Kunezigaba ezahlukene zokuqaphela emithi
Izinga lokuqaphela (LOC) yigama lezokwelapha ekuboneni izinga lomsebenzi wokuqaphela isiguli. Lichaza ukuqonda kwakhe kokuzungezile nokukwazi ukuvusa. Izinga lokuqaphela ngokuvamile zisekelwe ekuphenduleni komuntu ekukhuthazeni.
Ukuqaphela kubonisa isimo lapho isiguli siphapheme khona, siqaphela, siphapheme futhi siphendule ekucabangeni.
Ukungaqapheli kubonisa isimo lapho isiguli singazi khona futhi singaphenduli ekukhulekeleni.
Phakathi kwalezi zizwe ezimbili eziyinhloko, kunezigaba eziningana zokuqaphela. Lokhu kuvela ekubeni uqaphele ukuba u-coma.
Izinga elijwayelekile lokuQaphela
Izinga elijwayelekile lokuqonda lisho ukuthi isiguli sisesimweni sokuqwashisa, ukuphaphama, nokuvuka noma kwesinye sezigaba zokulala okuvamile futhi okungazwakalisa kalula.
Izinga elithintekayo lokuqaphela (ALOC)
Amazinga ajwayelekile noma angavamile wokuqaphela achaza ukuthi ziyahlukahluka phakathi kokwazi okugcwele nokungazi .
Amazinga okuqaphela amazinga angabandakanya:
- Ukudideka: Ukukhathazeka ngokuqondene nomuntu, indawo noma isikhathi okwenza kube nzima ukucabanga noma ukulandela imiyalo. Izimbangela zihlanganisa ukulahlwa kokulala, umkhuhlane noma ukusebenzisa kabi izidakamizwa.
- I-Delirium : Isimo esishintshashintshayo phakathi kwe-hyperawareness, nesimo sokukhathazeka nokuvilapha. Izimbangela zingabandakanya ukudakwa noma imithi.
- I-Lethargy: Isimo sokugubha okukhulu, ukungabi nalutho, ukunganaki okuhambisana nokuqapha okunciphile. Kungase kubhekiswe nangokungahlali kahle. Izimbangela zingabandakanya i-anemia, ukugula, i-thyroid engasebenzi kanye nabanye.
- Ukutholwa: Ukunciphisa kakhudlwana ekuqaphelweni kunokwesaba, kanye nezimpendulo ezisheshayo ezenzweni, izinkathi eziningi zokulala nokulala phakathi kwalezi zikhathi. Izimbangela zingabandakanya ukugubha nokuthumba, phakathi kwamanye amaningi.
- I-Stupor: Izinga elibi lokungazi kahle lapho umuntu engaphenduli khona ngaphandle kokugqugquzela okunamandla nokuvamile okumele kuphindwe. Izimbangela zingabandakanya ukushaywa isifo, ukudlula izidakamizwa, ukuntuleka kwe-oxygen, ukuvuvukala kobuchopho nabanye.
- I-Coma : Isimo sokungaphenduli, ngisho nokusikisela, futhi singase singabi nalutho lwe-gag reflex noma impendulo yamapupillary.
Kukhona amanye amagama asetshenziselwa ukuchaza amazinga ahlukahlukene futhi athi mayelana nezinga lomuntu lokuqwashisa, njenge-syncope, eyisikhathi esifushane sokungazi njengokungathi ukudikibala. I-coma kanye ne-stupor ingahle ihlukaniswe kumazinga noma ngezigaba eziqhubekayo ezicacisa izinga lokungaphenduli komuntu kwenye yalezi zizwe.
Ukuhlukaniswa kwe-Coma
Izinhlelo eziningana zakhiwe ukuze kulungiswe ukuhlukaniswa kwe-coma nokuthuthukisa ukuxhumana phakathi kwabahlinzeki bezempilo. Lokhu kusiza futhi ekucwaningweni ku-coma.
Esinye isibonelo yi-Grady Coma Scale, ebiza ama-coma kumamaki avela ku-I-IV. Amamaki anqunywe ngokusekelwe esimeni sesiguli sokuqwashisa nesiphenduli sokwemvelo, njengempendulo egameni lesiguli elibizwa ngokuthi, ubuhlungu obukhulu nobuhlungu obujulile.
Esinye isibonelo yi-Glasgow Coma Scale, esebenzisa amaphuzu ukukhomba izinga lokuqonda, kusuka ku-1 kuya ku-15, ne-15 abe isimo esijwayelekile sokuqaphela.
Izibalo ezingezansi zikhombisa amazinga wokuqaphela amazinga. Kucabangela amagama, izimpendulo zamehlo nezamehlo ukuze kutholakale amaphuzu ekunqumeni amaphuzu jikelele.