Thandizo chikomokere: ndi aligorivimu zochita. chikomokere anthu Kodi

Makamaka, anafa ku dziko zimachitika chifukwa chakuti si aliyense amadziwa kupereka thandizo kwa wozunzidwayo. Kukhala mu mkhalidwe mantha, munthu amene anaona, anagwa ndipo sanapite mwamuna kapena mkazi wotsatira kwa iye, ataima ndi kuyang'ana. Ndipo ngati nthawi yomweyo anakoka yekha pamodzi ndi anapereka thandizo lofunika, chifukwa akanatha kupulumutsidwa moyo wa munthu. M'pofunikanso kwa achibale a odwala mwakayakaya kudziwa zomwe zizindikiro pachimake, zoyenera kuchita pa nkhani zosiyanasiyana, kuti athe kuthandizapo m'njira yake. Lero tiona nkhani zofunika kwambiri: kodi chikomokere anthu. Pafupifupi aliyense ayenera kukhala ndi maganizo a mmene mungathandizire, kodi kuchita kuti apulumutse moyo wa munthuyo.

chikomokere anthu ndi chiyani?

Chikomokere - ndi chikhalidwe lalikulu limene amakhala ndi mofulumira osauka chapakati mantha dongosolo matenda chikomokere kwambiri ndi kupanda kulabadira kunja. Mu chikhalidwe ichi wodwalayo ali akusokoneza thupi machitidwe zingapo: m'mapapo, mtima, ndi ena.

Chimodzi mwa zifukwa zimene chikomokere ndi kuwonongeka zogwirika kuti ubongo minofu. Izi zingachitike chifukwa kuvulala minofu, mwachitsanzo, zoopsa kapena kukha magazi, komanso chifukwa kukhalapo mu mtima wa pathologies kwambiri opatsirana, poisonings ndi njira zina. thandizo mu chikomokere ndi matenda imfa Nkofunika, kwenikweni akhoza kupulumutsa moyo wa wodwala, koma chinthu choyamba kuchita - ndi kudziwa mtundu wa boma comatose, ndi kudziwa zimene zinayambitsa izo.

magawo a chikomokere

Chikomokere, komanso pathologies ena ambiri mwa anthu, kumachitika panthawi zingapo:

• Precoma. chikhalidwe ichi ndi kalambulabwalo chikomokere woona ukhoza kwa mphindi zochepa maola awiri. Panthawi imeneyi, maganizo a anthu ndi osokonezeka, kuyembekezera, chikhalidwe kusintha wake kwambiri, kumakhaladi kwambiri kuzimiririka, n'kudzuka ena ntchito, irritability. Ngati bongo kupulumutsidwa akhoza kusweka galimoto kugwirizana.

• Chikomokere Ine digiri. Okhumudwa, wodwala onse anachita irritants kunja zikuchepa imathetsa, kukhudzana ndi odwala ndi zovuta. Kuchuluka minofu kamvekedwe, wodwala angathe kumeza chakudya madzi okha. N'zochititsa chidwi kuchuluka bongo tendon. pupillary anachita kuwala awasungira, mu nthawi zina mukhoza kukhala ndinasintha strabismus.
• Chikomokere 2 madigiri. fomu iyi amakhala ndi stupor, asanaonane ndi mtima ayi. Ana samva kuwala, iwo mwapang'ono, ndipo bongo zikuchitika ndi kwina. Komanso osowa wachisokonezo zoyenda Tingaone, anatambasula manja ndi miyendo, kapena, Tikawonetsetsa omasuka, ndi ena. Kupuma mododoma ndi mtundu pathological, ngati chikomokere madigiri 2. musanaganizire Ndikudzikhuthula kwa matumbo chikhodzodzo kumachitika mu nthawi zina.
• Chikomokere 3 madigiri. Pa nthawi imeneyi, munthu ali chikomokere, palibe kulabadira kunja. No zimene ana kuyatsa. Utachepa minofu kamvekedwe, khunyu angagwe. Thupi kutentha, kuthamanga kwa magazi ndi otsika, kupuma bwinobwino. thandizo chikomokere ndi kofunika kwambiri mu chikhalidwe ichi, mwinamwake, ngati mulibe ziziyenda, ndiye njila iyi adzapita mu chikomokere wordly.
• Prohibitive chikomokere (4 digiri). Mmenemonso, zikuchepa yafupika kuthamanga ndi kutentha, kwathunthu akusowa bongo onse. alili anakhalabe ndi othandizira ndi zakudya parenteral.

