সংজ্ঞা
Delirium tremens (DTs) is a severe disturbance of the brain caused by alcohol withdrawal.
কারণসমূহ
DTs occur when a person who repeatedly drinks large amounts of alcohol suddenly stops or decreases the amount of alcohol consumed.
ঝুঁকির কারণ
These factors increase your chance of developing DTs:
- History of DTs
- Other medical problems in addition to alcohol abuse
- মস্তিষ্কের ক্ষতি
- Age: Older than 30 years
লক্ষণ
Symptoms usually begin 2-4 days after suddenly stopping or decreasing alcohol intake. Symptoms may include:
- দুশ্চিন্তা
- Confusion / disorientation
- Delirium —changing levels of alertness
- ঘুমের সমস্যা
- Bad dreams
- Severe agitation
- জ্বর
- Hallucinations—the perception of a thing, voice, or person that is not present, both visual and auditory
- Delusions—a false belief that is strongly held
- Tremors of the hands, head, or body
- Severe sweating
- দ্রুত হৃদস্পন্দন
- বমি বমি ভাব
- Increased rate of breathing
- রক্তচাপ বেড়ে যাওয়া
- Increased body temperature
- খিঁচুনি
In severe cases, DTs can result in death, especially if untreated.
রোগ নির্ণয়
The doctor will ask about your symptoms and medical history. A physical exam will be done. The diagnosis of DTs is usually based on the symptoms and signs of the disorder. Tests may include:
- You may have your bodily fluid tested. This can be done with blood tests to measure liver function, blood clotting ability, or electrolytes.
- You may need to have your brain function evaluated. This can be done withelectroencephalogram (EEG).
- আপনার শারীরিক গঠনের ছবি তোলার প্রয়োজন হতে পারে। এটি দিয়ে করা যেতে পারে:
- সিটি স্ক্যান
- এম.আর. আই স্ক্যান
চিকিৎসা
Treatment can be difficult. DTs are likely to last for 5-7 days. Clearing of DTs may begin in 12-24 hours, but may take up to 2-10 days. Treatment for alcohol abuse is necessary after DTs are under control.
চিকিত্সা অন্তর্ভুক্ত হতে পারে:
ঔষধ
ওষুধ অন্তর্ভুক্ত হতে পারে:
- Sedatives to:
- Calm agitation
- Ease withdrawal symptoms
- Aspirin or acetaminophen to lower fever
- Anti-seizure medicine
Vitamins and Fluids
Severe, life-threatening vitamin deficiency or dehydration may accompany DTs. Treatment may include:
- IV fluids, magnesium, and glucose
- IV doses of vitamin C and B-complex vitamins, including thiamin and folic acid
পুনর্বাসন
Treatment for alcohol abuse may be done in a hospital setting or while living at home. It may involve individual or group therapy. Many people seek support by participating in groups, like Alcoholics Anonymous (AA).
If you are diagnosed as experiencing DTs, follow your doctor’s instructions .
প্রতিরোধ
To prevent having DTs, do not abuse alcohol. If you do drink large amounts on a regular basis, do not suddenly decrease the amount or stop drinking on your own. Rather, get advice from your doctor on the safest way to lower your intake.