Ese wigeze ubona umuntu agwa gitumo agwa nta mpamvu igaragara? Cyangwa se byarakubayeho? Hari igihe twabonye umuntu ajya gutanga amaraso kuko atinya urushinge rukamugwa, si byo se? Nubwo ibi biteye ubwoba gato, akenshi ntabwo ari ibintu biteje akaga. Uyu munsi tugiye kuvuga ku gutakaza ubwenge bitunguranye. Mu buryo bw'ubuvuzi, ibi byitwa
( Vasovagal Syncope).
Iki ni iki (Vasovagal Syncope)? Reka tubisobanukirwe mu buryo bworoshye!
Muri make, Vasovagal Syncope ni ikibazo gitunguranye mu mitsi yawe gituma
umuvuduko w'amaraso n'umutima wawe bigabanuka mu buryo butunguranye , bigatuma ucika intege. Ariko ntugahangayike, akenshi uba utazi ubwenge mu gihe kitarenze umunota umwe. Ubu ni ubwoko bwa
Reflex Syncope . Ibyo bivuze ko bibaho mu buryo butunguranye, tutiriwe tubigenzura. Hari abantu babyita
Neurocardiogenic Syncope . Ibyo biterwa nuko bibaho mu mutima wawe, mu bwonko, cyangwa byombi. Nubwo izina Vasovagal Syncope rishobora kumvikana nk'aho riteye ubwoba, ubu bwoko bwo gucika intege akenshi
ntacyo butwaye . Ntabwo wabyemera, umuntu umwe kuri batatu ku isi azahura na Vasovagal Syncope nibura rimwe mu buzima bwe. Bishobora kubaho ku bantu b'imyaka iyo ari yo yose. Vasovagal syncope niyo mpamvu ikunze gutera gucika intege, cyane cyane mu bantu bari munsi y'imyaka 40. Ku bantu bakuze, ishobora kuba kimwe cya kabiri cy'ibihe byose byo gucika intege. Vasovagal syncope ikunze kubaho iyo uhagaze cyangwa wicaye. Ni gake cyane ko bibaho iyo uryamye.
Ni ibihe bimenyetso mbere yo kurwara (Vasovagal Syncope)?
Ushobora kugira ibimenyetso bimwe na bimwe mu masegonda 30 kugeza kuri 60 mbere yuko ugira vasovagal syncope. Iyo ubimenye hakiri kare, ushobora kwirinda kugwa. Reka turebere hamwe ibi bimenyetso:
- Umunaniro udasanzwe utunguranye .
- Numva ubushyuhe budasanzwe mu mubiri wanjye .
- Kubabara umutwe bisa n'izunguza .
- Ibara ry'uruhu rwawe rirahinduka , bivuze ko ruhinduka ibara ry'umukara.
- Kumva ufite isesemi .
- Kubira ibyuya bidasanzwe (kubira ibyuya byinshi).
- Itera ry'umutima rimeze nk'aho riri kugenda rigabanuka.
- Guhora ubyutse (gukangura).
- Iyerekwa rirahinduka gato, nko kureba unyuze mu mwobo w'amazi (iyerekwa ry'umuyoboro).
Niba ubonye kimwe cyangwa byinshi muri ibi bimenyetso, bivuze ko ugomba kwitonda.
Kuki tubibona (Vasovagal Syncope)? Ni izihe mpamvu?
