Kungani Bacele Ukubonisana Ngezifo Zengqondo?

Abantu balaliswa ezibhedlela ngenxa yezizathu eziningi, kubandakanya ukuhlukumezeka, ukuhlaselwa yinhliziyo, nokushaywa unhlangothi. Mhlawumbe, umuntu udinga ukwelashwa okunamandla komdlavuza noma ukuhlinzwa kokukhetha ukuze abuyisele inqulu noma idolo. Kungakhathalekile ukuthi siyini isizathu sokulaliswa esibhedlela, akuyona into engavamile ukuthi udokotela wezokwelapha noma wokuhlinzwa acele ukubonisana nabagula ngengqondo. Kungani? Izimo eziningi zezokwelapha kanye / noma izindlela zokwelapha ezisetshenziselwa lezi zimo zihlotshaniswa nezimpawu zokuziphatha, kanti udokotela oqeqeshwayo noma udokotela ohlinzayo uvame ukufuna okokufaka kudokotela wezifo zengqondo ukuze asize ekutholeni imbangela yezinguquko ekuziphatheni nasekuboneni ukwelashwa okusebenzayo. Yiziphi ezinye zalezi zinguquko zokuziphatha futhi kungani zenzeka? Nazi izibonelo.

Ezinye izimo zezokwelapha, isibonelo, isifo senhliziyo nesifo sikashukela, zihlotshaniswa nezimpawu zokucindezeleka komtholampilo. Uma isiguli esisesibhedlela kucatshangwa ukuthi sicindezeleke kakhulu noma sikhombisa nganoma iyiphi indlela ukuthi sicabanga ngokuzilimaza, iqembu lezokwelapha livame ukubiza udokotela wezifo zengqondo ukuze ahlole ubunjalo nobukhulu bezimpawu zokudangala, ahlole ubungozi bokuzimela -harm, bese wenza izincomo zokwelashwa. Odokotela bengqondo badlala indima ebalulekile ekuphathweni kwalezi ziguli ngoba ukutholakala kokudangala kuvame ukuwenza ube mubi umphumela wesifo esiyinhloko sezokwelapha, futhi okuphambene nalokho.

Esinye isimo esivamile sihilela isiguli esisesibhedlela senkonzo yezokwelapha noma yokuhlinza eqala ukuqala ngokungazelelwe kokuphazamiseka, ukudideka, ukudideka, noma ukucabanga (ngokwesibonelo, ukuzwa amazwi noma ukubona izinto noma abantu abekho). Kunezizathu eziningi ezingenzeka zokuziphatha okunjalo ezigulini ezibhedlela. Isibonelo, ezinye iziguli zinezifo zengqondo esezivele zikhona eziba nezimpawu ezengeziwe ngengcindezi yokulaliswa esibhedlela. Iziguli ezinesifo sokuphazamiseka kwengqondo okuguquguqukayo noma i-schizophrenia zingahlakulela izimpawu ezisebenzayo zalezi zinkinga ngenxa yengcindezi nokuphazamiseka esimisweni sazo. Ukulaliswa esibhedlela, noshintsho olumphumela kusuka endaweni ejwayelekile, nakho kungaholela ekushintsheni kokuziphatha okuphawulekile kubantu abane-dementias njengesifo i-Alzheimer's.

Esinye isizathu esivamile esenza ukuthi iziguli ezibhedlela zikhombise ukuphazamiseka, ukudideka, kanye / noma ukubona izinto ezingekho umqondo ukuthuthukiswa kwesimo esaziwa ngokuthi i-delirium. I-Delirium wuhlobo lwe-acute brainquilibrium ebucayi lapho amasistimu obuchopho amaningi ephuma ebhalansi. Kwesinye isikhathi, umuntu angaba ne- delirium “ethule” futhi adideke kakhulu. Iziguli ezinjalo zivame ukunganakwa kuze kube yilapho othile oseqenjini lezokwelapha ebona ukuthi umuntu udidekile noma unezinkinga ezinkulu zememori. Kwesinye isikhathi, isifo se -quququibibrium siholela ezimpawu eziphazamisayo ezinjengokuxakaniseka noma ukusangana. Lezi ziguli zingalawulwa ngokweqile futhi zibe yingozi kubo nakwabanye. Yize i-delirium iziveza ngokuziphatha okuphazamisekile kwesiguli, izimbangela ngokuvamile zibandakanya isimo sezempilo esiyisisekelo noma ukwelashwa kwaso. Isibonelo, imiphumela yokuqoqwa kwemithi eminingi kakhulu ingaholela ku-delirium. Ukutheleleka okungatholakali, njengokutheleleka kwe-urinary tract noma i-pneumonia, kungadala i-delirium. Ukuhlinzwa, ikakhulukazi ngaphansi kwe-anesthesia ejwayelekile, kwesinye isikhathi kudlulela ebuchosheni ngaphesheya konqenqema, kuholele ku-delirium. Udokotela wezifo zengqondo angasiza ithimba lezokwelapha noma lokuhlinzwa lenze ukuthi kutholakale i-delirium bese ekhuthaza ukuhlolwa kwesizathu (s) sezimbangela zezokwelapha. Udokotela wezifo zengqondo angasiza futhi ekuphatheni kokuziphatha okuphazamisayo. Njengoba sekushiwo, umuntu onesifo sokuwohloka komqondo unengqondo ebuchosheni esevele isengozini futhi usengcupheni yokuthola i-delirium. Ukuthola ukuthi yiziphi izimpawu ezihlobene nokuwohloka komqondo nokuthi yiziphi izimpawu ezibangelwa i-delirium kungaba yinselele.

