Chikonzero Nei Mumwe Munhu Asingakugamuchiri MuChipatara
Uwandu hwemunhu hwekuziva ndeyeyero yekunyatsocherechedza nekuziva kuti ivo. Kuchengetedza kunoratidzika kune vakawanda uye kunogona kubva kune coma kusvika kune yakanyatsomuka uye yakasvinura, inozivikanwa se hypervigilance, sezvinoonekwa mania kana amphetamine kudhakwa.
Nzira Dzokuratidza Kuziva
Nokuti kuchinjwa kwehutano hwekuziva kunogona kusanganiswa nemigumisiro yakaipisisa, dzimwe nyanzvi dzakatotaura kuti murwere wehutano hunoonekwa seimwe chiratidzo chinokosha, sekuda kwemoyo uye kutonhora kwemuviri.
Vanachiremba vane nzira dzakawanda dzekutsanangura mazinga ekuziva uye kuti zvakashandurwa sei mumurwere.
Imwe nzira yekare yekutsanangura kuziva kwaive kushandisa mazwi akadai se "chizimburo chekuziva, kuvhara, kunyoroka" uye "coma," imwe neimwe inoratidza chimiro chinoramba chichiwedzera. Zvisinei, mazwi aya akaregererwa kurashirwa seasingafungi kana kunyatsotsanangura uye kunyange zvisina kunaka.
Inonyanya kushandiswa nzira yekutsanangura chizivo iye zvino ndiyo Glasgow coma scale (GCS), iyo inotarisana nehutano hwemunhu pachiyero kubva kune imwe kusvika kune gumi nemashanu, uye nenhamba huru dzinomirira kusvinura kukuru. GCS haina kukwana. Zvimwe zviyero zvakave zvataurwa, asi vanachiremba 'vanoziva neGCS vanochengetedza ichi ndicho chakanyanya kushandiswa.
Coma Inorevei?
Kuchinja kunonyanya kuzivikanwa kwekuziva ndeyekunyadzisa koma -kureva kuti mumwe munhu haagoni kumutswa uye meso avo akavharwa. Pane zvikonzero zvizhinji zvekuita, necheji dzakasiyana dzekuoma.
Somuenzaniso, coma inogona kukonzerwa nemaune nemishonga inopiwa musati yambovhiyiwa, kana inogona kukonzerwa nechirwere chakanyanya. Mumatambudziko akaoma, coma inogona kuchinjwa nehupenyu huri kuramba huripo kana kuti huropi hunofa. Dzimwe nguva, mumwe munhu angasimuka kubva ku coma.
Mukuwedzera kune coma, kune dzimwe nzira dzakawanda iyo pfungwa yevanhu inogona kukanganisa:
Delirium
Chimwe chezvinhu zvinowanzovhiringidza zvekuziva muzvipatara ndezvakaoma zvinokanganisika, izvo zvinonziwo delirium . Vamwe vanofungidzira ndeyekuti vanenge makumi mashanu kubva muzana yevanhu vari muzvipatara zvinotarisana nezviitiko izvi kune imwe nguva. Mumamiriro ezvinhu akaoma, kuvhenekera kunochinja kuti munhu aone sekanaka imwe nguva uye maminetsi mashomanana gare gare angaita seane munhu akasiyana zvachose. Vangave vasingazivi kwavari, vangave vasingazivi nguva kana zuva, uye vangave vasina kuziva zviso zvakatarisana pamubhedha.
Hluccinations haisi isiri. Kutaura zvazviri, vanhu vari muhutano hwakaoma vanogona kukurudzira kudengenyeka, vachitya kuti vashandi vezvipatara kana mhuri vanozovakuvadza. Dzimwe nguva kuvhiringidzwa nevarwere vanochera mitsara inopa mishonga uye ingatoedza kunyange kubuda pamubhedha ndokupukunyuka kuchipatara.
Kunyanya kuvhiringidzika zvinowanzokonzerwa nezvinetso zvinokanganisa muviri wose, zvakadai seaikisi, mishonga, zvirwere, marwadzo, nezvimwewo. Mashoko akanaka ndeokuti kunyange zvazvo zvingatora nguva, idzi dzinotanga kuzvigadzirisa pachavo mushure mokunge dambudziko rezvehutano riri pasi rakagadziriswa.
Hypersomnia
Vamwe vanhu vanonyanya kurara. Izvi zvingave zvakakonzerwa nenhamba ipi zvayo yezvinetso, kusanganisira zvirwere zvehupenzi sezvinonzi narcolepsy uye idiopathic hypersomnia.
