Kufana nokuthakatha, kodwa awulahlekelwa ingqondo? Ake sixoxe nge-(Presyncope)!

Cishe lokhu kuke kwenzeka kuwe ngesinye isikhathi. Uma umi, mhlawumbe eqenjini labantu, noma uma usukuma ngokuzumayo , uzizwa udidekile, umbono wakho uba mnyama, futhi umhlaba wonke uyajikeleza. Ucabanga ukuthi, "O, ngizoquleka." Kodwa ngokumangazayo, awulahlekelwa ingqondo, usinda ngokulambisa. Yilokho ochwepheshe bezokwelapha abakubiza ngokuthi "i-presyncope" (ebizwa ngokuthi i-pre-sin-ka-pee). Abanye odokotela bakubiza nangokuthi "eduze kwe-syncope." "i-syncope" yilapho ulahlekelwa ingqondo khona bese uwe.

Iyini ngempela i-`Presyncope`?

Kalula nje, `(Presyncope)` yilapho uzizwa sengathi uzoquleka, kodwa awusakwazi nhlobo ukuqaphela ngaphandle kokulahlekelwa ingqondo. Lokhu kungahlala kusukela kumasekhondi ambalwa kuya emizuzwini embalwa. Kwabaningi abantu, lokhu akuyona inkinga enkulu. Kodwa-ke, kubantu abambalwa kakhulu, okwenzekayo ngokulandelayo kungaba kubi kakhulu. Kwabanye abantu, `(Presyncope)` empeleni kungabangela ukuquleka nokuwa, okungaholela ekulimaleni. Kwabanye, `(Presyncope)` ingabangelwa yinto engathi sína kakhulu, njengesimo senhliziyo.

Ziyini izimpawu zalokhu?

Uma une-presyncope, ungase ubhekane nenye noma ngaphezulu yalezi zimpawu:

• Ukuba nekhanda elithambile: Kungase kuzwakale sengathi akukho lutho ngaphakathi ekhanda lakho, njengokungathi uyantanta .
• Ubuthakathaka: Ungase uzizwe sengathi uphelelwa amandla ngokuzumayo.
• Ukujuluka: Ungase ujuluke ngokuzumayo.
• Isisu esibuhlungu: Ungase uzizwe sengathi usuzohlanza.
• Ukushaya kwenhliziyo: Ungase uzizwe isifuba sakho sishaya ngamandla, noma izinga lokushaya kwenhliziyo yakho lingashintsha.
• Ubuhlungu esiswini/esiswini sakho: Abanye abantu bangase babe nobuhlungu esiswini esingezansi.
• Ukubona okufiphele noma ukubona amabala amnyama: Njengalapho i-TV ilahlekelwa isignali yayo, ungase ubone imigqa, amachashazi, noma izinto phambi kwamehlo akho ezifiphele.

Kungani lokhu kwenzeka? Izimbangela ze-'Presyncope'

Isizathu esiyinhloko ukuthi inani legazi elifika ebuchosheni bakho liyancipha ngokuzumayo. Cabanga nje, uma ukugeleza kwegazi ebuchosheni bakho kuma cishe imizuzwana eyisithupha kuya kweyisishiyagalombili, ungalahlekelwa ingqondo. Ku-"Presyncope"`, ukugeleza kwegazi kuncishisiwe kancane, kodwa akumi ngokuphelele.

Kunezimbangela eziningana ze-presyncope:

Izimbangela ezivamile nezingembi kangako zifaka:

• Isenzakalo esibangela ubuhlungu obukhulu, ukwesaba, ukukhathazeka, noma ukucindezeleka: Isibonelo, ukubona igazi, ukuthola umjovo, noma ukubona ingozi.
• Ukwehla kwe-Orthostatic Hypotension:Yilokhu okwenzeka kubantu abaningi. Uma usukuma ngokuzumayo uhleli, noma uma uvuka ulele, umfutho wegazi wakho wehla ngokuzumayo bese uzizwa unesiyezi. Lokhu kungenzeka nalapho uphelelwe amanzi emzimbeni.
• I-Vasovagal syncope: Lokhu kuvamile futhi. Kungavela ngesikhathi sokuma isikhathi eside, esimweni sezulu esishisayo, noma uma ubamba umoya wakho (isibonelo, uma ukhwehlela noma uzama ukuzikhulula ukuze ukhulule).

