Chii chinonzi coma, zvikonzero zvikuru uye marapirwo anoitwa

Zvemukati

• Zvinogona kukonzerwa
• Kurapwa kunoitwa sei
• Mhando huru

Coma mamiriro anozivikanwa nekudzikiswa padanho rekuziva umo munhu anoita kunge akarara, haapindure kune zvinokanganisa nharaunda uye haaratidze ruzivo nezvake. Mune ino mamiriro, uropi hunoramba huchigadzira magetsi emagetsi anokwanisa kuchengetedza akakosha mashandiro, senge kurova kwemoyo, semuenzaniso.

Izvi zvinogona kuitika nekuda kwezviitiko zvakati wandei sekukuvara kwehuropi, kunokonzerwa nekurohwa kwakasimba kumusoro, kutapukirwa uye kunyanyisa kudyiwa kwezvinodhaka nedoro, mune iyi kesi, inonzi akadhakwa pakoma.

Koma inogona kuiswa muchikamu ichishandisa chiyero cheGlasgow, umo chiremba akadzidziswa kana mukoti anoongorora kugona kwemunhu, kutaura uye kugona kwazvino, kugona kuratidza mwero wemunhu wekuziva uye, nekudaro, kudzivirira sequelae inogoneka uye kumisikidza akanakisa kurapwa. Ona zvimwe mashandisiro anoita chiyero cheGlasgow.

Zvinogona kukonzerwa

Zvinokonzera coma hazvinyatsonzwisisike, zvisinei, mamwe mamiriro anogona kukonzera kuti munhu awire mukoma, izvo zvinogona kuve:

• Huturu hune chero mushonga kana chinhu, kuburikidza nekushandisa zvakanyanya zvinodhaka zvisiri pamutemo kana doro;
• Zvirwere, senge meningitis kana sepsis, semuenzaniso, izvo zvinogona kudzikisa huwandu hwemunhu kuziva nekuda kwekubatanidzwa kwenhengo dzakasiyana;
• Cerebral hemorrhage, iyo inoratidzirwa nekubuda ropa muuropi nekuda kwekutsemuka kweropa tsinga;
• Kurohwa, inoenderana nekukanganiswa kweropa kuyerera kune imwe nzvimbo yeuropi;
• Kushungurudzika kwemusoro, iko kukuvara dehenya kunokonzerwa nekugwinha, kucheka kana kupwanya uye kuti kana paine hurema muuropi, zvinonzi zvinoshungurudza kukuvara kwehuropi;
• Kushaikwa kwe oxygenation muuropi, nekuda kwechirwere chakakomba chemapapu kana yakawandisa kabhoni monoxide inhalation, senge mota injini utsi kana kupisa mumba, semuenzaniso.

Mukuwedzera, coma inogona kunge iri mhedzisiro yehyperglycemia kana hypoglycemia, ndiko kuti, nekuda kwezvinetso zvehutano zvinoita kuti huwandu hweshuga hukwire kana kudonha zvakanyanya, uye zvakare ne hyperthermia, inova iyo tembiricha yemuviri iri pamusoro pe39 ℃, kana hypothermia, iyo inowanikwa mumamiriro ezvinhu apo tembiricha iyoyo inodonha pazasi pe 35 ℃.

Uye zvakadaro, zvinoenderana nechikonzero chekoma, munhu anokwanisa kusvika muuropi kufa, umo uropi husisiri kuburitsa zviratidzo zvemagetsi kumuviri. Ziva musiyano uripo pakati pekufa kwehuropi nekoma.

Kurapwa kunoitwa sei

Kurapa kwekoma kunoenderana nezvinokonzeresa mamiriro aya, uye kupora kwekuziva chiitiko chinoitika zvishoma nezvishoma, mune dzimwe nguva nekukurumidza kuvandudza, asi mune zvakakomba zviitiko, munhu anogona kuramba ari mune inomera mamiriro, umo munhu anogona kana kumuka, asi anoramba asina chaanoziva uye asingazive nguva, iye pachake uye zviitiko. Dzidza zvakawanda nezve iyo inomera nyika.

Mumamiriro ezvinhu apo munhu haasisiri panjodzi yekufa uye zvikonzero zvekoma zvadzorwa kare, timu yeICU yavanachiremba navanamukoti inotarisira kupa rubatsiro runobatsira kudzivirira maronda emubhedha, hutachiona hwezvipatara, senge pneumonia kuitira kufema zvishandiso, uye chengetedza kufambira mberi kwezvese zviitiko zvemuviri.

Kazhinji yenguva, munhu anoda kushandisa chubhu yekudyisa uye kubvisa weti, mukuwedzera pakurapwa kwemuviri, kuchengetedza mhasuru nekufema zvakanaka.

Pamusoro pezvo, zvinokurudzirwa kuve nerutsigiro uye kuvepo kwemhuri, sezvo ongororo dzichiratidza kuti kunzwa ndiyo yekupedzisira pfungwa yakarasika, saka kunyangwe munhu wacho akasabvuma uye asinganzwisise chaizvo zviri kutaurwa nenhengo yemhuri, iyo uropi hunogona kuziva izwi uye mazwi erudo uye kuita nenzira yakanaka.

Mhando huru

Coma inogona kuganhurwa mumhando nhatu, zvichienderana nechikonzero chakakonzera kutanga kwechiitiko ichi, se:

• Yakakonzera coma: inonziwo sedation, ndiyo mhando yekoma inoitika nekupa mishonga mutsinga inoderedza kushanda kwehuropi, ichiratidzwa navanachiremba kuchengetedza huropi hwemunhu ane njodzi yekukuvara kwehuropi, achideredza kuzvimba uye kudzivirira kuwedzera kwekumanikidza kwekumanikidza, kana kuchengetedza munhu kufema kuburikidza nemidziyo;
• Structural Coma: inosanganisira mhando yekoma inomuka kubva mukukuvara mune chimwe chimiro chehuropi kana tsinga, nekuda kwekukuvara kwepfungwa, nekuda kwemotokari kana tsaona yemudhudhudhu, kana nekuda kwekukuvara kwehuropi kunokonzerwa nesitiroko;
• Isiri-yechimiro idya: zvinoitika kana munhu ari pakoma nekuda kwekudhakwa mamiriro nekuda kwekushandisa mishonga, zvinodhaka kana doro zvakawandisa, asi zvinogona zvakare kuoneka kune vanhu vane chirwere cheshuga chakanyanyisa, zvichikonzera kukundikana kwehuropi uye zvichizoitika pakoma .

Kune zvakare iyo Yakavharwa-muhurwere, inonziwo Incarceration syndrome, iyo inogona kutungamira kukoma, zvisinei, mune ino kesi, kunyangwe kuoma mitezo yemuviri uye zvisingaite kutaura, munhu anoramba achiziva zvese zvinoitika padhuze iwe. Ona zvimwe chii chinonzi jeri syndrome uye marapirwo anoitwa