Chii chaanoziva? Zviratidzo pakoma danho uye kupatsanura

Shoko rokuti "chaanoziva" chakumbirwa kubva muchiGiriki uye rinoreva "nehope."

Chii chaanoziva?

Zviratidzo chaanoziva vari sezvo chinovhiringidza kana unopinza braking kushanda epfungwa. Zvechokwadi iri pamwe kurasikirwa chavanoziva. Man hazvirevi sei chiedza, ruzha uye zvimwe zviwane. It yatyora inokosha mitemo dzinokosha mashandiro muviri. Pakoma Kazhinji pakava ane chirwere, iyo zvinoomesa yavaipora muitiro ngozi. Zvichienderana zvikonzero, izvo kutungamirira pakoma, unogona kuva nokukurumidza kana, sezvo zvakaita dzechimwe kukuvara kwouropi, kana zvishoma nezvishoma. The chikuru zviratidzo chaanoziva kunogona kuitika pamusoro akawanda maawa kana mazuva, uye nguva kuti kurapa kudzikira mamiriro anogona kudziviswa. Saka, ndiani anofanira kuonekwa sechinhu pathological ezvinhu chakasimba umo kudiwa kompeksnaya kurapa pakutanga zvokukura kuratidzwa. Naizvozvo, zvokuongorora kuti "chaanoziva" anoiswa kwete murwere, kwete zvakakwana vanoteerera zvimwewo zvinoitika, asi iri nyaya disconnection kuti pfungwa apo kwokuramba zvinhu hunenge.

The kunotoda Mufananidzo chaanoziva iri yakawanikwa kubva kunzwisisa kuratidzwa ayo algorithm uye zivo siyana zvirwere uye pathologies zvakadai cheshuga, hypnotics uye chepfu kubudikidza psychotropic zvinhu, uremia, izvo zvinogona kurera ichi.

Mhando comatose inoti

Pane zvirwere zvizhinji zvinogona kuomesa kwakaita pakoma. Zviratidzo pakoma, etiology kwayo vakadzidza zvakadzama NK Bogolepov, I kuverengwa zvinopfuura 30 mhando ichi. chiduku chikamu musayendisiti chete yakabuda sezvo yakazvimirira chirwere, nepo vasara simbi syndromes uye matambudziko. Zvinofanira kucherechedzwa kuti hazvisi hazvo chete chirwere vanhu akasiyana kunogona kukonzera munhu pakoma. Dambudziko iri kutyora nokukanganisika homeostasis, hemodynamics, uye zvimwe zvinetso chokuita chakaipa nokushanda kwenhengo uropi. Systematization chaanoziva chakaita kuti paumbwe zvinotevera subsections.

Chaanoziva, chetsinga

Ivo neposredstenno chokuita nechepakati tsinga. Idzi dzinosanganisira:

• uyo, anomuka munzvimbo sitiroko;
• apoplectiform chaanoziva;
• zvipusha chaanoziva;
• uyo akakonzera zvinokuvadza, akadai randakambosangana naro pfungwa;

• chaanoziva kunokonzerwa panowanikwa anogumbura pezvakaitwa uyewo benign uye nyanyisa mapundu muuropi uye ayo membranes.

Chaanoziva with kwemakemikari anobudiswa zvirwere

Chii chakaita chaanoziva ichi? Signs chaanoziva kuonekwa sezvo kukundikana metabolic pezvakaitwa mumuviri nokuda kukwana kana kunyanya kemikari kugadzirwa. Kana vari synthesized iri diki, ipapo asina chaanoziva

• shuga;
• gipokortikoidnaya;
• hypothyroid;
• gipopituitarnaya.

Kana muviri unobereka mahormone akawanda kana zvisiri basa chipimo chemushonga pamusoro hormone zvinodhaka, anogona kuva thyrotoxic uye hypoglycemic pakoma.

