Ni nk'umurozi wo gucika intege, ariko ntutakaza ubwenge? Reka tuvuge kuri (Presyncope)!

Birashoboka ko ibi byakubayeho igihe runaka. Iyo uhagaze, wenda uri mu itsinda ry'abantu, cyangwa iyo uhagurutse mu buryo butunguranye , wumva umeze nk'uzumva, amaso yawe ahinduka umukara, isi yose ikakuzunguruka. Uratekereza uti "Oh, ngiye gucika intege." Ariko igitangaje ni uko udatakaza ubwenge, urokoka gato. Ibyo ni byo abahanga mu by'ubuvuzi bita "presyncope" (bisobanurwa mbere ya sin-ka-pee). Hari abaganga banabyita "near syncope." "syncope" ni igihe utakaza ubwenge ukagwa.

`Presyncope` ni iki mu by'ukuri?

Mu magambo make, `(Presyncope)` ni igihe wumva ugiye gucika intege, ariko ntugire ubwenge buhagije utabanje gutakaza ubwenge. Ibi bishobora kumara amasegonda make kugeza ku minota mike. Ku bantu benshi, iki si ikibazo gikomeye. Ariko, ku bantu bake cyane, ibikurikiraho bishobora kuba bikomeye kurushaho. Kuri bamwe, `(Presyncope)` mu by'ukuri bishobora gutera gucika intege no kugwa, bishobora gutera imvune. Ku bandi, `(Presyncope)` ishobora guterwa n'ikintu gikomeye kurushaho, nk'indwara y'umutima.

Ni ibihe bimenyetso by'ibi?

Iyo ufite presyncope, ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso:

• Kutagira ubwenge: Bishobora kumvikana nk'aho nta kintu kiri mu mutwe wawe, nk'aho uri kureremba .
• Intege nke: Ushobora kumva umeze nk'aho urimo gutakaza imbaraga.
• Kubira ibyuya: Ushobora kubira ibyuya bikonje mu buryo butunguranye.
• Inda ibabaye: Ushobora kumva ugiye kuruka.
• Umutima utera cyane: Ushobora kumva igituza cyawe gitera cyane, cyangwa umutima wawe ugatera nabi.
• Kubabara mu nda/inda: Hari abantu bashobora kugira ububabare mu nda yo hasi.
• Kubona nabi cyangwa kubona utudomo tw'umukara: Nk'iyo televiziyo ibuze ikimenyetso cyayo, ushobora kubona imirongo, utudomo, cyangwa ibintu imbere y'amaso yawe bidasobanutse neza.

Kuki ibi bibaho? Impamvu za `Presyncope`

Impamvu nyamukuru ni uko ingano y'amaraso agera mu bwonko igabanuka mu buryo butunguranye. Tekereza, niba amaraso ajya mu bwonko ahagaze mu masegonda agera kuri atandatu kugeza ku munani, ushobora guta ubwenge. Muri ``Presyncope``, amaraso agenda agabanuka gato, ariko ntabwo ahagarara burundu.

Hari impamvu nyinshi zitera presyncope:

Impamvu zisanzwe kandi zidakomeye cyane zirimo:

• Ikintu gitera ububabare bukomeye, ubwoba, guhangayika, cyangwa ihungabana: Urugero, kubona amaraso, guterwa urushinge, cyangwa kubona impanuka.
• Kugabanuka k'amaraso mu mitsi:Ibi nibyo bibaho ku bantu benshi. Iyo uhagurutse uhagaze wicaye, cyangwa uhagurutse uryamye, umuvuduko w'amaraso uhita ugabanuka ukumva uzunguza. Ibi bishobora no kubaho iyo wabuze amazi mu mubiri.
• Kuvanga amaraso mu nda: Ibi nabyo birakunze kubaho. Bishobora kubaho igihe kirekire uhagaze, mu gihe cy'ubushyuhe, cyangwa iyo ufashe umwuka wawe (urugero, iyo ukorora cyangwa urimo kwiyahura kugira ngo wiyongere).

Impamvu zo kwitonda gato:

• Imiti imwe n'imwe: Imiti ivura umuvuduko ukabije w'amaraso n'izindi ndwara z'umutima na byo bishobora kubitera.
• Kuziba kw'amaraso mu bihaha: Kuziba kw'amaraso mu bihaha.
• Umuvuduko ukabije w'amaraso mu bihaha: Ubwiyongere bw'umuvuduko w'amaraso mu bihaha.
• Sepsis: Indwara ikomeye iterwa n'ubwandu mu mubiri.
• Gucika kw'imitsi y'amaraso: Gucika kw'umuyoboro munini w'amaraso (aorta).
• Indwara y'imitsi y'umutima: Imitsi y'umutima idakora neza.
• Hypertrophic cardiomyopathy: Kubyimba kudasanzwe kw'imitsi y'umutima.
• Ischemia y'umutima: Umutima ntubona amaraso ahagije.
• Indwara y'umutima.
• Indwara y'imitsi ifata imitsi ya Carotid: Kuziba kw'imitsi mikuru yo mu ijosi ijyana amaraso mu bwonko.
• Tamponade y'umutima: Ni uruhurirane rw'amazi mu gafuka gakikije umutima, bigatera umutima gukandagira.
• Indwara z'umutima (`Arrhythmia`).
• Anemia: Urugero, kuva amaraso mu gifu cyangwa mu mara (kuva amaraso mu gifu) bishobora gutuma amaraso atakaza.
• `Postural orthostatic tachycardia syndrome (POTS):` Indwara aho umutima wiyongera mu buryo budasanzwe iyo uhagaze.

Icy'ingenzi: Ntugatinye niba ubonye izi mpamvu. Akenshi, "Presyncope" iterwa n'ibintu byoroshye. Ariko, niba ibaho kenshi, cyangwa ikaza n'ibindi bimenyetso, ni byiza kujya kwa muganga.

Ni nde ufite ibyago byinshi byo kurwara `presyncope`?

Nubwo iyi ndwara ishobora kugaragara ku muntu uwo ari we wese, hari abantu bamwe bafite ibyago byinshi byo kuyirwara:

• Ku bafite umuvuduko ukabije w'amaraso.
• Ku barwayi ba diyabete.
• Ku bakoresha ibikomoka ku itabi (nk'itabi, beedis).
• Ku bamaze kugira ``Presyncope''.
• Iyi ndwara ikunze kugaragara ku bagore kurusha abagabo.

Ni gute umuganga abimenya?

Iyo ugiye kwa muganga, abanza kukubaza amateka y'ubuzima bwawe.Azakubaza ibijyanye n'imiti ufata . Hanyuma, bazagukorera isuzuma ry'umubiri . Muganga ashobora kukubaza ibibazo nk'ibi:

• "Wari ukora iki igihe watangiraga kumva ibi bimenyetso?"
• "Ese ibi byigeze bibaho mbere?"
• "Wakoraga iki mbere yuko utangira kumva umeze utya?"
• "Ese hari umuntu mu muryango ufite indwara idakira cyangwa indwara y'umutima?"

Ibizamini byo gusuzuma umurambo nyuma y'urupfu ni ibihe?

Ibizamini bikurikira bishobora gufasha kumenya impamvu:

• Electrocardiogram (ECG/EKG): Ikizamini kireba imikorere y'amashanyarazi y'umutima.
• Igikoresho cyo kugenzura imivuduko y'umutima: Igikoresho cyambarwa umunsi umwe cyangwa ibiri, nka Holter monitor, cyangwa icyumweru kimwe cyangwa bibiri, nka Zio® patch, gikurikirana imivuduko y'umutima.
• `Ikizamini cy'umuvuduko w'imyitozo ngororamubiri`: `ECG` ifatwa mu gihe uri gukora imyitozo ngororamubiri.
• Gupima amaraso: Kureba ibintu nk'igipimo cy'isukari mu maraso (glucose) na anemia.
• Ikizamini cyo ku meza yo kuzunguruka: Muri iki kizamini, uryamishwa ku buriri bwihariye, kandi uburiri burahindurwa ku buryo butunguranye buhaguruka, kandi umuvuduko w'umutima wawe n'umuvuduko w'amaraso bigenzurwa.
• "CT scan" (Isuzuma rya mudasobwa) ry'ubwonko.
• Echocardiogram: Isuzuma ry'umutima hakoreshejwe ultrasound.

Ni ubuhe buryo bwo kuvura `Presyncope`?

Uburyo bwo kuvura buterwa n'icyateye ihungabana ry'umutima.

Ibintu ushobora gukora ubwawe (nk'uko bigenda mu gihe kizaza):

• Uraryama cyangwa wicare ako kanya. Niba bishoboka, komeza ushyire amaguru yawe hejuru gato.
• Komeza amaboko, amaguru, cyangwa imitsi yo mu nda. Urugero, shyira amaguru yawe ku ruhande cyangwa upfunye ibipfunsi. Ibi byitwa uburyo bwo kurwanya umuvuduko. Ibi bishobora kongera gato umuvuduko w'amaraso mu bwonko.

Ubuvuzi:

• Gutanga umunyu (ibinyobwa biva mu mibonano mpuzabitsina): Iyo umubiri wabuze amazi, umunyu urimo umunyu ushobora gutangwa.
• Imiti: Bitewe n'impamvu, imiti yica udukoko ishobora gutangwa ku ndwara, naho imiti igabanya amaraso igatangwa kugira ngo hirindwe kubyimba kw'amaraso.
• Uburyo bwo kubaga cyangwa uburyo bwo kuvura: Ibintu nko gukuraho amaraso apfutse cyangwa gusimbuza valve y'umutima.
• Gutera pacemaker cyangwa uburyo bwo kuvura bwitwa Ablation: Gukosora umutima utari umeze neza (arrhythmia).

Ni ubuhe buryo bw'ejo hazaza umuntu urwaye presyncope ashobora kwitega?

Umaze kubonana na muganga, ushobora kwakirwa mu bitaro, cyangwa ushobora kuvurwa ugasubizwa mu rugo. Nyuma y'ibyo, ugomba kubonana na muganga wawe w'ibanze (PCP) kugira ngo agukurikirane.

Mu gihe umuganga abonye ikibazo gikomeye, ushobora gukenera kubonana n'inzobere mu by'umutima cyangwa undi muntu w'inzobere. Uburemere bwa presyncope yawe buzaterwa n'impamvu.

Ubushakashatsi bumwe bwagaragaje ko iyo umuntu ufite presyncope afite kimwe muri ibi bimenyetso, bishobora kuba ikimenyetso cy'indwara ikomeye:

• Kunanirwa k'umutima.
• Guhumeka nabi.
• Niba umubare munini w'umuvuduko w'amaraso (Systolic blood pressure) uri munsi ya 90 mmHg. (Ibi ni bike ugereranyije n'ibisanzwe).
• Ibitagenda neza mu ikizamini cya `ECG`.
• Niba igisubizo cya `Hematocrit test` kiri munsi ya 30%, bivuze ko igipimo cy'uturemangingo dutukura mu maraso yawe kiri hasi, bivuze ko ufite amaraso make.

Ese presyncope ishobora kwirindwa?

Yego, niba uzi ikibitera, ushobora gufasha mu gukumira `(Presyncope)`. Ushobora kugabanya ibyago byawe ukora ibi bikurikira:

• Nywa amazi menshi mbere yo gutanga amaraso cyangwa guterwa urushinge. Guma wicaye mu gihe uterwa urushinge.
• Irinde ibintu bigutera guhangayika (urugero, kureba filime ziteye ubwoba) uko bishoboka kose.
• Ntukabyuke icyarimwe, haguruka buhoro buhoro.
• Ntukarye byinshi icyarimwe, urye utuntu duto.
• Niba hari ikibazo cy'uburwayi gitera presyncope, vurwa neza.

Nkwiye kwiyitaho nte?

Niba uzi impamvu ituma ugira presyncope, kora uko ushoboye kose kugira ngo uyirinde. Urugero, niba uzi ko ukunda kuyigira ahantu hashyushye kandi hahurira abantu benshi, teganya igihe ujya muri ibyo bice. Zana umufana muto, mwicare hafi y'idirishya, cyangwa sohoka gato ufate umwuka mwiza.

Igihe cyose wumva ugiye gucika intege, gerageza kwicara cyangwa kuryama. Fata amaboko yawe hamwe, shyira amaguru yawe ku ruhande.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ikibazo cya presyncope , ugomba kujya kwa muganga kugira ngo agukurikirane. Kenshi na kenshi, muganga wawe azashobora kubona icyateye cyangwa akakohereza umuntu ushobora kugufasha. Niba koko watakaje ubwenge (uracika intege), ni ikibazo cyihutirwa. Umuntu uri kumwe nawe agomba guhita ahamagara imbangukiragutabara.

Ni ibihe bibazo ugomba kubaza muganga?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• "Ni iki cyatumye ngira iyi `(Presyncope)`?"
• "Niba ibi biterwa n'uburwayi, ese nkwiye kubishakira ubuvuzi?"
• "Ishobora kuvurwa vuba gute?"
• "Ese abandi bantu bo mu muryango wanjye bashobora kurwara `(Presyncope)'?"

Presyncope, yaba ari ubwa mbere cyangwa igaruka kenshi, ishobora kuba ikintu giteye ubwoba kandi kidashimishije. Ushobora gutekereza uti "Ese ngiye kugwa? Ese ngiye gukomereka?" Cyangwa ushobora kumva ufite isoni iyo abantu bose bakubajije bati "Umeze neza?" Ariko icy'ingenzi ni ukumenya impamvu no kubona ubuvuzi ukeneye. Hanyuma ushobora kugenzura iyo ndwara.

Amaherezo, ibuka ibi.

"(Presyncope)" ni igihe wumva urimo gucika intege, ariko ntutakaze ubwenge. Akenshi, ibi biterwa n'impamvu zoroshye, ariko rimwe na rimwe bishobora guterwa n'ikintu gikomeye, nk'indwara y'umutima.

Bityo rero, niba warigeze kugira iki kibazo, cyane cyane iyo kikubayeho kenshi, cyangwa se kikaba giherekejwe n'ibindi bimenyetso nko kubabara mu gatuza, guhumeka nabi, nibindi, nyamuneka shaka inama kwa muganga. Ntutinye, ntugatinye. Iyo ubonye isuzuma kandi ukavurwa neza, ushobora gukira. Ubuzima bwawe buri mu maboko yawe!

Presyncope , gucika intege, guta ubwenge, isereri, vertigo, kubura amaraso ajya mu bwonko, indwara z'umutima