Chigumisiro ndechekuti mumwe munhu angave akarara apo paanomuka uye anogona kurara kuburikidza nehuwandu hwezuva. Kunyange zvazvo vanhu vari mu coma vangaita sevanorara, kurara chaiye chaizvoizvo kwakasiyana chaizvo. Somuenzaniso, kana uchirara, unokwanisa kutendeuka kana kutamisa ruoko rwako. Kusangana nevarwere havagone kuita izvi.
Akinetic Mutism
Zvipembenene zvakadai sokurohwa mune zvimwe zvikamu zveuropi, kusanganisira anterior cingulate gyrus, zvinoguma kune mumwe munhu anoita seanove akangwarira asi asinganzwisisi zviri kuitika kune avo uye haafaniri kufamba pakarepo. Zvikwata zvepamusoro zvekutemerwa kwemunhu zvinokonzera akinetic mutism.
Abulia
Abulia irwo rudzi rwekushaiwa kwakanyanya kwekukurudzirwa nekuda kwekukuvadza kune nzira dzinoita kuti zvikurudzire.
Izvi zvinogona kunge zvakangoerekana zvangoerekana zvaitika, sezvinongoita sitiroko, kana kuti zvishoma nezvishoma uye zvichifambira mberi, sepfungwa yeAlzheimer's advanced. Mhedzisiro ndeye munhu asingadi uye asingakwanisi, kuita zvakawanda zvezvose. Nhamba yebubulia inogona kusiyana, asi mumamiriro ezvinhu akaipisisa munhu haafaniri kufamba, kutaura kana kunyange kudya kana kunwa, nokudaro achiita seakinetic mutism. Muzviitiko zvisinganyanyi kuoma, munhu anonyadzisa anogona kukwaniswa kutevera mirairo iri nyore, kunyange vasingazoiti izvi pasina kukurudzira.
Catatonia
Catatonia chirwere chepfungwa chinotaridzika munhu asingateereri asi ane unyanzvi hwekuongorora hutano. Vanhu vane catatonia vanogona kuratidza unhu husina kujairika, hwakadai sa catalepsy, iyo inoramba ichitaridzika isinganzwisisi nzvimbo dzechikwata kwenguva yakareba. Vanogonawo kuratidzira kushanduka kwemhepo, zvichireva kuti mumwe munhu anogona kusimudza chikwata chomurwere. Uyewo, vanhu vane catatonia vanogona kunge vachidzokorora zvingaita zvakafanana nekubvuta, kunyange zvazvo electroencephalograph (EEG) yakajairika. Catatonia inogona kukonzerwa nezvinetso zvepfungwa kana bipolar disorder kana schizophrenia.
Locked-In Syndrome
Nenyanzvi, yakavharwa-in syndrome haisi kuora mwoyo kwekuziva, kunyange zvazvo kunogona kutevedzera imwe. Zvechokwadi, ndizvo zvinoita kuti chirwere ichi chinotyisa zvikuru. Munhu akavharidzirwa haakwanisi kutama kana kutaurirana nenyika yekunze asi anoramba akasvinura uye akangwarira. Semuenzaniso, chirwere mu brain brain chinogona kukonzera kuti muviri wose ufe nekushaya simba uye zvinogona kuita kuti murwere ave seanowedzera. Zvichienderana nechinokonzera, munhu wacho anogona kukwanisa kutaurirana nemaziso anofema. Kunyange zvazvo zvingava zvakaoma, zvose zvinoshanda zvinofanira kuitwa kuitira kusiyanisa mutezo kana murwere wezvinomera kubva kune akavharwa mukati.
Final Thinking
Kunyatsoita murwere kune imwe yemamiriro ezvinhu aya kunobva pane zvinhu zvakawanda, kwete izvo zvishoma ndezvipi zvakajeka kuongororwa. Neurologists inofanira kutarisira kunyatsorongedza mamiriro aya, sezvo mumwe nomumwe anokonzerwa nezvirwere zvakasiyana-siyana uye anogona kugamuchira mushonga wakasiyana.
Sources:
Jerome B. Posner naFred Plum. Kuongorora kwePlum uye Posner yekunyora uye Coma. New York: Oxford University Press, 2007.
Hal Blumenfeld, Neuroanatomy kuburikidza neCliniki Cases. Sunderland: Sinauer Associates Publishers 2002.
ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .