Konke Odinga Ukukwazi Nge-Vasovagal Syncope

-Delile

• Yini ebangela i-vasovagal syncope?
• Isifinyezo
• Ziyini izimpawu?
• Ukubonana nodokotela nini
• Ungakuthola nini ukunakekelwa ngokushesha kwezokwelapha
• Kutholakala kanjani?
• Yiziphi izinketho zokwelashwa?
• Ngabe i-vasovagal syncope ingavinjelwa?
• Okubalulekile

I-Syncope isho ukuquleka noma ukudlula. Lapho ukuquleka kudalwa yizimbangela ezithile, njengokubona igazi noma inaliti, noma umuzwa oshubile njengokwesaba noma ukwesaba, kubizwa nge-vasovagal syncope. Yimbangela ejwayelekile yokuquleka.

I-Vasovagal syncope kwesinye isikhathi ibizwa nge-neurocardiogenic noma i-reflex syncope.

Noma ngubani angathola i-vasovagal syncope, kepha ivame ukujwayeleka kakhulu ezinganeni nasebancane. Lolu hlobo lokuquleka lwenzeka kwabesilisa nabesifazane ngezinombolo ezilinganayo.

Yize ezinye izimbangela zokuquleka kungaba wuphawu lwenkinga ebucayi yezempilo, lokho ngokuvamile akunjalo nge-vasovagal syncope.

Lo mbhalo uzobheka izimbangela, ukuxilongwa, kanye nokwelashwa kwe-vasovagal syncope, kanye nezimpawu zokuthi kufanele ubone udokotela.

Yini ebangela i-vasovagal syncope?

Kunemizwa ekhethekile emzimbeni wakho esiza ukulawula ukuthi inhliziyo yakho ishaya ngokushesha kangakanani. Futhi zisebenza ukulawula umfutho wegazi lakho ngokulawula ububanzi bemithambo yegazi yakho.

Imvamisa, lezi zinzwa zisebenza ndawonye ukuqinisekisa ukuthi ubuchopho bakho buhlala buthola igazi elanele elicwala umoya-mpilo.

Kepha, kwesinye isikhathi, bangaxuba izimpawu zabo, ikakhulukazi uma uphendula okuthile okubangela ukuthi imithambo yegazi yakho ivuleke ngokungazelelwe ivuleke ingcindezi yegazi lakho.

Inhlanganisela yokwehla komfutho wegazi nokushaya kwenhliziyo okuhamba kancane kunganciphisa inani legazi eligelezela ebuchosheni bakho. Yilokhu okwenza ukuthi udlule.

Ngaphandle kokuphendula lapho ubona okuthile okukusabisayo, noma ukusabela okukhulu ngokomzwelo, ezinye izimbangela ezingadala i-vasovagal syncope ifaka:

• ukuma ngemuva kokuhlala, ukugoba noma ukulala phansi
• ukuma isikhathi eside
• ukushisa ngokweqile
• umsebenzi omkhulu womzimba
• ubuhlungu obukhulu
• ukukhwehlela okukhulu

Isifinyezo

I-Vasovagal syncope ibangelwa ukwehla okungazelelwe kwengcindezi yegazi, evame ukubangelwa ukusabela kokuthile. Lokhu kubangela ukuba inhliziyo yakho yehlise isikhashana. Ngenxa yalokhu, ubuchopho bakho bungase bungalitholi igazi elanele elicwala umoya-mpilo, okwenza ukuthi udlule.

I-Vasovagal syncope imvamisa ayisona isimo sempilo esibi.

Ziyini izimpawu?

Ungahle ungabi nenkomba yokuthi uzoquleka kuze kube kwenzeka. Kepha abanye abantu banezibonakaliso ezimfushane ezibonisa ukuthi kungenzeka ukuthi sebezoquleka. Lokhu kufaka phakathi:

• kubukeka kuphaphathekile noma mpunga
• ikhanda elikhanyayo noma isiyezi
• ukuzwa ukujuluka noma ukungqubuzana
• isicanucanu
• ukungaboni kahle
• ubuthakathaka

Uma ujwayele ukuhlangabezana nalezi zimpawu zokuxwayisa ngaphambi kokuquleka, kuwumqondo omuhle ukulala phansi ukuze usize ukwandisa ukugeleza kwegazi kuye ebuchosheni bakho. Lokhu kungakuvimbela ekutheni uquleke.

