So wo nso wotɔ piti mpofirim na wohwe ase? (Syncope) - Momma yɛnka eyi ho asɛm!

So woahu sɛ obi atɔ piti mpofirim pɛn? Anaasɛ ato wo? Fa no sɛ abofra bi totɔ piti bere a wɔreyɛ anɔpa nhyiam wɔ sukuu mu, anaa obi a ɔtotɔ piti mpofirim bere a ɔretwɛn wɔ ntonto mu no. Eyi yɛ hu kakra. Yɛn a yɛyɛ nnuruyɛfo frɛ eyi syncope . Sɛ yɛbɛka no tiawa a, eyi yɛ adwenemhaw, anaasɛ adwenem naayɛ. Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, ɛnte saa?

Dɛn ankasa ne Syncope?

Sɛ yɛbɛka no tiawa a, syncope yɛ mogya dodow a ɛkɔ w’amemene mu a ɛso tew mpofirim bere tiaa bi. Eyi ne bere a yɛtotɔ piti anaasɛ yɛn adwene mu yɛ yɛn naa. Mpɛn pii no, biribi ketewaa bi a ɛnkyɛ na ɛde ba.

Wobɛtumi:

• Sɛ wo mogya so tew mpofirim a.
• Sɛ wo koma bɔ brɛoo a.
• Sɛ nsakrae ba mogya dodow a ɛwɔ wo nipadua no afã horow mu a.

Sɛ wototɔ piti a, wobɛsan anya w’adwene wɔ sikɔne anaa simma kakraa bi mu. Nanso, ebia w’adwene betu na woabrɛ kakra wɔ ɛno akyi. Ebia ebegye simma anaa nnɔnhwerew pii ansa na wo ho atɔ wo koraa.

Nanso, ɛtɔ mmere bi a saa tebea a wɔfrɛ no syncope yi betumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne. Enti, sɛ wotɔ piti a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ nea ɛde ba na woanya ayaresa. Nnipa dodow no ara betumi adi tebea yi so sɛ wohu wɔn yiye na wonya ayaresa a ɛfata a.

So syncope ahorow ahorow wɔ hɔ?

Yiw, syncope ahorow ahorow wɔ hɔ . Ma yɛnhwɛ nea wɔyɛ:

• Vasovagal syncope: Wɔsan frɛ no neurocardiogenic syncope , eyi ne syncope a ɛtaa ba. Ɛyɛ nnipa a wɔtotɔ piti nyinaa mu bɛyɛ fã.
• Tebea mu akisikuru: Eyi nso yɛ vasovagal syncope bi, a yɛaka ho asɛm wɔ atifi hɔ. Ɛne sɛ, ɛba wɔ tebea pɔtee bi mu nkutoo.
• Postural or orthostatic syncope: Wɔsan frɛ no postural hypotension , eyi yɛ tebea a ɛba bere a wosakra wo gyinabea (sɛ nhwɛso no, bere a wosɔre mpofirim fi mpa a woda so no).
• Koma mu yare: Eyi ba bere a mogya a ɛkɔ amemene no mu no so tew esiane ɔhaw bi a ɛwɔ koma anaa mogya ntini mu nti.
• Neurologic syncope: Eyi betumi afi ntini mu yare bi mu aba.
• Postural Orthostatic Tachycardia Syndrome (POTS) a ɛma obi gyina hɔ ma a ɛyɛ mmerɛw.Nea ɛba wɔ eyi mu ne sɛ koma no bɔ kɔ soro kɛse mpofirim bere a wusɔre fi baabi a wote anaa woda hɔ no.
• Syncope ne biribi a wonnim nea ɛde ba: Ɛtɔ mmere bi a ɛyɛ den sɛ wubehu nea ɛde ba ankasa.

Eyi abu so dɛn?

Syncope yɛ tebea a abu so yiye. Ɛka mmarima bɛyɛ 3% ne mmea 3.5% wɔ wɔn nkwa nna mu. Ɛtaa ba bere a obi nyin no, ɛka nnipa bɛyɛ 6% a wɔadi boro mfe 75. Ebetumi aba wɔ mfe biara mu, wɔ nnipa a wɔwɔ ayaresa tebea afoforo anaasɛ wonni bi mu.

