Ɛte sɛ akɔmfosɛm a ɛma obi totɔ piti, nanso w’adwene nkɔ? Momma yɛnka (Presyncope) ho asɛm!

Ebia woama eyi ato wo wɔ bere bi mu. Sɛ wugyina hɔ, ebia wɔ nnipa kuw bi mu, anaasɛ sɛ wosɔre mpofirim a , wote nka sɛ w’adwene tu fra, w’ani so yɛ tuntum, na wiase nyinaa twa wo ho hyia. Wodwene sɛ, "Oh, mɛtotɔ piti." Nanso nea ɛyɛ nwonwa no, w’adwene ntew, ɛkame ayɛ sɛ wunya nkwa kɛkɛ. Ɛno ne nea aduruyɛ ho abenfo frɛ no ``presyncope'' (wɔbɔ no pre-sin-ka-pee). Nnuruyɛfo binom nso frɛ no ``near syncope.'' ``syncope'' yɛ bere a w'adwene fi wo ho so ankasa na wohwe ase.

Dɛn ankasa ne `Presyncope`?

Sɛ yɛbɛka no tiawa a, `(Presyncope)` ne bere a wote nka sɛ wobɛtotɔ piti, nanso ɛkame ayɛ sɛ wunnim hwee a worenhwere w'adwene ankasa. Eyi betumi akyɛ fi sikɔne kakraa bi kosi simma kakraa bi. Wɔ nnipa dodow no ara fam no, eyi nyɛ ɔhaw kɛse. Nanso, wɔ nnipa kakraa bi fam no, nea edi akyi no betumi ayɛ aniberesɛm kakra. Wɔ nnipa binom fam no, `(Presyncope)` betumi ama wɔatotɔ piti na wɔahwe ase ankasa, na ebetumi ama wɔapirapira. Wɔ afoforo fam no, `(Presyncope)` betumi afi biribi a anibere wom kɛse, te sɛ komayare mu aba.

Dɛn ne eyi ho sɛnkyerɛnne?

Sɛ wowɔ presyncope a, wubetumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Ti a ɛyɛ hare: Ebetumi ayɛ te sɛ nea biribiara nni wo ti mu, te sɛ nea worehuruhuruw .
• Mmerewa: Ebia wobɛte nka mpofirim te sɛ nea w’ahoɔden resa.
• Fifiri: Ebia wobɛpae mpofirim wɔ fifiri a ɛyɛ nwini mu.
• , (Upset stomach): .
• Koma a ɛbɔ: Ebia wobɛte nka sɛ wo koko rebɔ, anaasɛ wo koma bɔ betumi asesa.
• Ɛyaw a ɛba wo yafunu/yafunu mu: Ebia nnipa binom bɛte ɛyaw wɔ wo yafunu ase.
• Aniwa a ɛyɛ kusuu anaa nsensanee tuntum a wuhu: Te sɛ bere a TV no hwere ne sɛnkyerɛnne no, ebia wubehu nsensanee, nsensanee, anaa nneɛma bi wɔ w’ani anim a ɛyɛ kusuu.

Dɛn nti na eyi ba? Nneɛma a ɛde `Presyncope` ba

Nea enti titiriw ne sɛ mogya dodow a ɛkɔ w’amemene mu no so tew mpofirim. Fa no sɛ, sɛ mogya a ɛkɔ w’amemene mu no gyae bɛyɛ sikani asia kosi awotwe a, wubetumi ahwere w’adwene. Wɔ ``Presyncope`` mu no, mogya no so tew kakra, nanso ennyae koraa.

Nneɛma pii na ɛde presyncope ba:

Nneɛma a ɛtaa de ba a ɛnyɛ den pii no bi ne:

• Adeyɛ a ɛde ɛyaw, ehu, dadwen, anaa ahoyeraw kɛse ba: Sɛ nhwɛso no, mogya a wohu, aduru a wɔde twitwiw obi, anaa akwanhyia a wohu.
• Morthostatic mogya mmoroso:Eyi ne nea ɛto nnipa pii. Sɛ wugyina baabi a wotena hɔ mpofirim, anaasɛ wosɔre fi baabi a woda a, wo mogya so tew mpofirim na w’adwene tu fra. Eyi nso betumi asi bere a wo ho nsu ayɛ wo hyew no.
• Vasovagal syncope: Eyi nso abu so. Ebetumi aba bere a woagyina hɔ akyɛ, wɔ wim tebea a ɛyɛ hyew mu, anaa bere a wokura wo home mu (sɛ nhwɛso no, bere a worefefe anaasɛ worebɔ mmɔden sɛ wobɛtow wo ho agu).

Ntease ahorow a enti ɛsɛ sɛ yɛhwɛ yiye kakra:

• Nnuru bi: Nnuru a wɔde sa mogya mmoroso ne komayare bi nso betumi de eyi aba.
• `Pulmonary embolism` ( ): .
• Ahurututu mu mogya mmoroso: Mogya mmoroso a ɛkɔ soro wɔ ahurututu mu.
• Sepsis: Tebea a emu yɛ den a ɔyare mmoawa bi a ɛwɔ nipadua no mu de ba.
• Aortic dissection: Mogya ntini kɛse (aorta) no mu ntini a ɛtetew.
• Koma mu ntini mu yare: Koma mu ntini a ɛnyɛ adwuma yiye.
• Hypertrophic cardiomyopathy: Koma ntini a ɛyɛ den a ɛnyɛ ne kwan so.
• Myocardial ischemia: Koma no nnya mogya a ɛdɔɔso.
• Koma mu yare.
• Carotid artery disease: Ntini atitiriw a ɛwɔ kɔn no mu a ɛde mogya kɔ amemene no mu no siw.
• Cardiac tamponade: Nsu a ɛboaboa ano wɔ kotoku a atwa koma no ho ahyia no mu, na ɛmia koma no.
• Koma mu nnyigyei a ɛyɛ den (`Arrhythmia`).
• Mogya a ɛtɔ kɔ nipadua mu: Sɛ nhwɛso no, mogya a ɛtɔ wɔ yafunu anaa dwensɔtwaa mu (yafunu mu mogya) betumi ama mogya atɔ.
• `Postural orthostatic tachycardia syndrome (POTS):` Tebea a koma no bɔ kɔ soro wɔ ɔkwan a ɛnteɛ so bere a wogyina hɔ no.

Nea ɛho hia: Sɛ wuhu nneɛma a ɛde ba yi a, mma wo ho nnpopo. Mpɛn pii no, ``Presyncope'' no fi nneɛma a ɛnyɛ den. Nanso, sɛ ɛtaa ba, anaasɛ ɛde sɛnkyerɛnne afoforo ba a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Hena na ɔwɔ asiane kɛse mu sɛ obenya `presyncope`?

Ɛwom sɛ tebea yi betumi aba obiara so de, nanso nnipa binom wɔ asiane kɛse mu:

• Wɔn a wɔwɔ mogya mmoroso no fam.
• Wɔn a wɔwɔ asikreyare no fam.
• Wɔn a wɔde tawa nneɛma (te sɛ sigaret, beedis) di dwuma no fam.
• Wɔn a wɔanya ``Presyncope'' dedaw no.
• Wɔbɔ tebea yi ho amanneɛ mpɛn pii kakra wɔ mmea mu sen mmarima mu.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo w’ayaresa ho abakɔsɛm.Obebisa nnuru a worenom no ho asɛm . Afei, wɔbɛyɛ nipadua mu nhwehwɛmu . Oduruyɛfo no betumi abisa nsɛm te sɛ:

• "Dɛn na na woreyɛ bere a wufii ase tee saa sɛnkyerɛnne ahorow yi nka no?"
• "So eyi asi pɛn?"
• "Dɛn na na woreyɛ ansa na worefi ase ate nka saa?"
• "So obi wɔ abusua no mu a ɔwɔ yare a enni sabea anaa komayare?"

Dɛn ne owu akyi nhwehwɛmu ahorow no?

