Kodi chikomokere n’chiyani? Tiyeni tikambirane za vuto lalikulu ili la kutaya chidziwitso!

Mwina munamvapo wina akunena kuti "walowa mu coma" kapena wawona wina mufilimu atatseka maso ake, osasuntha konse. Uwu ndi vuto lalikulu kwambiri, lomwe lingawononge moyo. Chifukwa chake, lero tikambirana za chomwe chikomokere kwenikweni ndi, chifukwa chake chimachitika, komanso zomwe tingachite nazo.

Kodi chikomokere n’chiyani kwenikweni?

Mwachidule, kukhala mu chikomokere kumatanthauza kuti simukudziwa , simukudziwa zomwe zikuchitika mozungulira inu, ndipo simukuyankha mwanjira iliyonse . Simukudziwa thupi lanu kapena zosowa zake. Mwachidule, chikomokere kumatanthauza kuti ubongo wanu sukugwira ntchito bwino .

Taganizirani izi motere: ubongo uli ngati malo olamulira thupi lathu. Izi ndi zomwe zimachitika ukapanda kugwira ntchito bwino. Chikomokere chingayambike chifukwa cha zinthu zosiyanasiyana zomwe zimakhudza kwambiri kapena kuwononga ubongo. Si chikomokere chonse chomwe chili chofanana. Zina zimakhala zakuya , zomwe zikutanthauza kuti ntchito ya ubongo imasokonekera kwambiri.

Kukomoka ndi vuto ladzidzidzi lachipatala . Ngati wina m'dera lanu wakomoka ndipo sakuyankha, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo . Zinthu zambiri zomwe zimayambitsa kukomoka zimafuna chithandizo chadzidzidzi. Kuchedwa kungayambitse mavuto aakulu, ngakhale imfa.

Kodi matenda a chikomokere ndi ofala bwanji?

Malinga ndi kafukufuku amene alipo, m'maiko monga United States ndi England, anthu pafupifupi 250 atsopano a coma amapezeka pa anthu 100,000 pachaka. Komabe, pali kusatsimikizika kwa momwe ziwerengerozi zilili zolondola. Pali zifukwa zingapo za izi. Chifukwa chimodzi chachikulu ndichakuti matenda ena omwe amayambitsa coma amatha kuchiritsidwa ndipo amatha kuchiritsidwa mwachangu. Nthawi zina, matendawa amatha kuchiritsidwa ndi dokotala woyamba asanafike kuchipatala. Chifukwa china ndichakuti pali matenda ena omwe angawoneke ngati coma, koma kwenikweni ndi osiyana.

Chikomokere chingachitike kwa aliyense amene ali ndi vuto lililonse la matenda lomwe limakhudza ntchito ya ubongo. Chingakhudze aliyense, mosasamala kanthu za msinkhu, jenda, fuko, kapena chipembedzo.

Kodi zizindikiro za chikomokere ndi ziti?

Pali zizindikiro zitatu zazikulu za coma:

• Kusadziwa: Izi zili ngati tulo tatikulu kwambiri. Palibe njira yoti ungakudzutse .
• Kusayankha bwino kwa maso: Izi zikutanthauza kuti maso anu atsekedwa. Simuyankha ngakhale wina atayesa kutsegula maso anu. Nthawi zina pangakhale mayendedwe ena a reflex m'maso. Mwachitsanzo, kuyankha kuwala, kuphethira, ndi kutembenuza maso anu mukatembenuza mutu wanu. Komabe, ngati chikomokere chili chakuya kwambiri, reflex izi sizingachitike monga momwe zimayembekezeredwa.
• Kusowa kwa mphamvu ya injini:Izi zikutanthauza kuti simuchita dala chilichonse . Nthawi zina mungakhale ndi ma reflexes ena. Koma ngati chikomokere chili chakuya kwambiri, chikhozanso kutayika. Muthanso kudziwa kuchuluka kwa chikomokerecho potengera mtundu wa ma reflexes omwe mumasonyeza.

Ngakhale kuti zizindikirozi nthawi zambiri zimawoneka munthu ali ndi chikomokere, pakhoza kukhala kusiyana kwina. Anthu ena akhoza kukhala ndi kusintha kwa kayendedwe ka thupi.

