Wake wazizwa unesizungu futhi uzizwa udidekile lapho usukuma ulele phansi? Noma wake walahlekelwa ingqondo ngokuzumayo wawela phansi ngaphandle kwesizathu esibonakalayo? Lokhu kuyinto eyesabekayo ngempela. Namuhla, sizokhuluma ngokuhlolwa okukhethekile odokotela bethu abakusebenzisayo ukuthola imbangela eqondile yalezi zinto.
Kuyini lokhu kuhlolwa kwetafula elithambekele?
Kalula nje, ukuhlolwa kwetafula lokuthambekela kuyindlela yokuqapha eduze, ukushaya kwenhliziyo ngenhliziyo, ukuthi umfutho wegazi lakho, ukushaya kwenhliziyo, kanye nesigqi senhliziyo kushintsha kanjani njengoba usuka kwenye indawo uye kwenye (ikakhulukazi uma usuka endaweni yokulala uye endaweni yokuma). Lokhu kuhilela ukukulalisa etafuleni elikhethekile bese ulitshekisa kancane kancane. Kodwa-ke, itafula lihlala libekwe ngendlela yokuthi ikhanda lakho liphakame.
Manje ungase ucabange ukuthi, "Kungani senza lokho?" Nokho, uma sima, sihlala, noma silele phansi, umfutho wegazi lethu kanye nokushaya kwenhliziyo kufanele kulawulwe ngokuzenzakalelayo ukuze kuhambisane nesimo esikuso. Kuyindlela emangalisayo emzimbeni wethu. Kodwa ngezinye izikhathi, ngenxa yezimo ezithile zezokwelapha, lokhu kulawula okuzenzakalelayo akusebenzi kahle. Yilapho uvuka khona ngokuzumayo bese umfutho wegazi wakho wehla, okwenza ube nesiyezi futhi ube nekhanda elibuhlungu.
Lokhu kulahlekelwa ukwazi ngokwezokwelapha kubizwa ngokuthi i-syncope . Kwenzeka lapho ukugeleza kwegazi ebuchosheni kuncipha okwesikhashana. Ngakho-ke, ukuhlolwa kwetafula lokuthambekela kuyindawo ephephile, ngaphansi kokuqondisa kukadokotela, lapho uphoqeleka khona ukuba uquleke bese uhlolwa ukuze kubonakale ukuthi kwenzekani emzimbeni wakho ngaleso sikhathi.
Ulungiselela kanjani lolu vivinyo?
Udokotela wakho uzokunikeza imiyalelo yokuthi ungalungiselela kanjani lokhu kuhlolwa ngosuku olwandulelayo. Ukulandela leyo miyalelo kubaluleke kakhulu ukuze ukuhlolwa kuphumelele.
Into ebaluleke kakhulu ukuletha umuntu ozokushayela ekhaya uma uyohlolwa, ngoba ngeke uvunyelwe ukushayela ngosuku olulandela ukuhlolwa.
Ukuze kube lula ukukhumbula, ake sibheke izinto okudingeka sizilungiselele kanje.
| Isigaba okufanele silungiselelwe | Incazelo nemiyalelo |
|---|---|
| Ukudla neziphuzo |
|
| Imithi oyithathayo | |
| Izingubo | |
| Izinto okufanele uzilethe esibhedlela |
Kwenzekani ngesikhathi sokuhlolwa?
Uma ungena egumbini lapho kwenziwa khona lokhu kuhlolwa, awuwedwa. Udokotela nabahlengikazi bazoba nawe. Ngakho-ke asikho isizathu sokwesaba.
Ukulungiselela ngaphambi kokuhlolwa
Okokuqala, bazokulalisa embhedeni okhethekile (itafula eligobile). Bese benza okulandelayo:
- Amabhande okuphepha: Ukuze ugweme ukuwa, amabhande amaningana athambile abekwa emzimbeni wakho ukuze akuvikele lapho ushintsha izikhundla embhedeni.
- Umugqa we-IV: Umugqa we-IV (ongena emthanjeni) ufakwa emthanjeni osengalweni yakho. Lo mugqa usetshenziselwa ukunikeza imithi nokuthatha amasampula egazi uma kudingeka.
- I-BP Cuff:Ama-cuff amabili omfutho wegazi axhunywe engalweni eyodwa kanye nomunwe owodwa. Lawa ahlala eqapha umfutho wegazi lakho.
- Ama-electrode e-EKG: Ama-electrode amaningana, abukeka njengezitikha ezincane, anamathele esifubeni sakho. Lawa axhunywe emshinini we-EKG (Electrocardiograph) oqapha njalo ukushaya kwenhliziyo yakho.
Ingxenye yokuqala yokuhlolwa
Uma konke sekulungile, uzocelwa ukuba ulale embhedeni cishe imizuzu eyi-15. Ngemva kwalokho, umbhede uzoqala ukuphakanyiswa kancane kancane.
- Okokuqala, imizuzu engu-2-3 kuma-degree angu-30.
- Okulandelayo, imizuzu engu-2-3 kuma-degree angu-45.
- Ekugcineni, yiphakamise ibe ngama-degrees angaba ngu-70 bese uyishiya kuleso simo imizuzu engaba ngu-45.
Kubaluleke kakhulu ukuthi uhlale uthule futhi unganyakazi ngangokunokwenzeka phakathi nalesi sikhathi. Unganyakazisi imilenze yakho. Ungakhulumi. Kodwa, noma yini oyizwayo - njengokungathi uyazungeza, njengokungathi usuzohlanza, njengokungathi isifuba sakho siyashaya - kufanele utshele udokotela noma umhlengikazi lapho.
Ingxenye yesibili yokuhlolwa
Uma umfutho wegazi wakho ungehli futhi ungazizwa unesizungu phakathi nengxenye yokuqala, udokotela wakho angase anqume ukuqhubekela engxenyeni yesibili. Lokhu kuhilela ukukunikeza umuthi owenza inhliziyo yakho ishaye ngokushesha. Lokhu kunganikezwa nge-IV, njengephilisi, noma njengesifutho emlonyeni wakho.
Ngemva kokunikezwa umuthi, umbhede uphinde uphakanyiswe ube ngama-degrees angaba ngu-60 bese uhlala lapho cishe imizuzu eyi-15. Lokhu kwenzelwa ukubona ukuthi umzimba wakho usabela kanjani emiphumeleni yalo muthi. Uma uzizwa ungaphilile kahle kuleli qophelo, ukuhlolwa kuzophelela lapho.
Kwenzekani ngemva kokuhlolwa?
Uma ukuhlolwa sekuqediwe, umbhede uzobuyiselwa esimweni sokulala ngokuphelele. Uzocelwa ukuba uhlale kulesi simo cishe imizuzu emi-5-10. Lokhu kuzoqashwa kuze kube yilapho umfutho wegazi lakho kanye nokushaya kwenhliziyo kubuyela esimweni esijwayelekile.
Esikhathini esiningi, uma konke sekujwayelekile, i-IV izokhishwa bese uvunyelwa ukuya ekhaya. Khumbula, kuzodingeka ukuthi omunye umuntu akushayele imoto uye ekhaya . Ngeke ukwazi ukushayela ngalolo suku.
Ungadla ngendlela evamile ngemva kokubuyela ekhaya. Uma uthola noma yiziphi izimpawu ezintsha noma uma izimpawu zakho zangaphambilini ziqhubeka, yazisa udokotela wakho.
Imiphumela yokuhlolwa nezinyathelo ezilandelayo
Udokotela wakho uzonquma ukuthi yini okufanele ayenze ngokulandelayo ngokusekelwe emiphumeleni yokuhlolwa.
- Umphumela omuhle (+ve): Lokhu kusho ukuthi ngesikhathi sokuhlolwa, kube noshintsho olungavamile ekucindezelweni kwegazi noma ekushayweni kwenhliziyo yakho, okukubangele ukuba uzizwe unesizungu. Lokhu kusho ukuthi ukuhlolwa kuthole isimo esingase sibangele isizungu sakho. Isibonelo, izinga lokushaya kwenhliziyo elihamba kancane ngendlela engavamile (bradycardia) , elishesha ngendlela engavamile (tachycardia) , noma isimo esifana ne -Postural Orthostatic Tachycardia Syndrome (POTS) .
- Umphumela ongemuhle (-ve): Lokhu kusho ukuthi awuzange ubhekane nanoma yiziphi izimpawu ngesikhathi sokuhlolwa, futhi akukho shintsho oluphawulekayo ekucindezelweni kwegazi lakho noma ekushayweni kwenhliziyo. Lokhu kusho ukuthi ukuhlolwa akukwazanga ukuthola imbangela yezimpawu zakho.
Kungakhathaliseki ukuthi umphumela uba yini, udokotela wakho uzochaza. Uma umphumela ungemuhle, ungathunyelwa ukuze uyohlolwa okwengeziwe (njenge- echocardiogram ) ukuze kutholakale imbangela.
Nakuba ukuchama njalo kuyinto okufanele ikhathazeke ngayo, ingelashwa uma imbangela isitholakele. Lokhu kuhlolwa kwetafula lokuthambekela kuyisinyathelo esibalulekile ohambweni lokuthola leyo mbangela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa Kwethebula Elithambekile kuyindlela ebaluleke kakhulu futhi ephephile yokuthola imbangela yesiyezi esingachazeki.
- Landela imiyalelo kadokotela (mayelana nokudla, iziphuzo, kanye nemithi) ngokucophelela ngaphambi kwalolu vivinyo.
- Kubaluleke kakhulu ukutshela abasebenzi bezokwelapha nganoma yini oyizwayo ngesikhathi sokuhlolwa (njengesiyezi, isicanucanu).
- Ngemva kokuhlolwa, qiniseka ukuthi othile uyakusiza ukuthi ufike ekhaya. Gwema ukushayela imoto ngokuphelele ngalolo suku.
- Khuluma nodokotela wakho ngemiphumela bese ulandela uhlelo lokwelashwa akunikeza lona ngqo.
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