I-coma eqhubayo: yintoni, xa kuyimfuneko kunye nomngcipheko

Umxholo

• Xa kunyanzelekile
• Kwenziwa njani kwaye ihlala ixesha elingakanani
• Ngaba umntu oku-coma unokumamela?
• Umngcipheko onokubakho we-coma

I-coma ebangelwa kukudakumba okunzulu okwenziweyo ukunceda ukubuyisela isigulana esinzulu kakhulu, njengoko kunokwenzeka emva kokubetha, ukwenzakala kwengqondo, infarction okanye kwizifo zemiphunga, ezinje nge-pneumonia ebukhali.

Olu hlobo lokuthanjiswa lwenziwa ngamayeza, afana nalawo asetyenziswa kwi-anesthesia ngokubanzi, kwaye ke, umntu unokuvuka emva kweeyure okanye iintsuku, xa isiguli siphila okanye ugqirha efumanisa kufanelekile. Yiyo ke loo nto, ikhoma elenziwe lahlukile kwikhoma elibangelwa zizifo, njengoko lingenakho ukuxelwa kwangaphambili kwaye alixhomekekanga kulawulo lukagqirha.

Ngokubanzi, ikhoma elenzelelweyo lenziwa kwimeko ye-ICU, njengoko kufuneka ukusebenzisa izixhobo ezinceda ukuphefumla, kunye nokubeka iliso ngokubanzi kuyo yonke idatha ebalulekileyo yesigulana, ukuthintela iingxaki, ezinje ngokubanjwa kokuphefumla, ukubanjwa kwentliziyo okanye ukusabela kwisiphumo samayeza, umzekelo.

Xa kunyanzelekile

Ikhoma ebangelwa luhlobo lobuthongo obunzulu obubangelwa yimithi yokuthomalalisa, kunokuba yimfuneko xa isigulana sinempilo ebuthathaka kakhulu, enje:

• Ukubandezeleka kwentlokozibangelwa ziingozi okanye ukuwa. Jonga ukuba zeziphi iziphumo zentloko yomzimba emzimbeni;
• Ingxaki yokuxhuzula oko akuphuculanga ngamayeza;
• Isifo sentliziyo esomeleleyo, ngenxa yentsholongwane, ukungaphumeleli kwentliziyo okanye i-arrhythmias, umzekelo. Qonda ukuba yintoni enokubangela ukusilela kwentliziyo kunye nendlela yokuyinyanga;
• Ukungaphumeleli kwemiphunga, kubangelwa yinyumoniya, i-emphysema okanye umhlaza, umzekelo;
• Isifo esibi semithambo-luvo, ezinje ngokubetha kakhulu, meningitis okanye ithumba lobuchopho. Fumanisa ukuba unyango lwe-stroke lwenziwa njani ukuthintela i-sequelae;
• Emva kotyando olunzima, ezinje ngengqondo, utyando lwentliziyo okanye emva kwengozi embi;
• Intlungu engangcono ngamayeza, njengakutshiso olukhulu okanye umhlaza ophambili.

Kwezi meko, ikhoma liyanyanzeliswa ukuze ingqondo nomzimba kubekhona ukubuyela kwimeko yesiqhelo, kuba umzimba uya konga amandla ngokungasebenzi, kwaye umntu akazukuva zintlungu okanye ukungonwabi ngenxa yesimo esibi.

Kwiimeko zezifo ezikhulu zemiphunga, ezinje nge-pneumonia, i-sedation iyakuququzelela ukusebenzisana kunye nenkqubo yokuphefumla, ivumela i-oxygenation engcono yento ephazamisekileyo sisifo. Fumanisa okungakumbi malunga nonyango olunceda ukonyusa umzimba ekuphefumlweni komzimba.

Kwenziwa njani kwaye ihlala ixesha elingakanani

I-coma ebangelwa kukuba ibangelwa ngamayeza okuthambisa afana neMidazolam okanye iPropofol, elawulwa ngeedosi ezilawulwayo kwaye itofelwe emthanjeni, ihlala ikwi-ICU, nefuthe elinokuthi liqhubeke iiyure, iintsuku okanye iiveki, kude kube kuphazanyiswa ngenxa yokuphuculwa kwemeko yesigulana okanye ukuze ugqirha enze uvavanyo lwezonyango.

Ixesha lokuvuka liyahluka ngokwendlela yokucolwa kweyeza ngumzimba womntu. Ukongeza, ukuchacha kwesigulana kuxhomekeke kwimeko nganye, ke, ukuba umntu uya kuphila okanye abe ne-sequelae, kuya kuxhomekeka kuhlobo lwesifo, ubungqongqo kunye neemeko zempilo yomntu, ezichaphazeleka kwimicimbi efana nobudala, iimeko zesondlo , Sebenzisa amayeza kunye nobungqongqo besifo.

Ngaba umntu oku-coma unokumamela?

Xa umntu e-coma enzulu, umntu akazi nto kwaye, ke ngoko, akaziva, akahambi kwaye akaweva, umzekelo. Nangona kunjalo, kukho amanqanaba aliqela okunyanga, ngokuxhomekeke kwidosi yamayeza, ke xa isisilaphu silula kunokwenzeka ukuva, ukuhamba okanye ukusebenzisana, ngokungathi uyozela.

Umngcipheko onokubakho we-coma

Njengoko i-sedation yenziwa ngamayeza e-anesthetic, afana nalawo asetyenziswa kwi-anesthesia ngokubanzi, kwaye ezinye iingxaki zinokwenzeka, ezinje:

• Ukwaliwa komzimba kwisithako esisebenzayo seyeza;
• Ukunciphisa ukubetha kwentliziyo;
• Ukungaphumeleli kokuphefumla.

Ezi ngxaki zithintelwa ngokubeka esweni okuqhubekayo kwedatha ebalulekileyo yesigulana kunye novavanyo rhoqo ngugqirha we-ICU kunye nabasebenzi bezokonga. Ukongeza, impilo yesigulana esidinga isiqaqa esihlala sikho sihlala sinzima, kwaye umngcipheko wokudakumba ungaphantsi komngcipheko wesi sifo.

Funda kabanzi malunga nendlela i-anesthesia esebenza ngayo kunye nokuba yintoni ingozi.