Izizathu zokuqaphela kancane:

• Imithi ethile: Imithi yokucindezeleka kwegazi okuphezulu kanye nezinye izifo zenhliziyo nayo ingabangela lokhu.
• I-Pulmonary embolism: Ukuqhekeka kwegazi emaphashini.
• Umfutho wegazi ophezulu wamaphaphu: Umfutho wegazi ophakeme emaphashini.
• I-Sepsis: Isimo esibi esibangelwa ukutheleleka emzimbeni.
• Ukuqhekeka kwe-aorta: Ukudabuka kolwelwesi lomthambo omkhulu wegazi (i-aorta).
• Isifo sama-valve enhliziyo: Ama-valve enhliziyo awasebenzi kahle.
• I-hypertrophic cardiomyopathy: Ukuqina okungavamile kwemisipha yenhliziyo.
• I-myocardial ischemia: Inhliziyo ayitholi igazi elanele.
• Isifo senhliziyo.
• Isifo semithambo ye-carotid: Ukuvaleka kwemithambo emikhulu entanyeni ethwala igazi liye ebuchosheni.
• I-tamponade yenhliziyo: Ukuqongelela koketshezi esikhwameni esizungeze inhliziyo, okucindezela inhliziyo.
• Ukuphazamiseka kwesigqi senhliziyo (`Arrhythmia`).
• I-anemia: Isibonelo, ukopha esiswini noma emathunjini (ukopha esiswini) kungabangela ukulahlekelwa igazi.
• `I-Postural orthostatic tachycardia syndrome (i-POTS):` Isimo lapho izinga lokushaya kwenhliziyo likhuphuka ngendlela engavamile lapho umile.

Okubalulekile: Ungesabi uma ubona lezi zimbangela. Esikhathini esiningi, i-"Presyncope" ibangelwa izinto ezilula. Kodwa-ke, uma kwenzeka njalo, noma uma kuza nezinye izimpawu, kungcono ukubona udokotela.

Ubani osengozini enkulu yokuba ne-'presyncope'?

Nakuba lesi simo singakhula kunoma ubani, abanye abantu basengozini enkulu:

• Kulabo abanomfutho wegazi ophakeme.
• Kulabo abanesifo sikashukela.
• Kulabo abasebenzisa imikhiqizo kagwayi (njengogwayi, ama-beedis).
• Kulabo asebevele benayo i-"Presyncope".
• Lesi simo sibikwa kaningi kancane kwabesifazane kunakwabesilisa.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, uzoqala akubuze ngomlando wakho wezokwelapha.Uzobuza ngemithi oyiphuzayo . Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba . Udokotela angase akubuze imibuzo efana nale:

• "Wawenzani lapho uqala ukuzwa lezi zimpawu?"
• "Ingabe lokhu kwake kwenzeka ngaphambili?"
• "Ubuwenzani ngaphambi kokuba uqale ukuzizwa kanje?"
• "Ingabe ukhona emndenini onesifo esingamahlalakhona noma isifo senhliziyo?"

Kuyini ukuhlolwa kwesidumbu?

Ukuhlolwa okulandelayo kungasiza ekutholeni imbangela:

• I-Electrocardiogram (ECG/EKG): Ukuhlolwa okubheka ukusebenza kukagesi kwenhliziyo.
• Isiqaphi sesigqi senhliziyo: Idivayisi egqokwa usuku olulodwa noma ezimbili, njenge-monitor ye-Holter, noma isonto elilodwa noma amabili, njenge-Zio® patch, iqapha isigqi senhliziyo.
• `Isivivinyo sokucindezeleka kokuzivocavoca`: `I-ECG` ithathwa ngenkathi uzivocavoca.
• Ukuhlolwa kwegazi: Hlola izinto ezifana namazinga kashukela egazini (i-glucose) kanye ne-anemia.
• Ukuhlolwa kwetafula elitshekile: Kulokhu kuhlolwa, wenziwa ulale embhedeni okhethekile, bese umbhede ulungiswa ukuze uvuke ngokuzumayo, futhi izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kuqashwe.
• I-'CT scan' (i-computed tomography) yobuchopho.
• I-Echocardiogram: Ukuhlolwa kwenhliziyo nge-ultrasound.

Yiziphi izindlela zokwelapha i-'Presyncope'?

Ukwelashwa kuncike embangela ye-presyncope.

Izinto ongazenza wena (njengasesikhathini esizayo):

• Lala phansi noma uhlale phansi ngokushesha. Uma kungenzeka, gcina imilenze yakho iphakeme kancane.
• Qinisa izingalo zakho, imilenze, noma imisipha yesisu. Isibonelo, hlanganisa imilenze yakho noma uqinise izibhakela zakho. Lokhu kubizwa ngokuthi izindlela zokucindezela. Lokhu kungakhuphula kancane ukugeleza kwegazi kuya ebuchosheni.

Ukwelashwa kwezokwelapha:

• Ukunikeza usawoti (uketshezi lwe-IV): Uma umzimba uphelelwe amanzi emzimbeni, usawoti one-sodium unganikezwa.
• Imithi: Kuye ngokuthi imbangela ikuphi, ama-antibiotic anganikezwa ukutheleleka, kanti ama-blood thinner anganikezwa ukuvimbela ukuqhekeka kwegazi.
• Ezinye izindlela zokuhlinzwa noma izinqubo: Izinto ezifana nokususa ihlule legazi noma ukufaka ivalvu yenhliziyo esikhundleni salo.
• Ukufakelwa kwe-pacemaker noma ukwelashwa okubizwa ngokuthi i-Ablation: Ukulungisa ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia).

Hlobo luni lwekusasa umuntu one-presyncope angalulindela?

