ʻAi ʻAlekohoma - ʻIke i nā hōʻailona hōʻailona a me ka mea e hana ai

Anter

• Ke hiki ke koma ʻona
• He aha e hana ai i ka hihia o ka coma ʻona
• Pehea e hana ai i ka lāʻau

Hana ke koma ʻalekohola ke ʻike ʻole ke kanaka ma muli o ka hopena o ka nui o ka waiʻona i loko o ke kino. Hana ʻia ia ke inu ʻoe me ka kaohi ʻole, ʻoi aku i ka ake o ke ake e metabolize ka waiʻona, e alakaʻi ai i ka ʻona ʻana o ka lolo a me nā mea like ʻole i loko o ke kino. Ke nānā ʻia ma mua o 3 mau kolamu o ka waiʻona i kēlā me kēia lita o ke koko, ʻoi aku ka nui o ka pilikia o ka coma ʻona.

Kuhi ʻia kēia ʻano he kūlana koʻikoʻi, a inā ʻaʻole ia e mālama koke ʻia, hiki i ka make, ma muli o ka hōʻemi ʻana o ka hanu ʻana, hoʻemi ʻia ka helu o ka puʻuwai, me ka hāʻule ʻana o nā pae glucose i loko o ke koko a i ʻole nā ​​pilikia ʻē aʻe e like me ka hoʻomohala ʻana o nā arrhythmia. A koma waikawa, no ka laʻana.

Ke ʻike ʻia nā hōʻailona e hōʻike ana i ka coma ʻona, e like me ka nalowale o ka ʻike, hiamoe nui kahi e pane ʻole ai ke kanaka i nā kelepona a me nā mea hōʻeuʻeu a i ʻole nā ​​pilikia i ka hanu ʻana, he mea nui e kāhea iā SAMU a i ʻole kahi kaʻa kaʻa i ka wā e hiki ai, e pale i ka hōʻeha ʻana i ka kahi e hiki ai ke kumu i ka make a i ʻole ka hopena neurological koʻikoʻi.

Ke hiki ke koma ʻona

ʻO kahi hōʻailona o kahi coma ʻona ʻo ia ʻoe ke ʻike ʻole a ʻike ʻole paha ma hope o ka inu nui ʻana i nā mea inu ʻona. ʻO kekahi o nā hōʻailona i hiki ke hōʻike ʻia ma mua o ka koma ʻona.

• Hiamoe nui loa;
• Ka maʻule a me ka nalowale o ka ʻike;
• Ka paʻakikī i ka haʻi ʻana i nā huaʻōlelo a i ʻole nā ​​māmalaʻōlelo;
• ʻAʻole hiki ke noʻonoʻo;
• Loaʻa ka noʻonoʻo a me nā reflexes;
• Ke hele wāwae paʻakikī.

ʻO kēia no ka mea ʻoiai, i ka wā mua, he hopena disinhibiting ka waiʻona, ka hopena ʻē aʻe o ka hoʻohana nui ʻana i kēia mea, a ʻo ka hopena ka hopena o ke ʻōpū nūnū. Ma hope o ka nui o ka waiʻona, hiki i ka pāpā nui ʻana i ka ʻōnaehana puʻuwai ke alakaʻi i ka hiki ʻole ke mālama i ka hanu ʻana, ka hoʻemi ʻana o ka helu o ka puʻuwai a me ke kulu o ke koko, a hiki i ka make ke hana ʻole ʻia ka lāʻau.

Kū aʻe kēia mau hōʻailona a me nā hōʻailona ke hiki i ke ake, ke kuleana no ka metabolizing a me ke kōkua ʻana e hoʻopau i ka ʻalekohola, ʻaʻole hiki ke metabolize i nā wai ʻona āpau i lawe ʻia, a hiki i ka hoʻonui ʻana i ka paʻa o kēia mea i nā pae ʻawahia i loko o ke koko. E nānā pū i nā hopena ʻē aʻe o ka waiʻona i ke kino.

He aha e hana ai i ka hihia o ka coma ʻona

ʻO ka mea mua, he mea nui e makaʻala i nā hiʻohiʻona o nā ʻōuli ma mua o ka coma ʻona, ʻoi aku ka paʻakikī i ka haʻi ʻana i nā huaʻōlelo a i ʻole nā ​​ʻōlelo, disorientation, hiamoe a me ka luaʻi, no ka mea, inā loaʻa i ke kanaka kekahi pae o ka ʻike a hiki ke ʻai, ʻo ia hiki ke pale aku i ka worsening ma ka hydrating ʻana me ka wai a me ka ʻai ʻana i nā meaʻai, ʻo ia hoʻi nā meaʻai kō.

Eia nō naʻe, inā ʻike ʻoe i kekahi o nā ʻōuli e hōʻike ana i ka coma ʻona, pono e kāhea koke i ke kōkua lapaʻau, e like me SAMU 192, i hiki ke hoʻopakele koke ʻia ke kanaka.

Eia hou, a hiki i ka hiki ʻana mai o ka SAMU, pono e waiho ke kanaka i kona ʻaoʻao, i ke kūlana palekana i kapa ʻia ʻo lateral e pale aku ai i ka hanu ʻana me ka luaʻi. I mea e hōʻalo ai i ka hypothermia, he mea nui e hōʻoia i ka uhi ʻia o ke kanaka a i kahi ʻano mehana, kahi ʻaʻohe anu anu a ʻike ʻole i nā hoʻololi koke o ka mahana.

ʻAʻole ia e koi ʻia e hāʻawi i nā wai, nā meaʻai a lāʻau paha, inā ʻaʻole ʻike ke kanaka, no ka mea hiki ke hoʻonui i ka makaʻu o ke kolo. ʻAʻole ia e hōʻike ʻia e hoʻohuli i ka luaʻi i ka mea ʻike ʻole a i ʻole e hāʻawi i kahi ʻauʻau anuanu e hoʻāʻo e hoʻāla iā ia. Inā loaʻa ka hanu a i ʻole ka hopu ʻana o ka puʻuwai, pono ia e hoʻomaka i ka manusver resuscitation cardiopulmonary. E nānā i ka mea e hana ai i ka hopu cardiopulmonary.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka coma ʻona e ka hui olakino hana ʻia me ka serum pololei i ka aa no ka hydration, e kōkua i ka wikiwiki i ka hoʻopau ʻana i ka wai ʻona a me ka hoʻōla ʻana, me ka hoʻohui ʻana i ka glucose i loko o ke kino, ka hope B1 a me ka regularization o nā pae electrolyte, inā lākou loli.

Eia hou, inā pono, hiki i ke kauka ke koi aku i ka noi o antiemetic a i ʻole lāʻau anticonvulsant, e like me nā hōʻailona i hōʻike ʻia e ka mea maʻi. Pono ka nānā mau ʻana i ka ʻikepili koʻikoʻi o ke kanaka, no ka mea he mea hiki ke hōʻeha i ke ʻano a me ka hopu ʻana i ka hanu a me ka naʻau.

Ma hope o ka hoʻōla hou ʻana, pono ia e makaʻala i ka mea maʻi a me ka ʻohana e pili ana i ka weliweli o ka waiʻona a, inā pono, e kuhikuhi i ke kanaka i kahi kikowaena i ka mālama ʻana i ka waiʻona. E ʻike pehea e hiki ai ke hana i ka lāʻau ʻona.