Kodi Glasgow Coma Scale (GCS) ndi chiyani?

Muyeso wa Glasgow Coma Scale (GCS) ndi njira yomwe imagwiritsidwa ntchito kwambiri padziko lonse lapansi poyesa kuopsa kwa chikomokere. GCS ili ndi magulu atatu akuluakulu, ndipo gulu lililonse limalandira zigoli. Zigoli zazikulu ndi 15. Izi zikutanthauza kuti mumadziona bwino, mukudziwa zomwe zikukuzungulirani, mumatha kumvetsetsa ndikuyankha mafunso, komanso mumatha kutsatira malamulo.

Kawirikawiri, zigoli 8 kapena kuchepera zimatanthauza kuti muli mu chikomokere. Zigoli zikakhala zochepa, chikomokere chimakula kwambiri. Zigoli zochepa kwambiri ndi 3. Magulu atatu omwe amayesedwa ndi GCS ndi awa:

• Yankho la maso (mfundo 1-4)
• Yankho la kayendedwe (mfundo 1-6)
• Yankho lolankhula (mfundo 1-5)

Kodi ndi zinthu ziti zomwe zingayambitse chikomokere?

Pali zifukwa zambiri zomwe zingayambitse kapena kuyambitsa chikomokere. Tiyeni tiwone zomwe zili:

• Kusintha kosazolowereka kwa shuga m'magazi: Izi zikuphatikizapo chikomokere chokhudzana ndi matenda a shuga. Shuga wochepa m'magazi (hypoglycemia) ndi shuga wochuluka m'magazi (hyperglycemia) ndi zoopsa.
• Mankhwala ndi njira zachipatala: Kuletsa kupweteka kwa opaleshoni, komanso kukomoka komwe kumachitika chifukwa cha mankhwala.
• Kugwiritsa ntchito mankhwala osokoneza bongo komanso mankhwala enaake.
• Kuledzera mowa ndi poizoni wa mowa.
• Kuvulala mutu: Zinthu monga kugwedezeka mutu, komwe kumachitika mutu ukagundidwa pangozi, kapena zinthu zoopsa kwambiri monga kuvulala kwa ubongo (TBI) .
• Ubongo umatuluka magazi.
• Kuchepa kwa kuyenda kwa magazi kupita ku ubongo: Kungayambitsidwe ndi mtundu uliwonse wa sitiroko, makamaka sitiroko ya ischemic .
• Kusowa kwa mpweya (cerebral hypoxia).
• Zinthu zoopsa: Mwachitsanzo , carbon monoxide , zitsulo zolemera, ndi mankhwala ena ophera tizilombo.
• Matenda: Makamaka matenda a muubongo monga encephalitis ndi meningitis , komanso matenda oopsa monga sepsis .
• Kulephera kugwira ntchito kwa impso kapena chiwindi.
• Matenda otupa kapena matenda okhudzana ndi chitetezo chamthupi: Mwachitsanzo , 'Multiple Sclerosis' (MS) .
• Kusalinganika kwa ma electrolyte: Matenda monga kuchepa kwa sodium (hyponatremia) kapena calcium yambiri (hypercalcemia) .
• Kusintha kosazolowereka kwa kutentha kwa thupi: Kutentha thupi kotsika kwambiri (hypothermia) komanso kutentha thupi kokwera kwambiri (hyperthermia) .
• Kupanikizika kwambiri mkati mwa chigaza (Intracranial hypertension): Izi zitha kuchitika chifukwa cha matenda monga hydrocephalus .
• Khunyu: Makamaka 'Status Epilepticus', yomwe ndi vuto la khunyu lopitirira.

Ndani ali pachiopsezo chachikulu cha kukomoka?

Matenda ena ndi zinthu zina zokhudzana ndi moyo zimatha kuwonjezera chiopsezo chogwa chikomokere. Izi zikuphatikizapo:

• Matenda a kagayidwe kachakudya: Matenda omwe amakhudza kuchuluka kwa shuga m'magazi , monga matenda a shuga a mtundu woyamba komanso vuto losowa la matenda a shuga a mtundu wachiwiri, lotchedwa Diabetic Ketoacidosis (DKA) .
• Matenda omwe akhalapo kwa nthawi yayitali: Zinthu monga kuthamanga kwa magazi (kuthamanga kwa magazi) ndi cholesterol yambiri (kuthamanga kwa mafuta m'thupi) . Izi zingayambitse kutuluka magazi muubongo kapena sitiroko.
• Kugwiritsa ntchito mankhwala osokoneza bongo ndi mowa: Kumwa mankhwala osokoneza bongo aliwonse, kuphatikizapo mankhwala osokoneza bongo, mankhwala ochepetsa ululu a opioid, mapiritsi ogonetsa, kumwa mowa, kumwa mankhwala osokoneza bongo a opioid, ndi kugwiritsa ntchito mankhwala osokoneza bongo.
• Kusagwiritsa ntchito zida zodzitetezera: Kusagwiritsa ntchito zida zodzitetezera monga zipewa ndi malamba achitetezo kungayambitse kuvulala mutu ndi matenda monga kugwedezeka kwa mutu kapena ma TBI .
• Matenda okhudzana ndi mtima: Zinthu monga kusasinthasintha kwa kayimbidwe ka mtima.
• Matenda ena a nthawi yayitali: Matenda monga khunyu , hypothyroidism .

Kodi mavuto omwe angakhalepo chifukwa cha chikomokere ndi ati?

Munthu amene ali ndi chikomokere sangathe kudzisamalira yekha. Sangathe kuyenda, kudya, kusamba, kapena kuchita chilichonse mwa izi. Izi zikutanthauza kuti amafunika chithandizo chamankhwala maola 24 patsiku. Munthu amene ali ndi chikomokere angafunike katheta ya mkodzo kuti imuthandize kutulutsa mkodzo. Nthawi zambiri amafunika thandizo la kupuma, komwe kumatchedwa kuti mechanical ventilation., ndiko kuti, amapangidwa kuti apume pogwiritsa ntchito makina.

Zina mwa mavuto omwe angabwere chifukwa cha coma kapena mankhwala ena okhudzana ndi izi ndi awa:

• Matenda okhudzana ndi chipatala: monga chibayo chogwirizana ndi mpweya (VAP) ndi matenda okhudzana ndi njira ya mkodzo (CAUTIs) .
• Kuvulala ndi kupanikizika/Zilonda za m'mimba: Ziwalo zina za thupi zimatha kuvulala chifukwa chokhala pamalo omwewo.
• Kudyetsa machubu.
• Kufooka kwa minofu.
• Kutsekeka kwa magazi m'thupi: Pofuna kupewa izi, mankhwala ochepetsa magazi (anticoagulants) ndi zipangizo zochepetsera magazi m'thupi (IPC) zimagwiritsidwa ntchito. Izi zitha kupewa zinthu monga sitiroko ndi pulmonary embolism.
• Kusokonezeka maganizo.
• Kupanga dzenje pakhosi kuti munthu apume (Tracheostomy): Izi nthawi zambiri zimakhala zofunikira pokhapokha ngati chikomokere chimatenga milungu yoposa iwiri.

Kodi mumazindikira bwanji kuti muli ndi chikomokere?

Kupeza chomwe chimayambitsa chikomokere - kutanthauza kuzindikira vuto lachipatala lomwe limayambitsa - ndi chinthu chomwe chiyenera kuchitika mwachangu . Chimodzi mwa zinthu zoyambirira pozindikira chikomokere ndikuchita mayeso a mitsempha . Dokotala amatha kugwiritsa ntchito chinthu ngati Glasgow Coma Scale kuti adziwe kuopsa kwa chikomokerecho.

Kuwonjezera pa kuyezetsa mitsempha, madokotala adzachita mayeso angapo kuti adziwe chomwe chayambitsa chikomokere komanso momwe vutoli lilili lalikulu. Mwachitsanzo, ngati pavulala mutu, zimakhala zosavuta kudziwa chomwe chayambitsa. Kenako mayesowo adzayang'ana kukula kwa kuwonongeka. Ngati chomwe chayambitsa sichikudziwika, kupeza chomwe chayambitsa chikomokere ndi kudziwa kuopsa kwa chomwe chayambitsa ndi chinthu chomwecho.

