Ingabe nawe uvame ukuwela? Ake sixoxe ngalokhu (Ukuhlolwa Kwethebula Elithambekele)!

Wake waba neso eliluhlaza okwesibhakabhaka ngokuzumayo, wazizwa sengathi izinto ziyakuzungeza, noma wazizwa sengathi ulahlekelwa ingqondo? Uma lokhu kwenzeka kaningi kuwe, namuhla sizokhuluma ngokuhlolwa okungakusiza ukuthola imbangela. Lokhu kubizwa ngokuthi `(Tilt Table Test)`. Ungesabi, kulula. Ake sibone ukuthi kuyini, kwenziwa kanjani , nokuthi yini okudingeka uyazi.

Kuyini lokhu (Ukuhlolwa Kwethebula Elithambekele)?

Kalula nje, i-"Tilt Table Test" iyisivivinyo esisiza ukuthola imbangela yokuquleka noma ukulahlekelwa ukwazi (esaziwa nangokuthi "i-Syncope" ngokwezokwelapha). Kuhilela ukukulalisa embhedeni okhethekile (itafula) nokuqapha njalo umfutho wegazi lakho, ukushaya kwenhliziyo , kanye nesigqi senhliziyo njengoba umbhede uthambekele ngama-engeli ahlukene. Umbhede uhlala ubekwe ngendlela yokuthi ikhanda lakho libe ngaphezu kwekhanda lakho.

Yini engatholakala nge-Tilt Table Test?

Lokhu kuhlolwa kweThebula Elijikayo kusenza sibone ukuthi ukushaya kwenhliziyo yakho, isigqi, kanye nomfutho wegazi kushintsha kanjani uma ushintsha izikhundla (isibonelo, lapho usukuma ngokuzumayo ulele phansi). Esebenzisa lolu lwazi, udokotela wakho angathola ukuthi yini ebangela isiyezi sakho kanye nobuhlungu bekhanda . Lokhu kungakusiza ukuthi wakhe uhlelo lokwelashwa olungcono kakhulu kuwe.

Manje, bheka, i-syncope, noma ukuquleka, ukulahlekelwa ukwazi okwesikhashana kanye nokulahlekelwa ukulawula umzimba ngenxa yokwehla kwesikhashana kwenani legazi eligeleza ebuchosheni. Yingakho ngezinye izikhathi abantu bewa. Lokhu kulahlekelwa igazi kungabangelwa ukwehla okungazelelwe komfutho wegazi, ukwehla kwesilinganiso senhliziyo, noma ushintsho enanini legazi emzimbeni noma ukujikeleza kwegazi. Ngisho nangemva kokuthola ulwazi kabusha, ungase uzizwe unesiyezi kancane.

Kungakhathaliseki ukuthi simile, sihleli, noma silele phansi, imizimba yethu kufanele ilawule ngokuzenzakalelayo izinga lokushaya kwenhliziyo kanye nomfutho wegazi. Kodwa-ke, ezinye izimo zezokwelapha zingaphazamisa le nqubo. Uma lokho kwenzeka, umfutho wegazi lakho ungehla ngokuzumayo uma usukuma.

I-syncope ivame ukubangelwa ezinye izimo ezithinta inhliziyo yakho, uhlelo lwezinzwa, noma ukugeleza kwegazi kuya ebuchosheni. Ngakho-ke, udokotela wakho angase akucele ezinye izivivinyo kanye ne-Tilt Table Test ukuze aqonde kangcono isimo sakho.

Ukwenza kanjani lokhu (Ukuhlolwa Kwethebula Elithambekele)?

Cabanga ngokwenzekayo emzimbeni wakho uma usukuma ngokuzumayo ulele phansi. Yilokho okwenziwa yilolu vivinyo lwe-"Tilt Table Test" ngokwenziwa. Kodwa kuphephile kakhulu . Ngenxa yokuthi uboshelwe embhedeni ngezintambo, ngeke uwe ngisho noma uba nesiyezi lapho uhambisa umbhede uye endaweni yokuma.

Ukuhlolwa kweThebula Elithambekile kwenziwa nini? Kuphi? Kuthatha isikhathi esingakanani?

Udokotela angenza lokhu "Ukuhlolwa Kwethebula Elithambekele" uma uzizwa unesizungu njalo noma ulahlekelwa ukwazi ngaphandle kwesizathu esibonakalayo.

Lokhu kuhlolwa kwenziwa kwi-"Tilt Lab" ekhethekile noma "Electrophysiology Lab" etholakala esibhedlela noma emtholampilo.

Ukuhlolwa kungathatha cishe imizuzu engama-90 ukuqeda, kuye ngezimpawu zakho nokuthi umfutho wegazi lakho kanye nokushaya kwenhliziyo kushintsha kanjani ngesikhathi sokuhlolwa. Abanye abantu bangase babonise izimpawu kusukela engxenyeni yokuqala yokuhlolwa, ngakho-ke akudingeki baqhubeke nokuhlolwa. Udokotela uzobe esenolwazi lonke abaludingayo ngaleso sikhathi.

Ungazilungiselela kanjani i-Tilt Table Test?

Landela imiyalelo kadokotela wakho ngokucophelela futhi wazi ukuthi yini okufanele uyenze ngosuku lokuhlolwa. Kungumqondo omuhle ukucela umngane noma isihlobo ukuthi sikuyise ekhaya ngemoto ngemva kokuhlolwa.

Mayelana nokudla neziphuzo:

• Yidla ngokujwayelekile ngobusuku bangaphambi kokuhlolwa.
• Ungadli noma uphuze lutho ngaphandle kwezipuni ezimbalwa zamanzi amahora amane ngaphambi kokuhlolwa.
• Ungaphuzi lutho oluqukethe i-caffeine (njengekhofi noma itiye) ngosuku lokuhlolwa.

Mayelana nemithi:

• Phuza imithi yakho evamile ngesikhathi kanye nokuphuza amanzi.
• Uma uthatha amaphilisi okukhipha isisu (amaphilisi amanzi), buza udokotela wakho ukuthi ungawathatha yini ngemva kokuhlolwa.
• Ungathathi imithi yokuhlanza isisu.
• Uma unesifo sikashukela noma uthatha i-insulin, buza udokotela wakho ukuthi ungayithatha kanjani imithi yakho ngosuku lokuhlolwa. Letha i-glucose meter yakho uma uzizwa sengathi ushukela wakho wegazi uphansi endleleni eya esibhedlela.
• Ungalokothi uyeke ukuthatha imithi ngaphandle kokukhuluma nodokotela.

Yini okufanele uyigqoke?

• Gqoka izingubo ezikhululekile kanye nezicathulo. Ungagqoka i-T-shirt enemikhono emifushane noma engenamikhono esikhundleni sengubo yasesibhedlela. Uma ugqoke izingubo ezinemikhono emide noma eziqinile, ungase ucelwe ukuthi ushintshe ingubo yasesibhedlela. Kungumqondo omuhle ukuletha izingubo ezengeziwe ozoshintsha uma kwenzeka uhlanza noma uchama ngesikhathi sokuhlolwa.

Yini okudingeka uyithathe nawe?

• Ungathathi lutho oluyigugu.
• Thatha lezi zinto nawe:
• Uhlu olubhaliwe lwemithi oyithathayo njengamanje kanye nemithamo yayo.
• Amarekhodi ezokwelapha amadala, uma ekhona.
• Uhlu olubhaliwe lwazo zonke izinto ezikubangela ukungezwani komzimba (imithi, ukudla, izinto ezingokwemvelo).
• Ikhadi lakho lomshwalense.

Kwenzekani ngaphambi kokuhlolwa?

Udokotela noma umhlengikazi uzokuchazela ngokuhlolwa, aphendule imibuzo yakho, futhi akucele ukuthi usayine ifomu lemvume. Ungase ukwazi ukuthola leli fomu uma uhlangana nodokotela ngosuku olwandulela ukuhlolwa. Othile uzokusiza ukulungiselela ukuhlolwa futhi aphendule noma yimiphi imibuzo ongase ube nayo.

Ngaphambi kokuhlolwa, uma ufuna ukucela udokotela wakho ukuthi angasebenzisi enye yezingalo zakho ukufaka i-IV (isisombululo se-saline esifakwa emthanjeni) noma ukuhlola umfutho wegazi lakho, mtshele.

