Mayelana Nokuhlolwa Kwetafula Lokutsheka

-Delile

• Amaqiniso asheshayo
• Lokho okwenzayo
• I-hypotension exhumene kahle
• I-syncope evumelanisiwe ngokwemvelo
• I-postural orthostatic tachycardia syndrome (AMABHODI)
• Okuqhamuka uma udla imishanguzo
• Ukulungiselela kanjani
• Landela izeluleko zokuthi uzodla nini
• Khuluma ngemithi oyiphuzayo
• Cabanga ukuthi uzozishayela yini noma uthole ukugibela
• Kwenzekani ngesikhathi sokuhlolwa kwetafula lokutshekisa?
• Ngemuva kokuhlolwa
• Imiphumela yokuhlolwa kwetafula lokutshekisa
• Okushiwo okungekuhle
• Kusho ukuthini okuhle
• Ukuthatha

Amaqiniso asheshayo

• Ukuhlolwa kwetable-table kufaka ukushintsha ukuma komuntu ngokushesha nokubona ukuthi umfutho wegazi nokushaya kwenhliziyo kusabela kanjani.
• Lokhu kuhlolwa kuyalwa kubantu abanezimpawu ezinjengokushaya kwenhliziyo okusheshayo noma abavame ukuzizwa bephela amandla lapho besuka endaweni yokuhlala bemi endaweni yokuma. Odokotela babiza lesi simo nge-syncope.
• Izingozi ezingaba khona zokuhlolwa zifaka isicanucanu, isiyezi, nokuquleka.

Lokho okwenzayo

Odokotela bancoma ukuhlolwa kwetafula lokutshekisa kweziguli abasola ukuthi zinezimo ezithile zezokwelapha, kufaka phakathi:

I-hypotension exhumene kahle

Odokotela babuye babize lesi simo ngokuthi i-fainting reflex noma i-autonomic dysfunction. Kubangela ukushaya kwenhliziyo komuntu kwehle esikhundleni sokusheshisa lapho bemi, okwenza igazi lingangeni emilenzeni nasezingalweni. Ngenxa yalokho, umuntu angazizwa equlekile.

I-syncope evumelanisiwe ngokwemvelo

Umuntu onalesi sifo angahlangabezana nezimpawu ezifana nesicanucanu, ikhanda elikhanyayo, nesikhumba esiphaphathekile, okulandelwa ukulahlekelwa ukwazi.

I-postural orthostatic tachycardia syndrome (AMABHODI)

Lesi sifo senzeka lapho umuntu ehlangabezana nezinguquko lapho esukuma ngokuzumayo. Odokotela bahlobanisa ama-POTS nokwanda kokushaya kwenhliziyo okufika kuma-beats angama-30 futhi bezizwa bequlekile kungakapheli imizuzu eyi-10 besukume behleli phansi.

Abesifazane abaphakathi kweminyaka engu-15 nengu-50 maningi amathuba okuthola ama-POTS, ngokusho kweNational Institute of Neurological Disorders and Stroke.

I-tilt-table test ingalingisa umphumela wokuhlala ngokuma endaweni elawulwayo, ngakho-ke udokotela angabona ukuthi umzimba womuntu uphendula kanjani.

Okuqhamuka uma udla imishanguzo

Inhloso yokuhlolwa kwethebula lokutshekisa ukuthi udokotela azibonele mathupha izimpawu ohlangabezana nazo lapho ushintsha isikhundla.

Ungahle ungazizwa imiphumela emibi ngesikhathi senqubo, kepha ungathola izimpawu ezifana nesiyezi, ukuzizwa uphelelwa amandla noma ukuquleka. Ungase futhi uzizwe ucanuzelelwa inhliziyo kakhulu.

Ukulungiselela kanjani

Landela izeluleko zokuthi uzodla nini

Ngoba abanye abantu bazizwa benesicanucanu lapho besuka endaweni yokuhlala bemi endaweni yokuma, udokotela angakucela ukuthi ungadli amahora amabili kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Lokhu kusiza ukunciphisa ithuba lokuthi uzogula esiswini sakho.

Khuluma ngemithi oyiphuzayo

Udokotela wakho uzophinde abuyekeze imishanguzo oyisebenzisayo njengamanje futhi enze izincomo zokuthi yimiphi okufanele uyithathe ubusuku bangaphambi noma ekuseni yokuhlolwa kwakho. Uma unombuzo mayelana nomuthi othile, buza udokotela wakho.

Cabanga ukuthi uzozishayela yini noma uthole ukugibela

Ungahle ufune ukuthi umuntu akuhambise ngemoto ngemuva kwenqubo. Cabanga ukuhlela uhambo lokuhamba ngaphambi kwesikhathi ukuze uqiniseke ukuthi kukhona umuntu otholakalayo.

Kwenzekani ngesikhathi sokuhlolwa kwetafula lokutshekisa?

Ithebula lokutsheka lenza njengoba nje negama liphakamisa. Ivumela uchwepheshe wezokwelapha ukuthi alungise i-angle yaphezulu phezulu ngenkathi ulele phansi.

