Chida chodzidzimutsa

Matenda a chiwindi, makamaka matenda a chiwindi ndi chiwindi, angakhudze ziwalo zina. Nthenda ya CNS yochitidwa ndi chiwindi yodetsa chiwindi imatchedwa chopsa. Ichi ndi matenda aakulu, omwe amatenga nthawi yomweyo kukafuna chithandizo chamankhwala, mwinamwake imfa ndi yosapeweka.

Zizindikiro zikuluzikulu za chidziwitso chodzidzimutsa

Malingana ndi chifukwa cha matenda, madokotala amasiyanitsa mitundu yosiyanasiyana ya coma. Nthendayi yotereyi imapezeka chifukwa cha poizoni ndi hepatotropic poizoni yomwe imapezeka chifukwa cha matenda a chiwindi kapena chiwindi. Nthenda yotereyi imayamba chifukwa cha kumwa bowa chakupha, kugwiritsa ntchito mankhwala ena nthawi yaitali, kapena poizoni ndi poizoni zomwe zimalowa m'thupi kuchokera kunja ndikugunda chiwindi.

Kuphatikizidwa kwa chizoloŵezi chokhalitsa komanso chosazindikirika cha matendawa kumatchedwa chisokonezo chophatikiza. Mitundu yotsatira ya anthu makamaka yodwala matendawa:

• amayi apakati;
• mowa;
• anthu amene amadya kwambiri;
• ana aang'ono.

Chomwe chimayambitsa vutoli ndi kugonjetsedwa kwa maselo a mitsempha ndi poizoni wopangidwa ndi chiwindi, zomwe zimayambitsa ubongo wa edema ndi kutaya chidziwitso. Nazi izi zizindikiro zazikulu za coma yokongola:

• kuwonjezereka kwakukulu;
• kusokonezeka maganizo kumasintha;
• kusamvera;
• kugona usiku ndi kugona masana;
• mutu;
• kunjenjemera kwa manja;
• kumasuka kwa sphincters;
• kusowa mwayi woyankhula momveka;
• khungu la chikasu;
• chisokonezo;
• ululu pamimba.

Zizindikiro izi zimakhala zofanana ndizochitika pazomwe zimakhalapo, ndi kupeza nthawi yopezeka kwa dokotala munthu angathe kupulumutsidwabe. Kenaka akubwera siteji yoyamba ya coma, pamene kupuma kumakhala kovuta ndipo kuperewera kwadzidzidzi kumachitika. Panthawi imeneyi ya chiwombankhanga, chiwonetsero chabwino ndi 30 peresenti yokha. Pambuyo pofika phokoso lathunthu, chithandizo sichingathandize kubwezera munthu kumoyo wamba ndipo chidzangowonjezera kugwira ntchito kwa ziwalo zenizeni zamkati kwa nthawi yosatha.

Mbali za chithandizo cha coma yokongola

Ngati mumadzipeza nokha kapena wina yemwe ali pafupi ndi zizindikiro za precoma, muyenera kutchula ambulansi yomweyo. Chisamaliro chodzidzimutsa chodzidzimutsa chimakhala chakuti wodwalayo ayenera kuonetsetsa kuti akupuma mokwanira ndikumuika pambali pake. Izi ndizo zonse zomwe mungachite kuti muchepetse vuto lake, zina zonse zimapweteka.

Chithandizo chiyenera kuchitidwa ndi madokotala oyenerera mu chipatala chokwanira kwambiri kapena unit of care. Choyamba, nkofunika kuyeretsa matumbo kuchokera ku microflora, ndi thupi lonse - kuchokera ku poizoni. Pachifukwa ichi, operekera mankhwala angathe kuperekedwa komanso mankhwala ophera tizilombo. Komanso, ntchito ya madokotala ndiyo kuchepetsa kudya kwa mapuloteni ndi kuchotsa ku thupi lomwe likupezeka kale. Pokhala ndi edema ya ubongo, mphamvu zonse zimaponyedwa kuthetsa vutoli, chifukwa ndi mphindi iliyonse yochepetsera kuti munthu abwerere ku chidziwitso chimakhala champhamvu kwambiri.

Ngati matendawa akupita ndikusiya kumwa mowa, zotsatira za kusalidwa kwa chiwindi ndizovuta. Pankhaniyi, njira ya hemodialysis ikuchitika.

Pamagulu akuluakulu a ammonia Zamoyo zimatulutsidwa ndi kayendedwe ka arginine ndi glutamic acid. Kuikidwa magazi kumasonyezedwa, komwe kawirikawiri kumafikira malita 5-6 patsiku.

Maziko a chithandizo ndi njira yowonongeka kwa thupi ndi kubwerera kwa ntchito za maganizo.

Pofuna kuteteza chitukuko chokhazikika, muyenera kutsatira malamulo awa:

1. M'kupita kwanthawi kuchiza matenda onse a chiwindi.
2. Musamamwe mowa mopitirira muyeso.
3. Musagwirizanitse mankhwala ndi mowa.
4. Musadye bowa zakutchire, ngakhale ngati maonekedwe awo sakuwombera.