Sopor inonzi inorwara, iyo isingabatsiri mutsauko hwehupenyu hwevanhu hunoitika panguva dzakasiyana-siyana uye kune peda neCaa. Izvi zvinonziwo subcoma, yakafanana nekurasikirwa uye kurasikirwa kwekuziva uye inofungidzirwa chimwe chinhu pakati pe syncope uye coma.
Sopor - chii ichocho?
Sopor inopesana neurological of consciousness, apo munhu anorasikirwa nekwanisi yekufamba, asi panguva imwechete yose mafungiro anoramba aripo. Murume akanganisa haagoni kuratidza zvaanoita kune mamiriro ezvinhu akaipoteredza, haagoni kuita mabasa akare uye anorega kubvunza chero mubvunzo chero upi zvake unotaurirwa kwaari. Kutungamirira munhu kunze kweizvi kune chinetso, kazhinji kune izvi zvinorwadza zvinokonzerwa nemuviri we tweaks, injections.
Sopor - zvikonzero
Muhutano hwehutano, hukama huripo hunobuda nekuda kwe:
- chirwere chinoputika kana chirwere cheschemic;
- kukuvadza kwepfungwa kunokonzerwa nemavhuru, kushaya ropa, kuongororwa, hematoma;
- kubvumira, kuora ropa, zvirwere zvinokonzera;
- hydrocephalus;
- kuvhuvhuta kwema-capillaries;
- Zvirwere zvinotapukira-zvinopisa;
- epistatus;
- kupera kweine aneurysm.
Pakati pezvinhu zvinokonzera kushanda zvinogona kuonekwa:
- uremia, pamwe nokuwedzerwa kwakanyanya kweprotheni metabolism michina;
- hyponatremia, pamwe chete nekuderera mukati mekusanganiswa kweyerodium muropa;
- renal uye hepatic insufficiency ;
- kuderedza utachiona hwebasa;
- chirwere cheshuga.
Uyezve, chinokonzera soporific chinoitika nekuda kwe hypo hypoia, asphyxia, kana mwoyo kusakatika. Kazhinji subcoma inokonzerwa nedambudziko guru rehutachiona, kupisa kwemhepo, hyothermia, sepsis, chepfu nehupfu. Nguva yehurumende yakadaro inogona kutora mashoma mashoma kana mwedzi yakawanda.
Zviratidzo zveDospora
Mamiriro emhuka yemhuka iyi inoratidzirwa nezvinhu zvinotevera:
- Kugadziriswa kwezvinoitika kune kutsamwa, nekuchengetedza mafungiro ekumedza, kufema uye corneal reflex.
- Kuramba kusina kudzora, mumakiriniki zviitiko, kugunun'una.
- Makumbo, kuputika kwemitsipa yemutsipa.
- Shanduka mukunzwa kweganda, kupora muviri kwemakumbo, kushaya simba kwemamwe mapoka emasumbu.
Kuchinja mumagariro europi kunokonzera kuonekwa kwe:
- maronda akapoteredza meso;
- ropa kana cerebrospinal fluid kubva kumatoriki;
- iyo inopinza kunhuyisa kunhudza;
- zvikomba pamuviri, kuruma nerurimi;
- kuwedzera kwekushisa kwemuviri.
Ndeupi musiyano pakati pe coma uye sopor?
Kuvhiringidzika kwekuziva kune zvidimbu zvitanhatu, pakati pavo sopor inoshandisa nzvimbo iri pakati:
- Zvinoshamisa apo uwandu hwekuziva huri kuderera, kutaura kwemashoko hakuna kukwana, kuchinja kwehutano kunoputsika. Zvinoshamisa zvinokonzera kutaridzika kwemukururium, kukanganisa, nguva dzose pamapapiro, kuwedzerwa kweropa.
