Wake wambona umuntu equleka futhi ewa ngemuva kokuthola umjovo noma ukudonswa igazi? Cishe nawe uke wabhekana nakho. Nakuba lokhu kuyinto eyethusa abantu abaningi, empeleni akuyona into okufanele uyesabe. Namuhla sikhuluma ngalolu hlobo oluvame kakhulu lokuquleka, olwaziwa ngokwezokwelapha ngokuthi i-Vasovagal Syncope.
Kuyini i-Vasovagal Syncope?
Kalula nje, i-Vasovagal Syncope iwukulahlekelwa yingqondo ngokuzumayo ngenxa yokusabela ohlelweni lwethu lwezinzwa, okubangela ukwehla kwengcindezi yegazi kanye nokushaya kwenhliziyo ngokuzumayo. Lokhu kulahlekelwa yingqondo kuvame ukuhlala isikhathi esingaphansi komzuzu.
Lokhu kuyinto eyenzeka ngokuzenzakalelayo, ngaphandle kokulawulwa yithi. Umzimba wethu unesimiso sezinzwa esizimele. Lolu hlelo lunenzwa ebaluleke kakhulu ebizwa ngokuthi 'i-Vagus'. Lo mthambo udlala indima enkulu ekulawuleni izinga lokushaya kwenhliziyo kanye nomfutho wegazi. Uma, ngesizathu esithile, lo mthambo we-vagus ushukunyiswa ngokweqile, ngokuzumayo wehlisa izinga lokushaya kwenhliziyo kanye nomfutho wegazi.
Uma ingcindezi yehla ngokuzumayo kanje, ukugeleza kwegazi ebuchosheni kwehla okwesikhashana. Yilapho-ke siphelelwa amandla futhi silahlekelwe ukwazi.
Nakuba kungenzeka kunoma ubani wanoma yimuphi ubudala, iningi leziphepho zokuquleka kubikwa ukuthi libangelwa yilesi simo, esaziwa ngokuthi i-Vasovagal Syncope, kubantu abangaphansi kweminyaka engu-40. Nakuba kungase kubonakale kusabeka ekuqaleni, ngokuvamile akuyona inkinga eyingozi.
Yiziphi izimpawu ngaphambi kokunqamuka kokuya esikhathini?
Ngokuvamile, uzoqala ukuzwa izimpawu zokuxwayisa kusenesikhathi cishe imizuzwana engama-30-60 ngaphambi kokuba kube nokuxhuzula. Uma uziqaphela lezi zimpawu, ungakuvimbela ukuxhuzula ukuthi kungabangeli ingozi.
| Uphawu lwangaphambilini | Kalula nje... |
|---|---|
| Ukuzizwa ukhathele ngokuzumayo (Ukukhathala) | Kungazelelwe, ngaphandle kwesizathu, umzimba wakho uqala ukuzizwa ungaphili futhi ukhathele. |
| Ukuzizwa ushisa | Kungazelelwe, ngizwa ukushisa kuvela ngaphakathi emzimbeni wami. |
| Ubumpumputhe /Isiyezi | Kuzwakala sengathi ikhanda lami liyazungeza, nezinto ezingizungezile ziyazungeza. |
| Ubuso obuphaphathekile (Ubuso obuphaphathekile) | Ubuso bulahlekelwa yigazi futhi buphaphathekile. |
| Isicanucanu | Ngizizwa sengathi ngiyahlanza. |
| Ukujuluka okukhulu | Kungazelelwe, ngiqala ukujuluka okubandayo. |
| Umbono womhubhe | Kufana nokubheka ngaphakathi kwepayipi, ungabona kancane kancane okuzungezile bese ubona phakathi nendawo kuphela. |
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela lokhu?
Kukhona imbangela ethile yalesi simo. Okusho ukuthi, ukusabela ohlelweni lwezinzwa kubangelwa ukubona noma ukuzwa isenzakalo esithile. Izimbangela ezivame kakhulu yilezi:
- Ukubona izinaliti noma imishini yezokwelapha: Lokhu kungenzeka kwabanye abantu lapho bekhishwa igazi, bethola umjovo, noma bebona imishini esetshenziswa ekuhlinzeni.
- Ukubona igazi: Ukubona igazi lakho noma elomunye umuntu nakho kuyimbangela enkulu yalokhu.
- Ukucindezeleka okukhulu noma imizwa: Lesi simo singabangelwa umuzwa osheshayo, ojulile wokwesaba, ukushaqeka, ukudabuka, noma ubuhlungu .
- Ukukhathala okukhulu noma ukuphelelwa ngamanzi emzimbeni: Ukuma endaweni efanayo isikhathi eside, ukuzikhandla ngokweqile, kanye nokuphelelwa ngamanzi emzimbeni nakho kungabangela ukukhathala.
- Ukuba sendaweni eshisayo negcwele abantu: Lesi simo singavela nalapho usendaweni egcwele abantu, engenamoya omuhle.
Udokotela uhlonza kanjani lokhu?
Uma unesithuthwane esinjengalesi, kungcono ukubona udokotela. Uzokubuza ngalesi sigameko. Okusho ukuthi, kwenzekeni ngaphambi kwesithuthwane, ukuthi uzizwe kanjani, njll. Ngaphezu kwalokho, kungase kube nokuhlolwa okuthile ukuze kutholakale imbangela.
