So woahu pɛn sɛ obi ahwe ase mpofirim a ntease biara nnim, anaasɛ ebia ato wo? Ɛbɛyɛ sɛ yɛn nyinaa ahu sɛ obi te nka sɛ ne ho totɔ piti anaasɛ ne ho popo mpo bere a ɔde mogya rema esiane suro a osuro sɛ obenya nnade nti. Bere a ebetumi ayɛ osuahu a ɛyɛ nwonwa no, mpɛn pii no, ɛnyɛ nea ɛde nkwa to asiane mu. Ɛnnɛ, wɔ Nirogi Lanka , yɛreka saa adwene a ɛyera mpofirim yi a wɔfrɛ no Vasovagal Syncope wɔ aduruyɛ mu yi ho asɛm.
Dɛn ne Vasovagal Syncope? Momma yɛnbubu mu!
Sɛ yɛbɛka no tiawa a, Vasovagal Syncope yɛ biribi a wo ntini ahorow no yɛ mpofirim a ɛma wo mogya mmoroso ne wo koma bɔ so tew mpofirim , na ɛma wo ho yeraw wo bere tiaa bi. Ɛho nhia sɛ wobɔ hu; saa akisikuru yi taa di nea ennu simma biako.
Saa tebea yi ka kuw bi a wɔfrɛ no Reflex Syncope , a ɛkyerɛ sɛ ɛba wɔ ɔkwan a ɛnyɛ nea wɔpɛ so. Ebinom frɛ no Neurocardiogenic Syncope efisɛ ɛfa nkitahodi a ɛda wo koma ne w’amemene ntam ho.
Bere a ebia asɛmfua no bɛyɛ te sɛ nea ɛyɛ hu no, mpɛn pii no Vasovagal Syncope nyɛ asiane biara . Ebia ɛbɛyɛ wo nwonwa sɛ wubehu sɛ nnipa baasa biara mu biako behyia eyi anyɛ yiye koraa no pɛnkoro wɔ wɔn nkwa nna mu. Ebetumi aka obiara wɔ mfe biara mu. Nokwarem no, ɛno na ɛtaa ma ankorankoro a wonnii mfe 40 totɔ piti, na ɛkame ayɛ sɛ ɛno na ɛma mpanyimfo a wɔn mfe akɔ anim a wɔtotɔ piti nyinaa mu fã.
Ɛtaa ba bere a wugyina hɔ anaa wote ase no. Ɛntaa mma koraa sɛ eyi bɛba bere a woada hɔ no.
Kɔkɔbɔ nsɛnkyerɛnne: Nea ɛsɛ sɛ wohwɛ yiye ansa na woatotɔ piti
Ebia wubehu sɛnkyerɛnne ahorow no wɔ sikɔne 30 kosi 60 ansa na vasovagal episode aba. Sɛ wuhu eyinom ntɛm a, ebetumi aboa wo ma woasiw asehwe ano. Nsɛnkyerɛnne a ɛtaa ba no bi ne:
- Ɔbrɛ a ɛboro so a wɔte nka mpofirim .
- Nkate a ɛne sɛ ne ho ayɛ hyew dodo anaasɛ ɔhyew a ɛba mpofirim.
- Ti a ɛyɛ hare anaasɛ adwenemhaw .
- Wora a ɛyɛ bruu a ɛda adi.
- Asorɔkye a ɛma obi ho dwiriw no .
- Fifiri a ɛdɔɔso .
- Nkate a ɛma obi bɔ brɛoo.
- Mpɛn pii a wɔyɛ yaw .
- Nsakrae a ɛba wɔ anisoadehu mu, te sɛ ɔkwan a wɔfa so hu ade .
Sɛ wuhyia eyinom mu biako anaa nea ɛboro saa a, yɛsrɛ sɛ yɛ ahwɛyiye ntɛm ara na ama woanya ahobammɔ.
Dɛn nti na eyi ba?
Vasovagal Syncope yɛ reflex reaction a wo nipadua wɔ wɔ nneɛma pɔtee bi a ɛkanyan no ho. Autonomic Nervous System —wo nipadua no fã a ɛyɛ adwuma ankasa a wommɔ mmɔden biara a wunnim no na ɛhwɛ saa mmuae yi so.
