Ke nalowale koke nei ʻoe i ka ʻike? (Mahina) E kamaʻilio kākou e pili ana i kēia!

Ua loaʻa anei iā ʻoe kahi manaʻo wili koke, maka uliuli, a i ʻole ka manaʻo o ka nawaliwali? A i ʻole ua ʻike anei ʻoe i kekahi āu i ʻike ai e hana ana i kēia? Kāhea pinepine mākou i kēia ʻo 'nawaliwali'. ʻOiai he mea weliweli paha ia, ʻo ka hapa nui o ka manawa ʻaʻole ia he mea nui. I kēia lā, e kamaʻilio mākou e pili ana i ka syncope, a i ʻole ma nā ʻōlelo lapaʻau, ʻo 'nawaliwali' wale nō.

He aha ke ʻano o kēia?

I ka ʻōlelo maʻalahi, ʻo ka hāʻule ʻana he nalowale ʻana o ka ʻike no ka manawa pōkole . Hana ʻia kēia ke loaʻa ʻole i ko mākou lolo ke koko lawa. A laila no ke aha e emi ai ka nui o ke koko e hele ana i ka lolo? ʻO ke kumu nui o kēia, ʻo ia ka emi koke ʻana o ko mākou koko .

E noʻonoʻo, ua like ko kākou lolo me kahi mīkini liʻiliʻi. Pono e hānai mau ʻia e ke koko e hana ai. Ke emi ke koko, e like me ka emi ʻana o ke kaomi i loko o kahi paipu wai, emi pū ka nui o ka wai e kahe ana i ka lolo. ʻO ia ka manawa e nalowale ai ko kākou ʻike no kekahi manawa. Hiki i kēia ke mau mai kekahi mau kekona a i kekahi mau minuke. A laila hoʻi koke kākou i ka ʻike.

No ke aha ʻoe e hoʻopilikia mai nei iā mākou?

Nui nā kumu no ka ʻeha ʻāʻī. He maʻalahi loa kekahi, akā i kekahi manawa hiki i ka ʻeha ʻāʻī ke lilo i hōʻailona o kahi maʻi maʻi. E nānā kākou i nā kumu nui.

Nā mea hoʻoulu kino

• I kekahi manawa , ke wela loa ʻoe , ke noho ʻoe i kahi piha kanaka , a i ʻole ke ʻole ʻoe e ea maikaʻi , hiki iā ʻoe ke poni. Ua ʻike paha ʻoe i kekahi mau keiki e hiolo ana i ka wā o ka ʻaha kakahiaka ma ke kula. Eia kekahi, ke kū koke ʻoe mai kahi noho a i ʻole ke kū ʻoe mai kahi noho, hiki iā ʻoe ke poni. Ua kapa ʻia kēia he "Orthostatic Hypotension", ʻo ia hoʻi, e emi ana kou koko "Blood Pressure" ke hoʻololi ʻoe i kou kūlana. E noʻonoʻo, ke noho ʻoe i lalo no ka manawa lōʻihi a laila kū koke, ʻo ia ka mea e polū ai kou mau maka.
• ʻO kekahi mea ʻaʻole lawa ka wai i loko o ke kino , i kapa ʻia ʻo dehydration . Inā ʻaʻole mākou e inu i ka wai lawa i ka lā a pau, ʻoiai ke hoʻoikaika kino mākou a i nā lā wela paha, hiki ke emi ka nui o ka wai i loko o ke kino a hiki ke emi ke koko, kahi e hoʻomaʻi ai iā mākou.

Kaumaha Manaʻo

• Loaʻa koke i kekahi poʻe ka emi koke ʻana o ke koko ke makaʻu loa lākou , ka ʻeha, ka hopohopo , a i ʻole ke kahaha . Ua lohe paha ʻoe ua hiolo kekahi poʻe i ka ʻike ʻana i ke koko. A i ʻole ke ʻike lākou i kahi nila, hiolo kekahi poʻe. Pēlā nō ia. Ua kapa ʻia kēia ʻo Vasovagal Syncope.

Ka hanu nui ʻana

• Ke hanu nui a wikiwiki kekahi, ua kapa ʻia ia he "Hyperventilation", emi iho ka pae o ka `Carbon Dioxide/CO2` i loko o kona koko. A laila lilo ko mākou mau kīʻaha koko i mea paʻa iki (constricted), a hiki ke emi ka nui o ke koko e hele ana i ka lolo. Hiki nō hoʻi i kēlā ke kumu i ka poniuniu. Hana pinepine ʻia kēia i ka wā e makaʻu nui ai mākou a hopohopo paha.