- Ukuhlolwa kwegazi: Hlola ezinye izimo zezokwelapha, njenge-anemia yokuntuleka kwensimbi.
- I-ECG (i-Electrocardiogram): Lokhu kusiza ukuthola noma yimaphi amaphethini noma izinguquko ezingavamile esigqini senhliziyo.
- I-Echocardiogram: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka isakhiwo senhliziyo bese kunquma ukuthi kukhona yini ukukhubazeka.
- I-EEG (i-Electroencephalogram): Lokhu kuhlolwa kwenziwa ukuze kutholakale ukuthi ukulahlekelwa ingqondo kungenxa yenkinga yobuchopho, njengokuquleka.
- Ukuhlolwa kwetafula elitshekile: Kulokhu kuhlolwa, ulala embhedeni okhethekile bese umbhede utsheka kancane kancane uqonde phezulu. Umfutho wegazi lakho kanye nokushaya kwenhliziyo kuyaqashwa ukuze kubonakale ukuthi uzizwa unesiyezi yini.
Ungakuvimbela futhi welaphe kanjani lokhu?
Abantu abaningi abadingi ukwelashwa okukhethekile ngalokhu. Into ebaluleke kakhulu ukuhlonza izimbangela zakho bese uzigwema. Kodwa kunezinto ezithile ongazenza ukuze umise isifiso sokuchama uma sivela.
Izindlela zokulwa nokucindezela
Lezi zindlela ziqinisa imisipha yomzimba futhi zivimbele ukwehla komfutho wegazi.
1. Ukuwela imilenze yakho: Uma umi, wela umlenze owodwa ngemuva komunye. Bese uqinisa imisipha yomlenze, isisu, kanye nezinqe.
2. Ukubopha izandla: Vala izibhakela zakho, uzibophe, bese uzikhipha ngaphandle. Njengokungathi uzama ukuhlukanisa izandla zakho.
3. Ukucindezela ibhola: Ukubamba into efana nebhola lerabha esandleni sakho bese uyicindezela ngokuqinile nakho kusiza ukugcina ingcindezi.
Ngaphezu kwalezi zinto, udokotela wakho angase ancome izinto ezifana nalezi:
- Phuza uketshezi oluningi kanye nosawoti omncane: Kubalulekile ukuphuza amanzi amaningi ukuze ugweme ukuphelelwa amanzi emzimbeni. Abanye abantu bangatshelwa nokuthi bangeze usawoti omncane ekudleni kwabo. Kodwa-ke, lokhu kufanele kwenziwe kuphela ngeseluleko sikadokotela.
- Amasokisi okucindezela: Lawa amasokisi akhethekile agqokwa emilenzeni. Asiza ekunciphiseni ukuhlangana kwegazi emilenzeni futhi agcine ingcindezi.
- Imithi: Uma lesi simo sivela njalo, udokotela wakho angase akunikeze imithi ethile yokulawula umfutho wegazi (isib. i-fludrocortisone, i-midodrine).
- I-Pacemaker: Ezimweni ezingavamile lapho izinga lokushaya kwenhliziyo lehla ngokungavamile, i-pacemaker ingadinga ukufakwa.
Kunini lapho kungcono ukubona udokotela?
Into ebaluleke kakhulu ukuthi uma uhlangabezana nokuquleka okokuqala empilweni yakho, kufanele nakanjani ubone udokotela ukuze uthole imbangela eqondile, ngoba ngezinye izikhathi ukuquleka kungabangelwa yizimo ezimbi njengesifo senhliziyo.
Ngaphezu kwalokho, qiniseka ukuthi ufuna iseluleko sezokwelapha kulezi zimo:
- Uma uwa futhi ushayeke ekhanda lakho , noma ngabe unengozi encane, hamba uye e-ETU (Emergency Treatment Unit) ngokushesha.
- Uma uthatha imithi yokunciphisa igazi, qiniseka ukuthi ubona udokotela ngemva kokuwa.
- Uma ukuvama kokuxhuzula kukhuphuka noma izimpawu zishintsha.
Umlayezo Wokuya Nawe Ekhaya
- I-Vasovagal syncope iyisimo esivamile kakhulu futhi ngokuvamile esingenangozi. Kodwa-ke, uma ubhekene ne-syncope okokuqala empilweni yakho, kufanele nakanjani ubone udokotela ukuze athole imbangela.
- Thola izimbangela zakho zokuzizwa unesizungu. Isibonelo, uma uthola umjovo, ukulala phansi kungasiza ekuvimbeleni ukuwa.
- Uma uzizwa unesizungu, lala phansi noma uhlale phansi uma kungenzeka. Lokhu kungasiza ekuvimbeleni ukulimala ekhanda lakho nakwezinye izindawo ukuthi zingawi.
- Izindlela zokumelana nokucindezela, njengokuwela imilenze yakho nokugoqa izibhakela zakho uma uzwa ukuthi kukhona ukuqaqamba, zingasiza ekuvimbeleni ukuqaqamba.
- Uma uphethwe yikhanda ngenxa yokuxhuzula, noma uma lesi simo sivela njalo, bona udokotela wakho ngokushesha.
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