Ke palupalu koke nei ʻoe a nalowale ka ʻike? E kamaʻilio kākou e pili ana i kēia (Syncope)

Ua ʻike anei ʻoe i kekahi e hāʻule koke ana i ka honua i kona kū ʻana? A i ʻole ua hele wāwae paha ʻoe a pouli koke a i ʻole he manaʻo ʻeha i kou mau pepeiao? Kāhea pinepine mākou i kēia ʻano he " faening " a i ʻole "fainting." Ma ke ʻano lapaʻau, kapa mākou ia he syncope. ʻOiai he nui ka poʻe e makaʻu nei i kēia, ʻo ka hapa nui o ka manawa ʻaʻohe mea e makaʻu ai. Eia naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi. No laila, e ʻike hou kākou e pili ana i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia hiolo ʻana?

I ka ʻōlelo maʻalahi, ʻo ka hāʻule ʻana he nalowale koke ʻana o ka ʻike no ka manawa pōkole i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i ka lolo. He mea maʻamau loa ia. ʻO ka ʻoiaʻiʻo, 3% wale nō o nā maʻi e hele mai ana i ka Emergency Department (ETU) i hōʻike ʻia me ka hāʻule ʻana.

I kekahi manawa manaʻo mākou e like me ka nalowale ʻana o ka ʻike. ʻO ia hoʻi, polū ko mākou mau maka a puni mākou, akā ʻaʻole mākou e nalowale ka ʻike. Kāhea mākou i kēia kūlana he "Presyncope". Inā nalowale mākou i ka ʻike, ʻo ia hoʻi he "Syncope".

I ka hapa nui o ka manawa, hoʻi hou ka ʻike piha o ke kanaka i hāʻule i loko o kekahi mau minuke. Eia nō naʻe, hiki ke lilo kēia i mea weliweli iki no ka poʻe ʻelemakule, no ka mea, ʻoi aku ka nui o ka loaʻa ʻana o nā ʻeha koʻikoʻi, e like me nā iwi haki, inā hāʻule lākou.

He aha nā ʻano nui o ka hiolo ʻana?

Hiki ke hoʻokaʻawale nui ʻia ka nāwaliwali i ʻelua ʻano.

1. Vasovagal Syncope

ʻO kēia ke ʻano maʻamau. Hoʻopilikia ia i ka hapalua o ka poʻe a pau e maule ana. He mea maʻamau ia i nā keiki a me nā ʻōpio. Hana ʻia kēia i ka wā e hoʻoulu ʻia ai ko mākou ʻōnaehana nerve, e hoʻolohi koke ai i ka helu o ko mākou puʻuwai, e hāʻule ai ko mākou koko, a e emi iho ka nui o ke koko e kahe ana i ka lolo.

2. Ka Syncope o ka naʻau

He ʻano kēia e pono ai ka nānā ʻana. Hana ʻia kēia ke hiki ʻole i ka puʻuwai ke pamu i ke koko lawa i ka lolo ma muli o kekahi pilikia. Hiki ke hana ʻia kēia e nā mea e like me ka puʻuwai puʻuwai kūpono ʻole (arrhythmia), nā kīnā o ke kino o ka puʻuwai, a me nā pilikia o ka valve o ka puʻuwai. Pono e nānā ʻia kēia ʻano o ka hāʻule ʻana e ke kauka.

He aha nā hōʻailona ma mua o ka hiolo ʻana?

I ka manawa pinepine, hāʻawi ko mākou kino iā mākou i kekahi mau hōʻailona ma mua o ka hoʻomaka ʻana o ka hiolo ʻana. Inā ʻike mākou i kēia i ka wā mua, hiki iā mākou ke pale i kahi mea e like me ka hāʻule ʻana.

No ke aha mākou e manaʻo ai he poniuniu? He aha nā kumu?

Nui nā kumu like ʻole o ka poniuniu. He mea maʻamau kekahi, aʻo kekahi paha ka hopena o kahi maʻi.

Nā kumu maʻamau a me nā kumu maʻamau

I ka hapanui o ka manawa, hiki mai ka nawaliwali ma muli o nā kumu koʻikoʻi ʻole.