Kekahi mau kūlana olakino

• ʻOi aku ka nui o ka poʻe me kekahi mau maʻi olakino e ʻike i ka poniuniu. No ka laʻana, hiki i ka poʻe me nā pilikia puʻuwai ( e.g., arrhythmias), anemia , haʻahaʻa ke kō koko (hypoglycemia) (ʻoi aku hoʻi i ka wā e lawe ana i ka lāʻau no ka maʻi diabetes), a i ʻole nā ​​​​kūlana e like me ka postural orthostatic tachycardia syndrome (POTS) ke ʻike i ka poniuniu.

Hāpai keiki

• I ka wā hāpai, ʻike ʻia nā loli nui i ke kino o ka wahine. ʻOi aku ka loli i loko o ka ʻōnaehana kahe koko. Hiki i kēia ke hoʻoulu i ka poniuniu i kekahi manawa. Eia kekahi, i ka ulu ʻana o ka ʻōpū, hiki iā ia ke ʻomi i nā kīʻaha koko nui a hōʻemi i ke kahe koko i ka lolo, ʻoi aku hoʻi i ka wā e moe ana ma kou kua.

He aha nā hōʻailona ma mua o kou hāpai ʻana?

I ka manawa pinepine, ʻike mākou i nā hōʻailona liʻiliʻi ma mua o ko mākou hāʻule ʻana. Inā ʻike mākou i kēia mau mea ma mua, hiki paha iā mākou ke pale aku i ka hāʻule ʻana i ka wā e hāʻule ana, a inā paha e hāʻule mākou, hiki paha iā mākou ke pale aku i ka ʻeha nui.

Eia kekahi mau mea āu e manaʻo ai:

• Manaʻo poniuniu (vertigo)
• ʻO ke poʻo māmā, me he mea lā e pupule ana ʻoe
• Ke nānā aku me ka mae
• Ka paʻa ʻole, ka manaʻo e like me ke kino e nalowale ana kona kaulike.
• Nā loli o ka ʻike, e like me ka ʻike ʻana i nā kiko ʻeleʻele i mua o nā maka, a i ʻole ka "ʻike ʻana i ke kahua"
• Ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole
• Ka hou nui ʻana (i kekahi manawa he hou anu)
• Ka luaʻi a me/a i ʻole ka luaʻi
• He manaʻo o ka nalowale ʻana o ka lohe a me ka manaʻo e mamao aku ana nā leo a puni.

Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e makaʻala a hoʻomaopopo, "Auē, makemake wau e luaʻi i kēia manawa."

Hiki iā ʻoe ke pale i ke kūkulu ʻia ʻana o nā warts?

ʻAe, i ka hapanui o ka manawa hiki iā mākou ke pale iā mākou iho mai ka hoʻolei ʻana i nā huhū. ʻOi loa aku inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna nei e hoʻonāukiuki ai iā ʻoe, eia kekahi mau mea hiki iā ʻoe ke hana:

• Inā hiki, e moe koke.Ke moe ʻoe i lalo penei, ʻoiai inā ʻoe e hāpai iki i kou mau wāwae (ma luna o ka uluna a i ʻole ka ʻeke), e piʻi aʻe ke kahe o ke koko i ka lolo. Hiki i kēia ke kōkua i ka hoʻōki ʻana i ka poniuniu. Ke ʻoluʻolu ʻoe, e ala mālie . Ma kahi o ke ala koke ʻana, e noho mua no kekahi manawa, a laila e kū mālie.
• Inā ʻaʻole hiki iā ʻoe ke moe i lalo e like me kēlā, e noho i luna o kahi noho a hoʻohaʻahaʻa i kou poʻo ma waena o kou mau kuli. Kōkua nō hoʻi kēia i ke kahe ʻana o ke koko i ka lolo. Akā, ʻaʻole ia e like me ka moe ʻana. Ke ʻoluʻolu ʻoe, e hāpai mālie i kou poʻo, a laila e kū i luna.
• Mai hoʻomaloʻo i kou kino . E inu i ka wai he nui i ka lā a pau. E inu i ka wai he nui ma mua, i ka wā, a ma hope o ka hoʻoikaika kino, a me nā lā wela. He mea maikaʻi ke inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā.
• E hoʻokahe maikaʻi i kou koko. Inā ʻoe e kū ana a noho paha no ka manawa lōʻihi, e ala aʻe a neʻe i kēlā me kēia manawa. ʻO ka hoʻopaʻa ʻana i nā ʻiʻo o kou mau wāwae a me ke keʻa ʻana i kou mau wāwae e hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke kahe ʻana o ke koko.
• E pale i nā wahi wela loa, piha i nā kānaka, a me ka makani i ka hiki. Inā pono ʻoe e hele i ia wahi, e hoʻomaha pinepine.
• Mai hōʻalo i nā meaʻai, ʻoiai ka ʻaina kakahiaka. Inā hāʻule kou pae kō koko, hiki iā ʻoe ke maʻi.

