I-Coma yinkinga yezifo ezinamandla kakhulu, okuhambisana nokulahlekelwa ukuqonda, ukungabi nampendulo kunoma yikuphi ukuphazamiseka kwangaphandle kanye nokuphazamiseka kwemisebenzi ehlukahlukene ebalulekile (ukwephulwa kwe-thermoregulation, ukuphefumula, ukunciphisa ukushaya kwegazi, ukunciphisa ithoni ye-vascular).
Izimbangela ze-coma ye-cerebral
Izimbangela zalesi simo yizici eziyinhloko eziyingozi noma eziyingozi. Izizathu ezivame kakhulu:
- ukuhlukumezeka kuya enhloko nasebuchosheni;
- ukushaya ;
- umonakalo osuleleka ebuchosheni;
- ukulimala kwengqondo ngenxa yokuntuleka kwe-oxygen;
- umonakalo onobuthi ngezinto ezinobuthi, izidakamizwa ezithile, izidakamizwa;
- utshwala obushushu;
- ukuphazamiseka emsebenzini wesistimu ye-endocrine futhi, ngenxa yalokho, ukuntuleka noma ukudlula kwamanye ama-hormone (isifo sikashukela, i-pituitary, i-coma ye-hypocorticoid).
Izimpawu ze-coma ye-cerebral
Ezimweni zokuqala ze-coma, umuntu ubonakala elele, amehlo avaliwe, futhi ukuhamba kancane kunokwenzeka. Umhlukumezi angakwazi ukuhamba ephusheni, ukugwinya umsila, ezinye izikhalazo zihlala. Ngaphezu kwalokho, kukholelwa ukuthi esigabeni sokuqala sobuchopho, umuntu angazizwa ebuhlungu. Ezimweni ezijulile ze-coma, isimiso sezinzwa esiyinhloko nokucindezeleka kokuphefumula, i-atony of muscles, kanye nokuphazamiseka kwemizwelo kuyaqhubeka ngokucindezelwa.
Izibikezelo nemiphumela ye-coma ye-cerebral
Ubude be-coma nokubikezela ngokuqondile kuxhomeke ekutheni luhlobo nobunzima bezilonda.
Uma usizo selunikezwe ngesikhathi esifanele futhi kungenzeka ukuba ugweme ukulimala okungenakuguqulwa kwengqondo, i-coma ingahlala ezinsukwini ezimbalwa kuya emavikini amaningana. Uma isikhathi eside ubuchopho be-coma, futhi bujulile, ukungabi khona kahle kokubikezelwa, nokukhethwa kukho kungenzeka uma umuntu engashiyi, ehlala esimweni esihle semifino yonke impilo yakhe.
Imiphumela eyinhloko ye-coma yizinkinga eziguquguqukayo nezingenakuphikiswa komsebenzi wobuchopho. Kuye, umuntu akafiki ngokushesha, kodwa okokuqala isikhathi esifushane, okugcina ekukhuleni. Ngemuva kwe-coma, isikhathi esifushane
Ukunakekelwa okuphuthumayo kwe-coma ye-cerebral
Nge-coma, ochwepheshe kuphela abangasiza. Uma kukhona ukusola ukuthi umuntu uwile ku-coma, kubalulekile ukuthi ubize ngokushesha i-ambulensi. Into kuphela engenziwa ngaphambi kokufika kodokotela ukuhlinzeka isisulu ithuba lokuphefumula. Njengoba isimo se-comatose se-muscle sishaya, sinciphisa ukugwinya nokuphefumula, isisulu kumele sihlole ukushaywa kwegazi , siphendule esiswini futhi, uma kungenzeka, uhlanze imimoya yomoya.