Pali kusiyana kwa chidziwitso cha mankhwala
Mlingo wa chidziwitso (LOC) ndi nthawi yachipatala yodziwitsa kukula kwa chidziwitso cha wodwalayo. Limafotokozera kuzindikira kwake za malo ndi zofuna zowonjezera. Miyezo ya chidziwitso kawirikawiri imachokera kumapeto kwa munthu kuti akhudzidwe.
Chidziwitso chimadziwika malo omwe wodwala auka, akudziŵa, atcheru ndi kumvetsera zovuta.
Chisamaliro chimadziwika dziko limene wodwala sakudziwa ndipo samvera zolimbikitsa.
Pakati pa zigawo ziwiri zikuluzikulu, pali ziwerengero zingapo zadzidzidzi. Izi zimachokera ku kukhala tcheru kuti tifika ku coma.
Mkhalidwe Wodziwika Woganizira
Chikhalidwe chodziwika bwino chimatanthauza kuti wodwalayo ali mu chidziwitso, kusamala, ndi kudzuka kapena mu gawo limodzi la kugona mokwanira komanso komwe angadzutse mosavuta.
Mkhalidwe Wosintha wa Maganizo (ALOC)
Maganizo olakwika kapena osadziwika amafotokoza zomwe zimasiyana pakati pa chidziwitso chonse ndi chidziwitso .
Magulu ozindikira otha kusintha angaphatikizepo:
- Kusokonezeka: Chisokonezo chokhudza munthu, malo kapena nthawi zomwe zimapangitsa kukhala kovuta kulingalira kapena kutsatira malamulo. Zowonjezera zimaphatikizapo kuwonongeka kwa kugona, malungo kapena kugwiritsa ntchito mankhwala osokoneza bongo.
- Delirium : Chikhalidwe chosinthasintha pakati pa hyperawareness, ndi chisokonezo ndi ulesi. Zifukwa zimaphatikizapo kuledzera kapena mankhwala.
- Lethargy: Mkhalidwe wa kugona kwambiri, kusalongosoka, kusasamala limodzi ndi kuchepa. Zingathenso kutchulidwa ngati osasamala. Zifukwa zingakhale ndi kuchepa kwa magazi, matenda, chithokomiro chopanda mphamvu komanso ena.
- Kutaya: Kuchepetsa kwambiri kuchenjeza kusiyana ndi kukhwima, pamodzi ndi mayendedwe ofulumira kuchitapo kanthu, nthawi yogona ndi kugona pakati pa nthawi. Zifukwa zimaphatikizapo kugwidwa ndi poizoni, pakati pa ena ambiri.
- Stupor: Chidziwitso champhamvu kwambiri chomwe munthu sakulabadira kupatulapo kulimbikitsa mwamphamvu ndi kawirikawiri komwe kumayenera kubwerezedwa. Zifukwa zimatha kuphatikizapo stroke, overdose mankhwala, kusowa oxygen, ubongo ubongo ndi ena.
- Coma : Mkhalidwe wosamvera, ngakhale wokakamiza, ndipo sangakhale ndi gag reflex kapena pupillary yankho.
Palinso mawu ena omwe amagwiritsidwa ntchito pofotokoza madigiri osiyanasiyana ndi maonekedwe okhudza chidziwitso cha munthu, monga syncope, yomwe ndi nthawi yochepa yopanda kudziwa ngati nthawi yomwe ikufooka. Zizindikiro za coma ndi kugwedezeka zingaperekedwenso mu magawo kapena magawo omwe amafotokozeranso kuti munthu alibe chikhulupiliro chotani m'modzi mwa mayikowa.
Zolemba za Coma
Makhalidwe angapo apangidwa kuti athe kugawa zigawo za coma ndikuthandizira kukambirana pakati pa odwala. Izi zimathandizanso pa kafukufuku ku coma.
Chitsanzo chimodzi ndi Grady Coma Scale, yomwe imakhala ndi chiwerengero choyambira kuchokera ku I-IV. Maphunzirowa amatsimikiza kuti wodwalayo ali ndi chidziwitso chotani komanso amachitapo kanthu, monga kuyankha dzina la wodwalayo, kupweteka kowawa komanso kupweteka kwambiri.
Chitsanzo china ndi Glasgow Coma Scale, yomwe imagwiritsa ntchito mphambu kuti izindikire mlingo wa chidziwitso, kuyambira 1 mpaka 15, ndi 15 kukhala chizolowezi chodziwika bwino.
Zolemba zochepa zimasonyeza chiwerengero chochepa cha chidziwitso. Zimaganizira mawu, magalimoto ndi maso omwe amachititsa chidwi kuti adziwe mapepala onse.