Kubalulekile ukuthi kutholwe i-deliria nembangela ichazwe. I-delirium eqhubekayo ihlotshaniswa nemiphumela emibi kakhulu yezokwelapha esikhathini esifushane neside, okungukuthi, isifo sobuchopho esibuhlungu kanye nezimbangela zaso ezingase zihlotshaniswe nenkambo yokwelashwa ekwehleni kanye nengozi eyengeziwe yokufa. UDeliria naye uyabonakala ezigabeni zokugcina zezifo eziningi.

Kwesinye isikhathi kuye kuthintwe odokotela bengqondo esibhedlela jikelele ngoba isiguli siyenqaba ukungenelela kwezokwelapha noma kokuhlinzwa odokotela abelapha ekholelwa ukuthi kubalulekile. Ithimba lodokotela lingahle likhathazeke ngokuthi isiguli asisebenzisi ukwahlulela okunengqondo futhi lingacela udokotela wezifo zengqondo ukuthi asize ekutholeni ukuthi isiguli sinamandla okuthatha isinqumo. Yize lesi sinqumo singadingi udokotela wezifo zengqondo, akuvamile ukuthi odokotela bengqondo bacelwe ukuthi bahlole ukusebenza kwengqondo yomuntu namandla okwenza izinqumo. Indima kadokotela wezifo zengqondo kulesi simo ukunikeza umbono mayelana nekhono lesiguli lokwenza izinqumo. Uma udokotela wezifo zengqondo ekholelwa ukuthi lowo muntu unamandla okuthatha isinqumo mayelana nokwelashwa okuhlinzekwayo noma okuhlinzekwayo, iqembu lezokwelapha noma lokuhlinzwa lingakhungatheka, kepha kufanele basihloniphe isinqumo sesiguli. Uma kunqunywa ukuthi isiguli asiqondi ngempela isimo kanye nezingozi zokungakwamukeli ukwelashwa, ithimba lezokwelapha noma lokuhlinzwa linganquma ukulandela imigomo emisiwe yokuhlinzeka ukwelashwa ngokungahambisani nezifiso zesiguli ukuze sisize ukusindisa impilo. Kubalulekile ukuthi wazi ukuthi, kulezi zimo, odokotela bengqondo bahlola isimo sengqondo namandla okuthatha isinqumo. Azimemezeli iziguli "zingenakho ukusebenza" njengoba kwesinye isikhathi kukholwa ngephutha; ikhono kuyisinqumo esiyinkimbinkimbi sezomthetho hhayi esokwelapha noma sezifo zengqondo.

Kunezinye izizathu eziningi zokuthi kungani odokotela bezokwelapha noma abahlinzayo bengacela udokotela wezifo zengqondo ukuthi ahlole isiguli esisesibhedlela. Imvamisa akuyona eyokwelulekwa noma “yokwelashwa,” noma kunjalo. Esikhundleni salokho, ukusiza iqembu lokwelashwa ukuthi lithole ukuthi kungani isiguli sikhombisa izindlela zokuziphatha eziphakamisa ukungasebenzi kahle kobuchopho nokuthi lezi zimilo kufanele zibhekwe kanjani kangcono.

Le kholamu ibhalwe ngokubambisana ngu-Eugene Rubin MD, PhD noCharles Zorumski MD.