- Coma, inozivikanwa nekusakwana kwekuziva. Inogona kuva munyoro, apo mafungiro akadzika anoramba akazara. Nhamba yakadzika yea coma inoratidzwa nekusavapo kwemafungiro, kunonzi hypotension, kufema kusina simba uye basa remhepo yemwoyo. Panyaya yakawandisa yea coma, vadzidzi vanoderedzwa, hapana maitiro, zvose zvinokosha zvinoshanda zvinoputsika.
Dhigirii rehurumende dzakadaro sopor uye coma inotsungirirwa kushandisa Glasgow yepamusoro, iyo imwe neimwe inoshandiswa inozivikanwa nehuwandu huwandu hunokosha. Nhamba yepamusoro inobatanidzwa kana zvichiitwa nemafambiro ezvakanaka, uye puropu yakaderera inopiwa kushayikwa kwemafungiro. Ndiani anosimbiswa kana zvikwereti pamwero we "Glasgow" ndeye masere kana mashoma. Kana tikataura pamusoro peiyo sopor, kutyora kwekuziva munyaya iyi ndiko kusiyanisa kwepakati pakati pekunaka uye coma.
Inguva yakareba sei iyo-co-morbid inoguma?
Nguva yenguva duku iyi inotsanangurwa nechikonzero chakakonzera chirwere ichi uye chiyero cheuropi kukanganisa. Saka, somuenzaniso, kana chirwere ichi chichikonzerwa nekukanganiswa kweuropi, iyi mamiriro ezvinhu inogona kupedza maminitsi akawanda, kunyange mamiriro ezvinhu apo hurumende yakadaro inopedza zuva rinopfuura isiri isiri. Sopor yakadzika inoratidzirwa nekurasikirwa kwakadzika kwekuziva , chirwere chinobva kune munhu chinogona kungobviswa zvishoma paanenge achidzokorora kuedza kwekuzununguka, kurapa kwakanyanya uye zviduku.
Nzira yekuita sei munhu kubva kune sopor?
Kana chero zviratidzo zvekurasikirwa kwekuziva zviri pachena, chiremba anofanira kubvunzurudzwa pakarepo. Kuti ujekese zvakazara hukama hunoita, vanachiremba vanoongorora tsananguro yezvinyorwa uye yekutsvaga tsvina yeropa, urini, kufamba kwe electroencephalography, MRI, kuputika kwechiremera. Kana pane chinotyisa, kuchengetedzwa kwekukurumidzira kunoitwa nenzira inotevera:
- Apo uropi hukabatanidzwa, kupararira kweperesi kunovhiringidzika, vanachiremba vanoisa murwere mumubhedha, vaudza dehydrating uye vasodilating agents.
- Kuita basa rekufuridzira uye kuparadzirwa, kana zvichidikanwa, shandisa intubation.
- Kana pane zviratidzo zvekukuvadza, mutsipa haugadziriswi uchishanda nemiravha yemasopa.
Zvakakosha kutanga kupedza chinokonzera kudzvinyirirwa kwekuziva, izvi zvinoitwa muimba huru yekuchengetedza, apo mabasa anokosha emuviri anotungamirirwa uye akachengetedzwa. Murwere anonyatsotarisirwa mishonga yose inodiwa. Sezvo chirwere ichi chinogona kugara kwenguva yakareba, zvakakosha kunyatsotarisira murwere, kuita zvirongwa, kudzivirira matambudziko uye zvibvumirano.
Sopor - migumisiro
A soporous state inopera zvachose yekukwanisa kushandiswa kweuropi. Mushure mokunge tabuda mu sopor, migumisiro inogona kubuda. Vanonyatsovimba nezvakakwana uye nguva yekuchengetedzwa kwekurapa. Kana iyo subcomis yakakonzerwa nechirwere chinopisa, kazhinji kacho chinoguma nekufa kwemu murwere. Kana, mushure memazuva matatu mushure meyoyoyoyo, murwere haatauri vadzidzi, motokari inopindira kune zvinorwadza zvinokonzera, saka mikana yekubudirira inoguma ishoma.