Chikomokere ndi chiyani? Zizindikiro chikomokere sitepe ndi gulu

Mawu akuti "chikomokere" chabwerekedwa Greek ndi amatanthauza "tulo."

chikomokere ndi chiyani?

Zizindikiro za chikomokere ngati chopinga kapena lakuthwa braking ntchito ya chapakati mantha dongosolo. Ndithudi limodzi ndi imfa ya chikumbumtima. Munthu sachita anatani kuwala, phokoso ndi zikuchitika ena akunja. Iwo anaphwanya lamulo zikuluzikulu za ntchito yofunika kwambiri ya thupi. Chikomokere zambiri vuto loopsa wa matenda, zomwe complicates ndondomeko kuchira. Malinga zifukwa, zimene zimachititsa chikomokere, amatha mofulumira kapena, monga mu nkhani ya zoopsa kuvulala kwa ubongo, kapena pang'onopang'ono. Zizindikiro zikuluzikulu za chikomokere kumachitika pa maola angapo kapena masiku, ndi nthawi kuti kuchitira kuwonongeka boma zikhoza kupewedwa. Choncho, amene kuzioneka ngati chikhalidwe pachimake pathological imene kufunika kompeksnaya mankhwala mu magawo oyambirira kuonekera. Choncho, matenda a "chikomokere 'mwa osati wodwala, osati kwathunthu kumva zinthu zina, koma mu nkhani ya disconnection chikugwirabe pokhalabe bongo zofunika.

Chithunzi matenda a chikomokere ndi opangidwa kuchokera kumvetsa maonekedwe ake aligorivimu ndi chidziwitso cha matenda osiyanasiyana pathologies monga matenda a shuga hypnotics ndi poyizoni ndi zinthu psychotropic, uremia, zomwe zingathe chikhalidwe ichi.

Zosiyanasiyana limati comatose

Pali matenda ambiri amene akhoza kukhala vuto la chikomokere. Zizindikiro za chikomokere, etiology ake anaphunzira mwatsatanetsatane NK Bogolepov, ndidaziyesa mitundu yopitirira 30 ya vuto limeneli. Mbali yaing'ono chabe wasayansi anatuluka monga matenda wodziimira pamene syndromes otsala zitsulo ndi mavuto. Tikumbukenso kuti si nthenda yomweyo anthu osiyana angachititse munthu chikomokere. vuto lagona mu kuphwanya homeostasis amuzolengedwa, hemodynamics, ndi mavuto ena amagwirizana ndi kugwira ntchito yachibadwa ubongo. Systematization chikomokere zinachititsa kuti pakhale wa Ndime zotsatirazi.

Chikomokere, ubongo

Iwo neposredstenno kugwirizana ndi chapakati mantha dongosolo. Njirazi ndi monga:

• amene, akuwuka mu sitiroko;
• apoplectiform chikomokere;
• khunyu chikomokere;
• amene anachimwitsa zoipa, monga ubongo zoopsa;

• chikomokere chifukwa cha yatsoka njira yotupa komanso mtima wabwino ndi zilonda zotupa mu ubongo ndi zikopa zake.

Chikomokere ndi matenda endocrine

Kodi n'chiyani chinachititsa chikomokere izi? Zizindikiro chikomokere kuoneka ngati kulephera mu njira kagayidwe kachakudya mu thupi chifukwa osakwanira kapena kwambiri kupanga timadzi. Ngati iwo apanga zazing'ono, ndiye pali chikomokere

• ashuga;
• gipokortikoidnaya;
• hypothyroid;
• gipopituitarnaya.

Ngati thupi limapanga mahomoni ambiri kapena molakwa anatumizidwa mlingo wa mankhwala m'thupi, angathe thyrotoxic ndi hypoglycemic chikomokere.

