Yakakonzera coma: chii icho, kana zvichidikanwa uye njodzi

Zvemukati

• Kana zvakakodzera
• Zvinoitwa sei uye zvinotora nguva yakareba sei
• Anogona here munhu ari mukoma akakurudzirwa kuti ateerere?
• Njodzi dzinogona kuitika dzekoma inokonzerwa

Iyo coma inokonzeresa kudzika sedation kunoitwa kubatsira kupora kwemurwere ari akakomba zvakanyanya, sezvazvinogona kuitika mushure mekurohwa neshungu, kushungurudzika kwepfungwa, infarction kana muzvirwere zvemapapu, senge pneumonia yakaoma, semuenzaniso.

Rudzi rwekunyaradza kunoitwa nemishonga, senge iyo inoshandiswa muanesthesia, uye nekudaro, munhu anogona kumuka mushure memaawa kana mazuva, apo murwere ari kupora kana chiremba achiona zvichikurudzirwa. Nekudaro, iyo coma inokonzereswa yakasiyana nekoma inokonzerwa nezvirwere, sezvo isingakwanise kufanofungidzirwa uye isingatarisi kutonga kwechiremba.

Kazhinji, iyo coma inoitiswa inoitwa mune ICU nharaunda, sezvo zvichidikanwa kushandisa zvishandiso zvinobatsira kufema, pamwe nekutarisa kwakawanda kweese akakosha data emurwere, kuitira kudzivirira matambudziko, senge kufema kusungwa, kusungwa kwemoyo kana kuita kumhedzisiro yemishonga, semuenzaniso.

Kana zvakakodzera

Yakakonzerwa nekoma rudzi rwehope dzakadzika dzinokonzerwa nemishonga yekunyaradza, zvinogona kunge zvichidikanwa kana murwere aine hutano hwakanyanya kana husina kusimba mamiriro, akadai se:

• Kushungurudzika kwemusorozvinokonzerwa netsaona kana kudonha. Tarisa uone kuti ndeipi mhedzisiro yekukuvara musoro mumuviri;
• Dambudziko retsviyo izvo hazvivandudze nemishonga;
• Chirwere chemwoyo chakakomba, nekuda kwe infarction, kutadza kwemoyo kana arrhythmias, semuenzaniso. Nzwisisa chii chinogona kukonzera kutadza kwemoyo uye marapirwo acho;
• Kukundikana kwemapapu, inokonzerwa nemabayo, emphysema kana kenza, semuenzaniso;
• Yakakomba chirwere chetsinga, senge sitiroko huru, meningitis kana bundu repfungwa. Tsvaga kuti maronda ekurapwa anoitwa sei kudzivirira sequelae;
• Mushure mekuvhiyiwa kwakaomarara, senge huropi, kuvhiyiwa kwemoyo kana mushure mechiitiko chakakomba;
• Marwadzo asinganatsirike nemishonga, sekutsva kukuru kana gomarara repamberi.

Muzviitiko izvi, coma inokonzereswa kuitira kuti huropi nemuviri zvinyanye kupora, sezvo muviri uchichengetedza simba nekusaita basa, uye munhu haazonzwa kurwadziwa kana kusagadzikana nekuda kwechimiro chakakomba.

Muzviitiko zvehosha dzemapapu dzakakomba, senge pneumonia, sedation inozobatsirawo kubatana pamwe nehurongwa hwekufema, zvichibvumidza kuti ive nemhepo yakaringana yehupenyu hwehuviri hwakanga hwakanganiswa nechirwere ichi. Tsvaga zvimwe nezve marapiro anobatsira kuisa oxygen mumuviri mukutadza kufema.

Zvinoitwa sei uye zvinotora nguva yakareba sei

Iyo coma inokonzereswa inokonzerwa nemishonga yekunyaradza yakadai seMidazolam kana Propofol, inoitiswa mumadhiwo anodzorwa uye jekiseni mutsinga, kazhinji muICU, ine mhedzisiro inogona kugara maawa, mazuva kana vhiki, kusvikira yavhiringidzwa nekuda kwekuvandudzwa kwechirwere chemurwere kana kuti chiremba agone kuongorora kiriniki.

Iyo nguva yekumuka inosiyanawo zvichienderana nemetabolism yemushonga nemuviri wemunhu. Uye zvakare, kupora kwemurwere kunoenderana nezviitiko zvese, nekudaro, kana munhu achizopona kana kuva nequelae, zvinoenderana nerudzi rwechirwere, kuomarara uye nehutano hwemunhu, zvinokanganiswa nenyaya dzakadai sezera, mamiriro ezvekudya. , shandisa mishonga uye kuomarara kwechirwere.

Anogona here munhu ari mukoma akakurudzirwa kuti ateerere?

Paanenge ari pakoma yakadzika, munhu wacho haasi kuziva uye, nekudaro, haanzwe, haafambi uye haanzwe, semuenzaniso. Nekudaro, kune akati wandei mazinga ekunyaradza, zvinoenderana nedosi yemushonga, saka kana iyo sedation yakareruka zvinokwanisika kunzwa, kufamba kana kubatana, sekunge uri kuhope.

Njodzi dzinogona kuitika dzekoma inokonzerwa

Sezvo sedation inoitwa nemushonga weanesthetic, yakafanana neiyo inoshandiswa muanesthesia, uye mamwe matambudziko anogona kuitika, akadai se:

• Allergy kune chinhu chinoshanda chemushonga;
• Yakaderedza kurova kwemoyo;
• Kukundikana kwekufema.

Aya matambudziko anodzivirirwa nekuramba uchiongorora data rakakosha remurwere uye kugara uchiongororwa nachiremba weUICU uye vanamukoti Pamusoro pezvo, hutano hwemurwere ari kuda coma inowanzo kuve yakaoma, uye njodzi yekunyorova yakaderera pane njodzi yechirwere chaicho.

Dzidza zvakawanda nezve mashandiro anoita anesthesia uye kuti njodzi dzipi.