I-Sopor ibhekwa njenge-pathology, yinto ehlulekayo yokuphulwa kwengqondo yomuntu eyenzeka ngezikhathi ezihlukahlukene zendawo futhi iseduze ne-coma. Lesi simo sibizwa nangokuthi i-subcoma, kufana nokulahlekelwa nokulahlekelwa kokuqaphela futhi kuthathwa njengento ephakathi phakathi kwe-syncope ne-coma.
Sopor - kuyini?
I-Sopor iyinxushunxushu yezinzwa, lapho umuntu elahlekelwa ikhono lokuthutha, kodwa ngesikhathi esifanayo zonke izizindlo zihlala. Indoda esesimweni esiphambene nayo ayikwazi ukukhombisa ukusabela ezimweni ezizungezile, ayikwazi ukwenza imisebenzi elula futhi inqabe noma imuphi umbuzo obhekiswe kuye. Ukuhoxisa umuntu ngaphandle kwalesi simo kuyinkinga, ngokuvamile kulezi zimo ezibuhlungu ezinjenge-tweaks, imijovo.
I-Sopor - izizathu
E-neurology, isimo se-co-morbid sivela ngenxa ye:
- isifo sobunzima noma ischemic;
- ukulimala kobuchopho obangelwa izivunguvungu, ukubola kwesisu, ukuncintisana, i-hematoma;
- i-abscess, i-hemorrhage, izinqubo zesisu;
- i-hydrocephalus;
- ukuvuvukala kwama-capillary;
- Izifo ezithathelwanayo;
- i-epistatus;
- ukuphuka kwe-aneurysm.
Phakathi kwezimbangela ze-metabolic zingabonakala:
- uremia, ehambisana nokuqoqwa ngokweqile kwemikhiqizo yamaprotheni yametabolism;
- hyponatremia, ehambisana nokunciphisa ukuhlushwa kwama-sodium ions egazini;
- ukuqhwaqamba nokungaqiniseki kahle ;
- umsebenzi we-thyroid wehlile;
- isifo sikashukela.
Futhi, isimo se-soporific senziwa ngenxa ye-hypoxia, i-asphyxia, noma ukuhluleka kwenhliziyo. Ngokuvamile i-subcoma ingenxa yenkinga enkulu ye-hypertensive, isifo sokushisa, i-hypothermia, i-sepsis, i-poisoning nge-toxins. Ubude bombuso onjalo bungathatha imizuzwana embalwa noma izinyanga ezimbalwa.
Izimpawu zeDospora
Umbuso webhola ubonakala ngezici ezilandelayo:
- Ukunciphisa ukusabela ekucaseni, ngenkathi kugcinwa ukucabanga okugwinya, ukuphefumula kanye ne-corneal reflex.
- Ukunyakaza okungalawuleki, ezimweni zokwelapha, ukukhononda.
- Ama-cramps, ukuhlukumeza kwemisipha yentamo.
- Shintsha ubuzwe besikhumba, ukukhubazeka kwamalungu, ukubuthakathaka kwamathimba athile.
Izinguquko ekuphenduleni kobuchopho zibangela ukubukeka kwe:
- izibungu ezungeze amehlo;
- igazi noma uketshezi oluthile lwe-cerebrospinal kusuka kuma-auricles;
- iphunga elibukhali lobuhlungu;
- izibazi emzimbeni, ziluma ulimi;
- ukushisa komzimba okwandisiwe.
Uyini umehluko phakathi kwe-coma ne-sopor?
Ukuphazamiseka kwengqondo kunezinyathelo eziningana, phakathi kwabo i-sopor inesimo esiphakathi:
- Okumangalisa lapho izinga lokuqonda linciphela, oxhumana nabo bezinkulumo banqunyelwe, ukusabela kokuziphatha kuphulwa. Okumangalisa kubangelwa ukubukeka kwe-delirium, ukucabangela, ukuphazamiseka okuvamile, ukucindezela kwegazi.
