Uma uzwa igama elithi "coma," yini efika engqondweni yakho? Ngezinye izikhathi, singase sithi ngokuhlekisa, "Balele sengathi base-coma," noma silisebenzise ukuchaza umuntu ongalaleli. Kodwa, mngane wami, i-coma ayilona neze ihlaya. Ayinalutho nhlobo nokulala; kuyisimo esibucayi kakhulu sezokwelapha . Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa, akunjalo?
Kwenzekani uma umuntu esekwi-coma?
Uma umuntu esekwi-coma, usuke engazi lutho nhlobo . Lokhu kusho ukuthi akakwazi ukusabela ezwini lakho, emisindweni emikhulu, noma ezintweni ezithinta inhliziyo. Kodwa-ke, iphuzu elibaluleke kakhulu ukuthi umuntu usaphila . Ubuchopho bakhe busebenza ngezinga elincane kakhulu—empeleni, esimweni esiphansi kakhulu sokuphaphama.
Cabanga ngalokhu: uma umngane elele ubuthongo obukhulu, uvame ukumvusa ngokumshukumisa noma ngokukhuluma naye. Nokho, lapho ekwi-coma, awukwazi ukumvusa. Akufani nhlobo nokulala.
Yini ebangela i-coma?
Ake sibheke ukuthi yini engaholela ekuqulekeni. Izici ezahlukahlukene zingaba nomthelela kulesi simo:
- Ukulimala okukhulu ekhanda: Uma ingozi enkulu iholela ekulimaleni ekhanda, ingabangela umonakalo omkhulu ebuchosheni.
- Ukuquleka: Izinhlobo ezithile zokuquleka okuhlala isikhathi eside noma okuvamile zingaholela esimweni sokuquleka.
- Ukutheleleka okuthinta ubuchopho: Amagciwane noma amabhaktheriya angena ebuchosheni angabangela ukutheleleka okukhulu, njenge-meningitis noma i-encephalitis, okungaholela ekukhubazekeni.
- Ukuntuleka komoya-mpilo isikhathi eside: Ubuchopho bethu budinga ukuhlinzekwa komoya-mpilo njalo. Uma lokhu kuhlinzekwa kunqanyulwa ngenxa yezimo ezifana nokwehluleka kokuphefumula noma ukumiswa kwenhliziyo, ukulimala kobuchopho kungenzeka, okungase kuholele ekukhubazekeni.
- Ukweqisa: Ukuphuza imithi ethile ngokweqile noma izidakamizwa ezingekho emthethweni kungabangela i-coma.
- Isifo sohlangothi: Isifo sohlangothi senzeka lapho ukugeleza kwegazi kuya ebuchosheni kuphazamiseka, okungadala umonakalo omkhulu futhi kuholele ekukhubazekeni.
- Ukungalingani kwamakhemikhali: Ngezinye izikhathi, izifo zesimiso somzimba—njengesifo sikashukela esingalawuleki noma ukwehluleka kwezinso—kungaholela ekungalingani okukhulu kwamakhemikhali omzimba, okubangela i-coma.
Kalula nje, ngenxa yanoma yisiphi salezi zizathu, ukusebenza kwamaseli akho obuchopho kuyaphazamiseka . Ngokukhethekile, uma izingxenye zobuchopho ezibangela ukugcina ingqondo yakho zilimele noma ziyeka ukusebenza, uba nomuzwa wokungaqondi—ungena esimweni sokukhoma. Ingabe lokho kunengqondo?
Isiguli esikwi-coma sinakekelwa kanjani?
Uma isiguli sikwi-coma, sivame ukunakekelwa eYunithi Yokunakekelwa Okujulile (ICU) yesibhedlela.Lapha, ithimba elizinikele lodokotela, abahlengikazi, kanye nochwepheshe lihlinzeka ngokunakekelwa kwezokwelapha okugxile imini nobusuku.
Ithimba lezokwelapha lisebenza ngokuzikhandla ukugcina umzimba wesiguli uphilile ngangokunokwenzeka. Banikeza uketshezi olubalulekile, izakhamzimba, kanye nemithi ngepayipi elincane lepulasitiki elifakwe emthanjeni (IV - Intravenous line) noma ngqo esiswini ngepayipi lokudla .
Ngenxa yokuthi ezinye iziguli ezikwi-coma zingase zibe nobunzima bokuphefumula zodwa, zivame ukudinga umshini obizwa ngokuthi i- ventilator . Lo mshini upompa umoya kancane emaphashini ngepayipi elibekwe epayipini lomoya ukuze usekele umsebenzi wazo wokuphefumula.
Kubalulekile futhi ukuqaphela ukuthi ngenxa yokuthi iziguli zihlala zinganyakazi isikhathi eside, zisengozini yokuthola izilonda zokucindezeleka, ezaziwa ngokuthi izilonda zombhede . Abasebenzi besibhedlela bathatha izinyathelo zokuqapha, njengokubeka isiguli endaweni ethile njalo, ukuze bavimbele ukuthi lokhu kungenzeki.