Nsɛnkyerɛnne bɛn na wote nka ansa na woatotɔ piti?

Mpɛn pii no, ansa na wobɛtotɔ piti no, ebia wubehu sɛnkyerɛnne ahorow te sɛ eyinom:

• Sɛ wote nka sɛ aniwa no reyɛ bruu (a ɛreyɛ tuntum).
• Sɛ wote nka sɛ ne ti ayɛ hare, na n’adwene atu afra.
• Wɔtwe wɔn kɔ fam a ntease biara nnim.
• Sɛ wote nka sɛ ɔda anaasɛ wo ho ayɛ wo yaw.
• Sɛ wote nka sɛ woatɔ piti, titiriw bere a woadi anaa woateɛteɛ w’apɔw mu awie no.
• Sɛ wote nka sɛ wuntumi nnyina anaasɛ woayɛ mmerɛw bere a wogyina hɔ anaa wonam no.
• Anisoadehunu sesa - te se nsensanee a wohunu wo aniwa anim, anaase tunnel anisoadehunu (te se wohunu wo tube mu).
• Tipaeɛ.

Nea ɛho hia: Sɛ wotaa hu saa sɛnkyerɛnne ahorow yi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn nti na yɛte nka sɛ yɛn ho atɔ yɛn saa? (Dɛn ne nea enti a ɛte saa?)

Ade titiriw a ɛma obi totɔ piti ne mogya a ɛdɔɔso a ɛnkɔ amemene no mu. Eyi betumi de nneɛma ahorow aba, a syncope ahorow a yɛadi kan aka ho asɛm no ka ho. Ebia nnipa pii wɔ aduruyɛ mu tebea bi a ɛda adi a ɛka wɔn ntini anaa wɔn koma a wonnim. Anaasɛ, ebia wowɔ tebea bi a ɛka mogya a ɛkɔ wo nipadua mu, na ɛma wo mogya mmoroso so tew bere a wosakra wo gyinabea (sɛ nhwɛso no, bere a wugyina hɔ fi da hɔ).

Nneɛma a Ɛde Vasovagal Syncope Ba

Eyi ba efisɛ wo mogya so tew mpofirim, na ɛma mogya dodow a ɛkɔ w’amemene mu no so tew. Eyi taa ba bere a woagyina hɔ kakra akyi, anaa bere a woanya adwennwen, awerɛhow, anaa ehu pii no. Fa no sɛ, wugyina owia mu bere tenten wɔ wo sukuu no asa kɛse no so rekɔyɛ anɔpa nhyiam, na afei mpofirim ara wo tirim yɛ wo yaw na wotɔ piti. Mpɛn pii no, sɛ yegyina hɔ a, tumi a ɛtwe ade ba fam no ma yɛn mogya boaboa ano wɔ yɛn nipadua no afã horow a ɛwɔ fam, wɔ diaphragm no ase . Sɛ eyi ba a, yɛn koma ne autonomic nervous system bom yɛ adwuma ma yɛn mogya mmoroso kɔ so yɛ den.

Nanso, eyi yɛ vasovagal syncope.Wɔ saa tebea yi mu no, wo koma bɔ ne wo mogya mmoroso so tew mpofirim dodo, na ɛno betumi ama mogya a ɛkɔ amemene no mu no so atew, na ama woatɔ piti. Mpɛn pii no, eyi nyɛ nea asiane wom.

Nneɛma a Ɛde Tebea mu Syncope Ba

Eyi ba wɔ tebea pɔtee bi a wo ntini ahorow no nya nkɛntɛnso na woyɛ obi a onnim hwee nkutoo mu. Tebea horow yi bi ne:

• Nsu a ɛho ntew.
• Nkate mu nhyɛso a emu yɛ den, awerɛhow, dadwen.
• Ehu.
• Ɛyaw a emu yɛ den.
• Ɔkɔm de.
• Nsã anaa nnubɔne a wɔde di dwuma.
• Hyperventilation - Wei kyerε sε wobεgye oxygen pii na woahom carbon dioxide ntɛmntɛm sene sεdeε εhia.
• Sɛ wofefe denneennen, wodannan wo kɔn, anaasɛ wohyɛ kɔla ( carotid sinus hypersensitivity ).
• Bere a woretow nsu ( micturition syncope ).

Nneɛma a ɛde postural syncope ba

Wɔsan frɛ eyi postural hypotension anaasɛ orthostatic hypotension . Ɛba bere a wosakra wo gyinabea mpofirim, sɛ nhwɛso no, bere a wugyina hɔ fi da hɔ, na wo mogya so tew mpofirim no. Nnuru bi ne nsu a ɛho ntew betumi de tebea yi aba. Nnipa a wɔtotɔ piti saa no, anyɛ yiye koraa no, wɔn mogya so tew 20 mmHg (dodow a ɛwɔ soro) ne mmHg 10 (dodow a ɛwɔ ase) bere a wogyina hɔ no.

Nneɛma a ɛde komayare ba

Sɛ wowɔ tebea bi wɔ wo koma anaa wo mogya ntini mu a ɛka mogya a ɛkɔ w’amemene mu a, wubetumi anya komayare . Saa tebea horow yi bi ne:

• Koma a ɛbɔ a ɛnyɛ ne kwan so ( arrhythmia ).
• Mogya a ɛkɔ koma no mu a ɛnkɔ yiye esiane sɛnea koma no te nti ( hypertrophic cardiomyopathy ).
• Mogya ntini a ɛwɔ koma no mu a esiw ( myocardial ischemia ).
• Koma mu ntini mu yare.
• Aortic stenosis - Wei kyer3 s3 aorta no mu teateaa.
• Mogya a ɛtwetwe.
• Koma a entumi nyɛ adwuma yiye.

Sɛ wowɔ komayare a , ɛho hia yiye sɛ wobɛkɔ koma ho oduruyɛfo nkyɛn na woanya ayaresa a ɛfata, efisɛ eyi betumi ayɛ aniberesɛm koraa.

Nneɛma a Ɛde Neurologic Syncope Ba

Eyi betumi aba sɛ wowɔ ntini mu yare bi te sɛ akisikuru, akisikuru, anaa bere tiaa mu ischemic attack (TIA) a . Afei nso, atiridiininiNa tebea horow a ɛntaa nsi te sɛ normal pressure hydrocephalus nso betumi ama neurologic syncope aba .

Postural Orthostatic Tachycardia Syndrome (POTS) a Ɛma Nnipa Nyinaa Ho Nsɛm (POTS) .

Sɛ wowɔ POTS , wo koma bɔ betumi akɔ soro kɛse ( tachycardia ) bere a wugyina hɔ fi baabi a wote anaa woda no. Ebia wo koma bɔ bɛyɛ 30 simma biara anaa nea ɛboro saa. Mpɛn pii no, saa nkɔanim yi ba wɔ simma 10 akyi bere a wogyina hɔ no.

Syncope a biribiara nni hɔ a wobetumi ahu sɛ ɛde ba

Nnipa a wɔtotɔ piti no mu bɛyɛ 33% ntumi nhu nea ɛde wɔn adwene bae ankasa. Nanso, nnuru bi nso betumi ama asiane a ɛwɔ hɔ sɛ obi bɛtotɔ piti sɛ nea efi mu ba no ayɛ kɛse. Sɛ wunnim nea ɛde wo totɔ piti a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wototɔ piti a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Obetumi de wo akɔma oduruyɛfo a ɔyɛ syncope ho ɔbenfo ma wɔayɛ wo nhwehwɛmu a edi mũ.

Oduruyɛfo titiriw no bɛhwɛ wo nipadua mu na wayɛ aduruyɛ ho abakɔsɛm a edi mũ. Ɔbɛbisa wo wo yareɛ no ho nsɛnkyerɛnneɛ ne mmerɛ a wototɔ piti - sɛ ebia na woanya yareɛ no bi kane, berɛ ne baabi a wototɔ piti.

Ɔsan nso tumi susuw wo koma bɔ ne wo mogya mmoroso bere a wowɔ gyinabea ahorow (da fam, wote ase, gyina hɔ).