Ngati kusokonezedwa madzi ndi electrolyte bwino thupi

Pamene thupi la munthu amakhala madzi m'thupi, kusowa zinthu macro- ndi kufufuza, salt, ndi zakudya zofunikira zoperewerazo zomvetsa mphamvu, nalonso akhoza kukomoka. Imeneyi pali awiri potengera mtundu:

• hlorgidropenicheskuyu amene ali, ngati wodwalayo sasiya kwa nthawi yaitali kwambiri kusanza Mwachitsanzo, mu nkhani ya stenosis pyloric;
• dystrophic alimentary-comatose boma, mwa kulankhula kwina, chikomokere imfa.

Chakhungu mafuta kuwombola, kuchititsa chikomokere

Zizindikiro za mtundu uwu ndi kupanda aziwapatsa oxygen mavuto kupuma dongosolo. Njirazi ndi monga:

• hypoxia izi chifukwa cha kusowa kwa mpweya zinkabweretsa kuchokera kunja (kumachitika mu nkhani ya suffocation hypobaric hypoxia, komanso magazi m'thupi, otsika magazi pamene ladzala ndi mpweya, ndi pa matenda osiyanasiyana magazi);
• kupuma chikomokere, amene nawonso, lophatikizana ndi ubwamunalo linagawanika mu kupuma oziziritsa ndi kupuma acidotic.

Kupuma kulephera, chifukwa cha anoxia, hypercapnia, kuphwanya lonse njira mpweya kuwombola mu mapapo - zizindikiro zosonyeza ndi chikomokere a subspecies izi.

Chikomokere chifukwa kuledzera

Yaima mu gulu osiyana chifukwa amakwiya amkati kuledzera m'munsili toksoinfektsii, matenda osiyanasiyana opatsirana, kapamba, aimpso ndi kwa chiwindi insufficiency, kapena mmene poizoni mankhwala: phosphorous organic mankhwala, mowa, mankhwala, a gulu "barbiturate" ndi mankhwala ena.

Kuwonjezera classifications izi okhwima kulibe chikomokere osadziwika kapena wosanganiza aetiology, imene n'zosatheka kudziwa chifukwa chimodzi bwino Mwachitsanzo, mu nkhani ya chikomokere matenthedwe chifukwa cha kutenthedwa kwa thupi lonse. Ngakhale ena amanena kuvomereza kuti gulu ubongo.

Maonekedwe otsatirawa pa munthu, kunachitika zambiri kuposa mitundu ina ya chikomokere.

Ashuga chikomokere: Gawo

Ashuga chikomokere, zinthu zomwe akambirana nthawi ina, chifukwa popanda thupi ashuga insulin ungadziwike mu mitundu itatu: giperketonemicheskaya, hyperosmolar, giperlaktatsidemicheskaya. Nthawi zina amatchedwa "ubongo chikomokere" kuyambira pa nthawi anati ake ubongo edema chifukwa chakuti yochepetsera milingo insulin ndi osmolarity maselo oziziritsa magazi zimasiyanasiyana mosiyana.

Pamene misinkhu shuga magazi kwambiri, mukubwera chikomokere hyperglycemic. Ndi owopsa kwa ana ndi anthu okalamba. Akufotokozera pang'onopang'ono, kawirikawiri pa masiku angapo.

Zizindikiro hyperglycemic chikomokere:

• acetone mpweya fungo;
• pallor ndi khungu youma;
• kusafuna kudya;
• constriction kuwatenga ophunzira;
• ululu pamimba;
• tachycardia;
• yafupika minofu kamvekedwe;
• kusokoneza.

Mwamsanga anayamba kusonyeza zizindikiro loyamba chikomokere, Akufunika kuitana "ambulansi." Ngati inu sizipanga mu nthawi, munthu amathera kuyankha zinthu zina ndi makhalidwe.

hypoglycemic chikomokere

Mu odwala matenda a shuga, shuga silingakhoze kokha inayamba kuchuluka, komanso kusiya. Izi zimachitika chifukwa cha osamenya pakati chakudya thupi kwambiri, kapena pa nkhani ya kugwiritsa ntchito alokogolya. Hypoglycemic chikomokere, zizindikiro zimene pansipa, ndi osauka mofulumira kwambiri. Zimakhala nyengo yachisanu ikupita:

• timasiyanitsa njala;
• nkhawa;
• Irritability ndi m'chikaiko chowakaikitsa;
• Kutentha thupi;
• osaya mofulumira kupuma;
• kuchuluka thukuta;
• nseru, migraine;
• palpitations mtima;
• msokonezo zithunzi;
• imathetsa chikumbumtima;
• dilated ana ;
• akulu hypertonicity.

