Karhulumente Soporous: inkcazelo, oonobangela, ubude

Le edakiwe kwesiqhelo zonyango elivelayo ndidandathekile nezengqondo yomguli, basabela ezibuthathaka abafundi ukuba zikhanyise kwaye buthuntu intlungu.

karhulumente Soporous nga kuguqulwa isiqaqa, apho kwi iqondo kwezithandani kwemisebenzi zomzimba. Ngaba ukuvalwa ngokupheleleyo kwinqanaba reflex. Zokunqanda imeko enjalo, kuyimfuneko ukwazi oko kubangela imbonakalo sopor.

Yintoni umahluko phakathi wobuthongo okanye ukuba khokhoma

Umahluko ophambili phakathi sopor kunye isiqaqa lilele yokuba urhulumente lokuqala non-ukunxibelelana nehlabathi ngaphandle, kulandele ilahleko lokuqonda. Ke indoda niphuma kuye, nina angarhoxa okungenani ixesha elifutshane. Oku kuphunyezwa Abokuhlunguzelelwa ngamandla, esibuhlungu, ngezwi elikhulu. Coma lo zingqondweni efanayo, nabanako kuthelekiswa bubuthongo obukhulu kakhulu okanye zomzimba, ukuvuka apho akunakwenzeka. Umntu isiqaqa, akaphenduli kude kube buhlungu.

isizathu sopor

Ezingunobangela eziqhelekileyo badengeka, ziquka:

• iingxaki ezibangelwa ukopha ingqondo;
• ubukho neoplasms ingozi okanye amabi, zobuchopho;
• isifo ivela ngathi ezingapheliyo;
• amanxeba yityhefu umzimba;
• iintsholongwane kunye nezifo;
• thrombophlebitis;
• yamafutha;
• ngaphezulu amachiza, ingakumbi okudambisa;
• yokuphila engekho mpilweni;
• iphula iinkqubo pathways emzimbeni;
• nengxaki unesifo ngendlela kakhulu;
• ukuphatheka intloko;
• Isalathisi ukutenxa wabonisa glucose seswekile;
• kunciphise umsebenzi ndlala (hypothyroidism);
• izifo metabolic nephritis;
• uqhekeko le kwemithambo;
• ukutyhefa ngu carbon monoxide ephilayo, barbiturates, opioids;
• meningitis;
• meningoencephalitis;
• ischemia intliziyo;
• Ityhefu igazi (nokudumba);
• electrolyte ukungalingani emzimbeni;
• stroke ubushushu.

iimpawu

Ukuba luvo esembindini abasempilweni rhoqo iphendula iimeko zokusingqongileyo ukutshintsha, imeko sopor umsebenzi ingqondo sikarhulumente itshixiwe. Iqumrhu njengokuba kunjalo ubuthongo elide. karhulumente Soporous nga kuguqulwa isiqaqa.

Ingqondo ayikwazi ukuthatha naziphi na izigqibo. Uphaphama nokulala nga emangalisayo omnye.

Abantu abaninzi bayazibuza, "Koda kube nini karhulumente soporous?". Off ixesha unokuthatha ukusuka imizuzwana embalwa ukuya kwiinyanga. Konke kuxhomekeke unobangela nkqubo.

Xa ngalala isigulane banokuziva ezinye luzizi, nangokuphambana ukuqonda ukuba kwenzeka ntoni macala. Kungabonakala nokudideka. Isigulane kungenzeka badidekile imihla kunye namagama, ukuba ukukhumbula iziganeko izolo, kodwa ingqondo yakhe iflowuthi umfanekiso ocacileyo elidlulileyo elikude.

Indlela abasabela ngayo abantu kunokubangela etyabulayo kakhulu. Bing nguye kuvulwa iinkophe, kodwa isigulane zange bafune ngabom. Impembelelo isikhonkwane ebhedini ingqondo Betha imilenze. Udubule, a pat esidleleni kungabangela isigulane yokusabela omfutshane umlinganiswa elibi.

Ngosuku loviwo, kukho ukuncipha kwezihlunu kunye ingqondo ukudandatheka. Kudla uchonge syndrome pyramidal zibangelwa kwezithandani zemithambo-luvo engundoqo. pupillary asabela ngayo ukukhanya luphawulwa silale, kwenwebu kunye reflex nokuginya igcinwe.

Ngaxeshanye kunye nazo zonke ezi mpawu ukuze imiqondiso unesimilo focal neurologic, ebonisa izilonda basekuhlaleni kwiindawo ezithile neuron.

Ukuba soporous bawaphikise ngesibetho okanye meningoencephalitis, iya kutyhilwa ukuqina kwentamo kunye nezinye iimpawu meningeal imisipha. Usenokuba ikwafumana kuxhuzula kwezi okungalawulekilyo izihlunu.