Sɔhwɛ ahorow a edidi so yi betumi aboa ma wɔahu nea ɛde ba:

• Electrocardiogram (ECG/EKG): Sɔhwɛ a wɔde hwɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma.
• Koma a ɛbɔ ho nhwehwɛmu: Afiri a wɔhyɛ da koro anaa nnanu, te sɛ Holter monitor, anaa dapɛn biako anaa abien, te sɛ Zio® patch, hwɛ sɛnea koma no bɔ.
• `Exercise stress test`: Wɔfa `ECG` bere a woreyɛ apɔw-mu-teɛteɛ.
• Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ asikre dodow a ɛwɔ mogya mu (glucose) ne mogya a ɛtɔ kɔ nipadua mu.
• Tilt table test: Wɔ sɔhwɛ yi mu no, wɔma woda mpa soronko bi so, na wɔsesa mpa no ma egyina hɔ mpofirim, na wɔhwɛ wo koma bɔ ne wo mogya mmoroso.
• `CT scan` (Computed tomography) a wɔde yɛ amemene no.
• Echocardiogram: Wɔde ultrasound scan a wɔde hwehwɛ koma no mu.

Dɛn ne ayaresa a wɔde sa `Presyncope`?

Ayaresa no gyina nea ɛde presyncope ba so.

Nneɛma a w’ankasa wubetumi ayɛ (te sɛ daakye):

• Da fam anaa tena ase ntɛm ara. Sɛ ɛbɛyɛ yiye a, ma wo nan so kakra.
• Twe wo nsa, wo nan, anaa wo yafunu ntini mu den. Sɛ nhwɛso no, twa wo nan anaa fa wo nsateaa mu. Wɔfrɛ eyinom sɛ counter-pressure maneuvers. Eyi betumi ama mogya a ɛkɔ amemene no mu no ayɛ kɛse kakra.

Aduruyɛ mu ayaresa:

• Nkyene a wɔde ma (IV nsu): Sɛ nipadua no mu nsu nni a, wobetumi de nkyene a sodium wom ama.
• Nnuru: Ɛdenam nea ɛde ba no so no, wobetumi de nnuru a ekum ɔyare mmoawa ama ɔyare mmoawa bi, na wobetumi de nnuru a ɛma mogya yɛ mmerɛw ama na amma mogya antɔ.
• Oprehyɛn anaa oprehyɛn ahorow bi: Nneɛma te sɛ mogya a ɛtwetwe anaa koma no a wɔde besi ananmu.
• Pacemaker a wɔde bɛhyɛ obi mu anaa ayaresa bi a wɔfrɛ no Ablation: Sɛ wɔde besiesie koma a ɛbɔ a ɛnteɛ (arrhythmia).

Daakye bɛn na obi a ɔwɔ presyncope betumi ahwɛ kwan?

Sɛ wokɔ oduruyɛfo nkyɛn pɛ a, wobetumi de wo akɔ ayaresabea, anaasɛ wɔbɛsa wo yare na wɔde wo akɔ fie. Ɛno akyi no, ɛsɛ sɛ wokɔ wo oduruyɛfo a ɔhwɛ wo titiriw (PCP) nkyɛn kɔhwɛ no.

Sɛ oduruyɛfo bi hu ɔhaw bi a emu yɛ den a, ebia ebehia sɛ wokɔ koma ho oduruyɛfo anaa ɔbenfo foforo nkyɛn. Sɛnea wo presyncope no mu yɛ den no begyina nea ɛde ba no so.

Nhwehwɛmu bi daa no adi sɛ sɛ obi a ɔwɔ presyncope nya sɛnkyerɛnne ahorow yi bi a, ebetumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne:

• Koma a entumi nyɛ adwuma yiye.
• Ahome a ɛyɛ tiaa.
• Sɛ `Pressure` (Systolic mogya mmoroso) dodow a ɛwɔ soro no nnu 90 mmHg a. (Eyi sua sen bo a ɛfata).
• Nneɛma a ɛnteɛ wɔ `ECG` sɔhwɛ no mu.
• Sɛ `Hematocrit test` aba no nnu 30% a, ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ ɔha biara mu nkyekyɛmu a ɛwɔ wo mogya mu no sua, a ɛkyerɛ sɛ wowɔ mogya a ɛtɔ kɔ wo mogya mu.