Āhea mākou e ʻike ai i ke kauka?

ʻO ka maʻamau, ʻaʻohe mea e hopohopo nui ai i ka wā e huhū ana kāu keiki a ʻōpio paha, ʻoiai ma kēia mau kūlana:

• Inā hoʻokahi wale nō manawa āu i hana hewa ai i kou ola
• Inā he manawa pōkole wale nō ka ʻeha (he mau kekona a i ʻole 1-2 mau minuke)
• Inā maopopo ke kumu o ka ʻōhū (no ka laʻana, ua wela loa, aia ma kahi piha kanaka, a i ʻole ua makaʻu ʻoe i ka ʻike ʻana i ke koko)

Eia nō naʻe, inā loaʻa i kāu keiki kekahi maʻi ʻē aʻe (e like me ka maʻi puʻuwai, ka maʻi diabetes) a i ʻole ke lawe nei i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka.

Eia nō naʻe, i kēia mau hihia, pono ʻoe e ʻike i ke kauka a ʻimi paha i ke kōkua lapaʻau:

• Inā ua ʻeha ʻoe i kou hāʻule ʻana mai kahi alapiʻi (no ka laʻana, inā ua kuʻi ikaika ʻoe i kou poʻo, inā ua haki kou lima a wāwae paha)
• Inā ʻike ʻoe i ka ʻeha o ka umauma , nā palpitations , a i ʻole ka pōkole o ka hanu me a ma hope paha o ka hopu ʻana
• Inā ua like ia me ka hopu ʻana (e like me ka haʻalulu, ka wili ʻana o nā niho, ka drooling)
• Inā ua ʻeha ʻoe i ka wā e hoʻoikaika kino ana a i ʻole e hana ana i nā hana kino ʻē aʻe
• Inā ua pilikia ʻoe ma mua o hoʻokahi manawa, ʻoi aku hoʻi i nā manawa he nui i loko o kahi manawa pōkole
• Inā ʻaʻohe hōʻailona hōʻike ma mua o ke ahi
• Inā he moʻolelo ko kekahi o ka ʻohana no ka make koke ʻana o ka puʻuwai

E nīnau aku ke kauka iā ʻoe i kekahi mau nīnau (e like me ke ʻano o ka ʻeha, pehea ka lōʻihi o kona noho ʻana, he aha kou manaʻo ma mua, a inā ʻoe e lawe ana i kekahi lāʻau lapaʻau no kekahi maʻi), e nānā iā ʻoe, a e hana paha i kekahi mau hoʻokolohua, e like me:

• Hoʻāʻo ECG (ECG/EKG) (he hoʻāʻo kēia e ʻike ai i nā pilikia puʻuwai)
• Hoʻāʻo kō koko
• He hoʻāʻo koko e nānā ai no ka anemia (Helu Koko piha)
• Hiki ke hana ʻia nā hoʻokolohua kūikawā e like me ka echocardiogram (kahi scan puʻuwai) a i ʻole kahi hoʻāʻo tilt table.

He aha kā mākou e hana ai inā hōʻeha kekahi i kāu keiki?

Inā ʻoe a i ʻole kekahi e hoʻoweliweli ʻia nei, mai hopohopo a hana i kēia mau mea:

1. E hoʻomoe pono iā ia ma ka honua, ʻoi aku ka maikaʻi inā hiki iā ʻoe ke hopu iā ia ma mua o kona hāʻule ʻana. E ho'āʻo e pale iā ia mai ke kuʻi ʻana i kona poʻo ke hāʻule ʻo ia.

2. Inā ua loaʻa i ke kanaka kahi ʻeha (e.g., ʻāʻī, kua), mai hoʻoneʻe iā lākou, no ka mea, hiki i kēia ke hoʻonui i ke kūlana. E waiho wale iā lākou a hiki i ka hiki ʻana mai o ke kōkua lapaʻau.

