Minimally āhua mohio (coma ara): Tohu me Methods Treatment

He huru āhuatanga e mate o te mahi hinengaro, me te tau'a oti, i whakatika rite ki te hua o abnormalities i roto i te uho kaka, ka karanga kāwanatanga minimally mohio. I whakaurua te wā ki te rongoā i roto i te tau 1940 i te tākuta German E. Kretschmer.

take

Nuinga o ngā wā fafangu coma (ko reira te ingoa tuarua o te pūrongo i roto i tenei tuhinga i te mate) puta i muri i te nui wharanga roro pāmamae. E mea pinepine, whanake te taua te whakararuraru, pathological rite ki te hua o te hypoxia, paitini, pūkoro tinana, Cardiovascular, hopuhopu, me te tahi atu pāpaka roro. ite te reira i e pāngia te mate i roto i 14% o tūroro i roto i te coma pāmamae auroa. kāwanatanga minimally matau o te tamaiti tino pea ki te puta i muri i meningoencephalitis, whakaora, whara craniocerebral. I roto i tenei mate e taea te whakawhanake āta nui mō te 2-3 marama noa tau ranei. I roto i te tūroro e te hunga i roto i te coma mo takenga kore-ngaukino, rite e pā ana te huru i te kino hanganga ki te ganglia basal me uho ki te tiaki whanaunga o te kakau roro.

pikitia haumanu

riro nga tohu o tenei mate kitea i muri anake i te manawanui i roto i o te coma. I roto i tenei wā iti te ā'ā. Ka rite ki te tikanga, te kanohi tangata, pāngia nei te apallic, tuwhera syndrome. Ia ngāwari tītaka ratou, otiia e kore e te titiro whakatika. Tetahi tauhohe aronganui me kahore kupu. e kore e taea Whakapā ki te tangata pēnei, ka rite ki te whakahau-waha kore ratou e mohio a. I roto i te wā atu nui, he ro'i te manawanui, hanga ana e ia te kaupapa huru o te wahi. E mea pinepine tūroro ki tenei māuiuitanga puta pāpāngia, paresis, raruraru hyperkinesis, oculomotor. Ko e tika ana ki te meka i roto i ngā take kino o te mate toro ki te aukati me te hanganga roro subcortical tenei. I roto i tenei take, tūroro kia urupare ki rerekē momo o whakaohooho, tino maha - te mamae i roto i te puka o te hamama oro takitahi nekehanga ohorere ranei. I roto i ētahi wā i reira kia kia he faaiteraa o te whai reflexes-waha ranei. puaki ai te mangai i te manawanui, a ka tata te tangata ahanoa rakau i tona arero. Ko te kupu mahi vegetative katoa pērā i horomia, ngakau, respiration, ngote, feces me te mimi excretion penapena. He roa'tu i āhuatanga o te tangata ki te tātaritanga o "kāwanatanga minimally mohio" - ringa e kumu ki ringa, he waewae i roto i te plantar flexion. Amimichno mata, ētahi wā i reira he he puare noa. I roto i te turi me te whatīanga hononga e hoki flexion kite he iti. Tūroro e te hunga i roto i te tafifi i coma tonu te huri i te wā o te 'ā'ā me moe, kahore i runga i te wa o te ra.

tātaritanga integrated

Minimally kitea āhua mohio (coma ara) i runga i te pūtake o ngā āhuatanga āhuatanga. Hoki, ki te whakamahi i ultrasonic ako māuiuitanga tātaritanga o uaua piringa, me te matua, me pera o ate, matenga, wahi me whatukuhu. I tua atu, kawea ana oko toto iti ECG kaiao capillaroscopy tātaritanga huringa rere pūroto i roto i te uaua ngakau. He aro mātai o te roro (electroencephalogram), me te āhua o te urutau iaia ki te ahotea aronganui me te tinana, me te tirohanga neurological me somatic.

