Mene ne coma? ÃyõyinSa coma mataki da kuma rarrabuwa

Kalmar "coma" da aka aro daga Greek kuma a zahiri tana nufin "barci."

Mene ne coma?

Ãyõyin coma ne kamar yadda hanawa ko kaifi braking aiki na tsakiya m tsarin. Yana lalle yana tare da asarar sani. Man ba amsa zuwa ga haske, sauti da kuma sauran waje samuwar kasashe. Yana keta asali tsari na da muhimmanci ayyuka na jiki. Coma ne kullum wani hatsari wahala daga wata cuta, wadda dagula dawo da tsarin. Dangane da dalilan, wanda kai ga wani coma, shi zai iya ci gaba cikin sauri, ko kuma, kamar yadda a cikin hali na traumatic kwakwalwa rauni, ko hankali. Babban ãyõyin coma na iya faruwa a kan da dama sa'o'i ko kwana, da kuma lokacin da za a zalunta tabarbarewar jihar za a iya kauce masa. Saboda haka, wanda ya kamata a gani a matsayin m pathological yanayin a cikin abin da bukatar kompeksnaya far a farkon matakai na bayyanuwar. Saboda haka, ganewar asali "coma" ne ya sa ba kawai ga mãsu haƙuri, ba cikakken m zuwa waje dalilai, amma a yanayin saukan cire hašin sani, alhãli kuwa rike asali reflexes.

The asibiti hoto na coma aka generated daga wani fahimtar ta bayyananen algorithm da ilmi na cututtuka daban-daban da kuma pathologies kamar ciwon sukari, hypnotics da guba da psychotropic abubuwa, uremia, wanda zai iya kawo wannan yanayin.

Iri comatose jihohi

Akwai da yawa cututtuka wanda zai iya zama mai wahala na coma. Ãyõyin coma, ta etiology ya yi karatu a cikin daki-daki, NK Bogolepov, I kidaya fiye da 30 daban na wannan yanayin. Kawai karamin sashi na masanin kimiyyar fito a matsayin mai zaman kanta cuta, yayin da sauran karfe syndromes da kuma rikitarwa. Ya kamata a lura da cewa shi ne, ba dole ba ne wannan cuta a cikin mutane daban-daban za su iya haifar da wani coma. Matsalar ta'allaka ne da take hakkin da biochemical homeostasis, hemodynamics, da kuma sauran matsalolin da dangantaka da al'ada aiki na kwakwalwa. Amfaninsa a coma kai ga samuwar wadannan subsections.

Coma, neurological

Su neposredstenno dangantawa da tsakiya m tsarin. Wadannan sun hada da:

• wanda, tasowa a bugun jini.
• apoplectiform coma.
• farfadiya coma.
• wanda ya sa rauni, kamar traumatic kwakwalwa.

• coma sa ta faru na kumburi tafiyar matakai, kazalika da kirki da kuma m marurai a cikin kwakwalwa da kuma ta membranes.

Coma da endocrine cuta

Abin da ya sa wannan coma? ÃyõyinSa coma bayyana a matsayin rashin cin nasara a tafiyar matakai na rayuwa a cikin jiki saboda kasa ko wuce kima hormone samar. Idan suna hada ne kananan, to, akwai a coma

• m.
• gipokortikoidnaya.
• hypothyroid.
• gipopituitarnaya.

Idan jiki samar yawa hormones ko kuskure sanya sashi na hormonal kwayoyi, zai iya ci gaba thyrotoxic da hypoglycemic coma.

Idan gaji da damuwa da ruwa da kuma electrolyte balance na jiki

Lokacin da jikin mutum abubuwan dehydration, rashin macro- da alama abubuwa, salts, da kuma gina jiki zama dole rama domin samar da makamashi hasarori, shi ma zai iya fada a cikin wani coma. A wannan halin da ake ciki akwai guda biyu dangane da irin:

• hlorgidropenicheskuyu wanda da shi ne, idan haƙuri ba a daina na dogon lokaci m amai, misali, a cikin hali na pyloric stenosis.
• dystrophic alimentary-comatose jihar, a cikin wasu kalmomi, coma zuwa mutuwa.

Sosai gas musayar, haddasa wani coma

Ãyõyin irin wannan ne wani rashin kawota oxygen a cikin numfashi tsarin matsaloli. Wadannan sun hada da:

• Wannan hypoxia lalacewa ta hanyar rashin oxygen kawota daga waje (da shi ya auku a cikin hali na shaƙa hypobaric hypoxia, kazalika da anemia, low jini a lokacin da tare da cikakken oxygen, da kuma a daban-daban Sistem sakulasan cuta).
• numfashi coma, wanda, bi da bi, subdivided cikin numfashi cerebral da numfashi acidotic.

Numfashi gazawar, ya sa ta hanyar anoxia, hypercapnia, duniya take hakkin gas musayar matakai a cikin huhu - kowa bayyanar cututtuka na wani coma wannan subspecies.

Coma saboda maye

Yana tsaye a waje a raba kungiyar saboda yana da tsokani na ciki maye rakiyar toksoinfektsii, daban-daban cututtuka, pancreatitis, koda da kuma hanta insufficiency, ko illa da kan sinadaran da guba: phosphorus gudanar da mahadi, qwayoyi, da na zuwa da kungiyar "barbiturate" da sauran kwayoyi.

Bugu da kari ga wannan m sukayi fassara zama coma ba a sani ba ko gauraye aetiology, a cikin abin da ba shi yiwuwa a gano wanda ya bayyana dalilin da, misali, a cikin hali na thermal coma sa ta zafi fiye da kima na dukan jiki. Ko da yake wasu kafofin sanyã shi a cikin neurological kungiyar.