Ndi mayeso otani omwe amachitidwa kuti adziwe vutoli?

Pali mayeso ambiri omwe angathandize kuzindikira chikomokere ndi kudziwa kuopsa kwake. Ena mwa iwo ndi awa:

• Mayeso a m'chipatala pa magazi, mkodzo, ndi madzi a m'mitsempha (CSF): Izi ndi zothandiza kwambiri kupeza zifukwa zambiri zomwe zimayambitsa chikomokere. Amatha kuzindikira zinthu zambiri, kuphatikizapo mavuto a shuga m'magazi, kusalingana kwa mchere, kusagwira bwino ntchito kwa ziwalo, poizoni, ndi zizindikiro za matenda.
• Kujambula zithunzi: Mayeso awa angagwiritse ntchito njira zosiyanasiyana kuti "aone" kuvulala kapena kuwonongeka mkati mwa mutu wanu. Mayeso odziwika kwambiri ojambulira zithunzi ndi 'CT scans' (Computed Tomography - CT scans) ndi 'MRI scans' (Magnetic Resonance Imaging - MRI scans) .
• Electroencephalogram (EEG):Kuyesa kumeneku kumazindikira ndikulemba momwe magetsi amagwirira ntchito muubongo wanu. Kungathandize kudziwa kuopsa kwa chikomokere ndikupeza matenda omwe angayambitse chikomokere, monga khunyu.
• Electrocardiogram (ECG kapena EKG): Kuyeza kumeneku kungathandize kuzindikira kapena kuchotsa vuto la mtima lomwe lingayambitse chikomokere.

Kuwonjezera pa izi, mayeso ena angachitike. Izi zidalira mtundu wa chikomokere, momwe mulili, komanso mbiri yanu ya thanzi. Ngati munthu wapafupi nanu ali ndi chikomokere, dokotala ndiye munthu wabwino kwambiri woti akufotokozereni mayeso omwe akuchitidwa. Mukangochira, iye angakuuzeni mayeso omwe anachitika.

Kodi chikomokere chimachiritsidwa bwanji? Kodi chingachiritsidwe?

Chithandizo cha chikomokere chimadalira kwambiri chomwe chimayambitsa chikomokere . Popeza pali zifukwa zambiri za chikomokere, pakhoza kukhala njira zambiri zochizira. Chomwe chimagwira ntchito pa chifukwa chimodzi sichingagwire ntchito pa china (kapena chingapangitse vuto lina kukhala loipa kwambiri).

Choncho, dokotala ndiye munthu wabwino kwambiri woti akuuzeni chithandizo chomwe chilipo komanso chomwe chikulimbikitsidwa pa vuto lanu kapena la munthu amene ali pafupi nanu.

Chithandizo chodziwika bwino chadzidzidzi

Asanadziwe chifukwa cha chikomokere, pali njira zina zomwe madokotala kapena osamalira odwala angayambitse. Mankhwalawa nthawi zambiri amakhala okhudzana ndi matenda odziwika bwino, kapena zinthu zomwe munthu amaganiza kuti zimayambitsa chikomokere kutengera umboni womuzungulira. Mankhwalawa angathandize munthu kukhala wolimba, kupewa chikomokere kuti chisakule kwambiri, kapena kumuchotsa kwathunthu mu chikomokere. Zitsanzo zikuphatikizapo:

• Shuga kapena insulin: Izi zimathandiza kukweza kapena kuchepetsa shuga m'magazi. Ngati shuga waperekedwa munthawi yake, chikomokere chingabwererenso msanga.
• Mankhwala oletsa kugwiritsa ntchito mankhwala osokoneza bongo: Chitsanzo ndi 'Naloxone' . Izi zitha kusintha zotsatira za kugwiritsa ntchito mankhwala osokoneza bongo. Naloxone imatha kusintha zotsatira za kugwiritsa ntchito mankhwala osokoneza bongo mkati mwa mphindi ziwiri kapena zisanu.

