I tan lɛk se yu de faint, bɔt yu nɔ de lɔs yu kɔnshɛns? Mek wi tok abaut (Presyncope)!

Yu go mɔs dɔn gɛt dis apin to yu sɔntɛnde. We yu tinap, sɔntɛm na grup fɔ pipul dɛn, ɔ we yu tinap wantɛm wantɛm , yu kin fil lɛk se yu ed de tɔn, yu yay kin blak, ɛn di wan ol wɔl kin spin rawnd yu. Yu tink se, "O, a go faint." Bɔt i sɔprayz fɔ no se yu nɔ de lɔs kɔnshɛns, yu jɔs de jɔs sev. Na dat di mεdikal εkspεrt dεm kכl ``prεsinkop'' (dεn kin kכl am prε-sin-ka-pee). Sɔm dɔktɔ dɛn kin kɔl am bak ``niar syncope.'' ``syncope'' na we yu rili lɔs kɔnshɛns ɛn fɔdɔm.

Wetin rili na `Presyncope`?

Fɔ tɔk am simpul wan, `(Presyncope)` na we yu fil lɛk se yu go fɔdɔm, bɔt yu nɔ kin no bɔt yusɛf ɛn yu nɔ kin rili lɔs yu kɔnshɛns. Dis kin las frɔm sɔm sɛkɔn to sɔm minit. Fɔ bɔku pipul dɛn, dis nɔto big prɔblɛm. Bɔt fɔ smɔl pipul dɛn, wetin kin apin afta dat kin rili siriɔs smɔl. Fɔ sɔm pipul dɛm, `(Presyncope)` kin rili mek dɛn fɔdɔm ɛn fɔdɔm, we kin mek dɛn wund. fכ כda pipul dεm, `(Presyncope)` kin kכz fכ sכmtin we siriכs, lεk at kכndyushכn.

Wetin na di sayn dɛm fɔ dis?

We yu gɛt prɛsinkɔp, yu kin gɛt wan ɔr mɔr pan dɛn sayn ya:

• Layt ed: I kin fil lɛk se natin nɔ de insay yu ed, lɛk se yu de flɔt .
• Wiknɛs: Yu kin fil wantɛm wantɛm lɛk se yu nɔ gɛt trɛnk igen.
• Swet: Yu kin brok wantɛm wantɛm wit kol swet.
• Bɛlɛ we de pwɛl: Yu kin fil lɛk se yu de kam fɔ vɔmit.
• At de bit: Yu kin fil se yu chɛst de bit, ɔ yu at kin chenj.
• Pen na yu bɛlɛ/bɛlɛ: Sɔm pipul dɛn kin gɛt pen na yu bɛlɛ we de dɔŋ.
• Yu nɔ de si fayn ɔ yu de si blak say dɛn: Lɛk we di TV lɔs in signal, yu kin si layn dɛn, dɔt dɛn, ɔ tin dɛn bifo yu yay we nɔ klia.

Wetin mek dis kin apin? Di tin dɛn we kin mek pɔsin gɛt `Presyncope`

Di men rizin na bikɔs di blɔd we de rich na yu bren kin go dɔŋ wantɛm wantɛm. Imajin, if di blɔd we de go na yu bren stɔp fɔ lɛk siks to et sɛkɔn, yu kin lɛf fɔ no natin. insay ``Presyncope``, di bכdi fכ fכlכ de rεdכks sכmtεm, bכt i nכ de stכp kכmplit wan.

Bɔku tin dɛn de we kin mek pɔsin gɛt prɛsinkɔp:

Kɔmɔn, nɔr siriɔs kɔz na:

• Wan tin we kin apin we kin mek pɔsin fil pen bad bad wan, fred, wɔri, ɔ pwɛl at: Fɔ ɛgzampul, fɔ si blɔd, fɔ tek injɛkshɔn, ɔ fɔ si aksidɛnt.
• Ɔtostatik haypɔtɛnshɔn: .Dis na wetin kin apin to bɔku pipul dɛn. We yu tinap wantɛm wantɛm frɔm we yu sidɔm, ɔ we yu grap frɔm we yu de ledɔm, yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm ɛn yu kin fil lɛk se yu ed de tɔn. Dis kin apin bak we yu nɔ gɛt wata na yu bɔdi.
• Vasovagal syncope: Dis kin apin bak. I kin apin we yu tinap fɔ lɔng tɛm, we di ples wam, ɔ we yu de ol yu briz (fɔ ɛgzampul, we yu de kɔf ɔ we yu de strɛs fɔ pul dɔti).

Rizin dɛn fɔ tek tɛm smɔl:

• Sɔm mɛrɛsin dɛn: Mɛrɛsin fɔ ay blɔd prɛshɔn ɛn sɔm at sik dɛn kin mek dis sik bak.
• Pulmonary embolism: Na blɔd we de klɔt na di lɔng dɛn.
• Pulmonary hypertension: Di blɔd prɛshɔn de go ɔp na di lɔng dɛn.
• Sepsis: Na siriɔs tin we kin kam bikɔs ɔf infekshɔn na di bɔdi.
• di aortic dissection: Na di layn we de na di layn we de na di big men blɔd vesel (aorta).
• At valv sik: At valv nɔ de wok fayn.
• Hypertrophic cardiomyopathy: di at mכsul de tik we nכ de nכmal.
• Myocardial ischemia: Di at nɔ de gɛt inof blɔd.
• At atak.
• Carotid artery disease: Di men at dεm na di nεk we de kכri bכdi go na di bren de blok.
• Cardiac tamponade: Na wata we de kכmכt na di sak we de rawnd di at, we de kכmprεs di at.
• At ritm dizayd (`Aritmia`).
• Anemia: Fɔ ɛgzampul, if blɔd de kɔmɔt na di bɛlɛ ɔ in intestinal (gay blɔd) kin mek yu blɔd lɔs.
• `Postural orthostatic tachycardia syndrome (POTS):` Na kכndyushכn we di at rεt de inkrεs abnכmal we i tinap.

Impɔtant: Nɔ panik if yu si dɛn tin ya. Bɔrku tɛm, ``Presyncope'' kin bi bikɔs ɔf simpul tin dɛm. Bɔt if i kin apin ɔltɛm, ɔ if i kam wit ɔda sayn dɛn, i go fayn fɔ mek yu go to dɔktɔ.

Udat de pan ay risk fɔ gɛt `presyncope`?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt smɔl prɔblɛm:

• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn.
• Fɔ di wan dɛn we gɛt dayabitis.
• Fɔ di wan dɛn we de yuz tabak prɔdak (lɛk sigrɛt, beedis).
• Fɔ di wan dɛn we dɔn ɔlrɛdi gɛt ``Presyncope''.
• Dɛn kin ripɔt dis sik smɔl mɔ pan uman dɛm pas man dɛm.

Aw dɔktɔ kin no dis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt yu mɛdikal istri.I go aks bɔt di mɛrɛsin dɛn we yu de tek . Dɔn, dɛn go du wan ɛgzam fɔ dɛn bɔdi . Di dɔktɔ kin aks kwɛstyɔn dɛn lɛk:

• "Wetin yu bin de du we yu bigin fɔ fil dɛn sik ya?"
• "Dis don eva hapun bifo?"
• "Wetin yu bin de du bifo yu bigin fil dis?"
• "Ɛnibɔdi na di famili gɛt sik we nɔ de mɛn ɔ at sik?"

Wetin na di post-mortem egzamin dɛm?

