Kuchepetsa kuchepa

Kuchepetsa chidwi ndi mkhalidwe wotsika kuzindikira ndipo ndizovuta.

Chikomokere ndi mkhalidwe wotsika watcheru womwe munthu sangathe kudzutsidwa. Kukomoka kwanthawi yayitali kumatchedwa kuti dziko lokhalanso ndi masamba.

Zinthu zambiri zimatha kuyambitsa chidwi, kuphatikiza:

• Matenda a impso
• Kutopa kwambiri kapena kusowa tulo
• Shuga wamagazi kapena shuga wotsika magazi
• Kutsekemera kwapamwamba kapena kotsika kwa magazi
• Kutenga koopsa kapena komwe kumakhudza ubongo
• Kulephera kwa chiwindi
• Mavuto a chithokomiro omwe amachititsa kuchuluka kwa mahomoni a chithokomiro kapena kuchuluka kwa mahomoni a chithokomiro

Matenda aubongo kapena kuvulala, monga:

• Dementia kapena matenda a Alzheimer (milandu yayikulu)
• Kusokonezeka mutu (milandu yayikulu mpaka yayikulu)
• Kulanda
• Stroke (nthawi zambiri sitiroko ikakhala yayikulu kapena yawononga madera ena aubongo monga brainstem kapena thalamus)
• Matenda omwe amakhudza ubongo monga meningitis kapena encephalitis

Kuvulala kapena ngozi, monga:

• Ngozi zam'madzi komanso pafupi kumira
• Kutentha kwamatenda
• Kutentha kochepa kwambiri kwa thupi (hypothermia)

Mavuto amtima kapena kupuma, monga:

• Nyimbo yachilendo
• Kusowa kwa mpweya pazifukwa zilizonse
• Kuthamanga kwa magazi
• Kulephera kwamtima kwakukulu
• Matenda akulu am'mapapo
• Kuthamanga kwambiri kwa magazi

Poizoni ndi mankhwala, monga:

• Kumwa mowa (kumwa mowa mopitirira muyeso kapena kuwonongeka chifukwa chomwa mowa kwanthawi yayitali)
• Kuwonetsedwa pazitsulo zolemera, ma hydrocarboni, kapena mpweya woopsa
• Kugwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso monga ma opiate, ma narcotic, sedatives, ndi anti-nkhawa kapena mankhwala olanda
• Zotsatira zoyipa za mankhwala aliwonse, monga omwe amagwiritsidwa ntchito pochiza khunyu, kukhumudwa, psychosis, ndi matenda ena

Pezani chithandizo chamankhwala kuti muchepetse chidziwitso chilichonse, ngakhale atakhala chifukwa cha kuledzera, kukomoka, kapena matenda okomoka omwe apezeka kale.

Anthu omwe ali ndi khunyu kapena matenda ena okomoka ayenera kuvala chibangili chachipatala kapena mkanda wofotokozera momwe alili. Ayenera kupewa zinthu zomwe zinayambitsa kulanda m'mbuyomu.

Pezani chithandizo chamankhwala ngati wina wachepetsa chidwi chomwe sichingafotokozedwe. Itanani nambala yanu yadzidzidzi (monga 911) ngati kukhala tcheru sikubwerera mwachangu.

Nthawi zambiri, munthu amene ali ndi chidziwitso chochepa amayesedwa m'chipinda chodzidzimutsa.

Wothandizira zaumoyo adzayesa. Kuyesaku kuphatikizanso kuyang'ana pamtima, kupuma, ndi dongosolo lamanjenje.

Gulu lazachipatala lidzafunsa mafunso okhudza mbiri yazachipatala ya munthuyo ndi zizindikilo zake, kuphatikiza:

Nthawi

• Kodi kuchepa kwa chidwi kunachitika liti?
• Zinatenga nthawi yayitali bwanji?
• Kodi zidachitikapo kale? Ngati ndi choncho, kangati?
• Kodi munthuyo amachitanso chimodzimodzi munthawi zam'mbuyomu?

Mbiri yazachipatala

• Kodi munthuyo ali ndi khunyu kapena matenda okomoka?
• Kodi munthuyo ali ndi matenda ashuga?
• Kodi munthuyo wakhala akugona bwino?
• Kodi pakhala kuvulala kwamutu kwaposachedwa?

Zina

• Kodi munthuyo amatenga mankhwala ati?
• Kodi munthuyo amamwa mowa kapena mankhwala osokoneza bongo pafupipafupi?
• Ndi zisonyezo zina ziti zomwe zilipo?

Mayeso omwe angachitike ndi awa:

• X-ray pachifuwa
• Kuwerengera kwathunthu kwa magazi kapena kusiyanasiyana kwamagazi
• CT scan kapena MRI yamutu
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Magulu a Electrolyte ndi kuyesa kwa chiwindi
• Gulu la Toxicology komanso kuchuluka kwa mowa
• Kupenda kwamadzi

Chithandizo chimadalira chifukwa cha kuchepa kwa chidwi. Momwe munthu amachitira bwino zimadalira chifukwa cha vutoli.

Kutalika komwe munthu wachepetsa kuchepa, zotsatira zake zimakhala zoyipa kwambiri.

Wopusa; Udindo wamaganizidwe - utachepa; Kutaya tcheru; Kuchepetsa chidziwitso; Kusintha kwa chidziwitso; Kuchulukitsa; Coma; Kusayankha

• Zovuta mwa akulu - kutulutsa
• Zovuta mwa ana - kutulutsa
• Kupewa kuvulala pamutu kwa ana

Lei C, Smith C. Kukhumudwa ndikukhala ndi chikomokere. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 13.

Wilber ST, Ondrejka JE. Kusintha kwa malingaliro ndi kusokonekera. Emerg Med Clin Kumpoto Am. 2016; 34 (3): 649-665. PMID: 27475019 www.ncbi.nlm.nih.gov/pubmed/27475019. (Adasankhidwa)