Ikhoma elehlisiwe: kuyini, lapho kunesidingo nezingozi

-Delile

• Lapho kunesidingo
• Kwenziwa kanjani nokuthi kuhlala isikhathi esingakanani
• Ngabe umuntu oku-coma ongenwe angalalela?
• Izingozi ezingenzeka ze-coma

I-coma eyengezwayo i-sedation ejulile eyenziwayo ukusiza ukubuyiswa kwesiguli esizimisele kakhulu, njengoba kungenzeka ngemuva kokushaywa unhlangothi, ukuhlukumezeka kobuchopho, i-infarction noma izifo zezifo zamaphaphu, njenge-pneumonia enamandla.

Lolu hlobo lwe-sedation lwenziwa ngemithi, njengaleyo esetshenziselwa i-anesthesia ejwayelekile, ngakho-ke, umuntu angavuka ngemuva kwamahora noma izinsuku, lapho isiguli silulama noma udokotela ekuthola kufanelekile. Ngakho-ke, ikhoma elenzelwe lihlukile ku-coma ebangelwa yizifo, ngoba alinakubikezelwa futhi alincikile ekulawuleni kukadokotela.

Ngokuvamile, ikhoma elenzelwa ukwenziwa lisebenza endaweni ye-ICU, njengoba kudingeka ukusebenzisa amadivayisi asiza ukuphefumula, kanye nokuqapha okubanzi kwayo yonke imininingwane ebalulekile yesiguli, ukuze kugwenywe izinkinga, ezifana nokuboshwa ngokuphefumula, ukuboshwa kwenhliziyo noma ukusabela kumthelela wemithi, isibonelo.

Lapho kunesidingo

Ikhoma elenzelwe uhlobo lokulala okujulile okubangelwa yimithi yokuthambisa, kungadingeka lapho isiguli sinesimo sempilo esibi kakhulu noma esibucayi, njenge:

• Ukuhlukumezeka ekhandakubangelwa izingozi noma ukuwa. Bheka ukuthi yini imiphumela yokuhlukumezeka ekhanda emzimbeni;
• Inkinga yesifo sokuwa lokho akubi ngcono ngemithi;
• Isifo senhliziyo esibi, ngenxa ye-infarction, ukwehluleka kwenhliziyo noma i-arrhythmias, isibonelo. Qonda okungadala ukwehluleka kwenhliziyo nokuthi ikwelaphe kanjani;
• Ukwehluleka okukhulu kwamaphaphu, okubangelwa inyumoniya, i-emphysema noma umdlavuza, isibonelo;
• Isifo esibi sezinzwa, njenge-stroke enkulu, i-meningitis noma isimila sobuchopho. Thola ukuthi ukwelashwa unhlangothi kwenziwa kanjani ukugwema i-sequelae;
• Ngemuva kokuhlinzwa okuyinkimbinkimbi, njengobuchopho, ukuhlinzwa kwenhliziyo noma ngemuva kwengozi enkulu;
• Ubuhlungu obungabi ngcono ngemithi, njengokusha okukhulu noma umdlavuza osezingeni eliphezulu.

Kulezi zimo, ikhoma lenzelwa ukuthi ubuchopho nomzimba kutholakale ukuthi kungalulama, ngoba umzimba uzonga amandla ngokungasebenzi, futhi umuntu ngeke ezwe ubuhlungu noma ukungaphatheki kahle ngenxa yesimo esibi.

Ezimweni zezifo ezinzima zamaphaphu, njenge-pneumonia, i-sedation izophinde isebenze ukusebenzisana nohlelo lokuphefumula, okuvumela umoya-mpilo ongcono womzimba owawukhubazekile yilesi sifo. Thola okuningi mayelana nokwelashwa okusiza ukwenza umoya-mpilo emzimbeni wehluleke ukuphefumula.

Kwenziwa kanjani nokuthi kuhlala isikhathi esingakanani

Ikhoma elenziwa libangelwa yimithi yokuthambisa efana neMidazolam noma iPropofol, elawulwa ngemithamo elawulwayo futhi ejojelwe emthanjeni, imvamisa e-ICU, ngomthelela ongahlala isikhathi eside amahora, izinsuku noma amasonto, ize iphazanyiswe ngenxa yokuthuthuka kwesimo somtholampilo wesiguli noma ukuze udokotela enze ukuhlolwa komtholampilo.

Isikhathi sokuvuka futhi siyahlukahluka ngokuya komzimba womuthi ngumzimba womuntu. Ngaphezu kwalokho, ukululama kwesiguli kuncike esimweni ngasinye, ngakho-ke, uma umuntu ezosinda noma abe ne-sequelae, kuzoya ngohlobo lwesifo, ubunzima kanye nezimo zempilo yomuntu, ezithonywe yizinkinga ezinjengobudala, izimo zokudla okunempilo , sebenzisa imithi kanye nobukhulu besifo.

Ngabe umuntu oku-coma ongenwe angalalela?

Uma e-coma ejulile, lo muntu akazi lutho futhi, ngakho-ke, akazizwa, akanyakazi futhi akezwa, ngokwesibonelo. Kodwa-ke, kunamazinga amaningana okusilalisa, kuya ngomthamo womuthi, ngakho-ke lapho ukuthambisa kukhanya kungenzeka ukuzwa, ukunyakaza noma ukusebenzisana, kube sengathi uyozela.

Izingozi ezingenzeka ze-coma

Njengoba i-sedation yenziwa ngemithi yokubulala izinzwa, efana nalokho okusetshenziswa ku-anesthesia ejwayelekile, futhi ezinye izinkinga zingenzeka, njenge:

• Ukungezwani komzimba nesithako somuthi esisebenzayo;
• Ukunciphisa kwenhliziyo;
• Ukwehluleka kokuphefumula.

Lezi zinkinga ziyagwenywa ngokuqapha okuqhubekayo kwemininingwane ebalulekile yesiguli kanye nokuhlolwa okuqhubekayo ngudokotela nabasebenzi babahlengikazi be-ICU. Ngaphezu kwalokho, impilo yesiguli esidinga i-coma eyengezwayo ivame ukuba nzima, futhi ingozi yokuthanjiswa ingaphansi kwengozi yesifo uqobo.

Funda kabanzi mayelana nokuthi i-anesthesia ejwayelekile isebenza kanjani nokuthi ziyini izingozi.