Ukubona othandekayo ekwi-coma kungaba yinto ebuhlungu kakhulu, engokomzwelo, futhi eqeda amandla emndenini. Kungokwemvelo ukuzizwa wesaba, ungenalusizo, noma ucindezelekile phakathi nesikhathi esinzima kangaka.
Kodwa-ke, ukuba khona kwakho nokusekela kwakho njengelungu lomndeni kubaluleke kakhulu. Ukuvakashela isiguli, ukukhuluma naso, ukufunda ngokuzwakalayo, noma ukudlala umculo esiwuthandayo kungaba usizo kakhulu. Odokotela bavame ukugcizelela ukuthi ngisho noma isiguli singakwazi ukuphendula, singase sikwazi ukukuzwa , ngakho-ke sicela uqhubeke nokuxhumana naso.
Kwenzekani ngemva kokuquleka?
Ezimweni eziningi, i-coma ayihlali isikhathi esingaphezu kwamasonto ambalwa. Kodwa-ke, kunezimo ezingavamile lapho umuntu engase ahlale e-coma iminyaka eminingi. Ezimweni ezinjalo, isiguli singase singakwazi ukusebenza ngaphandle kokuphefumula sodwa. Lesi simo saziwa ngokuthi yi- Persistent Vegetative State , ehlukile ngokwezokwelapha ku-coma, futhi singahlola leso sihloko esihlokweni esizayo.
Kubalulekile ukwazi ukuthi abantu abaningi bayalulama e-coma . Abanye bangase babuyele ekuphileni kwabo okuvamile njengoba babenjalo ngaphambi kokugula.
Nakuba ama-movie evame ukuveza umuntu evuka ngokuzumayo ekwi-coma, ephapheme ngokuphelele futhi ekhuluma, iqiniso lihlukile kakhulu. Uma umuntu evuka ekwi-coma, uvame ukuba sesimweni sokudideka . Ukusabela kwabo endaweni abakuyo kungase kuhambe kancane, futhi bavame ukudinga isikhathi esiningi kanye nesineke ukuze bathuthuke.
Ukuthi umuntu uyalulama ngokuphelele noma cha kuncike kakhulu embangela eyinhloko ye-coma kanye nobukhulu bomonakalo ebuchosheni .
- Abanye abantu bangase babuyele esimweni sabo sokuqala—bagcine izinkumbulo namakhono ababenawo ngaphambi kwalesi senzakalo.
- Abanye kungadingeka baphinde bafunde amakhono ayisisekelo njengokubopha izintambo zezicathulo, ukudla ngezitsha, noma ukuhamba. Lokhu kudinga ukwelashwa okukhethekile, njengokwelashwa ngokuzivocavoca, ukwelashwa ngomsebenzi, kanye nokwelashwa ngenkulumo. Bangase babhekane nezinselele ngenkulumo kanye nenkumbulo.
Okubaluleke kakhulu ukuthi ngokuhamba kwesikhathi kanye nokusekelwa kwabelaphi abazinikele, abantu abaningi abalulamayo e-coma babonisa intuthuko enkulu. Ngisho noma bengabuyeli esimweni sabo sangaphambi kwe-coma, abaningi bayakwazi ukuphinda bazimele futhi bajabulele izimpilo ezinenjongo nabangani babo kanye nemindeni yabo. Ngakho-ke, ungalokothi ulahlekelwe yithemba .
Izinto Ezibalulekile Okufanele Uzithathe (Umyalezo Wokuya Nawe Ekhaya)
Ukufingqa lokho esikuxoxile ngama-comas namuhla, nanka amaphuzu abaluleke kakhulu okufanele uwakhumbule:
- I-coma ayikona ukulala nje kuphela. Yisimo esibucayi sezokwelapha esihilela ukulahlekelwa ukwazi okuthinta ubuchopho.
- Kunezimbangela eziningi ezingaba khona zokukhoma, okuhlanganisa ukulimala ekhanda, ukutheleleka, ukuntuleka komoya-mpilo, kanye nezimo zezokwelapha ezahlukahlukene eziyisisekelo.
- Isiguli esikwi-coma sithola ukwelashwa okukhethekile kanye nokunakekelwa e- Intensive Care Unit (ICU) .
- Ukululama kuyahlukahluka kumuntu nomuntu futhi kuthatha isikhathi. Abanye balulama ngokugcwele, kanti abanye bangadinga ukwelashwa kwesikhathi eside.
- Okubaluleke kakhulu, ezikhathini ezinzima njengalezi, ukwesekwa, uthando, nesibindi somndeni kubaluleke kakhulu. Ukuba khona nokukhuluma nomuntu omthandayo kungasiza enkambisweni yakhe yokululama.
Ngiyethemba ukuthi lokhu kusize ekuphenduleni imibuzo yakho mayelana nama-coma. Masithembe ukuthi akekho okufanele abhekane nesimo esinjalo!
Amagama angukhiye: I-Coma, ukuquleka, Ubuchopho, Iyunithi Yokunakekelwa Okujulile, I-ICU, ukululama, ukulimala kobuchopho, ukwelashwa, umoya wokuphefumula, i-Nirogi Lanka
