Ke nalowale koke nei ʻoe i ka ʻike ma hope o ka hiolo ʻana? (Vasovagal Syncope) E makaʻala kākou i kēia

Ua ʻike anei ʻoe i kekahi e maule ana a hāʻule i lalo ma hope o ka loaʻa ʻana o kahi inikini a huki koko paha? Ua ʻike paha ʻoe iā ia iho. ʻOiai he mea kēia e hopohopo ai nā kānaka he nui, ʻaʻole ia he mea e makaʻu ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano maule maʻamau, i ʻike ʻia ma ke ʻano lapaʻau ʻo Vasovagal Syncope.

He aha ka Vasovagal Syncope?

I ka ʻōlelo maʻalahi, ʻo ka Vasovagal Syncope ka nalowale koke ʻana o ka ʻike ma muli o kahi hopena i loko o kā mākou ʻōnaehana nerve, kahi e hoʻoulu ai i ka emi koke ʻana o ke koko a me ka helu o ka puʻuwai. ʻO ka maʻamau, ʻaʻole i emi iho ma mua o hoʻokahi minute kēia nalowale ʻana o ka ʻike.

He mea kēia e hana koke ʻia ana, me ka ʻole o ko kākou kaohi. He ʻōnaehana nerve autonomic ko ko kākou kino. He aʻalolo koʻikoʻi ko kēia ʻōnaehana i kapa ʻia ʻo 'Vagus'. He kuleana nui kēia aʻalolo i ka kaohi ʻana i ko kākou puʻuwai a me ke koko. Inā, no kekahi kumu, ua hoʻonui nui ʻia kēia aʻalolo vagus, hoʻohaʻahaʻa koke ia i ko kākou puʻuwai a me ke koko.

ʻOiai hiki ke hiki i kekahi o kēlā me kēia makahiki, ʻo ka hapa nui o nā manawa hāʻule i hōʻike ʻia ma muli o kēia ʻano, i ʻike ʻia ʻo Vasovagal Syncope, i ka poʻe ma lalo o 40 mau makahiki. ʻOiai he mea weliweli paha ia i ka nānā mua ʻana, ʻaʻole ia he ʻano ʻino.

He aha nā hōʻailona ma mua o ka menopause?

I ka manawa pinepine, e hoʻomaka ʻoe e ʻike i kekahi mau hōʻailona mua ma kahi o 30-60 kekona ma mua o ka hiki ʻana mai o kahi hopu ʻana. Inā ʻike ʻoe i kēia mau hōʻailona, ​​​​hiki iā ʻoe ke pale aku i kahi hopu ʻana mai ke kumu ʻana o kahi ulia.

No ke aha mai kēia? He aha nā mea hoʻonāukiuki nui?

Aia kekahi mea hoʻonāukiuki kūikawā no kēia kūlana. ʻO ia hoʻi, hoʻāla ʻia ka hopena i loko o ka ʻōnaehana nerve ma ka ʻike ʻana a i ʻole ka manaʻo ʻana i kahi hanana. ʻO nā kumu maʻamau:

• ʻIke ʻana i nā nila a i ʻole nā ​​​​lako lapaʻau: Hiki ke hana kēia i kekahi poʻe i ka wā e huki ʻia ai ke koko, loaʻa i kahi inikini, a ʻike paha i nā lako i hoʻohana ʻia i ke ʻoki ʻana.
• ʻIke ʻana i ke koko: ʻO ka ʻike ʻana i kou koko ponoʻī a i ʻole ke koko o kekahi kekahi kumu nui o kēia.
• Ke kaumaha nui a i ʻole nā ​​​​manaʻo: Hiki ke hana ʻia kēia ʻano e ka manaʻo koke a ikaika o ka makaʻu, ka haʻalulu, ke kaumaha, a i ʻole ka ʻeha .
• Luhi nui a maloʻo paha: ʻO ke kū ʻana ma ke kūlana hoʻokahi no ka manawa lōʻihi, ka hoʻoikaika nui ʻana, a me ka maloʻo ʻana hiki ke hana i ka luhi.
• Ke noho ʻana i kahi wela a piha i nā kānaka: Hiki ke hana ʻia kēia ʻano ke noho ʻoe i kahi wahi piha i nā kānaka a maikaʻi ʻole ka ea.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe kahi maʻi ʻōhū e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i ka hanana. ʻO ia hoʻi, nā mea i hana ʻia ma mua o ka maʻi ʻōhū, nā mea āu i manaʻo ai, a pēlā aku. Eia kekahi, aia paha kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu.

