Ngaba wakha wambona umntu ewa phantsi ngequbuliso ngelixa emi? Okanye wakha wahambahamba waza ngequbuliso waba mnyama okanye waba nemvakalelo yokuba iindlebe zakho azinamsebenzi? Sidla ngokuyibiza le meko ngokuthi " ukuquleka " okanye "ukuquleka." Ngokwezonyango, siyibiza ngokuba yi-syncope. Nangona abantu abaninzi besoyika oku, uninzi lwexesha akuyonto yokoyika. Nangona kunjalo, ngamanye amaxesha kunokuba luphawu lwesifo esithile. Ngoko ke, masifumanise okungakumbi ngayo namhlanje.
Kalula nje, yintoni le nto yokuquleka?
Ngamafutshane, ukuquleka kukulahlekelwa yingqondo ngequbuliso, okwethutyana okubangelwa kukuncipha kokunikezelwa kwegazi engqondweni okwethutyana. Kuqhelekile kakhulu. Enyanisweni, yi-3% kuphela yezigulana eziza kwiSebe leNgxamiseko (ETU) ezibonakala ziquleka.
Ngamanye amaxesha siziva ngathi siza kulahlekelwa zingqondo. Oko kuthetha ukuba amehlo ethu aba luhlaza okwesibhakabhaka size sizive sididekile, kodwa asilahlekelwa zingqondo. Le meko siyibiza ngokuba yi "Presyncope". Ukuba silahlekelwa zingqondo, yi "Syncope".
Uninzi lwexesha, umntu oqulekayo ubuyela ezingqondweni ngokupheleleyo kwimizuzu embalwa. Nangona kunjalo, oku kunokuba yingozi kancinci kubantu abadala, njengoko kukho amathuba amakhulu okwenzakala okukhulu, njengokuphuka kwamathambo, ukuba bayaquleka baze bawa.
Ziziphi iintlobo eziphambili zokuquleka?
Ukuquleka kunokwahlulwahlulwa zibe ziintlobo ezimbini.
1. I-Vasovagal Syncope
Olu lolona hlobo luxhaphakileyo. Luchaphazela ngaphezu kwesiqingatha sabo bonke abantu abafa isiqaqa. Luxhaphake kakhulu ebantwaneni nakubantu abancinci. Oku kwenzeka xa inkqubo yethu yemithambo-luvo ivuselelwa, nto leyo ebangela ukuba isantya sentliziyo yethu sehle ngequbuliso, uxinzelelo lwethu lwegazi lwehle, kwaye inani legazi eliya ebuchotsheni lehle.
Khawuthelekelele le meko: Umi elangeni ixesha elide ngexesha lentlanganiso yasekuseni esikolweni. Okanye ujonge inaliti kwiziko lokunikela ngegazi. Ngequbuliso, uziva ushushu, unesicaphucaphu, umbono wakho uyancipha kancinci kancinci, uba mnyama, kwaye ulahlekelwa zingqondo. Yiloo nto siyibiza ngokuba yi-" vasovagal syncope ." Ingabangelwa zizinto ezifana noloyiko olukhulu, intlungu, kunye noxinzelelo lweemvakalelo.
2. I-Syncope yentliziyo
Olu luhlobo olufuna ingqalelo ethile. Oku kwenzeka xa intliziyo ingakwazi ukupompa igazi elaneleyo engqondweni ngenxa yengxaki ethile. Oku kunokubangelwa zizinto ezifana nokubetha kwentliziyo okungahambelaniyo (i-arrhythmia), iziphene zentliziyo ezikwisakhiwo, kunye neengxaki zevalvu yentliziyo. Olu hlobo lokuquleka ngokuqinisekileyo kufuneka luhlolwe ngugqirha.
Zithini iimpawu ngaphambi kokuba uphelelwe ngamandla?
Imizimba yethu isoloko isinika iimpawu ezithile ngaphambi kokuba sife isiqaqa. Ukuba sizibona kwangethuba, sinokuthintela into efana nokuwa.
| Uphawu | Inkcazo |
|---|---|
| Ixhala kunye nobuthathaka | Ukuziva ungakhululekanga, uxhalabile, kwaye ungenabomi. |
| Ukudinwa nokubila | Ndiziva ndikhululekile, kwaye ndibila ngumsindo. |
| Utshintsho lombono | Kukho ubumnyama phambi kwamehlo, kubonakala ngathi ubona iinkwenkwezi, okanye umbono wakho uba luzizi. |
| Isicaphucaphu nokuhlanza | Kuvakala ngathi isisu sakho siyajika, kwaye usenokuhlanza. |
| Ubuso obumhlophe | Ukuhamba kwegazi ebusweni kuyehla kwaye kuba mhlophe. |
| Ukuba ndindisholo | Ukurhawuzelela kwamalungu okanye ubuso. |
Kutheni siziva sinesizungu? Zithini izizathu?
Zininzi izizathu ezahlukeneyo zokuba nesiyezi. Ezinye ziqhelekile, ngelixa ezinye zisenokuba ngumphumo wesifo esithile.
Izizathu eziqhelekileyo neziqhelekileyo
Uninzi lwexesha, ukuquleka kwenzeka ngenxa yezizathu ezingezizo ezinzulu.