Wadannan look at mutum, abin da ke faruwa more sau da yawa fiye da sauran iri coma.

M coma: rarrabuwa

M coma, siffofin da za a tattauna daga baya, aka sa a cikin jikin rashin m insulin za a iya bayyana a uku bambance-bambancen karatu: giperketonemicheskaya, hyperosmolar, giperlaktatsidemicheskaya. Wani lokacin shi ake kira "kwakwalwa coma" tun a lokacin tafarkinsa lura kwakwalwa edema saboda gaskiyar cewa for rage insulin matakan da osmolarity cerebral jini Kwayoyin dabam daban.

Lokacin da jini sugar matakan da ake ƙwarai ya karu, akwai zo da wani hyperglycemic coma. Shi ne mai hatsari ga yara da kuma mutane na ci-gaba da shekaru. Yana tasowa sannu a hankali, yawanci a kan da dama kwana.

ÃyõyinSa hyperglycemic coma:

• acetone numfashin wari.
• pallor da bushe fata.
• asarar ci.
• constriction na ƴan;
• zafi a ciki.
• tachycardia.
• rage tsoka sautin,
• samar da rikice.

Da zarar ka fara nuna da farko alamun wani coma, an gaggawa bukatar kira "motar asibiti." Idan ba ka tabbatar da shi a lokacin, mutum daina amsa waje dalilai da kuma tasirinsa.

hypoglycemic coma

A marasa lafiya da ciwon sukari, sugar ba zai iya kawai za a kara da cika fuska, amma kuma ya sauke. Wannan ya faru saboda dogon karya tsakanin abinci, da} arfin jiki, ko a cikin yanayin da yin amfani da alokogolya. Hypoglycemic coma, ãyõyin wanda aka bayyana a kasa, shi ne bunkasa sosai hanzari. Yana iya zama wani harbinger:

• mai karfi ji yunwa.
• tashin hankali.
• Irritability da restlessness.
• low yanayin jiki.
• m m numfashi.
• ya karu sweating.
• tashin zuciya, migraine.
• zuciya palpitations.
• na gani disturbances.
• hana sani.
• dilated almajirin .
• murdede hypertonicity.

Lokacin da bayyanuwar duk ko da wani ɓangare na siffofin zama dole taimakon farko, kunsha na igiyar jini gwamnati, maimaita idan ya cancanta, a glucose bayani, da kuma subcutaneous - epinephrine.

mataki na coma

An tabbatar da cewa akwai da dama daga dalilai, saboda wanda tasowa coma, coma ãyõyin sãɓãwar launukansa etiology sanin mai tsanani daga cikin tsari, kuma, da ita gano da dama coma, saukarwa.

1. Precoma. Ga mãsu haƙuri ne halin da dama wajen da sabanin da ãyõyinMu. A daya hannun, akwai wani Heart sani, kasawa a cikin sarari fuskantarwa, da slowness, da kuma a kan wasu, zai yiwu irritability, asarar daidaituwa, amma babban relfeksy kasance m.
2. Coma farko digiri. Wannan shi ne lokacin da haƙuri ne kusan ba zuwa lamba, ba ya amsa waje samuwar kasashe, yana da matukar muhimmanci ga ko mai yawa zafi, akwai hypertonicity na tsokoki da kuma numbness na fata rabe. Almajirin a cikin wannan hali zuwa ga haske amsa, amma na iya bambanta a daban-daban kwatance, kamar yadda a strabismus.
3. Coma na biyu digiri saboda cikakken rashin lamba, shi ne kusan ba zai yiwu ba a sa zafi dauki: matsakaicin wani mutum zai iya buɗe idanunsa. Akwai wani sabani hanji ƙungiyoyi da kuma mafitsara, m motsi na makamai da kuma kafafu, mai kaifi ƙarfin lantarki da kuma rasslabenie tsokoki. Almajirin kusan ba su amsa zuwa ga haske.
4. Coma uku mataki. Gaba daya katse sani, dauki ga haske da zafi, rage matsa lamba, reflexes, da kuma yawan zafin jiki, numfashi jinkirin, m, m. Man "ke tafiya a kanta".
5. Coma hudu mataki. Babu dauki aka lura sosai, reflexes, sautin, sosai low matsa lamba da kuma yanayin jiki, numfasawa iya lokaci-lokaci bace.

Coma iya faruwa a cikin wani al'amari na seconds, minti, ko kwanaki. Babu shakka, da sannu sannu shi tasowa, da mafi kusantar da mãsu haƙuri ga komawa zuwa al'ada. Wannan shi ne dalilin da ya sa yana da muhimmanci sosai ba da jinkiri ba da arin idan akwai ganewa a kansa, ko da ƙaunar wanda da farko alamun farko na coma.

Ko m hangen nesa ya dogara da tsanani daga cikin coma, kazalika da yadda sauri gane ta farko bayyanar da fara kashe su. Coma, tare da kwakwalwa lalacewa, yana da wani matalauci hangen nesa a cikin hanta gazawar. Fatan wani m sakamako ne zai yiwu a yanayin saukan wani m, giya da hypoglycemic coma, amma kawai idan isasshen dace magani aka za'ayi.

Idan muna magana ne game da wani farfadiya coma, akwai ba ya bukatar magani. Mutumin regained a kan nasu bayan da pathogenic dalilai gushe rinjaye shi.

Ka tuna cewa ko da kasancewa a cikin wani coma for 'yan kwanaki kada ka wuce ba tare da wata alama da kuma iya adversely shafi jiki da hankulansu yanayin.