Ngaba wakha wambona umntu equleka ngequbuliso aze awe ngaphandle kwesizathu esicacileyo? Okanye ngaba kwenzeke kuwe? Ngamanye amaxesha siye sabona umntu esiya kunikela ngegazi kuba esoyika inaliti aze awe, akunjalo? Nangona oku kuyoyikisa kancinci, uninzi lwexesha akuyongozi. Namhlanje siza kuthetha ngokulahlekelwa yingqondo ngequbuliso. Ngokwezonyango, oku kubizwa ngokuba yi
( Vasovagal Syncope).
Yintoni le (iVasovagal Syncope)? Masiyiqonde ngokulula!
Ngamafutshane, iVasovagal Syncope yimpendulo eyenzeka ngequbuliso kwinkqubo yakho yemithambo-luvo ebangela ukuba
uxinzelelo lwegazi kunye nesantya sentliziyo yakho sehle ngequbuliso , nto leyo ebangela ukuba uphelelwe ngamandla. Kodwa ungakhathazeki, uninzi lwexesha uya kuba ungekho zingqondweni ixesha elingaphantsi komzuzu. Olu luhlobo lweReflex
Syncope . Oko kuthetha ukuba kwenzeka ngokuzenzekelayo, ngaphandle kolawulo lwethu. Abanye abantu balubiza ngokuba
yiNeurocardiogenic Syncope . Kungenxa yokuba lubandakanya intliziyo yakho, ingqondo, okanye zombini. Nangona igama elithi Vasovagal Syncope lisenokuvakala lisoyikisa, olu hlobo lokuphelelwa ngamandla ludla
ngokuba yingozi . Awunakukholelwa, umntu omnye kwabathathu emhlabeni uya kuba neVasovagal Syncope ubuncinane kanye ebomini bakhe. Inokwenzeka kubantu bayo nayiphi na iminyaka. IVasovagal syncope yeyona nto ixhaphakileyo yokuphelelwa ngamandla, ingakumbi phakathi kwabantu abangaphantsi kweminyaka engama-40. Kubantu abadala, inokubalelwa malunga nesiqingatha sazo zonke iziqendu zokuphelelwa ngamandla. IVasovagal syncope idla ngokuvela xa umi okanye uhleli. Akuqhelekanga ukuba yenzeke xa ulele phantsi.
Zithini iimpawu eziboniswayo ngaphambi kokuba kubekho i-Vasovagal Syncope?
Usenokuba neempawu ezithile kwimizuzwana engama-30 ukuya kwengama-60 ngaphambi kokuba ube ne-vasovagal syncope. Ukuba uziqaphela kwangethuba, unokukwazi ukuthintela ukuwa. Makhe sijonge ukuba zeziphi ezi mpawu:
- Ukudinwa okungaqhelekanga ngequbuliso.
- Ndiva ubushushu obungenakucingelwa emzimbeni wam .
- Ukuba nentloko ebuthathaka kufana nesiyezi .
- Umbala wolusu lwakho uyatshintsha , nto leyo ethetha ukuba luba mthubi (lube mdaka).
- Ukuziva unesicaphucaphu .
- Ukubila ngokungaqhelekanga (ukubila kakhulu).
- Intliziyo ivakala ngathi iyancipha.
- Ukuvuka rhoqo (ukukhafula).
- Umbono uyatshintsha kancinci, njengokubheka kwi-culvert (umbono we-tunnel).
Ukuba ufumana enye okanye ngaphezulu kwezi mpawu, oko kuthetha ukuba kufuneka ulumke.
Kutheni sifumana oku (iVasovagal Syncope)? Zithini izizathu?
