Khawuthelekelele ukwintlanganiso yasekuseni esikolweni, okanye ubambeke kwisihlwele ebhasini. Ngequbuliso amehlo akho aba luhlaza okwesibhakabhaka, iindlebe zakho zivakala ngathi lonke ihlabathi liyavaleka, uyabila, umzimba wakho uyabanda uze uwe phantsi. Xa uvuka emva kwexesha elithile, wonke umntu uyakujongile. Ngaba wakha waba nalo eli thuba? Okanye wakha wambona umntu ekwenza? Namhlanje sithetha ngesi simo siqhelekileyo abantu abaninzi abahlangabezana naso, esikukuquleka nokulahlekelwa zingqondo, ngokwezonyango esibizwa ngokuba yi-'syncope'.
Ngamafutshane, yintoni i-syncope?
Ukutyhafa, okanye ukulahlekelwa zingqondo, kukuncipha ngequbuliso, okwethutyana kokunikezelwa kwegazi engqondweni yethu . Kanye njengokuba izibane endlwini yethu ziphela ngequbuliso, xa ukuhamba kwegazi engqondweni kuncipha kancinci, silahlekelwa zingqondo okwethutyana.
Kodwa oku kudla ngokuthatha imizuzwana okanye imizuzu embalwa kuphela. Emva kokuba ubuyele ezingqondweni, ungaziva udidekile kwaye udiniwe. Kodwa uza kubuyela esiqhelweni emva kweeyure ezimbalwa.
Into ebalulekileyo kukuba oku kwahlukile kwimeko efana nokuxhuzula. Ukuquleka akudla ngokuba yinto embi kangako. Nangona kunjalo, ngamanye amaxesha kunokuba luphawu lwemeko embi efihlakeleyo. Ngoko ke kubalulekile ukukwazi oku.
Zeziphi iimpawu umzimba wakho okunika zona ngaphambi kokuba ufe isiqaqa?
Ixesha elininzi, awulahlekelwa zingqondo ngequbuliso. Umzimba wakho ukunika iimpawu ezininzi zokulumkisa ngaphambi kokuba zenzeke. Ungalumka kwangoko xa uziva ezi mpawu.
| Uphawu | Indlela onokuziva ngayo |
|---|---|
| Ubukrelekrele /Isiyezi | Ndiziva ndinesiyezi kwaye kunzima ukuma. |
| Utshintsho Lombono | Ubona amachaphaza amnyama phambi kwamehlo akho, okanye unendawo emnyama ejikeleze amehlo akho ekwenza ubonakale ngathi ujonge ngetyhubhu (iTunnel Vision). |
| Isicaphucaphu kunye nokubila | Ndivakalelwa kukuba ndiza kuhlanza, umzimba wam uziva ubanda kwaye ngequbuliso ndibila. |
| Ubuthathaka | Umzimba wam uvakalelwa kukuba ulahlekelwa bubomi bawo, amalungu am aya ebuthathaka. |
| Intloko ebuhlungu | Abanye abantu baphathwa yintloko ngaphambi kokuba bafe isiqaqa. |
Kutheni siziva sinesizungu? Zithini izizathu eziphambili?
Zininzi izizathu zokufa isiqaqa. Masizihlukanise zibe ziintlobo ezimbalwa eziphambili.
1. I-Reflex Syncope: Uhlobo oluqhelekileyo nolungayingozi kakhulu
Olu lolona hlobo luxhaphakileyo. Lwenzeka xa inkqubo yethu yemithambo-luvo "isabela ngokugqithisileyo" kwizinto ezithile. Kwimeko enjalo, izinga lentliziyo yethu kunye noxinzelelo lwegazi luyehla ngequbuliso.
Izinto ezinokubangela oku:
- I-Vasovagal Syncope: Le yeyona ixhaphakileyo.
- Uloyiko oluvela xa ubona igazi okanye ufumana inaliti.
- Umothuko omkhulu ngequbuliso, usizi, okanye uloyiko.
- Ukuma kwindawo enye ixesha elide (umz., ngexesha lokuhlangana kwasekuseni, ngelixa umi emgceni).
- Xa uhleka kakhulu, xa ukhohlela.
- Ukuvumelanisa Kwemeko: Izinto ezenzeka kuphela kwiimeko ezithile.
- Xa ukhohlela kakhulu, ngokungathi unyanzelwa.
- Ukuzihluza xa uchama okanye ukhupha indle.
- Xa uphakamisa umthwalo.
2. I-Orthostatic Syncope: Kwenzeka ntoni xa utshintsha indawo
Oku kuqhelekile kakhulu. Uyakhumbula xa wavuka ngequbuliso emva kokulala ixesha elide ebhedini waza amehlo akho ajika aba luhlaza okwesibhakabhaka waza waziva unesiyezi? Yiyo loo nto. Xa sitshintsha indlela esima ngayo, ingakumbi xa sima, uxinzelelo lwethu lwegazi luyehla ngequbuliso. Oku kubizwa ngokuba yi -'Postural Hypotension' ngokwezonyango.
Izinto ezinokubangela oku:
- Ukusela amanzi amancinci kunye nolwelo (ukuphelelwa ngamanzi emzimbeni).
- Amanye amayeza oxinzelelo lwegazi .
- Ezinye izifo ezifana neDiabetes Mellitus.
- Le meko iba yinto eqhelekileyo xa umntu ekhula.
3. I-Cardiac Syncope: Uhlobo oluyingozi kakhulu lokuquleka olubangelwa sisifo sentliziyo
Olu lolona hlobo ekufuneka silunike ingqalelo kakhulu, lolona hlobo luyingozi kakhulu.Ukutyhafa apha kubangelwa yingxaki enkulu yentliziyo okanye imithambo yegazi. Le meko yenzeka xa kukho ingxaki yentliziyo ehambisa igazi engqondweni.
Izinto ezinokubangela oku:
- Ukuphazamiseka kwentliziyo (i-Arrhythmia) . Ukunyuka okanye ukwehla ngequbuliso kwesantya sokubetha kwentliziyo.
- Izifo zevalvu yentliziyo.
- Ukuhlaselwa yintliziyo okanye ukungaphumeleli kwentliziyo .
- Ihlwili legazi elihamba liye emiphungeni (i-Pulmonary Embolism) .
Ukuba uyafa isiqaqa ngexesha lokuzilolonga okanye ngelixa ubaleka, ukuba ufumana isiqaqa esihamba nentlungu yesifuba, okanye ukuba umntu kusapho lwakho unembali yokufa ngesiquphe kwentliziyo, oku kusenokuba yi-cardiac syncope. Kwiimeko ezinjalo, ngokuqinisekileyo kufuneka ubone ugqirha ngokukhawuleza.
Uyifumana njani le nto, Gqirha?
Ukuba uyafa isiqaqa, ugqirha uza kukubuza imibuzo emininzi ukuze afumanise ukuba loluphi uhlobo lokufa isiqaqa onalo.
- Iinkcukacha zesiganeko: Kwenzeke ntoni ngaphambi kokuba ufe isiqaqa? Ubuphi? Ubusenza ntoni?
- Imbali yezonyango: Baza kukubuza ngezinye izifo onazo kunye namayeza owasebenzisayo.
- Imbali yosapho: Buza ukuba kukho nabani na kusapho onesifo sentliziyo.
Emva koko uza kuhlolwa kwaye, ukuba kuyimfuneko, ucelwe ukuba wenze iimvavanyo ezininzi ezifana nale.
| Uvavanyo | Ngamafutshane, ubona ntoni kule nto? |
|---|---|
| I-ECG (i-Electrocardiogram) | Umsebenzi wombane wentliziyo uyajongwa ukuze kubonwe ukuba kukho ingxaki na kwintliziyo. |
| I-Echocardiogram | Oku kufana nokuskena kwentliziyo. Kujonga ulwakhiwo lwentliziyo, iivalvu zayo, kunye nendlela epompa ngayo. |
| Uvavanyo lweTheyibhile eThambekileyo | Uxinzelelo lwegazi kunye nesantya sentliziyo yakho ziya kulinganiswa njengoko ulele ebhedini ekhethekileyo kwaye ibhedi ijika kancinci kancinci. Oku kwenzelwa ukujonga ukuba akukho sizungu xa utshintsha indawo. |
| Uvavanyo lwegazi | Bajonga ukuba akukho anemia okanye utshintsho kumanqanaba etyuwa kunye neswekile emzimbeni. |
Sifanele senze ntoni xa umntu etyhafa aze awe?
