Ngakolunye uhlangothi, umsebenzi we-cortex ye-cerebral ye-cortex ye-cerebral inokuphazamiseka ngenguqu yetsholongwane efana ne-hypoglycemia (izinga eliphantsi lokushukela egazini), ukungaqiniseki kwe-hepatic ne-renal, okanye i-ketoacidosis yesifo sikashukela (ngamanqanaba aphezulu ashukela egazini), kunye nezinye iindlela ezinobuthi. Kwinqaku elithi "I-Coma kunye namadigri ayo, izizathu zokuvela kwayo" uya kufumana ulwazi oluncedo kakhulu kuwe.
• Iinkqubo ezichaphazela i-brainstem ngokuthe ngqo, kwaye ziphazamise umsebenzi we-BPF, ezifana nokubola kweengqondo, isisu okanye i-abscesses, okanye imiphumo yezidalwa.
• Iinkqubo eziwonakalisa ingqondo ihamba ngokungaqhelekanga, oko kukuthi, ekhokelela ekunyanzelweni kwayo kunye nokulimala kwi-VRF. Le ndlela, umzekelo, i-clot yegazi eyenza ingqondo yokufuduka kunye nokuphefumula kwe-lobe yesikhashana ecaleni kwentsholongwane yengqondo, okanye i-tumor okanye i-abscess, ekhokelela ekunyuseni kokunyanzeliswa kwengcinezelo.
Ezinye izizathu ze-coma
Ngokubanzi, ngaphandle kokulimala kwentloko kunye nezinye izifo ze-neurosurgical, malunga ne-40% yeengxaki ze-coma zibangelwa ukugqithisa izidakamizwa, ngokuqhelekileyo kudibaniswa notywala. Kwi-40% eseleyo, izigulane ziboshwe ngentliziyo, i-33% yayine-stroke kwaye malunga nama-25% ukuphazamiseka okanye ukusuleleka, i-coma eqathayo yinkathalo yongxamiseko, apho imeko yolawulo lokuqala lifana nokulawulwa kwezigulane kwiimeko ezibucayi. Isinyathelo sokuqala sihlala sisisiseko sokuvuselela ngokusisiseko ukuqinisekisa eniya ngokuma patency ukuvumela unikezelo ioksijini, oko kufuna endotracheal ityhubhu ekumfakeni yomguli kunye yomatshini kunye nokuhamba kwegazi igcinwa iliso uxinzelelo lwegazi ..
Uvavanyo oluqhubekayo
Ukuba isisombululo se-coma asicaci, kufuneka kwenziwe iimvavanyo ezongezelelweyo. Ezi ziquka ukuhlalutya kwendlela yokwenziwa kweekhemikhali yegazi kunye nomchamo, ukuhlolwa kweziyobisi kunye neetekisi.
Rhu lumente
Abanye abasindileyo emva kokuba i-coma iwele kwisigxina esingenamsoco (HVS). Ezi gulane ziphefumle ngokuzimeleyo kwaye zinamaxesha okuvula nokuvala amehlo, ahambelana nomjikelezo wokulala nokuvuka. Bangaba neempendulo zokuqala zengcamango zangaphandle kwiimpembelelo zangaphandle, ezifana nokutshiza nokubamba. Nangona kunjalo, izigulane kwi-CVC azibonakalisi iimpawu zokwazisa ngokwazo okanye indawo yazo, okanye enye imisebenzi ephezulu yeentlanzi - abayathethi, bathetha okanye babonise nayiphi na indlela. Kule meko, izigulane zihlala iminyaka emininzi. Ucwaningo lwe-pathologic lwabantu abafayo ababehlala kwi-XIV, lubonakalisa umonakalo omkhulu kwi-cortex yecerebral (le ndawo inoxanduva lomsebenzi ophezulu weentlanzi), kodwa ukugcinwa kobuchopho, okuye kwavumela ukuba kugcinwe imisebenzi esemzimbeni ngaphandle kokubona.
Imilinganiselo yokuziphatha
Urhulumente wengqolowa engapheliyo ingxaki yonyango kuphela, kodwa neyokuziphatha. Abanakekeli okanye izalamane zabanye abagulane abanesifo esingapheliyo kwintliziyo ngamanye amaxesha banomuva wokuthi le meko ayithembekanga kwaye iyancipha ukuba banokukhetha ukucima iinkqubo ezixhasa ubomi bomguli ngokumvumela ukuba afe. Abanye bacinga ukuba izenzo ezinjalo zingekho mthethweni. Ukhetho luyinkimbinkimbi yinto yokuba akukho ngcamango eyamkelekileyo ngokubanzi malunga nombuzo wokuba ngaba kukho izibonakaliso zentshukumo ephezulu yeentlanzi kunye noqhagamshelwano, nangona ezinye izigulane ziqhelekileyo kwi-HVS, ngokuphononongwa ngokugqithiseleyo kwezigulane kwisimo esingasigxina sezityalo. Ikhono lokugcina ukuphefumla kunye nokujikeleza kwinqununu yokunyamekela kakhulu kubangela ukuba ezinye izigulane zigcinwe kwizibhedlele ngaphandle kweempawu zokusebenza kwengqondo. Le meko yokungabikho okupheleleyo kunye nokungenakuphikiswa kwanoma yimuphi umsebenzi kwingqondo kunye nengqondo ye-brainstem ngokuqhelekileyo kuthiwa "ukufa kwengqondo". Nangona kunjalo, okwangoku, oogqirha bakhetha igama elithi "ukufa kwe-brainstem," njengoko kwacaca ukuba ukufa kwe-brainstem kufana nokufa kwengqondo.
Ukuxilongwa kwengqondo kubangela ukufa
Ukuxilongwa kweengqondo kubangelwa ukufa ngokuhambelana nomgangatho oqhelekileyo, osebenzisa iimvavanyo ezilungiselelwe ukuqinisekisa ukulahlekelwa ngumsebenzi oqhelekileyo wengqondo. Ukubonakaliswa kokusilela ngokupheleleyo kwengqondo yomsebenzi wesikhokelo kubonelela ngokuqinisekileyo ukuba ukubuyiswa akuyi kulandela. Ukuba isigulane esithobela imigaqo yokufa kwe-brainstress iyaqhubeka nokuphuphuma umoya kunye nokunyanga okuthe tye, intliziyo iya kumisa kwiintsuku ezimbalwa.