Afei, ebia ebehia sɛ woyɛ sɔhwɛ biako anaa nea ɛboro saa na ama woahu nea ɛde wo totɔ piti. Saa sɔhwɛ ahorow yi hwehwɛ nneɛma te sɛ:

• Wo koma tebea.
• Wo koma bɔ.
• Mogya dodow a ɛwɔ wo nipadua mu.
• Ɔkwan a wo mogya fa so di akɔneaba bere a wowɔ gyinabea ahorow no.

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Sɔhwɛ ahorow a wɔyɛ de hu nea ɛde ɔtopae ba ne:

• Nhwehwɛmu a wɔyɛ wɔ aduruyɛdan mu: Hwɛ sɛ mogya a ɛtɔ kɔ nipadua mu anaa nsakrae bi aba wɔ nipadua mu nneɛma mu anaa .
• Electrocardiogram (EKG): Sɔhwɛ a ɛkyerɛ sɛnea wo koma no anyinam ahoɔden yɛ adwuma.
• Apɔw-mu-teɛteɛ mu adwennwen ho sɔhwɛ: Sɔhwɛ pii wɔ hɔ a wɔyɛ bere a woreyɛ apɔw-mu-teɛteɛ anaasɛ denam wo koma aduru a wɔde ma de adwennwen so. Adwennwen mu nhwehwɛmu ahorow bi hwehwɛ EKG nsakrae anaasɛ wɔyɛ koma no mu nnyigyei a ɛyɛ nwonwa. Wobetumi de nuklea mfonini nso ayɛ adwennwen ho sɔhwɛ ahorow .
• Ambulatory monitor: Afiri a wohyɛ a ɛnam electrode ahorow so kyerɛw wo koma bɔ ne sɛnea ɛbɔ ho nsɛm.
• Echocardiogram: Sɔhwɛ a wɔde nnyigyei asorɔkye di dwuma de yɛ wo koma nhyehyɛe ho mfonini.
• Tilt table test (head-up tilt test): Wɔkyerɛw wo mogya mmoroso ne wo koma bɔ simma biara anaasɛ wɔbɔ no bɔ bere a woda pon so na wɔdan pon no wɔ mmeae ahorow no. Saa sɔhwɛ yi tumi hu koma ne ntini mu nneyɛe a ɛnteɛ a ebetumi ama obi atɔ piti.
• Autonomic reflex testing: Nhwehwɛmu ahorow a wɔyɛ toatoa so a ɛkyerɛ wo mogya mmoroso, wo mogya a ɛkɔ, wo koma bɔ, wo honam ani hyew, ne fifiri a woyɛ de bua nneɛma ahorow a ɛkanyan wo. Saa susuw ahorow yi betumi aboa wo duruyɛfo ma wahu sɛ ebia wo autonomic nervous system no reyɛ adwuma yiye anaasɛ wo ntini asɛe anaa.

Wubetumi ayɛ nhwehwɛmu afoforo nso, te sɛ electrophysiology adesua , autonomic nervous system sɔhwɛ , ntini mu nhwehwɛmu, ne CT scan (Computed Tomography - CT scan) . Ebia wobɛyɛ vestibular function testing nso de ahwɛ sɛ ɔhaw biara nni w’aso a ɛwɔ mu no ho. Sɛ wuhia nhwehwɛmu foforo biara a, wo duruyɛfo bɛkyerɛkyerɛ nea ɛyɛ ne nea enti a wuhia mu.

Sɛ obi totɔ piti a, dɛn na yɛyɛ?

Sɛ obi totɔ piti a, di anammɔn yi akyi:

1. Hwɛ sɛ ɔrehome anaa.

2. Ma ɔnkɔda fam, anaasɛ ɔmfa ne ti ntra ne nkotodwe ntam, anyɛ yiye koraa no simma 10-15.

3. Ma no nsuonwini bi ma ɔnom.

Dɛn ne ayaresa ahorow a wɔde sa obi a ɔtotɔ piti?

Ayaresa a wubetumi apaw no gyina nea ɛde wo totɔ piti ne nea wo nhwehwɛmu no mu aba kyerɛ so. Botae a ɛwɔ ayaresa mu ne sɛ ɛbɛma woasiw wo kwan bio.

