Ukuquleka

Ukuquleka ukulahleka okufushane komqondo ngenxa yokwehla kokugeleza kwegazi kuya ebuchosheni. Isiqephu esivame kakhulu ukuhlala ngaphansi kwemizuzu embalwa futhi uvame ukululama kuso ngokushesha. Igama lezokwelapha lokuquleka yi-syncope.

Uma uquleka, awugcini nje ngokulahlekelwa ukwazi, uphinde ulahlekelwe yithoni yemisipha nombala ebusweni bakho. Ngaphambi kokuquleka, ungazizwa ubuthakathaka, ujuluke, noma ucanuzelelwa inhliziyo. Ungaba nomqondo wokuthi umbono wakho uyabophezela (umbono wamhubhe) noma imisindo ishabalalela ngemuva.

Ukuquleka kungenzeka ngenkathi ngemuva noma ngemuva kwakho:

• Khwehlela kanzima kakhulu
• Yiba nokunyakaza kwamathumbu, ikakhulukazi uma uhlunga
• Simi endaweni eyodwa isikhathi eside kakhulu
• Chama

Ukuquleka nakho kungahlotshaniswa ne:

• Ukucindezeleka ngokomzwelo
• Uvalo
• Ubuhlungu obukhulu

Ezinye izimbangela zokuquleka, ezinye zazo ezingaba zimbi kakhulu, zifaka:

• Imithi ethile, kufaka phakathi leyo esetshenziselwa ukukhathazeka, ukudangala, nomfutho wegazi ophezulu. Le mithi ingadala ukwehla komfutho wegazi.
• Ukusetshenziswa kwezidakamizwa noma utshwala.
• Isifo senhliziyo, esifana nesigqi senhliziyo esingajwayelekile noma isifo senhliziyo nesifo sohlangothi.
• Ukuphefumula okusheshayo nokujulile (hyperventilation).
• Ushukela wegazi ophansi.
• Ukuquleka.
• Ukwehla okungazelelwe kwengcindezi yegazi, njengokuphuma kwegazi noma ukomiswa kakhulu emzimbeni.
• Ukuma ngokuzumayo kusuka endaweni yokulala.

Uma unomlando wokuquleka, landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungakuvimbela kanjani ukuquleka. Isibonelo, uma wazi izimo ezikwenza uquleke, zigweme noma uzishintshe.

Sukuma endaweni elele noma ehlezi kancane. Uma ukudonswa igazi kukwenza uquleke, tshela umhlinzeki wakho ngaphambi kokuhlolwa igazi. Qiniseka ukuthi ulele phansi lapho isivivinyo senziwa.

Ungasebenzisa lezi zinyathelo zokwelashwa ngokushesha lapho othile equlekile:

• Bheka indlela yokuphefumula yomuntu nokuphefumula kwakhe. Uma kunesidingo, shayela ku-911 noma inombolo yendawo ephuthumayo bese uqala ukuphefumula kokutakula ne-CPR.
• Khulula izingubo eziqinile entanyeni.
• Phakamisa izinyawo zomuntu ngaphezu kwezinga lenhliziyo (cishe amasentimitha ayi-12 noma amasentimitha angama-30).
• Uma umuntu ehlanze, mphendulele ohlangothini lwakhe ukuvimbela ukuminyana.
• Gcina umuntu elele okungenani imizuzu eyi-10 kuye kwengu-15, mhlawumbe endaweni epholile futhi ethule. Uma lokhu kungenzeki, hlala lowo muntu phambili ikhanda lakhe liphakathi kwamadolo akhe.

Shayela ku-911 noma inombolo ephuthumayo yendawo uma umuntu oqulekile:

• Yawa usuka endaweni ephakeme, ikakhulukazi uma ulimele noma wopha
• Akuxwayisi ngokushesha (kungakapheli imizuzu embalwa)
• Ukhulelwe
• Uneminyaka engaphezu kwengu-50
• Unesifo sikashukela (hlola amasongo wokuhlonza wezokwelapha)
• Uzwa ubuhlungu besifuba, ingcindezi, noma ukungaphatheki kahle
• Inokushaya kwenhliziyo okushaya ngamandla noma okungajwayelekile
• Ulahlekelwe ukukhuluma, unenkinga yokubona, noma akakwazi ukuhambisa isitho esisodwa noma ngaphezulu
• Unokudlikizela, ukulimala kolimi, noma ukulahleka kwesinye noma ukulawula amathumbu

Noma kungesona isimo esiphuthumayo, kufanele ubonwe ngumhlinzeki uma ungakaze uquleke phambilini, uma uquleka kaningi, noma uma unezimpawu ezintsha ngokuquleka. Shayela ukuthi i-aphoyintimenti ibonakale ngokushesha okukhulu.

Umhlinzeki wakho uzobuza imibuzo ukuthola ukuthi umane waquleka yini, noma ngabe kukhona okunye okwenzekile (njengokuphazamiseka noma ukuphazamiseka kwesigqi senhliziyo), nokuthola imbangela yesiqephu esiphelelwa amandla. Uma othile abone isiqephu esiphelelwa amandla, incazelo yakhe ngomcimbi ingasiza.

Ukuhlolwa komzimba kuzogxila enhliziyweni yakho, emaphashini, nakuhlelo lwemizwa. Umfutho wegazi lakho ungahlolwa ngenkathi usezikhundleni ezahlukahlukene, njengokulala phansi nokuma. Abantu abane-arrhythmia esolwayo bangadinga ukuthi bangeniswe esibhedlela ukuze bahlolwe.

Izivivinyo ezinga-odwa zifaka:

• Ukuhlolwa kwegazi kwe-anemia noma ukungalingani kwamakhemikhali omzimba
• Ukuqapha isigqi senhliziyo
• I-Echocardiogram
• I-Electrocardiogram (ECG)
• I-Electroencephalogram (EEG)
• Ukuqapha kweHolter
• I-X-ray yesifuba

Ukwelashwa kuya ngesizathu sokuquleka.

Indaba emnandi mfowethu; Ikhanda elikhanyayo - ukuquleka; I-Syncope; Isiqephu seVasovagal

UCalkins H, uZipes DP. I-Hypotension ne-syncope. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Izifo Zenhliziyo zeBraunwald: Incwadi Yemithi Yezinhliziyo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 43.

UDe Lorenzo RA. I-Syncope. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 12.

UWalsh K, uHoffmayer K, uHamdan MH. I-Syncope: ukuxilongwa nokuphathwa. I-Curr Probl Cardiol. 2015; 40 (2): 51-86. I-PMID: 25686850 pubmed.ncbi.nlm.nih.gov/25686850/.