Uma usubone udokotela, ungase ungeniswe esibhedlela, noma ungase welashwe futhi uthunyelwe ekhaya. Ngemva kwalokho, kufanele ubonane nodokotela wakho wokunakekelwa okuyinhloko (PCP) ukuze alandelele.

Uma udokotela ethola inkinga enkulu, kungadingeka ubonane nodokotela wenhliziyo noma omunye uchwepheshe. Ubukhali be-presyncope yakho buzoncika esibangweni.

Ucwaningo olulodwa luthole ukuthi uma umuntu one-presyncope enanoma yiziphi zalezi zimpawu, kungaba uphawu lwesimo esibucayi:

• Ukwehluleka kwenhliziyo.
• Ukuphelelwa umoya.
• Uma inani eliphezulu 'lokucindezelwa' (umfutho wegazi we-Systolic) lingaphansi kuka-90 mmHg. (Lokhu kuphansi kunenani elijwayelekile).
• Ukungahambi kahle ekuhlolweni kwe-'ECG'.
• Uma umphumela we-`Hematocrit test` ungaphansi kuka-30%, kusho ukuthi iphesenti lamaseli abomvu egazini lakho liphansi, okusho ukuthi une-anemia.

Ingabe i-presyncope ingavinjelwa?

Yebo, uma wazi ukuthi yini ebangela lokhu, ungasiza ekuvimbeleni `(i-Presyncope)`. Unganciphisa ingozi yakho ngokwenza lezi zinto:

• Phuza amanzi amaningi ngaphambi kokunikela ngegazi noma ukuthola umjovo. Hlala phansi ngenkathi uthola umjovo.
• Gwema izinto ezikwenza ukhathazeke (isib. ukubuka ama-movie asabekayo) ngangokunokwenzeka.
• Ungavuki ngesikhathi esisodwa, vuka kancane.
• Ungadli kakhulu ngesikhathi esisodwa, yidla ukudla okuncane.
• Uma kukhona isimo sezokwelapha esibangela i-presyncope, thola ukwelashwa ngendlela efanele.

Kufanele ngizinakekele kanjani?

Uma wazi ukuthi yini ebangela ukuba ube ne-presyncope, yenza konke ongakwenza ukuze uyivimbele. Isibonelo, uma wazi ukuthi uvame ukuba nayo ezindaweni ezishisayo nezigcwele abantu, hlela kusengaphambili lapho uya kulezo zindawo. Letha ifeni encane, hlala eduze kwefasitela, noma uphume isikhashana ukuze uthole umoya omusha.

Noma nini lapho uzizwa sengathi uzoquleka, zama ukuhlala phansi noma ukulala phansi. Bamba izandla zakho ndawonye, ​​​​uhlanganise imilenze yakho.

Kufanele ngimbone nini udokotela?

Uma une-presyncope , kufanele ubone udokotela ukuze akulandelele. Ezimweni eziningi, udokotela wakho uzokwazi ukuthola imbangela noma akuthumele kothile ongakusiza. Uma ulahlekelwa ingqondo ngempela (uquleka), kuyisimo esiphuthumayo. Umuntu ohamba nawe kufanele ashayele i-ambulensi ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungabuza udokotela wakho imibuzo efana nale:

• "Yini eyabangela ukuthi ngibe nale `(Presyncope)`?"
• "Uma lokhu kubangelwa yisimo sezokwelapha, kufanele ngifune ukwelashwa kwaso?"
• "Ingelashwa ngokushesha kangakanani?"
• "Ingabe abanye abantu emndenini wami basengozini yokuthola i-`(Presyncope)'?"

I-Presyncope, kungakhathaliseki ukuthi kungokokuqala noma kuyenzeka njalo, ingaba yinto eyesabekayo nengakhululekile. Ungase ucabange, "Ingabe ngizowa? Ingabe ngizolimala?" Noma ungase uzizwe unamahloni lapho wonke umuntu ebuza, "Uphilile?" Kodwa into ebaluleke kakhulu ukuthola imbangela nokuthola ukwelashwa okudingayo. Ngemuva kwalokho ungalawula isimo.

Ekugcineni, khumbula lokhu.

``(Presyncope)`` yilapho uzizwa sengathi uyaquleka, kodwa awulahlekelwa ingqondo. Isikhathi esiningi, lokhu kungenxa yezizathu ezilula, kodwa ngezinye izikhathi kungabangelwa yinto engathí sina, njengesimo senhliziyo.

Ngakho-ke, uma uke waba nalokhu, ikakhulukazi uma kwenzeka njalo, noma uma kuhambisana nezinye izimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya, njll., sicela ufune iseluleko sezokwelapha. Ungesabi, ungesabi. Ngokuthola ukuxilongwa okufanele kanye nokwelashwa, ungaphila kahle. Impilo yakho isezandleni zakho!

I- Presyncope, ukuquleka, ukulahlekelwa ukwazi, isiyezi, i-vertigo, ukuntuleka kwegazi ebuchosheni, isifo senhliziyo