Dɛn tɛst ya kin ɛp fɔ no di tin we mek i apin:

• Ilɛktrokardiogram (ECG/EKG): Na tɛst we de luk di ilɛktrik wok we di at de du.
• Wan at ritm monita: Na divays we dɛn wɛr fɔ wan ɔ tu dez, lɛk Holter monita, ɔ wan ɔ tu wik, lɛk Zio® pat, de wach di at in ritm.
• `Exercise stress test`: Dɛn kin tek wan `ECG` we yu de du ɛksɛsayz.
• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk blɔd shuga lɛvɛl (glukɔs) ɛn anemia.
• Tilt tebul tɛst: Insay dis tɛst, dɛn kin mek yu ledɔm pan spɛshal bed, ɛn dɛn kin ajɔst di bed so dat i go tinap wantɛm wantɛm, ɛn dɛn kin wach yu at rit ɛn blɔd prɛshɔn.
• Wan `CT skan` (Kɔmpyuta tomografi) fɔ di bren.
• Echocardiogram: Na ɔltra saund skan fɔ di at.

Wetin na di tritmɛnt dɛm fɔ `Presyncope`?

Di tritmɛnt dipen pan di tin we kin mek pɔsin gɛt prɛsinkɔp.

Tin dɛn we yu kin du yusɛf (lɛk tumara bambay):

• Ledɔm ɔ sidɔm wantɛm wantɛm. If i pɔsibul, kip yu leg dɛn ɔp smɔl.
• Tɛns yu an, yu leg, ɔ yu bɛlɛ mɔsul dɛn. Fɔ ɛgzampul, krɔs yu leg ɔ klem yu fist dɛn. Dɛn kɔl dɛn tin ya kɔwnta-prɛshɔn manejmɛnt. Dis kin mek di blɔd go na di bren smɔl.

Di tritmɛnt we dɛn kin gi fɔ mɛn pipul dɛn:

• Gi salin (IV fluid): If di bɔdi nɔ gɛt wata, dɛn kin gi yu salin wit sɔdiɔm.
• Di mɛrɛsin dɛn: Dɛn kin gi pɔsin antibayɔtik fɔ mek pɔsin gɛt di sik, ɛn dɛn kin gi am mɛrɛsin fɔ mek blɔd nɔ klɔt.
• Sɔm ɔpreshɔn ɔ tin dɛn we dɛn kin du: Tin dɛn lɛk fɔ pul di blɔd we dɔn klɔt ɔ fɔ chenj di at valv.
• Pacemaker implantation ɔ wan tritmɛnt we dɛn kɔl Ablation: Fɔ kɔrɛkt di at bit we nɔ de bit ɔltɛm (arrhythmia).

Us kayn fiuja pɔrsin wae gɛt dis sik kin ɛkspɛkt?

We yu go to dɔktɔ, dɛn kin admit yu na ɔspitul, ɔ dɛn kin trit yu ɛn sɛn yu na os. Afta dat, yu fɔ go to yu praymari kia dɔktɔ (PCP) fɔ mek dɛn fala yu.

If dɔktɔ si se yu gɛt siriɔs prɔblɛm, yu go nid fɔ go to dɔktɔ we de mɛn yu at ɔ ɔda pɔsin we sabi bɔt yu at. Di kayn we aw yu prɛsynkɔp siriɔs go dipen pan di tin we mek yu gɛt am.

Wan stɔdi dɔn sho se if pɔsin we gɛt prɛsinkɔp gɛt ɛni wan pan dɛn tin ya, dat kin bi sayn fɔ se i gɛt siriɔs sik:

• At we nɔ de wok fayn.
• Shot we yu de blo.
• if di tכp nכmba fכ `Prεshכn` (Systolic blood pressure) sכmtεm sכmtεm 90 mmHg. (Dis smɔl pas di nɔmal valyu).
• Abnכmaliti dεm na di `ECG` tεst.
• if di `Hematocrit test` risal less dan 30%, dat min se di pasεnshכn fכ di rεd bכdi sεl dεm na yu bכdi sכm, we min se yu gεt anemia.

Yu tink se dɛn kin mek pɔsin nɔ gɛt prɛsinkɔp?

Yes, if yu no wetin de mek am, yu kin ɛp fɔ mek yu nɔ gɛt `(Presyncope)`. Yu kin ridyus yu risk bay wae yu du dɛn tin ya:

• Drink bɔku wata bifo yu gi yu blɔd ɔ yu injɛkshɔn. Stay sidɔm we yu de tek injɛkshɔn.
• Avɔyd tin dɛn we de mek yu wɔri (e.g., fɔ wach fim dɛn we de mek yu fred) as yu ebul.
• Nɔ grap wan tɛm, grap sloslo.
• Nɔ it bɔku wan tɛm, it smɔl smɔl it dɛn.
• If wan mɛrɛsin de we de mek pɔsin gɛt prɛsinkɔp, mek dɛn trit am fayn fayn wan.

Aw a fɔ kia fɔ misɛf?

If yu no wetin kin mek yu gɛt prɛsinkɔp, du ɔl wetin yu ebul fɔ mek yu nɔ gɛt am. Fɔ ɛgzampul, if yu no se yu kin gɛt am na say dɛn we wam ɛn ful-ɔp, plan bifo tɛm we yu de go na dɛn ples dɛn de. Briŋ smɔl fan, sidɔm nia winda, ɔ go na do fɔ smɔl tɛm fɔ gɛt fresh briz.

Ɛnitɛm we yu fil lɛk se yu de kam fɔdɔm, tray fɔ sidɔm ɔ ledɔm. Klas yu an dɛn togɛda, krɔs yu leg dɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt presyncope , yu fɔ go to dɔktɔ fɔ mek dɛn fala yu. Bɔrku tɛm, yu dɔktɔ go ebul fɔ fɛn di kɔz ɔr rifer yu to pɔrsin wae go ɛp yu. If yu rili lɔs kɔnshɛns (fainting), na imejensi. Sɔmbɔdi we de wit yu fɔ kɔl ambulans wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Wetin mek a gɛt dis `(Presyncope)`?"
• "If dis na bikos of medikal kondishon, a shud go go tritment fo am?"
• "Aw kwik dɛn kin trit am?"
• "Ɔda pipul dɛn na mi famili de pan risk fɔ gɛt `(Presyncope)'?"

Prɛsinkɔp, ilɛksɛf na yu fɔs tɛm ɔ na wan we de kam bak, kin mek yu fred ɛn nɔr kin fayn fɔ yu. Yu kin tink se, "A go fɔdɔm? A go gɛt bad bad tin?" Ɔ yu kin shem we ɔlman aks se, “Yu fayn?” Bɔt di tin we impɔtant pas ɔl na fɔ fɛn di rizin ɛn gɛt di tritmɛnt we yu nid. Dɔn yu kin kɔntrol di kɔndishɔn.

Fɔ dɔn, mɛmba dis.

``(Presyncope)`` na we yu fil se yu de faint, bɔt yu nɔ de lɔs kɔnshɛns. Bɔrku tɛm, dis kin bi bikɔs ɔf simpul rizin, bɔt sɔmtɛm kin kam wit sɔmtin wae siriɔs, lɛk at sik.

So, if yu dɔn ɛva gɛt dis ɛkspiriɛns, mɔ if i kin apin bɔku tɛm, ɔ if i gɛt ɔda sayn dɛn lɛk we yu de fil pen na yu chɛst, yu nɔ de blo fayn, ɛn ɔda tin dɛn, duya go to dɔktɔ. Nɔ fred, nɔ panik. If yu no di rayt tritmɛnt ɛn tritmɛnt, yu kin wɛl. Yu wɛlbɔdi de na yu an!

` Prɛsinkɔp, fɔdɔm, fɔ lɔs kɔnshɛns, diziz, vertigo, nɔ gɛt blɔd to di bren, at sik