āhuatanga āhuatanga

Te kite i roto i te wiki torutoru tuatahi, faahiti tohua huringa whānui. Na ka tokorua ki te toru marama mo te rongoa tetaaktivnosti predominance. E ono marama i muri mai, i reira he mahi alpha (iti-taupū). Ka rite ki te hua o ngā rangahau i te tomography computed whakakitea atrophy roro, me te roha o te ventricles.

kāwanatanga minimally matau. maimoatanga

I roto i te wā tino kino e whakaatu ana whakaora. Methods o mahi hauora whakaritea e te peculiarities o whare haumanu, etiology o te whakararuraru, me te āhua whānui o te manawanui.

Whakaora me te whāomo

Ko te ahunga matua o te rongoā te huru pathological ko ki te haerenga, mahi cardiac me respiration, te pēhanga toto homeostasis, hemodynamics (roro me te tapeke), edema anti-kaka, me te hypoxia. He kaupapa tino nui mō te tiaki manawanui. A ape i tilting te matenga, te arero. Wā huri tūnga tinana o te manawanui (pai o te katoa - i te taha), ki te kawe i te wharepaku nasal rā, korere arahau, me te mangai. I roto i te tari o te tiaki kaha aroturuki tohu nui o te kāwanatanga o te tinana. Tenei pēhanga toto, auau ngakau, Tirohia te, te pāmahana tinana, ECG, rōrahi me te auau romahā, me te haurehu toto waikawa me te tu. A, no te faaite rutu kawea romahā intubation akiaki me te ventilation mīhini (wera, me te rangi humidified). Ki te whakapai ake i te āhuatanga o rongoā wē-whakakapi toto e kitea e pâmuhia. Ko te hui i raro i te mana o te pēhanga venous.

Prevention o mate

Tūroro e te roa te wa i roto i te coma, ki te ārai i te whanaketanga o tenei syndrome hiahiatia kaha mehua resuscitative. Ēnei mahi ngā whakaongaonga o mahi cardiac, ventilation aunoa, te pupuri pēhanga toto. I tua atu, e tūtohu ana ki te whakamahi i taero whakahohe pākia roro, me te whakahaere i te tuku o ponana. tiaki Tino nui noa, me te tika, me te i roto i ētahi wā - parenteral kai tōtika. kia tono ano hoki e koe he momo o māngai symptomatic me huaora.

Nursing

Kei te pai mahi e kai ana i roto i te ngongo gastrostomy percutaneous kikokore, nui atu i roto i te ngongo. Na rite te parepare whakamutunga whakamahi i muri roa, nui ake te mōrea o te Reflux wawata, mariao, me te pakohu kakā. kia wā aroturuki reira o te manawanui taimaha. I roto i te kai o te tinana manawanui ki te kia whakaarahia ki te 50-60 nekehanga. kia roto i Food pūmua, huaora me ngā ōpapa, me te waikawa ngako kukū. Calories - e pā ana ki 35 kcal / kg ia ra. Ki te noho tahanga te whēkau tūtohu te ki te whakamahi i laxatives waha, engari e kore e neke atu i toru nga wa i te wiki, me te suppositories rectal. Ki te mea kua puta te manawanui korere, kia wā hoatu koe ia 'ora' miraka tepe me i wa wa ki te tirotiro ki, ahakoa tetahi kai i roto i te stagnation puku. Hei whakapai ake whēkau mahi kia whakaurua i roto i te kai o kai kei roto nui o te muka.

Tūroro ki enei disorders whakaaturia te massotherapy. I roto i te tahi mau pokapū hauora mō te iwi e te hunga i roto i te pōroa kia mataara, tū te hōtaka whakanohonoho motuhake. Kei roto te reira i te maha-pa, te therapy tinana, me te hauora, me te he maha o te tahi atu tikanga e ai ki te hinga kāwanatanga minimally mohio.

outlook

Kia aroha mai, i roto i te nuinga o te wā, te putanga kino o te mate. Heoi, he hoki reira regredientnoe taea hoki te mate, ki runga ki te ora tata oti o mahi. I roto i te aroaro o ngā tukanga atrophic ngā e ahu ana ki te puta i roto i te iwi pakeke, kia mau ai ki te āhua o te rigidity decerebrate, āhuatanga e te ahua o cramps me ētahi atu tohu kino.