Ngaba nawe usoloko uwela phantsi? Makhe sithethe ngale nto (uvavanyo lweTable Tilt)!

Ngaba wakha waba neliso eliluhlaza ngequbuliso, waziva ngathi izinto ziyakujikeleza, okanye waziva ngathi ulahlekelwa zingqondo? Ukuba oku kuyenzeka rhoqo kuwe, namhlanje siza kuthetha ngovavanyo olunokukunceda ufumane unobangela. Oku kubizwa ngokuba yi-`(Tilt Table Test)`. Musa ukoyika, kulula. Masibone ukuba yintoni, yenziwa njani , kunye nento ekufuneka uyazi.

Yintoni le (uvavanyo lweTable Tilt)?

Ngamafutshane, i-"Tilt Table Test" luvavanyo olunceda ekufumaneni unobangela wokuphelelwa ngamandla okanye ukuphelelwa zingqondo (okwaziwa ngokuba yi-"Syncope" ngokwezonyango). Lubandakanya ukukulala ebhedini ekhethekileyo (itafile) kwaye uhlale ujonga uxinzelelo lwakho lwegazi , isantya sentliziyo , kunye nesingqisho sentliziyo njengoko ibhedi ithambekile kwii-engile ezahlukeneyo. Ibhedi isoloko ibekwe ngendlela yokuba intloko yakho ibe ngaphezu kwentloko yakho.

Yintoni enokufunyanwa ngovavanyo lweTilt Table?

Olu vavanyo lwe "Tilt Table" lusinceda sibone indlela isantya sentliziyo yakho, isigqi, kunye noxinzelelo lwegazi olutshintsha ngayo xa utshintsha indawo (umzekelo, xa uphakama ngequbuliso ulele). Esebenzisa olu lwazi, ugqirha wakho unokufumanisa ukuba yintoni ebangela ukuba ube nesiyezi kunye nokuba buhlungu . Oku kunokukunceda uphuhlise isicwangciso sonyango esifanelekileyo kuwe.

Ngoku, khangela, i-syncope, okanye ukuquleka, kukulahlekelwa yingqondo okwethutyana kunye nokulahlekelwa kulawulo lomzimba ngenxa yokwehla kwegazi okwethutyana ukuya engqondweni. Yiyo loo nto ngamanye amaxesha abantu bewa. Oku kulahlekelwa yigazi kunokubangelwa kukwehla ngequbuliso koxinzelelo lwegazi, ukwehla kwesantya sentliziyo, okanye utshintsho kubungakanani begazi emzimbeni okanye ukujikeleza kwegazi. Kwanasemva kokuba ubuyele engqondweni, ungaziva unesizungu.

Nokuba simile, sihleli, okanye silele phantsi, imizimba yethu kufuneka ilawule ngokuzenzekelayo izinga lentliziyo yethu kunye noxinzelelo lwegazi. Nangona kunjalo, ezinye iimeko zonyango zinokuphazamisana nale nkqubo. Xa oko kusenzeka, uxinzelelo lwegazi lwakho lunokwehla ngequbuliso xa usukuma.

I-syncope idla ngokubangelwa zezinye iimeko ezichaphazela intliziyo yakho, inkqubo yemithambo-luvo, okanye ukuhamba kwegazi ukuya ebuchotsheni. Ke ngoko, ugqirha wakho unokuyalela ezinye iimvavanyo kunye neTilt Table Test ukuze ayiqonde ngcono imeko yakho.

Uyenza njani le nto (uvavanyo lweTable Tilt)?

Khawucinge ngento eyenzekayo emzimbeni wakho xa uvuka ngequbuliso ulele. Yiloo nto le "Tilt Table Test" iyenzayo ngendlela yokwenziwa. Kodwa ikhuselekile kakhulu . Ngenxa yokuba ubotshelelwe ebhedini ngeentambo, awuyi kuwa nokuba uyaphambana xa uhambisa ibhedi uye kwindawo yokuma.

Uvavanyo lweTilt Table lwenziwa nini? Phi? Kuthatha ixesha elingakanani?

Ugqirha angenza olu vavanyo lwe "Tilt Table Test" ukuba usoloko unesizungu okanye ulahlekelwa zingqondo ngaphandle kwesizathu esicacileyo.

Olu vavanyo lwenziwa kwi-"Tilt Lab" ekhethekileyo okanye kwi-"Electrophysiology Lab" ekwisibhedlele okanye kwikliniki.

Uvavanyo lungathatha malunga nemizuzu engama-90 ukugqitywa, kuxhomekeke kwiimpawu zakho kunye nendlela uxinzelelo lwegazi lwakho kunye nesantya sentliziyo yakho esitshintsha ngayo ngexesha lovavanyo. Abanye abantu banokubonisa iimpawu ukususela kwinxalenye yokuqala yovavanyo, ngoko ke akufuneki baqhubeke novavanyo. Ugqirha uya kuba nolwazi lonke abaludingayo ngelo xesha.

Ungayilungiselela njani iTilt Table Test?

Landela imiyalelo kagqirha wakho ngononophelo kwaye wazi ukuba wenze ntoni ngomhla wovavanyo. Kungcono ukucela umhlobo okanye isihlobo sakho ukuba sikuqhubele ekhaya emva kovavanyo.

Malunga nokutya neziselo:

• Yitya ngokuqhelekileyo ngobusuku bangaphambi kovavanyo.
• Musa ukutya okanye ukusela nantoni na ngaphandle kweengqayi ezimbalwa zamanzi kangangeeyure ezine ngaphambi kovavanyo.
• Musa ukusela nantoni na equlethe i-caffeine (njengekofu okanye iti) ngomhla wovavanyo.

Malunga neyeza:

• Sela amayeza akho aqhelekileyo ngexesha kunye nesiselo samanzi.
• Ukuba usela iipilisi zamanzi (i-diuretics), buza ugqirha wakho ukuba ungazisela na emva kovavanyo.
• Musa ukuthatha amayeza okuhambisa isisu.
• Ukuba unesifo seswekile okanye uthatha i-insulin, buza ugqirha wakho ukuba ungawathatha njani amayeza akho ngomhla wovavanyo. Zisa i-glucose meter yakho ukuba uvakalelwa kukuba iswekile yakho yegazi iphantsi endleleni eya esibhedlele.
• Ungaze uyeke ukuthatha amayeza ngaphandle kokuthetha nogqirha.

Ufanele unxibe ntoni?

• Nxiba impahla ekhululekileyo kunye nezihlangu. Unganxiba i-T-shirt enemikhono emifutshane okanye engenamikhono endaweni yengubo yasesibhedlele. Ukuba unxibe impahla enemikhono emide okanye eqinileyo, ungacelwa ukuba utshintshe ingubo yasesibhedlele. Licebo elihle ukuzisa impahla eyongezelelweyo onokuyitshintsha xa uhlanza okanye uchama ngexesha lovavanyo.

Yintoni ekufuneka uyiphathe?

• Musa ukuthatha nantoni na exabisekileyo.
• Thabatha ezi zinto nawe:
• Uluhlu olubhaliweyo lwamayeza owasebenzisayo ngoku kunye nemilinganiselo yawo.
• Iirekhodi zonyango ezindala, ukuba zikhona.
• Uluhlu olubhaliweyo lwazo zonke izinto ezikubangela ukuba ungabi namdla (kumayeza, ukutya, izinto ezisingqongileyo).
• Ikhadi lakho leinshorensi.

Kwenzeka ntoni ngaphambi kovavanyo?

Ugqirha okanye umongikazi uza kukuchazela uvavanyo, aphendule imibuzo yakho, aze akucele ukuba utyikitye ifomu yemvume. Usenokukwazi ukufumana eli fomu xa udibana nogqirha ngosuku olungaphambi kovavanyo. Umntu othile uza kukunceda ulungiselele uvavanyo aze aphendule nayiphi na imibuzo onokuba nayo.

Ngaphambi kovavanyo, ukuba ufuna ukucela ugqirha wakho ukuba angasebenzisi enye yeengalo zakho ukufaka i-IV (isisombululo se-saline esifakwa emithanjeni) okanye ukujonga uxinzelelo lwegazi lakho, mxelele.

Ngaphambi kovavanyo, abasebenzi bezonyango baza kwenza oku kulandelayo:

• Uza kulaliswa phantsi kwi "Tilt Table". Le yibhedi enenjini enepleyiti yesinyithi yokuphumla iinyawo zakho.
• Imitya yelaphu elithambileyo iya kuqhotyoshelwa emzimbeni wakho, kodwa kuya kufuneka uthwale ubunzima bakho ngexesha lovavanyo.
• I-IV iza kufakwa emthanjeni osengalweni okanye esandleni sakho. Oku kungathatha iisampuli zegazi kwaye kukunike amayeza ngexesha lovavanyo, ukuba kuyimfuneko.
• Ii-cuffs zoxinzelelo lwegazi ziya kuqhotyoshelwa kwenye yeengalo zakho kunye nomnwe. Ezi ziqhagamshelwe kwiimonitha ezithumela ulwazi kulo lonke uvavanyo. I-cuff emnweni ivuliwe rhoqo kulo lonke uvavanyo. I-cuff engalweni ijonga uxinzelelo lwegazi lakho rhoqo emva kwemizuzu emi-4 ukuya kweli-10.
• Iziqwenga ezincinci, ezinamathelayo ezibizwa ngokuba zii-electrodes zibekwe esifubeni sakho. Ezi ziqhagamshelwe kwi-monitor ye-electrocardiogram (EKG). Oku kubonisa umsebenzi wombane wentliziyo yakho njengegrafu ehambayo yemigca ephepheni elihambayo. Oku kunokujonga izinga lentliziyo yakho kunye nesingqisho ngexesha lovavanyo.

Kwenzeka ntoni ngexesha lovavanyo?

Abasebenzi bezonyango baza kuhlala nawe kulo lonke uvavanyo. Baza kuzama ukukugcina ukhululekile kangangoko kunokwenzeka. Oomatshini baza kuhlala bejonga uxinzelelo lwegazi lakho, isingqisho sentliziyo yakho, kunye nesantya sentliziyo yakho. Ulwazi oluqokelelweyo luya kurekhodwa kwikhompyutha.

Inxalenye Yokuqala:

Ngexesha lovavanyo lwe "Tilt Table", uza kulala phantsi malunga nemizuzu eli-15.

Emva koko, ngelixa uhleli, ugqirha uza kuthatha uxinzelelo lwegazi lwakho kunye ne-EKG.

Umntu olawula itafile eneenjini utyekisa itafile ngolu hlobo:

• Imizuzu emi-2-3 kwiqondo lobushushu elingama-30 degrees.
• Imizuzu emi-2-3 kwiqondo lobushushu elingama-45 degrees.
• Ukuya kuthi ga kwimizuzu engama-45 kwiqondo lobushushu elingama-70 degrees.

Eyona nto ibalulekileyo kukuba uhlale uphaphile ngexesha lovavanyo.

Ukuze ufumane iziphumo zovavanyo ezichanekileyo, landela le miyalelo:

• Hlala uzolile kwaye uthule kangangoko ngexesha lovavanyo.
• Musa ukuyishukumisa imilenze yakho xa umi kwindawo ethile.
• Zama ukungathethi ngaphandle kokuba kuyimfuneko ngokwenene.
• Xelela ugqirha wakho ngazo naziphi na iimpawu ozifumanayo ngexesha lovavanyo lweTilt Table (ezifana nesiyezi, ukuba nentloko ebuhlungu, okanye ukudumba kwesisu).

Inxalenye yesiBini (ukuba kuyimfuneko):

Ukuba uxinzelelo lwakho lwegazi alwehli ngexesha lesigaba sokuqala sovavanyo, ugqirha angakunika iyeza ukuze abone ukuba umzimba wakho usabela njani kulo. Eli yeza lenza intliziyo yakho ibethe ngokukhawuleza. Eli yeza linokunikelwa nge-"IV" yakho, njengepilisi, okanye njenge-spray emlonyeni wakho.

Emva kokukunika amayeza, ugqirha uza kuyijika itafile iye kuma-60 degrees ukuya kuthi ga kwimizuzu eli-15. Ukuba uxinzelelo lwakho lwegazi luyehla ngeli xesha, uvavanyo luphelile. Nangona kunjalo, inxalenye yesibini yovavanyo iya kugqitywa kwimizuzu eli-15.

Uza kuziva njani ngexesha lovavanyo?

Kuyo yonke uvavanyo, ugqirha uza kukubuza ukuba uziva njani. Usenokungabi nazimpawu, okanye usenokuba neempawu ze-"pre-syncope". Ezi zezona zixhaphakileyo:

• Ukuba neentloko ezikhaphukhaphu - Ukuziva unentloko ekhaphukhaphu, ngokungathi uyabhabha.
• Isiyezi.
• Uziva unesicaphucaphu esiswini sakho, ngokungathi uza kuhlanza.
• Ukubetha kwentliziyo kukuziva intliziyo ibetha kwaye isifuba sibetha ngamandla.

Usenokuba nombono ofipheleyo okanye intloko ebuhlungu.

Injongo yolu vavanyo ayikokukwenza ube nexhala. Nangona kunjalo, kuxhomekeke kwindlela ophendula ngayo kuvavanyo, lunokukwenza ube nexhala.

Kubaluleke kakhulu: Xelela ugqirha wakho ukuba uziva njani kulo lonke uvavanyo. Basenokukucela ukuba unike iimpawu zakho umlinganiselo ukusuka ku-1 ukuya ku-10 (ezili-10 zezona zimbi kakhulu). Iimpawu zakho, kunye nolwazi oluqokelelwe kuvavanyo, ziya kunceda ugqirha wakho afumanise ukuba yintoni ebangela iimpawu zakho.

Ukuba uziva ngathi awukwazi ukuqhubeka novavanyo ngenxa yeempawu zakho, xelela ugqirha wakho . Banokumisa uvavanyo ukuba bafuna. Nangona kunjalo, ukuba bacinga ukuba kukhuselekile ukuba uqhubeke novavanyo, baya kukukhuthaza ukuba ulinde de uvavanyo lugqitywe, kuba kulapho uya kufumana khona iziphumo ezipheleleyo.

Kwenzeka ntoni emva kovavanyo?

Emva kovavanyo lweTable Table oluThambekileyo, ugqirha uza kuyithoba itafile ibuyele kwindawo yayo ethe tyaba. Uza kulala etafileni malunga nemizuzu emi-5 ukuya kweli-10. Ngeli xesha, ugqirha uza kujonga ukuba uphilile na aze aphinde alinganise uxinzelelo lwegazi lakho, izinga lokubetha kwentliziyo, kunye nesingqisho.

Kunqabile kakhulu ukuba iimpawu ezinzima ziqhubeke emva kovavanyo, kodwa ukuba ziyaqhubeka, kunokufuneka usiwe kwiSebe leeNgxamiseko ukuze uhlolwe.

Ukuba olu luvavanyo lwakho lokugqibela losuku, ugqirha uza kususa i-`(IV)` yakho. Ukuba unezinye iimvavanyo ezifuna i-`(IV)` ngaloo mini, baza kuyishiya i-`(IV)` njengoko injalo. Umntu owenza olunye uvavanyo uza kususa i-`(IV)` emva kovavanyo lwakho lokugqibela.

Uninzi lwabantu lunokubuyela ekhaya emva kovavanyo. Kodwa kufuneka kubekho umntu omdala onoxanduva oluqhubayo oluya ekhaya. Awunakuqhuba ngaloo mini.

Ukuba awunazo ezinye iimvavanyo ezifuna ukuba uzile ukutya, ungatya ngokwesiqhelo emva kovavanyo.

Ukuba kukho naziphi na iimpawu ezintsha ezivele emva kovavanyo, okanye ukuba iimpawu ezikhoyo ziyaqhubeka, xelela ugqirha wakho .

Ngaba kukho naziphi na iingozi ngale nto (Tilt Table Test)? Ingaba ikhuselekile?

Amaxesha amaninzi, abantu balaliswa ngexesha lovavanyo lwe "Tilt Table Test". Nangona kunjalo, ngenxa yokuba oogqirha bekunye nawe, baya kuyithoba ngokukhawuleza itafile baze bakubuyisele kwindawo yakho eqhelekileyo. Usenokuziva udiniwe kwaye/okanye unentlungu esiswini. Abanye abantu bayaphulukana nolawulo lomchamo wabo ngexesha lovavanyo.

Olu vavanyo luhlala lukhuselekile . Nangona kunjalo, njengakuzo zonke iimvavanyo, kukho iingozi ezithile. Amaxesha amaninzi, abantu abanemithambo yentliziyo emincinci okanye imithambo ye-carotid banokuba nokuhlaselwa yintliziyo okanye isifo sohlangothi.

Ugqirha wakho uza kuxoxa nawe ngeengozi kunye neenzuzo zovavanyo lwetafile yokuthambeka ngaphambi kokuba avume uvavanyo. Ukuba kuyimfuneko, ugqirha wakho unokwenza utshintsho oluthile kuvavanyo ukuze anciphise umngcipheko wakho.

Kuthetha ukuthini ukuba uvavanyo (Lulungile) / (Lubi)?

• Uvavanyo lwetafile yokuthambekela olubonisa ukuba unesimo sempilo esibangela utshintsho olungaqhelekanga kuxinzelelo lwegazi, izinga lokubetha kwentliziyo, okanye isingqisho sentliziyo.
• Uvavanyo lwetafile yokuthambekela engalunganga luthetha ukuba awuzange ubonise zimpawu zesifo esibangela utshintsho olungaqhelekanga kuxinzelelo lwegazi, izinga lokubetha kwentliziyo, okanye isingqisho sentliziyo.

Zeziphi iimeko ezinokubangela uvavanyo (olubonisa ukuba unayo)?

Ezinye zeemeko ezinokubangela `(Positive) (Tilt Table Test)` zezi:

• Intliziyo ebetha kancinci ngendlela engaqhelekanga (iBradycardia).
• Ukubetha kwentliziyo okukhawulezayo ngendlela engaqhelekanga (iTachycardia).
• Amanqanaba aphantsi eswekile egazini (iHypoglycemia).
• Uxinzelelo lwegazi oluphantsi (iHypotension).
• I-Postural Orthostatic Tachycardia Syndrome (i-POTS).

Ndiza kuzazi nini iziphumo zovavanyo?

Ugqirha angahlola iziphumo aze axoxe nawe ngazo kwezi meko zilandelayo:

• Ukuba unenguqu ebonakalayo kuxinzelelo lwegazi, isingqisho sentliziyo, okanye isantya sentliziyo.
• Ukuba ungena engxakini.
• Ukuba iimpawu zakho ziyaqhubeka emva kovavanyo.

Ukuba ugqirha oselebhu akathethanga nawe ngeziphumo emva kovavanyo, fowunela ugqirha okuthumelele olu vavanyo uze ubuze ngeziphumo. Kwiimeko ezininzi, iziphumo ziya kufumaneka kwiintsuku ezimbalwa, ukuba azifumaneki kwangoko.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Ngokuxhomekeke kwiziphumo zovavanyo lweTilt Table, ungadinga olunye uvavanyo ukuze ubone unobangela ochanekileyo we-syncope yakho. Olu vavanyo lungabandakanya:

• Uvavanyo lwe-hemodynamic, olwenziwa nge-echocardiogram, ukujonga indlela igazi elisasazwa ngayo emzimbeni wakho wonke, uxinzelelo kwimithambo yegazi yakho, kunye nokuba intliziyo yakho ihambisa igazi kakuhle kangakanani emzimbeni wakho wonke.
• Uvavanyo lwe-autonomic reflex luvavanya inkqubo yakho ye-autonomic nervous - inkqubo elawula izenzo esingazilawuliyo, ezifana nokuphefumla, isantya sentliziyo, kunye nokugaya ukutya.
• `(Uvavanyo lomsebenzi weVestibular)` (uvavanyo olunxulumene nokulinganisela).
• Ukujonga izinga lentliziyo.
• I-Echocardiogram (uvavanyo lwentliziyo lwe-ultrasound).

Kufuneka uthethe nini nogqirha?

Ugqirha okuthumelele olu vavanyo uza kukuchazela iziphumo zovavanyo aze athethe nawe ngesicwangciso sakho sonyango.

Kubaluleke kakhulu ukubuza ugqirha wakho ngamayeza akho. Kusenokufuneka wenze utshintsho kwiintlobo okanye kwiidosi zamayeza owasebenzisayo. Landela isicwangciso esitsha sonyango esichazwe ngugqirha wakho ngokuchanekileyo.

Ukuhlaselwa luloyiko kunokukwenza woyike ukuba wedwa okanye ukuphuma. Oogqirha bebesebenzisa olu vavanyo lwe "Tilt Table Test" amashumi eminyaka ukunceda abantu bafumanise ukuba yintoni ebangela ukuhlaselwa luloyiko. Nje ukuba bayazi imbangela, banokwenza isicwangciso sonyango ukukunceda.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kunokuba yinto ephazamisayo neyoyikisayo ukuba nokuquleka rhoqo. Kodwa khumbula, unobangela woku unokufunyanwa kwaye unyangwe. "Uvavanyo lweTilt Table" linyathelo elibalulekileyo ekuncedeni koku.

Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Bona ugqirha uze uthethe ngazo. Emva koko ungafumana uncedo olufunayo. Ukuba unemibuzo engaphezulu malunga nolu vavanyo, ungoyiki ukubuza ugqirha wakho. Ukunyamekela impilo yakho yeyona nto ibalulekileyo!

Ukuquleka , ukulahlekelwa zingqondo, uvavanyo lwetafile yokuthambeka, izinga lentliziyo, uxinzelelo lwegazi, ukuxilongwa, i-syncope