Ponena za mavuto/zotsatira zoyipa za chithandizo, popeza pali njira zambiri zosiyanasiyana zochiritsira chikomokere, pali zovuta zambiri komanso zotsatira zoyipa zomwe zingachitike chifukwa cha chithandizocho. Dokotala wanu ndiye munthu wabwino kwambiri woti afotokozere zotsatira zoyipa kapena zovuta zomwe zingachitike komanso zomwe zingachitike pa izi.

Kodi zimakhala bwanji kukhala mu coma?

Kukhala mu coma nthawi zambiri kumatanthauza kuti simukudziwa , kotero simukudziwa kuti muli mu coma. Simusonyeza kuti mukudziwa za dziko lozungulirani. Simuyankha mwadala zomwe zikuchitika, malo omwe muli, kapena zosowa za thupi lanu. Kutengera ndi kukula kwa coma, mungakhale ndi ma reflexes ena, koma izi zimasiyana malinga ndi nkhani.

Ukakhala pa chikomokere, kodi umamva zinthu zikuchitika mozungulira iwe? Kodi ukukumbukira?

IziZingachitike nthawi zina, koma zimatengera mtundu wa chikomokere komanso kuzama kwa chikomokere chanu. Pali umboni wakuti anthu omwe ali ndi chikomokere amatha kumva zinthu zomwe zikuchitika mozungulira iwo. Anthu ena omwe achira ku chikomokere atha kukumbukira zinthu zomwe zinachitika pafupi, monga kukambirana. Komabe, izi zimatha kusiyana kwambiri. N'zovuta kunena nthawi yeniyeni kapena momwe munthu adzachitikire izi.

Ndikofunikanso kukumbukira kuti nthawi zina chikomokere chingakhale chovuta kuchizindikira. Madokotala amagwiritsa ntchito maphunziro awo, zomwe adakumana nazo, komanso nzeru zawo kuti adziwe vutoli. Koma si milandu yonse yomwe ili yofanana. Izi zikutanthauza kuti chikomokere chingadziwike molakwika kapena kuzama kwake kuchepetsedwa chifukwa cha zinthu zina. Komanso, munthu poyamba akhoza kukhala ali mu chikomokere ndikuchira pang'ono mpaka kufika pamlingo winawake dokotala asanazindikire kusintha kwa chikumbumtima.

Chifukwa pali zinthu zambiri, funsoli silophweka kuliyankha. Dokotala ndiye munthu wabwino kwambiri wokuthandizani kudziwa ngati inuyo kapena munthu wina wapafupi nanu anali ndi chikumbumtima ndipo anakumbukira zomwe zinachitika ali chikomokere. Ngakhale kuti iye sangayankhe funsoli mokwanira, angakuthandizeni kumvetsetsa momwe chidziwitso chimenecho chimakhudzira njira yochira komanso zomwe zimachitika pambuyo pake (ngati zilipo).

Kodi coma imatenga nthawi yayitali bwanji?

Chikomokere chingatenge nthawi yochepa kwambiri, mphindi zochepa chabe . Kapena chingatenge kwa sabata imodzi kapena ziwiri . Tsoka ilo, imfa imatha kuchitikanso ali mu chikomokere. Izi zimachitika kawirikawiri ngati chikomokere chachitika chifukwa cha kuvulala kwambiri kapena matenda, kapena ngati wina salandira chithandizo chamankhwala mwachangu atangoyamba chikomokere.

Sizimachitika kawirikawiri kuti munthu akhale ndi chikomokere kwa milungu ingapo. Izi zimachitika chifukwa chakuti nthawi zambiri munthu amadzuka kuchokera ku chikomokere kapena munthu amene akusamuka n’kupita ku mkhalidwe wina wa kusazindikira bwino kapena kusazindikira kwenikweni. Izi ndi izi:

