Kune rumwe rutivi, basa remakemikari cortex re-cerebral cortex rinogona kuvhiringidzika nekushandurwa kwemagetsi zvakadai se hypoglycemia (chirwere cheshuga chepasi shoma), hepatic uye renalfficiency renal, kana kuti chirwere cheshuga ketoacidosis (ine nheyo yepamusoro yeropa), pamwe chete nedzimwe nzira dzinotyisa. Muchikamu chinoti "Coma nedhigirii, zvikonzero zvekuitika kwayo" uchawana ruzivo rwakakosha iwe pachako.
• Nzira dzinoshandura hutano hwehutano zvakananga, uye dzinokanganisa basa reBPF, zvakadai sezvinyorwa muuropi zvinokonzera, zviputi kana mapfupa, kana zvinokonzerwa nemagetsi.
• Nzira dzinokanganisa uropi hunoerekana husina kujeka, kureva kuti, huchitungamirira mukukanganiswa kwayo uye kuipa kweVRF. Izvi ndizvo, semuenzaniso, ropa rinopisa hutachiona hunobuda uye hunova hunova hwemazuva ano pedyo neuropi, kana chiremera kana kubvumira, zvichiita kuti kuwedzerwa kusagadzikana.
Zvimwe zvinokonzera coma
Muzhinji, kusina kukanganisa kune musoro uye zvimwe zvirwere zveuropurgic, anenge 40% emakosera emuCaa anokonzerwa nekuderedza kudhakwa kwezvinodhaka, kazhinji kusanganiswa newaini.Kusara kwe40%, varwere vane chirwere chemwoyo vakasungwa, 33% vane chirwere uye anenge 25% vaiva coma pamusana pemagetsi kushungurudzika kana kutapukisa, kukonzera kwakanyanya kune chirwere chekukurumidzira, mune izvo zviitiko kutungamirirwa kwekutanga kwakafanana nekutungamirirwa kwevamwe varwere vari mumamiriro ezvinhu akaoma.Nhanho yekutanga inogara iri yekugadzirisa matanho ekugadzirisa eniya yemweya patency kubvumira okisijeni delivery, kungada murwere endotracheal chubhu intubation uye zvokuimba kufefetedza uye kufamba kweropa vakaramba kuongororwa kweropa ..
Mimwe miedzo
Kana kukonzera komaini kusina kujeka, mimwe miedzo inodiwa. Izvi zvinosanganisira kuongororwa kwemakemikari emuropa uye murini, kuongororwa kwezvinodhaka uye chepfu.
Chronic vegetative state
Vamwe vanopukunyuka mushure mokunge coma inowira mune chirwere chisingaperi chine mbeu (HVS). Vachirwere vanofema vakasununguka uye vane nguva yekuzarura nekuvhara maziso, izvo zvinoenderana nekufamba kwekurara nekumuka. Vanogona kunge vaine mamwe maitiro ekupedzisira ekuchinja kune dzimwe nyika, sekunyamwa nekubata. Zvisinei, varwere muCVC havaratidzi zviratidzo zvekuziva ivo pachavo kana nezvemamiriro avo ezvinhu, kana zveimwe basa rakakura rekutya - havatauri, vanotaura, kana kuratidzira kusarura kusingaiti. Muchiitiko ichi, varwere vanogona kurarama kwemakore mazhinji. Pathologic anatomical zvidzidzo zvevakafa vaiva mu XIV, yakaratidza kukanganisa kwakanyanya kune cerebral cortex (iyi inobatanidzwa nebasa rakawedzerwa remagetsi), asi kuchengetedzwa kweropa, izvo zvakabvumira kuchengetedza zvidzidzo zvepanyama zvisipo pasina kuvapo kwekuziva.
Kufunga nezvetsika
Chirwere chekudya chisingaperi hachisi chirwere chekurapa chete, asiwo chetsika imwechete. Vatarisiri kana hama dzevamwe varwere vane kusagadzikana kwemoyo kusingaperi dzimwe nguva vanofunga kuti chiitiko ichi hachina tariro uye chinoderedza kuti vangada kuvhara zvirongwa zvinotsigira hupenyu hwomurwere nokumurega afa. Vamwe vanofunga kuti zviito zvakadaro hazvina maturo. Chisarudzo chinowedzera kuoma nechokuti hapana maonero anowanzogamuchirwa pamubvunzo wekuti kune zvimwe zviratidzo zvekuita kwepamusoro kwebasa nekukurukurirana, kunyange kana vamwe varwere vese vari muHVS, nekunyatsorongororwa kwevarwere mune chirwere chisingaperi chinomera. Iko kukwanisa kuchengeta kupfurikidza uye kupararira mukati memubatanidzwa wechipatara kunotungamirira kukuti vamwe varwere vanochengetwa muzvipatara pasina zviratidzo zvehuropi huchishanda. Iyi mamiriro ekusavapo kwakakwana uye kusingabvumirwi kwebasa chero ripi zvaro muuropi uye muuropi hutsika hunonzi "brain brain". Zvisinei, panguva ino, vanachiremba vanosarudza izwi rokuti "rufu rweuropi," sezvo zvakava pachena kuti kufa kwe brain brain kwakaenzana nekufa kweruzivo rwese.
Kuongororwa kweuropi kunokonzera rufu
Kuongororwa kweuropi kunokonzera rufu kunoitwa maererano nehutano huripo, hunoshandisa miedzo yakagadzirirwa kusimbisa kurasikirwa kwehutano hwehutano hwehutano. Kuenzanisira kwekushaikwa kwakakwana kwehupenzi tsvina inoshanda kunosimbisa zvakakwana kuti kupora hakuzotevera. Kana murwere anoenderana nehutano hwekufa kweuropiyo anoenderera mberi nekudzivirira kwemajini uye chirwere chikuru chakanyanya, mwoyo unomira zvakasununguka mumazuva mashomanana.