Yusɛf kin fɔdɔm wantɛm wantɛm ɛn fɔdɔm? (Syncope) - Mek wi tok abaut dis!

Yu dɔn ɛva si pɔsin we de fet wantɛm wantɛm? Ɔ i dɔn apin to yu? Imajin se pikin de fɔdɔm we dɛn de du asɛmbli na mɔnin na skul, ɔ pɔsin we de wet na layn wantɛm wantɛm. Dis kin mek pɔsin fred smɔl. Wi dɔktɔ dɛn kin kɔl dis sik we dɛn kɔl sinkɔp . Fɔ tɔk am simpul wan, dis na fɔ lɛ pɔsin nɔ ebul fɔ tink, ɔ fɔ lɛ pɔsin nɔ no natin. Lɛ wi tɔk mɔ bɔt dis tide, nɔto so?

Wetin rili na Sinkɔp?

Fɔ tɔk am simpul wan, sinkɔp na we di blɔd we de flɔ to yu bren kin go dɔŋ wantɛm wantɛm, fɔ sɔm tɛm. Dis na we wi kin fɔdɔm ɔ wi nɔ kin no natin. Bɔrku tɛm, na sɔmtin wae smɔl ɛn nɔr kin te.

Yu kin:

• If yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm.
• If yu at rit slo.
• If chenj de pan di blɔd we de na difrɛn pat dɛn na yu bɔdi.

If yu fɔdɔm, yu go gɛt kɔnshɛns bak insay sɔm sɛkɔn ɔ minit. Bɔt yu kin fil diziz ɛn taya fɔ sɔm tɛm afta dat. I kin tek sɔm minit ɔ awa fɔ mek yu wɛl ɔl.

Bɔt dis sik wae dɛn kɔl syncope kin bi sayn fɔ wan sik wae siriɔs pasmak sɔmtɛm. So, if yu fɔdɔm, i rili impɔtant fɔ go to dɔktɔ fɔ no di tin we mek yu fɔdɔm ɛn gɛt tritmɛnt. Bɔrku pipul kin kɔntrol dis sik if dɛn no bɔt dɛn fayn fayn wan ɛn gɛt di rayt tritmɛnt.

Difrɛn kayn sik dɛn de we kin mek pɔsin nɔ fil bad?

Yɛs, difrɛn kayn sik dɛn de we kin mek pɔsin nɔ fil bad . Lɛ wi si wetin dɛn bi:

• Vasovagal syncope: Dɛn kin kɔl am bak nyurocardiogenic syncope , dis na di kayn sinkɔp we dɛn kin gɛt mɔ. I kin mek lɛk af pan ɔl di wan dɛn we kin mek dɛn nɔ fil fayn.
• Situeshɔn sinkɔp: Dis na wan kayn vasovagal sinkɔp bak, we wi dɔn tɔk bɔt ɔp. Dat min se, i kin apin nɔmɔ pan patikyula tin dɛn.
• Postural or orthostatic syncope: Dɛn kin kɔl am bak postural hypotension , dis na wan tin we kin apin we yu chenj yu pozishɔn (fɔ ɛgzampul, we yu grap wantɛm wantɛm frɔm we yu ledɔm na bed).
• Cardiac syncope: Dis kin apin we di blɔd we de flɔ na di bren nɔ bɔku bikɔs ɔf prɔblɛm wit di at ɔ di blɔd vesel dɛm.
• Nyurolɔjik sinkɔp: Dis kin bi bikɔs ɔf wan sik na di nervɔs sistɛm.
• Postural Ɔtostatik Takikadia Sindrom (POTS):Wetin kin apin pan dis na dat di at rit kin go ɔp wantɛm wantɛm we yu tinap frɔm we yu sidɔm ɔ ledɔm.
• Sinkope wit wan tin wae yu nɔr no bɔt: Sɔmtɛm e kin tranga fɔ no di rayt tin wae kin mek yu fɔdɔm.

Aw kɔmɔn tin dis?

