Kufana nokutyhafa, kodwa awulahlekelwa zingqondo? Masithethe nge-(Presyncope)!

Mhlawumbi oku kukhe kwenzeka kuwe ngaxa lithile. Xa umi, mhlawumbi kwiqela labantu, okanye xa uphakama ngequbuliso , uziva unesizungu, umbono wakho uba mnyama, kwaye ihlabathi liphela liyakujikeleza. Ucinga, "Owu, ndiza kuphelelwa ngamandla." Kodwa okumangalisayo kukuba, awulahlekelwa zingqondo, usinda nje kancinci. Yiloo nto iingcali zonyango ziyibiza ngokuba yi-"presyncope" (ebizwa ngokuba yi-pre-sin-ka-pee). Abanye oogqirha bakwayibiza ngokuba yi-"near syncope." "syncope" kuxa ulahlekelwa zingqondo uze uwe.

Yintoni kanye kanye i-`Presyncope`?

Ngamafutshane, `(Presyncope)` kuxa uziva ngathi uza kuphelelwa ngamandla, kodwa awusenangqondo kangako ngaphandle kokulahlekelwa zingqondo. Oku kungathatha imizuzwana embalwa ukuya kwimizuzu embalwa. Kubantu abaninzi, oku akuyongxaki inkulu. Nangona kunjalo, kubantu abambalwa kakhulu, okwenzekayo emva koko kunokuba yingozi ngakumbi. Kwabanye abantu, `(Presyncope)` kunokubangela ukutyhafa nokuwa, okunokukhokelela ekwenzakaleni. Kwabanye, `(Presyncope)` inokubangelwa yinto enzulu ngakumbi, njengesifo sentliziyo.

Zithini iimpawu zoku?

Xa une-presyncope, unokufumana enye okanye ngaphezulu kwezi mpawu:

• Ubukrelekrele: Kungavakala ngathi akukho nto ngaphakathi entlokweni yakho, ngathi uyadada .
• Ubuthathaka: Ungaziva ngathi uphelelwa ngamandla ngequbuliso.
• Ukubila: Usenokubila ngequbuliso.
• Isisu esibuhlungu: Usenokuziva ngathi uza kuhlanza.
• Ukubetha kwentliziyo: Usenokuziva isifuba sakho sibetha ngamandla, okanye izinga lentliziyo yakho lisenokutshintsha.
• Intlungu esiswini/esiswini sakho: Abanye abantu banokuba neentlungu esiswini esisezantsi.
• Umbono ofipheleyo okanye ukubona amabala amnyama: Njengaxa iTV ilahlekelwa sisignali yayo, ungabona imigca, amachaphaza, okanye izinto phambi kwamehlo akho ezifipheleyo.

Kutheni oku kusenzeka? Izizathu ze-'Presyncope'

Isizathu esiphambili kukuba ubungakanani begazi obufikelela ebuchotsheni bakho buyancipha ngequbuliso. Khawuthelekelele, ukuba ukuhamba kwegazi ebuchotsheni bakho kuyema malunga nemizuzwana emithandathu ukuya kwesibhozo, ungalahlekelwa yingqondo. Kwi-``Presyncope``, ukuhamba kwegazi kuyehla kancinci, kodwa akuyeki ngokupheleleyo.

Kukho izizathu ezininzi ze-presyncope:

Izizathu eziqhelekileyo nezingenzulu kangako ziquka:

• Isiganeko esibangela intlungu enzulu, uloyiko, ixhala, okanye uxinzelelo: Umzekelo, ukubona igazi, ukufumana inaliti, okanye ukubona ingozi.
• Uxinzelelo lwe-Orthostatic:Oku kwenzeka kubantu abaninzi. Xa uphakama ngequbuliso uhleli, okanye xa uvuka ulele, uxinzelelo lwakho lwegazi luyehla ngequbuliso uze uzive unesiyezi. Oku kunokwenzeka naxa uphelelwe ngamanzi emzimbeni.
• I-Vasovagal syncope: Oku kuqhelekile. Kunokwenzeka xa umi ixesha elide, xa kushushu, okanye xa ubambe umphefumlo wakho (umzekelo, xa ukhohlela okanye uzama ukukhupha indle).

Izizathu zokuba ulumke kancinci:

• Amayeza athile: Amayeza oxinzelelo lwegazi oluphezulu kunye nezinye izifo zentliziyo nawo anokubangela oku.
• I-Pulmonary embolism: Ukuqhekeka kwegazi emiphungeni.
• Uxinzelelo lwegazi oluphezulu kwimiphunga: Uxinzelelo lwegazi oluphezulu kwimiphunga.
• I-Sepsis: Imeko embi kakhulu ebangelwa kusulelo emzimbeni.
• Ukuqhekeka kwe-Aorta: Ukukrazuka kolwelo lomthambo omkhulu wegazi (i-aorta).
• Isifo seevalvu zentliziyo: Iivalvu zentliziyo azisebenzi kakuhle.
• I-Hypertrophic cardiomyopathy: Ukuqina okungaqhelekanga kwemisipha yentliziyo.
• I-Myocardial ischemia: Intliziyo ayifumani gazi laneleyo.
• Ukuhlaselwa yintliziyo.
• Isifo semithambo ye-carotid: Ukuvaleka kwemithambo ephambili entanyeni ethwala igazi liye engqondweni.
• I-Cardiac tamponade: Ukuqokelelana kolwelo kwingxowa ejikeleze intliziyo, nto leyo ecinezela intliziyo.
• Ukuphazamiseka kwesingqisho sentliziyo (`Arrhythmia`).
• I-anemia: Umzekelo, ukopha esiswini okanye emathunjini (ukopha esiswini) kunokubangela ukulahleka kwegazi.
• `Postural orthostatic tachycardia syndrome (POTS):` Imeko apho isantya sentliziyo sinyuka ngokungaqhelekanga xa umile.

Kubalulekile: Musa ukoyika xa ubona ezi zizathu. Ixesha elininzi, i-"Presyncope" ibangelwa zizinto ezilula. Nangona kunjalo, ukuba kwenzeka rhoqo, okanye ukuba kuza nezinye iimpawu, kungcono ukubona ugqirha.

Ngubani osengozini enkulu yokuba ne-'presyncope'?

Nangona le meko inokukhula nakubani na, abanye abantu basengozini enkulu:

• Kwabo bane-high blood pressure.
• Kwabo banesifo seswekile.
• Kwabo basebenzisa iimveliso zecuba (ezifana neecuba, ii-beedis).
• Kwabo sele benayo i-"Presyncope".
• Le meko ixelwa rhoqo kancinci kwabasetyhini kunakwamadoda.

Ugqirha uyibona njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngembali yakho yezonyango.Uza kukubuza ngamayeza owasebenzisayo . Emva koko, baza kwenza uvavanyo lomzimba . Ugqirha angakubuza imibuzo efana nale:

• "Ubusenza ntoni xa uqala ukuziva ezi mpawu?"
• "Ingaba oku kwakha kwenzeka ngaphambili?"
• "Ubusenza ntoni ngaphambi kokuba uzive ngolu hlobo?"
• "Ngaba kukho umntu kusapho onesifo esingapheliyo okanye isifo sentliziyo?"

Zithini iimvavanyo zokuhlolwa emva kokufa?

Ezi mvavanyo zilandelayo zinokunceda ekufumaneni unobangela:

• I-Electrocardiogram (ECG/EKG): Uvavanyo olujonga umsebenzi wombane wentliziyo.
• Isixhobo sokujonga isingqisho sentliziyo: Isixhobo esinxitywa usuku olunye okanye ezimbini, njengesixhobo sokujonga iHolter, okanye iveki enye okanye ezimbini, njengeZio® patch, sijonga isingqisho sentliziyo.
• `Uvavanyo loxinzelelo lomzimba`: `I-ECG` ithathwa ngelixa usenza umthambo.
• Uvavanyo lwegazi: Jonga izinto ezifana namanqanaba eswekile egazini (iglucose) kunye ne-anemia.
• Uvavanyo lwetafile ethambekileyo: Kolu vavanyo, ulaliswa ebhedini ekhethekileyo, kwaye ibhedi ilungiswa ukuze iphakame ngequbuliso, kwaye izinga lentliziyo yakho kunye noxinzelelo lwegazi zijongwe.
• I-'CT scan' (i-computed tomography) yobuchopho.
• I-Echocardiogram: I-ultrasound scan yentliziyo.

Ziziphi iindlela zonyango ze-'Presyncope'?

Unyango luxhomekeke kwisizathu se-presyncope.

Izinto onokuzenza ngokwakho (njengakwixesha elizayo):

• Lala phantsi okanye uhlale phantsi ngoko nangoko. Ukuba kunokwenzeka, gcina imilenze yakho iphakanyisiwe kancinci.
• Yomeleza iingalo zakho, imilenze, okanye izihlunu zesisu. Umzekelo, nqumla imilenze yakho okanye uqinise amanqindi akho. Ezi zibizwa ngokuba ziindlela zokulwa noxinzelelo. Oku kunokunyusa kancinci ukuhamba kwegazi ukuya engqondweni.

Unyango lwezonyango:

• Ukunika i-saline (IV fluids): Ukuba umzimba uphelelwe ngamanzi emzimbeni, i-saline ene-sodium inokunikwa.
• Amayeza: Ngokuxhomekeke kwisizathu, ii-antibiotics zinokunikwa usulelo, kwaye ii-blood thinners zinganikwa ukuthintela ukuqhekeka kwegazi.
• Ezinye iinkqubo zotyando: Izinto ezifana nokususa ihlwili legazi okanye ukutshintsha ivalvu yentliziyo.
• Ukufakelwa kwe-pacemaker okanye unyango olubizwa ngokuba yi-Ablation: Ukulungisa ukubetha kwentliziyo okungahambelaniyo (i-arrhythmia).

Luhlobo luni lwekamva umntu one-presyncope anokulilindela?

Wakuba ubonile ugqirha, ungangeniswa esibhedlele, okanye unganyangwa uze uthunyelwe ekhaya. Emva koko, kuya kufuneka ubone ugqirha wakho oyintloko (PCP) ukuze akulandelele.

Ukuba ugqirha ufumanisa ingxaki enkulu, kunokufuneka ubone ugqirha wentliziyo okanye omnye umntu ochwephesha. Ubunzima be-presyncope yakho buya kuxhomekeka kwisizathu.

Olunye uphando lufumanise ukuba ukuba umntu one-presyncope unezinye zezi mpawu, oko kungaba luphawu lwesifo esinzulu:

• Ukumelwa yintliziyo.
• Ukuqhawukelwa ngumphefumlo.
• Ukuba inani eliphezulu 'loxinzelelo' (uxinzelelo lwegazi lweSystolic) lingaphantsi kwama-90 mmHg. (Oku kuphantsi kunexabiso eliqhelekileyo).
• Izinto ezingaqhelekanga kuvavanyo lwe-`ECG`.
• Ukuba iziphumo ze-`Hematocrit test` zingaphantsi kwama-30%, oko kuthetha ukuba ipesenti yeeseli ezibomvu zegazi egazini lakho iphantsi, oko kuthetha ukuba une-anemia.

Ngaba i-presyncope ingathintelwa?

Ewe, ukuba uyazi ukuba yintoni ebangela oku, unokunceda ekuthinteleni `(iPresyncope)`. Unganciphisa umngcipheko wakho ngokwenza ezi zinto:

• Sela amanzi amaninzi ngaphambi kokuba unikele ngegazi okanye ufumane inaliti. Hlala phantsi ngelixa unikwa inaliti.
• Ziphephe izinto ezikwenza uxhalabe (umz., ukubukela iimuvi ezoyikisayo) kangangoko unako.
• Musa ukuvuka ngaxeshanye, vuka kancinci.
• Musa ukutya kakhulu ngexesha elinye, yitya ukutya okuncinci.
• Ukuba kukho imeko yezempilo ebangela i-presyncope, yifumane unyango olufanelekileyo.

Ndingazinyamekela njani?

Ukuba uyazi ukuba yintoni ebangela ukuba ube ne-presyncope, yenza konke okusemandleni akho ukuyithintela. Umzekelo, ukuba uyazi ukuba udla ngokuba nayo kwiindawo ezishushu nezixineneyo, cwangcisa kwangaphambili xa uya kwezo ndawo. Zisa ifeni encinci, hlala kufutshane nefestile, okanye uphume kancinci ukuze ufumane umoya omtsha.

Nanini na xa uziva ngathi uza kufa isiqaqa, zama ukuhlala phantsi okanye ukulala phantsi. Bamba izandla zakho kunye, udibanise imilenze yakho.

Ndifanele ndimbone nini ugqirha?

Ukuba une-presyncope , kufuneka ubone ugqirha ukuze alandelelwe. Kwiimeko ezininzi, ugqirha wakho uya kukwazi ukufumana unobangela okanye akuthumele kumntu onokukunceda. Ukuba ulahlekelwa zingqondo (ukuphelelwa ngamandla), yimeko engxamisekileyo. Umntu ohamba nawe kufuneka abize i-ambulensi ngokukhawuleza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ungabuza ugqirha wakho imibuzo efana nale:

• "Yintoni eyabangela ukuba ndibe nale `(Presyncope)`?"
• "Ukuba oku kubangelwa yimeko yempilo, ngaba kufuneka ndifune unyango?"
• "Inganyangwa ngokukhawuleza kangakanani?"
• "Ngaba abanye abantu kusapho lwam basengozini yokuba `(iPresyncope)'?"

I-Presyncope, nokuba yeyokuqala okanye ephindaphindayo, inokuba ngamava othusayo nangathandekiyo. Usenokucinga, "Ngaba ndiza kuwa? Ngaba ndiza kwenzakala?" Okanye uzive uhlazekile xa wonke umntu ebuza, "Ngaba uphilile?" Kodwa eyona nto ibalulekileyo kukufumana unobangela kwaye ufumane unyango olufunayo. Emva koko unokulawula imeko.

Okokugqibela, khumbula oku.

``(Presyncope)`` kuxa uziva ngathi uyafa isiqaqa, kodwa awulahlekelwa zingqondo. Ixesha elininzi, oku kungenxa yezizathu ezilula, kodwa ngamanye amaxesha kunokubangelwa yinto enzulu, njengesifo sentliziyo.

Ngoko ke, ukuba ukhe waba nale meko, ingakumbi ukuba iyenzeka rhoqo, okanye ukuba ihamba nezinye iimpawu ezifana neentlungu zesifuba, ukuphefumla kancinci, njl.njl., nceda ufune ingcebiso kagqirha. Musa ukoyika, musa ukoyika. Ngokuchongwa ngokuchanekileyo kunye nonyango, ungaphila. Impilo yakho isezandleni zakho!

I- Presyncope, ukuphelelwa ngamandla, ukulahlekelwa zingqondo, isiyezi, i-vertigo, ukungabikho kwegazi eliya engqondweni, isifo sentliziyo