Ngaphambi kokuhlolwa, abasebenzi bezokwelapha bazokwenza okulandelayo:

• Uzolaliswa phansi "eTafuleni Eligobile". Lona umbhede onenjini onepuleti lensimbi lokuphumula izinyawo zakho kulo.
• Izintambo zendwangu ezithambile zizoxhunywa emzimbeni wakho, kodwa kuzodingeka uthwale isisindo sakho ngesikhathi sokuhlolwa.
• I-IV izofakwa emthanjeni ongalweni noma esandleni sakho. Lokhu kungathatha amasampula egazi futhi kukunike imithi ngesikhathi sokuhlolwa, uma kudingeka.
• Ama-cuff omfutho wegazi azonamathiselwa engalweni yakho eyodwa kanye nomunwe. Lawa axhunywe kuma-monitor athumela ulwazi kulo lonke ukuhlolwa. I-cuff emunweni ivuliwe njalo kulo lonke ukuhlolwa. I-cuff engalweni ihlola umfutho wegazi lakho njalo ngemizuzu engu-4-10.
• Ama-patches amancane, anamathelayo abizwa ngokuthi ama-electrode abekwa esifubeni sakho. Lawa axhunywe kwi-monitor ye-electrocardiogram (EKG). Lokhu kukhombisa umsebenzi kagesi wenhliziyo yakho njengegrafu ehambayo yemigqa ephepheni elihambayo. Lokhu kungaqapha izinga lokushaya kwenhliziyo yakho kanye nesigqi ngesikhathi sokuhlolwa.

Kwenzekani ngesikhathi sokuhlolwa?

Abasebenzi bezokwelapha bazohlala nawe phakathi nokuhlolwa. Bazozama ukukugcina ukhululekile ngangokunokwenzeka. Imishini izohlala iqapha umfutho wegazi lakho, isigqi senhliziyo, kanye nokushaya kwenhliziyo. Ulwazi oluqoqwe luzoqoshwa kukhompyutha.

Ingxenye Yokuqala:

Ngesikhathi sokuhlolwa kwe-"Tilt Table", uzolala phansi cishe imizuzu eyi-15.

Ngemuva kwalokho, ngesikhathi usamile, udokotela uzothatha umfutho wegazi lakho kanye ne-EKG.

Umuntu olawula itafula elinenjini utshekisa itafula kanje:

• Imizuzu emi-2-3 kuma-degrees angu-30.
• Imizuzu emi-2-3 kuma-degrees angu-45.
• Kufika kumaminithi angu-45 kuma-degree angu-70.

Into ebaluleke kakhulu ukuthi uhlale uqaphile ngesikhathi sokuhlolwa.

Ukuze uthole imiphumela yokuhlolwa enembile, landela le miyalelo:

• Hlala uthule ngangokunokwenzeka ngesikhathi sokuhlolwa.
• Unganyakazi imilenze yakho uma umile.
• Zama ukungakhulumi ngaphandle uma kudingekile ngempela.
• Tshela udokotela wakho nganoma yiziphi izimpawu ozizwayo ngesikhathi sokuhlolwa kwe-Tilt Table (njengesiyezi, ikhanda elibuhlungu, noma ukucasuka kwesisu).

Ingxenye Yesibili (uma kudingeka):

Uma umfutho wegazi wakho ungehli ngesikhathi sengxenye yokuqala yokuhlolwa, udokotela angakunika umuthi ukuze abone ukuthi umzimba wakho usabela kanjani kuwo. Lo muthi wenza inhliziyo yakho ishaye ngokushesha. Lo muthi unganikezwa nge-"IV" yakho, njengephilisi, noma njengesifutho emlonyeni wakho.

Ngemva kokukunikeza umuthi, udokotela uzothambekisa itafula liye kuma-degrees angu-60 kuze kube yimizuzu eyi-15. Uma umfutho wegazi wakho wehla phakathi nalesi sikhathi, ukuhlolwa kuphelile. Kodwa-ke, ingxenye yesibili yokuhlolwa izoqedwa ngemizuzu eyi-15.

Uzozizwa kanjani ngesikhathi sokuhlolwa?

Phakathi nokuhlolwa, udokotela uzokubuza ukuthi uzizwa kanjani. Ungase ungabi nazimpawu, noma ungase ube nezimpawu ze-"pre-syncope". Lezi yizona ezivame kakhulu:

• Ukuzizwa unesizungu - Ukuzizwa unesinengu, sengathi uyantanta.
• Isiyezi.
• Ukuzizwa ugula esiswini sakho, sengathi uzohlanza.
• Ukushaya kwenhliziyo kuwumuzwa wokushaya kwenhliziyo kanye nokushaya kwesifuba.

Ungase ube nombono ofiphele noma ikhanda elibuhlungu.

Inhloso yalolu vivinyo akukhona ukukukhathaza. Kodwa-ke, kuye ngokuthi usabela kanjani esivivinyweni, kungakwenza ukhathazeke.