- Uloyiko olugqithisileyo, intlungu, okanye uxinzelelo lweemvakalelo
- Indlala kunye neswekile ephantsi egazini (iHypoglycemia)
- Ukunqongophala kwamanzi emzimbeni (ukuphelelwa ngamanzi emzimbeni)
- Ukuma kwindawo efanayo ixesha elide
- Uxinzelelo lwegazi oluphantsi (ukwehla koxinzelelo lwegazi xa umi ngequbuliso uhleli okanye ulele)
- I-anemia
- Ukusetyenziswa kotywala okanye iziyobisi
- Ukudinwa okugqithisileyo
Izizathu zokunika ingqalelo
- Isifo sentliziyo: Njengoko bekutshiwo ngaphambili, iimeko ezifana nokungahambi kakuhle kwesantya sentliziyo, iziphene zevalvu yentliziyo, kunye nokuhlaselwa yintliziyo.
- Izifo zeNkqubo yeNervous ye-Autonomic: Iingxaki zenkqubo elawula izinto esingenakuzilawula, ezifana nokubetha kwentliziyo nokuphefumla. Izifo ezifana neDiabetes Mellitus zinokuyonakalisa le nkqubo.
- Amayeza athile: Amanye amayeza oxinzelelo lwegazi oluphezulu, ukudakumba, kunye nesifo sokuwa anokubangela isiyezi.
- Iimeko ezikhethekileyo: Abanye abantu banokufumana ukuquleka xa bekhohlela kakhulu (Cough Syncope) okanye xa bechama (Micturition Syncope).
Ingaba "uKuphela koMsinya" kunye "nokuFainting" zizinto ezifanayo?
Abantu abaninzi bayawabhidanisa la magama mabini, kodwa kukho umahluko ocacileyo.
- Ukuquleka/Ukungakwazi ukuqonda: Ukulahlekelwa zingqondo. Oko kukuthi, ixesha elifutshane lokulahlekelwa kukwazi okwenzekayo kufutshane nawe ngenxa yokuncipha kokuhamba kwegazi ukuya engqondweni.
- Ukuphelelwa lithemba: Oku kukulahlekelwa yinkumbulo. Apha, ingqondo ikhona. Umntu uyathetha aze enze izinto, kodwa kamva akakhumbuli ukuba kwenzeke ntoni ngelo xesha. Isizathu esiphambili soku kukusebenzisa utywala ngokugqithisileyo.
Ungakuthintela njani ukuquleka?
Ukuba uziva ubuthathaka, oko kukuthi, unesizungu, okanye amehlo akho ajika abe luhlaza okwesibhakabhaka, yenza ezi zinto ngoko nangoko.
- Ukuba kunokwenzeka , lala phantsi ngoko nangoko, imilenze yakho ingaphezulu kancinci kwentliziyo yakho . Oku kuya kwandisa ukuhamba kwegazi ukuya engqondweni.
- Ukuba akukho ndawo yokulala, hlala phantsi ngokukhawuleza ubeke intloko yakho phakathi kwamadolo akho.
- Sela amanzi amaninzi, ingakumbi xa uzilolonga naxa kushushu.
- Musa ukuma endaweni enye ixesha elide. Hamba-hamba kancinci, shukumisa imilenze yakho.
- Ziphephe iindawo ezixineneyo, ezingenamoya unganeleyo, nezishushu.
Sifanele siye kugqirha nini xa siphelelwa ngamandla?
Akukho mfuneko yokoyika ukuba ukhe wawa isiqaqa kube kanye. Nangona kunjalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho ukuba:
- Ukuba usoloko unesizungu.
- Ukuba uziva ubuthathaka xa uzilolonga , oku kungaba luphawu lwesifo sentliziyo.
- Ukuba ufumana iintlungu esifubeni, ubunzima bokuphefumla, okanye ukubetha kwentliziyo okukhawulezayo/okungaqhelekanga kunye nokuquleka.
- Ukuba kukho umntu kusapho oye wafa ngesiquphe ngenxa yesifo sentliziyo.
- Ukuba uwile, wawa, waza wabetha intloko yakho ngamandla.
Kwimeko enjalo, fowunela u-1990 ngoko nangoko okanye umse loo mntu kwisibhedlele esikufutshane neYunithi yoNyango oluNgxamisekileyo (ETU):
- Ukuba umntu oqulekile uthatha imizuzu engaphezu kwembalwa ukuze abuyele ezingqondweni.
- Ukuba usenentloko ebuhlungu, umbono ofipheleyo, okanye ukudideka emva kokubuyela ezingqondweni.
- Ukuba imeko efana nokuxhuzula (ukudinwa) iyenzeka kunye nokuquleka.
Umyalezo Wokuya Ekhaya
- I-Syncope kukulahlekelwa yingqondo okwethutyana okubangelwa kukuncipha kwexeshana kokunikezelwa kwegazi engqondweni.
- I-Vasovagal syncope, uhlobo oluqhelekileyo, ayisoloko imbi kangako, kodwa i-cardiac syncope yinto ekufuneka uyiqaphele.
- Ukuba uziva ubuthathaka, ungayithintela ngokulala phantsi ngoko nangoko kwaye ugcine imilenze yakho iphakanyisiwe.
- Ukuba ufumana isiyezi rhoqo, uphelelwa ngamandla ngexesha lokuzilolonga, okanye ezinye iimpawu ezifana neentlungu zesifuba, musa ukuchitha ixesha kwaye ubone ugqirha wakho.
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