Yini i-Vasovagal syncope nokuthi ilashwa kanjani

-Delile

• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Ziyini izimbangela
• Yelashwa kanjani

I-Vasovagal syncope, eyaziwa nangokuthi i-vasovagal syndrome, i-reflex syncope noma i-neuromedical syncope, ukulahleka kokuqonda okungazelelwe nokwedlula, okubangelwa ukuncipha okuncane kokugeleza kwegazi kuya ebuchosheni.

Lesi yisona sizathu esivame kakhulu se-syncope, esibizwa nangokuthi ukuquleka okuvamile, futhi kwenzeka lapho kwehla umfutho wegazi nokushaya kwenhliziyo ngenxa yesikhuthazi esingafanele kwi-vagus nerve, inzwa esukela ebuchosheni iye esiswini, futhi kubaluleke kakhulu ukulawula imisebenzi eminingana ebalulekile. Qonda imisebenzi nokwakheka kwale nzwa.

Yize i-vasovagal syncope inobungozi futhi ingazibeki izingozi ezinkulu zempilo, ingahle ingakhululeki neze futhi ibangele nemiphumela ekhathazayo njengokubangela ukuwa nokuqhekeka. Akukho ukwelashwa okuqondile kwalesi simo, kepha kungenzeka ukwamukela izindlela zokuvimbela i-syncope, njengokunciphisa ukucindezeleka, ukuhlala unamanzi nokuzivocavoca umzimba.

Izimbangela eziqondile eziholela ekuqaleni kwe-vasovagal syndrome namanje azikacaci, kodwa lolu shintsho luvame kakhulu kubantu abasha abaneminyaka engama-20 kuya kwengama-30, nakubantu asebekhulile abaneminyaka engaphezu kwengama-70 ubudala.

Izimpawu eziyinhloko

Ku-vasovagal syncope kukhona ukulahleka okuncane kokuqaphela, okuhlala kusuka kumasekhondi ambalwa kuya kumaminithi. Yize kuvame ukuvela ngokuzuma, ezinye izimpawu nezimpawu zingavela ngaphambi kwe-syncope, njenge:

• Ukukhathala nobuthakathaka;
• Umjuluko;
• Isicanucanu;
• Izinguquko ezibonakalayo;
• Isiyezi;
• Pallor;
• Ikhanda;
• Dysarthria, ukuthi kunzima ukuphimisa amagama. Bona okuningi mayelana nokuthi kuyini nezimbangela ze-dysarthria;
• Ukuncipha noma ukuba ndikindiki emzimbeni wonke.

Ukululama ngemuva kokuquleka kuvame ukushesha futhi abanye abantu, ikakhulukazi asebekhulile, bangathola izimpawu ngemuva kokuvuka, njengokudideka, ukudideka kwengqondo, ikhanda elibuhlungu, isicanucanu nesiyezi.

Ungaqinisekisa kanjani

Ukuxilonga i-vasovagal syndrome, nokuyihlukanisa nezinye izinhlobo zesiyezi, udokotela kufanele enze ukuhlolwa kokucophelela komtholampilo, ukukhomba izimpawu, ukuhlolwa komzimba, ukuqaphela imithi esetshenzisiwe noku-oda izivivinyo, njenge-electrocardiogram, i-holter kanye nokuhlaziywa kwelabhorethri.

O sitsheke test ukuhlolwa okungakhonjiswa ukusiza ukuqinisekisa, lapho kunokungabaza ngembangela ye-syncope. Kuwukuhlolwa okwenziwa ngudokotela wenhliziyo onolwazi, njengoba izama ukulingisa isimo esivame ukudala ukulahleka kokwazi, ikakhulukazi lapho kuvela ngenxa yezinguquko esimweni somzimba. Ngakho-ke, ngesikhathi sokuhlolwa, isiguli silele ku-stretcher, esizobekwa endaweni engadala ushintsho kumfutho wegazi, futhi futhi singaba nezisusa ezidakamizweni.

Futhi hlola ezinye izivivinyo ezihlola impilo yenhliziyo.

Ziyini izimbangela

I-Vasovagal syncope ibangelwa ukwehla kwengcindezi yegazi nokushaya kwenhliziyo ngenxa yesikhuthazi esithile kwi-vagus nerve. Isizathu ngqo esiholela ekwakhiweni kwalokhu kusabela ngumzimba asikacaci, kodwa-ke, ezinye zezimo eziyinhloko ezibangela lolu shintsho yilezi:

• Ukukhathazeka;
• Ukucindezeleka ngokweqile ngokomzwelo;
• Ukwesaba;
• Ache;
• Izinguquko ekamelweni lokushisa;
• Ukuma isikhathi eside;
• Ukuvivinya umzimba.

Ngaphezu kwalokho, kubalulekile ukuthi uqaphele ukuthi isiguli sisebenzisa noma imuphi umuthi ongakhuthaza ukuqala kokuquleka, njenge-diuretics noma i-beta-blocking antihypertensives, ngokwesibonelo.

Ngaphezu kwalokho, udokotela kufanele aphenye ezinye izimbangela zokuphelelwa amandla ezingadideka ne-vasovagal syndrome, njenge-arrhythmias noma isithuthwane, isibonelo. Bheka izimbangela ezinkulu zokuquleka nokuthi ungakugwema kanjani.

Yelashwa kanjani

Indlela eyinhloko yokwelashwa kwe-vasovagal syndrome inokwamukelwa kwezinyathelo zokugwema izimbangela ezibangela ukuvimbela izinkinga ezintsha, njengokungahlali isikhathi eside, ukuvuka masinyane, ukuhlala endaweni eshisayo kakhulu noma ukucindezelwa okukhulu.

Ngaphezu kwalokho, ukuzigcina unamanzi amaningi, ukuphuza u-1.5 2 litre amanzi ngosuku, nokususa izidakamizwa ezinomfutho wegazi ophezulu okungenza isimo sakho sibe sibi kakhulu, yizinyathelo ezibaluleke kakhulu. Uma kuvela izimpawu ezikhombisa inkinga, ungamukela izikhundla ezinciphisa isimo, njengokulala imilenze yakho iphakanyisiwe, ukwenza imishanguzo yokuncipha kwemisipha nokuphefumula ngokujulile.

Ukusetshenziswa kwemithi kungakhonjiswa ngudokotela ezimweni ezingathuthuki ngokwelashwa kokuqala, njenge-Fludrocortisone, eyi-mineralocorticoid ekhulisa ukugcinwa kwamanzi ne-sodium egazini, noma i-Myodrine, ongumuthi owandayo imithambo yegazi yenhliziyo nenhliziyo, okusiza ekugcineni umfutho wegazi uzinzile.