I-Vasovagal syncope ngokwenene
yindlela umzimba wakho osabela ngayo kwinto ekwindawo okuyo. Kodwa ngamanye amaxesha le ndlela isabela ngayo yenzeka ngokukhawuleza kakhulu okanye ngexesha elingafanelekanga. Konke kuqala ngenxalenye yenkqubo yakho yemithambo-luvo esebenza ngokuzenzekelayo ngaphandle kokuba ucinge ngayo. Siyibiza ngokuba yi
-Autonomic Nervous System . I-nerve ebaluleke kakhulu kule nkqubo yi
- Vagus Nerve. Yile nto ilawula izinga lentliziyo yakho kunye noxinzelelo lwegazi. Khawucinge nje, ukuba le Vagus Nerve isebenza kakhulu, inokubangela ukuba izinga lentliziyo yakho kunye noxinzelelo lwegazi lihle ngequbuliso. Yile ndlela i-Vasovagal syncope eyenzeka ngayo. Emva koko
awufumani igazi elaneleyo engqondweni, ngoko ulahlekelwa zingqondo. Rhoqo, into eyenzeka kuwe okanye into ekwindawo okuyo inokubangela oku (i-Vasovagal Syncope). Sizibiza ngokuba
"zii-triggers." Oko kukuthi, izinto ozibonayo, ozivayo, okanye ozivayo ezikwenza ungakhululeki.
Izinto ezibangela okuqhelekileyo ziquka:
- Iinaliti okanye izixhobo zonyango : Oku kunokwenzeka xa kutsalwa igazi, kunikelwa ngegazi, okanye xa kuboniswa izixhobo ezithile zotyando (ii-scalpels).
- Ukubona igazi: Ukutyhafa xa ubona igazi kukwayinto eqhelekileyo ebangela i-vasovasal syncope.
- Uxinzelelo , ixhala , okanye ukwenzakala okukhulu ngokweemvakalelo : Oku kunokwenzeka naxa uziva ulusizi olukhulu, uloyiko, okanye intlungu.
- Ukudinwa okanye ukudinwa : Oku kunokubangelwa kukusebenza nzima kakhulu, mhlawumbi nokuma ixesha elide.
Ziziphi iingxaki ezinokwenzeka kule meko?
Xa uneVasovagal Syncope, ezi zinto zinokwenzeka:
- Ukudideka okanye ukudideka kunokubakho okwethutyana.
- Nangona amehlo evulekile, amehlo asenokujika aze intloko ijike iye ecaleni .
- Ungawa uze urhuqwe kwangoko xa ulahlekelwa zingqondo.
- Kusenokubakho nokulahlekelwa kulawulo lwesinyi.
- EmzimbeniKusenokubakho iintshukumo zokukrwitsha. Abanye abantu banokucinga ukuba oku kukuxhuzula.
Wakuba ubuyele ezingqondweni, uza kubuyela esiqhelweni kwimizuzwana engama-20-30. Emva koko, ungaziva izinto ezinje:
- Ixhala okanye uvalo .
- Isiyezi .
- Ukudinwa .
- Intloko ebuhlungu .
- Isicaphucaphu .
- Ulusu oluphaphathekileyo/olumnyama.
- Ukubila .
- Umnqweno wokulahla indle.
Khumbula, emva kokuba une-vasovagal syncope kanye, ingenzeka kwakhona, ingakumbi ukuba uphinda ume kwimizuzu engama-30 emva kwesiganeko sokuqala sokuwa.
Oogqirha bayixilonga njani le meko (iVasovagal Syncope)?
Ugqirha uza kukubuza imibuzo malunga nokuba yintoni enokubangela ukuba ulale. Kufuneka uxelele ugqirha wakho malunga notshintsho lwamva nje kwimpilo yakho okanye naziphi na iimpawu ezingaqhelekanga onazo, nokuba zibonakala zingabalulekanga kuwe. Ezi ziya kunceda ekufumaneni uxilongo oluchanekileyo. Ugqirha uza kukubuza nangawaphi na amayeza kunye nezongezo ozithathayo. Uza kujonga uxinzelelo lwegazi kunye nesantya sentliziyo yakho. Ngokuxhomekeke kuhlobo lweempawu zakho, ugqirha unokwenza olu vavanyo lulandelayo:
- Uvavanyo lwegazi: Olu vavanyo lunokufumanisa iimeko ezinokubangela ukungakwazi ukulala, njenge -anemia .
- I-Electrocardiogram (EKG okanye i-ECG): Le ilinganisa umsebenzi wombane wentliziyo yakho kwaye inokujonga ukuba akukho zigingqi zentliziyo ezingaqhelekanga.
- I-Echocardiogram: Olu vavanyo lunokujonga ulwakhiwo lwentliziyo yakho. Lunokunceda ekufumaniseni ukuba kukho ingxaki ebangela ukubetha kwentliziyo okungaqhelekanga.