3. Inā ʻoe e ʻaʻahu ana i nā lole paʻa (e like me ke kāʻei, ke kola, ke kāʻei), e wehe iā ia.

4. E hoʻokiʻekiʻe i kona mau wāwae a me nā wāwae haʻahaʻa ma kahi o 12 ʻīniha (ma luna o kahi ʻeke kua, ʻaʻahu komo, a uluna paha). E kōkua kēia i ke kahe ʻana o ke koko i ka lolo. Eia nō naʻe, inā manaʻo ʻoe he ʻeha ke poʻo, mai hoʻokiʻekiʻe i nā wāwae.

5. Pono e hoʻi hou ka ʻike i loko o hoʻokahi a ʻelua paha minuke. He mea maʻamau ke manaʻo iki i ka puni ma hope o ka hoʻi hou ʻana o ka ʻike. No laila, e hoʻokuʻu i ke keiki e moe no kekahi manawa hou aku (ma ka liʻiliʻi he 10-15 mau minuke). ʻO ke ala koke ʻana e hiki ai iā lākou ke ala hou.

6. Ma hope o ka hoʻi hou ʻana o ka manaʻo, e hāʻawi iā ia i kahi wai e inu ai.

Inā he pilikia, e kāhea iā 1990 (Suvaseriya)!

I kēia kūlana, e kāhea koke i ka 1990 a kāhea i kahi ambulance:

• Inā ʻaʻole ʻoe e hoʻi hou i ka ʻike ma hope o kekahi mau minuke (ʻoi aku ma mua o 2-3)
• Inā hāʻule ʻoe a kuʻi ikaika i kou poʻo a loaʻa iā ʻoe kahi ʻeha nui
• Inā pilikia ʻoe i ka hanu ʻana a i ʻole he ʻano kūpono ʻole kou hanu ʻana
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma
• Inā ʻike ʻia kahi ʻano e like me ka hopu ʻana
• Inā pilikia ʻoe i ka ʻōlelo ʻana, a inā paha e manaʻo ʻoe e mae ana kahi lālā (hiki i kēia ke lilo i mau hōʻailona o ka hahau ʻana)
• Inā ʻoe ma luna o 50 mau makahiki a ua hāʻule ka pēpē no ka manawa mua.

ʻO nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

No laila, ʻoiai he mea weliweli iki ka hiolo ʻana, ʻo ka hapa nui o ka manawa he manawa pōkole wale nō ia.ʻAʻole ia he pilikia nui.

• ʻO ke kumu nui ka emi ʻana o ke kahe o ke koko i ka lolo .
• ʻO nā mea maʻalahi e like me ka wela, ka lehulehu, ke ala koke ʻana, ka makaʻu, a me ka maloʻo ʻana o ka wai hiki ke hoʻoulu i ka hopohopo.
• Hiki ke ʻike ʻia nā hōʻailona e like me ka poniuniu, nā maka polū, a me ka hou ʻana ma mua o ka hoʻomaka ʻana o ka hopu ʻana. Inā ʻike ʻoe iā lākou, hiki iā ʻoe ke makaʻala.
• Inā makemake ʻoe e luaʻi , e moe koke i lalo a hāpai i kou mau wāwae.
• Inā ʻoe e ʻū pinepine ana , inā ʻeha ʻoe i ka wā e ʻū ana, inā ʻoe e ʻeha ana i ka umauma, pilikia ka hanu ʻana, a i ʻole nā ​​hopu ʻana , pono ʻoe e ʻike i ke kauka.
• Inā loaʻa kekahi i ka maʻi ʻōʻō , e hoʻomoe pālahalaha iā ia ma ko lākou kua, e hāpai iki i ko lākou mau wāwae, a e wehe i ko lākou lole paʻa. E hoʻi koke mai lākou i ko lākou noʻonoʻo pono.
• Mai hopohopo. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia. Inā loaʻa kekahi mea e like me kēia iā ʻoe a i kāu keiki paha, ua ʻike ʻoe i ka mea e hana ai. E ʻimi mau i ke kōkua lapaʻau, ʻoiai inā he kānalua kāu.

Nāwaliwali , nalowale o ka ʻike, syncope, haʻahaʻa o ke koko, emi ʻana o ke kahe o ke koko i ka lolo, poniuniu, maloʻo ka wai, maʻi puʻuwai