Wake wambona umuntu ewa phansi ngokuzumayo emi? Noma wake wahambahamba wavele waba mnyama noma waba nomuzwa wokuba ndikindiki ezindlebeni zakho? Ngokuvamile lesi simo sisibiza ngokuthi " ukuquleka " noma "ukuquleka." Ngokwezokwelapha, sikubiza ngokuthi i-syncope. Nakuba abantu abaningi besaba lokhu, isikhathi esiningi akuyona into okufanele uyesabe. Kodwa-ke, ngezinye izikhathi kungaba uphawu lwesimo sezokwelapha. Ngakho-ke, ake sithole okwengeziwe ngakho namuhla.
Kalula nje, kuyini lokhu kuquleka?
Kalula nje, ukuquleka kuwukulahlekelwa ingqondo okuzumayo nokufushane okubangelwa ukwehla kwesikhashana kokunikezwa kwegazi ebuchosheni. Kuvamile kakhulu. Eqinisweni, yi-3% kuphela yeziguli eziza eMnyangweni Wezimo Eziphuthumayo (ETU) ezivezwa ukuquleka.
Ngezinye izikhathi sizizwa sengathi sizolahlekelwa ingqondo. Lokho kusho ukuthi amehlo ethu aba luhlaza okwesibhakabhaka futhi sizizwa sididekile, kodwa asilahlekelwa ingqondo. Lesi simo sisibiza ngokuthi "i-Presyncope". Uma silahlekelwa ingqondo, kuba "i-Syncope".
Esikhathini esiningi, umuntu oqulekayo ubuye aqonde ngokugcwele ngemizuzu embalwa. Kodwa-ke, lokhu kungaba yingozi kancane kubantu asebekhulile, njengoba kunethuba elikhulu lokulimala okukhulu, njengamathambo aphukile, uma bequleka futhi bewa.
Yiziphi izinhlobo eziyinhloko zokuquleka?
Ukuquleka kungahlukaniswa kakhulu ngezinhlobo ezimbili.
1. I-Vasovagal Syncope
Lolu uhlobo oluvame kakhulu. Luthinta abantu abangaphezu kwengxenye abaqulekayo. Luvame kakhulu ezinganeni nakubantu abasha. Lokhu kwenzeka lapho isimiso sethu sezinzwa sishukunyiswa, okubangela ukuba izinga lokushaya kwenhliziyo yethu lehle ngokuzumayo, umfutho wegazi wethu wehle, kanye nenani legazi eligeleza ebuchosheni lehle.
Cabanga ngalesi simo: Umi elangeni isikhathi eside ngesikhathi somhlangano wasekuseni esikoleni. Noma ubheke inalithi esikhungweni sokunikela ngegazi. Kungazelelwe, uzizwa ushisa, unesicanucanu, umbono wakho uyancipha kancane kancane, uba mnyama, futhi ulahlekelwa ingqondo. Yilokho esikubiza ngokuthi "i- vasovagal syncope ." Kungabangelwa nezinto ezifana nokwesaba okukhulu, ubuhlungu, nokucindezeleka ngokomzwelo.
2. I-Syncope Yenhliziyo
Lolu uhlobo oludinga ukunakwa okuthile. Lokhu kwenzeka lapho inhliziyo ingakwazi ukupompa igazi elanele ebuchosheni ngenxa yenkinga ethile. Lokhu kungabangelwa izinto ezifana nokushaya kwenhliziyo okungajwayelekile (i-arrhythmia), ukukhubazeka kwenhliziyo okuhlelekile, kanye nezinkinga ze-valve yenhliziyo. Lolu hlobo lokuquleka kufanele luhlolwe udokotela.
Yiziphi izimpawu ngaphambi kokuquleka?
Ngokuvamile, imizimba yethu isinika izimpawu ezithile ngaphambi kokuba siqale ukuquleka. Uma sizibona kusenesikhathi, singakuvimbela okuthile okufana nokuwa.
| Isici | Incazelo |
|---|---|
| Ukukhathazeka nobuthakathaka | Ukuzizwa ungakhululekile, ukhathazekile, futhi ungenampilo. |
| Isiyezi nokujuluka | Ngizizwa nginamahloni, futhi ngijuluka kakhulu. |
| Izinguquko zombono | Kukhona ubumnyama phambi kwamehlo, kubonakala sengathi ubona izinkanyezi, noma umbono wakho uyafiphala. |
| Isicanucanu nokuhlanza | Kuzwakala sengathi isisu sakho siyaphenduka, futhi ungase uhlanze ngisho. |
| Ubumhlophe bobuso | Ukugeleza kwegazi ebusweni kuyehla bese kuba mhlophe. |
| Ukuba ndikindiki | Ukuzwa ukuqaqamba emilenzeni noma ebusweni. |
Kungani sizizwa sididekile? Ziyini izimbangela?
Kunezimbangela eziningi ezahlukene zokuzizwa unesizungu. Ezinye zivamile, kanti ezinye zingase zibe umphumela wesimo sempilo.
Izimbangela ezivamile nezivamile
Esikhathini esiningi, ukuquleka kwenzeka ngenxa yezizathu ezingezona ezinkulu.