• Mkhalidwe wa Vegetative: Munthu amene ali mu mkhalidwe umenewu amakhala maso koma sadziwa za dziko lomuzungulira. Sasonyeza khalidwe lililonse ladala. Angatsegule maso awo ndikuchita zinthu zomwe zimawoneka ngati zikuyankha dziko lomuzungulira, koma sakudziwa kwenikweni ndipo sakuchita chilichonse mwadala. Ngati mkhalidwe wa vegetative ukhala kwa nthawi yayitali, umatchedwanso mkhalidwe wa vegetative wokhazikika (PVS) . (Malinga ndi akatswiri, mkhalidwe wa vegetative womwe umakhala kwa miyezi itatu popanda ngozi, kapena miyezi khumi ndi iwiri ngati wachitika chifukwa cha ngozi, umaonedwa kuti umakhalabe.)
• 'Mkhalidwe Wosazindikira Kwambiri': Uwu ndi mkhalidwe womwe munthu amazindikira pang'ono za dziko lomuzungulira ndipo amasonyeza khalidwe lochita mwadala. Amatha kutsatira malamulo osavuta ndikulankhula ziganizo zazifupi. Koma sangathe kuchita zinthuzi nthawi zonse. Akalephera kuchita zinthuzi, amawoneka ngati ali mu 'Mkhalidwe Wosasintha wa Zamasamba'.

Ngakhale kuti 'mkhalidwe wa zomera' uli ngati chikomokere, si chikomokere konse. Anthu omwe ali mu 'mkhalidwe wa zomera' achira mpaka kufika poti salinso chikomokere. Komabe, ntchito ndi luso lawo la ubongo ndi zochepa kwambiri.

Mwayi wochira kuchokera ku matenda a zomera umasiyana kwambiri. Anthu ena amabwerera m'mbuyo kapena pang'ono. Koma ambiri satero. Anthu amatha kukhalabe m'thupi lawo kwa milungu, miyezi, kapena zaka. Komabe, sangathe kudzisamalira okha ndipo amafunika chithandizo chamankhwala nthawi zonse. Mwatsoka, ali pachiwopsezo chachikulu cha mavuto. Anthu ambiri omwe ali m'thupi lawo amakhala ndi moyo wochepa.

Kodi pali mwayi wotani wotuluka mu mkhalidwe umenewu?

Mwayi wochira ku coma umasiyana kwambiri . Zinthu zambiri zimakhudza vutoli. Munthu wabwino kwambiri woti akuuzeni za vuto linalake ndi dokotala amene amadziwa bwino vutoli. Nthawi zambiri, ameneyo ndi dokotala amene anathandiza wokondedwa wanu.

Ngati simungathe kupanga zisankho, kodi mumalankhula bwanji zomwe mukufuna?

Tangoganizirani, ngati muli mu chikomokere, simukanatha kupanga zisankho zokhudzana ndi chithandizo chanu chamankhwala kapena kuuza aliyense zomwe mukufuna. Nthawi zambiri, zisankho zimenezo ziyenera kupangidwa ndi achibale kapena okondedwa anu.

Kaya muli ndi vuto la matenda lomwe lingakupangitseni kukhala pachifuwa kapena ayi, ndi bwino kukambirana ndi okondedwa anu zomwe mukufuna ngati simungathe kupanga zisankho zokhudzana ndi chithandizo chanu chamankhwala. Kukambirana kumeneku kungakhale kovuta komanso kosasangalatsa. Koma, kukambirana kumeneku kusanachedwe kudzathandiza okondedwa anu kudziwa zomwe mukufuna ngati simungathe kulankhula.

Ndi bwinonso kulemba zomwe mukufuna komanso zisankho zanu . Izi nthawi zambiri zimatchedwa 'Advance Directive' kapena 'Living Will'. Zimakhudza nkhani zamalamulo za zomwe zimachitika ngati simungathe kudzisamalira nokha kapena kupanga zisankho zokhuza moyo wanu. Mutha kupeza thandizo kuchokera kwa loya kuti akonze zikalatazi. Koma muthanso kukonzekera zina mwa izo nokha (kutengera malamulo omwe ali mdera lanu, mungafunike kuzisainidwa ndi notary).

Kodi kukomoka kungapewedwe?

Matenda ambiri omwe amayambitsa chikomokere amatha kupewedwa - kapena chiopsezocho chingachepe . Nazi zina mwazinthu zofunika kwambiri zomwe mungachite kuti mupewe kapena kuchepetsa chiopsezo chanu chokhala ndi chikomokere:

• Kusamalira matenda anu osatha: Kutsatira malangizo a dokotala wanu kuti muchepetse matenda monga matenda a shuga ndi khunyu kungachepetse mwayi wanu woti mudzakhale ndi chikomokere mtsogolo.
• Valani zida zodzitetezera ngati pakufunika kutero: Kuvulala mutu, makamaka kugwedezeka kwa mutu ndi TBIs (Traumatic Brain Injuries), ndi zinthu zomwe zimayambitsa chikomokere. Dzitetezeni povala zida zodzitetezera monga zipewa ndi malamba ngati pakufunika kutero.
• Idyani zakudya zopatsa thanzi: Zambiri mwa zifukwa zomwe zimayambitsa chikomokere zimakhudzana ndi zakudya. Mwachitsanzo, kusalingana kwa mchere, kusowa kwa zakudya m'thupi. Zakudya zanu zimakhudzanso thanzi la kayendedwe ka magazi m'thupi lanu. Izi zingathandize kupewa chikomokere chomwe chimabwera chifukwa cha matenda monga sitiroko.
• Pitirizani kuchita masewera olimbitsa thupi ndikukhala ndi kulemera kwabwino: Kulemera kwanu ndi kuchuluka kwa zochita zanu zingathandize kupewa kapena kuchedwetsa matenda omwe amakhudza ubongo wanu, makamaka omwe amayambitsa chikomokere.
• Kupewa kugwiritsa ntchito mankhwala osokoneza bongo ndi mankhwala enaake, komanso kumwa mowa pang'ono: Kugwiritsa ntchito mankhwala osokoneza bongo kumawonjezera kwambiri chiopsezo cha chikomokere. Komanso, kumwa mankhwala omwe dokotala wakupatsani monga momwe walangizidwira kumachepetsa chiopsezo cha zovuta ndi zotsatirapo zina monga chikomokere.

Kwa iwo omwe ali ndi okondedwa awo ali mu coma, izi zitha kukhala zowopsa kwambiri. Pamene wokondedwa wanu ali mu coma, mungakhale ndi mafunso ambiri osayankhidwa. Mungadzifunse ngati adzachira, zitenga nthawi yayitali bwanji, komanso ngati adzachira mokwanira. Ngakhale kuti sikophweka kukhala ndi mafunso ndi kusatsimikizika, kafukufuku wopitilira akuthandiza akatswiri kumvetsetsa bwino momwe coma imagwirira ntchito komanso momwe angawachiritsire. Izi zidzatsegula chitseko chochira ku coma tsopano komanso mtsogolo.

Mwachidule, nazi zinthu zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba):

Ndikukhulupirira kuti izi zikuthandizani kumvetsetsa za chikomokere. Zinthu zofunika kwambiri zomwe muyenera kukumbukira ndi izi:

• Chikomokere ndi vuto lachipatala. Ngati muwona munthu atakomoka ndipo sakumva bwino , funani thandizo lachipatala nthawi yomweyo .
• Pakhoza kukhala zifukwa zambiri zomwe zimayambitsa chikomokere, ndipo zina mwa izo n'zotheka kupewa.
• Chiwopsezo cha chikomokere chingachepe poteteza mutu (chisoti, lamba wa mpando), kuwongolera matenda osatha (monga matenda a shuga, kuthamanga kwa magazi), komanso kupewa mankhwala osokoneza bongo .
• Ngati muli pamavuto omwe simungathe kupanga zisankho, ndikofunikira kwambiri kukambirana ndi banja lanu za zomwe mukufuna kuti mudzalandire chithandizo chamankhwala , ndipo ngati n'kotheka, lembani .
• Mwayi wochira ku coma umasiyana malinga ndi munthu, ndipo dokotala wanu angakupatseni chidziwitso chabwino kwambiri pankhaniyi.

Tikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Chikomokere , kusadziwa, ubongo, chithandizo, zadzidzidzi, zizindikiro, thanzi