Ade titiriw a ɛwɔ nhyehyɛe yi mu ne Vagus Nerve , a ɛma wo koma bɔ ne wo mogya mmoroso no. Sɛ Vagus Nerve no kanyan dodo a, ebetumi ama wo koma bɔ ne wo mogya mmoroso akɔ fam ntɛm ara. Sɛ eyi ba a, amemene no ma mogya no so tew bere tiaa bi , na ɛma obi totɔ piti.
Mpɛn pii no, “nneɛma a ɛkanyan” —nneɛma a wuhu, wote nka, anaa wuhyia a ɛma wo ho nyɛ wo dɛ na ɛde saa nsɛm yi fi ase. Nneɛma a ɛtaa kanyan obi no bi ne:
- Nnade anaa nnuruyɛ mu nneɛma : Sɛ wuhu sɛ wɔatwe mogya, wode mogya ama, anaasɛ wobɛhwɛ nnwinnade a wɔde yɛ oprehyɛn a, ebetumi ama asɛm bi aba.
- Mogya a wohu: Mogya a wohu no yɛ ade a ɛtaa kanyan Vasovagal Syncope.
- Adwennwen , dadwen , anaa nkate mu ahodwiriw a emu yɛ den:Awerɛhow a emu yɛ den, ehu, anaa ɛyaw betumi akanyan mmuae.
- Ɔbrɛ anaa ɔbrɛ a emu yɛ den : Sɛ obi yɛ adwuma boro so anaasɛ ogyina hɔ kyɛ nso betumi de eyi aba.
Nsɛnnennen bɛn na ebetumi aba wɔ tebea yi mu?
Bere a vasovagal episode bi rekɔ so no, ebia wubehyia:
- Bere tiaa bi a ɛma obi adwene tu fra anaasɛ ɔyɛ basaa .
- Ebia w’ani bɛsan akɔ akyi anaasɛ akɔ ɔfã biako.
- Ahwease a ɛbae mpofirim .
- Ɛntaa mma sɛ akisikuru a wontumi nni so .
- Twitching movements , a ɛtɔ mmere bi a wobetumi adi mfomso aka sɛ ɛyɛ akisikuru.
Sɛ wosan nya w’adwene wie a, ɛsɛ sɛ wote nka sɛ woasan aba sɛnea na ɛte kan no mu wɔ sikɔne 20–30 ntam. Nanso, ebia wubehyia sɛ:
- Adwennwene anaa ehu a ɛba obi so.
- Adwene a ɛyɛ basaa .
- Ɔbrɛ .
- Tipaeɛ .
- Abofono .
- Wora a ɛyɛ mmerɛw .
- Fifiri a ɛba .
- Ɔpɛ a ɛwɔ hɔ sɛ wɔbɛtow nsu agu .
Kae: Sɛ wunya Vasovagal Syncope yare wie a, sɛ wugyina hɔ ntɛmntɛm dodo wɔ simma 30 a edi kan no mu a, wowɔ asiane mu sɛ wobɛsan anya bi bio. Tena ase anaa da fam kosi sɛ wobɛte nka sɛ wo ho atɔ wo koraa.
Ɔkwan bɛn so na nnuruyɛfo hu Vasovagal Syncope?
Wo duruyɛfo bebisa wo nsɛm a ɛkɔ akyiri afa w’akwahosan, nsakrae a aba nnansa yi, ne sɛnkyerɛnne pɔtee a wotee nka no ho—nea ɛte sɛ nea ɛyɛ nketenkete mpo. Saa nsɛm yi a wɔbɛkyɛ no ho hia na ama wɔahu yare no pɛpɛɛpɛ. Hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nnuru ne nnuru a wɔde ka ho a worenom mprempren nyinaa ho. Wɔbɛhwɛ wo mogya mmoroso ne wo koma bɔ nso.
Ɛdenam wo sɛnkyerɛnne ahorow so no, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo wɔ ayaresabea:
- Mogya mu nhwehwɛmu: Eyinom boa ma wohu nneɛma atitiriw a ɛde wo totɔtɔ te sɛ mogya a ɛtɔ kɔ nipadua mu no ba.
- Electrocardiogram (EKG anaa ECG): Eyi kyerɛw anyinam ahoɔden dwumadi a ɛwɔ wo koma mu de hu koma no nnyigyei biara a ɛnteɛ.
- Echocardiogram: Wo koma mu nnyigyei a ɛma yetumi hwehwɛ sɛnea wɔahyehyɛ no mu na yehu sɛ ebia asɛm bi a ɛfa koma ho na ɛrekanyan wo yare no ho sɛnkyerɛnne anaa.
- Electroencephalogram (EEG): Eyi susuw w’amemene no anyinam ahoɔden dwumadi na ɛboa ma wohu sɛ ebia akisikuru na ɛde wo totɔ piti anaa.
- Tilt-table sɔhwɛ: Wɔ sɔhwɛ yi mu no, wɔkyekyere wo wɔ pon bi a afei wɔdannan kɔ afã horow so. Wɔ wɔn a wɔwɔ Vasovagal Syncope fam no, eyi betumi asan de yare no ho sɛnkyerɛnne ahorow aba, na ama yɛatumi ahwɛ sɛnea wo nipadua no yɛ n’ade wɔ bere ankasa mu.
- Hemodynamic test: Sɛ yɛde gamma camera titiriw ne tracer di dwuma a, yebetumi ahwɛ sɛnea wo mogya no di akɔneaba na yɛahu biribiara a ɛnteɛ.
Ɔkwan bɛn so na wɔsa Vasovagal Syncope?
Ankorankoro pii a wɔwɔ Vasovagal Syncope hu sɛ wɔn yare no ho sɛnkyerɛnne no fi hɔ ankasa a wɔmfa ayaresa pɔtee biara nka ho. Nanso, sɛ ɛho hia a, yebetumi akamfo nea edidi so yi akyerɛ:
- Nsu a wɔde fa IV mu: Sɛ nsu a ɛho ntew yɛ ade a ɛde ba a, etu mpɔn kɛse.
- Nneɛma a ɛkanyan wo a wubehu na woakwati: Sɛ wusua nea ɛkanyan wo totɔ piti a, ɛma wutumi kwati saa nneɛma a ɛkanyan wo no anaasɛ wusiesie wo ho ma, na mpɛn pii no esiw adeyɛ no ano koraa.
- Nnuru: Nnuru bi a wɔde di dwuma de hwɛ koma a ɛyɛ den anaa mogya mmoroso so te sɛ Fludrocortisone ne Midodrine , betumi ayɛ nea mfaso wɔ so.
- Compression stockings: Wɔkamfo stockings a ɛyɛ aduruyɛ mu de, a ɛkɔ soro kodu asen mu kyerɛ. Sɛ eyinom yɛ den sɛ wɔbɛhyɛ a, ntade a wɔde mia nneɛma a wɔayɛ ama agumadifo no yɛ nea ɛfata a wɔde besi ananmu.
- Nneɛma a wɔde ko tia nhyɛso:Akwan te sɛ wo nan a wobɛtwa bere a worehyɛ wo nan ntini mu den anaasɛ wo nsateaa a wode bɛka abom na woatwe wo nsa atew no betumi aboa ma wo mogya mmoroso akɔ soro na ama woagyae totɔ.
- Mfiri a ɛma wo koma bɔ: Wɔ tebea horow a ɛntaa nsi mu no, ebia ɛho behia sɛ wode afiri a ɛma wo koma bɔ kɛse anaa mfiri foforo bi bedi dwuma sɛ wo koma bɔ so tew wɔ ɔkwan a ɛyɛ hu so bere a ɔyare bi rekɔ so a.
- Catheter ablation: Wɔ nsɛm pɔtee bi a ɛntaa nsi mu no, nnuruyɛfo betumi de Cardioneuroablation , adeyɛ bi a wɔde si ntini pɔtee bi a ɛwɔ koma no mu so na amma obi atɔ piti adi dwuma.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ woatotɔ piti a, ɛsɛ sɛ wohwehwɛ ayaresa ntɛm ara . Ɛtɔ mmere bi a, obi a ɔtotɔ piti betumi ayɛ tebea bi a emu yɛ den a ɛde nkwa to asiane mu ho sɛnkyerɛnne, na ɛho hia sɛ oduruyɛfo bi hwehwɛ wo mu na ama woatumi ayi nsɛm a emu yɛ den a ɛwɔ ase no afi hɔ.
Bio nso, sɛ wobɔ wo ti bere a worehwe ase a, hwehwɛ oduruyɛfo. Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw a, ɛho hia sɛ wohwehwɛ mu ntɛm efisɛ asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo mu no yɛ kɛse kɛse bere a woahwe ase akyi.
Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn sɛ:
- Woanya akisikuru a wontumi nkyerɛkyerɛ mu nea edi kan.
