The most famous is a kind of delirium delirium tremens, which occurs in chronic alcoholism. There is even an expression, "to be drunk delirium tremens," that's just a delirium tremens does not appear on the background of intoxication, and against the backdrop of a hangover when the patient is sober, but he was having persistent metabolic disorders
Metabolism: The basis of life of all living things
What is delirium and its causes
Delirium or delirium syndrome (from the Latin word rave, go crazy) - this dizziness hallucinations, delusions
Brad - not only crazy
and motor excitation. But at the same time the patient is always oriented in the self, that is, knows who he is.
Delirium occurs when different kinds of intoxication (eg, chronic alcoholism), severe infections, internal diseases, trauma, vascular lesions and tumors of the brain, after long operations.
The cause of delirium - acute metabolic disorders in the brain, which give rise to stupefaction.
How is delirium
Delirium manifestations increasing gradually passing from one stage to another. In total there are three stages of the disease. At the first stage of the patient in the evening or night there is a general excitement, it is fast, sometimes indiscriminate, hasty movement and fussy, overly expressive facial expression reflects his inner tension or fear. Patients with a lot of talk, but their statements are inconsistent and, at times fragmentary. There are nodules recollections in the form of images, and even scenes. Patients are excited, their usual annoying sounds and lights, the usual food has a more intense flavor and smell. The mood is very changeable: the unreasonable joy tinged with enthusiasm and unbridled joy, the gloomy, moody mood, depression and anxiety.
In the second stage of delirium accompanied by increased sensitivity to all external influences, increased distractibility, the changeable moods and gab occur visual illusions (distorted perception of reality). For example, the patient can take the usual shadows on the wall of the room for some fantastic images. Occasionally may occur violation of orientation at the location and time. Before going to sleep with closed eyes having individual or successive like a kaleidoscope hypnagogic (against the background of falling asleep) hallucinations. Sleep in the first and second stages of delirium shallow, accompanied by multiple bright, often disturbing or nightmares
Dreams: how to understand our dreams
. Waking up, the patients are not able to understand where was a dream and what was reality.
In the third stage of development, along with the illusions of delirium occur true visual hallucinations (patients see what is really there). The individual pieces of the surrounding part of the hallucinations or serve as a reason to change them.
Hallucinations may be single or multiple, fixed and very dynamic, black-and-white and color, small, normal and enlarged sizes. In some cases, hallucinations are incoherent, in others, they add up to a coherent picture related to the content and scenes. The content of hallucinations has its own characteristics, depending on the cause of the delirium. For example, alcohol and cocaine delirium characterized by hallucinatory images of animals, for delirium on the background of opiate use - very little hallucinatory images. At the same time the patient always gets the audience of his hallucinations, he was surprised, interested, sometimes gripped by fear, or, on the contrary, fun. He looks, running, laughing, defending, hidden, depending on the situation that arises before his eyes.
In the third stage, there may be auditory, tactile (by touch), olfactory hallucinations, delusions sketchy shaped (the patient begins to invent his own version of what is happening). It is usually limited to certain phrases and exclamations. During this period, usually completely disrupted the orientation at the location and time. But orientation in self retained in the patient with delirium always. Sometimes there is a worsening of the third stage, with the appearance of a professional picture or mussitiruyuschego delirium.
The duration of delirium is usually three to seven days. Most often it takes place during sleep. After that usually comes fatigue and depression
Depression - a little more than a bad mood
Professional and delirium mussitiruyuschy
Professional delirium (delirium employment) - Delirium with predominance of monotonous motor excitation in the form of the usual, performed in daily life activities such as control of a motor vehicle, driving nails, cooking. Hallucinations and delusions are minor or absent.
Mussitiruyuschy delirium (quiet delirium) - delirium with monotonous the poor (within the bed) excitation, which is shown taking off, shaking off themselves of something, grasping objects and non-existent in low murmurs, muffled pronouncing certain sounds and interjections.
When professional and mussitiruyuschem delirium prognosis for life and a full recovery is usually poor.
Treatment of delirium - a treatment of the underlying disease, caused it. Treatment of delirium itself - is the removal of medication means excitement and insomnia, and maintenance of the cardiovascular system.