Kukho amaqondo ahlukeneyo okuqonda kwiyeza
Iqondo lokuqonda (LOC) ligama lonyango lokuchonga umgangatho wesigulane somsebenzi wengqondo. Ichaza ukuqonda kwakhe kwimeko engqongileyo kunye nokuvuselela. Amanqanaba okuqonda ngokuqhelekileyo asekelwe ekuphenduleni komntu ukuvuselela.
Ubunonophelo lubonisa imeko apho isigulane siphapheme, siyazi, silumkele kwaye siphendula kwi-stimuli.
Ukunganakwa kubonisa isimo apho isigulane esingakwaziyo kwaye singaphenduliyo.
Phakathi kwezi zimbini eziphambili, kukho amanqanaba amaninzi okuqonda. Ezi zinto zivela ekubeni ziqaphele ukuba zibe kwi-coma.
Umgangatho oqhelekileyo woNgcono
Inqanaba eliqhelekileyo lokuqonda lithetha ukuba isigulane sisesimo sokuqwashisa, ukuphaphama, nokuvuka okanye kwelinye lamanyathelo okulala okuqhelekileyo kwaye apho angashukunyiswa khona lula.
Inqanaba elithiniweyo lokuNgcono (ALOC)
Amanqanaba atshintshileyo okanye angaqhelekanga ukuqonda achaza izinto ezihluka phakathi kokuziqonda ngokupheleleyo nokungazi .
Amanqanaba okuqonda angabandakanywa:
- Ukudideka: Ukukhathazeka ngokuphathelele umntu, indawo okanye ixesha elenza kube nzima ukuqiqa okanye ukulandela imiyalelo. Izizathu zibandakanya ukungabikho kokulala, umkhuhlane okanye ukusebenzisa iziyobisi.
- I-Delirium : Umoya oguqukayo phakathi kwe-hyperawareness, kunye ne-state of disorientation kunye novila. Izizathu zingabandakanya ukuxhatshazwa okanye unyango.
- I-Lethargy: Iimeko zobuthongo obukhulu, ukungabonakali, ukungabikho kokunganakwa kunye nokuphaphazela. Inokuthi iphinde ihanjiswe njengomntu ongapheliyo. Izizathu zingabandakanya i-anemia, ukugula, i-thyroid engasebenzi kunye nabanye.
- Ukuthotyelwa: Ukunciphisa ukwedlula ukuphaphama kunokugqithisa, kunye neempendulo ezincitshisiweyo kwiimpawu, ixesha elide lokulala nokulala phakathi kwezi zihlandlo. Izizathu zingabandakanywa ukutshatyalaliswa kunye nokutyhefuza, phakathi kwamanye amaninzi.
- I-Stupor: Inqanaba elincinci lokungazi kakuhle apho umntu engaphenduliyo ngaphandle kokuvuselela ngamandla kunye nokuhlaziya rhoqo. Izizathu zingabandakanya ukubetha, ukugqithisa iziyobisi, ukungabi neoksijini, ukuvuvukala kwengqondo kunye nabanye.
- I-Coma : Isimo sokungaphenduli, nokuba senze i-stimuli, kwaye sinokungabikho nto ye-gag reflex okanye i-pupillary response.
Kukho amanye amagama asetshenziselwa ukuchaza ama-degrees ahlukeneyo kunye namazwe ngokubhekiselele kumgangatho womntu owaziyo, njengesi-syncope, elixesha elincinci lokungazi kakuhle xa kutyhafa. Iindawo ze-coma kunye ne-stupor nazo zingahlulwa kumanqanaba okanye ukuhlengahlengisa okucacisa ngakumbi ukungabi nampendulo komntu kwenye yalezi zizwe.
Ulwahlulo lweComa
Iinkqubo eziliqela ziye zaphuhliswa ukuze kulungelelaniswe ukuhlelwa kwezigaba ze-coma kunye nokuphucula unxibelelwano phakathi kwabanikezeli bezempilo. Oku kunceda kwakhona uphando kwi-coma.
Omnye umzekelo yi-Grady Coma Scale, apho amazinga e-coma kumabakala avela kwi-I-IV. Amabakala anqunywe ngokusekelwe kwisimo sengqondo somguli kunye nokuphendula kwisigxina, njengokuphendula kwisigulane igama elibizwa ngokuba ngumguli, intlungu ebuhlungu kunye nentlungu ejulile.
Omnye umzekelo yi-Glasgow Coma Scale, esebenzisa amanqaku ukuchonga izinga lokuqonda, ukusuka kwi-1 ukuya kwe-15, kunye ne-15 ibe yimeko eqhelekileyo yokuqonda.
Amanani amaninzi abonisa amanqanaba okuhla. Kucingisisa ngezwi, iimoto kunye neempendulo zamehlo ukuze zikhombise ukucacisa amanqaku onke.