thandizo chikomokere n'kofunika kwambiri, koma adzakhala zothandiza kwambiri ngati lamanja kudziwa zimene mtundu wa chikomokere zimawonedwa mu mtima, chifukwa cha zomwe pali zingapo.

chikomokere Kussmaul a

Ndi ambiri odwala ndi shuga. chikomokere Izi zingachitike odwala ndi mkulu shuga m'magazi (hyperglycemia) kapena otsika (hypoglycemia). Chotero zotsatira mkhalidwe misinkhu shuga magazi. Mu ashuga chikomokere limapezeka acetone fungo ku M'mimbamo m'kamwa. Ngati bwino oterewa mtundu wa chikomokere, ndiye mwamsanga mukhoza kubweretsa anthu a boma.

Pankhaniyi, Akufunika kuyeza shuga, ngati kukambapo, ndiye jekeseni insulin, ndipo ngati otsika, ndiye tiyeni wodwala kutenga chakudya. Ndipo ndi bwino kupempha thandizo kwa dokotala, amene adzaona wodwalayo komanso kuthandiza iye popanda vuto thanzi mu mkhalidwe lino.

zoopsa chikomokere

Nthawi zambiri kumachitika odwala amene analandira choipa mutu kuti ubongo zitawonongeka. Mitundu ina ya chikomokere, iye ali ndi kusanza amphamvu precoma. thandizo mtundu wa chikomokere zikutanthauza kukhazikitsidwa kwa njira mwamsanga kuthandiza kusintha magazi mu ubongo ndi kubwezeretsa ntchito yake.

meningeal chikomokere

Mtundu akufotokozera pamene pali kuledzera kwa minofu ubongo, zikhoza zidzayambike ndi kukhalapo kwa matenda meningococcal. Kulongosolerana matenda n'chotheka pambuyo lumbar puncture. Mmenemonso, wodwalayo zoipa mutu, iye sangathe kuukitsa mwendo anawonjezera, ndipo ngati mutu wanu tilts patsogolo ankangokhala, ndiye pali flexion musanaganizire ya m'mawondo.

Ndi mbali ya mtundu wa chikomokere ndi zotupa ndi madera necrosis pa khungu ndipo zimagwira ntchito zosiyanasiyana mucous. Mu nkhani iyi, wodwalayo kuthandiza okha ndi madokotala oyenerera, kotero thandizo kwa iye - izo akuyimba ambulansi ndi hospitalization ku chipatala matenda opatsirana.

chikomokere oziziritsa

Ndi mmene kwa odwala amene ali ndi matenda ubongo kugwirizana ndi kukhalapo kwa zotupa. Man chikomokere amamvera kuti:

• Aakulu mutu pamodzi ndi kusanza.
• Odwala kovuta kumeza chakudya, iwo zambiri zitsamwitsa, sangathe ngakhale kumwa madzi.

Ngati pa nthawi iyi kuti athandizepo woyamba, akufotokozera chikomokere. Pamene zizindikiro zimenezi kungasonyeze boma comatose, chifukwa umene unali ubongo abscess. kusiyana ndi kuti Zikatero, angathe kugwirizana ndi pathologies yotupa, monga zilonda zapakhosi, media otitis ndi sinusitis. Kuthandiza Pankhaniyi zitha kukhala dokotala, zomwe zimapezeka mwamsanga kudziwa chimene chinali cholakwika ndi kuthandiza wodwalayo.

njala chikomokere

mtundu uwu kumachitika pamene dystrophy 3 madigiri, amene amayamba ndi kusala kudya nthawi yaitali. Kawirikawiri mtundu uwu amapezeka achinyamata amene kudya pang'ono. Mu thupi, akusowa zakudya zomanga thupi ndi kuchisonyeza, izo amagwira ntchito zambiri mu thupi, kotero pamene akusowa, ndiye pafupifupi ziwalo zonse sizikuyenda bwino, akulephera kugwira ntchito kwa ubongo.

Ngati chikhalidwe ichi akufotokozera, zizindikiro izi zingaoneke:

• Pankhani ya kukomoka pafupipafupi.
• Pali kufooka ambiri.
• Amafulumizitsa kugunda.
• Man chikomokere amadandaula: kutentha thupi ndi otsika kuthamanga, khunyu zidzachitika, ndi ngakhale mowiriza pokodza.

Pankhaniyi, muyenera kukaonana ndi dokotala, ndipo Mulimonsemo sayenera chakudya mtima, chifukwa thupi lili kuti achire pang'onopang'ono.

khunyu chikomokere

Nthawi zambiri akufotokozera chifukwa cha amphamvu convulsive kudwala. Odwala anati khalidwe ana dilated, wotumbululuka khungu, bongo onse akulephera. M'chinenero zambiri zizindikiro za kuluma pafupifupi nthawi zonse anati mowiriza Ndikudzikhuthula kwa chikhodzodzo ndi matumbo.

Anzanu ndi kutentha ndi kuchepetsedwa, ndi zimachitika mofulumira. Ngati chikhalidwe zikuchitika, adzionere amakhala thready, kupuma amakhala tatikulu pamwamba. Ngati thandizo si kupatsidwa chikomokere, ndi bongo wodwala kutha, kuthamanga akupitiriza kugwa, ndipo patapita munthu amafa.

mowa chikomokere

Poyizoni ndi mowa zambiri kumayambitsa chikomokere mowa, likhoza mu kukomoka. Kumwa mowa kungachititse kuti kuyan'anila za ziwalo. mowa Ethyl ndi nkhonya kwambiri ubongo, zikhoza kuyambitsa ntchito mtima wa dongosolo kupuma.

Pali magawo angapo a mowa comatose boma, mwadzidzidzi thandizo pa siteji iliyonse ya chikomokere n'kofunika kwambiri, koma makamaka lachitatu. thandizo mu nkhani iyi ndi kuti Airways wa ntchofu ndi masanzi. The wodwala anaika mbali imodzi ndi kuyitana kofulumira kwa ambulansi.

kwa chiwindi chikomokere

Malfunctioning chiwindi kungayambitse kuti wodwalayo akufotokozera chikomokere, zimene zinachitikira umatchedwa chiwindi. chifukwa mwina matenda a thupi la chiyambi iliyonse. Limagwirira thupi la chitukuko cha mtundu wa chikomokere ndi losavuta: chiwindi - ndi sefa yaikulu ya thupi. Nthawi kumene thupi ntchito anagwiriridwa, ndiye m'magazi kudutsa mankhwala kagayidwe kachakudya amene anali inactivated mu chiwindi. Iwo kwambiri bwanji maselo a ubongo zomwe zingachititse kuti chikomokere. mtundu Kawirikawiri limodzi ndi chisokonezo kwa mtima, ubongo kutupa ndi kuledzera ambiri. Kuthandiza mu chikomokere wa mtundu uwu - pempho athamangira katswiri ngati inu simutero, nthawi zambiri kumabweretsa imfa ya wodwala.

thandizo chikomokere

thandizo chifukwa boma comatose kwambiri, kuchedwa chilichonse kungachititse kuti imfa. Ngati inu mulipo anali munthu ali chikomokere, chinthu choyamba kuchita ndicho mwapatalipatali izo. Ngati zonse mwadzidzidzi pamene mita kapena insulin, zikunenedwa kuti iye ashuga, ndipo mwina wake chikomokere ashuga, ngakhale mwana uyu chabe kukhala ndi mzake ndi sayenera. kuthandiza aligorivimu akuluakulu comatose ndi ana ndi ofanana kwambiri.

Choncho, malangizo ochepa amene angatithandize kuthandiza wodwala ali chikomokere:

• Modzipereka akonzedwe ndi kukhalabe kupuma mokwanira: kukonzanso dongosolo kupuma, kulumikiza makina othandizira kapena konikotomiyu, koma kuti nthawi zina, ndipo okha ndi chilolezo cha katswiri.

• Catheterization ya mitsempha zotumphukira.
• Kubwezera ndi kukhalabe chokwanira kuti magazi aziyenda: ngati kuthamanga ndi otsika, ndi mtsempha kukapanda kuleka shuga ndi sodium kolorayidi njira, ndipo ngati zoipazi ndi apamwamba kuposa masiku onse, kuti uphungu mankhwala enaake a-sulphate. Matenda mtima mungoli ndi uyambenso. Yemweyo amatanthauza thandizo mu chikomokere a etiology osadziwika.
• Anamanga catheter mu chikhodzodzo, kotero kuti mungathe kuchepetsa mlingo wa diuresis.
• Khazikitsa kafukufuku pambuyo tracheal intubation.

chisamaliro Emergency chikomokere - izi ndi zofunika kwambiri, choncho Mulimonsemo, simukhala osaneneka ndipo pomwepo itanani ambulansi ndi kuchita zonse zimene tingathe kuti magawowa alili. Timeliness thandizo akhoza kupulumutsa miyoyo.