Izifo zesibindi, ingakumbi i-cirrhosis kunye ne-hepatitis, inokuchaphazela ezinye izitho. Umonakalo we-CNS obangelwa umsebenzi wesibindi ongaqhelekanga ubizwa ngokuba yi-coma ye-hepatic. Esi sifo esibi, esenza ngokukhawuleza sifune uncedo lwezokwelapha, ngaphandle koko ukufa akuphepheki.
Iimpawu eziphambili ze-coma ye-hepatic
Kuxhomekeke kwisibalo sesi sifo, oogqirha bahlula iintlobo ezininzi ze-coma. I-coma egciniweyo enomzimba ivela ngenxa yesifo sobutyhefu nge-hepatotropic poisons eqokelelwe ngenxa ye- cirrhosis okanye i-hepatitis. I-coma ephawulekayo ibangelwa kukusetyenziswa kwesibungulu esinetyhefu, ukusebenzisa ixesha elide lamachiza athile, okanye utyhefu kunye neetekisi ezifaka umzimba ngaphandle kwaye zibethe isibindi.
Ukuhlanganiswa kwesimo esipheleleyo nesingaqhelekanga sesifo kuthiwa yi-coma exubileyo. Ezi zilandelayo zididi zabantu zibangelwa sisifo:
- bafazi ba khulelweyo;
- utywala;
- abantu badla ngokukhawuleza;
- abantwana abancinci.
Ngokuthe ngqo imbangela ye-coma ye-hepatic kukutshatyalaliswa kweeseli zesisongulu ezinobuthi obuveliswe sisibindi, okubangelwa i -edema ye-cerebral kunye nokulahlekelwa yintliziyo. Nazi iziganeko eziphambili ze-coma ye-hepatic:
- khuliswa;
- ukuguquka kwemizwelo ebukhali;
- ukungakhathaleli;
- ukulala ubusuku nokulala ngenxa yemini;
- intloko;
- ukuthuthumela kwezandla;
- ukuphumla kwee-sphincters;
- ukulahlekelwa ithuba lokuthetha ngokuthe ngqo;
- ukuphuka kolusu;
- isicefe
- intlungu esiswini.
Ezi zibonakaliso ziqhelekileyo kummandla we-precoma, ngokufikelela ngexesha elifanelekileyo kumgqirha umntu unokusindiswa. Emva koko kufika isigaba sokuqala se-coma, xa ukuphefumula kuba nzima kwaye ukulahlekelwa okukodwa kwe-consciousness kwenzeka. Kule nqanaba ye-coma e-hepatic, i-prognosis enhle i-30% kuphela. Emva kokuba i-coma epheleleyo ifika, unyango aluyi kunceda ukubuyisela umntu kwimpilo eqhelekileyo kwaye kuya kwandisa nje ukusebenza kwezitho zangaphakathi zangaphakathi kwixesha elingenammiselo.
Iimpawu zonyango lwe-coma ye-hepatic
Ukuba ufumana okanye umntu osondele kwiimpawu ze-precoma, kufuneka uqale wabiza i-ambulensi. Ukunyamekela ngokukhawulezileyo kwimeko ye-hepatic inyaniso yokuba isiguli kufuneka siqinisekise ukuphumla okupheleleyo kwaye simbeke ecaleni. Yiyo yonke into ongayenza ukuze unciphise imeko yakhe, abanye bayakulimaza.
Unyango kufuneka lwenziwe ngamagqirha abaqeqeshiweyo kwiyunithi yokunyamekela kakhulu okanye inyunithi yonyango. Okokuqala, kuyimfuneko ukucoca amathumbu avela kwi-microflora, kunye nomzimba wonke - ukusuka kwiibhoksi. Ngenxa yale njongo, i-drippers ingahanjiswa kunye neyeza-antibiotics ezilawulwayo. Kwakhona, umsebenzi wamagqirha kukunciphisa ukungena kweeprotheni kwaye ususe kumzimba osele ukhona. Nge-edema yengqondo, yonke imikhosi iphonswa ekupheliseni le ngxaki, kuba yonke iminithi yokulibaziseka ukuba umntu uya kubuya kwi-conscious falls falls.
Ukuba eso sifo siyaqhubeka kwaye siyeke ukuxiliswa, ukuphulukiswa kokungaphumeleli kwintliziyo kunokwenzeka. Kule meko, inkqubo ye-hemodialysis yenziwa.
Kwiiklasi ezinkulu ze-ammonia
Isiseko sonyango ngumgaqo wokutshatyalaliswa komzimba kunye nokubuyiswa kwemisebenzi yengqondo.
Ukuze ukhusele ukuphuhliswa kwe-coma ye-hepatic, kufuneka ulandele le mithetho:
- Ngexesha lokunyanga zonke izifo zesibindi.
- Ungasebenzisi kakubi utywala.
- Musa ukudibanisa neziyobisi ngotywala.
- Ungadli amakhowe asendle, nokuba ukubonakala kwazo akuphefumleli.