Kana anetseka mvura uye electrolyte pakuenzanisa muviri

Kana muviri womunhu anosangana kupera muviri, kushaya macro- uye chiya chisingadiwi okunze, munyu, uye zvokudya zvakafanira kudzikamisa simba nezvinhu, izvozvo unogonawo vanowira pakoma. In izvi pane mbiri inobva mhando:

• hlorgidropenicheskuyu ndiani kuti, kana murwere haagumiri kwenguva refu zvikuru kurutsa, somuenzaniso, panyaya pyloric stenosis;
• dystrophic alimentary-comatose mamiriro, mune mamwe mazwi, pakoma rufu.

Vasingadzoreki gasi Exchange, zvichikonzera chaanoziva

Zviratidzo kwakadai kusava akagovera okisijeni iri kufema matambudziko hurongwa. Idzi dzinosanganisira:

• hypoxia ichi kunokonzerwa nokushayiwa reokisijeni kusvitsa kubva kunze (richiwanika panyaya kubitirirwa hypobaric hypoxia, uyewo kupererwa, pasi ropa kana nomuti oxygen, uye panguva dzakasiyana-siyana kweropa zvirwere);
• kufema pakoma, izvo zvaizoitawo rakamuka-kamuka kufema chepfungwa uye kufema acidotic.

Respiratoria kukundikana, anokonzerwa anoxia, hypercapnia, pasi rose kutyora negasi mukutsinhana pezvakaitwa mumapapu - nevakawanda zviratidzo zvechirwere chaanoziva uyu subspecies.

Chaanoziva yakafanira kudhaka

It anomira panze ari oga boka nokuti chinokurwadzai endogenous kudhaka muchiridzira toksoinfektsii, siyana zvirwere, pfungwa nomuviri zvemwana asati, renal uye hepatic insufficiency, kana kukuvara makemikari muchetura: phosphorus Organic yeimwe, doro, mishonga, kungova boka "barbiturate" uye zvimwe zvinodhaka.

Kuwedzera kune izvi vanachandagwinyira classifications zviripo chaanoziva isingazivikanwi kana yakavhenganiswa aetiology, pazviri pasingabviri kuziva chimwe chikonzero chakajeka, somuenzaniso, panyaya chafariz chaanoziva kwakakonzerwa overheating muviri wose. Kunyange zvazvo vamwe mabhuku anokukonzera kune chetsinga boka.

Zvinotevera Kutarira wacho, yokuvamba kakawanda kupfuura mamwe marudzi pakoma.

Chirwere cheshuga chaanoziva: kupatsanura

Chirwere cheshuga pakoma, zvinhu izvo dzichakurukurwa Papera, kunokonzerwa ari kushaya muviri chirwere cheshuga jekiseni kungaratidzwa dzakasiyana matatu: giperketonemicheskaya, hyperosmolar, giperlaktatsidemicheskaya. Dzimwe nguva rinonzi "pfungwa chaanoziva" kubva panguva yaro kosi vakachengeta uropi edema nokuti kuti mukuderedza jekiseni mumatunhu uye osmolarity chepfungwa masero eropa dzinosiyana zvakasiyana.

Kana ropa shuga yomuropa vari kwazvo, kunouya hyperglycemic pakoma. Zviri kwazvo ngozi vana uye vanhu vakwegura. Inokudziridza zvishoma nezvishoma, kazhinji pamusoro mazuva akawanda.

Signs hyperglycemic chaanoziva:

• acetone mweya kwakanaka;
• pallor uye ganda rakaoma;
• kurasikirwa havi;
• constriction of vadzidzi;
• marwadzo mudumbu;
• tachycardia;
• akaderedza tsandanyama izwi;
• asika kuvhiringidzika.

Nokukurumidza vanotanga kuratidza zviratidzo asina chaanoziva, yaida kudana yokutanga "amburenzi." Kana mukasandizivisa nenguva, munhu akamira sei zvimwewo zvinhu uye zvinochinja.

hypoglycemic chaanoziva

In varwere cheshuga, shuga haagoni chete ngazviwedzerwe zvinoshamisa, asi kusiyira. Izvi zvinoitika nokuti refu hwatsvuka pakati zvokudya, kunyanya muviri, kana panyaya kushandiswa alokogolya. Hypoglycemic pakoma, zviratidzo izvo zvinorondedzerwa pazasi, zviri kukura nokukurumidza. Zvinogona harbinger:

• Mupfungwa simba nenzara;
• kufunganya;
• Kushatirwa uye wokusagadzikana;
• pasi muviri tembiricha;
• kudzika nokukurumidza kufema;
• zvakawedzera vangadikitira;
• kuda kurutsa, migraine;
• mwoyo palpitations;
• ziso mabongozozo;
• chinovatadzisa kuziva;
• dilated vadzidzi ;
• tsandanyama hypertonicity.