Kubaluleke kakhulu: Tshela udokotela wakho ukuthi uzizwa kanjani phakathi nokuhlolwa. Bangase bakucele ukuthi ulinganise izimpawu zakho ngesikali esingu-1 kuya ku-10 (ezingu-10 ezibi kakhulu). Izimpawu zakho, kanye nolwazi oluqoqwe esivivinyweni, kuzosiza udokotela wakho ukuthola ukuthi yini ebangela izimpawu zakho.

Uma uzizwa sengathi awukwazi ukuqhubeka nokuhlolwa ngenxa yezimpawu zakho, tshela udokotela wakho . Bangakuyeka ukuhlolwa uma befuna. Kodwa-ke, uma becabanga ukuthi kuphephile ngawe ukuqhubeka nokuhlolwa, bazokukhuthaza ukuthi ulinde kuze kuqedwe ukuhlolwa, njengoba kulapho uzothola khona imiphumela ephelele kakhulu.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuhlolwa kweThebula Elithambekile, udokotela uzokwehlisa itafula libuyele endaweni eyisicaba. Uzolala etafuleni cishe imizuzu emi-5-10. Phakathi nalesi sikhathi, udokotela uzohlola ukuthi uphilile yini futhi uzophinde alinganise umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye nesigqi.

Akuvamile kakhulu ukuthi izimpawu ezinzima ziqhubeke ngemva kokuhlolwa, kodwa uma ziqhubeka, kungadingeka ukuthi uyiswe eMnyangweni Wezimo Eziphuthumayo ukuze uhlolwe.

Uma lokhu kuwukuhlolwa kwakho kokugcina kosuku, udokotela uzokukhipha i-`(IV)` yakho. Uma unezinye izivivinyo ezidinga i-`(IV)` ngalolo suku, bazoshiya i-`(IV)` njengoba injalo. Umuntu owenza olunye uvivinyo uzosusa i-`(IV)` ngemva kokuhlolwa kwakho kokugcina.

Iningi labantu lingaya ekhaya ngemva kokuhlolwa. Kodwa kumele ube nomuntu omdala onokwethenjelwa ozokuyisa ekhaya. Awukwazi ukushayela ngalolo suku.

Uma ungenazo ezinye izivivinyo ezidinga ukuthi uzile ukudla, ungadla ngendlela evamile ngemva kokuhlolwa.

Uma kuvela izimpawu ezintsha ngemva kokuhlolwa, noma uma izimpawu ezikhona ziqhubeka, tshela udokotela wakho .

Ingabe zikhona izingozi ngalokhu (Tilt Table Test)? Ingabe kuphephile?

Akuvamile kakhulu ukuthi abantu balaliswe ngesikhathi sokuhlolwa kwetafula elithi "Tilt Table". Kodwa-ke, ngenxa yokuthi odokotela banawe, bazokwehlisa itafula ngokushesha bakubuyisele esimweni sakho esijwayelekile. Ungase uzizwe ukhathele futhi/noma ube nobuhlungu esiswini. Abanye abantu balahlekelwa ukulawula umchamo wabo ngesikhathi sokuhlolwa.

Lokhu kuhlolwa ngokuvamile kuphephile . Kodwa-ke, njengakuzo zonke izivivinyo, kunezingozi ezithile. Akuvamile kakhulu ukuthi abantu abanemithambo yenhliziyo emincane noma imithambo ye-carotid bangaba nokuhlaselwa yinhliziyo noma isifo sohlangothi.

Udokotela wakho uzoxoxa nawe ngezingozi nezinzuzo zokuhlolwa kwetafula lokuthambekela ngaphambi kokuvuma ukuhlolwa. Uma kudingeka, udokotela wakho angenza izinguquko ezithile ekuhlolweni ukuze anciphise ingozi yakho.

Kusho ukuthini uma ukuhlolwa (Kuhle) / (Kubi)?

• Ukuhlolwa kwetafula lokuthambekela okuhle kusho ukuthi ungase ube nesimo sezokwelapha esibangela izinguquko ezingavamile ekucindezelweni kwegazi lakho, izinga lokushaya kwenhliziyo, noma isigqi senhliziyo.
• Ukuhlolwa kwetafula lokuthambekela elibi kusho ukuthi awuzange ubonise zimpawu zesimo sezokwelapha esibangela izinguquko ezingavamile ekucindezelweni kwegazi lakho, izinga lokushaya kwenhliziyo, noma isigqi senhliziyo.