- I-Coma, ebonakala ngokuntuleka okuphelele kokuqonda. Kungaba mnene, lapho izingqondo ezijulile zihlala zijwayelekile. Izinga elijulile le-coma libhekene nokungabikho kwezingqondo, ukuxilongwa kwe-hypotension, ukuphefumula okungaphelele kanye nomsebenzi wesimiso senhliziyo. Ngezinga eliphakeme kakhulu le-coma, abafundi bahlanjululwa, azikho ukusabela, yonke imisebenzi ebalulekile iphulwa.
Izinga lalezi zinhlangano njenge-sopor ne-coma zinqunyelwe ukusebenzisa isilinganiso esikhethekile se-Glasgow, lapho ukusabela ngalunye kubonakala khona ngenani elithile lamanani. Amaphuzu aphakeme kakhulu anikezwe uma kwenzeka ukuziphatha okuvamile, futhi amaphuzu aphansi kakhulu anikezwe ukungabi khona kwezizindlo. Ubani oqinisekisiwe uma amaphuzu esikalini se- "Glasgow" amaphuzu angu-8 noma angaphansi. Uma sikhuluma ngalokho okushiwo yi-sopor, ukuphulwa kokwaziswa kulokhu kuyindlela ephakathi phakathi kokumangalisa kanye ne-coma.
Isikhathi esingakanani co-morbid sihlala isikhathi eside?
Ubude be-subcommission bunqunywa imbangela eyabangela lesi simo kanye nokulimala kobuchopho. Ngakho-ke, isibonelo, uma ukugula kubangelwa ingxabano ebuchosheni, lesi simo singagcina imizuzu eminingana, nakuba amacala lapho izwe elinjalo lihlala khona ngaphezu kosuku aluvamile. I-sopor ejulile ibonakala ngokulahlekelwa okujulile, isimo lapho umuntu angasuswa khona kancane kancane ngemva kwemizamo ephindaphindiwe yokuthuthumela, ukwelashwa okukhulu nokukhunjulwa.
Ungayithola kanjani umuntu ngaphandle kwe-sopor?
Uma kukhona ukubonakaliswa kokulahlekelwa kwesazi kubonakala, udokotela kufanele abonisane ngokushesha. Ukuze uhlole ngokugcwele isimo se-co-morbid, odokotela bahlola ukuhlaziywa kwegazi kanye nomuthi wegazi, umchamo, ukuqhuba i-electroencephalography, i-MRI, ukukhishwa kwe-lumbar. Uma kukhona ukukhathazeka, ukunakekelwa kwezimo eziphuthumayo kwenziwa kanje:
- Lapho ubuchopho buqedile, ukusakazwa kwe-cerebral kuyaphazamiseka, odokotela bafaka isiguli embhedeni, bazise ama-dehydrating kanye nama-vasodilating agents.
- Gcwalisa umsebenzi wokuphefumula nokusabalalisa, uma kunesidingo, sebenzisa intubation.
- Uma kunezibonakaliso zokulimala, intamo ingenakulinganiswa ngokusebenzisa i-collar yamazinyo.
Kubalulekile ukuqala ukuqeda imbangela yokucindezeleka, lokhu kwenziwa ekamelweni lokunakekelwa okukhulu, lapho imisebenzi ebalulekile yomzimba ilawulwa futhi igcinwa khona. Isiguli sigunyazwe ngokugcwele yonke imithi edingekayo. Njengoba lesi sifo singahlala isikhathi eside, kubalulekile ukunakekelwa ngempumelelo isiguli, ukwenza izinqubo, ukuvimbela ukulala kanye nezivumelwano.
Imiphumela ye-Sopor
Isimo soporous ukuqedwa okuphelele komthamo wokuhlukumezeka kobuchopho. Ngemuva kokuphuma ku-sopor, kungase kuvele imiphumela. Zixhomeke ngokuqondile ekunakekeleni nasekuseni kokunakekelwa kokwelapha. Uma i-subcomis ibangelwa isifo esiwumhubhe, ezimweni eziningi iphela ngokufa kwesiguli. Uma, emva kwezinsuku ezintathu ngemuva kwe-myocardium, isiguli asithandanga abafundi, ukuphendula ngezimoto ekubuhlungu ubuhlungu, khona-ke amathuba okuba nomphumela ophumelelayo awuncane.