Ua ʻike anei ʻoe i kekahi e nalowale koke ana ka ʻike a hāʻule i ka honua? Malia paha ua hiki mai ia iā ʻoe. I ka wā o kahi hālāwai kakahiaka ma ke kula, ʻoiai e paʻa ana ma luna o kahi kaʻa, a i ʻole ma hope o ka noho ʻana i ka lā no ka manawa lōʻihi, kapa pinepine mākou ia he "nāwaliwali." ʻAʻohe mea e hopohopo ai kēia. Eia naʻe, i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia nāwaliwali, a i ʻole ma ke ʻano lapaʻau , syncope.
No ke aha ʻoe e hoʻopilikia mai nei iā mākou?
I ka ʻōlelo maʻalahi, loaʻa i ko kākou lolo ka oxygen a me nā meaʻai e pono ai mai ke koko. Penei kākou e nalowale ai ka ʻike ke emi iki ke kahe o ke koko i ka lolo no kekahi kumu. Ke nalowale ka ʻike a hāʻule i ka honua, lilo ko kākou kino i pae, no laila e kahe maʻalahi ke koko i ka lolo me ka ʻole o ka hana kūʻē i ka umekaumaha. ʻO ia ke kumu e loaʻa hou ai ka ʻike i loko o hoʻokahi a ʻelua paha minuke.
Aia paha kekahi mau kumu no kēia.
- ʻO ke kumu maʻamau loa ( vasovagal syncope ): ʻO kēia ke ʻano syncope maʻamau a ʻaʻole koʻikoʻi loa. Ke makaʻu nui mākou, i ka ʻeha nui, ke ʻike mākou i ke koko, ke kū mākou no ka manawa lōʻihi, a i ʻole ke kunu mākou, e hoʻemi koke kahi hōʻailona mai kā mākou ʻōnaehana nerve i ka helu o ko mākou puʻuwai a me ke koko. ʻO kēia ke kumu o ka nele o ke koko e hiki i ka lolo, e hoʻoulu ai i ka mae ʻana.
- ʻO ka hypotension Orthostatic: Hiki paha iā ʻoe ke poniuniu ke kū koke ʻoe mai kahi noho a moe paha, ʻeā? ʻO kēia no ka mea e hāʻule koke ana kou koko. No kekahi poʻe, hiki ke koʻikoʻi iki kēia a hoʻonāwaliwali hoʻi. Hiki ke hana kēia i kou wā ʻelemakule, ke lawe ʻoe i kekahi mau lāʻau lapaʻau, a i ʻole i nā kūlana e like me ka dehydration.
- ʻO ka Cardiac Syncope: ʻO kēia ke ʻano a mākou e hopohopo nui ai . ʻO kahi pilikia o ka puʻuwai, e like me ka puʻuwai puʻuwai kūpono ʻole (arrhythmia), kahi kīnā valve puʻuwai, a i ʻole kahi maʻi koʻikoʻi e like me ka hōʻeha puʻuwai, hiki ke hoʻopau i ka ʻike inā ʻoki ʻia ke kahe koko i ka lolo. Hiki ke hana koke ʻia kēia, me ka ʻole o ka ʻōlelo aʻo .
Nā hōʻailona maʻamau ma mua o ka hānau ʻana
I ka manawa pinepine, hāʻawi mai ko mākou kino iā mākou i nā hōʻailona liʻiliʻi ma mua o ko lākou hoʻomaka ʻana e hōʻeha iā mākou. Inā ʻoe e noho i lalo a moe koke paha i ka wā e ʻike ai ʻoe i kēia mau hōʻailona, hiki iā ʻoe ke pale iā ʻoe iho mai ka hāʻule ʻana.
I ka wā e hoʻomaka ai ʻoe e ʻike i kēia mau hōʻailona, e noho koke i lalo ma kahi palekana. Mai kū. Inā hiki, e moe i lalo ma ka papahele me kou mau wāwae e hoʻokiʻekiʻe iki ʻia.
