Chikomokere 3 madigiri: mwayi wa kupulumuka, zotsatira za

Kuchokera Greek "chikomokere" likumasuliridwa kuti "tulo." Pa munthu mu mkhalidwe chikomokere, chapakati mantha dongosolo maganizo amapezeka. Ichi ndi choopsa kwambiri, chifukwa ndondomeko ndi patsogolo ndi kulephera zotheka ziwalo zofunika Mwachitsanzo, akhoza kusiya kupuma ntchito. Ngakhale ali chikomokere, munthu kulabadira zimene zikuchitika kunja ndi dziko, mwina kwina bongo.

Siteji ya chikomokere

Mtundu wina pati yake mozama mu, munthu amatha kusiyanitsa mitundu zotsatirazi chikhalidwe:

• Precoma. Ngakhale mu chikhalidwe ichi, munthuyo amadziwa, pamene ndikulemba chisokonezo pang'ono zochita, kumwalira kwa mugwirizano. ntchito chamoyo malinga comorbidities.
• Chikomokere 1 digiri. Zimene thupi kwambiri akulephera ngakhale zikuchitika amphamvu. Ndi odwala kuchipeza kukhudza, pamene zimakhala kayendedwe yosavuta Mwachitsanzo, kutembenukira mu bedi. Bongo kupulumutsidwa, koma ofatsa.
• Chikomokere 2 madigiri. Wodwalayo mu siteji tulo. Kayendedwe ndi zotheka, koma iwo akutsatiridwa zokha ndipo m'njira wachisokonezo. Wodwala safuna kumva zowawa, kuwatenga ophunzira samva kuwala, pakhala kuphwanya ntchito kupuma.
• Chikomokere 3 madigiri. Nato chikomokere. Wodwala sakugonja ndi ululu kwathunthu kwina pupillary anachita kuwala, bongo sikuti anati, kutentha ndi adatchithisira. Kuphwanya zimachitika machitidwe onse thupi.
• Chikomokere 4 madigiri. A boma limene ndi kale zosatheka kutuluka. Anthu, palibe bongo, ana dilated, pali hypothermia. Wodwala kupuma paokha.

M'nkhaniyi tiona tione pa boma la munthu mu chikomokere kwa mlingo penultimate.

Chikomokere 3 madigiri. Mwayi wa kupulumuka

Ichi ndi chikhalidwe zoopsa kwambiri pa moyo wa munthu, zimene thupi silingayende pafupifupi paokha. Choncho liti kukomoka, n'zosatheka kuneneratu. Izi zidalira pa chamoyo, mlingo wa ubongo msinkhu wa munthu. Kuchoka ku chikomokere ndi kovuta, kawirikawiri okha 4% ya anthu amatha kuthana ndi vuto limeneli. Pankhaniyi, ngakhale munthu amene anabwera kwa, nthawi zambiri, iwo adzakhala wolemala.

Pankhani ya kukhala wachitatu digiri chikomokere ndi kubwerera kutsitsimuka, ndondomeko kuchira adzakhala yaitali kwambiri, makamaka ngati mavuto aakulu. Monga ulamuliro, anthu akuphunzira kulankhula, kukhala, kuwerenga, kuyenda. Konzanso nthawi zingatenge ndithu nthawi yaitali kuchokera miyezi ingapo zaka zingapo.

Malinga ndi maphunziro, ngati choyamba mawola 24 isanayambike chikomokere, munthu kumva zimene zikuchitika kunja ndi ululu, ndi kuwatenga ophunzira samva kuwala, monga wodwala adzafa. Komabe, ngati pali anachita imodzi, pamene madokotala ananena zawo zabwino kwambiri kuti apeze. Dziwani kuti yaikulu ntchito za umoyo ziwalo zonse ndi zaka wodwalayo, amene anabwera chikomokere kalasi 3.

The mwayi wa atafa ngozi

Za anthu zikwi makumi atatu chaka aphedwa pa ngozi zapamsewu ndi zikwi mazana atatu kuvutika awo. Ambiri a iwo ndi chifukwa cha matenda. Chimodzi mwa zotsatira ambiri ngozi ndi zoopsa ubongo choipa, chomwe nthawi zambiri chifukwa cha confluence a chikomokere lapansi.

Ngati pambuyo ngozi moyo anthu m'pofunika kukhala hardware, ndi mtima alibe bongo, ndi sakulabadira kuti ululu ndi zikuchitika ena, matenda chikomokere kalasi 3. The mwayi wa atafa ngozi zimene zinachititsa kuti boma ndi negligible. Kuti madokotala ananena zawo odwala awa zokhumudwitsa, koma mwayi adzaukitsidwe kumeneko. Izi zidalira pa mlingo wa choipa ubongo ngozi pamsewu.

Ngati matenda chikomokere 3 madigiri, mwayi wa kupulumuka zimadalira zinthu zotsatirazi:

• The mmene choipa ubongo.
• The yaitali zotsatira za TBI.
• Wovulala chigaza m'munsi.
• Wovulala m'chipinda chotetezeka cranial.
• Wovulala fupa mwakanthawi.
• Concussion.
• Ngozi wa magazi chotengera.
• kutupa ubongo.

Mwina atafa sitiroko ndi

Sitiroko ndi matenda a magazi a ubongo. Zimachitika pa zifukwa ziwiri. Choyamba - blockage Mitsempha mu ubongo, chachiwiri - a kukha mwazi muubongo.

Chimodzi mwa zotsatira za kufalitsidwa oziziritsa ndi chikomokere (chikomokere apoplectiform). Pankhani ya kukha mwazi angayambe chikomokere madigiri 3. The mwayi wa atafa sitiroko ndi mwachindunji ndi msinkhu ndi kuwonongeka kwakukulu. Zizindikiro za isanayambike chikhalidwe:

• Kupanda kutsitsimuka.
• Kusintha nkhope mtundu (amakhala wofiirira).
• Mokweza kupuma.
• Kusanza.
• Vuto kumeza.
• Wosakwiya zimachitika.
• Kuthamanga magazi.

Nthawi chikomokere kumatengera zifukwa zingapo:

• Gawo chikomokere. Pamene sitepe yoyamba kapena yachiwiri kuchira mwayi ndi lalikulu kwambiri. Wachitatu kapena wachinayi zotsatira zambiri zovuta.
• Mkhalidwe wa thupi.
• Wodwalayo zaka.
• Zofunika zida.
• chisamaliro mtima.

Zizindikiro za chikomokere wa digiri wachitatu sitiroko

Chotero boma lili ndi makhalidwe chake chosiyana:

• Chosowa anachita ululu.
• Ophunzira samva zikuchitika kuwala.
• Kupanda Pomeza reflex.
• Kusowa kwa minofu kamvekedwe.
• Low thupi kutentha.
• Ndikosatheka kupuma lachibadwa.
• Manyi ndi Kupanda kusamala.
• Kupezeka kwa khunyu.

Monga ulamuliro, kuti madokotala ananena zawo kwa kunja kwa chikomokere a mlingo lachitatu akumane chifukwa pakalibe zizindikiro kwambiri.

Mwina atafa chikomokere akhanda

Mwana akhoza kugwera mu chikomokere mu nkhani ya matenda zakuya za dongosolo chapakati mantha, amene anatsagana ndi imfa ya chikumbumtima. Chifukwa chitukuko cha chikomokere mwana ali zotsatirazi zinthu pathological: impso ndi chiwindi kulephera, meningoencephalitis, zotupa ndi zoopsa ubongo, shuga, chosokoneza wa madzi ndi bwino electrolyte, magazi mu ubongo, hypoxia pa ntchito ndi hypovolemia.

Akhanda savuta kwambiri kuyamba kukomoka. wowopsa kwambiri pamene matenda chikomokere kalasi 3. The mwayi wa yopulumutsira mwanayo ali apamwamba kuposa anthu achikulire. Izi ndi chifukwa peculiarities wa thupi mwanayo.

Pamene chikomokere madigiri 3, mwayi wa kupulumuka kwa ana akhanda, koma, mwatsoka, ang'ono kwambiri. Ngati mwana amalowerera kutuluka chikhalidwe manda, pangakhale mavuto aakulu kapena ndinu wolumala. Pa nthawi yomweyo tiyenera kukumbukira za kuchuluka kwa ana, ngakhale ang'ono, amene anatha kupirira popanda zotsatira iliyonse.

Zotsatira za chikomokere

The yaitali chikomokere, zimakhalanso zovuta tidzatuluka ndi achire. Iwo angayambe pa onse osiyana chikomokere kalasi 3. Zotsatira zake zambiri amadalira kukula kwa kuwonongeka kwa bongo, mawu a mosadziŵa, zifukwa zimene zinachititsa kuti chikomokere kwa akuluakulu a zaumoyo komanso msinkhu. Wamng'ono thupi, bwino mwayi kuti zinthu ziwayendere bwino. Komabe, madokotala kawirikawiri kuchita Mapa apeze, chifukwa odwala ngati ali wolemera kwambiri.

Ngakhale kuti ana mosavuta mwa chikomokere ndi, zotsatira zake zingakhale zomvetsa chisoni kwambiri. Madokotala yomweyo achenjeze abale, mmene oopsa chikomokere kalasi 3. The mwayi wa kupulumuka, ndithudi, ndi kumeneko, koma pa nthawi yomweyo munthu akhoza kukhala "mbewu" ndiponso kuphunzira kumeza, m'kuphethira, kukhala ndi kuyenda.

Wamkulu yaitali kukhala mu chikomokere zinadzala ndi chitukuko cha amnesia, kulephera kuyenda kapena kulankhula paokha kudya ndi defecate. Pakuti konzanso patapita chikomokere kwambiri, zimatenga kulikonse kwa sabata zaka zingapo. Pankhaniyi, kuchira mwina konse, ndipo munthu akhala mu mkhalidwe vegetative mpaka mapeto a moyo, pamene inu mukhoza eni okha kugona ndi kupuma nthawi yomweyo alibe yatikhudza zimene zikuchitika.

Ziwerengero kuti mwayi achire zonse ndi ochepa, koma pa nthawi yomweyo zinthu zimenezi zidzachitika. Nthawi zambiri, mwina oopsa, kapena nkhani ya chikomokere - olumala kwambiri.

zosokonezeka

The Vuto lalikulu pambuyo chikomokere luso kuphwanya ntchito zolimbana mwa CNS. Kenako, nthawi zambiri pali kusanza, sipangakhalenso Mpweya, ndi stagnation a mkodzo, amene ana amakumana ndi chotupa cha chikhodzodzo. Zovuta zokhudza, ndi ubongo. Zimayambitsa chikomokere, kulephera kupuma, edema m'mapapo mwanga ndi kumangidwa mtima. Nthawi zambiri deta mavuto ake ndi imfa kwachilengedwenso.

The anaiyamba kukhala ntchito thupi

mankhwala amakono limachititsa chongopeka kukhalabe ntchito yofunika kwambiri ya thupi kwa nthawi yaitali, koma nthawi zambiri pali funso za moyenera zonsezi. delemma Izi zimachitika kwa achibale pamene iwo amanena kuti maselo a mu ubongo kufa, icho kwenikweni munthuyo. Nthawi zambiri, chigamulo kusagwirizana kwa thandizo moyo.