Sinkope na wan sik wae kin pasmak. I kin afɛkt lɛk 3% pan man ɛn 3.5% pan uman dɛn we dɛn de liv. I kin kam mɔr wit di ej, i kin afɛkt lɛk 6% pan pipul dɛm wae dɔn pas 75. I kin apin pan ɛni ej, pan pipul dɛm wae gɛt ɔr nɔr gɛt ɔda mɛrɛsin.

Us sayn dɛn yu kin fil bifo yu fɔdɔm?

Bɔrku tɛm, bifo yu fɔdɔm, yu kin gɛt sɔm kayn sayn dɛm lɛk dis:

• Fɔ fil lɛk se di yay dɛn de tɔn blu (blak aut).
• Fɔ fil layt ed, diziz.
• Fɔ drɛg am dɔŋ fɔ natin.
• Fɔ fil se yu de slip ɔ yu de fil bad.
• Fɔ fil se yu nɔ gɛt natin, mɔ afta yu dɔn it ɔ du ɛksɛsayz.
• Fɔ fil se yu nɔ de tinap ɔ yu wik we yu tinap ɔ waka.
• di vishכn de chenj - lεk fכ si dכt dεm na di fכs di yay, כ tכ nel vishכn (lεk fכ luk tru tכb).
• Ed de at.

Impɔtant: If yu kin gɛt dɛn sik ya ɔltɛm, mek shɔ se yu go to dɔktɔ.

Wetin mek wi kin fil lɛk se wi nɔ gɛt bɛtɛ trɛnk? (Wetin na di rizin dɛn?)

Di men tin we kin mek pɔsin fɔdɔm na we i nɔ kin gɛt inof blɔd na di bren. Dis kin gɛt difrɛn tin dɛm wae kin mek pɔrsin gɛt dis sik, lɛk de kayn sik wae wi bin dɔn tɔk bɔt. Bɔrku pipul kin gɛt wan ɔndalayn mɛdikal sik wae kin afɛkt dɛn nervɔs sistɛm ɔr at wae dɛn nɔr no bɔt. Ɔ, yu kin gɛt wan sik we kin afɛkt di blɔd we de flɔ na yu bɔdi, we kin mek yu blɔd prɛshɔn go dɔŋ we yu chenj yu pozishɔn (fɔ ɛgzampul, we yu tinap frɔm we yu de ledɔm).

Di tin dɛn we kin mek pɔsin gɛt Vasovagal Syncope

Dis kin apin bikɔs yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm, ɛn dis kin mek di blɔd we de go na yu bren nɔ bɔku. Bɔrku tɛm dis kin apun afta yu dɔn tinap fɔ sɔm tɛm, ɔr wae yu gɛt bɔrku strɛs, sɔri, ɔr frayd. Imajin, yu de tinap na di san fɔ lɔng tɛm na di men ɔl na yu skul fɔ wan asɛmbli na mɔnin, dɔn wantɛm wantɛm yu de fil lɛk se yu ed de tɔn ɛn yu nɔ gɛt bɛtɛ trɛnk. Nɔmal wan, we wi tinap, graviti kin mek wi blɔd gɛda na di ɔda pat dɛn na wi bɔdi, we de dɔŋ di dayafragm . We dis kin apin, wi at ɛn di ɔtonomik nɛvɔ sistɛm kin wok togɛda fɔ mek wi blɔd prɛshɔn nɔ chenj.

Bɔt, dis na vasovagal sinkɔp.We yu gɛt dis sik, yu at rit ɛn blɔd prɛshɔn kin go dɔŋ tumɔs wantɛm wantɛm, ɛn dis kin mek di blɔd nɔ de go na di bren, ɛn dis kin mek yu fɔdɔm. Bɔku tɛm, dis nɔ kin denja.

Di tin dɛn we kin mek pɔsin gɛt sik we dɛn kɔl Situeshɔnal Sinkɔp

Dis kin apin nɔmɔ pan sɔm patikyula tin dɛn we yu nervɔs sistɛm kin afɛkt ɛn yu nɔ kin no natin. Sɔm pan dɛn tin ya we kin apin na:

• Di wata we nɔ de na di bɔdi.
• Intɛns imɔshɔnal strɛs, sɔri-at, wɔri.
• Fred.
• I kin fil pen bad bad wan.
• Angri.
• Yuz rɔm ɔ drɔgs.
• Hyperventilation - Dis min se yu fɔ tek mɔ ɔksijɛn ɛn pul di kabɔn dayɔgzayd kwik kwik wan pas aw i nid.
• We yu de kɔf lawd wan, tɔn yu nɛk, ɔ wɛr kɔla ( carotid sinus hypersensitivity ).
• We yu de pis ( micturition syncope ).

Di tin dɛn we kin mek pɔsin gɛt postural syncope

dis dεn kכl dis bak postural haypotεnsh כn כ כ tכstatik haypotεnshכn . I kin apin we yu chenj yu pozishɔn wantɛm wantɛm, fɔ ɛgzampul, we yu tinap frɔm we yu de ledɔm, ɛn yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm. Sɔm mɛrɛsin ɛn wae yu nɔr gɛt wata na yu bɔdi kin mek yu gɛt dis sik. Pipul dεm wae gεt dis kayn fεnshכn kin gεt dכn na dεn blכd prεshכn we at le 20 mmHg (di nכmba we de tכp) εn 10 mmHg (di nכmba we de dכn) we dεn tinap.

Di tin dɛn we kin mek pɔsin gɛt sik we de mek pɔsin in at kin fil bad

If yu gɛt wan sik na yu at ɔ yu blɔd vesel we de afɛkt di we aw blɔd de go na yu bren, yu kin gɛt di sik we dɛn kɔl cardiac syncope . Dɛn kɔndishɔn ya na:

• Di at bit abnɔmaliti ( arrhythmia ).
• di bכdi fכ fכlכ di at bכku biכs fכ di strכkchכ fכ di at ( hypertrophic cardiomyopathy ).
• di bכdi we de blok na di at ( myocardial ischemia ).
• Di sik we de mek pɔsin gɛt at valv.
• di aorta stenosis - Dis min se di aorta de sכmtεm sכmtεm.
• Wan blɔd we de klɔt.
• At we nɔ de wok fayn.

If yu gɛt cardiac syncope , i rili impɔtant fɔ go to dɔktɔ we de mɛn yu at ɛn gɛt di rayt tritmɛnt, bikɔs dis kin rili siriɔs.

Di tin dɛn we kin mek pɔsin gɛt Nyurolɔjik Sinkɔp

Dis kin apin if yu gɛt nyurolɔjik kɔndishɔn lɛk fɔ sik, strok, ɔ transient ischemic attack (TIA) . Dɔn bak, maygrenƐn di tin dɛn we nɔ kin apin so ɔltɛm lɛk nɔmal prɛshɔn haydrosɛfalɔs kin mek bak nyurolɔjik sinkɔp .

Postural Ɔtostatik Takikadia Sindrom (POTS) .

If yu gɛt POTS , yu at rit kin go ɔp bad bad wan ( tachycardia ) we yu tinap frɔm we yu sidɔm ɔ ledɔm. Yu at kin bit 30 bit pan minit ɔ mɔ. Dis inkris kin apin insay 10 minit afta yu tinap.

Sinkope wit no kɔz we pɔsin kin no

Na lɛk 33% pan di pipul dɛm wae kin fɔdɔm nɔr kin ebul fɔ fɛn di rayt tin wae kin mek dɛn fɔdɔm. Bɔt sɔm mɛrɛsin dɛn kin mek bak di risk fɔ mek pɔsin fɔdɔm as sayd ɛfɛkt. If yu nɔ no wetin de mek yu fɔdɔm, mek shɔ se yu go to dɔktɔ.

Aw dɔktɔ kin no dis?

If yu faint, yu fɔ rili go to dɔktɔ. I kin rifer yu to wan spɛshal dɔktɔ fɔ sink fɔ mek dɛn du yu ful evalueshɔn.

Di spɛshal dɔktɔ go chɛk yu bɔdi ɛn tek wan gud mɛdikal istri. I go aks yu bɔt yu sik ɛn di tɛm dɛn we yu bin fɔdɔm - if yu bin gɛt ɛni sayn bifo, ustɛm ɛn usay yu bin fɔdɔm.

I kin mɛzhɔ yu at rit ɛn blɔd prɛshɔn bak we yu de na difrɛn pozishɔn (we yu ledɔm, sidɔm, tinap).

Dɔn, yu go nid fɔ du wan ɔ mɔ tɛst fɔ no wetin mek yu fɔdɔm. Dɛn tɛst ya kin luk fɔ tin dɛn lɛk:

• Di we aw yu at de.
• Yu at rit.
• Di bɔku blɔd we de na yu bɔdi.
• Di we aw yu blɔd de go ɔlsay we yu de na difrɛn say dɛn.

Us tɛst dɛn de du fɔ dis?

Test fɔ no wetin mek pɔsin kin fɔdɔm na:

• Labɔrɔtɔri tɛst: Chɛk fɔ si if pɔsin nɔ gɛt bɛtɛ blɔd ɔ if i gɛt chenj dɛn na di mɛtabolik .
• Ilɛktrokardiogram (EKG): Na tɛst we de sho aw ilɛktrik de wok na yu at.
• Ɛksesaiz strɛs tɛst: Bɔku tɛst dɛn de we dɛn kin du we yu de ɛksesaiz ɔ bay we yu gi yu at mɛrɛsin fɔ strɛs am. Sɔm strɛs tɛst kin luk fɔ EKG chenj ɔ du ɔltra saund fɔ di at. Dɛn kin du strɛs tɛst bak wit nyuklia imej .
• Ambulatory monitor: Na divays we yu de wɛr we de rikodɔ infɔmeshɔn bɔt yu at rit ɛn ritm tru ilɛktrɔd.
• Echocardiogram: Na tɛst we dɛn kin yuz sawnd wev fɔ mek yu si di we aw yu at tan.
• Tilt tebul test (head-up tilt test): Dɛn kin rayt yu blɔd prɛshɔn ɛn at rit minit bay minit ɔ bit bay bit we yu de ledɔm pan tebul ɛn di tebul de tilt na difrɛn lɛvul dɛn. Dis tεst kin no di abnכmal kכdivaskyul riakshכn dεm we kin mek i fεint.
• Autonomic reflex testing: Na siriɔs tɛst we dɛn kin du fɔ no yu blɔd prɛshɔn, blɔd we de flɔ, yu at rit, di tɛmpracha na yu skin, ɛn we yu de swet fɔ ansa difrɛn tin dɛn we de mek yu fil fayn. Dɛn mɛzhɔmɛnt ya kin ɛp yu dɔktɔ fɔ no if yu ɔtonomik nervɔs sistɛm de wok fayn ɔ if yu gɛt damej na yu nervɔs.

Yu kin gɛt ɔda tɛst dɛn bak, lɛk ilɛktrɔfisiɔlɔji stɔdi , ɔtonomik nɛvɔ sistɛm tɛst , nyurolɔjik ɛvalueshɔn, ɛn CT skan (Computed Tomography - CT scan) . Yu kin gɛt vestibular function testing bak fɔ mek shɔ se nɔ prɔblɛm de wit yu insay yes. If yu nid ɛni ɔda tɛst, yu dɔktɔ go ɛksplen wetin na dɛn ɛn wetin mek yu nid dɛn.

Wetin wi kin du if pɔsin fɔdɔm?

If pɔsin fɔdɔm, du dɛn tin ya:

1. Chek if i de blo.

2. Mek i ledɔm na grɔn, ɔ rɛst in ed bitwin in ni, fɔ at le 10-15 minit.

3. Gi am kol wata fo drink.

Wetin na di tritmɛnt dɛn we pɔsin kin gɛt we i nɔ ebul fɔ du natin?

Di tritmɛnt opshɔn dɛm dipen pan wetin de mek yu fɔdɔm ɛn wetin yu tɛst rizɔlt sho. Di gol fɔ tritmɛnt na fɔ stɔp yu fɔ lɛ yu nɔ fɔdɔm igen.

Di tritmɛnt opshɔn dɛm fɔ sinkɔp na:

• Fɔ tek mɛrɛsin, ɔ fɔ chenj di mɛrɛsin dɛn we yu dɔn ɔlrɛdi de tek.
• We yu wɛr klos we de sɔpɔt yu ɔ yu fɔ wɛr kɔmpreshɔn stɔking fɔ mek yu blɔd go fayn fayn wan.
• Fɔ mek chenj dɛn to di tin dɛn we yu de it. Yu dɔktɔ kin tɛl yu fɔ it smɔl smɔl it dɛn ɔltɛm, ad smɔl mɔ sɔl (sɔdiɔm) to yu it, drink mɔ wata, mek yu gɛt mɔ potashɔm na yu it, ɛn kɔt kafin ɛn rɔm.
• Fɔ rili tek tɛm we yu de grap.
• Kip di ed fɔ di bed ɔp we yu de slip. Yu kin du dis bay we yu yuz ɛkstra pilo ɔ put rayz ɔnda di leg dɛn we de na di ed fɔ di bed.
• Fɔ avɔyd tin dɛm ɔ "trig" wae kin mek yu fɔdɔm (lɛk fɔ tinap fɔ lɔng tɛm, ɔt, ɛn tin dɛm wae kin mek yu strɛs).
• Bayofidbak trenin fɔ kɔntrol wan fast at bit.
• If strɔkchɔral at sik dɛn de, mek dɛn trit dɛn.
• Pesmɛka fɔ mek di at rit nɔmalFɔ fiks wan (dis na fɔ sɔm patikyula mɛrɛsin kɔndishɔn dɛn nɔmɔ).
• Fɔ gɛt wan implantable kadiɔvata difibrilatɔ (ICD) . Dis divays de wach yu at rit ɛn ritm ɔltɛm ɛn kɔrɛkt ɛni fast, abnɔmal ritm (agayn, na fɔ sɔm kɔndishɔn dɛn nɔmɔ).

Yu mɛdikal tim go mek wan tritmɛnt plan we go fayn fɔ yu ɛn tɔk to yu bɔt aw fɔ trit yu.

Ɛni mɛrɛsin de fɔ dis?

Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pɔsin we nɔ gɛt bɛtɛ maynd na:

• Midodrine we dɛn kɔl midodrine
• Fludrocortisone (brand nem dɛn na Astonin® ɔ Florinef®) .

Dɛn mɛrɛsin ya kin mek yu gɛt sɔm bad bad tin dɛn lɛk we yu de fil pen na yu chɛst, yu nɔs, yu ed kin tɔn, yu nɔ kin ebul fɔ pis, yu bɛlɛ kin at, ɛn yu kin kol. So, i impɔtant fɔ yuz di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu.

Yu tink se dɛn kin ridyus/prɛvɛnt fɔ mek pɔsin nɔ fil fayn?

Fɔ mek yu nɔ go ebul fɔ fɔdɔm, yu nid fɔ no wetin de mek yu fɔdɔm. If yu nɔ gɛt wata na yu bɔdi na di prɔblɛm, if yu gɛt wata ɛn drink bɔku wata, dat kin ɛp fɔ mek yu nɔ gɛt bɔku prɔblɛm. If yu de fɔdɔm bikɔs ɔf wan at sik, yu kin nid mɛrɛsin ɔr divays fɔ trit di at ritm dɛm we nɔr fayn.

Bɔku tɛm, yu kin fil lɛk se yu de kam fɔdɔm. Yu kin fil diziz, nɔs, ɔ yu kin gɛt palpiteshɔn (at yu kin bit ɔltɛm we kin fil lɛk se i de bit tumɔs ɔr de "paund" na yu chɛst). Yu kin ɛp fɔ mek yu nɔ fɔdɔm if yu:

• Kwik kwik wan, sidɔm ɔ ledɔm ɛn es yu leg ɔp.
• Put yu an dɛn togɛda.
• Tayt yu an dɛn.
• Krɔs yu leg ɔ swɛt yu shɔl togɛda.

Wetin kin apin if yu fɔdɔm? Na sɔntin we wi fɔ fred?