Kuva kuri Vasovagal syncope mu by’ukuri ni
uburyo umubiri wawe ukora ku kintu kiri mu bidukikije. Ariko rimwe na rimwe iki gikorwa kibaho vuba cyane cyangwa mu gihe kitari cyo. Byose bitangirira ku gice cy’imitsi yawe gikora mu buryo bwikora utabanje no kubitekerezaho. Tubyita
Autonomic Nervous System . Umutsi w’ingenzi cyane muri iyi sisitemu ni
Vagus Neverve. Ibi ni byo bigenzura umuvuduko w’umutima wawe n’umuvuduko w’amaraso. Tekereza, niba iyi Vagus Never ikora cyane, ishobora gutuma umuvuduko w’umutima wawe n’umuvuduko w’amaraso bigabanuka cyane mu buryo butunguranye. Uko ni ko Vasovagal syncope ibaho. Hanyuma
ntubone amaraso ahagije mu bwonko, bityo ugatakaza ubwenge. Akenshi, ikintu kikubaho cyangwa ikintu kiri mu bidukikije bishobora gutera ibi (Vasovagal Syncope). Ibi tubyita
"ibitera." Ni ukuvuga ibintu ubona, wumva, cyangwa ubona bigutera kumererwa nabi. Ibintu
bikunze gutera ibitero birimo:
- Inshinge cyangwa ibikoresho by'ubuvuzi : Ibi bishobora kubaho iyo umuntu akuye amaraso, atanze amaraso, cyangwa iyo ahuye n'ibikoresho bimwe na bimwe byo kubaga (scalpels).
- Kubona amaraso: Kunanirwa iyo ubonye amaraso nabyo ni impamvu ikunze gutera indwara yo kuva amaraso mu mitsi.
- Guhangayika , guhangayika , cyangwa gukomereka cyane mu byiyumvo : Ibi bishobora no kubaho iyo wumva ufite agahinda kenshi, ubwoba, cyangwa ububabare.
- Umunaniro cyangwa umunaniro : Ibi bishobora guterwa no gukora cyane, wenda no guhagarara igihe kirekire.
Ni izihe ngorane zishobora kubaho muri iki gihe?
Iyo ufite Vasovagal Syncope, ibi bintu bishobora kubaho:
- Kutamenya cyangwa kwitiranya ibintu bishobora kubaho igihe runaka.
- Nubwo amaso aba yafunguye, amaso ashobora kuzinguka umutwe ugahindukira ugana ku ruhande .
- Ushobora kugwa ugakururwa ukimara guta ubwenge.
- Hashobora kandi kubaho kubura uburyo bwo kugenzura uruhago rw'inkari.
- Ku mubiriGuhindagurika kw'ijisho bishobora kubaho. Hari abantu bashobora kwibeshya ko ari ugufatwa n'igicuri.
Iyo umaze kongera kugira ubwenge, ubusanzwe uzaba wongeye kumera neza mu masegonda 20-30. Nyuma y'ibyo, ushobora kumva ibintu nk'ibi:
- Guhangayika cyangwa guhangayika .
- Kuzungera .
- Umunaniro .
- Umutwe .
- Isesemi .
- Uruhu rwerurutse / uruhu rw'umukara.
- Kubira ibyuya .
- Gushaka kwituma.
Wibuke ko nyuma yo kugira vasovagal syncope rimwe, bishobora kongera kubaho, cyane cyane iyo wongeye guhaguruka mu minota 30 uhereye igihe watangiye gucika intege.
Ni gute abaganga basuzuma iyi ndwara (Vasovagal Syncope)?
Umuganga azakubaza ibibazo ku bishobora kuba bitera kudasinzira. Ugomba kubwira umuganga wawe impinduka ziherutse kubaho ku buzima bwawe cyangwa ibimenyetso bidasanzwe ufite, nubwo byaba bisa nkaho bitagize icyo bitwaye kuri wewe. Ibi bizagufasha gusuzuma neza. Umuganga azakubaza kandi ku miti n'inyongera urimo gufata. Azanasuzuma umuvuduko w'amaraso yawe n'umuvuduko w'umutima wawe. Bitewe n'imiterere y'ibimenyetso byawe, umuganga ashobora no gukora ibizamini bikurikira:
- Ibipimo by'amaraso: Ibi bishobora kugaragaza indwara zishobora gutera kubura ibitotsi, nko kubura amaraso .
- Electrocardiogram (EKG cyangwa ECG): Iyi electrocardiogram ipima imikorere y'amashanyarazi y'umutima wawe kandi ishobora kugenzura imivuduko idasanzwe y'umutima.
- Echocardiogram: Iki kizamini gishobora kureba imiterere y'umutima wawe. Gishobora gufasha kumenya niba hari ikibazo gitera umutima utari mwiza.
- Electroencephalogram (EEG): Ibi bipima imikorere y'amashanyarazi y'ubwonko bwawe. Ibi bishobora gufasha kumenya niba ufite isereri.
- Ikizamini cyo ku meza: Muri iki kizamini, uryamye ku meza maze muganga akagutembera hejuru yayo. Abantu bafite vasovagal syncope bashobora gucika intege cyangwa bagasa n'aho bacika intege muri iki kizamini.
- Ikizamini cya Hemodynamic: Iki gikoresho gikoresha ubwoko bwihariye bwa X-ray (kamera ya gamma) kugira ngo kimenye ikintu gitera imirasire (tracer) cyatewe mu mubiri. Ibi bishobora gufasha kumenya uko amaraso yawe atembera neza n'ibibazo byose ashobora kugira.
Indwara ya Vasovagal Syncope ivurwa ite?
Abantu benshi bafite vasovagal syncope bakira bonyine nta muti. Abandi bashobora gukenera kuvurwa nka:
- Ibinyobwa byo mu mibonano mpuzabitsina: Ibi ni ingirakamaro cyane iyo umubiri wawe wabuze amazi.
- Kumenya no kwirinda ibintu bitera indwara yo mu bwonko: Uramutse umenye impamvu itera indwara yo mu bwonko, ushobora kwirinda ibyo bintu, cyangwa nibura ukitegura. Ushobora no gukumira indwara yo mu bwonko burundu.
- Imiti: Imiti imwe n'imwe ivura indwara z'umutima cyangwa umuvuduko w'amaraso ishobora gufasha. Urugero, imiti nka Fludrocortisone na Midodrine .
- Amasogisi yo gukanda: Amasogisi yo mu rwego rwa muganga agera mu kibuno ni yo meza. Niba adakunda kwambarwa neza, abakinnyi bashobora kwambara imyenda yo gukanda.
- Gukoresha imbaraga zo kurwanya umuvuduko: Ibi bikubiyemo kunyuranya amaguru no kunagura imitsi y'amaguru mu masegonda make, ndetse no gushyira intoki zawe mu mwanya wazo no gukura amaboko yawe ku mpande. Iyi myitozo ishobora kugufasha kongera umuvuduko w'amaraso no kukurinda gucika intege.
- Ibikoresho byo gupima umutima: Ni gake cyane, ushobora gukenera pacemaker cyangwa ikindi gikoresho kugira ngo wirinde ko umutima wawe uhagarara cyangwa ngo uta ubwenge.
- Gukoresha catheter ablation: Mu bihe bidasanzwe, abaganga bakoresha uburyo bwitwa cardioneuroablation . Ibi bibanda ku mitsi yo mu mutima wawe.
Ni ryari ngomba kujya kwa muganga?
Iyo unaniwe, ugomba
guhita ushakisha ubufasha bwihutirwa . Vasovagal syncope ishobora kuba indwara ikomeye kandi ishobora gushyira ubuzima mu kaga. Kubwibyo, ugomba kwihutira gupimwa na muganga kugira ngo hamenyekane niba gucika intege kwawe guterwa n’indwara ikomeye kurushaho. Nanone, niba unaniwe
ugakubita umutwe (ndetse no mu gahanga gato) iyo uguye, ni ngombwa gushaka inama kwa muganga. Niba ufata imiti igabanya amaraso, ugomba gushaka inama kwa muganga nyuma yo kugwa. Iyi miti ishobora kongera ibyago byo kuva amaraso imbere mu mubiri. Ugomba kuvugana na muganga niba:
- Niba utarigeze ugira vasovagal syncope mbere maze ugahita ucika intege.
- Niba warigeze kugira ibihe byinshi byo gucika intege utari warigeze ugira vasovagal syncope mbere.
