Kuderedza kusvinura

Kuderedza kusvinura inzvimbo yekudzikisira kuziva uye iri mamiriro akakomba.

Koma inzvimbo yekudzikisira kusvinura kubva pasingagoni kumutswa munhu. Kukoma kwenguva refu kunodaidzwa kunzi nyika inomera.

Mamiriro ezvinhu mazhinji anogona kukonzera kudzikisira kusvinura, kusanganisira:

• Chirwere chetsvo chisingaperi
• Kuneta zvakanyanya kana kushaya hope
• Yakakwira shuga yeropa kana yakaderera ropa shuga
• Yakakwirira kana yakaderera ropa sisitimu yekusungwa
• Utachiona hwakanyanya kana hunosanganisira uropi
• Chiropa kutadza
• Mamiriro ehutachiona anokonzera yakaderera thyroid mahormone mazinga kana akakwirira kwazvo mahormone emahomoni

Matambudziko ehuropi kana kukuvara, senge:

• Dementia kana chirwere cheAlzheimer (advanced kesi)
• Kushungurudzika kwemusoro (zvine mwero kusvika pazviitiko zvakakomba)
• Kufenda
• Stroke (kazhinji kana sitiroko yacho ingave hombe kana yakaparadza dzimwe nzvimbo dzehuropi senge brainstem kana thalamus)
• Zvirwere zvinokanganisa huropi senge meningitis kana encephalitis

Kukuvadza kana tsaona, senge:

• Tsaona dzekudonha uye padyo nekunyura
• Kupisa kwekupisa
• Yakanyanya yakadzika tembiricha yemuviri (hypothermia)

Zvinetso zvemwoyo kana kufema, senge:

• Abnormal moyo mutinhimira
• Kushaya okisijeni kubva kune chero chikonzero
• Kuderera kweropa
• Yakakomba kutadza kwemoyo
• Zvirwere zvakanyanya zvemapapu
• Yakakwira yakakwira BP

Uturu nemishonga, senge:

• Kunwa doro (kunwa doro kana kukuvara kubva mukushandisa doro kwenguva refu)
• Kuratidzirwa kune simbi dzinorema, mahydrocarbon, kana magasi ane chepfu
• Kunyanyisa kushandisa zvinodhaka zvakaita seopiates, narcotic, sedatives, uye anti-kushushikana kana kubata mishonga
• Side mhedzisiro yeanenge chero mushonga, senge iwo anoshandiswa kurapa pfari, kushushikana, psychosis, uye zvimwe zvirwere

Wana rubatsiro rwechiremba kune chero kuderera kwekuziva, kunyangwe kana zvichikonzerwa nekudhakwa nedoro, kufenda, kana kusagadzikana kwekutadza kwakatowanikwa.

Vanhu vane pfari kana zvimwe zvinetso zvekubata vanofanirwa kupfeka chokurapa ID yesimbi kana chishongo chinotsanangura mamiriro avo. Ivo vanofanirwa kudzivirira mamiriro ezvinhu akakonzera kubatwa munguva yakapfuura.

Tora rubatsiro rwechiremba kana mumwe munhu akaderera kusvinura izvo zvisingatsanangurike. Fonera yako yemunharaunda nenjodzi nhamba (yakadai se911) kana zvakajairika kusvinura kusingadzoke nekukurumidza.

Kazhinji kazhinji, munhu akaderera kuziva anozoongororwa mukamuri rekukurumidzira.

Anopa hutano anozoongorora muviri. Bvunzo idzi dzinosanganisira kutarisa kwakadzama pamoyo, kufema, uye nehurongwa hwetsinga.

Boka rezvehutano richabvunza mibvunzo nezve nhoroondo yemunhu yekurapa uye zviratidzo, zvinosanganisira:

Nguva yenguva

• Kusvinura kwakaderera kwakaitika riini?
• Yakagara kwenguva yakareba sei?
• Zvakamboitika kare here? Kana zvirizvo, kangani?
• Munhu wacho akazvibata nenzira imwe chete here muzvikamu zvakapfuura?

Nhoroondo yezvechiremba

• Iye munhu ane pfari here kana chirwere chekubata?
• Munhu wacho ane chirwere cheshuga here?
• Munhu anga achirara zvakanaka here?
• Pave paine kukuvara kwemusoro kuchangobva kuitika?

Zvimwe

• Ndeapi mishonga anotora munhu wacho?
• Munhu wacho anonwa doro kana kushandisa zvinodhaka nguva dzose here?
• Ndezvipi zvimwe zviratidzo zviripo?

Miedzo inogona kuitwa inosanganisira:

• Chest x-ray
• Yakazara kuverenga kweropa kana kusiyanisa kweropa
• CT scan kana MRI yemusoro
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Electrolyte pani uye chiropa chinoshanda bvunzo
• Toxicology pani uye doro nhanho
• Kuongorora urinal

Kurapa kunoenderana nechikonzero chekuderera kwekusvinura. Kuita zvakanaka kwemunhu kunoenderana nechikonzero chemamiriro acho.

Iyo yakareba iyo munhu anga aderedza kusvinura, zvakanyanya kuipa mhedzisiro.

Stuporous; Chimiro chepfungwa - chakaderera; Kurasikirwa kwekusvinura; Kuderera kwekuziva; Shanduko mukuziva; Kupamba; Coma; Kusapindura

• Mhedziso muvakuru - kubuda
• Mhedziso muvana - kubuda
• Kudzivirira kukuvara kwemusoro muvana

Lei C, Smith C. Kushungurudzika kuziva uye kukoma. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits.

Wilber ST, Ondrejka JE. Akachinja mamiriro epfungwa uye dhirium. Emerg Med Chipatara North Am. 2016; 34 (3): 649-665. PMID: 27475019 www.ncbi.nlm.nih.gov/pubmed/27475019.