Wakamboona mumwe munhu ari pedyo newe here, pamwe ari muchipatara, maoko nemakumbo zvakapetwa nenzira isinganzwisisike asi asina chaanoziva? Munhu wese angatya kuona maoko nemakumbo ake akakotama pamagokora, maoko ake akasungirirwa muzvibhakera, uye makumbo ake akatambanudzwa. Zvakajairika kunzwa kutya kukuru kana ukaona izvi. Nhasi tiri kutaura nezvechirwere ichi, chinoonekwa sechiratidzo chakakomba mukurapa, chinonzi 'Decorticate Posturing'.
Zvichitaurwa zviri nyore, chii chinonzi Decorticate Posturing?
Izvi hazvisi zvinhu zvinoitwa nemaune, sekuzunza makumbo emurwere ane pfari panguva yekubatwa nepfari. Kushongedza chimiro chirwere apo tsandanyama dzemuviri dzinoita sedzakasungirirwa uye muviri unokotama panzvimbo yakati nekuda kwekukuvara kwakanyanya kana kukanganiswa kweuropi. Izvi zvakafanana nechimiro chinotorwa nemuviri wega.
Munhu ane chirwere ichi anowanzova asina chaanoziva zvachose. Izvi zvinoreva kuti zvisinei nekuti tinotaura kana kufamba-famba zvakadii, havapinduri. Vanachiremba vanoshandisa chimiro ichi sechiratidzo chakakosha mu'Glasgow Coma Scale', iyo inoyera kuoma kwemurwere ari mukoma.
Ngatinyatsoongorora kuti muviri wacho wakamira sei pachimiro ichi.
| Chikamu chemuviri | Kuti zviripo sei |
|---|---|
| Maoko | Yakakotama zvakasimba pamagokora uye yakadhonzwa yakananga kuchipfuva. |
| Maoko neminwe | Maoko akasungirirwa zvibhakera, maoko akakotama mukati. |
| Makumbo | Ose ari maviri akareba zvakasimba. |
| Tsoka nezvigunwe | Zvigunwe zvakanongedzwa kure nemuviri uye zvakatenderedzwa zvishoma mukati. |
Maitiro aya anogona kuonekwa kudivi rimwe chete remuviri kana kumativi ese ari maviri.
Sei izvi zvichiitika? Ndezvipi zvikonzero zveizvi?
Kushongedza chimiro kunoitika kana kukuvara kukaitika kune zvikamu zveuropi. Uropi inhengo yakaoma zvikuru. Hunodzora mafambiro emuviri wedu kuburikidza nezvikamu zvakasiyana-siyana. Kugara uku kunonyanya kukonzerwa nekukuvara kwezvikamu izvi zveuropi:
- Cerebral Cortex: Iri ndiro denderedzwa rekunze rehuropi hwedu rakakombama. Apa ndipo panoitika mabasa edu mazhinji epamusoro-soro, akadai sekufunga nekuita sarudzo.
- Thalamus: Chikamu ichi cheuropi, chiri pakati peuropi, chakaita senzvimbo huru inoungana. Chinobatsira kutumira masaini pakati pezvikamu zvakasiyana zveuropi.
- Upper Midbrain: Brainstem chikamu chakakosha chinobatanidza uropi hwedu nemusana uri mumusana wedu. Chinokoshawo pakudzora mabasa akakosha akadai sekufema nekurova kwemoyo.
Zvichitaurwa zviri nyore, chirwere ichi chinoitika kana kubatana kuripo pakati penzvimbo dzepamusoro dzeuropi (dzakadai se cerebral cortex) ne brainstem kuchiparara.
Ngationei kuti zvirwere zvipi zvinogona kukonzera rudzi urwu rwekukuvara:
- Kukuvara kwakakomba mumusoro: Kukuvara kweUropi Hwakaita Sekukuvara (TBIs) kunokonzerwa nezvinhu zvakaita setsaona dzemotokari nekudonha.
- Kurohwa: Kuvharika kweropa kuenda kuuropi kana kuputika kwetsinga yeropa muuropi.
- Kubuda ropa mukati memusoro: Kubuda ropa mukati meuropi.
- Matumbu emuuropi: Kumanikidzwa kwezvikamu zveuropi nekuda kwekenza kana bundu risina njodzi.
- Kutapukirwa nehutachiona hweuropi: Fivha yeuropi yakadai se meningitis, encephalitis, kana kana malaria yakanyanya.
- Kuwedzera kwekumanikidzwa mukati medehenya (Intracranial Hypertension).
- Kushaikwa kweokisijeni kuuropi (Cerebral Hypoxia).
- Kunwa zvinodhaka zvakanyanya.
- Chepfu yemutobvu.
- Kuderera kwakanyanya kweshuga muropa (Hypoglycemia).
- Hepatic encephalopathy (kukuvadzwa kweuropi nekuda kwekutadza kushanda kwechiropa).
Dambudziko iri rinorapwa sei?
Chinhu chakakosha chatinofanira kunzwisisa pano ndechekuti hapana nzira yakasiyana yekurapa kushongedza chimiro cheganda, nekuti hachisi chirwere, asi chiratidzo chechimwe chirwere chakakomba.
Saka, vanachiremba vanonyanya kutarisisa pakurapa chirwere chakakonzera chirwere ichi. Semuenzaniso:
- Kana chiri chirwere cheuropi, mushonga unorwisa mabhakitiriya akakodzera uchapihwa.
- Kana iri bundu remuuropi, kuvhiyiwa kana mamwe marapirwo anoshandiswa.
- Kana shuga iri muropa yakaderera, inokurumidza kudzoreredza huwandu hweshuga muropa.
Nekuti varwere ava havana chavanoziva, zvakakosha kuvapa rubatsiro rwekutsigira . Semuenzaniso, kana vachinetseka kufema vega, vanobatanidzwa nemuchina wekufema. Kudya kwakakosha kunopiwa kuburikidza nechubhu yemhino kana saline.
Kana mudiwa wako akasangana nedambudziko iri, chiremba wako chete ndiye anogona kukutsanangurira nzira dzakanakisisa dzekuita nadzo uye nzira dzekurapa nadzo.
Ndeupi musiyano uripo pakati peDecorticate neDecerebrate Posturing?
Kune imwezve nzira yekumira yakaita seyakafanana, asi inonzi chirwere chakakomba zvikuru. Inonzi Decerebrate Posturing . Kunyangwe chiremba akadzidziswa achigona kuona musiyano pakati pezviviri izvi, dzimwe nguva murwere anogona kusangana nazvo zvese zvichichinjana.
Musiyano mukuru ndeuyu:
| Mamiriro | Chinhu Chinokosha |
|---|---|
| Kushongedza Chimiro | Maoko akakotama pamagokora oendeswa kuchipfuva. (Maoko akakotama ) |
| Kugadzirisa Chimiro Chemuviri | Maoko akatambanudzwa pamagokora uye akabatana nemativi emuviri. (Maoko akatwasuka ) |
Kazhinji, kuchembera kwemusoro kunoratidza kukuvara kwakanyanya kwetsinga yeuropi.
Mamiriro ezvinhu aya anogona kugadziriswa here?
Uyu ndiwo mubvunzo mukuru uri mupfungwa dzemunhu wese. Zvingori zvechisikigo kuti unzwe kutya kukuru paunoona chimiro chakashongedzwa. Ichokwadi kuti ichi chirwere chakakomba.
Zvisinei, hazvigone kutaurwa nechokwadi chekuti zvese zvapera uye hapana mushonga wemaitiro aya.
Mikana yekupora inobva pane chirwere chakakonzera chirwere ichi, kukura kwekukuvara kweuropi, uye kuti kurapwa kwakakodzera kwakagamuchirwa nekukurumidza sei. Semuenzaniso, kana chirwere chacho chakakonzerwa nechikonzero chakadai seshuga shoma muropa, mikana yekupora zvizere yakakura kwazvo kana ikarapwa nekukurumidza.
Nesainzi yekurapa yemazuva ano, zvirwere zvakawanda zvinokanganisa uropi zvinogona kurapwa zvinobudirira, saka hapana chikonzero chekurasa tariro zvachose.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Kunyange zvazvo tisingakwanise kudzora zvimwe zvezvinhu zvinokonzera izvi, pane zvinhu zvishoma zvatinogona kuita kuderedza njodzi iyi:
- Rambai muine zvirwere zvisingaperi: Kana muine zvirwere zvakaita sechirwere cheshuga kana BP, teverai mirairo yachiremba wenyu nemishonga nemazvo.
- Pfeka midziyo yekuchengetedza: Kukuvara mumusoro ndiko kunonyanya kukonzera izvi. Saka , pfeka ngowani zvakanaka paunenge uchitasva mabhasikoro nemidhudhudhu. Shandisa bhandi rekuchengetedza paunenge uchifamba nemotokari.
- Idya chikafu chakakwana uye kurovedza muviri: Zvinhu izvi zvinogona kuderedza njodzi yezvirwere zvakaita sestroke.
- Wana mushonga wehutachiona nekukurumidza: Kana ukawana hutachiona munzeve, mumhino, kana pahuro, usangofunga kuti huchapera. Dzimwe nguva, hutachiona uhwu hunogona kupararira huchienda kuuropi uye hunokonzera zvirwere zvakakomba zvakaita seizvi. Saka, tsvaga rubatsiro rwechiremba nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Kushongedza chimiro chemuviri wemurwere asina chaanoziva ndiko kukotama kwemuviri wake panzvimbo isina kujairika. Ichi chiratidzo chekukuvara kukuru kweuropi.
- Kana ukaona mumwe munhu asina chaanoziva, ari panzvimbo iyi, idambudziko rehutano. Pasina kunonoka, endesa murwere kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
- Hapana mushonga chaiwo wechirwere ichi, uye kurapwa kwakanangana nechirwere chakakonzera chirwere ichi.
- Kudzivirira musoro (ngowani, mabhandi ekuchengetedza) uye kutarisira zvirwere zvisingaperi zvinogona kuderedza njodzi yechirwere ichi.
- Kunyangwe ichi chiri chiratidzo chakakomba, hazvirevi nguva dzose kuti hapana mushonga, uye mukana wekupora unoenderana nechikonzero chacho uye kurapwa kwacho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment