Wake waba semgqeni noma elangeni kwathi kungazelelwe amehlo akho aba luhlaza okwesibhakabhaka, izindlebe zakho zaqhuma, wangabe usabona lutho olukuzungezile? Kungenzeka ukuthi uze wawa. Ngokuvamile lokhu sikubiza ngokuthi 'ukuquleka'. Kwezokwelapha, lesi simo sibizwa ngokuthi i-syncope. Nakuba kwenzeka kubantu abaningi, kubalulekile ukwazi ukuthi kungani lokhu kwenzeka, ukuthi kuyinto okufanele ikhathazeke ngayo, nokuthi kufanele ubonane nini nodokotela.
Kalula nje, kuyini ukuquleka?
Ukuquleka, noma "i-Syncope" (i-syncope), ukulahlekelwa ukwazi okuphuthumayo nokulahlekelwa ukulawula umzimba ngenxa yokuncipha kwesikhashana kokunikezwa kwegazi ebuchosheni. Ngokuvamile, ngaphambi kokuba lokhu kwenzeke, ungase uzizwe unesiyezi noma unesizungu. Lokhu sikubiza ngokuthi "i-Presyncope".
Lokhu kuvame kakhulu. Iziguli ezingu-3% kuphela ezifika emnyangweni wezimo eziphuthumayo (ED) zilaliswa esibhedlela ngenxa yalesi sizathu. Ngezinye izikhathi kungenzeka kumuntu ophilile ongenazo izinkinga zempilo. Kodwa-ke, uma umuntu osekhulile equleka, kungenzeka ukuthi ahlupheke kakhulu ngokuwa. Ingxenye engcono kakhulu ukuthi isikhathi esiningi, umuntu oqulekayo ubuye aqonde ngokugcwele ngemva kwemizuzu embalwa.
Izimbangela eziyinhloko nezinhlobo zokuquleka
Kungaba nezizathu eziningi zokuquleka. Ezinye zilula kakhulu, kodwa ezinye zimbi kakhulu futhi zidinga ukunakwa. Ake sibheke izinhlobo ezimbili eziyinhloko.
1. I-Vasovagal Syncope
Lolu uhlobo oluvame kakhulu . Abantu abangaphezu kwengxenye yabo bonke abaqulekayo banalolu hlobo. Luvame kakhulu ezinganeni nakubantu abasha. Lubangelwa impendulo ephuthumayo ohlelweni lwethu lwezinzwa.
Cabanga ngalokhu. Uhambe wayonikela ngegazi, futhi uma ubona inaliti, noma uma uzwa ubuhlungu obukhulu, noma uma ungaphansi kokushaqeka okukhulu ngokomzwelo, isimiso sethu sezinzwa sinciphisa ngokushesha ukushaya kwenhliziyo futhi sehlise umfutho wegazi. Ngemuva kwalokho, inani legazi eliya ebuchosheni alanele, bese kuba nokuquleka. Lokhu kubizwa ngokuthi 'i-Vasovagal Syncope' noma 'i-Neurally Mediated Syncope'.
2. I-Syncope Yenhliziyo
Lolu uhlobo okufanele sikhathazeke kakhulu ngalo . Lokhu kwenzeka lapho inhliziyo ingakwazi ukupompa igazi elanele ebuchosheni ngenxa yenkinga.
- Ukushaya kwenhliziyo okungajwayelekile (isilinganiso senhliziyo esisheshayo kakhulu noma esihamba kancane kakhulu)
- Ukukhubazeka kwesakhiwo senhliziyo, njengokuncipha kwama-valve enhliziyo
- I-Pulmonary Embolism
Lolu hlobo lokuquleka lungenzeka ngezizathu ezinjengokuthi: Lokhu ngokuvamile kuyisimo esibucayi, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.
Yiziphi izimpawu umzimba wakho ozinikezayo ngaphambi kokuba ukhulelwe?
Ngokuvamile, ngaphambi kokuba ulahlekelwe ingqondo ngokuzumayo, umzimba wakho uzokunikeza 'izici' ezincane. Uma uziqaphela lezi, ungase ukwazi ukuhlala noma ukulala phansi ngokuphephile, ugweme ukuwa.
Uma uzizwa sengathi uzophelelwa amandla, hlala phansi ngokushesha okukhulu, hlala esihlalweni ikhanda lakho liphakathi kwamadolo akho, noma ulale phansi imilenze yakho iphakanyisiwe kancane.
Nazi ezinye izici ezivamile:
- Ukujuluka njengomkhuhlane
- Ukuzizwa unesizungu, unesiyezi, futhi unamehlo aluhlaza okwesibhakabhaka
- Ubunzima bokuphefumula
- Ukushintsha kombono (ukuba mnyama eduze kwamehlo, ukubona amachashazi)
- Isicanucanu nokuhlanza
- Ubumhlophe bobuso
- Isikhumba sizizwa sibanda futhi simanzi
- Ukuba ndikindiki emilenzeni
- Ukuzizwa ungakhululekile, wesaba
| Ezinye izimbangela ezivamile zokuquleka | Incazelo elula |
|---|---|
| Ukuma ngokuzumayo | Lokhu kubizwa ngokuthi "i-Orthostatic Hypotension". Kwenzeka lapho umfutho wegazi ungalawulwa kahle lapho kushintsha izikhundla ngokuzumayo. Kuvamile kubantu asebekhulile nalabo abaphuza imithi ethile. |
| Ukuphelelwa amanzi emzimbeni kanye nendlala | Uma umzimba uphelelwe amanzi emzimbeni futhi amazinga kashukela egazini ehla (hypoglycemia), ukuphakelwa kwegazi ebuchosheni kungancipha, okubangela ukuquleka. |
| I-anemia | Ngenxa yokuntuleka kwegazi emzimbeni, ikhono legazi lokuthwala umoya-mpilo liyancishiswa. Lokhu kungabangela nokuthi ubuchopho bungatholi umoya-mpilo owanele, okubangela ukuquleka. |
| Eminye imithi | Eminye imithi yokwelapha umfutho wegazi ophakeme, ukucindezeleka, kanye nesifo sokuwa ingandisa ingozi yokuquleka. |
| Ukukhulelwa | Ukuquleka kuvamile ngesikhathi sokukhulelwa ngenxa yezinguquko zamahomoni kanye nezinguquko zomfutho wegazi. |
Ingabe 'ukuphelelwa yithemba' kanye 'nokuquleka' kuhlukile?
Yebo, lokhu kuyinto abantu abaningi abayididayo. Lezi yizimo ezimbili ezihluke ngokuphelele.
- Ukuquleka: Lokhu kubhekisela ekulahlekelweni ukuqonda . Awunalwazi ngokwenzekayo eduze kwakho, bese uwela phansi.
- Ukuphela Kwesikhathi: Lokhu kuwukulahlekelwa yinkumbulo . Usuke uqaphile phakathi nalesi sikhathi. Ukhuluma, usebenza, futhi uhamba. Kodwa uma ubheka emuva kamuva, awukhumbuli lutho olwenzekile phakathi naleso sikhathi.
Imbangela eyinhloko yokucinywa kotshwala ukuphuza utshwala ngokweqile. Futhi, ukulimala ekhanda (ukuxhuzula) kanye nesifo sokuwa (isithuthwane) nakho kungabangela lolu hlobo lokulahlekelwa yinkumbulo.
Kufanele ubonane nodokotela ngokushesha nini?
Ngokuvamile, ukuquleka kanye noma kabili akuyona inkinga enkulu. Kodwa-ke, uma uquleka njalo , kungaba uphawu lwesimo esithile sezempilo esiyimfihlo. Ngakho-ke, kubalulekile ukubona udokotela wakho ukuze uthole imbangela.
Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha, ikakhulukazi ezimweni ezilandelayo:
| Izimo lapho udinga ukuya esibhedlela (ETU) ngokushesha! | |
|---|---|
| Ukuquleka ngesikhathi sokuzivocavoca: | Lokhu akuvamile futhi kungaba uphawu lwenkinga yenhliziyo. |
| Ubuhlungu besifuba noma ukushaya kwenhliziyo: | Uma uzwa ubuhlungu esifubeni, ukuqina, noma inhliziyo eshaya ngamandla ngaphambi, ngesikhathi, noma ngemva kokuquleka. |
| Kuthatha isikhathi eside ukuthola ingqondo ephilile: | Uma uqulekile isikhathi esingaphezu kwemizuzu embalwa. |
| Ezinye izimpawu: | Uma unekhanda elibuhlungu kakhulu, umbono ofiphele, ubunzima bokukhuluma, noma ukudideka ngisho nangemva kokuthola ingqondo. |
| Ukulimala ekhanda ngenxa yokuwa: | Uma uqulekile wawa washaya ikhanda lakho kanzima, kufanele nakanjani uthole ukuhlolwa kwezokwelapha. |
Okubalulekile: Uma udinga ukukhuluma ngenkinga ebangelwa utshwala noma esinye isidakamizwa, ungashayela iNational Poisons Information Centre eNational Hospital yaseSri Lanka. Ungathola nosizo ezinsizeni ezifana neNational Institute of Mental Health (NIMH) hotline 1926 ngezinkinga ezibangelwa ukusetshenziswa kotshwala kanye nokusekelwa kwempilo yengqondo.
Umlayezo Wokuya Nawe Ekhaya
- I-syncope ukulahlekelwa ukwazi okwesikhashana okubangelwa ukwehla kwesikhashana kokugeleza kwegazi ebuchosheni.
- Iningi leziphepho zokuquleka (ikakhulukazi uhlobo 'lwe-vasovagal') azibi kakhulu, kodwa ezinye zingaba uphawu lwesimo esibi kakhulu, njengesifo senhliziyo.
- Uma nje uzizwa uphelelwe amandla, lala phansi imilenze yakho iphakanyisiwe kancane. Ngaphandle kwalokho, hlala phansi wehlise ikhanda lakho phakathi kwamadolo akho.
- Uma ukuquleka kwenzeka njalo, kwenzeka ngesikhathi sokuzivocavoca, noma kuhambisana nezimpawu ezifana nobuhlungu besifuba kanye nokuphelelwa umoya, qiniseka ukuthi ubona udokotela wakho.
- Ungalokothi ukuthathe kancane ukuquleka, ikakhulukazi kwasebekhulile, njengoba ukuwa kungabangela ukulimala okukhulu.
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