Kwezinye iimeko, amagqirha sijamelene khetho sopor hyperkinetic, apho umntu into incoherently uthi fleeced, yenza iintshukumo unenjongo. Ifakela qhagamshelana elinemveliso isigulane akunakwenzeka. Le meko ifana waphazamiseka, lalo kudidi qualitative ukuphazamiseka lokuqonda.

karhulumente Soporous emva ngesibetho ingachazwa nezinga eliphezulu uvakalelo okanye akanandaba kuzo zonke eziyingqongileyo.

stroke Sopor

Stroke sisifo iyingozi kakhulu, nto leyo ebangela izigulo engalindelekanga. Sopor ngomnye wabo. Liguqulwe lithatyathwa kwigama lesiLatini "wobuthongo" lithetha "iphupha", "ndindisholo", "silale", "ilahleko memory". Xa amayeza, le meko kuthiwa subkomoy, ekubeni ilitye umchankcatho kuphuhliso isiqaqa ngeendlela ezininzi ezifanayo kule meko imaxongo.

stroke karhulumente Soporous ezivakaliswa yonke blunting asabela. Umsebenzi lokuqonda sikwimo odandathekileyo kakhulu.

Stroke ibangwa iinkqubo zophendlo lwezifo kwi ezityeni, zivuse i nokuphazamiseka kwengqondo yayiyazi. Ixesha kwimiphumo zestrowuku ingaphezulu kwe ngemini. Stroke kunokukhokelela ekufeni ngokukhawuleza.

Sopor ngaso, kodwa kaninzi ihamba istroke. Uthi kwisinye sesihlanu zonke iimeko necrosis lobuchopho. Okubonakalisa kwimeko enjalo ibonakala kuphela xa kwisigaba zale sifo, kodwa kwisimo sakhe. Le nkqubo ixhomekeke ngqo kwi ndawo kunye nobungakanani wayenzakele ebuchotsheni.

Ziba ezi ezinobuzaza akuvumelekanga, phantsi kwazo naziphi na iimeko, ekubeni inkoliso sikhule ngokukhawuleza isiqaqa.

Lo mfanekiso kwezonyango kokubetha sopor

imeko Soporous e ngesibetho kabani ALS kuxhomekeke kumlinganiselo yokuxhaphaka necrosis yobuchopho, ebonakalaliswe nobuthongo kunye silale nomonde. Okuhamba, impendulo yokhuselo zizinto ezifana intlungu ezibukhali isandi kunye nokukhanya. Isigulane akaphenduli kwindawo yayo, Ubengemphenduli imibuzo ukuba abakwazi ukwenza nawuphi na umsebenzi. Muscle imimoya uvikivwa kwi eziphelweni, ikhaliphe imicu buthelezi, ulungelelaniso ezilahlekileyo iziphakamiso.

Wobuthongo in sokuwa

Le lokumisa njalo luhambisana ndandivutha sokuwa. iyeza sokuwa ebizwa imo awandisiweyo nokuhlutha izinto. Kwezi izigulane, ukuvela uxhuzula kuxhokonxwa kwiimeko ezithile abantu baphilileyo modem ngale ndlela. Abaphengululi abaninzi bakholelwa ukuba isifo ilifa.

Ngokuqhelekileyo sokuwa lwandulelwe utshintsho elibukhali ngasemva emphefumlweni yesigulana. kwiintsuku 2-3 phambi kokuba eyekile umntu uba babenemincili, uxinezeleko. Abanye abantu e ngokwabo, abanye ukubonisa intlonelo kwabanye ndlongo. Ngaphambi nje kokuba ukuhlaselwa kukho aura, nto leyo ekunzima ukuyichaza ngamazwi. Lubonakala yi ezahlukeneyo iminqweno ephathekayo: isongo emlonyeni, izandi engacacanga namavumba. Sinokuthi ukuba aura yokuba nokuhlutha sokuwa uphawula.

Xa neuron umntu igxile excitation. Iquka iiseli ezingaphezulu luvo. kokuba ekugqibeleni sokuwa. Ngokuqhelekileyo, ubude isigaba eyi-30, umzuzu omnye ubuncinane. Izihlunu isigulana abakulo ombane aphezulu. Intloko tilts umva. Imikhwazo nomonde, kukho ukumisa ukuphefumla.

sigaba Convulsive sisaqhubeka ukuya kwimizuzu emi-5. Xa zonke izihlunu isigulane engathandi lincitshiswe. Emva kokuphela nokuhlutha izihlunu yokuphumula kwakhona. abalazi yomguli icinyiwe. Soporous status sokuwa ihlala imizuzu 15-30. Emva kokuba uphume isigulane sopor yeyela bubuthongo obukhulu.

Semisopor ngexesha emzimbeni

ingxaki ezifana badengeka, kwaye ikhatshwe yi emzimbeni. Xa amayeza, ukunqongophala kwamanzi kuthiwa exsicosis. Kule meko kukho umxholo ophantsi electrolytes kunye namanzi, nto leyo eyabangela nokugabha ngokuphindaphindiweyo zokunyanzelisa kunye nesisu esomeleleyo kwamcaphukisa.