- I-Electroencephalogram (EEG): Le ilinganisa umsebenzi wombane wengqondo yakho. Oku kunokukunceda ubone ukuba ngaba unesithuthwane.
- Uvavanyo lwetafile etyekayo: Kolu vavanyo, ulala etafileni aze ugqirha akutyekise phezu kwayo. Abantu abane-vasovagal syncope basenokufa isiqaqa okanye basondele ekufelweni sisiqaqa ngexesha lovavanyo.
- Uvavanyo lweHemodynamic: Olu vavanyo lusebenzisa uhlobo olukhethekileyo lwe-X-ray (ikhamera ye-gamma) ukufumanisa into ene-radioactive (tracer) efakwe emzimbeni. Oku kunokunceda ukubona indlela ukujikeleza kwegazi lakho kunye nazo naziphi na iingxaki ezinokuba nazo.
Iphathwa njani iVasovagal Syncope?
Uninzi lwabantu abane-vasovagal syncope bayaphola ngokwabo ngaphandle konyango. Abanye banokufuna unyango olufana nolu:
- Ulwelo lwe-IV: Olu lwelo luluncedo kakhulu xa umzimba wakho uphelelwe ngamanzi emzimbeni.
- Ukwazi nokuphepha izinto ezibangela i-vasovasal syncope: Ngokwazi ukuba yintoni ebangela i-vasovasal syncope, ungaziphepha ezo zinto ezibangela i-vasovasal syncope, okanye ubuncinane uzilungiselele. Usenokukwazi nokuthintela i-syncope ngokupheleleyo.
- Amayeza: Amanye amayeza okunceda ukuphazamiseka kwentliziyo okanye uxinzelelo lwegazi anokunceda. Umzekelo, amayeza afana neFludrocortisone kunye neMidodrine .
- Iikawusi zokucinezelwa: Iikawusi zodidi lwezonyango ezifika esinqeni zezona zilungileyo. Ukuba azikhululeki ukuzinxiba, abadlali banokunxiba impahla yokucinezelwa.
- Iindlela zokulwa noxinzelelo: Ezi ziquka ukunqumla imilenze yakho kunye nokuqinisa izihlunu zemilenze yakho imizuzwana embalwa, kunye nokudibanisa iminwe yakho kunye nokutsala iingalo zakho emacaleni akho. Ezi ndlela zokuzilolonga zinokukunceda ukonyusa uxinzelelo lwegazi kwaye zikuthintele ukuba ungabi nasiqabu.
- Izixhobo zokukhawulezisa intliziyo: Kunqabile kakhulu ukuba udinge i- pacemaker okanye esinye isixhobo ukuthintela intliziyo yakho ukuba ingayeki kwaye ingalahlekelwa zingqondo.
- Ukususwa kwe-catheter: Kwiimeko ezingaqhelekanga, oogqirha basebenzisa inkqubo ebizwa ngokuba yi-cardioneuroablation . Oku kujolisa kwimithambo-luvo esentliziyweni yakho.
Ndifanele ndimbone nini ugqirha?
Ukuba uyafa isiqaqa, kufuneka ufune
uncedo lwezonyango olungxamisekileyo ngoko nangoko . I-Vasovagal syncope inokuba yimeko enzima nesongela ubomi. Ke ngoko, kufuneka uhlolwe ngugqirha ngokukhawuleza ukuze kuqinisekiswe ukuba ukufa isiqaqa kwakho kubangelwa yimeko embi kakhulu. Kwakhona, ukuba uyafa isiqaqa
uze ubethe intloko yakho (nokuba kancinci) xa usiwa, kubalulekile ukufuna ingcebiso yezonyango. Ukuba uthatha amayeza okunciphisa igazi, ngokuqinisekileyo kufuneka ufune ingcebiso yezonyango emva kokuwa. La mayeza anokunyusa umngcipheko wakho wokopha ngaphakathi. Kufuneka uthethe nogqirha ukuba:
- Ukuba awukaze ube ne-vasovagal syncope ngaphambili uze ngequbuliso uphelelwe ngamandla.
- Ukuba ukhe waba neziqendu ezininzi eziphantse ziphele amandla ngaphandle kokuba ube ne-vasovagal syncope ngaphambili.
