Koj puas tau pom ib tug neeg poob rau hauv av thaum sawv ntsug? Los yog koj puas tau taug kev ncig thiab tam sim ntawd tsaus muag lossis muaj kev xav tias koj pob ntseg tsis muaj zog? Feem ntau peb hu qhov mob no ua " tsa muag " lossis "tsa muag." Hauv kev kho mob, peb hu nws ua syncope. Txawm hais tias muaj ntau tus neeg ntshai qhov no, feem ntau nws tsis yog qhov yuav tsum ntshai. Txawm li cas los xij, qee zaum nws tuaj yeem yog ib qho tsos mob ntawm tus mob. Yog li, cia peb kawm ntxiv txog nws hnub no.
Hais yooj yim xwb, qhov kev tsaus muag no yog dab tsi?
Hais yooj yim xwb, kev tsaus muag yog kev poob siab sai sai, luv luv uas tshwm sim los ntawm kev txo qis cov ntshav mus rau lub hlwb. Nws yog ib qho uas tshwm sim ntau heev. Qhov tseeb, tsuas yog 3% ntawm cov neeg mob uas tuaj rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thiaj li tsaus muag.
Muaj tej lub sij hawm peb xav tias peb yuav tsis nco qab lawm. Qhov ntawd txhais tau tias peb ob lub qhov muag xiav thiab peb kiv taub hau, tab sis peb tsis tsis nco qab lawm. Peb hu qhov mob no ua "Presyncope". Yog tias peb tsis nco qab lawm, nws yog "Syncope".
Feem ntau, ib tug neeg uas tsaus muag rov qab los nco qab tag nrho hauv ob peb feeb xwb. Txawm li cas los xij, qhov no tuaj yeem ua rau muaj kev phom sij me ntsis rau cov neeg laus, vim tias muaj feem ntau dua ntawm kev raug mob hnyav, xws li pob txha tawg, yog tias lawv tsaus muag thiab ntog.
Cov hom kev tsaus muag tseem ceeb yog dab tsi?
Kev tsaus muag feem ntau muab faib ua ob hom.
1. Vasovagal Syncope
Qhov no yog hom mob uas feem ntau tshwm sim. Nws cuam tshuam rau ntau dua ib nrab ntawm cov neeg uas tsaus muag. Nws feem ntau tshwm sim rau cov menyuam yaus thiab cov tub ntxhais hluas. Qhov no tshwm sim thaum peb lub paj hlwb raug txhawb nqa, ua rau peb lub plawv dhia qeeb qeeb, peb cov ntshav siab poob qis, thiab cov ntshav ntws mus rau lub hlwb txo qis.
Xav txog qhov xwm txheej no: Koj sawv ntawm lub hnub ntev heev thaum lub rooj sib tham thaum sawv ntxov ntawm tsev kawm ntawv. Los yog koj ntsia ib rab koob ntawm qhov chaw pub ntshav. Tam sim ntawd, koj xav tias kub, xeev siab, koj qhov muag pom kev maj mam ploj mus, koj tsaus ntuj nti, thiab koj tsis nco qab. Qhov ntawd yog qhov peb hu ua " vasovagal syncope ." Nws kuj tseem tuaj yeem tshwm sim los ntawm tej yam xws li kev ntshai heev, mob, thiab kev ntxhov siab ntawm lub siab.
2. Mob plawv dhia tsis xwm yeem
Qhov no yog ib hom mob uas yuav tsum tau saib xyuas. Qhov no tshwm sim thaum lub plawv tsis muaj peev xwm tso ntshav txaus rau lub hlwb vim muaj teeb meem. Qhov no tuaj yeem tshwm sim los ntawm tej yam xws li lub plawv dhia tsis xwm yeem (arrhythmia), cov qauv plawv tsis zoo, thiab teeb meem ntawm lub plawv valve. Hom kev tsaus muag no yuav tsum tau mus ntsib kws kho mob.
Cov tsos mob ua ntej tsaus muag yog dab tsi?
Feem ntau, peb lub cev qhia peb tej yam ua ntej peb yuav tsaus muag. Yog peb paub txog tej no thaum ntxov, peb yuav tiv thaiv tau tej yam zoo li kev ntog.
| Yam ntxwv | Kev piav qhia |
|---|---|
| Kev ntxhov siab thiab kev qaug zog | Xav tias tsis xis nyob, ntxhov siab, thiab tsis muaj sia nyob. |
| Kiv taub hau thiab tawm hws | Kuv xav tias kuv lub taub hau tsis muaj zog, thiab kuv tawm hws txias. |
| Kev hloov pauv ntawm qhov muag pom kev | Muaj qhov tsaus ntuj nyob ntawm koj ob lub qhov muag, zoo li koj pom cov hnub qub, lossis koj lub zeem muag tsis meej. |
| Xeev siab thiab ntuav | Zoo li koj lub plab tig, thiab tej zaum koj yuav ntuav. |
| Lub ntsej muag daj ntseg | Cov ntshav ntws mus rau lub ntsej muag txo qis thiab nws ua daj ntseg. |
| Kev tsis muaj zog | Kev hnov mob tingling hauv ob txhais ceg lossis lub ntsej muag. |
Vim li cas peb thiaj li kiv taub hau? Dab tsi yog cov ua rau?
Muaj ntau yam ua rau kiv taub hau. Qee yam yog ib txwm muaj, thaum lwm yam yog vim muaj mob nkeeg.
Cov laj thawj ib txwm muaj thiab cov laj thawj feem ntau
Feem ntau, kev tsaus muag tshwm sim vim yog cov laj thawj tsis loj heev.
