Yini ukuhlolwa kokutsheka, kwenzelwa ini nokuthi kwenziwa kanjani

-Delile

• Yenzelwe ini
• Ukulungiselela kufanele kube kanjani
• Injani i-sitsheke test
• Ukunakekela ngemuva kokuhlolwa
• Izimo

O sitsheke test, okwaziwa nangokuthi i-tilt test noma i-postural stress test, isivivinyo esingahlaseli futhi esihambisanayo esenzelwe ukuphenya iziqephu ze-syncope, ezenzeka lapho umuntu equleka futhi elahlekelwa ngokuzumayo noma okwesikhashana.

Ngokuvamile, lokhu kuhlolwa kwenziwa elabhorethri ye-electrophysiology esibhedlela noma emtholampilo futhi kufanele kwenziwe ngokuhambisana nodokotela wenhliziyo kanye nochwepheshe wabahlengikazi noma umhlengikazi futhi ukuze kwenziwe lokho umuntu kufanele azile ukudla okungenani amahora ama-4, ukugwema i-malaise kanye ne-nausea ngesikhathi sokuhlolwa. Ngemuva kokuhlolwa kunconywa ukuphumula nokugwema ukushayela okungenani amahora ama-2.

Yenzelwe ini

O sitsheke test ukuhlolwa okukhonjiswe ngudokotela wenhliziyo ukugcwalisa ukuxilongwa kwezifo nemibandela efana ne:

• I-Vasovagal noma i-syncope ene-neuromediated;
• Isiyezi esiphindaphindayo;
• I-postural orthostatic tachycardia syndrome;
• I-Presyncope,
• Ukungaziphathi kahle.

I-Vasovagal syncope imvamisa iyimbangela enkulu yokuquleka kubantu abangenazo izinkinga zenhliziyo futhi ingabangelwa ukushintsha kwesimo somzimba, ngakho-ke sitsheke test ukuhlolwa okuyinhloko ukukhomba lesi simo. Qonda ukuthi yini i-vasovagal syncope nokuthi uyiphatha kanjani.

Ngaphezu kwalokho, udokotela anga-oda ezinye izivivinyo ukukhipha ezinye izifo, njengezinkinga zama-valve wenhliziyo, isibonelo, nokuhlolwa kwegazi, i-electrocardiogram, i-echocardiography, i-24-hour Holter noma i-ABPM kungakhonjiswa.

Ukulungiselela kufanele kube kanjani

Ukwenza i- sitsheke test kubalulekile ukuthi umuntu azile ukudla ngokuphelele, kufaka phakathi ukungabi namanzi aphuzwayo, okungenani amahora ama-4, ngoba njengoba kuzokwenziwa ushintsho endaweni yokwehlisa, umuntu angahle abe nesicanucanu nokugula uma isisu sakhe sigcwele. Kunconywa nokuthi umuntu aye endlini yangasese ngaphambi kokuhlolwa, ukuze kungaphazanyiswa phakathi.

Ngaphambi kokuqala ukuhlolwa, udokotela uzokwazi ukubuza ukuthi imiphi imishanguzo umuntu ayisebenzisayo nsuku zonke futhi uzophinda abuze imibuzo ngokuqala kwezimpawu nokuthi uma kunesimo lapho izimpawu ziba zimbi khona.

Injani i-sitsheke test

Ukuhlolwa kwe- sitsheke test yenziwa elebhu ye-electrophysiology esibhedlela noma emtholampilo futhi kufanele yenziwe ngaphansi kweso lodokotela wenhliziyo kanye nomhlengikazi noma uchwepheshe wezobuhlengikazi.

Isikhathi esiphelele sokuhlolwa sicishe sibe yimizuzu engama-45 futhi senziwa ngezigaba ezimbili ezihlukene, esokuqala siqukethe ukulala ku-stretcher, okuxhunywe kwamanye amabhande, futhi umhlengikazi ushintsha indawo yetafula, alitshekele phezulu ngesikhathi esifanayo namadivayisi abekwe esifubeni nasengalweni alinganisa umfutho wegazi nezinga legazi ukuhlola ushintsho ngesikhathi sokuhlolwa.

Engxenyeni yesibili, umhlengikazi unikeza umuthi azowubeka ngaphansi kolimi, obizwa nge-isosorbide dinitrate, ngomthamo omncane kakhulu, ukuze kubonakale ukuthi umzimba uphendula kanjani ngalo muthi, uma umfutho wegazi nokushaya kwenhliziyo kushintsha kakhulu , kulesi sinyathelo umhlengikazi naye ushintsha indawo yokwehlisa.

Lo muthi ubusetshenziswa ku sitsheke test isebenza njenge-adrenaline ngakho-ke umuntu angazizwa enokukhathazeka okuncane noma azizwe ngendlela efanayo lapho enza okuthile ngokomzimba. Uma umfutho wegazi uphansi kakhulu noma umuntu engaphilile kahle, udokotela angakumisa ukuhlolwa, ngakho-ke kubalulekile ukudlulisa okuzwayo.

Ukunakekela ngemuva kokuhlolwa

Ngemuva sitsheke test umuntu angazizwa ekhathele futhi egula kancane, ngakho-ke kufanele alale phansi imizuzu engama-30 ukuze abonwe ngumhlengikazi noma uchwepheshe wobuhlengikazi.

Ngemuva kwalesi sikhathi, umuntu ukhululekile ukuqhubeka nemisebenzi ejwayelekile, kepha-ke kunconywa ukuthi ugweme ukushayela okungenani amahora ama-2. Uma umuntu ene-malaise, ephansi kakhulu umfutho wegazi noma edlulile ngesikhathi sokuhlolwa, kungadingeka ukuthi achithe isikhathi esithe xaxa enakekelwa udokotela nomhlengikazi.

Umphumela wokuhlolwa uvame ukuthatha izinsuku ezifika kwezingu-5 futhi ubhekwa njengongewona uma bekungekho zinguquko eziningi ekucindezelekeni kwegazi ngesikhathi soshintsho endaweni yokwehliswa, kepha uma umphumela ulungile kusho ukuthi umfutho wegazi ushintshe kakhulu ngesikhathi sokuhlolwa.

Izimo

O sitsheke test ayikhonjisiwe kwabesifazane abakhulelwe, abantu abanokunciphisa noma ukuvimbela kwe-carotid noma i-aortic artery noma abanezinguquko zamathambo ezivimbela umuntu ukuthi ame. Ngaphezu kwalokho, abantu abake baba nesifo sohlangothi kufanele banikezwe ukunakwa okwengeziwe ngesikhathi sokuhlolwa.