Mukamva mawu oti "coma," kodi n’chiyani chimabwera m’maganizo mwanu? Nthawi zina, tinganene moseka kuti, "Akugona ngati ali mu coma," kapena kugwiritsa ntchito mawuwo pofotokoza munthu amene sakumvetsera. Koma, mnzanga, coma si nthabwala. Sizikugwirizana ndi tulo; ndi matenda oopsa kwambiri. Ndiye, tiyeni tikambirane za izi mwatsatanetsatane , sichoncho?
Kodi chimachitika n’chiyani munthu akakhala pa chikomokere?
Munthu akakhala ndi chikomokere, sadziwa kalikonse . Izi zikutanthauza kuti sangathe kuyankha mawu anu, phokoso lalikulu, kapena zinthu zina zakunja. Komabe, mfundo yofunika kwambiri ndi yakuti munthuyo akadali ndi moyo . Ubongo wake ukugwira ntchito pang'ono kwambiri—makamaka, ali ndi tcheru lochepa kwambiri.
Taganizirani izi motere: ngati mnzanu ali m'tulo tatikulu, nthawi zambiri mungam'dzutse mwa kumugwedeza kapena kulankhula naye. Komabe, mukakhala ndi chikomokere, simungamudzutse. Sizili chimodzimodzi ndi tulo.
Kodi n’chiyani chimayambitsa chikomokere?
Tiyeni tiwone zomwe zingayambitse chikomokere. Zinthu zosiyanasiyana zingayambitse vutoli:
- Kuvulala mutu kwambiri: Ngati ngozi yaikulu yapangitsa kuti mutu uvulale kwambiri, ikhoza kuwononga ubongo kwambiri.
- Kugwidwa ndi khunyu: Mitundu ina ya khunyu yomwe imapitirira nthawi yayitali kapena yobwerezabwereza ingayambitse kukomoka.
- Matenda okhudza ubongo: Mavairasi kapena mabakiteriya olowa mu ubongo angayambitse matenda oopsa, monga meningitis kapena encephalitis, zomwe zingayambitse chikomokere.
- Kusowa kwa mpweya kwa nthawi yayitali: Ubongo wathu umafunika mpweya wokwanira nthawi zonse. Ngati mpweyawu watha chifukwa cha zinthu monga kulephera kupuma kapena kulephera kwa mtima, ubongo ukhoza kuwonongeka, zomwe zingayambitse chikomokere.
- Kumwa mankhwala ochulukirapo: Kumwa mankhwala enaake kapena mankhwala osokoneza bongo ambiri kungayambitse chikomokere.
- Stroke: Stroke imachitika pamene magazi apita ku ubongo asokonekera, zomwe zingayambitse kuwonongeka kwakukulu ndikupangitsa kuti munthu asakhale ndi nthawi yopuma.
- Kusalingana kwa mankhwala: Nthawi zina, matenda a m'thupi—monga matenda a shuga osalamulirika kapena kulephera kwa impso—angayambitse kusalingana kwakukulu kwa mankhwala m'thupi, zomwe zimayambitsa chikomokere.
Mwachidule, pazifukwa zilizonsezi, ntchito ya maselo a ubongo wanu imasokonekera . Makamaka, ngati ziwalo za ubongo zomwe zimayambitsa chikumbumtima chanu zawonongeka kapena zasiya kugwira ntchito, mumakhala osazindikira—kulowa mu chikomokere. Kodi zimenezo n'zomveka?
Kodi wodwala amene ali mu chikomokere amasamaliridwa bwanji?
Wodwala akamakomoka, nthawi zambiri amasamaliridwa mu chipinda chosamalira odwala kwambiri (ICU) cha chipatalacho.Apa, gulu lodzipereka la madokotala, anamwino, ndi akatswiri limapereka chithandizo chamankhwala chokhazikika nthawi zonse.
Gulu lachipatala limagwira ntchito mwakhama kuti thupi la wodwalayo likhale lathanzi momwe lingathere. Amapereka madzi ofunikira, zakudya, ndi mankhwala kudzera mu chubu chaching'ono cha pulasitiki chomwe chimayikidwa mumtsempha (IV - Intravenous line) kapena mwachindunji m'mimba kudzera mu chubu chodyetsera .
Popeza odwala ena omwe ali ndi chikomokere amatha kuvutika kupuma okha, nthawi zambiri amafunikira makina otchedwa ventilator . Makinawa amapopera mpweya pang'onopang'ono m'mapapo kudzera mu chubu chomwe chimayikidwa mu windpipe kuti chithandizire ntchito yawo yopumira.
Ndikofunikanso kudziwa kuti chifukwa odwala amakhala osasuntha kwa nthawi yayitali, ali pachiwopsezo chotenga zilonda zopanikizika, zomwe zimadziwika kuti zilonda zogona . Ogwira ntchito kuchipatala amachitapo kanthu mwachangu, monga kusintha wodwalayo nthawi zonse, kuti izi zisachitike.
