He aha te mea pōroa? Signs coma taahiraa me te whakarōpū

tono te wā "coma" te i Kariki, a te auraa "moe hohonu."

He aha te mea pōroa?

Tohu o te coma e rite inhibition koi mahi braking o te pūnaha io pokapū ranei. Te reira i tino tahi e mate o te mahara. e kore e te tangata tauhohe ki te marama, oro, me ētahi atu akiaki waho. takahi te reira i te ture taketake o ngā mahi nui o te tinana. Ko te tikanga coma he pōauautanga kino o te mate, e fakafaingata'a'ia'i te tukanga whakaora. Tei runga i te take, e arahi ki te coma, e taea te whakawhanake i te reira tere ranei, pera i roto i te take o te whara roro pāmamae, ranei āta. kia puta nga tohu matua o te coma i runga i te maha hāora ra ranei, me te wā ki te kia te rongoā e taea te karohia āhua ino. Ko te kupu, kia nei kia kite rite te huru pathological whakapeka i roto i nei te hiahia kompeksnaya therapy i roto i te tīmatanga o te whakakitenga. Na reira, e kore e hoatu i te tātaritanga o "coma" te ki te manawanui, e kore tino aro ki ngā āhuatanga o waho anake, engari i roto i te take o te momotunga o mahara i te pupuri reflexes taketake.

hangaia te pikitia haumanu o te pōroa te i te māramatanga o tona hātepe faaiteraa me te matauranga o te tini o nga mate, me pathologies pērā i te mate huka, hypnotics me te poisoning i matū psychotropic, uremia, e taea te kawe i tenei huru.

āhua comatose momo

He maha mate e taea e te pōauautanga o te coma. Tohu o te coma, kua ako tona etiology i roto i te taipitopito NK Bogolepov, kiia ahau neke atu i te 30 ngā momo o tenei huru. he wahi iti o te kaipūtaiao anake puta hei mate motuhake, i te syndromes rino me pōauautanga toe. Me kï reira e kore ko reira tika te mate taua i roto i te iwi rerekē e taea meinga te coma. Ko te raruraru e takoto i roto i te ofatiraa o te homeostasis matüora, hemodynamics, me ētahi atu raruraru e pā ana ki te mahi noa o te roro. arahina Systematization pōroa ki te hanganga o te tekiona e whai ake nei.

Pōroa, neurological

neposredstenno pā ana ratou ki te pūnaha io pokapū. Ko ētahi o ēnei:

• e, puta i roto i te patunga;
• apoplectiform coma;
• pōroa, haurangi;
• nei meinga te whara, pērā i roro pāmamae;

• coma meinga e takanga o ngā tukanga inflammatory rite te pai kia rite ki te pukupuku Koló, me te mārere i roto i te roro, me ona kiriuhi.

Pōroa ki disorders endocrine

He aha i meinga tenei pōroa? Signs coma puta rite kore i roto i te tukanga pūkoro i roto i te tinana e tika ana ki te hanga taiaki iti nui ranei. Ki te he e synthesized ratou iti, ka i reira he he coma

• mate huka;
• gipokortikoidnaya;
• hypothyroid;
• gipopituitarnaya.

Ki te hua i te tinana maha hormones inenga hē whakaritea o taero hormonal ranei, e taea te whakawhanake thyrotoxic me pōroa hypoglycemic.

Ki te wai, me te kawehiko ohorere toenga o te tinana

A, no te ite i te tinana tangata maroketanga, kore o whänui, me te wahi huānga, Mariao, me ngā matūkai e tika ana ki te utu mō te parekura pūngao, te reira rawa e taea taka ki roto ki te pōroa. I roto i tenei āhuatanga i reira e rua e hāngai ana i runga i te momo:

• hlorgidropenicheskuyu ko wai e ko, ki te kore te manawanui e mutu mo te ruaki kaha wa roa, hei tauira, i roto i te take o te stenosis pyloric;
• kāwanatanga dystrophic alimentary-comatose, i roto i te kupu atu, pōroa ki te mate.

utu hau waimaero, meinga he coma

Tohu o tenei momo ko te kore o te hāora tukua i roto i te raruraru pūnaha romahā. Ko ētahi o ēnei:

• Tenei hypoxia meinga e kore o te hāora tukua i te waho (puta te reira i roto i te take o te whakahēmanawatanga hypoxia hypobaric, me te anemia, toto iti ka kukū ki te hāora, me i ngā disorders circulatory);
• pōroa romahā, e, i roto i te tahuri, roherohea ki acidotic kaka, me te romahā matehā.

kore Respiratory, meinga e anoxia, hypercapnia, ofatiraa ao o ngā tukanga whakawhiti hau i roto i te pūkahukahu - tohu noa o te coma o tenei momo.

Coma haurangi tika

tu te reira i roto i roto i te rōpū motuhake no te mea whakaoho reira haurangi endogenous tahi toksoinfektsii, tini o nga mate hopuhopu, pancreatitis, iti hoki tākihi me te ate, ranei ngā pānga i runga i te paihana matū: ūkuikui ngā pūhui matū waro, waipiro, taero, no ki te rōpū "barbiturate" me ētahi atu taero.

I tua atu ki tenei whakarōpūtanga mārō te tīari coma aetiology unknown whakauru ranei, i roto i te mea e kore e taea ki te tautuhi i tetahi take mārama, hei tauira, i roto i te take o te pōroa waiariki meinga e pukā o te tinana katoa. Ahakoa huanga etahi puna reira ki te rōpū neurological.

