Wake wambona umuntu equleka ngokuzumayo futhi ewa ngaphandle kwesizathu esicacile? Noma ingabe kwenzeke kuwe? Ngezinye izikhathi sibone umuntu eya ukuyonikela ngegazi ngoba esaba inaliti bese ewa, akunjalo? Nakuba lokhu kuyesabeka kancane, isikhathi esiningi akusona isimo esiyingozi. Namuhla sizokhuluma ngokulahlekelwa ingqondo ngokuzumayo. Ngokwezokwelapha, lokhu kubizwa ngokuthi
( i-Vasovagal Syncope).
Kuyini lokhu (i-Vasovagal Syncope)? Masikuqonde kalula!
Kalula nje, i-Vasovagal Syncope iwukusabela okungazelelwe ohlelweni lwakho lwezinzwa okubangela
umfutho wegazi kanye nokushaya kwenhliziyo yakho kwehle ngokuzumayo , okubangela ukuba uphelelwe amandla. Kodwa ungakhathazeki, isikhathi esiningi uzobe ungazi lutho isikhathi esingaphansi komzuzu. Empeleni lolu uhlobo lwe
-Reflex Syncope . Lokho kusho ukuthi kwenzeka ngokuzenzakalelayo, ngaphandle kokulawulwa yithi. Abanye abantu balubiza nangokuthi i
-Neurocardiogenic Syncope . Lokho kungenxa yokuthi kuhilela inhliziyo yakho, ubuchopho, noma kokubili. Ngenkathi igama elithi Vasovagal Syncope lingase lizwakale lesabeka, lolu hlobo lokuquleka ngokuvamile
alunangozi . Ubungeke ukholwe, umuntu oyedwa kwabathathu emhlabeni uzobhekana ne-Vasovagal Syncope okungenani kanye empilweni yakhe. Kungenzeka kubantu banoma yimuphi ubudala. I-Vasovagal syncope iyimbangela evame kakhulu yokuquleka, ikakhulukazi kubantu abangaphansi kweminyaka engama-40. Kubantu asebekhulile, ingabalelwa cishe ingxenye yazo zonke iziqephu zokuquleka. I-Vasovagal syncope ivame ukwenzeka uma umi noma uhleli. Akuvamile ukuthi kwenzeke uma ulele phansi.
Ziyini izimpawu ngaphambi (i-Vasovagal Syncope)?
Ungase ube nezimpawu ezithile imizuzwana engama-30 kuya kwengama-60 ngaphambi kokuba ube ne-vasovagal syncope. Uma uziqaphela kusenesikhathi, ungase ukwazi ukuvimbela ukuwa. Ake sibheke ukuthi ziyini lezi zimpawu:
- Ukukhathala okungajwayelekile okungazelelwe .
- Ngizwa ukushisa okungenakucatshangwa emzimbeni wami .
- Ukungaqondi kahle kuzwakala sengathi unesiyezi .
- Umbala wesikhumba sakho uyashintsha , okusho ukuthi siyashintsha sibe mhlophe (sibe mhlophe).
- Ukuzizwa unesicanucanu .
- Ukujuluka okungajwayelekile (ukujuluka okukhulu).
- Ukushaya kwenhliziyo kuzwakala sengathi kuyehla.
- Ukuvuka njalo (ukukhamuluka).
- Umbono uyashintsha kancane, njengokubuka nge-culvert (umbono womhubhe).
Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu, kusho ukuthi udinga ukuqaphela.
Kungani sithola lokhu (i-Vasovagal Syncope)? Ziyini izimbangela?
I-Vasovagal syncope empeleni iyindlela
yokusabela komzimba wakho kokuthile okusendaweni okuyo. Kodwa ngezinye izikhathi lokhu kusabela kwenzeka ngokushesha kakhulu noma ngesikhathi esingafanele. Konke kuqala ngengxenye yesimiso sakho sezinzwa esisebenza ngokuzenzakalelayo ngaphandle kokuthi ucabange ngakho. Siyibiza ngokuthi
i-Autonomic Nervous System . Inzwa ebaluleke kakhulu kulesi simiso yi
-Vagus Nerve. Yilokhu okulawula izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi. Cabanga, uma le Vagus Nerve isebenza kakhulu, ingabangela izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi ukuthi wehle ngokuzumayo kakhulu. Yileyo ndlela i-Vasovagal syncope eyenzeka ngayo. Ngemuva kwalokho
awutholi igazi elanele ebuchosheni, ngakho ulahlekelwa ingqondo. Ngokuvamile, into eyenzeka kuwe noma into esendaweni okuyo ingabangela lokhu (i-Vasovagal Syncope). Sibiza lezi ngokuthi
"izimbangela." Okusho ukuthi, izinto ozibonayo, ozizwayo, noma ozizwayo ezikwenza ungakhululeki. Izinto
ezivame ukubangela zihlanganisa:
- Izinaliti noma imishini yezokwelapha : Lokhu kungenzeka lapho kudonswa igazi, kunikelwa ngegazi, noma lapho kusingathwa izinto ezithile zokuhlinza (ama-scalpel).
- Ukubona igazi: Ukuquleka lapho ubona igazi nakho kuyimbangela evamile kakhulu ye-vasovasal syncope.
- Ukucindezeleka , ukukhathazeka , noma ukuhlukumezeka okukhulu ngokomzwelo : Lokhu kungenzeka nalapho uzizwa udabuke kakhulu, ukwesaba, noma ubuhlungu.
- Ukukhathala noma ukukhathala : Lokhu kungabangelwa ukuzikhandla ngokweqile, mhlawumbe ngisho nokuma isikhathi eside.
Yiziphi izinkinga ezingaba khona kulesi simo?
Uma une-Vasovagal Syncope, lezi zinto zingenzeka:
- Ukudideka noma ukudideka kungase kwenzeke isikhashana.
- Ngisho noma amehlo evulekile, amehlo angase aguqeke phezulu futhi ikhanda lingaphendukela eceleni .
- Ungase uwe futhi uhudulwe ngokushesha nje lapho ulahlekelwa ingqondo.
- Kungase kube nokulahlekelwa ukulawula isinyi.
- EmzimbeniKungase kube nokunyakaza kokudikiza. Abanye abantu bangase baphambanise lokhu nokuquleka.
Uma usuphinde waphaphama, uzobe usubuyele esimweni esijwayelekile phakathi nemizuzwana engama-20-30. Ngemva kwalokho, ungase uzizwe izinto ezifana nalezi:
- Ukukhathazeka noma ukwethuka .
- Isiyezi .
- Ukukhathala .
- Ikhanda elibuhlungu .
- Isicanucanu .
- Isikhumba esikhanyayo/umbala okhanyayo.
- Ukujuluka .
- Isifiso sokuhamba ngendle.
Khumbula, ngemva kokuba ne-vasovagal syncope kanye, kungenzeka futhi, ikakhulukazi uma usukuma futhi kungakapheli imizuzu engama-30 kusukela ekuqaleni kokuquleka.
Odokotela bakuthola kanjani lesi simo (i-Vasovagal Syncope)?
Udokotela uzokubuza imibuzo mayelana nokuthi yini engabangela ukuqwasha kwakho. Kufanele utshele udokotela wakho nganoma yiziphi izinguquko zakamuva empilweni yakho noma izimpawu ezingavamile onazo, noma ngabe zibonakala zingabalulekile kuwe. Lokhu kuzosiza ekutholeni ukuxilongwa okunembile. Udokotela uzobuza nanganoma yimiphi imithi kanye nezithasiselo ozithathayo. Uzohlola nomfutho wegazi lakho kanye nokushaya kwenhliziyo. Kuye ngohlobo lwezimpawu zakho, udokotela angenza nokuhlolwa okulandelayo:
- Ukuhlolwa kwegazi: Lokhu kungabona izimo ezingase zibangele ukungakwazi ukulala, njenge -anemia .
- I-Electrocardiogram (EKG noma i-ECG): Lokhu kulinganisa ukusebenza kukagesi kwenhliziyo yakho futhi kungahlola ukuthi inhliziyo ayisebenzi kahle yini.