• Ka makaʻu nui, ka ʻeha, a i ʻole ke kaumaha o ka naʻau
• Ka pōloli a me nā pae kō koko haʻahaʻa (Hypoglycemia)
• Ka nele o ka wai i ke kino (dehydration)
• Ke kū nei ma ke kūlana like no ka manawa lōʻihi
• ʻO ka hypotension Orthostatic (hāʻule ke koko i ka wā e kū koke ana mai kahi noho a moe paha)
• Anemia
• Ka hoʻohana ʻana i ka waiʻona a i ʻole ka lāʻau lapaʻau
• Luhi nui

Nā kumu e hoʻolohe ai

• Maʻi puʻuwai: E like me ka mea i ʻōlelo ʻia ma mua, nā kūlana e like me ka hewa o ka puʻuwai puʻuwai, nā hemahema o ka valve puʻuwai, a me nā hōʻeha puʻuwai.
• Nā Maʻi o ka ʻŌnaehana Nervous Autonomic: Nā pilikia me ka ʻōnaehana e kaohi ana i nā mea ma waho o ko mākou mana, e like me ko mākou puʻuwai a me ka hanu ʻana. Hiki i nā maʻi e like me ka Diabetes Mellitus ke hōʻino i kēia ʻōnaehana.
• ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe, ke kaumaha, a me ka epilepsy hiki ke hoʻoulu i ka dizziness.
• Nā hihia kūikawā: Hiki i kekahi poʻe ke ʻike i nā manawa palupalu i ka wā e ʻū nui ai (Cough Syncope) a i ʻole i ka wā e mimi ai (Micturition Syncope).

He like anei ka "Blackout" a me ka "Fainting"?

He nui ka poʻe e huikau i kēia mau huaʻōlelo ʻelua, akā aia kahi ʻokoʻa maopopo.

• Nāwaliwali/Syncope: Ka nalowale ʻana o ka ʻike. ʻO ia hoʻi, he manawa pōkole o ka nalowale ʻana o ka ʻike i nā mea e hana nei a puni ʻoe ma muli o ka emi ʻana o ke kahe koko i ka lolo.
• Pōʻeleʻele: He nalowale kēia o ka hoʻomanaʻo. Maanei, aia ka ʻike. ʻŌlelo a hana ke kanaka, akā ma hope ʻaʻole ia e hoʻomanaʻo i ka mea i hana ʻia i loko o ia manawa. ʻO ke kumu nui o kēia, ʻo ia ka inu nui ʻana i ka waiʻona.

Pehea e hiki ai iā ʻoe ke pale aku i ka mae ʻana?

Inā manaʻo ʻoe he nāwaliwali, ʻo ia hoʻi, he poniuniu, a i ʻole e polū ana kou mau maka, e hana koke i kēia mau mea.

• Inā hiki , e moe koke me kou mau wāwae ma luna iki o kou puʻuwai . E hoʻonui kēia i ke kahe o ke koko i ka lolo.
• Inā ʻaʻohe wahi e moe ai, e noho koke i lalo a kau i kou poʻo ma waena o kou mau kuli.
• E inu i ka wai he nui, ʻoiai i ka wā e hoʻoikaika kino ai a i ka wā wela.
• Mai kū ma kahi hoʻokahi no ka lōʻihi. E neʻe iki a puni, e hoʻoluliluli i kou mau wāwae.
• E hōʻalo i nā wahi piha kanaka, nā wahi ea ʻole, a me nā wahi wela.

Āhea mākou e ʻike ai i ke kauka e pili ana i ka hiolo ʻana?

ʻAʻohe pono e hopohopo inā hāʻule ʻoe i hoʻokahi manawa. Eia nō naʻe, pono ʻoe e ʻike i kāu kauka inā:

• Inā loaʻa iā ʻoe ka dizziness pinepine.
• Inā ʻoe e manaʻo ua nāwaliwali ʻoe i ka wā e hoʻoikaika kino ana , he hōʻailona paha kēia o ka maʻi puʻuwai.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka puʻuwai wikiwiki/kūpono ʻole me ka nāwaliwali.
• Inā he moʻolelo ko kekahi o ka ʻohana no ka make koke ʻana o ka puʻuwai.
• Inā ua hiolo ʻoe, hāʻule, a kuʻi ikaika i kou poʻo.