First kōkua i loko o ka coma: he algorithm o ka hana. He aha ka coma i loko o kānaka

Increasingly, make i loko o ke ao ana aie i ka mea i ole a pau i ike i ka haawi aku i mua kōkua i ka nāna. I loko o ka moku'āina o nń, i ke kanaka nana i ike, haule iho la oia, a i ole e hookala mai i ke kanaka, a me ka wahine i pili ia ia, e ku ana a me ka nana. A ina ia i huki ia iho koke pu, a hoʻolako pono kōkua, ka hopena ke i mālama kekahi mau ola. Ua mea i nui ai i na hoahanau o seriouslyʻino nā mea maʻi e ike i huʻi symptoms, mea e hana ma ka kekahi hihia, e e hiki ia i kōkua i loko o ka 'eleu kūpono. I kēia mau lā mākou e nānā i ka mea nui kumuhana: aha o ka coma i loko o kānaka. Ua aneane kela kanaka keia kanaka e i ka manao o ke pehea e kōkua, mea e hana ai, e hoola i ke kanaka i ka ola.

He aha ka coma i kānaka?

Coma - ia mea he ana nui i ua wehewehe aku ma ka hoʻomaka koke ka ulu 'Central ko mākou hopohopo'ōnaehana kaumaha me ka hohonu unconsciousness a me ka nele o ka muli o ia mawaho stimuli. Ma keia ano i ka hoʻomanawanui i Nyos kekahi mau kino nenoai: naehana hanu, mea'ōnaehana mānowai koko, a me na mea e ae.

Kekahi o na kumu o coma e lula 'poino i ka lolo'aʻaʻa. Kēia kānāwai ma muli o ka'aʻaʻa poino, e laʻa me, trauma a hemorrhage, e like me kona manawa i ke alo i loko o ka hoomanawanui ana o ia mea infectious pathologies, poisonings a me nā keʻano o ka hanaʻana. First kōkua i loko o ka coma a me ka make lapaʻau ka mea nui, i ka mea e hiki ke hoola i ke ahonui o ka ola, akā, i ka mua mea e hana - mea e hooholo i ke ano o comatose moku'āina, a me ka mea triggered ia i ka hōʻike.

kahua o ka hoʻonaʻauao o coma

Coma, e like me na mea he nui 'ē aʻe pathologies i loko o kānaka, ia lŘlŘ i loko o kekahi mau kahua o ka hoʻonaʻauao.

• Precoma. Keia ano He He precursor oiaio coma hiki mau mai i kekahi mau minuke i ai i mau hola. I keia manawa, ke kanaka naʻau ua pioloke, pōniuniu wale, i kona kulana loli dramatically, e lilo nui hoopaa hoi, e kāhea aku i kekahi mau haʻawina, irritability. Inā reflexes ola, ka mea hiki e uhaʻiʻia Hawaii ōhumu.

• Coma I degere. Ma ia he moku'āina, i ke ahonui o ka naoh a pau i mawaho irritants ikaika inhibited, hui 'ana me nā mea maʻi mea pilikia. Mahuahua Muscle kamaʻilio, ka hoʻomanawanui mea hiki ke ale wale iho i ka ai wale wai. Me ka nui loa, a mahuahua nui tendon reflexes. pupillary naoh i ka malamalama, Ua ahu, ma ka pohihihi keia hihia hiki e markedly strabismus.
• Coma 2 degere. Kēia palapala Ua wehewehe aku ma ka, nanea ana, i hui 'ana me ka hoʻomanawanui i. Na haumana e i pane koke i ka malamalama, ka mea, e hou, a me nā reflexes i stimuli ma kahi e. I pohihihi keia chaotic noi hiki ke ike, aole i lalau mai mau lala, a, conversely, nanea wale, a me na mea e ae. Hanu i e hihia hoʻi e pathological type, ina ka coma o 2 degere. involuntary emptying o ka na naau oʻu a bladder kānāwai i loko o pohihihi keia hihia.
• Coma 3 degere. Ma keia kahua, i ke kanaka mea unconscious, aole he pane i mawaho stimuli. No naoh o na haumana, e hoomalamalama mai. Ua hoʻemi Muscle leo, ke kāʻili 'ana i kānāwai. Kino wela, ke koko, ua haʻahaʻa, ka hanu nā hihia hoʻi. First kōkua i loko o ka coma mea nui loa i loko o kēia moku'āina, i ole ia, ina oe e ole stabilize, a laila, i kēia ka anu u, e hele aku i loko o wordly coma.
• Prohibitive coma (4 degere). Ma keia wahi, ikaika hoemiia puʻe a me ka wela, loa nalowale a pau reflexes. Ke hoomanawanui i ka ke ano ua mālama 'ia e ka ventilator a me ka parenteral kino.

First kōkua i loko o ka coma ka mea nui, akā, ka mea e e oi pono keia mau mea ina i ka pono e hooholo i 'ano o coma ua ike ia ma ke ahonui, no ka mea, o ka i loaʻa i kekahi mau.