Ayaresa a wobetumi apaw ama syncope ne:

• Nnuru a wobɛnom, anaa nsakrae a wobɛyɛ wɔ nnuru a worenom dedaw no mu.
• Ntade a ɛboa anaasɛ compression stockings a wɔhyɛ na ama mogya no akɔ yiye.
• Nsakrae a wobɛyɛ wɔ w’aduan mu. Ebia wo duruyɛfo bɛka akyerɛ wo sɛ di nnuan nketenkete a wotaa di, fa nkyene (sodium) kakra ka w’aduan ho, nom nsu pii, ma potassium dodow a ɛwɔ w’aduan mu no nkɔ soro, na twitwa caffeine ne nsa so.
• Ahwɛyiye a wobɛhwɛ yiye bere a woresɔre no.
• Ma mpa no ti nkɔ soro bere a woada no. Wubetumi ayɛ eyi denam pillows foforo a wode bedi dwuma anaasɛ risers a wode besi nan ase wɔ mpa no ti so no so.
• Kwati tebea horow anaa "nneɛma a ɛkanyan" a ɛma obi totɔ piti (te sɛ gyinabea a ɛkyɛ, ɔhyew, ne tebea horow a ɛhaw adwene).
• Biofeedback ntetee a wɔde hwɛ koma a ɛbɔ ntɛmntɛm so.
• Sɛ komayare a ɛwɔ nhyehyɛe mu wɔ hɔ a, ma wɔnsa wɔn yare.
• Pacemaker a ɛbɛma koma no abɔ sɛnea ɛsɛSɛnea ɛbɛyɛ a wobesiesie biako (eyi yɛ aduruyɛ mu tebea pɔtee bi nkutoo ho).
• Sɛ wobenya afiri a wɔde siw koma no mu a wɔde hyɛ nipadua mu (ICD) . Saa afiri yi hwɛ wo koma bɔ ne sɛnea ɛbɔ denneennen bere nyinaa na ɛteɛteɛ nnyigyei biara a ɛyɛ ntɛmntɛm na ɛnyɛ ne kwan so (bio, tebea horow bi nkutoo ho).

W’aduruyɛ kuw no bɛyɛ ayaresa nhyehyɛe a ɛfata wo na wɔne wo asusuw ayaresa a wubetumi apaw ho.

So nnuru bi wɔ hɔ a wɔde yɛ eyi?

Nnuru bi a wɔde sa obi a ɔtotɔ piti no bi ne:

• Midodrine a wɔde di dwuma
• Fludrocortisone (aduru din Astonin® anaa Florinef®) .

Nnuru yi betumi de ɔhaw ahorow bi aba, te sɛ koko mu yaw, akisikuru, adwenemhaw, nsu a ɛyɛ den sɛ obi bɛtow, yafunu a ɛyɛ yaw, ne atiridiinini. Enti, ɛho hia sɛ wode aduru no di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ.

So wobetumi atew/asiw obi a ɔtotɔ piti ano?

Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ wobɛtotɔ piti no so atew no, ɛsɛ sɛ wuhu nea ɛde ba. Sɛ nsu a ɛho ayɛ fĩ ne ɔhaw no a, nsu a wobɛkɔ so anya na woanom nsu pii no betumi aboa ma asiane a ɛwɔ hɔ no so atew. Sɛ woretotɔ piti esiane komayare bi nti a, ebia wubehia nnuru anaa afiri bi a wɔde sa koma a ɛnyɛ ne kwan so.

Mpɛn pii no, wote nka sɛ worebɛtotɔ piti. Ebia wobɛte nka sɛ wo ho ayɛ wo hyew, wo ho ayɛ wo yaw, anaasɛ wobɛbɔ wo koma (koma a ɛbɔ daa a ɛte sɛ nea ɛrebɔ ntɛmntɛm dodo anaasɛ "ɛrebɔ" wɔ wo moma so). Wubetumi aboa ma woakwati sɛ wobɛtotɔ piti sɛ:

• Fa ntɛm tra ase anaa da fam na ma wo nan so.
• Fa wo nsa bom.
• Twe wo nsa mu denneennen.
• Twe wo nan anaa pia w’asen mu.