If yu no di sik ɛn trit yu fayn fayn wan, yu kin kɔntrol di sik we dɛn kɔl syncope . If yu dɔn fɔdɔm wan tɛm, yu gɛt lɛk 30% chans fɔ lɛ yu fɔdɔm bak. Yu risk fɔ fɔdɔm bak ɛn aw i kin afɛkt yu kin dipen pan sɔm tin dɛm - lɛk de kɔz, yu ej, yu man ɔ uman, ɛn ɔda mɛrɛsin dɛm wae yu gɛt. If yu gɛt kwɛstyɔn bɔt yu risk, tɔk to yu dɔktɔ.

If dɛn dɔn no se yu gɛt syncope , chɛk di lɔ dɛn na yu kɔntri/rijɔn. Insay sɔm kɔntri/rijyɔn dɛn, drayva dɛn we fɔdɔm fɔ ripɔt am to di drayva laysens ɔfis. Dɔktɔ go tɛl yu fɔ no di rizin ɛn gɛt tritmɛnt bifo yu drayv.

Bɔku tɛm, we pɔsin fɔdɔm, i nɔ kin denja. Bɔt if yu at nɔ de wok fayn ɔ yu gɛt nyurolɔjik kɔndishɔn, i kin mek yu layf de pan denja. Pipul wae gɛt hat sik ɔr nyurolɔjik kɔndishɔn fɔ rili go to dɔktɔ.

Ustɛm a fɔ go to dɔktɔ? Imejɛnsi Tritmɛnt Yunit (ETU) .Tɛm dɛn de we yu nid fɔ go?

Dipen pan wetin mek yu fɔdɔm, yu go nid fɔ go to dɔktɔ fɔ fala-ap apɔntinmɛnt lɛk tu to 4 wiks afta yu gɛt tritmɛnt na ɔspitul ɔ ɔutpeshɛnt dipatmɛnt. If di dɔktɔ si prɔblɛm wit yu at in strɔkchɔ ɔ ritm, yu go nid fɔ mek ɔda apɔntinmɛnt fɔ fala yu.

If pɔsin fɔdɔm ɛn stɔp fɔ blo, lɛk se i gɛt at atak, yu fɔ gi am CPR (Cardiopulmonary Resuscitation) ɛn kɔl ambulans. Bɔku pipul dɛn kin go na di Imejɛnsi Dipatmɛnt (ETU) afta dɛn dɔn fɔdɔm. If yu fɔdɔm, mɔ fɔ di fɔs tɛm, ɔ if yu gɛt pen na yu chɛst, i nɔ izi fɔ blo, ɔ ɔda siriɔs sayn dɛn, yu fɔ rili go to dɔktɔ.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

Yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Yu no wetin mek a fɔdɔm?
• Wetin a fɔ du fɔ mek di kayn we aw a bin fɔdɔm nɔ go apin igen?
• A nid mɔ tɛst ɔ fɔ fala-ap apɔntinmɛnt?

Fɔ sɔmtin (Tek-Home Message) .

Syncope , ɔr fɔdɔm, kin tan lɛk se i siriɔs pas aw i rili bi bikɔs i kin apin wantɛm wantɛm ɛn i kin mek ɔda pipul dɛn pe atɛnshɔn to am. Bɔt fɔ bɔku pipul dɛn, na fɔ shɔt tɛm nɔmɔ ɛn i nɔ de sho se dɛn gɛt siriɔs wɛlbɔdi prɔblɛm. We yu go to dɔktɔ afta yu dɔn fɔdɔm, dat kin ɛp yu fɔ fil se yu nɔ gɛt siriɔs sik. If na yu at sik de mek yu fɔdɔm, i impɔtant fɔ gɛt tritmɛnt fɔ am.

Mɛmba se if yu gɛt ɛni dawt ɔ wɔri bɔt yu wɛlbɔdi biznɛs, i go fayn fɔ mek yu tɔk to dɔktɔ.

Fainting , syncope, loss of conscience, sεribra ischemia, vasovagal syncope, kadyak sinkope, tin dεm we de mek yu fεn, tritmεnt fכ fεint