Kussmaul ka coma

He loa, he pono ole i loko o nā mea maʻi i mimikō. Kēia coma kānāwai i loko o nā mea maʻi me ka kiʻekiʻe koko kōpaʻa (hyperglycemia) ole haʻahaʻa (hypoglycemia). Oia ke ano i nā hualoaʻa ma ka kiʻekiʻe koko monakō koko pae. Ma diabetic coma i Konakele. Acetone ala mai ka moʻolelo o ka lua. Inā pono diagnose i kēia 'ano o ka coma, laila, nui koke oe ke lawe mai kanaka o kēia moku'āina.

Ma keia hihia, i kaʻenaʻena nele e ana ai i ke koko kō pae, ina ka mea, ua overestimated, laila inject insulina, a ina haʻahaʻa, a laila, e ka hoʻomanawanui lawe carbohydrates. A ia mea maikaʻi, e kōkua imi mai i kekahi kauka, ka mea e mālama i ka hoʻomanawanui, a e hiki ke kōkua iā ia me ka hewa, e ola mai o kēia moku'āina.

traumatic coma

Loa pinepine ia ia lŘlŘ i loko o nā mea maʻi i loaa i ke poʻo 'eha, no laila, i ka lolo i ua poino. Mai nā 'ano o coma, keiki, he he ikaika ka luaʻi i loko o precoma. First kōkua no kēia 'ano o coma hoʻohuʻu ka hookamaia o ka manaʻo ana, e kōkua ka hoʻoikaika' ana i ke koko holo i loko o ka lolo a me kona kuleana pili i hoʻihoʻi aku.

meningeal coma

Kēiaʻano e hoʻomōhala ana i ka wā ma laila mea i intoxication o ka lolo'aʻaʻa, ka mea hiki ke triggered ma ke alo o meningococcal maʻiʻaʻai. Möakäka hou i kaʻike, Ua hiki ma hope o ka lumbar puncture wale. Ma keia wahi, i ke ahonui ino headache, ia i hiki ole hoala mai i ka haawi wāwae, a ina o kou poo Alive aku passively, laila, he mea ka involuntary flexion o na kuli.

Ua mea i ka hiʻona o kēia 'ano o ka coma mea he poʻe noʻonoʻoʻole me ka mau o ka necrosis ma luna o kaʻili a me ka mucous membranes. Ma keia hihia, ke hoʻomanawanui, e e hiki ke kōkua wale ma ka palapala hōʻoia no na kumu ao, no laila, i ka mua kokua no ia ia - ka mea, Ka kahea i ambulance a me ka hospitalization ma infectious maʻi? Aaieou.

cerebral coma

He typical no ka poe e hoomanawanui i ka poe i ka lolo maʻi pili i ke alo o ka hikoko. Man i loko o coma Kahalaopuna:

• Loa headache, pu ma ka luaʻi.
• Hoʻomanawanui iki mai increasingly paʻakikī ke ale wale iho i ka ai, ka mea i iiiaʻi pinepine, hiki apuepue i inu i ka wai.

Inā i keia manawa, aole e haawi mua kōkua, ka mea e hoʻomōhala ai he coma. E like me kēia mau symptoms e hōʻike i ka comatose ana, ke kumu o ka a i ka lolo abscess. Ke koena unuhi o ia i loko o ka hope hihia, ka mea, i ke pili me ka hoʻoʻino pathologies, e like me tonsillitis, otitis Media, a me ka sinusitis. No ke kōkua ma keia hihia hiki wale nō ia i ke kauka, a ua makamake nui e koke hooholo mea i hewa, a kōkua i ka hoʻomanawanui.

pōloli coma

Kēiaʻano ia lŘlŘ ka wā dystrophy 3 degere, a ua kauoha aku e hoʻolōʻihiʻia ka hookeai wale no. Pinepine i kēiaʻano lŘlŘ i loko o ka poe e eaioiuo ui kanaka. Ma ke kino, ua ikeia kumuʻiʻo deficiency, e hanaʻia he nui i hana 'ia ma ke kino, no laila wā ka mea, ua nalowale, laila,ʻaneʻane na nā loko a pau i ole e hana pono, inhibited ka functioning o ka lolo.

Inā keia ano e hoʻomōhala ai, i ka i kēia symptoms hiki ke malama.

• Hihia o pinepine maʻule hou ihola nō.
• Aia ka he mau nawaliwali.
• E hoola ae i ka Kal.
• Man i loko o coma Kahalaopuna hoʻi i ka hewa: kino mahana a me ka haahaa puʻe, ke kāʻili 'ana i hoʻomaka ai, a hiki noho'na makaainana i ulu urination.

