Ngaba wakha wambona umntu osondeleyo kuwe, mhlawumbi umntu okwigumbi labagula kakhulu esibhedlele, egobile iingalo nemilenze ngendlela engaqhelekanga ngelixa engazi nto? Nabani na angakoyika ukubona iingalo nemilenze yakhe igobile ezingqinibeni, izandla zakhe zibambene ngamanqindi, kwaye imilenze yakhe isasazeka ngokubanzi. Kuqhelekile ukuziva wothukile kwaye uloyiko xa ubona oku. Namhlanje sithetha ngale meko, ethathwa njengophawu olubi kakhulu kwezonyango, olubizwa ngokuba yi-'Decorticate Posturing'.
Kalula nje, yintoni iDecorticate Posturing?
Oku akuyonto eyenziwa ngabom, njengokuxhuzula kwamalungu omzimba wesigulana esixhuzulayo ngexesha lokuxhuzula. Ukuma ngendlela ehombisayo yimeko apho izihlunu zomzimba zixineneyo kwaye umzimba ugobe kwindawo ethile ngenxa yomonakalo omkhulu okanye ukuphazamiseka kwengqondo. Oku kufana nokuma komzimba okuzithatha ngokuzenzekelayo.
Umntu onesi simo uhlala engazi nto kwaphela. Oku kuthetha ukuba nokuba sithetha okanye sishukuma kangakanani na, akaphenduli. Oogqirha basebenzisa esi simo njengophawu olubaluleke kakhulu kwi-'Glasgow Coma Scale', elinganisa ubunzima besigulana esikwi-coma.
Makhe sijonge ngokusondeleyo indlela umzimba obekwe ngayo kule meko.
| Ilungu lomzimba | Indlela ekho ngayo |
|---|---|
| Iingalo | Igobile ngokuqinileyo kwiingqiniba kwaye itsalwa esifubeni. |
| Izandla neminwe | Izandla zineengalo ezigobileyo, iingalo zigobile ngaphakathi. |
| Imilenze | Zombini zoluliwe ngokuqinileyo. |
| Iinyawo neenzwane | Iinzwane zijonge kude nomzimba kwaye zijike kancinci ngaphakathi. |
Le ndlela yokuma ibonakala kwicala elinye lomzimba okanye kumacala omabini.
Kutheni oku kusenzeka? Zithini izizathu zoku?
Ukuma okuhombisayo kwenzeka xa umonakalo usenzeka kwiindawo ezithile zobuchopho. Ingqondo sisitho esintsonkothileyo kakhulu. Silawula iintshukumo zomzimba wethu kwiindawo ezahlukeneyo. Olu hlobo lokuma lubangelwa kakhulu kukonakala kwezi ndawo zobuchopho:
- I-Cerebral Cortex: Le yingqimba engaphandle yobuchopho bethu eshwabeneyo. Kulapho uninzi lwemisebenzi yethu ephezulu, njengokucinga nokwenza izigqibo, lwenzeka khona.
- I-Thalamus: Le nxalenye yengqondo, ekwimbindi wobuchopho, ifana nendawo enkulu yokudibana. Inceda ekudluliseni imiqondiso phakathi kwamacandelo ahlukeneyo obuchopho.
- Ubuchopho Obuphakathi Ophezulu: I-brainstem yinxalenye ebaluleke kakhulu edibanisa ingqondo yethu kunye nomqolo osemqolo wethu. Ikwabalulekile ekulawuleni imisebenzi ebalulekileyo efana nokuphefumla kunye nokubetha kwentliziyo.
Ngamafutshane, le meko yenzeka xa unxibelelwano phakathi kwamaziko olawulo akwinqanaba eliphezulu lobuchopho (njenge-cerebral cortex) kunye ne-brainstem luqhekeka.
Ngoku makhe sibone ukuba zeziphi iimeko zempilo ezinokubangela olu hlobo lomonakalo:
- Ukulimala okukhulu entloko: Ukulimala kobuchopho okubangelwa zizinto ezifana neengozi zeemoto kunye nokuwa.
- Istroke: Ukuvaleka kokuhamba kwegazi ukuya engqondweni okanye ukugqabhuka komthambo wegazi engqondweni.
- Ukopha ngaphakathi kwentloko: Ukopha ngaphakathi engqondweni.
- Iintsholongwane zobuchopho: Uxinzelelo kwiindawo ezithile zobuchopho ngenxa yomhlaza okanye iintsholongwane ezingengozini.
- Usulelo lobuchopho: Umkhuhlane wobuchopho ofana ne-meningitis, i-encephalitis, okanye xa i-malaria imbi kakhulu.
- Uxinzelelo oluphezulu ngaphakathi kwekhakayi (Intracranial Hypertension).
- Ukunqongophala kweoksijini engqondweni (i-Cerebral Hypoxia).
- Ukugqithisa iziyobisi.
- Ityhefu yelothe.
- Amanqanaba eswekile egazini aphantsi kakhulu (iHypoglycemia).
- I-Hepatic encephalopathy (ubuthi bobuchopho obubangelwa kukungasebenzi kakuhle kwesibindi).
Inyangwa njani le meko?
Eyona nto ibalulekileyo ekufuneka siyiqonde apha kukuba akukho nyango lwahlukileyo lokuhombisa ukuma, kuba ayisosifo, kodwa luphawu lwenye imeko enzulu ngakumbi.
Ngoko ke, oogqirha bagxila ekunyangeni imeko ebangela le meko. Umzekelo:
- Ukuba sisifo sobuchopho, kuya kunikwa amayeza okubulala iintsholongwane afanelekileyo.
- Ukuba yi-brain tumor, kusetyenziswa utyando okanye ezinye iindlela zonyango.
- Ukuba iswekile egazini iphantsi, ibuyisela ngokukhawuleza amanqanaba eswekile egazini.
Ngenxa yokuba aba baguli abakho zingqondweni, kubalulekile ukubanika ukhathalelo oluxhasayo . Umzekelo, ukuba banengxaki yokuphefumla bodwa, baqhagamshelwe kwi-ventilator. Isondlo esifunekayo sinikwa ngetyhubhu yempumlo okanye i-saline.
Ukuba umntu omthandayo uhlangabezana nale meko, ngugqirha wakho kuphela onokukuchazela eyona ndlela ilungileyo yokwenza kunye neendlela zonyango.
Yintoni umahluko phakathi kweDecorticate kunye neDecerebrate Posturing?
Kukho enye indlela yokuma efana neyakhe, kodwa kuthiwa yimeko enzima ngakumbi. Ibizwa ngokuba yiDecerebrate Posturing . Nangona ugqirha oqeqeshiweyo enokubona umahluko phakathi kwezi zimbini, ngamanye amaxesha isigulana sinokuzibona zombini ngokutshintshana.
Umahluko ophambili ngulo:
| Indlela yokuma | Uphawu oluPhambili |
|---|---|
| Ukuhombisa ukuma | Iingalo zigobile kwiingqiniba kwaye zisondezwe esifubeni. (Iingalo zigobile ) |
| Ukuma okungaqhelekanga | Iingalo zoluliwe kwiingqiniba kwaye ziqinile emacaleni omzimba. (Iingalo zithe tye ) |
Ngokwesiqhelo, ukuhla kwesimo somzimba kubonisa umonakalo omkhulu kwisiqu sobuchopho.
Ngaba le meko ingalungiseka?
Lo ngumbuzo omkhulu engqondweni yomntu wonke. Kungokwemvelo ukuziva uloyiko olukhulu xa ubona indlela yokuma ehonjisiweyo. Liyinyaniso elokuba le yimeko embi kakhulu.
Nangona kunjalo, akunakutshiwo ngokuqinisekileyo ukuba yonke into iphelile kwaye akukho nyango lwale ndlela yokuziphatha.
Amathuba okuchacha axhomekeke ngokupheleleyo kwisifo esibangele eso sifo, ubungakanani bomonakalo wengqondo, kunye nokuba unyango olufanelekileyo lukhawuleziswe kangakanani. Umzekelo, ukuba imeko ibangelwe sisizathu esifana neswekile ephantsi egazini, amathuba okuchacha ngokupheleleyo aphezulu kakhulu ukuba anyangwa ngokukhawuleza.
Ngenxa yesayensi yezonyango yanamhlanje ephucukileyo, iimeko ezininzi ezichaphazela ingqondo zinokunyangwa ngempumelelo, ngoko ke akukho mfuneko yokulahla ithemba ngokupheleleyo.
Ngaba le meko ingathintelwa?
Nangona singenakukwazi ukulawula ezinye zezinto ezibangela oku, kukho izinto ezimbalwa esinokuzenza ukunciphisa umngcipheko:
- Lawula izifo ezingapheliyo: Ukuba unezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, landela imiyalelo kagqirha wakho kunye namayeza ngokuchanekileyo.
- Nxiba izixhobo zokhuseleko: Ukulimala entloko yeyona nto ibangela oku. Ngoko ke , nxiba isigcina-ntloko ngokufanelekileyo xa ukhwela iibhayisekile kunye neebhayisekile. Sebenzisa ibhanti yesihlalo xa uhamba ngezithuthi.
- Yitya ukutya okunesondlo kunye nokuzilolonga: Ezi zinto zinokunciphisa umngcipheko wezifo ezifana nestroke.
- Fumana unyango lwezifo ngokukhawuleza: Xa ufumana isifo endlebeni yakho, empumlweni, okanye emqaleni, musa ukucinga nje ukuba siza kuphela. Ngamanye amaxesha, ezi zifo zinokusasazeka ziye engqondweni zize zibangele iimeko ezinzima ezifana nale. Ngoko ke, funa ingcebiso kagqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukuma ngendlela ehombisayo kukugoba umzimba wesigulana esingekho zingqondweni uye kwindawo engaqhelekanga. Olu luphawu lomonakalo omkhulu engqondweni.
- Ukuba ubona umntu engekho zingqondweni, kule meko, yingxamiseko yezonyango. Ngaphandle kokulibaziseka, thatha isigulana usise kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
- Akukho nyango luthile lwale meko, kwaye unyango lujoliswe kwimeko engundoqo ebangele ukuba ibe yiyo.
- Ukukhusela intloko (izigcina-ntloko, iibhanti zokhuseleko) kunye nolawulo lwezifo ezingapheliyo kunokunciphisa umngcipheko wale meko.
- Nangona olu luphawu olunzima, alusoloko luthetha ukuba akukho nyango, kwaye amathuba okuchacha axhomekeke kwisizathu esiyintloko kunye nonyango.
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