{"id":78998,"date":"2020-02-06T12:39:07","date_gmt":"2020-02-06T09:39:07","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=78998"},"modified":"2020-02-06T12:39:07","modified_gmt":"2020-02-06T09:39:07","slug":"sopor","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-neurologice\/sopor\/","title":{"rendered":"Sopor"},"content":{"rendered":"<p>\u00cen medicina modern\u0103 exist\u0103 multe boli, care pot duce la o dereglare de con\u0219tiin\u021b\u0103 precum uimirea, stupoarea, coma.<\/p>\n<p>Sopor este o afec\u021biune mai u\u015foar\u0103 dec\u00e2t coma.<\/p>\n<h3>Semnele de sopor<\/h3>\n<p>Semne de stupoare: afectarea profund\u0103 a con\u0219tiin\u021bei, manifestat\u0103 prin somnolen\u021b\u0103 sever\u0103, c\u00e2nd o persoan\u0103 nu poate fi trezit\u0103 pe deplin, doar cu ajutorul unor efecte dureroase brute (de exemplu, o \u00een\u021bep\u0103tur\u0103, o injec\u021bie etc.). Spre deosebire de com\u0103, aceast\u0103 afec\u021biune are o reac\u021bie p\u0103strat\u0103 la durere, un sunet ascu\u021bit \u0219i foarte puternic \u0219i siguran\u021ba tuturor func\u021biilor vitale.<\/p>\n<h3>Motive pentru stupoare<\/h3>\n<p>Printre motive, se pot distinge dou\u0103 categorii: structural\u0103 \u0219i difuz\u0103.<\/p>\n<p>Structurala este:<\/p>\n<ul>\n<li>hidrocefalie acut\u0103;<\/li>\n<li>ruperea anevrismului;<\/li>\n<li>hemoragie subarahnoid\u0103;<\/li>\n<li>leziuni traumatice ale creierului;<\/li>\n<li>infarct cerebral;<\/li>\n<li>abces sau umflare.<\/li>\n<\/ul>\n<p>Difuza este:<\/p>\n<ul>\n<li>otr\u0103vire cu droguri sau substan\u021be toxice;<\/li>\n<li>hipotermie sau hipertermie;<\/li>\n<li>infec\u021bii ale creierului &#8211; meningit\u0103, encefalit\u0103, sepsis (infec\u021bie sistemic\u0103 care afecteaz\u0103 creierul);<\/li>\n<li>tulbur\u0103ri metabolice &#8211; coma diabetic\u0103, coma hepatic\u0103, hipoglicemie, hipoxie etc.<\/li>\n<\/ul>\n<p>De asemenea, stupoarea se dezvolt\u0103 cu ischemie cerebral\u0103, adic\u0103 stupoarea este o consecin\u021b\u0103 a unui accident vascular cerebral hemoragic sau ischemic.<\/p>\n<p>Pentru a determina c\u00e2t de profund este stupoarea, trebuie s\u0103 afla\u021bi cauza sa ini\u021bial\u0103, gravitatea, dac\u0103 este un accident vascular cerebral, atunci trebuie s\u0103 afla\u021bi zona afectat\u0103 \u0219i c\u00e2t de extins\u0103 este.<\/p>\n<h3>Simptome<\/h3>\n<p>\u00cen aceast\u0103 afec\u021biune, pacientul nu va r\u0103spunde altora, nu va r\u0103spunde la \u00eentreb\u0103ri sau sarcini. Func\u021biile vitale sunt p\u0103strate, reflexele \u0219i cu un tonus muscular sc\u0103zut. Elevii vor avea o reac\u021bie la lumin\u0103, de\u0219i va fi diferit de ceea ce are o persoan\u0103 s\u0103n\u0103toas\u0103, va fi pasiv.<\/p>\n<p>\u00cen func\u021bie de cauza acestei boli, pot ap\u0103rea simptome specifice. Deci, de exemplu, cu infec\u021bii vor fi febr\u0103 mare, febr\u0103, frisoane. \u00cen cazul unei leziuni la nivelul capului, vor fi vizibile leziuni la nivelul capului, v\u00e2n\u0103t\u0103i \u00een jurul ochilor \u0219i, eventual, s\u00e2ngerare din urechi \u0219i nas. Scurgerea lichidului cefalorahidian din urechi poate fi prezent\u0103, ceea ce indic\u0103 o fractur\u0103 a bazei craniului. Dependentul va avea semne de ac pe bra\u021bele sau picioarele, alcoolicul va avea un miros ur\u00e2t din gur\u0103. Un epileptic va prezenta semne ale unei limbi mu\u0219cate.<\/p>\n<p>Rudele adesea pun medicii \u00eentrebarea: \u201eC\u00e2t dureaz\u0103 stupoarea?\u201d<\/p>\n<p>Merit\u0103 repetat faptul c\u0103 aici totul depinde \u0219i de motiv. Aceast\u0103 afec\u021biune poate dura de la c\u00e2teva secunde la c\u00e2teva luni. \u0218i dac\u0103 nu g\u0103si\u021bi cauza ini\u021bial\u0103 a bolii \u0219i nu o elimina\u021bi, persoana cade \u00een com\u0103.<\/p>\n<p>Sopor \u00een accident vascular cerebral are, de asemenea, specificul s\u0103u. Cu aceast\u0103 boal\u0103, o persoan\u0103 se poate cufunda \u00eentr-o stare de sopor at\u00e2t \u00een perioada cea mai acut\u0103 a bolii, c\u00e2t \u0219i \u00een timpul reabilit\u0103rii. Dup\u0103 cum \u0219ti\u021bi, exist\u0103 dou\u0103 tipuri de accident vascular cerebral &#8211; ischemice (cauzate de un cheag de s\u00e2nge) \u0219i hemoragice (cauzate de hemoragie cerebral\u0103). AVC ischemic nu este la fel de agresiv ca hemoragic. Un atac hemoragic poate cufunda o persoan\u0103 \u00eentr-un stupoare mult timp \u0219i, \u00een acela\u0219i timp, starea sa va fi mai deprimat\u0103.