- Niba warafashwe na Vasovagal Syncope, ibimenyetso byawe bigahinduka, cyangwa inshuro zo gucika intege zikiyongera.
Ushobora kubaza muganga wawe ibintu nk'ibi:
- Ni iki cyanteye iki kibazo (Vasovagal Syncope)?
- Ni iki nakora kugira ngo mbyirinde ko ibi bitazongera kubaho?
- Ese nkeneye gukora ibizamini byinshi?
- Ese nkeneye kuvurwa?
Ese ibi bishobora kwirindwa?
Yego, hari ibintu bimwe na bimwe ushobora gukora kugira ngo wirinde indwara ya vasovagal syncope.
Ibi birimo kunywa amazi menshi, kongeramo umunyu mu mirire yawe (ariko baza muganga mbere yo kongeramo umunyu, kuko umunyu ushobora kongera umuvuduko w'amaraso), no guhagarara ugororotse . Abantu benshi bafite indwara ya vasovagal syncope bashobora kugabanya ingaruka igira ku buzima bwabo. Bashobora kwiga kumenya ibimenyetso bya vasovagal syncope mbere yuko bibaho no kwirinda ibintu bibitera. Niba uzi icyo wumva mbere yuko bibaho, ushobora kuryama cyangwa kwicara. Icyo gihe ntuzagwa cyane ngo ukomereke. Niba ushobora kubimenya mbere yuko bibaho, ushobora kubihagarika. Muganga wawe azaguha inama zimwe na zimwe zo kugufasha kugumana umuvuduko w'amaraso yawe ku rwego ruzakurinda gucika intege. Harimo:
- Gukanda cyane ifuro cyangwa umupira w'urubura: Gukanda ukuboko kwawe cyane gutya bishobora kugufasha gukomeza kwibanda ku kintu.
- Gufata amaboko: Fata amaboko yombi hamwe nk'aho ufite ikintu. Fata amaboko yawe afatanye, nk'aho ufashe ikiganza cy'ikiganza kimwe munsi y'ikiganza cy'ikindi n'ikiganza cy'ikindi hejuru y'ikiganza. Hanyuma gerageza kuyakuramo.
- Guhuza amaguru: Mu gihe uhagaze, huza amaguru yawe ku buryo ivi rimwe riri inyuma y'irindi. Komeza kuringaniza no gukaza imitsi yo mu maguru, mu nda no mu matako.
Kuvanga amaraso mu nda bishobora kubangamira ubuzima bwawe bwa buri munsi bigatuma wumva ufite ubwoba bwo kujya ahantu hose. Ariko, ubusanzwe ntabwo ari akaga. Baza muganga wawe inama n'ubufasha kuri ibi. Intego yabo ni ukugufasha guhangana n'iki kibazo no kudatakaza amahirwe yo kwishimira ubuzima bwawe.
Ubutumwa bwo kujyana mu rugo
Noneho rero ndatekereza ko usobanukiwe neza ibyo twavuze uyu munsi (Vasovagal Syncope). Wibuke ko akenshi atari ikibazo gikomeye. Ariko,
niba ucika intege kenshi, cyangwa niba ugwa ugakubita umutwe wawe urimo gucika intege, cyangwa niba ufata imiti y'indi ndwara, ugomba kujya kwa muganga. Ikintu cy'ingenzi ni ukumenya impamvu zibitera no kubyirinda. Nanone, ni ngombwa kumenya ibimenyetso biza mbere yo gucika intege no kwitonda. Nywa amazi menshi, urye indyo yuzuye, kandi uhaguruke buhoro aho kubyuka mu buryo butunguranye. Ibintu byoroshye nk'ibi bishobora kugufasha kugenzura iyi ndwara. Ntugahangayike, nturi wenyine!
Vasovagal syncope, gucika intege, gucika intege, isereri, umuvuduko w'amaraso uri hasi, uturemangingo tw'imitsi, imitsi y'amaraso yo mu nda
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