- Kev ntshai heev, kev mob, lossis kev ntxhov siab ntawm lub siab
- Kev tshaib plab thiab cov ntshav qab zib qis (Hypoglycemia)
- Tsis muaj dej hauv lub cev (qaug dej)
- Sawv ntsug hauv tib qho chaw ntev heev
- Orthostatic hypotension (ntshav siab poob qis thaum sawv ntsug sai sai los ntawm qhov zaum lossis pw)
- Kab mob ntshav tsis txaus
- Kev siv cawv los yog tshuaj yeeb
- Qaug zog heev
Vim li cas yuav tsum tau them sai sai rau
- Kab mob plawv: Raws li tau hais ua ntej, cov mob xws li lub plawv dhia tsis xwm yeem, lub plawv tsis ua haujlwm, thiab lub plawv nres.
- Cov Kab Mob ntawm Lub Cev Nervous System: Teeb meem nrog lub cev uas tswj cov yam uas peb tswj tsis tau, xws li peb lub plawv dhia thiab kev ua pa. Cov kab mob zoo li Diabetes Mellitus tuaj yeem ua rau lub cev no puas tsuaj.
- Qee cov tshuaj: Qee cov tshuaj rau ntshav siab, kev nyuaj siab, thiab qaug dab peg tuaj yeem ua rau kiv taub hau.
- Cov xwm txheej tshwj xeeb: Qee tus neeg yuav muaj kev tsaus muag thaum hnoos ntau dhau (Hnoos Syncope) lossis thaum tso zis (Micturition Syncope).
"Blackout" thiab "Faiting" puas yog tib yam?
Muaj ntau tus neeg tsis nkag siab ob lo lus no, tab sis muaj qhov txawv meej.
- Tsaus muag/Xiam oob qhab: Tsis nco qab. Uas yog, ib lub sijhawm luv luv uas tsis paub txog yam uas tshwm sim nyob ib puag ncig koj vim yog cov ntshav ntws mus rau lub hlwb tsawg dua.
- Kev tsaus ntuj: Qhov no yog kev poob kev nco. Hauv qhov no, kev paub yog tam sim no. Tus neeg hais lus thiab ua, tab sis tom qab ntawd tsis nco qab dab tsi tshwm sim thaum lub sijhawm ntawd. Qhov ua rau qhov no yog kev haus dej cawv ntau dhau.
Koj yuav ua li cas thiaj tiv thaiv tau kev tsaus muag?
Yog koj xav tias koj tsis muaj zog, uas yog, kiv taub hau, lossis koj ob lub qhov muag xiav, ua cov no tam sim ntawd.
- Yog tias ua tau , pw tam sim ntawd nrog koj ob txhais ceg me ntsis saum koj lub plawv . Qhov no yuav ua rau cov ntshav ntws mus rau lub hlwb ntau ntxiv.
- Yog tias tsis muaj qhov chaw pw, maj mam zaum thiab muab koj lub taub hau tso rau nruab nrab ntawm koj ob lub hauv caug.
- Haus dej ntau ntau, tshwj xeeb tshaj yog thaum ua si thiab thaum huab cua kub.
- Tsis txhob sawv ntawm ib qho chaw ntev dhau. Txav mus los me ntsis, co koj ob txhais ceg.
- Tsis txhob mus rau qhov chaw uas muaj neeg coob coob, tsis muaj cua nkag, thiab kub.
Thaum twg peb yuav tsum mus ntsib kws kho mob txog kev tsaus muag?
Tsis tas yuav ntshai yog tias koj tsaus muag ib zaug. Txawm li cas los xij, koj yuav tsum mus ntsib koj tus kws kho mob yog tias:
- Yog tias koj muaj kev kiv taub hau ntau zaus.
- Yog koj xav tias koj tsis muaj zog thaum koj tawm dag zog , qhov no yuav yog ib qho cim qhia tias koj muaj kab mob plawv.
- Yog tias koj mob hauv siab, ua pa nyuaj, lossis lub plawv dhia ceev/tsis xwm yeem nrog rau kev tsaus muag.
- Yog tias leej twg hauv tsev neeg muaj keeb kwm ntawm kev tuag sai sai ntawm lub plawv.
- Yog koj tsaus muag, ntog, thiab ntaus koj lub taub hau hnyav.
Yog tias muaj xwm txheej zoo li no, hu rau 1990 tam sim ntawd lossis coj tus neeg mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws:
- Yog tias tus neeg uas tsaus muag siv sijhawm ntau tshaj ob peb feeb kom rov qab nco qab.
- Yog tias koj tseem mob taub hau heev, pom tsis meej, lossis tsis meej pem tom qab koj rov qab nco qab.
- Yog tias muaj mob xws li qaug dab peg (haum) tshwm sim nrog rau kev tsaus muag.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ua tsis taus pa yog ib qho kev poob siab luv luv uas tshwm sim los ntawm kev txo qis cov ntshav mus rau lub hlwb ib ntus.
- Vasovagal syncope, hom mob feem ntau, feem ntau tsis loj heev, tab sis cardiac syncope yog ib yam dab tsi uas yuav tsum txhawj xeeb txog.
- Yog koj xav tias koj tsis muaj zog, koj tuaj yeem tiv thaiv nws los ntawm kev pw tam sim ntawd thiab tsa koj ob txhais ceg kom siab.
- Yog tias koj mob taub hau ntau zaus, tsaus muag thaum ua si, lossis lwm yam tsos mob xws li mob hauv siab, tsis txhob nkim sijhawm thiab mus ntsib koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus