Coma chirwere chechirwere chinokonzera kukanganisa kwebasa, izvo zvinosangana nekurasikirwa kwekuziva, kusakwanisa kugadzirisa kune zvingangoita zvekunze zvekunze nekusawirirana kwemabasa akasiyana-siyana anokosha (kukanganisa kwe thermoregulation, kupumbuka, kunonoka kwemhepo, kupera kwemazwi emakumbo).
Zvinokonzera cerebral coma
Zvikonzero zvechiitiko ichi ndezvokutanga kana zvechipiri zvinokonzera uye zvinotyisa zvinokonzera. Zvikonzero zvakakurumbira ndezvi:
- kushungurudzika kumusoro uye uropi;
- kurohwa ;
- kuora kwehupombwe hunokanganisa;
- kuora kwehupi nekuda kwekushayikwa kweokisijeni;
- utachiona hunotyisa nezvinhu zvinouraya, zvimwe zvinodhaka, zvinodhaka;
- doro rinopisa;
- kukanganiswa mubasa re endocrine system uye, semugumisiro, kushaikwa kana kuwandisa kwemamwe mahomoni (chirwere cheshuga, pituitary, hypocorticoid coma).
Zviratidzo zvehutano hwemarara
Pazvikamu zvekutanga zve coma, munhu anoita seanorara, maziso akavharwa, uye zvisingakwanisi kufamba. Munhu akabatwa anogona kufamba muchiroto, kumedza saliva, zvimwe zvinongoramba zvichiripo. Mukuwedzera, zvinotendwa kuti mukutanga kweuropi uroa, munhu anogona kunzwa kurwadziwa. Panzvimbo dzakadzika dze coma, iyo inonzi central nervous system uye kupemha nekuora mwoyo, atony yemasumbu, uye kushungurudzika kwemoyo kunowedzera kudzvinyirirwa.
Zvakafanotaurwa nemigumisiro yehutano hwekenza
Nguva ye coma nekufanotaura zvakananga zvichienderana nemhando uye kuoma kwezvipembenene.
Kana rubatsiro rwakapiwa nenzira yakakodzera uye yakakwanisa kudzivisa kusakanganiswa kwehupombwe hwehuropi, coma inogona kubva pamazuva mashomanana kusvika kumavhiki mashoma. Iyo yakareba uropi hunoita, uye yakadzika, inonyanya kusagamuchirwa maitiro, uye zvisarudzo zvinogona kuitika kana munhu asingasiyi, achigara munzvimbo yakazara yemuhupenyu kwehupenyu hwake hwose.
Iyo migumisiro mikuru yeCoa isinganzwisisiki uye isingagadziriswi matambudziko europi. Mune iye pachake, munhu haauye pakarepo, asi pakutanga kwekanguva kwenguva shoma, iyo inowedzera kuwedzera. Pashure pekuda, nguva pfupi
Emergency care for cerebral coma
Ne coma, vadzidzisi chete vanogona kubatsira. Kana pane kusava nechokwadi kuti munhu akawira mu coma, zvinokosha kuti pakarepo adane ambulensi. Chinhu chimwe chete chinogona kuitwa mushure mekusvika kwachiremba ndechokupa munhu wacho mukana wokufema. Sezvo nzvimbo yakasvibiswa yemusumbu ichidzoka, kuderedza kumira uye kupumha reflex, munhu anenge atambudzwa anofanira kutarisa kupisa , kuitendesa mudumbu uye, kana zvichibvira, kuchenesa mhepo.