-canje na motsin rai
• Gumi, musamman a tafin hannu ko na fuska

Sauran bayyanar cututtuka da zasu iya faruwa:

• Ciwon kirji
• Zazzaɓi
• Ciwon ciki

Delirium tremens na gaggawa ne na gaggawa.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Alamomin na iya haɗawa da:

• Gumi mai nauyi
• Refara ƙarfin damuwa
• Bugun zuciya mara tsari
• Matsaloli tare da motsiwar tsokar ido
• Saurin bugun zuciya
• Rawan jijiyoyi da sauri

Za a iya yin gwaje-gwaje masu zuwa:

• Matakan magnesium na jini
• Matakan phosphate na jini
• M rayuwa panel
• Lantarki (ECG)
• Kayan lantarki (EEG)
• Allon toxicology

Makasudin magani shine:

• Ka ceci ran mutum
• Sauƙaƙe bayyanar cututtuka
• Hana rikitarwa

Ana bukatar zaman asibiti. Careungiyar kiwon lafiya za ta duba akai-akai:

• Sakamakon sunadarai na jini, kamar su matakan electrolyte
• Matakan ruwan jiki
• Alamu masu mahimmanci (zazzabi, bugun jini, yawan numfashi, hawan jini)

Yayin da mutum yake asibiti, mutum zai karbi magunguna zuwa:

• Yi nutsuwa da annashuwa (mai narkar da hankali) har sai an gama DTs
• Bi da kamuwa, damuwa, ko rawar jiki
• Bi da rikicewar hankali, idan akwai

Ya kamata yin rigakafin dogon lokaci ya fara bayan mutumin ya warke daga alamun DT. Wannan na iya haɗawa da:

• Lokacin "bushewa", wanda ba'a yarda da giya ba
• Gabaɗaya da guje wa giya (abstinence)
• Nasiha
• Tafiya don tallafawa kungiyoyi (kamar Alcoholics Anonymous)

Ana iya buƙatar magani don wasu matsalolin likita waɗanda zasu iya faruwa tare da amfani da barasa, gami da:

• Maganin bugun jini
• Ciwon hanta mai giya
• Neuropathy na giya
• Ciwon Wernicke-Korsakoff

Halartar ƙungiyar tallafi a kai a kai shine mabuɗin don murmurewa daga shan giya.

Delirium tremens yana da mahimmanci kuma yana iya zama barazanar rai. Wasu alamun cututtukan da suka danganci cire barasa na iya ɗaukar shekara ɗaya ko fiye, gami da

• Yanayin motsin rai
• Jin kasala
• Baccin

Matsaloli na iya haɗawa da:

• Rauni daga faɗuwa yayin kamuwa
• Rauni ga kai ko wasu waɗanda cutar ƙwaƙwalwa ta haifar (rikicewa / rikicewa)
• Bugun zuciya ba daidai ba, na iya zama barazanar rai
• Kamawa

Jeka dakin gaggawa ko kira lambar gaggawa ta gida (kamar su 911) idan kana da alamomi. Delirium tremens yanayin gaggawa ne.

Idan kun je asibiti don wani dalili, gaya wa masu samarwa idan kuna shan giya mai yawa don su iya sa ido a kanku game da alamun shan barasa.

Guji ko rage amfani da giya. Samun magani na gaggawa don alamun shan barasa.

Shan barasa - delirium tremens; DTs; Cire barasa - delirium tremens; Shayewar giya

Kelly JF, Renner JA. Rashin lafiyar giya. A cikin: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Babban Asibitin Babban Asibitin Massachusetts. 2nd ed. Philadelphia, PA: Elsevier; 2016: babi na 26.

Mirijello A, D'Angelo C, Ferrulli A, et al. Tabbatarwa da gudanar da cutar shan barasa. Kwayoyi. 2015; 75 (4): 353-365. PMID: 25666543 www.ncbi.nlm.nih.gov/pubmed/25666543.

O'Connor PG. Rashin amfani da giya A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 33.