- Ukwesaba ngokweqile, ubuhlungu, noma ukucindezeleka ngokomzwelo
- Indlala kanye noshukela ophansi egazini (i-Hypoglycemia)
- Ukuntuleka kwamanzi emzimbeni (ukuphelelwa amanzi emzimbeni)
- Ukuma endaweni efanayo isikhathi eside
- Ukwehla kwengcindezi yegazi okubangelwa yi-orthostatic (ukwehla komfutho wegazi uma usukuma ngokuzumayo uhleli noma ulele phansi)
- I-anemia
- Ukusetshenziswa kotshwala noma izidakamizwa
- Ukukhathala ngokweqile
Izizathu zokunaka
- Isifo senhliziyo: Njengoba kushiwo ngaphambili, izimo ezifana nokungahambi kahle kwesigqi senhliziyo, ukukhubazeka kwe-valve yenhliziyo, kanye nokuhlaselwa yinhliziyo.
- Izifo Zesimiso Sezinzwa Esizimele: Izinkinga ngohlelo olulawula izinto esingakwazi ukuzilawula, njengokushaya kwenhliziyo nokuphefumula. Izifo ezifana ne-Diabetes Mellitus zingalimaza lolu hlelo.
- Imithi ethile: Eminye imithi yokucindezeleka kwegazi, ukucindezeleka, kanye nesifo sokuwa ingabangela isiyezi.
- Ezimweni ezikhethekile: Abanye abantu bangase babe nokuquleka lapho bekhwehlela ngokweqile (Cough Syncope) noma lapho bechama (Micturition Syncope).
Ingabe "ubumnyama" kanye "nokuquleka" kuyinto efanayo?
Abantu abaningi bayawadida la magama amabili, kodwa kunomehluko ocacile.
- Ukuquleka/Ukungakwazi ukuqonda: Ukulahlekelwa ukwazi. Okusho ukuthi, isikhathi esifushane sokulahlekelwa ukwazi okwenzekayo eduze kwakho ngenxa yokuncipha kokugeleza kwegazi kuya ebuchosheni.
- Ukuphelelwa yinkumbulo: Lokhu kuwukulahlekelwa yinkumbulo. Lapha, kukhona ukuqonda. Umuntu uyakhuluma futhi enze izinto, kodwa kamuva akakhumbuli ukuthi kwenzekeni phakathi naleso sikhathi. Imbangela enkulu yalokhu ukuphuza utshwala ngokweqile.
Ungakuvimbela kanjani ukuquleka?
Uma uzizwa uphelelwa amandla, okungukuthi, unesizungu, noma amehlo akho ephenduka aluhlaza okwesibhakabhaka, yenza lezi zinto ngokushesha.
- Uma kungenzeka , lala phansi ngokushesha imilenze yakho ingaphezulu kancane kwenhliziyo yakho . Lokhu kuzokwandisa ukugeleza kwegazi kuya ebuchosheni.
- Uma kungekho ndawo yokulala, hlala phansi ngokushesha ubeke ikhanda lakho phakathi kwamadolo akho.
- Phuza amanzi amaningi, ikakhulukazi uma uzivocavoca futhi kushisa.
- Ungami endaweni eyodwa isikhathi eside kakhulu. Hambahamba kancane, shukumisa imilenze yakho.
- Gwema izindawo ezinabantu abaningi, ezingenamoya ohlanzekile, nezishisayo.
Kunini lapho kufanele sibone khona udokotela mayelana nokuquleka?
Asikho isidingo sokwesaba uma uquleka kanye. Kodwa-ke, kufanele nakanjani ubone udokotela wakho uma:
- Uma uzwa isiyezi njalo.
- Uma uzizwa ubuthakathaka ngesikhathi uzivocavoca , lokhu kungaba uphawu lwesifo senhliziyo.
- Uma uzwa ubuhlungu esifubeni, ubunzima bokuphefumula, noma ukushaya kwenhliziyo okusheshayo/okungajwayelekile kanye nokuquleka.
- Uma kukhona emndenini onomlando wokufa kwenhliziyo ngokuzumayo.
- Uma uqulekile, wawa, washaya ikhanda lakho kanzima.
Esimweni esinjalo, shayela ngokushesha ku-1990 noma umyise esibhedlela esiseduze i-Emergency Treatment Unit (ETU):
- Uma umuntu oqulekile ethatha imizuzu engaphezu kwemibili ukuze aphinde aqonde.
- Uma usenekhanda elibuhlungu kakhulu, umbono ofiphele, noma ukudideka ngemva kokuthola ingqondo.
- Uma kwenzeka isimo esifana nokuquleka (ukuquleka) kanye nokuquleka.
Umlayezo Wokuya Nawe Ekhaya
- I-syncope iwukulahlekelwa ukwazi okwesikhashana okubangelwa ukwehla kwesikhashana kokunikezwa kwegazi ebuchosheni.
- I-Vasovagal syncope, uhlobo oluvame kakhulu, ngokuvamile alubi yingozi, kodwa i-cardiac syncope yinto okufanele uyiqaphele.
- Uma uzizwa uphelelwe amandla, ungakuvimbela ngokulala phansi ngokushesha futhi ugcine imilenze yakho iphakeme.
- Uma uzwa isiyezi njalo, uquleka ngesikhathi sokuzivocavoca, noma ezinye izimpawu ezifana nobuhlungu besifuba, ungachithi isikhathi bese ubona udokotela wakho.
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