• Nā hoʻāʻo koko: E nānā i nā kūlana olakino ʻē aʻe, e like me ka anemia deficiency hao.
• ECG (Electrocardiogram): Kōkua kēia i ka ʻike ʻana i nā ʻano ʻē a i ʻole nā ​​​​loli i ka ʻōhumu o ka puʻuwai.
• Echocardiogram: Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke nānā i ke ʻano o ka puʻuwai a hoʻoholo inā he ʻano ʻē.
• EEG (Electroencephalogram): Hana ʻia kēia hoʻāʻo e hoʻoholo ai inā ʻo ka nalowale o ka ʻike ma muli o kahi pilikia o ka lolo, e like me ka hopu ʻana.
• Hoʻāʻo papa hoʻohiolo: Ma kēia hoʻāʻo, moe ʻoe ma luna o kahi moena kūikawā a hoʻohiolo mālie ʻia ka moena i luna. Nānā ʻia kou koko a me ka helu o ka puʻuwai e ʻike inā manaʻo ʻoe ua poniuniu.

Pehea e pale aku ai a mālama i kēia?

ʻAʻole pono ka hapa nui o ka poʻe i kekahi lāʻau lapaʻau kūikawā no kēia. ʻO ka mea nui loa, ʻo ia ke ʻike i nā mea hoʻonāukiuki a pale aku iā lākou. Akā, aia kekahi mau mea hiki iā ʻoe ke hana e hoʻōki i ka makemake e mimi i ka wā e hana ʻia ai.

Nā hana kū'ē i ke kaomi

Hoʻopaʻa kēia mau ʻano i nā ʻiʻo o ke kino a kāohi i ka emi ʻana o ke koko.

1. Ke keʻa ʻana i kou mau wāwae: Inā ʻoe e kū ana, e keʻa i kekahi wāwae ma hope o kekahi. A laila e hoʻopaʻa i kou mau ʻiʻo wāwae, ʻōpū, a me ka puʻupuʻu.

2. Ke ʻū ʻana o ka lima: E ʻū i kou mau lima, e hoʻopaʻa iā lākou, a huki i waho. Me he mea lā e hoʻāʻo nei ʻoe e huki i kou mau lima.

3. Ke ʻomi ʻana i kahi pōpō: ʻO ka paʻa ʻana i kahi mea e like me ka pōpō laholio ma kou lima a me ke ʻomi ʻana iā ia me ka paʻa e kōkua pū i ka mālama ʻana i ke kaomi.

Ma waho aʻe o kēia mau mea, hiki i kāu kauka ke ʻōlelo i nā mea e like me:

• E inu i ka nui o nā wai a me kahi paʻakai iki: He mea nui e inu i ka nui o ka wai e pale aku ai i ka maloʻo ʻana. Hiki ke ʻōlelo ʻia kekahi poʻe e hoʻohui i ka paʻakai hou aʻe i kā lākou meaʻai. Eia nō naʻe, pono e hana ʻia kēia ma ke ʻōlelo aʻo a ke kauka.
• Nā kāmaʻa hoʻopaʻa: He mau kāmaʻa kūikawā kēia i ʻaʻahu ʻia ma nā wāwae. Kōkua lākou i ka hōʻemi ʻana i ke koko e hōʻiliʻili ana i nā wāwae a mālama i ke kaomi.
• Lāʻau lapaʻau: Inā loaʻa pinepine kēia ʻano, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kāohi i ke koko (e like me fludrocortisone, midodrine).
• Pacemaker: I nā hihia kakaikahi kahi e hāʻule ai ka helu o ka puʻuwai i ke ʻano kūpono ʻole, pono paha e hoʻokomo ʻia kahi pacemaker.

Āhea ka manawa kūpono e ʻike ai i ke kauka?

Eia kekahi, e ʻimi pono i ke kōkua lapaʻau i kēia mau hihia:

• Inā hāʻule ʻoe a kuʻi i kou poʻo , ʻoiai inā he ʻeha iki wale nō kou, e hele koke i ka ETU (Emergency Treatment Unit) .
• Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, e ʻike pono i ke kauka ma hope o ka hāʻule ʻana.
• Inā piʻi ke alapine (frequency) o nā hopu ʻana a loli paha nā hōʻailona.