Soporous amati: kufotokoza, zimayambitsa, nthawi

Alipidwa matenda stupor aonekera maganizo boma maganizo a wodwalayo, zimene ofooka wa ana kuyatsa ndi kuuma mtima kunadza ululu.

boma Soporous akhoza lidzasinthidwa chikomokere, yomwe ili mlingo wa yimitsira ntchito za thupi. Kodi shutdown yake pa mlingo reflex. Kupewa makhalidwe amenewa, m'pofunika kudziwa zimene akapsa maonekedwe a sopor.

Kodi kusiyana stupor ndi chikomokere Kodi

Chachikulu kusiyana pakati sopor ndi chikomokere kwagona kuti dziko loyamba ndi sanali kucheza ndi dziko kunja, kenako imfa ya chikumbumtima. Koma munthu wa iye, inu mukhoza mupewe osachepera kwa kanthawi kochepa. Izi chingapezeke mwa kugwedeza wolimba, kumva kulasalasa, mokweza mawu. Chikomokere ali yemweyo chikomokere, amene angayerekezedwe ndi tulo tatikulu kapena mankhwala, kudzutsidwa imene n'zosatheka. Munthu ali chikomokere, Samvera ngakhale kuti ululu.

chifukwa sopor

The zimakonda stupor, monga:

• mavuto chifukwa cha magazi mu ubongo;
• pamaso pa mtima wabwino kapena zilonda neoplasms ubongo;
• matenda zikuchitika mu mawonekedwe aakulu;
• zotupa poizoni wa thupi;
• mavairasi ndi matenda;
• thrombophlebitis;
• atherosclerosis;
• overdoses mankhwala, makamaka asamakhale ndi nkhawa;
• salimbikitsa moyo;
• kuphwanya njira kagayidwe kachakudya mu thupi;
• hypertensive mavuto mu mawonekedwe chaukali;
• mwakayakaya mutu;
• chizindikiro kupatuka anasonyeza shuga mu shuga;
• yafupika ntchito ya chithokomiro (hypothyroidism);
• matenda kagayidwe kachakudya nephritis;
• chophukacho wa aneurysm ya;
• poyizoni ndi mpweya monoxide chamoyo, barbiturates, opioids;
• meninjaitisi;
• meningoencephalitis;
• mtima ischemia;
• magazi poizoni (sepsis);
• electrolyte vutoli mu thupi;
• kutentha sitiroko.

zizindikiro

Ngati wathanzi chapakati mantha dongosolo zonse amatipatsa kusintha kwa zinthu zachilengedwe, chikhalidwe cha ntchito sopor ubongo ndi mu boma zokhoma. thupi monga tulo yaitali. boma Soporous akhoza lidzasinthidwa chikomokere.

ubongo sitingakhoze kutenga zochita iliyonse. Maso ndi kugona mokwanira zinasintha mzake.

Anthu ambiri amadabwa kuti, "yaitali boma soporous bwanji?". Nyengo ukhoza kwa masekondi angapo miyezi. Izi zidalira pa chifukwa cha ndondomekoyi.

Pamene stupor mtima angachite khungu, kusokonezeka kwa kumvetsa zimene zikuchitika. Iwo angasonyeze disorientation. Wodwala akhoza anasokoneza madeti ndi maina, osati kukumbukira zochitika za dzulo, koma mu malingaliro ake tiwolokere bwinobwino akutali zapitazi.

Zimene anthu zingachititse irritants kwambiri. Bing ndi kutsegula kwa zikope, koma wodwala chiyani dala kufunafuna. Impact pa msomali bedi n'zothandiza miyendo flick. Kuwomberedwa, ndi Pat pa tsaya angachititse mtima anachita mwachidule makhalidwe oipa.

Kuzionetsetsa, pali kuchepa minofu kamvekedwe ndi bongo kuvutika maganizo. Nthawi zambiri wapezeka syndrome pyramidal chifukwa yimitsira wa manyuroni chapakati. pupillary anachita kuwala amakhala ndi ulesi, corneal ndi Pomeza reflex lili.

Limodzi ndi onse zizindikiro zimenezi zingakhale zizindikiro za khalidwe focal neurologic, kusonyeza zotupa m malo enieni a kotekisi ubongo.

Ngati soporous zoyambitsa matenda opha ziwalo kapena meningoencephalitis, izo zidzawululidwa khosi stiffness ndi zizindikiro zina meningeal minofu. Mukhozanso kuona amavutitsa kunjenjemera minofu.

Nthawi zina, madokotala akukumana ndi hyperkinetic njira sopor, mu umene munthu chinachake incoherently limanena fleeced, zimapangitsa kayendedwe cholinga. Khazikitsa kukhudzana lapansi ndi wodwala zosatheka. chikhalidwe ichi ndi ofanana ndi kuona zilubwelubwe, limene ndi gulu la Mkhalidwe matenda a kutsitsimuka.