Eia kekahi o kēlā mau ʻano maʻamau.
| Hōʻailona | Pehea kēia manaʻo? |
|---|---|
| Pōʻino a me ke poʻo māmā | Me he mea lā ʻaʻohe mea i loko o kou poʻo, a he paʻakikī ke kū mālie. |
| ʻIke pōwehiwehi | He manaʻo o nā kiko ʻeleʻele e lana ana i mua o nā maka, a i ʻole ka nalowale ʻana o ka ʻike no kekahi manawa. |
| Ka nalowale o ka lohe a i ʻole ke kani ʻana o nā pepeiao | Me he mea lā ua uhi ʻia nā pepeiao i nā pōhaku, a i ʻole he leo "kani" e puka mai ana mai loko mai o nā pepeiao (tinnitus). |
| Ka hou ʻana a me ka luaʻi | I ka manawa koke, ua anu koʻu kino, hoʻomaka wau e hou, a manaʻo wau e luaʻi ana. |
| Keʻokeʻo | Ke hāʻule ke koko, emi iho ke kahe o ke koko i ka ʻili, e hoʻomele ai i nā wahi e like me ka maka a me nā lehelehe. |
| Ka mae ʻana o nā lālā a me nā lehelehe | Hiki paha iā ʻoe ke manaʻo i kahi ʻano ʻūlū a puni kou mau manamana lima a me kou mau lehelehe. |
| Ka hoʻōki ʻana o ka manaʻo | He mea maʻamau ʻole kēia. Ma muli paha o ka nalowale ʻana o ke kaohi ʻana o nā ʻiʻo i loko o ke kino me ka nalowale ʻana o ka ʻike. |
I ka manawa hea e pono ai ʻoe e ʻike i ke kauka
Mai hoʻowahāwahā i ka ʻeha ʻāʻī me he mea lā he mea maʻamau. ʻOi loa aku i kēia mau hihia, he mea nui e ʻike koke i kāu kauka e ʻike i ke kumu.
- Inā nalowale kou ʻike no ke kumu ʻike ʻole ʻia: ʻAʻole ʻoe i kū no ka manawa lōʻihi, a ʻaʻole ʻoe i makaʻu, akā nalowale koke kou ʻike, pono ʻoe e nānā.
- Inā ʻoe e hiolo i ka wā hoʻoikaika kino: He hōʻailona koʻikoʻi loa kēia. Inā ʻoe e hiolo i ka wā o ka hana ikaika, e like me ka holo ʻana, ka lele ʻana, a i ʻole ka hāpai ʻana i nā mea kaumaha, he mea hiki loa ke loaʻa iā ʻoe ka pilikia o ka puʻuwai. Inā hana ʻia kēia, e ʻike koke i ke kauka.
- Nā Palpitations a me ka nāwaliwali : Inā ʻike ʻoe i kou umauma e kuʻi ana a i ʻole e kuʻi ana i ke ʻano kūpono ʻole ma mua o kou nalowale ʻana o ka ʻike, he hōʻailona paha ia o ka puʻuwai puʻuwai kūpono ʻole.
- Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana nā manawa heʻe pinepine, a inā paha ua make koke ko lākou puʻuwai i ka wā ʻōpiopio, pono ʻoe e haʻi i ke kauka i ka manawa mua āu e heʻe ai.
- Inā ʻoe e loaʻa pinepine ana i nā pohō lauoho: Inā ʻoe e loaʻa nei i nā pohō lauoho e like me kēia ma mua o hoʻokahi manawa, mai haʻalele a loaʻa iā ʻoe ke kumu.
- Inā ʻeha ʻoe ma hope o ka hāʻule ʻana: Inā nalowale kou ʻike a hāʻule, kuʻi i kou poʻo, a haki paha kahi iwi, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa no ka mālama ʻana.
Ke hele ʻoe i ke kauka, he mea kōkua nui ka hāʻawi ʻana i nā kikoʻī pololei, e like me ke ʻano o ka hanana, ka manawa, ka mea āu e hana nei i ia manawa, ka mea āu i manaʻo ai ma mua o kou hiolo ʻana, a me ka lōʻihi o kou ʻike ʻole ʻana.
Leka Lawe-Home
- ʻO ka syncope ka emi ʻana o ke kahe koko i ka lolo no kekahi manawa. ʻO ka hapa nui o ka manawa, ʻaʻole ia he maʻi koʻikoʻi.
- E noho i lalo a moe koke paha inā ʻike ʻoe i nā hōʻailona e like me ka poniuniu, ka pohō ʻana o ka ʻike, a i ʻole ka hou ʻana. Hiki i kēia ke kōkua iā ʻoe mai ka nalowale ʻana o ka ʻike a me ka hāʻule ʻana a me ka hōʻeha ʻana iā ʻoe iho.
- Mai hoʻowahāwahā i ka hāʻule ʻana i ka wā hoʻoikaika kino, me ka ʻeha o ka umauma, a inā he moʻolelo ʻohana kou no ka maʻi puʻuwai. E ʻimi koke i ke kōkua lapaʻau.
- Inā ʻike ʻoe i ka nalowale o ka ʻike no ka manawa mua, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i ia mea.
- Mai poina e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa ai.
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