Ko te titiro e whai ake nei i te tangata takitahi, e puta ana ake maha atu i te tahi atu momo o te coma.

pōroa, mate huka: whakarōpū

pōroa mate huka, āhuatanga ka e kia kōrero i muri, meinga te i roto i te kore te tinana e taea te whakakitea taiāki huka i roto i rerekē e toru: giperketonemicheskaya, hyperosmolar, giperlaktatsidemicheskaya. I te tahi taime e karangatia ana ko "coma roro" mai i roto i tona akoranga kitea edema roro tika ki te meka e hoki te whakaiti taumata taiāki me osmolarity pūtau toto kaka rerekē rerekē.

A, no te e tino nui haere ngā taumata huka toto, i reira mai te coma hyperglycemic. Ko reira tino mōrearea mō ngā tamariki me te iwi o te tau matatau. whakawhanake reira āta, te tikanga i runga i te maha ra.

Signs pōroa, hyperglycemic:

• hauwaiwaro kakara manawa;
• ataahua me te kiri maroke;
• mate o te hiahia;
• constriction o nga tamariki;
• mamae i roto i te puku;
• tachycardia;
• heke reo uaua;
• te hanga whakama.

Ka rite ki hohoro timata ki te whakaatu i te tohu tuatahi o te coma, he hiahia akiaki ki te karanga "waka tūroro." Ki te kore e hanga e koe taua mea i roto i te wa, mutu he tangata ki te urupare ki ngā āhuatanga o waho, me te awe.

pōroa, hypoglycemic

I roto i te tūroro ki te mate huka, e taea e kore anake e nui haere tino huka, engari ano hoki ki te maturuturu. tupu tenei no te mea o ngā wehenga roa i waenganui i ngā kai, mahi nui, ranei i te take o te whakamahi o te alokogolya. pōroa Hypoglycemic, tohu o nei e whakaahuatia i raro nei, kei te whakawhanake i te reira rawa tere. E nehenehe te reira i te tīwaiwaka:

• he pakari ana te mōhio o te kai;
• manukanuka;
• Kārangirangi me te tahurihuri kau;
• pāmahana tinana iti;
• manawa tere pāpaku;
• nui haere sweating;
• whakapairuaki, migraine;
• palpitations ngakau;
• tutu ataata;
• te mahara aukati;
• tamariki dilated ;
• hypertonicity uaua.

A, no te te faaiteraa o te katoa wahi ranei o nga āhuatanga āwhina tuatahi e tika ana, arā, o te whakahaere rō-uaua, korerotia ki te tika, he otinga kūhuka, me subcutaneous - epinephrine.

atamira o te coma

Kei te pumau te reira e reira e he maha o ngā take, no te mea o e whanake pōroa, Signs coma rerekē etiology whakatau i te pakeke o te tukanga, me reira tāutuhia te maha o ngā wāhanga pōroa.

1. Precoma. Here āhuatanga te manawanui e rave rahi tohu kaua whakahē. I runga i te ringa kotahi, i reira te mea he mahara te peroo, rahunga i te takotoranga mokowā, whakaroa, me i te tahi atu, te kārangirangi taea, mate o ruruku, engari te relfeksy matua noho tonu.
2. Pōroa tohu tuatahi. Ko tenei ka te ngā i te manawanui e kore e haere ki te whakapā, e kore e urupare ki akiaki waho, he mea tino tairongo ki ara he rota o te mamae, i reira he hypertonicity o uaua me te kōpā o receptors kiri. Tamariki i roto i tenei take ki te marama tauhohe, engari kia rerekē i roto i ngā tohutohu rerekē, rite i roto i te strabismus.
3. Pōroa, tuarua tohu e tika ana ki te kore oti o te whakapā, he reira ngā taea ki te meinga mamae tauhohe: te mōrahi e taea e te tangata titiro ona kanohi. He he he te noho nekehanga whēkau me te tōngāmimi, kaupapa huru o ringa me waewae, he ngaohiko koi me uaua rasslabenie. Tauira kore tata e tauhohe ki te marama.
4. Pōroa tuatoru tohu. mahara Mutu momotu, tauhohenga ki te marama, me te mamae, te pēhanga iti, reflexes, me te pāmahana, te kupukupu puhoi, onge, pāpaku. Te tangata "haere i tahaki".
5. Pōroa tohu tuawha. kitea No tauhohenga te pari katoa, reflexes, oro, te pēhanga tino iti, me te pāmahana tinana, respiration kia ia wā ngaro.

Ka taea e coma tupu i roto i te mea o hēkona, meneti, ranei ra. Noatia, āta te atu whakawhanake reira, te atu pea te manawanui ki te hoki ki noa. Ko te aha te mea tino nui e kore e ki te whakaroa i te hohipera i roto i te take o te rapunga i roto ia ia i tona kotahi aroha nga tohu tuatahi o te tīmatanga o te pōroa ranei.

Ahakoa tei waitohunga pai i runga i te pakeke o te pōroa, me te pēhea te hohoro mohio tona faaiteraa tuatahi, ka tīmata ki te whakakore ratou. Pōroa, haere tahi i te mate roro, kua he waitohunga rawakore i roto i te kore ate. Tumanako hoki te putanga pai he taea i roto i te take o te coma mate huka, waipiro, me te hypoglycemic, engari anake ki te kawea rawaka maimoatanga wā i waho.

Ki te korero tatou e pā ana ki te pōroa hunga haurangi, e kore e reira e hiahia maimoatanga. whai te tangata mahara i runga i to ratou ake i muri i mutu i te āhuatanga pathogenic ki whakaawe ia.

Kia mahara ki e ara he i roto i te coma mo te torutoru nga ra e kore haere i waho te wahi, a kia pēhia ngā te huru tinana, me te hinengaro.