- Woanya nsɛm pii a ɛkame ayɛ sɛ wobɛtotɔ piti ɛmfa ho sɛ wunni Vasovagal Syncope ho abakɔsɛm biara no.
- Wɔahu sɛ wowɔ Vasovagal Syncope, nanso wo sɛnkyerɛnne ahorow no resakra anaasɛ ɛretaa ba.
Nsɛmmisa a ebia wobɛpɛ sɛ wubisa wo duruyɛfo no bi ne:
- Dɛn na ɛbɛyɛ sɛ ɛde me Vasovagal Syncope no ba?
- Nneɛma bɛn na metumi ayɛ de asiw eyi ano bio?
- So mihia nhwehwɛmu foforo a wɔyɛ de hu sɛnea wɔhwehwɛ yare no?
- So mehia ayaresa?
So wobetumi asiw ano?
Yiw, mpɛn pii no wubetumi de asetra mu nsakrae a ɛyɛ nnam adi Vasovagal Syncope no ho dwuma. Nsu pa a wobɛkɔ so anya, nkyene a wobɛma akɔ soro (bere a woakɔ wo duruyɛfo nkyɛn akyi nkutoo, efisɛ eyi betumi aka mogya mmoroso), na woagyina hɔ brɛoo no betumi aboa. Wɔ Nirogi Lanka , yegye di sɛ wo kɔkɔbɔ nsɛnkyerɛnne a wobɛte ase na woahu nneɛma a ɛkanyan w’ankasa no ne nneɛma atitiriw a ɛbɛma woakɔ so akura w’asetra mu yiyedi mu. Sɛ wuhu nea ɛkɔ so ansa na woatotɔ piti a, ɛma wutumi tra ase anaasɛ woda fam, na ɛmma opira ntumi nhwe ase.
Wo duruyɛfo betumi akyerɛ wo akwan pɔtee bi a wobɛfa so akura wo mogya mmoroso mu, a nea ɛka ho ne:
- Foam anaa rɔba bɔɔl a wobɛpiapia: Wo nsa a wobɛkyekyere no betumi aboa wo ma w’adwene akɔ so ayɛ adwuma.
- Abasa a wobɛtwetwe: Fa wo nsa abien no nyinaa mu te sɛ nea worekura biribi mu denneennen. Fa wo nsateaa biako hwɛ fam na biako nso hwɛ soro, fa wo nsateaa no bom na twe wo nsa kɔ mmeae a ɛne ne ho bɔ abira.
- Nan a wobɛtwa: Bere a wugyina hɔ no, twa wo nan biako fa foforo so, na ma wo nan, wo yafunu, ne wo gluteal ntini ahorow no mu yɛ den na aboa ma wo mogya mmoroso agyina.
Bere a Vasovagal Syncope betumi ate nka sɛ ɛhaw obi anaasɛ ɛde dadwen ba no, mpɛn pii no ɛnyɛ nea ɛde nkwa to asiane mu. Fa wo nsa kɔ wo duruyɛfo nkyɛn ma ɔmmoa wo. Yɛn botae ne sɛ yɛbɛboa wo ma woayɛ nsakrae wɔ tebea yi mu sɛnea ɛbɛyɛ a wubetumi akɔ so abɔ w’asetra a edi mũ ne ahotoso mu.
Nkrasɛm a Wɔde Kɔ Fie
Mewɔ anidaso sɛ mprempren woanya Vasovagal Syncope ho ntease a emu da hɔ. Kae sɛ bere a ɛntaa nyɛ yare kɛse bi ho sɛnkyerɛnne no, yɛsrɛ sɛ sɛ wotaa totɔ piti, wobɔ wo ti bere a worehwe ase, anaasɛ worenom nnuru afoforo a, kɔ ayaresabea.
Ade a ɛho hia sen biara a wode bɛkɔ ne sɛ wubehu nneɛma a ɛkanyan wo na woasua sɛnea wubehu wo nipadua no kɔkɔbɔ nsɛnkyerɛnne. Kɔ so nya nsu, di nnuan a ɛkari pɛ, na sɔre nkakrankakra. Saa suban a ɛnyɛ den yi yɛ nnwinnade a tumi wom a ɛbɛma wɔasan adi wɔn ho so. Mma ɛnhaw wo —ɛnyɛ wo nkutoo na woretu kwan yi.
vasovagal syncope, adwenemhaw, syncope, adwenemhaw, mogya mmoroso a ɛba fam, ntini nhyehyɛe, vagus ntini