Ukongeza, ukulahlekelwa ulwelo ezinokubangelwa iinkqubo zophendlo lwezifo kwi izintso nemiphunga. Exsicosis ngokuqhelekileyo iphuhlisa iintsuku ngokuthe ngcembe 2-3 ukususela ekuqaleni ingqondo izifo.

Emzimbeni luphawulwa silale ukuwa nomonde wokutya, nokwala ukuba usele. ngenzuzo fluid ebangela ukugabha ngokugqithiseleyo. Kukho ukuhla kwezihlunu, iqondo lobushushu emzimbeni wakhe kwakunye noxinzelelo kunciphisa kabukhali. oliguria okphawliwe okanye anuria.

isimo Soporous emzimbeni ungaya isiqaqa.

Le abane wobuthongo

Yintoni na isiphumo sifo? karhulumente Soporous kabani ALS kuxhomekeke yezizathu ingqondo, kufuneka baye kufumana unyango ngexesha. Idlala indima ebalulekileyo ngesidanga umonakalo inyama luvo kunye nemali unyango.

Isenzo ngaphambili ukuba alungise sigulo ziye zathathwa, kokukhona ithuba isigulane kwakhona ukwazi ecacile ukuqhubeka kwaba bafundi iimpawu zesi sifo ngxabano.

ekuxilongweni

Semisopor ezibangelwa ngesibetho, kungakhokelela ekubeni ekufeni. Xa obubonakala yokuqala unkabi kugqame yeengxaki kuyimfuneko ukuba isifo kwangethuba.

Iintshukumo ephambili ziquka:

• yomlinganiselo of wegazi;
• yi izinga lentliziyo kunye respiration;
• impendulo pupillary ekukhanyeni kunye nokumisela amaqondo ukuhamba;
• umzimba lobushushu womlinganiselo, kukho izinga eliphezulu xa kunokwenzeka ukuba bagwebe ubukho usulelo egazini yesigulana;
• Ukuhlolisisa ulusu phambi trauma, izilonda imithambo okanye negazi lakho.

uhlolo ezidingekayo

Le saveyi, ukuba wenziwe nakanjani, kuba electroencephalography. Inika abanikezeli beenkozo zononophelo lwempilo ingcinga weqondo wentshabalalo kweeseli zengqondo.

Kwimeko eqinisekisa ubukho sopor ngokuqhelekileyo nokulaliswa esibhedlele. Esibhedlele, isigulana siya kuba nako ukunika inkxaso imisebenzi eyimfuneko ebomini, yaye uxilongo eneenkcukacha.

Emva ecacicleyo EEG enze uvavanyo lwegazi ukuchonga izinga eliphezulu iswekile kunye nezinye baphembeleli imeko zophendlo lwezifo. Kuba ukunxila okusolwayo kukwayinto entle uvavanyo igazi, umchamo abaphethe lobukho beziyobisi emzimbeni. Kwezinye iimeko, umntu luvo lityumbe i empontshwa kunye nonyango livakale kwengqondo ngemagnethi.

Principles of sopor unyango

karhulumente Soporous, imiphumo yayo kuba nzima kakhulu, asinto buyinto elizimeleyo. Iba kukwaphula ebuchotsheni. Ngoko ke, injongo unyango kufuneka kulungiswe into ephambili. Kulo mzekelo, unyango kufuneka kuqaliswe ngokukhawuleza kangangoko kunokwenzeka.

Sopor indlela aqala rhoqo wenza ischemia kunye ekweneni isicwili sobuchopho. unyango kwangoko kuthintela ukuverha ephethe zobuchopho orifices zendalo, yaba lukakayi, inceda alondoloze umsebenzi neuronal.

iiseli zemithambo kwi penumbra (penumbra kobuchopho) ingakumbi abangakhuselekanga. Le yindawo apho ezikufutshane sisilonda esidumbileyoesingaphakathi engqondweni. impatho engafanelekanga kuphakamisa ukwanda iimpawu ngenxa ukufa luvo kule ndawo. Ngaloo ndlela isimo soporous ungaya isiqaqa, nokuphazamiseka luvo kuya kuba kubi ngakumbi.

Xa unyango lwe sopor amanyathelo ezingundoqo eyenzelwe Yokulwa ukudumba kwithishyu luvo, ukugcina ukujikeleziswa epheleleyo ebuchotsheni. Kwakhona walungisa igazi inqanaba iswekile, ukubuyisela ngenxa yokunqongophala izinto umkhondo, ishenxisa ezibangela ukuphazamiseka zentliziyo, nezintso nomhlehlo wesibindi.

Xa abosulelekileyo ibonisa ukusetyenziswa-ntsholongwane, yaye kukho iiholide legazi ukuba ayeke ukopha.

Xa semisopor onke amachiza zilawulwa emzimbeni yegazi. Ngaloo siyobisi ngempumelelo yi-40% glucose hydrochloride kwakunye nokusetyenziswa kwezi ndlela kunye naloxone.

unyango olunye sopor kuxhomekeke iqondo ukutshatyalaliswa lomzimba wonyulwa ugqirha ngabanye.