Sɛ wototɔ piti a, dɛn na ɛba? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Sɛ wohu yare no yiye na wosa no yare a, wubetumi adi syncope so . Sɛ woatotɔ piti pɛnkoro a, wowɔ bɛyɛ 30% hokwan sɛ wobɛtotɔ piti bio. Asiane a ɛwɔ hɔ sɛ wobɛtotɔ piti bio ne sɛnea ɛka wo no gyina nneɛma pii so - te sɛ nea ɛde ba, wo mfe, wo bɔbeasu, ne ayaresa tebea afoforo a wowɔ. Sɛ wowɔ nsɛmmisa bi fa asiane a ɛwɔ hɔ ho a, wo ne wo duruyɛfo nkasa.

Sɛ wɔahu sɛ wowɔ syncope , hwɛ mmara a ɛwɔ wo man/mantam mu. Wɔ aman/mantam bi mu no, ɛsɛ sɛ karkafo a wɔtotɔ piti no bɔ amanneɛ kyerɛ adwumayɛbea a ɛhwɛ karkafo tumi krataa so. Oduruyɛfo bi bɛka akyerɛ wo sɛ hwehwɛ nea ɛde ba na nya ayaresa ansa na woaka kar.

Mpɛn pii no, sɛ obi totɔ piti a, asiane biara nni ho. Nanso, sɛ wowɔ koma a ɛnyɛ ne kwan so anaa ntini mu yare bi a, ebetumi de wo nkwa ato asiane mu. Akyinnye biara nni ho sɛ ɛsɛ sɛ nnipa a wɔwɔ komayare anaa ntini mu yare hwehwɛ ayaresa fi oduruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Ntɛmntɛm Ayaresa Dwumadibea (ETU) .So mmere bi wɔ hɔ a ɛsɛ sɛ wokɔ?

Ɛdenam nea ɛde wo totɔ piti so no, ebehia sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ no bɛyɛ adapɛn abien kosi anan bere a woanya ayaresa wɔ ayaresabea anaa ayaresabea a wɔhwɛ ayarefo a wɔda abɔnten no akyi. Sɛ oduruyɛfo no hu ɔhaw bi wɔ wo koma nhyehyɛe anaa sɛnea ɛbɔ no ho a, ebehia sɛ woyɛ nhyehyɛe foforo a wode bedi akyi.

Sɛ obi totɔ piti na ogyae home, te sɛ nea ɔwɔ komayare a, ɛsɛ sɛ woma no CPR (Cardiopulmonary Resuscitation) na wofrɛ ambulance. Nnipa pii kɔ Emergency Department (ETU) bere a wɔatotɔ piti no. Sɛ wototɔ piti, titiriw nea edi kan, anaasɛ wo koko yɛ wo yaw, ɛyɛ den sɛ wobɛhome, anaa sɛnkyerɛnne afoforo a emu yɛ den a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu.

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa wo duruyɛfo

Wubetumi abisa wo duruyɛfo nsɛm yi:

• Wunim nea ɛmaa metotɔ piti?
• Dɛn na ɛsɛ sɛ meyɛ na amma adwenemhaw ko a na mewɔ no ansi bio?
• So mihia sɔhwɛ pii anaasɛ bere a wɔde di akyi?

Sɛ yɛbɛbɔ no mua a (Take-Home Message) .

Syncope , anaasɛ akisikuru betumi ayɛ te sɛ nea anibere wom sen sɛnea ɛte ankasa efisɛ ɛba mpofirim na ɛtwetwe afoforo adwene. Nanso, wɔ nnipa dodow no ara fam no, ɛyɛ bere tiaa mu tebea na ɛnkyerɛ akwahosan ho haw a emu yɛ den. Sɛ wokɔ oduruyɛfo nkyɛn bere a woatotɔ piti a, ebetumi aboa wo ma woanya awerɛhyem sɛ wunni tebea bi a emu yɛ den. Sɛ komayare bi na ɛde wo totɔ piti a, ɛho hia sɛ wunya ayaresa.

Kae sɛ, sɛ wowɔ w’akwahosan ho adwenem naayɛ anaa dadwen bi a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa.

Fainting , syncope, adwenem naayɛ, amemene mu ischemia, vasovagal syncope, koma syncope, nea ɛde totɔ piti, aduru a ɛma obi totɔ piti