- Ukuba ufunyenwe uneVasovagal Syncope, kwaye iimpawu zakho ziyatshintsha, okanye ukuphindaphindeka kokuquleka kuyakhula.
Ungabuza ugqirha wakho izinto ezifana nezi:
- Yintoni eyabangela oku (iVasovagal Syncope) kum?
- Ndingenza ntoni ukuthintela oku ukuba kungenzeki kwakhona?
- Ngaba kufuneka ndenze uvavanyo olongezelelekileyo?
- Ngaba ndifuna unyango?
Ngaba oku kungathintelwa?
Ewe, kukho izinto onokuzenza ukunceda ukuthintela i-vasovagal syncope.
Oku kuquka ukusela amanzi amaninzi, ukongeza ityuwa encinci ekutyeni kwakho (kodwa buza ugqirha wakho ngaphambi kokongeza ityuwa, njengoko ityuwa inokunyusa uxinzelelo lwegazi), kunye nokuma uthe nkqo . Abantu abaninzi abane-vasovagal syncope banokunciphisa impembelelo enayo ebomini babo. Banokufunda ukuqaphela iimpawu ze-vasovagal syncope ngaphambi kokuba yenzeke kwaye baphephe izinto ezibangela oko. Ukuba uyazi ukuba uziva ntoni ngaphambi kokuba yenzeke, ungalala phantsi okanye uhlale phantsi. Emva koko akuyi kuba lula ukuwa nokwenzakala. Ukuba unokuyibona ngaphambi kokuba yenzeke, unokukwazi ukuyimisa. Ugqirha wakho uya kukunika iingcebiso zokunceda ukugcina uxinzelelo lwakho lwegazi lukwinqanaba eliya kukugcina ungaphelelwa ngamandla. Ezi ziquka:
- Ukucinezela ibhola yefoam okanye yerabha ngokuqinileyo: Ukucinezela isandla sakho ngokuqinileyo ngolu hlobo kunokukunceda uhlale ugxile.
- Ukuqinisa iingalo: Bamba izandla zombini ngokungathi ubambe into ethile. Zibophe izandla zakho ezidibeneyo, ngokungathi ubambe intende yesandla esinye phantsi kwesandla sesinye kunye nesandla sesinye phezu kwesandla. Emva koko zama ukuziqhawula.
- Ukunqumla imilenze: Xa umi, nqumla imilenze yakho ukuze elinye idolo libe ngasemva kwelinye. Gcina ibhalansi kwaye uqinise izihlunu emilenzeni yakho, esiswini, nasezinqeni.
I-Vasovagal syncope inokuphazamisa ubomi bakho bemihla ngemihla kwaye ikwenze uzive usoyika ukuya naphi na. Nangona kunjalo, ayisiyongozi. Cela iingcebiso kunye nenkxaso kugqirha wakho malunga noku. Injongo yabo kukukunceda ujongane nale meko kwaye ungalahlekelwa lithuba lokonwabela ubomi bakho.
Umyalezo Wokuya Ekhaya
Kulungile, ngoku ndicinga ukuba uyaqonda kakuhle into esithethe ngayo namhlanje (iVasovagal Syncope). Khumbula, uninzi lwexesha ayibalulekanga kangako. Nangona kunjalo,
ukuba uphelelwa ngamandla rhoqo, okanye ukuba uyawa uze ubetheke entloko ngelixa uphelelwa ngamandla, okanye ukuba uthatha amayeza enye imeko, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Eyona nto iphambili kukuchonga izinto ezibangela oku kwaye uhlale kude nazo. Kwakhona, kubaluleke kakhulu ukuqaphela iimpawu eziza ngaphambi kokuba uphelelwe ngamandla kwaye uqaphele. Sela amanzi amaninzi, utye ukutya okunesondlo, kwaye uvuke kancinci endaweni yokuvuka ngequbuliso. Izinto ezilula ezinje ngezi zinokukunceda ukulawula le meko. Ungakhathazeki, awuwedwa!
i-vasovagal syncope, ukuphelelwa ngamandla, ukuphelelwa ngamandla, isiyezi, uxinzelelo lwegazi oluphantsi, inkqubo yemithambo-luvo, imithambo-luvo ye-vagus
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