Soporous ikadzatha sitiroko akhoza yodziwika ndi digiri yapamwamba ya kutengeka kapena kanthu kwa onse ozungulira.

Sopor sitiroko

Sitiroko ndi matenda oopsa kwambiri, zomwe zimabweretsa mavuto mwadzidzidzi. Sopor ndi m`modzi wa iwo. Tamasulira kuchokera ku mawu Latin "stupor" amatanthauza "maloto", "dzanzi", "ulesi", "kuiwalaiwala". Mu mankhwala, chikhalidwe ichi amatchedwa subkomoy, chifukwa ndi ataika miyala kuti chitukuko cha chikomokere ndiponso m'njira zambiri zofanana ndi boma aakulu.

Soporous boma sitiroko m'kukoma anthu onse blunting anachita. Ntchito ya chikumbumtima ndi mu mkhalidwe wachisoni kwambiri.

Sitiroko chifukwa cha njira pathological mu zotengera, kumaputa ndi pachimake ubongo kukanika. Kutalika obwera chifukwa cha sitiroko ndi amaposa tsiku. Sitiroko kungachititse kuti imfa mofulumira.

Sopor si nthawi zonse, koma nthawi zambiri zimathera sitiroko. Iye akunena za limodzi mwa magawo asanu a milandu onse necrosis ubongo. Kuwonetseredwa ngati boma zingaoneke osati gawo pachimake cha matenda, komanso kukhazikitsa wake. ndondomeko ndi mwachindunji amadalira m'dera ndi mmene kuwonongeka kwa ubongo.

Amanyalanyaza mavuto amenewa sangakhoze, zivute zitani, chifukwa chakuti ambiri mwamsanga inasanduka chikomokere.

The matenda chithunzi cha sitiroko sopor

Soporous mkhalidwe sitiroko amene madokotala ananena zawo zimadalira mlingo cha kuwanda kwa necrosis oziziritsa, akuwonetseredwa mu tulo ndi ulesi mtima. Likufanana ndi ichi, yankho zoteteza zikuchitika monga kupweteka kwambiri kwa phokoso ndi kuwala. Wodwala sakulabadira kwa zachilengedwe, sangathe kuyankha mafunso kuti sangathe kuchita ntchito iliyonse. Minofu mavuto ndi kumuika malekezero, blunted tendon bongo, kuyenda anataya mwaulesi.

Stupor mu khunyu

pakamwapo The nthaŵi zonse ndi ntchito zoyenera khunyu. mankhwala khunyu otchedwa chikhalidwe cha kuchuluka kudwala. Odwala awa, maonekedwe a khunyu amayamba ndi zinthu zina kuti wathanzi anthu samva mu njira iyi. Ofufuza ambiri amakhulupirira kuti matenda ndi cholowa.

Kawirikawiri khunyu khunyu yoyamba kusintha lakuthwa chapansipansi maganizo a wodwala. masiku 2-3 pamaso kulanda munthu amakhala okondwa, mavuto ndiponso nkhawa. Anthu ena amayamba pa okha, ena kulemekeza ena mokwiya. Atatsala pang'ono kumuukira pali aura, amene ali ovuta kulongosola mawu. Iwo amakhala ndi zosiyanasiyana zomverera chogwirika: kukoma pa kamwa, phokoso yosokoneza ndi fungo. Tikhoza kunena kuti aura ya kulanda khunyu m'pamene.

Mu kotekisi oziziritsa wa munthu ali ndi cholinga cha malemeredwe. Limafotokoza maselo zambiri mitsempha. M'kupita kukhala kudwala. Childs, gawo nthawi ndi masekondi 30, mphindi zosachepera imodzi. Minofu ya wodwalayo ali mu voteji mkulu. Mutu tilts kumbuyo. Wodwala kukuwa, pali kutha kupuma.

siteji Convulsive amatenga Mphindi 5. Pamene akatumba onse wodwala involuntarily yafupika. Pambuyo pa mapeto a khunyu ndi minofu kumasuka kachiwiri. chikumbumtima wodwalayo ali ikanazimitsidwa. Soporous udindo khunyu kumatenga mphindi 15-30. Pambuyo exiting ndi sopor mtima igwera mu tulo.

Semisopor pa madzi m'thupi

Chotero Vuto monga stupor, ndipo akhozanso kukopeka ndi madzi m'thupi. Mu mankhwala, wosaperewera madzi wotchedwa exsicosis. Mmenemonso pali zili otsika electrolytes ndi madzi, amene chikwiyire mobwerezabwereza kulimbikira kusanza ndi amphamvu kukhumudwa m'mimba.

