Khawuthelekelele ukwintlanganiso yasekuseni esikolweni, okanye ubambeke kwibhasi ezele ngabantu. Ngequbuliso amehlo akho ajika abe luhlaza okwesibhakabhaka, iindlebe zakho zivakala ngathi zivaliwe, yonke into ekungqongileyo iba luzizi kwaye uyaphelelwa zingqondo. Xa uvuka emva kwexesha elifutshane, abantu bakujikelezile, bekujonga. Ngaba oku kwakha kwenzeka kuwe? Okanye ngaba wakha wambona umntu esenza oku? Kwizonyango, oku kulahlekelwa yingqondo ngequbuliso nokuwa kubizwa ngokuba yi-syncope . Kulwimi lwemihla ngemihla, sikubiza ngokuba kukuquleka .
Kalula nje, yintoni le nto yokuquleka?
Oku akuyonto yokoyika ngokwenene. Ngamafutshane, ukuquleka kwenzeka xa unikezelo lwegazi oluthwala ioksijini kunye nezondlo engqondweni yethu luncipha okwethutyana, oko kukuthi, okwethutyana elifutshane kakhulu. Kufana nebhalbhu yokukhanya ecimayo xa i-voltage yehla ngequbuliso endlwini yethu.
Xa ulahlekelwa ziingqondo ngale ndlela, uhlala ubuyela kwiingqondo kwimizuzwana okanye imizuzu embalwa. Nangona kunjalo, emva kokubuyela kwiingqondo, ungaziva udidekile kwaye udiniwe okwethutyana. Ungaphila ngokupheleleyo kwiiyure ezimbalwa.
Into ebalulekileyo kukuba oku kuquleka okuqhelekileyo kwahlukile kakhulu ekulahlekelweni zingqondo okwenzeka ngexesha lokuxhuzula, ngoko ke musa ukubhidanisa oku kubini.
Ukuquleka kuqheleke kakhulu. Nangona kuqheleke kakhulu kubantu abaneminyaka engaphezu kwama-70 ubudala, kunokwenzeka nakubantu bayo nayiphi na iminyaka, kwanabo bangenazo naziphi na iingxaki zempilo. Nangona kunjalo, ngamanye amaxesha kunokuba luphawu lwesifo esinzulu, ngoko ke kubalulekile ukuba uxhalabe ukuba uquleka izihlandlo ezingaphezu kwesinye okanye ukuba kwenzeka nezinye iimpawu.
Ziziphi iimpawu ozivayo ngaphambi kokuba uphelelwe ngamandla?
Imizimba yethu isoloko isinika imiqondiso emincinci ngaphambi kokuba sife isiqaqa. Ukuba unika ingqalelo kwezi mpawu kwangoko nje ukuba uqale ukuziva, ungakuphepha ukuwa nokwenzakala.
| Uphawu | Icacisiwe ngokulula |
|---|---|
| Ubukrelekrele/Isiyezi | Ukuziva ngathi izinto ziyajikeleza kwaye intloko yakho ayinanto. |
| Ukufiphala kwamehlo | Ukuziva ubumnyama ngequbuliso phambi kwamehlo. Abanye abantu banokude babone amachaphaza. |
| Umbono womjelo | Kuvakala ngathi ujonge phambili ngqo ngomngxuma omxinwa, awukwazi ukubona okukujikelezileyo. |
| Isicaphucaphu nokubila | Ukuqala ukubila okubandayo kunye nokuziva unesicaphucaphu. |
| Umzimba ongenabomi | Uziva ngathi imilenze yakho iya isiba ndindisholo kangangokuba awukwazi ukuma. |
| Ukulahlekelwa kukuva | Amandla okuva izandi ezikungqongileyo ayancipha kancinci kancinci, kwaye imvakalelo yeendlebe zakho ziyavaleka. |
Kutheni siziva sinesizungu? Zithini izizathu eziphambili?
Akukho sizathu sinye sokuwa isiqaqa, kodwa zininzi. Ezinye zizinto ezilula kakhulu, ezingenabungozi. Kodwa ezinye zinokubangelwa ziimeko zempilo ezinzulu. Makhe sijonge iintlobo eziphambili.
1. I-Reflex Syncope - Uhlobo oluqhelekileyo
Olu lolona hlobo luqhelekileyo lokuquleka. Okwenzekayo apha kukuba inkqubo yethu yemithambo-luvo ezimeleyo isabela ngamandla kakhulu kwizinto ezithile. Ngenxa yaloo mpendulo, izinga lentliziyo yethu kunye noxinzelelo lwegazi luyehla ngequbuliso, kwaye inani legazi eliya ebuchotsheni liyehla.
- Izizathu ezinokwenzeka:
- Ukuma kwindawo enye ixesha elide (umz. kwintlanganiso yesikolo).
- Ukuziva uloyiko olukhulu, ukothuka, okanye intlungu (umz., xa ubona igazi, ukoyika ukutofwa).
- Ukukhohlela kakhulu, ukuthimla, nokuhleka.
- Kwabanye abantu, isenokuba ibangelwa kukuxinana xa bekhupha inkunkuma okanye bechama.
- Kushushu kakhulu kwaye akukho moya.
2. I-Postural okanye i-Orthostatic Syncope
Ngaba wakha waziva unesiyezi xa ngequbuliso usukuma esihlalweni okanye ebhedini? Kungaba luphawu lokuquleka. Oku kubizwa ngokuba yi-postural hypotension . Kukwehla ngequbuliso koxinzelelo lwegazi xa utshintsha indawo.
- Izizathu ezinokwenzeka:
- Ukuncipha komthamo wamanzi emzimbeni (ukuphelelwa ngamanzi emzimbeni).
- Amanye amayeza oxinzelelo lwegazi.
- Izifo ezifana neDiabetes Mellitus.
- Utshintsho emzimbeni ngenxa yokwaluphala.
3. Ukuquleka ngenxa yesifo sentliziyo (Cardiac Syncope)
Olu lolona hlobo ekufuneka silunike ingqalelo kakhulu kwaye lolona luyingozi kakhulu. Okwenzekayo apha kukuba intliziyo ayikwazi ukupompa igazi elaneleyo engqondweni ngenxa yengxaki ethile.
- Izizathu ezinokwenzeka:
- Ukuphazamiseka kwesingqisho sentliziyo, oko kukuthi, ukunyuka okanye ukwehla okungaqhelekanga kwesantya sokubetha kwentliziyo (i-Arrhythmia) .
- Isifo sevalvu yentliziyo .
- Ubuthathaka bemisipha yentliziyo.
- Ukuhlaselwa yintliziyo .
- Ihlwili legazi .
Ukuba uphelelwa ngamandla xa uzilolonga, ubaleka, okanye unyuka izinyuko, okanye ukuba kukho umntu kusapho lwakho onesifo sentliziyo, ngokuqinisekileyo kufuneka wazise ugqirha ngale nto. Oku kungaba yingxamiseko.
4. Ukuquleka okubangelwa ziingxaki zenkqubo yemithambo-luvo (Neurologic Syncope)
Le yimeko engaqhelekanga. Inokwenzeka xa ukuhamba kwegazi ukuya ebuchotsheni kuphazamiseka ngenxa yengxaki engqondweni okanye kwinkqubo yemithambo-luvo. Umzekelo, istroke okanye uhlaselo lwe-ischemic oludlulayo (TIA) lunokubangela le meko.
Ugqirha ufumana njani unobangela woku?
Xa usiya kugqirha kuba unesiphene sokuquleka, uza kukubuza imibuzo emininzi. Ubuziva njani ngaphambi kokuba uquleke? Ubusenza ntoni? Kwenzeka kangaphi ngemini? Ngawaphi amayeza owaselayo? Ngaba kukho umntu kusapho lwakho onesifo sentliziyo? Izinto ezininzi ezinjalo. Emva koko, uza kuhlolwa.
Usenokucelwa ukuba wenze iimvavanyo ezininzi ezifana nale ukuze ufumane unobangela ochanekileyo.
| Uvavanyo | Kalula nje, |
|---|---|
| I-ECG (i-Electrocardiogram) | Umsebenzi wombane wentliziyo uyarekhodwa ukujonga naziphi na iingxaki ngesingqisho sentliziyo. |
| I-Echocardiogram | Olu luvavanyo lwentliziyo. Lujonga ukuba ulwakhiwo lwentliziyo, iivalvu, kunye nemisipha zisebenza kakuhle na. |
| I-Ambulatory Monitor (i-Holter Monitor) | Umatshini omncinci unamathele emzimbeni wakho kwaye isantya sentliziyo yakho sijongwa rhoqo iiyure ezingama-24 nangaphezulu. |
| Uvavanyo lweTheyibhile eThambekileyo | Zikwenza ulale ebhedini ekhethekileyo, ugobe ibhedi kwiikona ezahlukeneyo, uze ujonge indlela uxinzelelo lwegazi lwakho kunye nesantya sentliziyo yakho esitshintsha ngayo njengoko utshintsha iindawo ohlala kuzo. |
| Uvavanyo lwegazi | Bajonga izinto ezingaqhelekanga kwizinto ezifana ne-anemia, amanqanaba eswekile, kunye namanqanaba etyuwa. |
Senza ntoni xa umntu equleka?
Ukuba umntu ophambi kwakho uyawa aze awe, yenza ezi zinto ngaphandle kokukhathazeka.
1. Qinisekisa ukhuseleko: Okokuqala, jonga ukuba umntu uyaphefumla na. Susa naziphi na izinto ezibukhali okanye izinto eziyingozi kuloo ndawo.
2. Phakamisa imilenze: Mlalise phantsi uze uphakamise imilenze yakhe malunga nonyawo. Ungasebenzisa umqamelo okanye ibhegi koku. Oku kwandisa ukuhamba kwegazi ukuya engqondweni.
3. Khulula impahla ebambekayo: Khulula izinto ezifana netayi entanyeni yakho kunye namaqhosha aphezulu ehempe yakho.
4. Linda umntu abuyele ezingqondweni: Ingqondo idla ngokubuya kumzuzu omnye. Nje ukuba ingqondo ibuye, musa ukumvusa ngoko nangoko. Mvumele ahlale okanye alale ubuncinane imizuzu eli-10-15 .
5. Mnike amanzi: Ukuba umntu uphaphile emva kokuba ebuyele ezingqondweni, mnike amanzi okusela.
6. Jonga ukuba akukho monakalo na: Jonga ngononophelo ukuba intloko okanye amalungu omzimba abethekile okanye enzakele ngelixa erhuqwa okanye ewa.
Kubalulekile:Ukuba umntu uphelelwe zingqondo kangangemizuzu engaphezu kwemibini, unengxaki yokuphefumla, uxhuzula, okanye wenzeke kakubi entloko, mthathe aye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Ziziphi iindlela zonyango zokuquleka?
Unyango luxhomekeke kwinto ebangela ukuba ube nesiyezi.
- Ngezizathu ezilula:
- Utshintsho kwindlela yokuphila: Oku kudla ngokulawulwa zizinto ezifana nokusela amanzi amaninzi imini yonke, ukongeza ityuwa encinci ekutyeni kwakho (kwabo banegazi eliphantsi), ukutya ukutya okuncinci endaweni yokutya ukutya okukhulu, kunye nokuvuka kancinci endaweni yokuvuka ngaxeshanye.
- Iisokisi zokucinezelwa: Ezi ziisokisi ezikhethekileyo ezinxitywa emilenzeni. Zinciphisa ukuhlangana kwegazi emilenzeni kwaye ziphucula ukujikeleza kwegazi.
- Ukuphepha izinto ezibangela ukuba umntu azive ediniwe: Ukuba uyazi ukuba xa usoloko unesizungu (umz., xa umi ixesha elide), zama ukuziphepha ezo meko.
- Ngezizathu ezinzulu:
- Amayeza: Ugqirha angakunika amayeza okulawula isigqi sentliziyo kunye noxinzelelo lwegazi.
- I-Pacemaker: Isixhobo esincinci esibekwa phantsi kwesikhumba sesifuba ukugcina isantya sentliziyo sikwinqanaba eliqhelekileyo kubantu abanesantya sentliziyo esicothayo ngokungaqhelekanga.
- I-ICD (Implantable Cardioverter Defibrillator): Esi sixhobo sifakwe kubantu abaneengxaki zesingqisho sentliziyo ezisongela ubomi ukuze babangele ukubetha kombane entliziyweni baze bayibuyisele kwimeko yesiqhelo.
- Utyando: Ukuba kukho ivalvu yentliziyo okanye ezinye iziphene ezakhiweyo, zinokufuna utyando.
Ngaba ukuquleka kungathintelwa?
Ewe, uninzi lwexesha kunokwenzeka. Eyona nto ibalulekileyo kukubona iimpawu zokuba sele uza kufa isiyezi (njengesiyezi esithethe ngaso ngasentla, amehlo aluhlaza okwesibhakabhaka).
Ukuba uziva ubuthathaka, into yokuqala omawuyenze kukuhlala phantsi okanye ulale phantsi. Oku kuya kukuthintela ngokupheleleyo ukuba ungawi kwaye uzenzakalise. Ukuba kunokwenzeka, gcina imilenze yakho iphakanyisiwe kancinci.
Ukongeza, ungenza izinto ezinje:
- Iindlela zokulwa noxinzelelo: Xa uziva ubuthathaka, qinisa amanqindi akho. Dibanisa imilenze yakho kwaye ucinezele amathanga akho kunye. Oku kunokukunceda unyuse uxinzelelo lwakho lwegazi kancinci.
- Sela amanzi amaninzi: Kubaluleke kakhulu ukusela amanzi imini yonke.
- Musa ukuvuka ngequbuliso: Xa uvuka ebhedini okanye esitulweni, musa ukuvuka ngequbuliso, qala uhlale phantsi, ulinde imizuzwana embalwa, uze uvuke kancinci.
Ukuquleka sisiganeko esingalindelekanga esinokoyikisa. Kodwa uninzi lwexesha, asiyonto ibalulekileyo. Into ebalulekileyo kukufumanisa ukuba yintoni ebangela oku kwaye wenze unyango olufanelekileyo kunye notshintsho kwindlela ophila ngayo. Ukuba unemibuzo engaphezulu malunga noku, thetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-syncope kukulahlekelwa yingqondo okwethutyana okubangelwa kukuncipha kokuhamba kwegazi ukuya engqondweni. Ixesha elininzi, oku akuyonto imbi kangako.
- Ukuquleka kunokwenzeka ngezizathu ezilula ezifana nokuma ixesha elide, ukoyika, okanye ukuphelelwa ngamanzi emzimbeni.
- Nangona kunjalo, ukuquleka kungabangelwa zizizathu ezinzulu, ezifana nesifo sentliziyo.
- Ukuba ufumana ukuquleka ngelixa uzilolonga, ukuquleka okuhamba nentlungu yesifuba, okanye ukuba unembali yesifo sentliziyo kusapho lwakho, qiniseka ukuba ubona ugqirha ngoko nangoko.
- Wakuba uzive utyhafile (njengokuba unesizungu, amehlo akho aba luhlaza okwesibhakabhaka), ungakuphepha ukuwa nokuzenzakalisa ngokuhlala phantsi okanye ulale phantsi ngoko nangoko.
- Ukuba unenkxalabo okanye uloyiko malunga nesiyezi, kubaluleke kakhulu ukuba ungayityesheli loo nto uze uthethe nogqirha wakho.
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