7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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Fypdx. Amzaebkdpbtf`a (FA) - sdc. Sbifodgb

@MHAV zu @medquakkam (<:29)

----------------------------------------------------------------

2T@med & bkkc.Qalars`ift e.@mtarass`arta

<T\afb / atf`sifa Erbcam / Bmcafdar`ca(\afb-Gdhakka & A`mr`iftumcam, Garolkèttar, Zekaca, atf`sifa Y`ift,Gah`amlar`ifta, Eabturas + U`hads ûlar maua Aroammtm`ssa lzw. ûlar h`a

Kbca har Orbmoam & Bmcafõr`cam, wal-Edram eûr haram Bustbusif) 

9TAroammtm`s-Sbmhak + Maurd-Atf`o(Ourz-Hbrstakkumc h. faut`cam Aroammtm`swbmhaks + h.mauam Xarg`mdkdc`aͽKbmcza`t-Zrdcmdsa + atf`sifa Bspaota)

8TGah`z.K`tarbtur zur FA-Zrdcmdsa(Buswbfk a`msifkèc`car Brt`oak, Ûlars`iftam, Odggamtbra, H`ssartbt`dmam umhAgpeafkumcam l`s <:29) 

1T\àsugàa bus botuakkar K`tarbtur 

(arstakkt bus hag cak`statam lzw. cas`iftatam Gbtar`bk) 

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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Odgb mbif Farzst`kkstbmh/Fypdx`a@med euar Bmcafdar`ca & @mtarass`arta  (Ytbmh <:29)

Har fauta ûlarfdkta Ybggaklacr`ee   has sdc. Sbifodgb (idgb v`c`ka, detcka`ifcasatzt g`t hag bpbkk`sifam Yymhrdg, amck`sif vacatbt`va stbta, 208:arstgbks hae`m`art) ugebÔt bkka Zbt`amtam g`t hbuarfbetag LawuÔtsa`msvarkust,Qmarwaiolbroa`t sdw`a Busebkk har gdtdr`sifam Bot`v`tèt lzw. \abot`dm - dfmaQmtarsifa`humc har nawa`ks buskõsamham  Qrsbifa. Mbif umh mbif aredkctamH`eearamz`arumcam `m umtarsif`ahk`ifa Orbmofa`tsedrgam g`t a`camag Zrdcmdsa-Gustar, hamm arst `m ham katztam Nbfram odmmtam Ypuram  g`m`gbkam LawuÔt-

sa`ms  la` Sbifodgb-Orbmoam bppbrbt`v rabk`s`art lzw. `m fugbm`s`artar Y`iftcawûrh`ct warham. Hbg`t c`mcam maua Bmsètza eûr h`a Bot`v`arumc & \afb- l`k`tbt`dma`mfar. Na mbif BusgbÔ vdm buÔam mdif arra`iflbram LawuÔtsa`ms umtar-sifa`hat gbm harza`t 8 Edrgam has sdc. Sbifodgbs. Euar hbs Odgb mbifFarzst`kkstbmh g`t Qmtarlraifumc  har Ybuarstdeezueufr w`rh vdm Maurdkdcam harLacr`ee fypdx`sifa Amzaebkdpbtf`a (FA) lavdrzuct.

La`g saktamar buetratamham  Kdioah-`m-Yymhrdg, v`akam laobmmt bus a`mhruios-vdkkam O`mde`kg-  umh Earmsaf-Hdougamtbt`dmam, `st hbs LawuÔtsa`m arfbktam, blar

 naha aroammlbra varlbka dhar gdtdr`sifa Bushruiosracumc cakèfgt - lzw. lka`lts`a bue h`a Bucam lasifrèmot. H`as w`rh mur la` sdrceèkt`cstar Ladlbiftumc amthaiotumh obmm hbmm eûr h`a Odggum`obt`dm  camutzt warham. H`asar ^ustbmh w`rh det`rrtûgk`if bks Odgb lacr`eeam, wbs bm Arzèfkumcam ûlar ‖Yifa`mtdta‐ ar`mmarm gbc,h`a gbm u.Q. kalamh`c lacrblam fbtta.

 @if spraifa m`ift, blar `if spûra mdif!

Arerauk`if `st h`a faut`ca Bloafr vdg ra`mam Hae`z`tlacr`ee (bks Bushruio harebtbk`st`sifam @haa sdc. umwartam Kalams) lzw. F`mwamhumc zur lanbfamham,h`bkdc`sifam Fbktumc cacamûlar ham Orbmoam, h`a sd ûlarbus blfèmc`c s`mh vdgSdfkwdkkam, hag S`ssam & har ^ucawbmhtfa`t vdm ums Casumham.

Qmcabiftat har nawa`k`cam Odgb-Edrg sdkkta `g tèck`ifam Qgcbmc  crumhsètzk`if`ggar hbs gdack`ifa Udrfbmhamsa`m vdm Uarstèmhm`s lzw. LawuÔtsa`msbmta`kam l`s

f`m zu Yifgarzagpe`mham  la`g Orbmoam a`marsa`ts labiftat umh bmhararsa`ts hbstyp`sifa Yifwbmoam har LawuÔtsa`msbot`v`tèt lzw. har Eèf`coa`t zur Uarl`mhumcg`t ugcalamham Zarsdmam lahbift warham, wbs mbfastafamham Bmcafõr`cam nb detlasdmhars cut cak`mct.

Cbmz bkkcaga`m casprdifam fblam Qmebkk-Orbmoa  g`t Sbifodgb a`ma lassaraZrdcmdsa eûr hbs S`ahararkbmcam `fras LawuÔtsa`ms bks Orbmoa mbif Ora`skbuest`kk-

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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stbmh, wa`k la` arstaram mdif umlasifèh`cta Caf`rmbrabka vdrfbmham s`mh, wd-cacam la` Fypdx`a-Zbt`amtam ebst bkka F`rmzakkam Yifbham camdggam fblam.Alamsd `st h`a Zrdcmdsa `g Ebkka g`m`gbkar LawuÔtsa`msrasta cûmst`car bks la`gEafkam sdkifar Bot`v`tèt, haram ok`m`sifar & bppbrbt`var Mbifwa`s bkkarh`mcs mdifm`ift safr wa`t amtw`ioakt `st. S`a eafkarbmeèkk`c l`skbmc h`a zwa`eaksera`a Blcram-

zumc has sdc. bpbkk`sifam Yymhrdgs vdm ^ustèmham g`t g`m`gbkam LawuÔtsa`ms-Odgpdmamtam mdif `st, arw`asam m`ift zukatzt Ytuh`am vdm Gdmt`/ <:2:  &Kburays/<::3. Gõck`ifarwa`sa fbmhakt as s`if detgbks wam`car ug a`m Eafkamf`rmdrcbm`sifar Bot`v`èt, sdmharm ug a`m Busa`mbmharebkkam har Oddrh`mbt`dmzamtrbkmarvõsar Zrdzassa (Hamoam, Eûfkam, Gdtdr`o, vacatbt`va Ytauarumc usw.) g`thag \asuktbt a`mar varm`iftamham Odggum`obt`dmslkdiobha. Ydwdfk h`a H`bcmdst`o,h`a A`mstueumcs-Yystaga (sdc. sibkas), h`a rafbl`k`tbt`vam umh tfarbpaut`sifamLastralumcam gûssam mbif ham botuakkam Aroammtm`ssam t`ae- cra`eamh rav`h`artwarham, ug Edrtsifr`tta eûr hbs Sdfk har Zbt`amtam umh `frar Bmcafõr`cam zuarz`akam.

Lafutsbg w`rh vdr umrabk`st`sifam Arwbrtumcam cawbrmt, wamm z.L. h`abppbrbt`va Odggum`obt`dm ûlar F`rmsibms  g`t Sbifodgb-Zbt`amtam aupfdr`sif`mtarprat`art umh lawartat w`rh (Ubkamt`m <:2:). Buif wbr h`a argut`camha Xamhamzmauar Ytuh`amarcalm`ssa l`skbmc afar la` Xrbugb- bks la` Fypdx`a- Zbt`amtam zuvarza`ifmam. Hbs qubk`tbt`va Uarfèktm`s vdm Zrèsamz bot`var F`rm- brabka zuLawuÔtsa`m, mdif gafr namas zur S`kkamslaoumhumc sa`tams has Orbmoam, `st `mla`ham Cruppam wa`tcafamh umcaokèrt. LawuÔtsa`m sifa`mt oa`ma Lûfma zu sa`m,sdmharm afar a`m Matzwaro mdif oa`maswacs amtz`eeartar Zrdzassa `m umsarag ^MY.

Mdif `ggar c`lt as mbif har fauta ûlk`ifam Fypdtfarg`a (Qmtaroûfkumcs- Xfarbp`a`m ham arstam <8 f mbif hag Ara`cm`s) umh a`mar Odgb-Hbuar  ûlar 1 Xbca oa`mas`ifaram ^a`ifam eûr a`ma cûmst`ca Zrdcmdsa, dl ok`m`sif, bppbrbt`v, l`khcalamhdhar kbldrifag`sif cawdmmam. Qgcaoafrt wurham la` a`mar zumèifst sifkaiftamZrdcmdsa `m a`m`cam Eèkkam mdif rakbt`v cûmst`ca Uarkèuea ladlbiftat. Bkkarh`mcsobmm la` Fypdx`a-Zbt`amtam mbif h`asar ^a`t obug mdif a`m S`ahararwbifam dfmasifwarw`acamha maurdkdc`sifa lzw. wasamsgèÔ`ca Laf`mharumcam (Ytõrumcam v.Gdtdr`o / Yprbifa / Cahèiftm`s/ Beeaotodmtrdkka usw.) arwbrtat warham.

Hbrbus edkct h`a wa`tarf`m cûkt`ca Agpeafkumc, `m nahag Ebkk \afb-Ka`stumcam bmzul`atam umh mbif ib. 5 - 2< Gdmbtam ûlar h`a Brt har Edrtsatzumc zu amt-sifa`ham. Bus gah`z`matf`sifar Y`ift s`mh h`a Lah`mcumcam gafr & gafr ug-str`ttam, umtar hamam a`m \afb-Uarsuif blcakafmt lzw. laamhat warham hbre- `m za`tk`ifar F`ms`ift alamsd w`a `g F`mlk`io bue h`a maurdkdc`sif-ok`m`sifamLaeumha la`g Zbt`amtam.

Zbt`amtamvareûcumcam arka`iftarm h`a odgpkaxam Amtsifa`humcsprdzassa hbhurif,hbss bus `fmam har varlr`aeta S`kka has Orbmoam  farvdrcaft, wakifar dfma a`m

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sdkifas Hdougamt sd umebÔlbr w`a hbs Casifafam & har Edrtcbmc saklar lka`ltlzw. detgbks arstbumk`if cacamsètzk`ifam Hautumcam sa`tams bkkar Lata`k`c-tam buscasatzt `st - h`a Zrdlkagbt`o  has odmstruot`vam Qgcbmcs lastaft edrt.

ArebfrumcscagèÔ odggt as la` Uarkacumc  har Zbt`amtam `g sdc. Sbifodgb

m`ift saktam zu Odmek`otam b) wacam har umlast`ggtam Zrdcmdsaͽ l) z.L. hbmm,wamm a`m Ok`m`o-Ydz`bkh`amst eafkt dhar m`ift raiftza`t`c labuetrbct w`rh, h`aBmcafõr`cam zu larbtam sdw`a h`a Kbmcza`t- Uarsdrcumc lzw. \afbl`k`tbt`dm `mcaa`cmatar A`mr`iftumc zu drcbm`s`aramͽ dhar i) wacam eafkamham \afbpkbtzas `gA`mzucscal`at har Ebg`k`a. Hbs odmorat mdtwamh`ca Udrcafam guÔ stats zw`sifamBmcafõr`cam, ham Xfarbpautam & ham Odstamtrècarm amc blcast`ggt warham. @gEbkka a`mas \afb-Uarebframs warham maua Blsprbifam mbif hag Amha har Ûlar-cbmcspfbsa (ib. 9 - 2< Gdmbta) eèkk`c, wamm la` buslka`lamhar Lassarumc ûlar h`ahbuarfbeta Uarsdrcumc `m caa`cmatar Zekaca-A`mr`iftumc lzw. `m fèusk`ifar Qg-calumc dhar - `g ^uca har \ag`ss`dm (Arfdkumc) - ûlar F`keam zur \a`mtacrbt`dm zu

amtsifa`ham `st.

La` Zbt`amtam mbif Obggarek`ggarm & \abm`gbt`dm stakkt s`if sa`t A`meûfrumc har`mtarmam Hae`lr`kkbt`dmscarèta  (@IH) h`a sdrceèkt`c blzuwècamha Erbca mbif hagEûr & S`har. A`ma erûfza`t`ca A`mpekbmzumc (taifm`sif varcka`iflbr hagFarzsifr`ttgbifar) `st wacam latrèiftk`ifar Mbifta`ka mur a`mcasifrèmot zuagpeafkam. M`ift saktam eafkt `m har \afb-Zfbsa h`a obrh`dkdc`sifa G`tlatrauumc,wbs eûr h`a Zbt`amtam `medkca `frar ebst `ggar lastafamham Gukt`gah`obt`dm`mslasdmhara la` kbl`k m`ahr`cag Lkuthruio lzw. \ytfgusstõrumcam `g Uarkbue safrbltrèck`if sa`m obmm.

---------------------------------------wa`tara F`mwa`sa & @medrgbt`dmam>

== \afb / atf`sifaTErbcam / Bmcafdar`ca 

== Aroammtm`s-Sbmhak + Maurd-Atf`o 

== Gah`z. \àsugàa bus botuakkar K`tarbtur== Gah`z.K`tarbtur zur FA-Zrdcmdsa

As lastaft oa`m A`mekuss bue Castbktumc lzw. @mfbkta eraghar vark`motar Ya`tam. Bushrûiok`if

w`rh nack`ifa Fbetumc euar @mfbkta & \aifta sbagtk`ifar f`ar vark`motar Sals`tas

buscasifkdssam.

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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  Mdgamokbtur &   Aroammtm`swbmhakzur fypdx`sifam Amzaebkdpbtf`a

(Ytbmh <:29)

2) Ûlars`ift

 Bloûrzumcam

 BZY bmbkdc UY 7 bpbkk`sifas Yymhrdg lzw. vacatbt`va stbtaHLY 7 haap lrb`m st`gukbt`dmAOZ 7 Ara`cm`s odrrak`arta Zdtamt`bkaAMY 7 Aurdpabm Maurdkdc`i Ydi`aty

EKY 7 eumit`dmbk kdioah-`m symhrdgaeG\X 7 eumot`dmakka Gbcmat-\asdmbmz-Xdgdcrbe`aFA 7 fypdx`sifa Amzaebkdpbtf`aK@Y 7 kdioah-`m symhrdgaGIY 7 g`m`gbkky idmsi`dus stbtaG\Y 7 g`m`gbkky raspdms`va stbtaZAX 7 Zds`trdmam-Agg`ss`dms-Xdgdcrbe`aYQS 7 Yymhrdga de Qmraspdms`va Sboaeukmass

Udm ham Bkt-Lacr`eeam ‛SbifOdgb‗ lzw. ‛bpbkk`sifas Yymhrdg‗ zur

botuakkam H`eearamz`arumc (‛Yymhrdg rabot`dmskdsar Sbiffa`t‗)

fttp>//www.barztalkbtt.ha/brif`v/220021/Bpbkk`sifas-Yymhrdg-vacatbt`var-^ustbmh-Qmbmcagassama-Lacr`eea4sri7sabrif (<:2<)

fttp>//www.ndurmbkgah.ha/mawsv`aw.pfp4`h798<29 (<:22) fttp>//www.agah`i`mafabktf.idg/idgb/pbca<Tag.ftg  (<:22)fttp>//www.mfs.uo/idmh`t`dms/Uacatbt`va-stbta/Zbcas/@mtrdhuit`dm.bspx  (<:22)fttp>//www.lattarfabktf.v`i.cdv.bu/lfiv</lfibrt`ikas.mse/pbcas/idgbTvacatbt`vaTstbta4dpam  (<:22)

fttp>//www.idgb.ukc.bi.la/pbpars/cargbm/MAQTOdgb.phe   (<::6)fttp>//www.w`ssamsifbet-dmk`ma.ha/brt`oak/08<580  (Kburays <::6)

fttp>//www.w`ssamsifbet-dmk`ma.ha/brt`oak/699253  (Kburays <::1)Bpbkk`sifas Yymhrdg/K`pp (H`ss.<::1)^aralr.Eumot`dm l.F`rmkès`dm (<::8) 

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<. Mauarumcam har maurdk. \afbl`k`tbt`dm & Kbmcza`t-Zrdcmdsa

Maua umh z.X. argut`camha Lar`ifta spraifam eûr `mtams`va \afb-Lagûfumcam la` nahag Zbt`amtam lzw. eûr h`a H`eearamz`arumc vdm ^ustèmham g`t g`m`gbkagLawuÔtsa`m `g Qmtarsif`ah zug bpbkk`sifam Yymhrdg (l`skbmc ga`st bks g`m`gbkkyidmsi`dus stbta  vs. vacatbt`va stbta laza`ifmat). Ydg`t w`rh har mdifwa`tvarlra`tata Zbusifbk-Lacr`ee =Sbifodgb; alamsd umlrbuiflbr w`a h`a kbmca^a`t ûlk`ifa Uargamcumc safr umtarsif`ahk`ifar Qrsbifamgustar eûr Odgb-Yymhrdga `m ham Zrdcmdsa-Ytbt`st`oam sdw`a ham Ldukavbrh-Gah`am.

^u labiftam `st> Qmebkkpbt`amtam fblam a`ma cûmst`cara Ypètprdcmdsa bksZbt`amtam mbif Farzst`kkstbmh g. buÔarok`m. \abm`gbt`dm (s. Bll.)ͽ umh eûrZbt`amtam g`t g`m`gbkag LawuÔtsa`m `st afar a`m cûmst`cas Kbmcza`tarcalm`s zuarwbrtam bks eûr sdkifa `g vacatbt`va stbta (l. ums bpbkk`sifas Yymhrdg).

Uarlassarta Gatfdham haiotam w`aharfdkt Eafkh`bcmdsam `g vacatbt`va stbta bue

(Gdmt`/<:2:  & Kburays <::3), wdrûlar sifdm 2005  lar`iftat wdrham wbr, `mhaga`marsa`ts h`a prèz`sara Aroammumc car`mcstar LawuÔtsa`ms`mfbkta + -s`cmbka (v`bAOZ/M8:: lzw. maurd-`gbc`mc/eG\X & ZAX) bmcalbfmt wurha>

Orbmoa rabc`aram bue Yifgarzokbcam bmharar - <:29fttp>//www.mil`.mkg.m`f.cdv/pulgah/<9<1169: 

fttp>//www.ndurmbkgah.ha/mawsv`aw.pfp4`h798830  (<:22)fttp>//www.gah`ibkmawstdhby.idg/rakabsas/<9<358.pfp (<:22)fttp>//www.er`ahr`if-alart-orbmoamfbus.ha/ok`m`oam/maurdkdc`a/spai`bk.ftgk (Kasarlr`aeTFbmsamT<:22)

fttp>//www.hrbh`d.ha/hke/samhumcam/edrsifbo/2813509/  (Ldky <:22)fttp>//www.lgn.idg/idmtamt/982/lgn.i9351  (<:2:)w`keuk gdhukbt`dm `m gis + vsTMANG  (Gdmt` + Kburas <:2:)Odggamtbra zug Gdmt`-Brt`oak fttp>//www.wbifodgb.bt/@medrgbt`dmam/NbfrastbcumcT<::6/Cdkbszawso`.phe(Maurd-@gbc`mc <::6)fttp>//www.bossgbrykbmh.drc/brt`ikas/28-si`amia-idrmar/<6-eumit`dmbk-gr`-hataits-

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ras`hubk-bwbramass-`m-vacatbt`va-pbt`amts-.ftgk  (<::3)fttp>//www.w`ssamsifbet-dmk`ma.ha/brt`oak/0:93<2  (Dwam <::3)fttp>//brifmaur.bgb-bssm.drc/ic`/idmtamt/blstrbit/59/8/15<  (<::5)fttp>//www.mil`.mkg.m`f.cdv/pgi/brt`ikas/ZGI<91285</phe/lgn::180-::23.phe  (2005)

Hag amtsprbif bmhararsa`ts h`a Bmpbssumc har Xarg`mdkdc`a - zukatzt `m Castbkta`mar wa`taram H`eearamz`arumc vdm < Xypam has g`m`gbkky raspdms`va stbta malamhag ^ustbmh has umraspdms`va wboaeuk, hag eumit`dmbk kdioah-`m symhrdga umhhag Xarg`mus w`keuk gdhukbt`dm `m GIY & UY>

fttp>//www.ndurmbkgah.ha/mawsv`aw.pfp4`h798<29  (AMY <:22)maw idgb sibka+targ`mdkdcy  (Kburays <:22)

fttp>//www.gahsibpa.idg/v`awbrt`ika/3<96:< (<:2:)

fttp>//www.gahsibpa.idg/v`awbrt`ika/39<2:5 (<:2:)Ypètas ArwbifamTuptdhbta  (<:2:)fttp>//www.barztaza`tumc.bt/brif`v/dabaz-<::0/dabaz-2928-21:3<::0/bpbkk`sifas-symhrdg.ftgk  (<::0)

fttp>//www.barztaza`tumc.bt/brif`v/dabaz-<::8/dabaz-9-2::<<::8/bpbkk`sifas-symhrdg.ftgk (<::8)fttp>//hav.ukl.bi.la/ur<me/rapr`mts/LdkyTBrifMaurdk:8.phe (Ldky <::8)fttp>//khys`mcar.stndfmsag.ahu/tfgT16:Tl`datf`is/:0Tidgb-at-bk/:1Tg`m-idm-st.ftg  (<::<)

fttp>//www.maurdkdcy.drc/idmtamt/16/9/980.eukk (C`bi`md <::<)fttp>//www.mil`.mkg.m`f.cdv/pgi/brt`ikas/ZGI2:32565/ (Irbmedrh <::<)

La`g kdioah-`m-Yymhrdg g`t `mtbotag LawuÔtsa`m umh Rubhr`pkac`aaredkct na mbif Yifèh`cumcsgustar (h. Bucamgdtdr`o) alamebkks a`ma Qmtar-ck`aharumc - f`ar suift gbm ^ucèmca eûr ham sprbifk`ifam Bushruio (lrb`m-gbif`ma-`mtarebia)fttp>//www.ydutula.idg/wbtif4v7wyCET8gNMX:  (ZZX <:22)fttp>//www.maurd<8.ha/sfdwTckdssbr.pfp4`h72:<6  (<:22)fttp>//www.hrbh`d.ha/hke/samhumcam/edrsifbo/66<022/  (<::6)kdioah-`mT`mtarh`sz`pk`mbar  (H`ss. <::8)

Na mbif har spaz`e`sifam Odmstakkbt`dm har Odgb-Edrgam warham Gatfdham amt-w`ioakt, maua Uarl`mhumcam zu bot`vam CrdÔf`rmbrabkam har Zbt`amtam farzu. stakkamumh Odgpdmamtam `fras LawuÔtsa`ms bmzustauarm lzw. bmzuracam lzw.Yifgarzagpe`mham `g GIY mbifzuwa`sam>

fttp>//www.ydutula.idg/wbtif4v7wyCET8gNMX:  (Ytbmtr`m`mc <:22)

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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fttp>//www.walgh.idg/lrb`m/maws/<:2::<:9/vacatbt`va-pbt`amts-tbko-w`tf-lrb`m (<:2:)fttp>//dmk`mak`lrbry.w`kay.idg/hd`/2:.2222/n.285:-0156.<:2:.:382<.x/blstrbit (HLY / <:2:)fttp>//brifmaur.bgb-bssm.drc/ic`/idmtamt/eukk/55/5/503  (Yif`ee <::0)

fttp>//www.l`kh-har-w`ssamsifbet.ha/lhw/lhwk`va/faetbrif`v/`mhax<.pfp4dlnaitT`h79<2:1261  (<::0)fttp>//www.bimr.id.uo/NE:6/BIM\NE:6Tstbmh`mc.phe   (Bueraiftpds`t`dm/<::0)fttp>//www.tfakbmiat.idg/ndurmbks/kbmaur/brt`ika/Z@@Y283888<<:63:<200/blstrbit (<::6)fttp>//www.w`ssamsifbet-dmk`ma.ha/brt`oak/0:93<2 (Dwam <::3)fttp>//maws.lli.id.uo/</f`/1::6388.stg  (^dkp`hag / <::5)Yt`gukbt`dm l.Sbifodgb / ^`acar (<::8)fttp>//www.mil`.mkg.m`f.cdv/pgi/brt`ikas/ZGI2390803/phe/v:35p::<06b.phe  (Bueraiftpds`t`dm/<::8)

^ucka`if warham Sbrmumcam pulk`z`art, ûlarfõfta Arwbrtumcam la` Bmca- fõr`cambuszukõsam, hb h`a ga`stam mauarh`mcs prdcmdst`sif cûmst`car a`mca- stuetam lzw.buecrumh a`mas GIY st`guk`arlbram Zbt`amtam `m ham Ytuh`am a`ma trbugbt`sifa &oa`ma fypdx`sifa F`rmkès`dm buew`asam (Ubkamt`m  <:2:). Qmokbrlka`lt la` ham f`ar latrbiftatam Odgb-Edrgam l`skbmc hbs qubk`tbt`va Uarfèktm`shar Zrèsamz bot`var F`rmbrabka zu LawuÔtsa`m, sdw`a namas vdm LawuÔtsa`m zuS`kkamslaoumhumc sa`tams har Orbmoam.

 Èktara Crumhkbcam har Maurd-\afb

fttp>//www.barztalkbtt.ha/v8/brif`v/brt`oak.bsp4`h720328  (2000)www.h`gh`.ha/ha/okbss`/h`bcmdsam/`ih2:/eruafrafb.phe   (Yifõmka 2000)

9) Atf`sifa + sdz`bka Bspaota l. sdc. Sbifodgb

Zrdcmdsa + Zbt`amtamw`kka - <:29 ht. barztalkbtt

Orbmoa rabc`aram bue Yifgarzokbcam bmharar - <:29fttp>//www.mil`.mkg.m`f.cdv/pulgah/<9<1169:

hcm-Ka`tk`m`a - <:2<fttp>//www.hcm.drc/ka`tk`m`am-dmk`ma-<:2</`mfbkta-mbif-obp`tak/<935-kk-62-<:2<-fypdx`sifa-amzapfbkdpbtf`a.ftgk 

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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fttp>//www.lr-dmk`ma.ha/lbyarm</tfadkdc`o/barzta-gah`z`m-atf`o-@H2922259219:<5.xgk  (<:22) fttp>//www.w`ssamsifbet-dmk`ma.ha/brt`oak/699253  (Ûlars`ift &@gpk`obt`dmam har Blcramzumc v. F`rmtdh + Sbifodgb / Kburays <:22)Bueekbioarmhas LawuÔtsa`mTsuahhautsifa ztc.  (<:22)

fttp>//www.b-z`acar.ha/fttp>//www.b-z`acar.ha/wbifodgb.pfp  (<:22)Ndx-Udrtrbc û.Sbifodgb  (<:2:)fttp>//www.tbcassp`acak.ha/pdk`t`o/starlaf`kea-har-katzta-w`kka/2053<95.ftgk  /(<:2:)fttp>//www.umtdt.`med/286-:-Sbifodgb-Bmhrabs-^`acar-Vpar`gamt-Byb-Lam-\dm.ftgk (<:2:)fttp>//www.tbclkbtt.ha/Fdga/mbifr`iftamTbrt`oak,-H`a-Agdt`dmssobkb-tamh`art-`ms-Zds`t`va-Tbr`h,2<:302Tpr`mt,2.ftgk  (L`rlbugar <:2:)Sbifodgb-Yag`mbr/Qm`-Gûmifam  (Odgpbot-Ûlars`ift <::0/2:)

Maurd-Atf`o-ZrdnaotTGûmifam  (<::0)www.ablark`m.ha/hdwmkdbh/<::3TXC2:T^`acar2Tok.phe   (<::3)fttp>//www.w`ssamsifbet-dmk`ma.ha/brt`oak/615322 (w`a tdt4 <::5)Ldrbs`d + Ndx  (<::8)www.b-z`acar.ha/Hbta`am/Sbifodgb/Xrbugbt`s`art.phe   (<::9)fttp>//www.gahsibpa.idg/v`awbrt`ika/8<<652T5  (<::<)fttp>//l`hdo.u`lo.bi.bt/k`lrbry/z`acar-edrsifumcsarcalm`ssa.ftgk  (2003)

Udrtrèca lzw. Edk`am zu h`varsam Bspaotam has sdc. Sbifodgbs u.b. la`Fbmsam lzw.  ^`acar

wa`tara F`mwa`sa & @medrgbt`dmam>

== Gah`z.K`tarbtur zur FA-Zrdcmdsa== Gah`z. \àsugàa bus botuakkar K`tarbtur== @med euar Bmcafdar`ca & @mtarass`arta== \afb / atf`sifaTErbcam / Bmcafdar`ca 

As lastaft oa`m A`mekuss bue Castbktumc lzw. @mfbkta eraghar vark`motar Ya`tam.

 Bushrûiok`if w`rh nack`ifa Fbetumc euar @mfbkta & \aifta sbagtk`ifar f`ar vark`motarSals`tas buscasifkdssam. 

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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  K`tarbtur-K`sta zur Zrdcmdsa m. Farzst`kkstbmh

(fypdx. Amzapfbkdpbtf`a)

(•• 7 las. `medrgbt`va Ûlars`iftam - botubk`s`art <:29) 

== mbif Fypdtfarg`a-A`meûfrumc

•• Xfõgoa at bk. - Zrdcmdsa + Zbrbgatar <:29

fttp>//www.barztalkbtt.ha/brif`v/298025/Laurta`kumc-har-Zrdcmdsa-mbif-obrh`dpuk

gdmbkar-\abm`gbt`dm-umh-tfarbpaut`sifar-Fypdtfarg`a4sri7sabrif  

• S`mafdusa & Pdumc / 60 raes. <:29

fttp>//www.uptdhbta.idg/idmtamts/fypdx`i-`sifag`i-lrb`m-`mnury-avbkubt`dm-bmh-prdcmds`s 

•• hcm-Ka`tk`m`a - <:2<

fttp>//www.hcm.drc/ka`tk`m`am-dmk`ma-<:2</`mfbkta-mbif-obp`tak/<935-kk-62-<:2<-fy

pdx`sifa-amzapfbkdpbtf`a.ftgk 

•• Fbmsam - Zbtfdpfys`dkdc`a har Bmdx`a - Odkkdqu`ug <:2< 

fttp>//www.er̀ ahr`if-alart-orbmoamfbus.ha/ok`m`oam/maurdkdc`a/FIF-Zbtfdpfys-Dut

idgaFypdx`a<:2<.phe  

•• Fbmsam - Zrdcmdst`o - Odkkdqu`ug <:2<

fttp>//www.er̀ ahr`if-alart-orbmoamfbus.ha/ok`m`oam/maurdkdc`a/FIF-ZrdcmdsaFypd

x`a<:2<.phe  

• Fbmsam-fdgapbca Mauguamstar

fttp>//www.er̀ ahr`if-alart-orbmoamfbus.ha/ok`m`oam/maurdkdc`a/spai`bk.ftgk 

• Ifbm - Ebotdram vdr + la` \abm`gbt`dm + Zrdcmdsa <:2<

fttp>//www.barztaza`tumc.ha/axtrbs/hruiobms`ift/4s`h76202:3&p`h7628902 

• Lduwas at bk. <:2<

fttp>//dmk`mak`lrbry.w`kay.idg/hd`/2:.2::</bmb.<<59</blstrbit 

•• Fbmsam - Kasarlr`ae <:22

fttp>//www.er̀ ahr`if-alart-orbmoamfbus.ha/ok`m`oam/maurdkdc`a/fbmsamkasarlr`aemar

vambrzt5-<:22.phe  

• Dhhd/\dssatt` - prah`it`mc dutidga - <:22

fttp>//www.mil`.mkg.m`f.cdv/pulgah/<2985159 

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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• L`ssifdps - md s`mcka pbrbgatar - <:22

fttp>//www.mil`.mkg.m`f.cdv/pulgah/<2820152 ah`t`dr`bk

fttp>//agir`t.drc/wp-idmtamt/fypdbrts/prah`it`mc-maurd-dutidga-ah`tdr`bk.phe  

• Odkkgbmm-Ebokar (Blstrbit + H`ss.) <:22

fttp>//ahdi.ul.um`-guamifam.ha/2<5<0/  

• Zdrtar at bk. <:22

fttp>//www..m`f.cdvmil`.mkg/pgi/brt`ikas/ZGI9:55039/ 

• S`nh`ios <:2:

gahsibpa-rav`aw 

• Astrbmad at bk. <:2:fttp>//www.mil`.mkg.m`f.cdv/pulgah/<:118082 

•• Casamswby <:2:

fttp>//tdhbysfdsp`tbk`st.idg/`mhax.pfp4l7brt`ikasTrabh&imt7039 

• Yif`ee - raidvary betar savara lrb`m `mnury <:2:

fttp>//www.iing.drc/idmtamt/33/YuppkT9/Y<3.eukk 

• Kufgbmm-Yifagb <:2:

www.`mtams`v-gah.ha/YDZTfypdx`sifarTF`rmsifbham.phe  

• \av`aw <::0

fttp>//www.bzsfbra.cdv/hdiugamts/mangTprdcmdst`ibt`dm.phe  

7 fttp>//www.mang.drc/hd`/eukk/2:.2:15/MANGip:0:9855

•• Ka`tk`m`am <::6 

fttp>//www.hcm.drc/idgpdmamt/idmtamt/brt`ika/26-ka`tk`m`am/802-ka`tk`m`am-har-hcm-

fypdx`sifa-amzapfbkdpbtf`a-(fa).ftgk4q7prdcmdsa  

• Xfõgoa at bk. <::3

fttp>//www.barztalkbtt.ha/v8/brif`v/brt`oak.bsp4`h7139:8 

fttp>//www.barztalkbtt.ha/v8/brif`v/brt`oak.bsp4sri7suifa&p7prdcmdsa+rabm`gbt`

dm&`h710:::  (odggamtbr Nbmzam <::6)

• \a`s`mcar <::3

aurfabrtn.dxedrhndurmbks.drc/idmtamt/<6/20/<821.2.eukk.phe  

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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• Yifg`hlbuar at bk. <::3

dutidga m.prèok`m. rabm`gbt`dmTbustr`b 

• ^`acar <::5

fttp>//www.b-z`acar.ha/Hbta`am/Udrtrbaca/Edk`amUdrtrbcZrdcmdsaGuamstar<::5.phe  

• <::5 - sk`has

dutidga `m idgbtdsa surv`vars betar iprTmaurdkdcyTsk`ha-sfdw 

• cu`hak`ma <::5

www.bbm.idg/ckdlbks/bxdm/bssats/<135.phe  

• S`nh`ios <::5

www.maurdkdcy.drc/idmtamt/53/</<:9.eukk.phe  

• Cadibh`m - Lbkt`gdra <::5

fttp>//www.maurdkdcy.drc/idmtamt/53/2/2:1.sfdrt 

• blstrbit Lr`stdk <::1

fttp>//agn.lgn.idg/idmtamt/<</2:/3::.blstrbit 

== vdr  Fypdtfarg`a-Barb

dutidga betar ibrh`bi brrastTNamb (<::8/:1)

fttp>//www.fsi.wvu.ahu/lgah/Av`hamia-Lbsah-Gamtbk-Fabktf/Ruast`dms-bmh-Duti

dgas/Idgb-Zrdcmds`s-bmh-\asusi`tbt`dm   (<::8)

www.bimr.id.uo/phes/vdkuga8`ssua1/YpaiEabtLarao.phe   (<::8) ••

dutidga-odmsamsus-stuh`aTbustr`b   (<::<)

pdstbmdx`sifas odgbTFbupt+Zrbmca+Nbmzam  (2006) ••

fttp>//www.bmmagarcgah.idg/brt`ika/Y:205-:588(69)6:<81-1/blstrbit  (2069)

fttp>//www.mang.drc/hd`/phe/2:.2:15/MANG2069:5:09:6<9:<  (2069)

fttp>//www.mang.drc/hd`/phe/2:.2:15/MANG2038:621<02:3:2  (2038) wa`tara F`mwa`sa & @medrgbt`dmam>

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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== Gah`z. \àsugàa bus botuakkar K`tarbtur 

== Aroammtm`s-Sbmhak + Maurd-Atf`o 

== @med euar Bmcafdar`ca & @mtarass`arta

== \afb / atf`sifaTErbcam / Bmcafdar`ca

As lastaft oa`m A`mekuss bue h`a Castbktumc umh h`a @mfbkta vark`motar, eraghar Ya`tam. Bushrûiok`if w`rh H`stbmz zu bkkam bue h`asar Ya`ta buecaeuafrtam K`mos lzw. ham hbg`tvaromuapetam Sals`ta-@mfbktam a`mcamdggam. Nack`ifa Fbetumc w`rh buscasifkdssam. 

7/24/2019 Hypoxische Enzefalopathie + sog. Wachkoma

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\àsugàa zur Zrdcmdsa m. Farzst`kkstbmh & \abm`gbt`dm (<:29 )

• Sasamtk`ifa Ebotdram , vdm hamam h`a Zrdcmdsa blfbamct, s`mh Bktar umh Udrar-orbmoumcam has Zbt`amtam, Drt sdw`a za`tk`ifar Lac`mm lzw. Hbuar har \abm`gbt`dm,

 Brt har a`mcasatztam Brzma`g`ttak umh ladlbift atar AOC-Laeumh la`g Ara`cm`s

(Ifbm, <:2<).

• Zrdcmdsa `mscas.  rakbt`v umcûmst`c , umh hbs `ggar hbmm, wamm h. Zbt`amt mbif

\abm`gbt`dm m`ift l`mmam <8 f spdmtbm arwbift (mbif A`meûfrumc har g`t

Fypdtfarg`a-Xfarbp`a caktam Xbc 9 l`s Xbc 1 mbif Ora`skbue-st`kkstbmh bks

amtsifa`hamh eûr hbs Arebssam `mebustar Zrdcmdsa.)

• h`a sa`t <::9 atblk`arta, g`ttkarwa`ka `m <1 - 31% har eèkka pr`gèr hurifcaeûfrtatfarbpaut`sifa Fypdtfarg`a  g`t Bmbkcdsah`arumc ûlar <8f fbt mbif A`m-

sifètzumc h. Axpart@mmam arfalk`ifam A`mekuÔ bue h`a maurdkdc. Laeumha, har

buecrumh ourzar Arebfrumcsza`t wahar za`tk`if mdif qubk`tbt`v harza`t camûcamh

vbk`h`art `st (Uarzõcarumc has Lassarumcsl`khas4 Uarsif`alumc ok`m`sif lzw.

bppbrbt`v cawdmmamar Laeumha4) - okèramha  Ytuh`am kbueam.

• umlah`mct a`mzur`iftam `st h. erûfa Latrauumc har Bmcafõr`cam  hurif

a`m Or`sam`mtarvamt`dms-Xabg  zur Lawèkt`cumc t`aecra`eamhar psyifdsdz`bkar

Uarèmh arumcam eûr Ebg`k`a & Qgeakh - u.b. `g F`mlk`io bue pars`stamta lzw.

umblsaflbr kbmcer`st`ca Laf`mharumc h. Zbt`amtam  (Odkkgbmm-Ebokar, <:22) 

• h. Yugga l`difag. (MYA, Y2::), bppbrbt`var (YAZ, AAC), l`khcalamhar (IX,

G\X) umh ok`m.maurdkdc. Zbrbgatar arfõft prdcmdst. Bussbcaorbet cacamûlar

A`mzaklawartumcͽ mauarh`mcs w`rh h.w`aharfdkta ok`m.-maurdkdc. Laeumharfalumc eûr

h`a Zrdcmdsa bks traees`ifarar a`mcastuet - varck`ifam g`t ham l`sfar`cam \asuktbtam

har spaz`e. l`difag. & bppbrbt`var H`bcmdst`o ( S`nh`ios <:2:  lzw. Xfõgoa <:29 ).

• w`ift`c sifa`mt h.H`eearamz`arumc v. Gydokdm`am  (camarbk`s`arumc umblf.v.

ap`kapt`sifam Orbgpebmeèkkam) & Blcramzumc vdm pfbrgbodcamam Ytõraeeaotam

w`ift`c (z.l. Zrdpdedk-QBS)

• 2: - 26 % har Zbt`amtam ûlarkalamͽ `m <: - 1:% pars`st`aram maurdkdc. lzw.

 psyif`sif rakavbmta Laf`mharumcam (z.l. Astrbmad <:2:  ) ͽ har lbh dutidga 

( 7 habtf, vacatbt`va stbta, savara fbmh`ibps) `st cacamûlar Ytuh`am h. 3:ar l`s

0:ar Nbfra sdcbr l`s bue ib. 1:% bmcast`acam (Bmm.MaurdkdcyT<:22)  - a`ma 

Ypètlassarumc  tr`tt l. Zbt. m. Fypdx`a hautk`if saktamar bue bks l.Zbt`amtam g`t

Yifèhak-F`rmtrbugb (MaurdkdcyT<:2:) 

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 • cddh dutidga l.ib. 25 % lar`iftat, nahdif warham mur 2-1% sygptdgera`lzw. arra`ifam ham prègdrl`ham ^ustbmh g`t vdkkar \a`mtacrbt`dm `m Bkktbc &Larueskalam (Fbmsam, <:2:) ͽ a`ma cûmst`ca maurdpsyifdkdc`sifa Amtw`iokumc w`rhdet arst mbif gafrwõif`car \afb-Bmwamhumc aroammlbr umh `st buif la`

umcûmst`car Zr`gèrprdcmdsa gõck`if (Fbmsam-Kasarlr`aeT<:22) 

• oa`m a`mzakmar Zbrbgatar, dl bppbrbt`v, l`khcalamh dh. ok`m`sif cawdmmam,vargbc zu `rcamha`mag ^a`tpumot a`mam cûmst`cam Uarkbue zu lakacamͽ hbsLastralam caft botuakk hbf`m, umcûmst`ca lzw. hasdkbta Zrdcmdsam gõck`ifst erûf &s`ifar zu aroammam lzw. atf`sif umvartratlbra Xfarbp`am zu varga`ham

• a`m Garolkbtt e. Bmcafdar`ca lamammt bks Ûlarcbmcspfbsa h`a ^a`t vdm 9.Sdifa l`s Amha has 9. Gdmbts bks amtsifa`hamh eûr h`a Laurta`kumc has vdrbus-s`iftk`ifam Buscbmcs f`ms`iftk`if Lassarumc lzw. Uarlka`l `g pars`stamtam

Sbifodgb.

• 2006 umtarsif`ah a`m Zds`t`dmspbp`ar < Zfbsam> b) Arfdkumc har G`ttakf`rm- &F`rmstbggeumot`dmam f`ms`iftk`if \abc`l`k`tèt & Sbfrmafgumc har Qgcalumc l`s 2Gdmbt mbif Ara`cm`s  umh l) Lassarumc har Sbfrmafgumcseèf`coa`t, akaot`vam\abc`l`k`tèt umh Ypdmtbm`tèt l`s Amha h. 9.Gdmbts (Fbupt-Zrbmca-Nbmzam )

 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT

•• odgpbota & odgpatamta Ûlars`iftam  bus nûmcarar ^a`t = FbmsamT<:2<ͽ Odkkgbmm-EbokarT<:22ͽ  uptdhbta-maurdkdcyT<:29ͽ MANG-rav`awT<::0ͽ Xfõgoa at bk. <::3 lzw. <:29 

•• hcm-Ka`tk`m`am <:2<  zu H`bcmdst`o, Xfarbp`a, Zrdcmdsa & \afbl`k`tbt`dm TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT

wa`tara F`mwa`sa & @medrgbt`dmam>

== Gah`z.K`tarbtur zur FA-Zrdcmdsa

== Aroammtm`s-Sbmhak + Maurd-Atf`o

== @med euar Bmcafdar`ca & @mtarass`arta

== \afb / atf`sifaTErbcam / Bmcafdar`ca 

As lastaft oa`m A`mekuss bue Castbktumc lzw. @mfbkta eraghar vark`motar Ya`tam. Bushrûiok`ifw`rh nack`ifa Fbetumc euar @mfbkta & \aifta sbagtk`ifar f`ar vark`motar Sals`tasbuscasifkdssam.