Ma keia hihia, e pono e ike i ke kauka, a ma kekahi hihia e ole e haawi mai i ka hoʻomanawanui ka ai, no ka mea, i ke kino i ke ola lohi.

epileptic coma

Pinepine e hoʻomōhala ana i like me ka hopena o ka ikaika convulsive 'ana. Hoʻomanawanui iki mai ano dilated na haumana, haikea ili malama, na reflexes a pau i inhibited. Ma ka 'ōlelo pinepine hōʻike hoailona o ka nahu ua aneane mau malama noho'na makaainana i ulu emptying o ka bladder a me na naau oʻu.

e hoemiia ka puʻuwai a me ka wela, he kokololio ka lāʻau ikiʻai. Inā ke ano ua ano hoomainoino, i ka lāʻau ikiʻai wale i thready, ka hanu i hohonu mai ka ilikai. Inā ua ole hoʻolako mua kōkua me ka coma, i ka hoʻomanawanui reflexes nalo, ka'aloʻahiʻa mau e haule iho, a me ka ho'ōla make ia lŘlŘ.

kanakaʻona mau coma

Kaʻapu kōheoheo me ka waiʻona pinepine hiki aku ai i kanakaʻona mau coma, ka mea hiki ke 'ai pono i ka lapaʻau make. Ka waiʻona hainā ke alakai i ka 'aʻe' ana i nā nā loko. 'eto waiʻona mea he nui loa i ka lolo, ka mea hiki i alakai i cardiac hana ana i ka ÷ naehana hanu nenoaiu.

He nui na kahua o ka hoʻonaʻauao o kanakaʻona mau comatose moku'āina, pilikia kōkua ma kekahi kahua o ka coma ka mea nui, akā, oi loa aku hoi ke kolu. First kōkua ma keia hihia mea e e ka Hawaiian Airlines o mucus a me ka luai. Ke hoomanawanui ua kau aku ma kekahiʻaoʻao, a he mamao hea aku no ka ambulance.

hepatic coma

Malfunctioning o ke akepaʻa i alakai i ka coma i ke ahonui e hoʻomōhala ai, ma i ina ka mea, ua kapaia akepaʻa. Ke kumu paha e ka maʻi o ke kino o kekahi kumu. Ke physiologicalʻano papa hana o ka? Acaeoey o kēia 'ano o ka coma mea puni hoʻi: ke akepaʻa - o ka papa kuhikuhiE Kānana o ke kanaka kino. Ma ka hihia ma kahi o ka hana kino ua aʻe, a laila, i ke koko komo iloko metabolic huahana i ka poe e e inactivated ma ke akepaʻa. Ka mea, me ka nui loa lakou aloha ia na keena o ka lolo, a hiki alakai i ka coma. Kēia? Ueo Ua pinepine pu ma ka haunaele o ka naau, lolo nani a me ka mau intoxication. Kōkua ma ka coma o keia ano - he māmā hoopii i ka hoʻomalu ina e hana ole, i loko o ka hapanui manawa e hiki aku ai i ka make ana o ka hoʻomanawanui.

First kōkua i loko o coma

First kōkua no ka comatose noho loa nui, i kali hou ke alakai i ka make. Inā ma ka mua o 'oe i kekahi kanaka i loko o ka coma, ka mea mua loa e hana nei i ka poe ola, nana aku oe i ka mea. Inā a pau o kekahi ulia ia mea, o ka mika a me insulina, ka mea, ua olelo mai ia oia diabetic, a hiki i kona diabetic coma, eia nae keia keiki pono ia e me kekahi i kekahi, a pono ole ia. kokua algorithm no comatose makua a me na keiki ka mea i like loa.

No laila, he mau koi i e kōkua e kokua i ka hoʻomanawanui i loko o ka coma:

• Urgently hoihoi a me ka malama i kūpono hanu: e ana aʻei ka naehana'ōnaehana, hoʻohui i ka ventilator machines paha e konikotomiyu, akā, i loko o pohihihi keia hihia, a me ka ae ana o ke akamai wale.

• Catheterization oʻike ākea aa koko.
• Hoihoi hou ana a me ka malama ana e pono ke koko holo: ina ka'aloʻahiʻa mea haʻahaʻa, ka intravenous drip monakō koko a me ka paʻakai koloriside pāʻoihana, a ina o ka'aloʻahiʻa mea kiʻekiʻe ma mua o maʻamau, ka mea, ua hahau mai ia makanekiuma-sulufahate. Normalize naau pāpana ma defibrillation. ʻO ia kēia i ke kokua i mua i loko o ka coma o ike etiology.
• Hoʻouka kekahi i kekahi catheter i loko o ka bladder, no laila ia oe ke mana i ka nui o ka diuresis.
• A hāpai i kaʻimi ma hope o tracheal intubation.

Pilikia mālama i loko o ka coma - keia mea nui, no laila, i loko o kekahi hihia, mai kiʻi hysterical a koke kapa i ambulance, a hana nā mea a pau i hiki ke kōkua i ka hoʻomanawanui ka kulana. Alemanaka o ke kōkua ke ho'ōla ola.