Komanso, imfa madzimadzi bwino zimayamba ndi njira pathological mu impso ndi mapapu. Exsicosis zambiri akufotokozera pang'onopang'ono 2-3 masiku kuchokera pachiyambi cha n'zothandiza matenda.

Madzi m'thupi amakhala ndi ulesi mtima kugwa chilakolako kukana kumwa. madyedwe madzimadzi amachititsa kusanza kwambiri. Pali kuchepa minofu kamvekedwe, thupi wodwalayo kutentha komanso kuthamanga amachepetsa yokhudza ufiti. Amalembedwa oliguria kapena anuria.

Soporous boma la madzi m'thupi angakhoze kupita chikomokere.

Kuti madokotala ananena zawo za stupor

ndi zotsatira za matenda chiyani? Soporous boma amene madokotala ananena zawo zimadalira zifukwa n'zothandiza, ayenera kukayezetsa mankhwala yake. Iwo amagwira ntchito yofunika kwambiri mlingo wa kuwonongeka kwa minofu mantha ndi kuchuluka kwa mankhwala.

The kanthu kale kukonza matenda akhala watenga wamkulu mwayi wodwalayo ayambe chikumbumtima bwino ndi mgwirizano wa zizindikiro za matenda chachikulu.

diagnostics

Semisopor chifukwa cha sitiroko, kungachititse kuti imfa. Poyamba mawonetseredwe mofewa kutchulidwa matendawo m'pofunika matenda yake.

zochita patsogolo The monga:

• muyeso wa magazi;
• ndi kugunda kwa mtima ndi kupuma;
• ndi pupillary poyankha kuwala ndi kudziwa mlingo awo a zoyendayenda;
• thupi kutentha muyeso, mkulu mlingo pamene n'zotheka kuweruza pamaso pa matenda magazi wodwalayo;
• mosamala khungu pamaso pa zoopsa, zotupa mtima kapena thupi lawo siligwirizana.

chiphasochi kofunika

The kafukufuku, kuti zizichitidwa ndithu, ndi electroencephalography. Kamakupatsani wosamalira zaumoyo lingaliro la mlingo wa chiwonongeko cha maselo a mu ubongo.

Mu nkhani ya chitsimikizo cha kukhalapo sopor zambiri m'chipatala. Pa chipatala, wodwalayo adzatha kupereka thandizo ntchito koyenera kuti moyo, ndi matenda mwatsatanetsatane.

Pambuyo kawalidwe akugwirira anachita atayezetsa kudziwa mlingo mkulu wa shuga ndi instigators ena a chikhalidwe pathological. Pakuti amaganiziridwa kuledzera izo ndi atayezetsa, mkodzo ndi ankafufuza pamaso pa mankhwala mu thupi. Mu zina, katswiriyu chimaika ndi lumbar puncture ndi maginito kumveka ubongo mankhwala.

Mfundo za chithandizo sopor

boma Soporous zotsatira za zimenezi lolemera kwambiri, si chodabwitsa palokha. Izo zimapanga kuphwanya ubongo. Choncho, cholinga cha mankhwala ayenera kuthetsa chinthu chachikulu. Pankhaniyi, mankhwala ayenera kuyamba posachedwapa.

Sopor choyambitsa limagwirira kawirikawiri imagwira ischemia ndi kutupa kwa minofu ubongo. chithandizo mwamsanga kumathandiza wedging atagwira ubongo orifices achilengedwe a Chigaza ndipo amathandiza kusunga ntchito okhudza mitsempha.

maselo mitsempha penumbra (ischemic penumbra) ali pangozi yaikulu. Ichi ndi malo amene ali pafupi ndi chotupa mu ubongo. chithandizo Kusagwiritsa amakwiya ponso zizindikiro chifukwa imfa ya manyuroni mderali. Choncho boma soporous angakhoze kupita chikomokere, ndi matenda a ubongo adzakhala kwambiri kutchulidwa.

Mankhwalawa zochita sopor ofunika pofuna kuthana kutupa minofu mantha, kukhalabe makope zonse mu ubongo. Anakonzanso magazi shuga msinkhu, zoperewerazo kuchepa kwa kufufuza zinthu, kumatha zimayambitsa matenda a mtima, impso ndi chiwindi.

Pamene matenda limasonyeza ntchito maantibayotiki ndi kukhalapo kwa kukha mwazi achisangalalo kuti magazi asiye kutuluka.

Pamene mankhwala semisopor onse kutumikiridwa kwa thupi kudzera m'mitsempha. Motero mankhwala yabwino kwambiri ndi 40% shuga ndi thiamine komanso kugwiritsa ntchito njira izi ndi naloxone.

Komanso sopor mankhwala zimadalira mlingo chiwonongeko cha thupi ndi Amasankhidwa dokotala payekha.