Ukuba umntu uyawa aze awe phambi kwakho, musa ukoyika uze wenze ezi zinto.
1. Jonga ukuba umntu uyaphefumla na: Qala ujonge ukuba umntu uyaphefumla na. Ukuba akunjalo, fowunela i-ambulensi ngoko nangoko.
2. Mbeke phantsi umntu: Mbeke phantsi ngononophelo umntu.
3. Phakamisa imilenze: Beka umqamelo okanye ibhegi emilenzeni yomntu uze uyiphakamise kancinci ngaphezu kwentliziyo yakhe. Oku kwandisa ukuhamba kwegazi ukuya engqondweni.
4. Khulula impahla exineneyo: Ukuba unempahla exineneyo efana nekhola okanye ibhanti, yikhulule.
5. Emva kokubuyela ezingqondweni: Musa ukuvuka kwangoko emva kokubuyela ezingqondweni. Mvumele umntu ahlale okanye alale ubuncinane imizuzu eli-10-15. Emva koko mnike amanzi okusela.
Okubaluleke kakhulu: Ungaze uzame ukufaka amanzi okanye nantoni na emlonyeni womntu ongazi nto. Angangena kwindlela yomoya aze enze imeko ibe yingozi nangakumbi.
Ngaba ukuquleka kungathintelwa?
Ewe, uninzi lwexesha kunokwenzeka. Unyango luxhomekeke kwisizathu sokuba ube nesiyezi.
- Utshintsho kwindlela yokuphila:
- Sela amanzi amaninzi kunye nolwelo.
- Yitya ukutya ngexesha elifanelekileyo ngaphandle kokutsiba ukutya.
- Kuphephe ukuma kwindawo enye ixesha elide. Ukuba kufuneka ume, qhubeka ushukumisa imilenze yakho kwaye ushukumise iinzwane zakho.
- Xa uphuma ebhedini okanye esitulweni, musa ukuvuka ngequbuliso, kodwa kancinci kancinci.
- Yongeza ityuwa encinci ekutyeni kwakho kuphela ukuba ugqirha wakho ukucebisa ukuba wenze njalo.
- Ukuba uziva utyhafile:
- Hlala phantsi okanye ulale phantsi ngoko nangoko. Le yeyona nto ibalulekileyo. Oku kuya kususa umngcipheko wokuwa nokwenzakala entloko.
- Xuba imilenze yakho uze uyiqinise (ukudibanisa imilenze).
- Ukuzibamba ngezandla (ukubamba ngesandla) kunokunyusa uxinzelelo lwegazi kancinci.
- Unyango lwezonyango:
- Ukuba unobangela sisifo sentliziyo, ngoko ke amayeza okanyeIsixhobo esifana ne-pacemaker sisenokufuna ukufakelwa.
- Ngamanye amaxesha amayeza anikwa ukulawula uxinzelelo lwegazi.
Ugqirha wakho uza kukuchazela ukuba loluphi unyango olufanele imeko yakho.
Umyalezo Wokuya Ekhaya
- I-syncope kukuncipha kokuhamba kwegazi ukuya ebuchotsheni okwethutyana. Ixesha elininzi, ayisiyongxaki.
- Nangona kunjalo, ngamanye amaxesha oku kungaba luphawu lwesifo esinzima ngakumbi, njengesifo sentliziyo esingaphantsi. Ngoko ke nokuba uqulekile kube kanye, kungcono ukubona ugqirha ukuze ufumane unobangela.
- Ukuba uziva ubuthathaka (uziva unesizungu, unentloko ebuhlungu) , hlala phantsi okanye ulale phantsi ngoko nangoko. Oku kunokukunceda ekukhuselekeni ekwenzakaleni okubangelwa kukuwa.
- Ukuba umntu uyawa aze awe, mlalise phantsi imilenze yakhe iphakanyisiwe kancinci. Musa ukumnika nantoni na ngomlomo xa engazi nto.
- Ukuba ukuquleka kuhamba neempawu ezifana neentlungu zesifuba, ubunzima bokuphefumla, okanye intloko ebuhlungu, yingxamiseko leyo. Yiya kwiSebe leNgxamiseko lesibhedlele (ETU) ngokukhawuleza.
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