Umfanekiso kaGeorge Sabogal

Uma uyohlolela ithebula lokutshekisa, nakhu ongakulindela:

1. Uzolala etafuleni elikhethekile, futhi uchwepheshe wezokwelapha uzonamathisela abaqaphi abahlukahlukene emzimbeni wakho. Lokhu kufaka phakathi ikhafu yengcindezi yegazi, umkhondo we-electrocardiogram (ECG), kanye ne-probe ye-oxygen saturation. Omunye umuntu angaqala futhi umugqa we-intravenous (IV) engalweni yakho ukuze uthole imithi, uma kudingeka.
2. Umhlengikazi uzotshekisa noma ahambise itafula ukuze ikhanda lakho liphakanyiswe cishe ngama-30 degrees ngaphezu kwawo wonke umzimba wakho. Umhlengikazi uzohlola izimpawu zakho ezibalulekile.
3. Umhlengikazi uzoqhubeka nokutshekisa itafula liye phezulu cishe ngama-degree angama-60 noma ngaphezulu, empeleni akwenze ume mpo. Bazolinganisa kaningi ingcindezi yakho yegazi, izinga lokushaya kwenhliziyo, namazinga e-oxygen ukuthola ukuthi kukhona yini ushintsho.
4. Uma nganoma yisiphi isikhathi umfutho wegazi lakho wehla kakhulu noma uzizwe uphela amandla, umhlengikazi uzobuyisela itafula endaweni yokuqala. Lokhu kuzokusiza uzizwe ungcono.
5. Uma ungenalo ushintsho kuzimpawu zakho ezibalulekile futhi usazizwa ulungile ngemuva kokuba itafula selithuthile, uzoqhubekela engxenyeni yesibili yohlolo. Kodwa-ke, abantu asebevele banezimpawu abadingi ingxenye yesibili yokuhlola ukukhombisa ukuthi izimpawu zabo ezibalulekile zishintsha kanjani lapho behamba ngesikhundla.
6. Umhlengikazi uzonikeza umuthi obizwa nge-isoproterenol (Isuprel) ozobangela inhliziyo yakho ukuthi ishaye ngokushesha nangaphezulu. Lo mphumela uyefana nowomsebenzi okhandlayo womzimba.
7. Umhlengikazi uzophinda isivivinyo setafula ngokunyusa i-engela iye kuma-degree angama-60. Kungenzeka uhlale kulokhu kuphakama cishe imizuzu eyi-15 ukunquma ukuthi uzoba nokuphendula kokushintsha kwesimo.

Ukuhlolwa kuzohlala cishe ihora nesigamu uma ungenalo ushintsho kuzimpawu zakho ezibalulekile. Uma izimpawu zakho ezibalulekile zishintsha noma ungazizwa kahle ngesikhathi sokuhlolwa, umhlengikazi uzomisa ukuhlolwa.

Ngemuva kokuhlolwa

Ngemuva kokuthi ukuhlolwa kuphelile, noma uma uzizwa uphela amandla ngesikhathi sokuhlolwa, umhlengikazi nabanye ochwepheshe bezokwelapha bangakudlulisela komunye umbhede noma isihlalo. Cishe uzocelwa ukuthi uhlale endaweni yokutakula yesikhungo imizuzu engama-30 kuya kwengu-60.

Kwesinye isikhathi, abantu bazizwa benesicanucanu ngemuva kokuqeda ukuhlolwa kwethebula lokutshekisa. Umhlengikazi angakunika imishanguzo yokulwa nesicanucanu uma kunjalo.

Isikhathi esiningi, ungazishayela uzihambise ekhaya ngemuva kokuhlolwa. Kodwa-ke, uma uqulekile noma uzizwa uphela amandla ngesikhathi sokuhlolwa, udokotela wakho angafuna ukuthi ulale ubusuku ukuze ubonwe noma othile akushayele ekhaya.

Imiphumela yokuhlolwa kwetafula lokutshekisa

Okushiwo okungekuhle

Uma ungenakho ukusabela kuzinguquko ekubekweni kwetafula, odokotela babheka ukuhlolwa njengokubi.

Usengaba nesimo sezokwelapha esihlobene nezinguquko zesikhundla. Lo mphumela usho ukuthi ukuhlolwa akuzange kuveze ushintsho.

Udokotela wakho angancoma ezinye izinhlobo zokuhlola ukuqapha inhliziyo yakho, njenge-Monitor yeHolter oyigqokayo ukulandelela isilinganiso senhliziyo yakho ngokuhamba kwesikhathi.

Kusho ukuthini okuhle

Uma umfutho wegazi lakho uguquka ngesikhathi sokuhlolwa, imiphumela yokuhlolwa iba mihle. Izincomo zikadokotela wakho zizoya ngokuthi umzimba wakho usabele kanjani.

Isibonelo, uma izinga lokushaya kwenhliziyo yakho lihamba kancane, udokotela wakho angancoma ukuhlolwa okwengeziwe ukuze abheke inhliziyo yakho. Bangase bakunikeze umuthi obizwa nge-midodrine ukuvimbela ukwehla komfutho wegazi.

Uma izinga lokushaya kwenhliziyo yakho lishesha, udokotela angahle anikeze imishanguzo efana ne-fludrocortisone, indomethacin, noma i-dihydroergotamine - ukunciphisa amathuba okuthi lokho kuzokwenzeka.

Uma uthola umphumela omuhle, izivivinyo ezengeziwe zingadingeka ukuze ubheke enhliziyweni.

Ukuthatha

Ngenkathi kunokuhlolwa okuningana ukukala izinguquko zengcindezi yegazi okulethwa ukushintsha kwesimo, ukuhlolwa kwetafula lokutshekisa kungaba yindlela efaneleke kakhulu yokuxilonga abantu abadala, ngokusho kwendatshana ephephabhukwini.

Ngaphambi kokuhlolwa, udokotela uzoxoxa ngokuthi kungakusiza kanjani ekuxilongweni kwakho futhi akwazise nganoma yiziphi izingozi ezingaba khona.

Uma ukuhlolwa kwakho bekungalungile kodwa usenezimpawu, khuluma nodokotela wakho ngezinye izimbangela ezingaba khona. Bangabuyekeza imithi yakho noma bancome ezinye izivivinyo.