Ngaba wakha waba semgceni okanye elangeni waza ngequbuliso amehlo akho aba luhlaza okwesibhakabhaka, iindlebe zakho zaphuma, waze wangakwazi ukubona nto ikujikelezileyo? Usenokuba uwile. Sidla ngokubiza oku ngokuthi 'kukuquleka'. Kwizonyango, esi sifo sibizwa ngokuba yi-syncope. Nangona senzeka kubantu abaninzi, kubalulekile ukwazi ukuba kutheni oku kusenzeka, nokuba yinto ekufuneka ixhalatyelwe, kwaye kufuneka uye kugqirha nini.
Kalula nje, yintoni ukuquleka?
Ukuquleka, okanye "iSyncope" (i-syncope), kukulahlekelwa yingqondo ngequbuliso, okwethutyana kunye nokulahlekelwa kulawulo lomzimba ngenxa yokuncipha kwexeshana kokunikezelwa kwegazi engqondweni. Rhoqo, ngaphambi kokuba oku kwenzeke, ungaziva unesiyezi okanye unesizungu. Oku sikubiza ngokuba yi-"Presyncope".
Oku kuqhelekile kakhulu. Yi-3% kuphela yezigulana eziza kwicandelo lezonyango olungxamisekileyo (ED) ezilaliswa ngenxa yesi sizathu. Ngamanye amaxesha oku kunokwenzeka kumntu ophilileyo ongenaso nasiphi na isifo. Nangona kunjalo, ukuba umntu omdala uyafa isiqaqa, kusenokwenzeka ukuba enzekele kakhulu ngenxa yokuwa. Eyona nto ingcono kukuba uninzi lwexesha, umntu ofa isiqaqa ubuyela engqondweni yakhe kwimizuzu embalwa.
Izizathu eziphambili kunye neentlobo zokuwa
Zininzi izizathu zokufa isiqaqa. Ezinye zilula kakhulu, kodwa ezinye zinzulu ngakumbi kwaye zifuna ingqalelo. Makhe sijonge iintlobo ezimbini eziphambili.
1. I-Vasovagal Syncope
Olu lolona hlobo luxhaphakileyo . Ngaphezulu kwesiqingatha sabo bonke abantu abaqulekayo banalo olu hlobo. Luxhaphake kakhulu ebantwaneni nakubantu abancinci. Lubangelwa yimpendulo engxamisekileyo kwinkqubo yethu yemithambo-luvo.
Cinga ngale ndlela. Uye waya kunikela ngegazi, kwaye xa ubona inaliti, okanye xa uziva intlungu egqithisileyo, okanye xa uphantsi koxinzelelo olukhulu lweemvakalelo, inkqubo yethu yemithambo-luvo ngequbuliso iyacothisa isantya sentliziyo kwaye yehlise uxinzelelo lwegazi. Emva koko, inani legazi eliya ebuchotsheni alanele, kwaye kwenzeka isiqaqa. Oku kubizwa ngokuba yi-'Vasovagal Syncope' okanye 'Neurally Mediated Syncope'.
2. I-Syncope yentliziyo
Olu lolona hlobo sifanele sikhathazeke ngalo . Oku kwenzeka xa intliziyo ingakwazi ukupompa igazi elaneleyo engqondweni ngenxa yengxaki.
- Ukubetha kwentliziyo okungaqhelekanga (isantya sentliziyo esikhawulezayo kakhulu okanye esicothayo kakhulu)
- Iziphene zesakhiwo sentliziyo, ezifana nokucutheka kweevalvu zentliziyo
- Ukubethelwa kweMiphunga
Olu hlobo lokuquleka lunokwenzeka ngezizathu ezinje: Oku kudla ngokuba yimeko enzima, ngoko ke kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko.
Ziziphi iimpawu umzimba wakho ozibonakalisayo ngaphambi kokuba ukhulelwe?
Amaxesha amaninzi, ngaphambi kokuba ulahlekelwe zingqondo ngequbuliso, umzimba wakho uya kukunika 'iimpawu' ezincinci. Ukuba uyaziqonda ezi, unokukwazi ukuhlala okanye ukulala phantsi ngokukhuselekileyo, uphephe ukuwa.
Ukuba uziva ngathi uza kufa isiqaqa, hlala phantsi ngokukhawuleza, hlala esihlalweni intloko yakho iphakathi kwamadolo akho, okanye ulale phantsi imilenze yakho iphakanyisiwe kancinci.
Nazi ezinye iimpawu eziqhelekileyo:
- Ukubila njengomkhuhlane
- Ukuziva ukhaphukhaphu, unesiyezi, kwaye unamehlo aluhlaza okwesibhakabhaka
- Ubunzima bokuphefumla
- Utshintsho lombono (ukuba mnyama ngeenxa zonke zamehlo, ukubona amachaphaza)
- Isicaphucaphu nokuhlanza
- Ubuso obumhlophe
- Ulusu luziva lubanda kwaye luthambile
- Ukungabi nangqondo kwamalungu
- Ndiziva ndingonwabanga, ndisoyika
| Ezinye izizathu eziqhelekileyo zokuwa isiqaqa | Ingcaciso elula |
|---|---|
| Ukuma ngequbuliso | Oku kubizwa ngokuba yi-"Orthostatic Hypotension". Kwenzeka xa uxinzelelo lwegazi lungalawulwa kakuhle xa kutshintshwa iindlela ngequbuliso. Kuqhelekile kubantu abadala nakwabo basebenzisa amayeza athile. |
| Ukuphelelwa ngamanzi emzimbeni kunye nendlala | Xa umzimba uphelelwe ngamanzi emzimbeni kwaye amanqanaba eswekile egazini ehla (hypoglycemia), ukuhanjiswa kwegazi engqondweni kunokuncipha, okubangela ukuba umntu aphelelwe ngamandla. |
| I-anemia | Ngenxa yokunqongophala kwegazi emzimbeni, amandla egazi okuthwala ioksijini ayancipha. Oku kunokubangela ukuba ingqondo ingafumani ioksijini eyaneleyo, nto leyo ebangela ukuba umntu aphelelwe lithemba. |
| Amanye amayeza | Amanye amayeza oxinzelelo lwegazi oluphezulu, ukudakumba, kunye nesifo sokuwa anokunyusa umngcipheko wokuquleka. |
| Ukukhulelwa | Ukuquleka kuqhelekile ngexesha lokukhulelwa ngenxa yotshintsho lweehomoni kunye notshintsho kuxinzelelo lwegazi. |
Ingaba 'ukuphelelwa ngamandla' kunye 'nokutyhafa' zizinto ezahlukeneyo?
Ewe, le yinto abantu abaninzi abayididayo. Ezi ziimeko ezimbini ezahlukeneyo ngokupheleleyo.
- Ukuquleka: Oku kuthetha ukulahlekelwa zingqondo . Awunalwazi ngento eyenzekayo kufutshane nawe, uze uwele phantsi.
- Ukucima kombane: Oku kukulahlekelwa yinkumbulo . Usengqondweni ngeli xesha. Uthetha, usebenza, kwaye uhamba. Kodwa xa ujonga emva, awukhumbuli nto yenzekileyo ngelo xesha.
Eyona nto ibangela ukuphelelwa ngamandla kukusebenzisa utywala kakhulu. Kwakhona, ukwenzakala entloko (ukuxhuzula) kunye nesifo sokuwa (isifo sokuwa) nazo zinokubangela olu hlobo lokulahlekelwa yinkumbulo.
Ufanele uye nini kugqirha ngoko nangoko?
Ngokwesiqhelo, ukuquleka kube kanye okanye kabini akuyongxaki inkulu. Nangona kunjalo, ukuba uquleka rhoqo , oko kungaba luphawu lwengxaki ethile yempilo engabonakaliyo. Ke ngoko, kubalulekile ukubona ugqirha wakho ukuze ufumane unobangela.
Kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza, ingakumbi kwezi meko zilandelayo:
| Iimeko apho kufuneka uye esibhedlele (ETU) ngoko nangoko! | |
|---|---|
| Ukuquleka ngexesha lokuzilolonga: | Oku akuqhelekanga kwaye kunokuba luphawu lwengxaki yentliziyo. |
| Intlungu yesifuba okanye ukubetha kwentliziyo: | Ukuba uziva iintlungu esifubeni, ukuxinana, okanye intliziyo ebetha ngamandla ngaphambi, ngexesha, okanye emva kokuquleka. |
| Ukuthatha ixesha elide ukubuyela ezingqondweni: | Ukuba uphelelwe zingqondo kangangemizuzu embalwa. |
| Ezinye iimpawu: | Ukuba uneentloko ezibuhlungu, ubona izinto ezingaqondakaliyo, unengxaki yokuthetha, okanye udidekile kwanasemva kokuba ubuyele ezingqondweni. |
| Ukwenzakala entloko ngenxa yokuwa: | Ukuba uwile waza wawa waza wabetheka entloko, ngokuqinisekileyo kuya kufuneka uhlolwe ngugqirha. |
Kubalulekile: Ukuba ufuna ukuthetha ngengxaki ebangelwe butywala okanye esinye isiyobisi, ungatsalela umnxeba kwiZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseSri Lanka. Ungafumana uncedo nakwiinkonzo ezifana neNational Institute of Mental Health (NIMH) hotline 1926 ngeengxaki ezibangelwa kukusetyenziswa kotywala kunye nenkxaso yempilo yengqondo.
Umyalezo Wokuya Ekhaya
- I-Syncope kukulahlekelwa yingqondo okwethutyana okubangelwa kukuncipha kokuhamba kwegazi ukuya engqondweni okwethutyana.
- Uninzi lweempawu zokuquleka (ingakumbi uhlobo 'lwe-vasovagal') azibalulekanga kangako, kodwa ezinye zinokuba luphawu lwesifo esibi kakhulu, njengesifo sentliziyo.
- Wakuba uzive uphelelwe ngamandla, lala phantsi imilenze yakho iphakanyisiwe kancinci. Okanye, hlala phantsi uze uthobe intloko yakho phakathi kwamadolo akho.
- Ukuba ukuphelelwa ngamandla kwenzeka rhoqo, kwenzeka ngexesha lokuzilolonga, okanye kuhamba neempawu ezifana neentlungu zesifuba kunye nokuphefumla kancinci, qiniseka ukuba ubona ugqirha wakho.
- Ungaze uyithathe lula into yokuquleka, ingakumbi kubantu abadala, kuba ukuwa kunokubangela ukwenzakala okukhulu.
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