<\/p>\n<h3>Diagnosticare<\/h3>\n<p>Pentru a face un diagnostic, cercetarea \u00eencepe cu o examinare neurologic\u0103 \u0219i punctaj pe scala de Glasgow com, pentru a \u00een\u021belege dac\u0103 o persoan\u0103 se afl\u0103 \u00eentr-o stare suparatoare sau este deja \u00een com\u0103. Verifica\u021bi func\u021biile motorii, reac\u021bia elevilor, activitatea motorie \u0219i reflexele, mi\u0219c\u0103rile ochilor, respira\u021bia, reac\u021bia la stimuli de durere.<\/p>\n<p>De asemenea, efectueaz\u0103 o examinare pentru prezen\u021ba unei erup\u021bii cutanate, leziuni la nivelul capului, urme de injec\u021bii. Se colecteaz\u0103 un istoric medical complet. Este important ca rudele s\u0103 ofere medicilor o list\u0103 complet\u0103 a bolilor cronice ale pacientului \u0219i s\u0103 ofere o imagine exact\u0103 a aspectului unei astfel de afec\u021biuni dureroase.<\/p>\n<p>Apoi se efectueaz\u0103 o serie de studii instrumentale \u0219i de laborator:<\/p>\n<ul>\n<li>analiza s\u00e2ngelui general \u0219i biochimic;<\/li>\n<li>Electrocardiograma;<\/li>\n<li>rezonan\u021b\u0103 magnetic\u0103 \u0219i tomografie computerizat\u0103 a creierului;<\/li>\n<li>electroencefalogram\u0103;<\/li>\n<li>dac\u0103 este necesar &#8211; lichid cefalorahidian (sau lichid cefalorahidian) pentru analiz\u0103.<\/li>\n<\/ul>\n<h3>Tratament<\/h3>\n<p>\u00cen fazele ini\u021biale, tratamentul are ca scop eliminarea cauzei principale a acestei patologii \u0219i sunt efectuate o serie de m\u0103suri de urgen\u021b\u0103, care se efectueaz\u0103 numai \u00een unitatea de terapie intensiv\u0103 a spitalului:<\/p>\n<ul>\n<li>asigur\u0103 paten\u021ba c\u0103ilor respiratorii \u0219i oxigenul prin masc\u0103, dac\u0103 pacientul are un tub endotraheal, apoi prin intermediul acestuia;<\/li>\n<li>cu hipoglicemie, nivelul de zah\u0103r din s\u00e2nge cre\u0219te prin administrarea intravenoas\u0103 a glucozei 40%;<\/li>\n<li>cu o supradoz\u0103 de medicamente opioide &#8211; introducerea Naloxonei;<\/li>\n<li>cu com\u0103 diabetic\u0103 &#8211; pacientul scade nivelul de zah\u0103r;<\/li>\n<li>\u00een cazul r\u0103nilor la cap, pacientul este examinat de o serie de speciali\u0219ti \u0219i, dac\u0103 este necesar, dus la masa de opera\u021bie;<\/li>\n<li>se stabilesc func\u021biile sistemului cardiovascular \u0219i ale sistemului respirator;<\/li>\n<li>cu infec\u021bii, medicamentele sunt prescrise pentru a sc\u0103dea temperatura, pentru a ameliora edemul cerebral \u0219i sunt prescrise antibiotice.<\/li>\n<\/ul>\n<p>Pacientul are nevoie de \u00eengrijire pe parcursul \u00eentregului proces de tratament. Cu sopor, \u00eenghi\u021birea este p\u0103strat\u0103, dar dac\u0103 starea este grav\u0103, atunci alimentul este administrat parenteral sau printr-un tub direct \u00een stomac.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00cen medicina modern\u0103 exist\u0103 multe boli, care pot duce la o dereglare de con\u0219tiin\u021b\u0103 precum uimirea, stupoarea, coma. Sopor este o afec\u021biune mai u\u015foar\u0103 dec\u00e2t coma. Semnele de sopor Semne de stupoare: afectarea profund\u0103 a con\u0219tiin\u021bei, manifestat\u0103 prin somnolen\u021b\u0103 sever\u0103, c\u00e2nd o persoan\u0103 nu poate fi trezit\u0103 pe deplin, doar cu ajutorul unor efecte dureroase [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":52978,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-78998","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sopor<\/title>\n<meta name=\"description\" content=\"Semne de stupoare: afectarea profund\u0103 a con\u0219tiin\u021bei, manifestat\u0103 prin somnolen\u021b\u0103 sever\u0103, c\u00e2nd o persoan\u0103 nu poate fi trezit\u0103 pe deplin,\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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