So wobetumi asiw presyncope ano?

Yiw, sɛ wunim nea ɛde ba a, wubetumi aboa ma wɔasiw `(Presyncope)` ano. Wubetumi atew asiane a ɛwɔ hɔ no so denam nneɛma yi a wobɛyɛ so:

• Nom nsu pii ansa na wode mogya ama anaasɛ wobɛma wo aduru. Tena ase bere a woreyɛ aduru a wɔde twitwiw nipadua no.
• Kwati nneɛma a ɛma wo ho yeraw wo (sɛ nhwɛso no, sini a ɛyɛ hu a wobɛhwɛ) sɛnea wubetumi biara.
• Nsɔre prɛko pɛ, sɔre brɛoo.
• Mma nnidi pii bere koro mu, di nnuan nketenkete.
• Sɛ aduruyɛ mu tebea bi wɔ hɔ a ɛde presyncope reba a, ma wɔnsa no yiye.

Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho?

Sɛ wunim nea ɛma wunya presyncope a, yɛ nea wubetumi biara na asiw ano. Sɛ nhwɛso no, sɛ wunim sɛ wotaa nya bi wɔ mmeae a ɛhɔ yɛ hyew na nnipa ahyɛ hɔ ma a, di kan yɛ nhyehyɛe bere a worekɔ saa mmeae no. Fa fan ketewaa bi bra, tena bɛn mfɛnsere bi, anaa fi abɔnten kakra na woanya mframa pa bi.

Bere biara a wobɛte nka sɛ worebɛtotɔ piti no, bɔ mmɔden sɛ wobɛtra ase anaa wobɛda. Fa wo nsa bom, twa wo nan.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ presyncope , a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ wo. Mpɛn pii no, wo duruyɛfo no betumi ahu nea ɛde ba anaasɛ ɔde wo bɛkɔ obi a obetumi aboa wo nkyɛn. Sɛ w’adwene fi wo ho so ankasa (totɔ piti) a, ɛyɛ ntɛmpɛ. Ɛsɛ sɛ obi a ɔka wo ho frɛ ambulance ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ eyinom:

• "Dɛn na ɛmaa minyaa saa `(Presyncope)` yi?"
• "Sɛ aduruyɛ tebea bi na ɛde eyi ba a, so ɛsɛ sɛ mehwehwɛ ayaresa ma no?"
• "Wɔtumi sa no ntɛmntɛm dɛn?"
• "So nnipa afoforo a wɔwɔ m'abusua mu wɔ asiane mu sɛ wobenya `(Presyncope)'?"

Presyncope, sɛ́ ɛyɛ wo bere a edi kan anaasɛ nea ɛsan ba bio no, betumi ayɛ osuahu a ɛyɛ hu na ɛnyɛ dɛ. Ebia wubesusuw sɛ, "So mɛhwe ase? So mɛpira?" Anaasɛ ebia wobɛte aniwu nka bere a obiara bisa sɛ, "So wo ho ye?" Nanso nea ɛho hia sen biara ne sɛ wubehu nea ɛde ba na woanya ayaresa a wuhia. Afei wubetumi adi tebea no so.

Nea etwa to no, kae eyi.

``(Presyncope)`` ne bere a wote nka sɛ woretotɔ piti, nanso wo ntumi nnyae. Mpɛn pii no, ntease a ɛnyɛ den nti na eyi fi, nanso ɛtɔ mmere bi a, biribi a anibere wom te sɛ komayare betumi de aba.

Enti, sɛ woanya saa osuahu yi pɛn, titiriw sɛ ɛtaa ba, anaasɛ sɛnkyerɛnne afoforo te sɛ koko mu yaw, ahome a ɛyɛ tiaa, ne nea ɛkeka ho ka ho a, yɛsrɛ wo hwehwɛ aduruyɛfo afotu. Nsuro, mma wo ho nnyɛ wo hu. Sɛ wohu yare no yiye na wɔsa wo yare a, wubetumi ayɛ yiye. W’akwahosan wɔ wo nsam!

` Presyncope, adwenemhaw, adwenem naayɛ, adwenemhaw, vertigo, mogya a enni amemene no mu, komayare