Kuona wokondedwa ali pachikomoko kungakhale chinthu chopweteka kwambiri, chokhudza mtima, komanso cholemetsa kwa banja. Ndizachibadwa kumva mantha, kusowa chochita, kapena kuvutika maganizo panthawi yovuta ngati imeneyi.
Komabe, kupezeka kwanu ndi chithandizo chanu monga wachibale n'zofunika kwambiri. Kupita kwa wodwalayo, kulankhula naye, kuwerenga mokweza, kapena kusewera nyimbo zomwe amakonda kungakhale kopindulitsa kwambiri. Madokotala nthawi zambiri amagogomezera kuti ngakhale wodwala atalephera kuyankha, akhozabe kukumvani , choncho chonde pitirizani kuwalankhula.
Kodi chimachitika ndi chiyani munthu akakomoka?
Nthawi zambiri, chikomokere sichimatenga milungu ingapo. Komabe, nthawi zina munthu amakhalabe ndi chikomokere kwa zaka zambiri. Pazochitika zotere, wodwalayo sangathe kugwira ntchito popanda kupuma yekha. Mkhalidwe umenewu umadziwika kuti Persistent Vegetative State , womwe ndi wosiyana ndi chikomokere, ndipo tingathe kuufufuza m'nkhani ina yotsatira.
Ndikofunikira kudziwa kuti anthu ambiri amachira akadwala chikomokere . Ena amatha kubwerera ku moyo wawo watsiku ndi tsiku monga momwe analili asanadwale.
Ngakhale mafilimu nthawi zambiri amasonyeza munthu akudzuka mwadzidzidzi kuchokera ku chikomokere, ali maso mokwanira ndipo akulankhula, zenizeni n’zosiyana kwambiri. Munthu akadzuka kuchokera ku chikomokere, nthawi zambiri amakhala mumkhalidwe wosokonezeka . Kuyankha kwawo ku zomwe zili pafupi kungakhale kochedwa, ndipo nthawi zambiri amafunika nthawi yambiri komanso kuleza mtima kuti asinthe.
Kaya munthu akuchira mokwanira kapena ayi zimadalira kwambiri chifukwa cha chikomokere komanso kuchuluka kwa kuwonongeka kwa ubongo .
- Anthu ena angabwerere ku chiyambi chawo—kukumbukira ndi luso lomwe anali nalo asanachitike chochitikacho.
- Ena angafunike kuphunziranso maluso oyambira monga kumanga zingwe za nsapato, kudya ndi ziwiya, kapena kuyenda. Izi zimafuna chithandizo chapadera, monga physiotherapy, occupational therapy, ndi speak therapy. Angakumanenso ndi mavuto okhudzana ndi kulankhula ndi kukumbukira.
Chofunika kwambiri ndichakuti pakapita nthawi komanso thandizo la akatswiri odzipereka, anthu ambiri omwe akuchira ku coma amasonyeza kupita patsogolo kwakukulu. Ngakhale atalephera kubwerera ku 100% ya momwe analili asanakomedwe, ambiri amatha kudziyimira pawokha ndikusangalala ndi moyo watanthauzo ndi anzawo komanso abale awo. Chifukwa chake, musataye chiyembekezo .
Mfundo Zofunika Kuziganizira (Uthenga Wopita Nawo Kunyumba)
Mwachidule zomwe takambirana lero zokhudza kukomoka kwa chikomokere, nazi mfundo zofunika kwambiri zomwe muyenera kukumbukira:
- Chikomokere si tulo tokha ayi, ndi matenda aakulu omwe amakhudza ubongo chifukwa cha kutaya chidziwitso.
- Pali zinthu zambiri zomwe zingayambitse chikomokere, kuphatikizapo kuvulala mutu, matenda opatsirana, kusowa kwa mpweya, ndi matenda enaake.
- Wodwala amene ali mu chikomokere amalandira chithandizo chapadera chamankhwala ndi chisamaliro mu Intensive Care Unit (ICU) .
- Kuchira kumasiyana malinga ndi munthu ndipo kumatenga nthawi. Ena amachira mokwanira, pomwe ena angafunike chithandizo cha nthawi yayitali.
- Chofunika kwambiri, m'nthawi zovuta ngati izi, chithandizo, chikondi, ndi kulimba mtima kwa banja n'zofunika kwambiri. Kukhalapo ndikulankhula ndi wokondedwa wanu kungathandize kuti achire.
Ndikukhulupirira kuti izi zathandiza kuyankha mafunso anu okhudza chikomokere. Tiyeni tiyembekezere kuti palibe amene angakumane ndi vuto lotere!
Mawu Ofunika: Chikomokere, chikomokere, Ubongo, Chipinda Chosamalira Anthu Ambiri, ICU, kuchira, kuwonongeka kwa ubongo, chithandizo, mpweya wopumira, Nirogi Lanka