Yiziphi izimo ezingabangela ukuhlolwa (okubonisa ukuthi unegciwane)?

Ezinye zezimo ezingabangela `(Positive) (Tilt Table Test)` yilezi:

• Ukushaya kwenhliziyo okuhamba kancane ngendlela engavamile (i-Bradycardia).
• Ukushaya kwenhliziyo okusheshayo ngendlela engavamile (i-Tachycardia).
• Amazinga kashukela aphansi egazini (i-Hypoglycemia).
• Umfutho wegazi ophansi (i-Hypotension).
• I-Postural Orthostatic Tachycardia Syndrome (i-POTS).

Ngizoyazi nini imiphumela yokuhlolwa?

Udokotela angase abukeze imiphumela bese exoxa nawe ngayo ezimweni ezilandelayo:

• Uma unezinguquko ezibalulekile ekucindezelweni kwegazi lakho, isigqi senhliziyo, noma izinga lokushaya kwenhliziyo.
• Uma ungena enkingeni.
• Uma izimpawu zakho ziqhubeka ngemva kokuhlolwa.

Uma udokotela elabhorethri engakhulumanga nawe ngemiphumela ngemva kokuhlolwa, shayela udokotela okuthumele kulolu vivinyo bese ubuza ngemiphumela. Ezimweni eziningi, imiphumela izotholakala zingakapheli izinsuku ezimbalwa, uma kungenjalo ngokushesha.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Kuye ngemiphumela yokuhlolwa kwe-Tilt Table, ungadinga ukuhlolwa okwengeziwe ukuze kutholakale imbangela eqondile ye-syncope yakho. Lokhu kuhlolwa kungafaka:

• Ukuhlolwa kwe-hemodynamic, okwenziwa nge-echocardiogram, ukuhlola ukuthi igazi lisatshalaliswa kanjani emzimbeni wakho wonke, ingcindezi emithanjeni yakho yegazi, nokuthi inhliziyo yakho ihambisa igazi kahle kangakanani emzimbeni wakho wonke.
• Ukuhlolwa kwe-autonomic reflex kuhlola uhlelo lwakho lwezinzwa oluzimele - uhlelo olulawula izenzo esingazilawuli, njengokuphefumula, ukushaya kwenhliziyo, kanye nokugaya ukudla.
• `(Ukuhlolwa komsebenzi we-Vestibular)` (ukuhlolwa okuhlobene nebhalansi).
• Ukuqapha izinga lokushaya kwenhliziyo.
• I-Echocardiogram (ukuhlolwa kwenhliziyo nge-ultrasound).

Kunini lapho udinga ukukhuluma nodokotela?

Udokotela okuthumele kulolu vivinyo uzochaza imiphumela yokuhlolwa kuwe futhi akhulume nawe ngohlelo lwakho lokwelashwa.

Kubaluleke kakhulu ukubuza udokotela wakho ngemithi yakho. Kungase kudingeke wenze izinguquko ezinhlotsheni noma emithanjeni yemithi oyithathayo. Landela uhlelo olusha lokwelashwa olunikezwa udokotela wakho ngqo.

Ukuhlaselwa uvalo kungakwenza wesabe ukuba wedwa noma ukuphuma. Odokotela bebelokhu besebenzisa lolu vivinyo lwe-"Tilt Table Test" amashumi eminyaka ukusiza abantu bathole ukuthi yini ebangela ukuhlaselwa kwabo uvalo. Uma sebeyazi imbangela, bangakha uhlelo lokwelapha oluzokusiza.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Kungaba yinto ephazamisayo futhi eyesabekayo ukuba nezimpethu zokuquleka njalo. Kodwa khumbula, imbangela yalokhu ingatholakala futhi yelashwe. "Ukuhlolwa Kwetafula Elithambekele" kuyisinyathelo esibalulekile ekusizeni ngalokhu.

Uma unezinye zalezi zimpawu, ungazinaki. Bona udokotela bese ukhuluma ngazo. Khona-ke ungathola usizo oludingayo. Uma uneminye imibuzo mayelana nalolu vivinyo, ungesabi ukubuza udokotela wakho. Ukunakekela impilo yakho kuyinto ebaluleke kakhulu!

Ukuquleka , ukulahlekelwa ukwazi, ukuhlolwa kwetafula lokutsheka, izinga lokushaya kwenhliziyo, umfutho wegazi, ukuxilongwa, i-syncope