Kana kuratidzwa zvose kana chikamu zvinhu zvakafanira rwekutanga, zvinosanganisira intravenous kutarisira akadzokorora kana zvakafanira, mumwe shuga kugadzirisa, uye subcutaneous - epinephrine.

pavaipfuura chaanoziva

Inosimbiswa kuti pane zvikonzero, nekuti izvo hunotanga pakoma, chaanoziva Signs kusiyanisa etiology kuona kwokuomerwa acho, uye pakudaro kuzivikanwa wandei pakoma nzendo.

1. Precoma. Pano murwere kunoratidzwa akawanda panzvimbo dzinopesana zviratidzo. Kudivi rimwe, pane Blurred kuziva, Kukundikana spatial wezwi, kunonoka, uye pamusoro mumwe, zvinoita kushatirwa, kurasikirwa kufambisa, asi mukuru relfeksy kuramba dzakabatana.
2. Pakoma wokutanga dhigirii. Izvi kana murwere kushanda kwete kuenda kuonana, haateereri zviwane, zviri chaizvo nehanya kunyange marwadzo, pane hypertonicity kuti tsandanyama uye chiveve ganda receptors. Vadzidzi iyi nyaya chiedza sei, asi zvingasiyana kwakasiyana-siyana, sapamazuva strabismus.
3. Chaanoziva rechipiri dhigirii nokuda kushayikwa kunyorerana kwakakwana, zvisingaiti kuti urwadziwe maitiro: kufadza munhu anogona meso ake. Pane zvemasanga bowel kufamba uye dundira, runobva kufamba maoko nemakumbo, rakapinza voltage uye rasslabenie tsandanyama. Vadzidzi vanenge regai sei chiedza.
4. Pakoma dhigirii rechitatu. Chose vasingadiwi kuziva, kwomusikirwo chiedza uye marwadzo, akaderedza kumanikidzwa, hunenge, uye tembiricha, kufema anonoke, isingawanzowanikwi, kudzika. Murume "anofamba woga".
5. Pakoma chechina dhigirii. No kuita ari kuchengetwa zvakakwana, hunenge, matauriro, pasi kwazvo kumanikidza uye muviri tembiricha, afemeruke vanogona kunyangarika.

Chaanoziva kunogona kuitika panyaya mumasekonzi, maminitsi, kana mazuva. Sezvinotarisirwa, zvishoma nezvishoma inokudziridza, kwakondiko murwere kudzokera dzose. Ndokusaka zvakakosha chaizvo kwete kunonotsa muchipatara pakuparwa kuonekwa mukati make kana ake mudiwa zviratidzo kutanga pakoma rokutanga.

Tingava yakanaka fungidziro kunoenderana kwokuomerwa ari pakoma, uyewo nokukurumidza sei vakaziva kuratidzwa zvikuru, uye akatanga kuvabvisa. Pakoma, achiperekedzwa uropi, ane fungidziro varombo chiropa kukundikana. Tariro yakanaka Mugumisiro zvinogoneka kune chirwere cheshuga, chidhakwa uye hypoglycemic pakoma, asi chete kana zvakakwana nenguva kurapwa akanga akatakurwa kunze.

Kana tiri kutaura tsviyo pakoma, pane hakudi kurapwa. Murume akatangazve kuziva pachavo pashure pathogenic zvinhu regai kufurira naye.

Yeuka kuti kunyange kuva asina chaanoziva kwamazuva mashoma musapfuura pasina zvikasawanirwa uye kunogona kukanganisa muviri uye pfungwa ezvinhu.