Uma udlula emhlabeni, kungenzeka uphinde uthole ukwazi ngaphakathi kwezikhathi ezimbalwa, kepha ungazizwa:

• ngikhathele
• isicanucanu
• ikhanda elikhanyayo

Ungase uzizwe udidekile kancane noma ucace nje “ukuphuma kukho” imizuzu embalwa.

Ukubonana nodokotela nini

Uma uke wabona udokotela phambilini futhi wazi ukuthi une-vasovagal syncope, akudingeki ubuyele emuva njalo uma uquleka.

Impela kufanele ugcine udokotela wakho esizeni, noma kunjalo, uma uba nezimpawu ezintsha noma uma unezinye iziqephu zokuphelelwa amandla kakhulu yize usususile ezinye zezimbangela zakho.

Uma ungakaze uquleke ngaphambili, futhi ngokuzumayo ube nesiqephu sokuquleka, qiniseka ukuthi uthola usizo lwezokwelapha. Ezinye izimo ezingakwenza uthambekele ekuphelelweni yilezi:

• isifo sikashukela
• Isifo senhliziyo
• Isifo sikaParkinson

Ukuquleka nakho kungaba yimiphumela eseceleni yemithi, ikakhulukazi imishanguzo yokulwa nezidakamizwa nezidakamizwa ezithinta umfutho wegazi. Uma ucabanga ukuthi kunjalo, ungayeki ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho ngezinye izindlela.

Uma udokotela wakho ecabanga ukuthi imishanguzo yakho ingakubangela ukuthi uquleke, bazosebenzisana nawe ukuthola ukuthi ungakususa kanjani ngokuphepha ngaphandle kokubanga eminye imiphumela emibi.

Ungakuthola nini ukunakekelwa ngokushesha kwezokwelapha

Funa usizo lwezimo eziphuthumayo uma (noma omunye umuntu) ulahlekelwa ukwazi futhi:

• iwe kusukela ekuphakameni okukhulu, noma ulimaze ikhanda lakho lapho uquleka
• kuthatha isikhathi esingaphezu komzuzu ukubuyisela ukwazi
• unenkinga yokuphefumula
• ube nobuhlungu besifuba noma ingcindezi
• unenkinga ngokukhuluma, ukuzwa, noma umbono
• isinye esivulekile noma isilawuli samathumbu
• kubukeka sengathi ube nokuquleka
• abakhulelwe
• uzizwe udidekile ngemuva kokuquleka

Kutholakala kanjani?

Udokotela wakho noma umhlinzeki wezokunakekelwa kwempilo uzoqala ngomlando wezokwelapha oningiliziwe kanye nokuhlolwa okujwayelekile komzimba. Lokhu kuhlolwa cishe kuzofaka ukufundwa kwengcindezi yegazi okuthathwe ngenkathi uhleli, ulele phansi, futhi umile.

Ukuhlolwa kokuhlola kungafaka futhi i-electrocardiogram (ECG noma i-EKG) ukuhlola isigqi senhliziyo yakho.

Lokho kungaba yilokho okudingekayo ukuxilonga i-vasovagal syncope, kepha udokotela wakho angafuna ukukhipha ezinye izimbangela ezingaba khona. Ngokuya ngezimpawu zakho ezithile nomlando wezokwelapha, ukuhlolwa okuqhubekayo kokuxilongwa kungafaka:

• Ukuhlolwa kwetafula lokutshekisa. Lokhu kuhlolwa kuvumela udokotela wakho ukuthi ahlole izinga lokushaya kwenhliziyo yakho nomfutho wegazi lapho usezikhundleni ezihlukile.
• Umqaphi ophathekayo weHolter. Le yidivayisi oyigqokayo evumela ukuhlaziywa okuningiliziwe kwesigqi senhliziyo samahora angama-24.
• I-Echocardiogram. Lokhu kuhlolwa kusebenzisa amaza omsindo ukukhiqiza izithombe zenhliziyo yakho nokugeleza kwegazi layo.
• Ukuzivocavoca ukuhlolwa. Lokhu kuhlolwa kuvame ukufaka ukuhamba ngesivinini noma ukugijima endaweni yokunyathela ukuze ubone ukuthi inhliziyo yakho isebenza kanjani ngesikhathi somzimba.

Lezi zivivinyo zingasiza ukuqinisekisa ukuthi une-vasovagal syncope noma ukhombe kwesinye isifo.

Yiziphi izinketho zokwelashwa?

I-Vasovagal syncope empeleni ayibizi ukwelashwa. Kodwa kuwumqondo omuhle ukuzama ukugwema lezo zimo ezibangela ukuquleka futhi uthathe izinyathelo zokuvimbela ukulimala ngenxa yokuwa.

Akukho ukwelashwa okujwayelekile okwelapha zonke izimbangela nezinhlobo ze-vasovagal syncope. Ukwelashwa kuhlukaniswa ngakunye ngokuya ngesizathu sezimpawu zakho eziphindaphindayo. Ezinye izilingo zomtholampilo ze-vasovagal syncope zilethe imiphumela edumazayo.

Uma ukuquleka njalo kuthinta izinga lakho lempilo, khuluma nodokotela wakho. Ngokusebenza ngokubambisana, nikwazi ukuthola ukwelashwa okusizayo.

Eminye yemithi esetshenziselwa ukwelapha i-vasovagal syncope ifaka:

• i-alpha-1-adrenergic agonists, ephakamisa umfutho wegazi
• i-corticosteroids, esiza ukukhulisa amazinga e-sodium nawoketshezi
• i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs), esiza ukulawula ukuphendula kohlelo lwezinzwa

Udokotela wakho uzokwenza isincomo ngokuya ngomlando wakho wezokwelapha, ubudala, nempilo yonke. Ezimweni ezimbi kakhulu, udokotela wakho angafuna ukuxoxa ngobuhle nobubi bokuthola i-pacemaker.

Ngabe i-vasovagal syncope ingavinjelwa?

Kungenzeka kungenzeki ukuvimbela ngokuphelele i-vasovagal syncope, kepha ungakwazi ukunciphisa ukuthi uquleka kangaki.

Isinyathelo esibaluleke kakhulu ukuzama ukunquma izimbangela zakho.

Ngabe ujwayele ukuquleka lapho uthathelwe igazi lakho, noma uma ubuka ama-movie asabisayo? Noma uqaphele ukuthi uzizwa uphela amandla lapho ukhathazeke ngokweqile, noma ume isikhathi eside?

Uma ukwazi ukuthola iphethini, zama ukuthatha izinyathelo zokugwema noma ukusebenza ngezimbangela zakho.

Lapho uqala ukuzizwa uphela amandla, lala phansi ngokushesha noma uhlale endaweni ephephile uma ungakwazi. Kungakusiza ukuthi ugweme ukuquleka, noma okungenani uvimbele ukulimala ngenxa yokuwa.

Okubalulekile

IVasovagal syncope iyimbangela ejwayelekile yokuquleka. Imvamisa ayixhunyiwe enkingeni enkulu yezempilo, kepha kubalulekile ukubona udokotela ongakwazi ukukhipha noma yiziphi izimo ezingaphansi ezingadala ukuthi uquleke.

Lolu hlobo lwesiqephu sokuphelelwa amandla luvame ukubangelwa yizimbangela ezithile, njengokubona kwento ekuthusa, umuzwa oshubile, ukushisa ngokweqile, noma ukuma isikhathi eside kakhulu.

Ngokufunda ukukhomba okubangela wena, ungahle ukwazi ukunciphisa ukuphelelwa amandla nokugwema ukuzilimaza uma ulahlekelwa ukwazi.

Ngoba ukuquleka kungaba nezinye izimbangela, kubalulekile ukubona udokotela wakho uma ngokungazelelwe uba nesiqephu sokuquleka, noma ungakaze ube naso phambilini.

Thola ukunakekelwa kwezokwelapha ngokushesha uma ulimaza ikhanda lakho lapho udlula, unenkinga yokuphefumula, izinhlungu zesifuba, noma inkathazo ngenkulumo yakho ngaphambi noma ngemuva kokuquleka.