Kumbali ina, ntchito ya ubongo wa cerebral cortex ingasokonezedwe ndi kusintha kwa kagayidwe kake monga hypoglycemia (msinkhu wa shuga wa m'magazi ochepa), chiwopsezo cha chiwindi ndi chiwindi, kapena matenda a shuga a shuga), komanso njira zina zoopsa. M'nkhani yakuti "Coma ndi madigiri ake, zifukwa zomwe zimayambira" mudzapeza zambiri zothandiza.
• Njira zomwe zimakhudza ubongo wa ubongo mwachindunji, ndipo zimasokoneza ntchito ya BPF, monga kuchepa kwa ubongo, ziphuphu kapena masewera, kapena zotsatira zowonongeka.
• Njira zomwe zimawononga ubongo zimayambira mwachindunji, ndiko kuti, kuwonetsa kuwonongeka kwake ndi kuwonongeka kwa VRF. Izi ndizo, mwazi wamagazi womwe umayambitsa ubongo ndi kusuntha kwa nthawi yomwe ili pafupi ndi ubongo wa ubongo, kapena chotupa kapena abscess, zomwe zimapangitsa kuwonjezeka kwa kuthamanga kwa mankhwala osokoneza bongo.
Zizindikiro zina za coma
Pakati pa 40%, odwala anagwidwa ndi mtima, 33% anali ndi matenda osokoneza bongo ndipo pafupifupi 25 peresenti anali ochepa chifukwa cha kuchepetsa kupweteka kwa mankhwala. zovuta kapena matenda, vuto lachidziwitso ndi vuto lachidziwitso, pomwe otsogolera oyambirira ali ofanana ndi oyang'anira ena omwe ali ovuta kwambiri. Njira yoyamba ndiyo nthawi zonse zoyenera kukhazikitsa eniya airway patency kulola yobereka mpweya, kungafunikire wodwalayo endotracheal chubu intubation ndi makina mpweya wabwino ndi magazi anakhalabe kuunikira magazi ..
Mayesero ena
Ngati chifukwa cha coma sichiri bwino, mayesero ena amafunika. Izi zikuphatikizapo kufufuza kwa mankhwala opangidwa ndi magazi ndi mkodzo, kuyesa mankhwala ndi poizoni.
Chikhalidwe chodyera chosatha
Ena amapulumuka atatha kudwala matenda osokoneza bongo (HVS). Odwalawa amapuma okhaokha ndipo amakhala ndi nthawi yotsegulira ndi kutseka maso, zomwe zimagwirizana ndi kayendedwe ka tulo ndi kudzuka. Iwo akhoza kukhala ndi zochita zina zowonongeka zomwe zimakhudza zochitika kunja, monga kuyamwa ndi kumamatira. Komabe, odwala mu CVC samasonyeza zizindikiro za kudzidziwitsa okha kapena malo awo, kapena ntchito zina zapamwamba - samalankhulana, kulankhulana, kapena kusonyeza zomwe akuchita. Pachikhalidwe ichi, odwala akhoza kukhala ndi moyo kwa zaka zambiri. Kafukufuku wamaphunziro a anthu omwe anafa ku XIV, omwe amapezeka ku XIV, anawonetsa kuwonongeka kwakukulu kwa chiberekero cha ubongo (dera lino ndilopangitsa ntchito yamanjenje yapamwamba), koma kusungidwa kwa ubongo, komwe kunapangitsa kuti thupi likhale lopanda ntchito popanda kukhalapo kwa chidziwitso.
Mfundo za makhalidwe abwino
State vegetative si vuto chabe lachipatala, komanso chikhalidwe chimodzi. Omwe akusamalira kapena achibale a odwala ena omwe ali ndi vuto la mtima nthawi zina amamva kuti vutoli silingatheke ndipo limapweteketsa kuti iwo angafune kutseka njira zomwe zimathandiza moyo wa wodwalayo pomusiya iye. Ena amaona kuti kuchita zimenezi n'kolakwika. Kusankha kumakhala kovuta kwambiri chifukwa chakuti palibe lingaliro lovomerezeka kawirikawiri pa funso ngati pali zizindikiro zina za ntchito zam'mwamba zapamwamba ndi kuyankhulana, ngakhale ngakhale odwala ena ali ambiri mu HVS, ndi kufufuza mosamalitsa odwala omwe ali ndi matenda odwala. Kukhoza kupuma mowirikiza ndi kusindikizidwa mu chipatala chachikulu kumapangitsa kuti odwala ena azisungidwa kuchipatala popanda zizindikiro za ubongo. Chikhalidwe ichi chosasinthika ndi chosasinthika cha ntchito iliyonse mu ubongo ndi brainstem nthawi zambiri amatchedwa "ubongo imfa". Komabe pakadali pano, madokotala amasankha mawu oti "imfa ya ubongo," monga zinaonekeratu kuti imfa ya ubongo ndi yofanana ndi imfa ya ubongo wonse.
Kuzindikira za imfa ya ubongo
Kuzindikira kwa imfa ya ubongo kumapangidwa malinga ndi ndondomeko yoyenera, yomwe imagwiritsa ntchito mayesero omwe amatsimikiziridwa kuti atsimikizire kutayika kwa ntchito yogwiritsira ntchito ubongo. Chionetsero cha kusowa kwathunthu kwa ntchito ya ubongo kumapereka chitsimikizo chokwanira kuti chidziwitso sichitsatira. Ngati wodwala amene amatha kufa chifukwa cha ubongo wake akupitiriza kupuma mpweya wabwino komanso mankhwala ambiri, mtima umasiya mwachibadwa masiku angapo.