- I-Echocardiogram: Lokhu kuhlolwa kungabheka isakhiwo senhliziyo yakho. Kungasiza ekunqumeni ukuthi ngabe kukhona yini inkinga ebangela ukushaya kwenhliziyo okungavamile.
- I-Electroencephalogram (EEG): Lokhu kulinganisa ukusebenza kukagesi kobuchopho bakho. Lokhu kungasiza ekunqumeni ukuthi unesifo sokuwa yini.
- Ukuhlolwa kwetafula eligobile: Kulokhu kuhlolwa, ulala etafuleni bese udokotela ekugobile phezu kwalo. Abantu abane-vasovagal syncope bangase baquleke noma bacishe baquleke phakathi nalokhu kuhlolwa.
- Ukuhlolwa kwe-Hemodynamic: Lokhu kusebenzisa uhlobo olukhethekile lwe-X-ray (ikhamera ye-gamma) ukuthola into enomsebe (i-tracer) efakwe emzimbeni. Lokhu kungasiza ekuboneni ukuthi ukujikeleza kwegazi lakho kunjani kanye nanoma yiziphi izinkinga ezingaba nazo.
Iphathwa kanjani i-Vasovagal Syncope?
Iningi labantu abane-vasovagal syncope bayalulama bodwa ngaphandle kokwelashwa. Abanye bangadinga ukwelashwa okufana nalokhu:
- Uketshezi lwe-IV: Lokhu kuwusizo kakhulu uma umzimba wakho uphelelwe amanzi emzimbeni.
- Ukwazi nokugwema izinto ezibangela i-vasovasal syncope: Ngokwazi ukuthi yini ebangela i-vasovasal syncope, ungazigwema lezo zinto ezibangela i-vasovasal syncope, noma okungenani uzilungiselele. Ungase ukwazi ngisho nokuvimbela i-syncope ngokuphelele.
- Imithi: Eminye imithi yokwelapha ukuphazamiseka kwesigqi senhliziyo noma umfutho wegazi ingasiza. Isibonelo, imithi efana ne -Fludrocortisone ne -Midodrine .
- Amasokisi okucindezela: Amasokisi ekhwalithi yezokwelapha afika okhalweni angcono kakhulu. Uma lokhu kungakhululeki ukuwagqoka, abasubathi bangagqoka izingubo zokucindezela.
- Izindlela zokumelana nokucindezela: Lokhu kuhilela ukuwela imilenze yakho nokuqinisa imisipha yemilenze yakho imizuzwana embalwa, kanye nokuhlanganisa iminwe yakho nokudonsa izingalo zakho zibheke ezinhlangothini zakho. Lokhu kuzivocavoca kungasiza ekwandiseni umfutho wegazi lakho futhi kukuvimbele ukuthi uquleke.
- Amadivayisi okushaya ijubane: Akuvamile ukuthi udinge i- pacemaker noma enye idivayisi ukuvimbela inhliziyo yakho ukuthi ingami futhi ilahlekelwe ingqondo.
- Ukususwa kwe-catheter: Ezimweni ezingavamile, odokotela basebenzisa inqubo ebizwa ngokuthi i-cardioneuroablation . Lokhu kuhlasela imizwa esenhliziyweni yakho.
Kufanele ngimbone nini udokotela?
Uma uquleka, kufanele ufune
usizo lwezokwelapha oluphuthumayo ngokushesha . I-Vasovagal syncope ingaba yisimo esibi kakhulu nesisongela impilo. Ngakho-ke, kufanele uhlolwe udokotela ngokushesha ukuze kutholakale ukuthi ukuquleka kwakho kubangelwa yini yisimo esibi kakhulu. Futhi, uma uquleka
futhi ushayeka ekhanda (ngisho noma kancane) lapho uwa, kubalulekile ukufuna iseluleko sezokwelapha. Uma uthatha imithi enciphisa igazi, kufanele nakanjani ufune iseluleko sezokwelapha ngemva kokuwa. Le mithi ingandisa ingozi yakho yokopha kwangaphakathi. Kufanele ukhulume nodokotela uma:
- Uma ungakaze ube ne-vasovagal syncope ngaphambili bese uquleka ngokuzumayo.
- Uma uke waba neziqephu eziningana ezicishe ziphele amandla ngaphandle kokuba ne-vasovagal syncope ngaphambili.
- Uma utholakale une-Vasovagal Syncope, futhi izimpawu zakho zishintsha, noma ukuvama kokuquleka kuyanda.
Ungabuza udokotela wakho izinto ezifana nalezi:
- Yini eyabangela lokhu (i-Vasovagal Syncope) kimi?
- Yini okufanele ngiyenze ukuze ngivimbele lokhu ukuthi kungenzeki futhi?
- Ingabe ngidinga ukwenza izivivinyo ezengeziwe?
- Ingabe ngidinga ukwelashwa?
Ingabe lokhu kungavinjelwa?
Yebo, kunezinto ezithile ongazenza ukusiza ekuvimbeleni i-vasovagal syncope.
Lokhu kufaka phakathi ukuphuza amanzi amaningi, ukufaka usawoti omncane ekudleni kwakho (kodwa buza udokotela wakho ngaphambi kokufaka usawoti, njengoba usawoti ungakhuphula umfutho wegazi), kanye nokuma uqonde . Abantu abaningi abane-vasovagal syncope banganciphisa umthelela onawo empilweni yabo. Bangafunda ukuqaphela izimpawu ze-vasovagal syncope ngaphambi kokuba yenzeke futhi bagweme izinto ezibangela yona. Uma wazi ukuthi uzizwa kanjani ngaphambi kokuba yenzeke, ungalala phansi noma uhlale phansi. Khona-ke ngeke ube namathuba amaningi okuwa nokulimala. Uma ukwazi ukuyibona ngaphambi kokuba yenzeke, ungase ukwazi ukuyimisa. Udokotela wakho uzokunikeza amathiphu athile okusiza ukugcina umfutho wegazi lakho usezingeni elizokuvimbela ukuthi ungaquleki. Lokhu kufaka phakathi:
- Ukucindezela ibhola le-foam noma lerabha ngokuqinile: Ukucindezela isandla sakho ngokuqinile kanje kungakusiza ukuthi uhlale ugxile.
- Ukuqinisa izingalo: Bamba izandla zombili ndawonye sengathi ubambe okuthile. Hlukanisa izandla zakho ezihlangene, sengathi ubambe intende yesandla esisodwa ngaphansi kwesandla sesinye kanye nesandla sesinye phezu kwesandla. Bese uzama ukuzihlukanisa.
- Ukuwela imilenze: Ngesikhathi umile, wela imilenze yakho ukuze idolo elilodwa libe ngemuva kwelinye. Gcina ibhalansi futhi uqinise imisipha emilenzeni yakho, esiswini, nasezinqeni.
I-Vasovagal syncope ingaphazamisa impilo yakho yansuku zonke futhi ikwenze wesabe ukuya noma kuphi. Kodwa-ke, ngokuvamile ayiyona ingozi. Cela iseluleko nokusekelwa kudokotela wakho ngalokhu. Umgomo wabo ukukusiza ukuthi ubhekane nalesi simo futhi ungalahlekelwa yithuba lokujabulela impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
Kulungile, ngakho-ke manje ngicabanga ukuthi uyaqonda kahle lokho esikhulume ngakho namuhla (i-Vasovagal Syncope). Khumbula, isikhathi esiningi akukubi kangako. Kodwa-ke,
uma uquleka njalo, noma uma uwela bese ushaya ikhanda lakho ngenkathi uquleka, noma uma uthatha imithi yesinye isimo, kufanele nakanjani ubone udokotela. Into eyinhloko ukuhlonza izimbangela zalokhu bese ugwema ukuzibona. Futhi, kubaluleke kakhulu ukuqaphela izimpawu ezifika ngaphambi kokuquleka futhi uqaphele. Phuza amanzi amaningi, udle ukudla okulinganiselayo, bese uvuka kancane esikhundleni sokuvuka ngokuzumayo. Izinto ezilula ezinjengalezi zingakusiza ukulawula lesi simo. Ungakhathazeki, awuwedwa!
i-vasovagal syncope, ukuquleka, ukuquleka, isiyezi, umfutho wegazi ophansi, uhlelo lwezinzwa, i-vagus nerve
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