Pamene mawonetseredwe onse kapena mbali ya mbali zofunika thandizo, wopangidwa mwa makonzedwe mtsempha, kubwerezedwa ngati ndi kofunika, ndi shuga njira, ndi subcutaneous - Epinephrine.

siteji ya chikomokere

Iwo anakhazikitsa kuti pali zifukwa zingapo, chifukwa cha zomwe akufotokozera chikomokere, chikomokere Zizindikiro osiyanasiyana etiology kudziwa kukula kwa ndondomekoyi, ndipo potero Kudziwika magawo angapo chikomokere.

1. Precoma. Pano mtima wa amakhala ndi zizindikiro zingapo m'malo otsutsana. Pa dzanja limodzi, pali amaona chikumbumtima, kulephera mu lathu okhudza malo, akuchedwa, ndi pa zina, nkotheka irritability, kusowa kugwirizana, koma relfeksy waukulu sizisintha.
2. Chikomokere digiri yoyamba. Apa ndi pamene wodwala pafupifupi kupita ku kukhudzana, sichoncho kulabadira zimene zikuchitika kunja, ndi kukhala owonetsetsa kuti ngakhale zopweteka zambiri, pali hypertonicity minofu ndi dzanzi ya maselo khungu. Ana Pankhaniyi kuwala angachite koma zingasiyane mu madera osiyana, monga strabismus.
3. Chikomokere digiri yachiwiri chifukwa choti wathunthu wa kukhudzana, N'zosatheka ululu anachita: pazipita munthu angathe kutsegula maso ake. Pali wopondereza matumbo kayendedwe ndi chikhodzodzo, wachisokonezo kayendedwe ka manja ndi miyendo, ndi voteji lakuthwa ndi minofu rasslabenie. Ana pafupifupi samva sikadzawululidwa.
4. Chikomokere digiri lachitatu. Kwathunthu sakukhudzidwa kutsitsimuka, anachita kuwala ndi ululu, yafupika kuthamanga, bongo, ndiponso kutentha, kupuma pang'onopang'ono, osowa, osaya. Man "akuyendayenda palokha".
5. Chikomokere digiri chachinayi. No anachita zimawonedwa mwathunthu, bongo, kamvekedwe, otsika kwambiri kuthamanga ndi kutentha thupi, kupuma mwina nthawi kutha.

Chikomokere angayambe nkhani ya masekondi, Mphindi, kapena masiku. Mwachibadwa, pang'onopang'ono kwambiri akufotokozera, m'pamenenso wodwalayo kubwerera mwakale. N'chifukwa chake m'pofunika kwambiri kuti tichedwetse hospitalization vuto la kudziwika mwa iye yekha kapena wake wokondedwa zizindikiro loyamba la isanayambike chikomokere.

Kaya yabwino madokotala ananena zawo zimadalira kukula kwa chikomokere, komanso mmene anazindikira mofulumira mawonetseredwe lake lalikulu, ndipo anayamba kuthetsa iwo. Chikomokere, limodzi ndi kuwonongeka kwa bongo, ali ndi madokotala ananena zawo osauka kulephera chiwindi. Ndikuyembekeza kuti zinthu ziwayendere yabwino n'zotheka nkhani ya matenda ashuga, mowa ndi hypoglycemic chikomokere, koma pokhapokha ngati chokwanira chithandizo yake zinachitikadi.

Ngati tikulankhula za chikomokere khunyu, pali safuna chithandizo. munthu anatsitsimuka paokha pambuyo zinthu tizilombo zithe kuti amukope iye.

Kumbukirani kuti ngakhale kuti anali chikomokere kwa masiku angapo, Sizilowana popanda kufufuza ndipo zingathe kusokoneza thanzi ndi maganizo athu.