Abaninzi bangabhalwa ngokungafanelekanga njengokuba banokugubha
Ukuba wena okanye othandekayo ngumntu omncinci oye wafumanisa ukuba unesithuthwane , kufuneka uqaphele ukuba ngamanye amaxesha ukuxilongwa kukuphazamiseka. Akukuqhelekanga ukuba abantu abatsha banikezwe ukuxilongwa kokuhluthwa (okanye ukuphazamiseka kwengxaki) xa bengenaso isithuthwane. Kunoko, banokuba nesimo esaziwa njenge syncope .
I-Syncope yilahleko yokulahleka kwengqondo edla ngokubangela ukuphazamiseka kokuphuma kwegazi kwingqondo.
Abantu abanama-syncope badla ngokubonisa imisebenzi enjenge-seizure (oko kukuthi, i-muscle craerking), enokuphambuka ngenxa yokuhluthwa.
Impembelelo yokuLawula i-Diagnosis
Ukubhalwa njengesifo sokuhluthwa kunokuthi utshintshise ubomi bomntu osemtsha, kungekhona ubuncinci ngenxa yesicalulo esingafanelekanga esisoloko siqhotyoshelweyo kuleso sifo. Okubaluleke ngakumbi, ukwenza ukuba ukuxilongwa ngokungafanelekanga kokuthintela ngokuqhelekileyo kukhokelela ekubeni unyango oluya kuba lucala, kwaye lubonisa abantu ukuba baneziphumo ezingekho mfuneko. Ngenxa yokuba iziqephu ziyakwazi ukuqhubeka, ukulandelwa kwezidakamizwa ezingenamsebenzi kunokusetyenziswa.
Kwakhona, ngenxa yokuba i-diagnostic - syncope - ilahlekile, imbangela engundoqo ye syncope ayiyi kufuna. Ezinye zezi zizathu ezibangeleyo, ezifana ne- cardiac arrhythmias , zithwala ingozi enkulu xa zihamba zingekho. .
Iintlobo ezimbini zeSyncope ezininzi eziqhelekileyo ezingabonakali njenge-Epilepsy
Kubonakala ukuba izimbini ezibalulekileyo ze syncope zixhaphake ngokungafaniyo njengokuthintela kubantwana kunye nabantu abadala: i- vasovagal syncope kunye ne- long-QT syndrome .
I-syncope ye-Vasovagal (ebizwa ngokuba yinto elula yokuphalaza) iyenzeka ngenxa ye-reflex ye-neurological edlalwa yintlungu, ukwesaba, isisu esisiphene okanye ezinye izinto ezininzi.
Le ngcamango ibangela imivenge yegazi emilenzeni ukuba ihlaziye. Igazi ngokukhawuleza ngamachibi emilenzeni, ukunciphisa inani legazi elibuyela entliziyweni kunye nokunciphisa uxinzelelo lwegazi-kubangela ukuba ixhoba lilahleke ingqalelo.
Xa sele ehlalisa (ngokuqhelekileyo ngokuwa phantsi), ukuvutha komhlaba kuvumela igazi ukuba libuyele entliziyweni, kwaye ukuqonda kuya kubuyiselwa ngokukhawuleza.
I-long QT syndrome yintlupheko ezuze ilifa le- cardiac system (elawula ukubetha kwentliziyo). Abantu abanexesha elide le-QT-syndrome bangakwazi ukuvelisa iziganeko ezizenzekelayo, ezingalindelekanga zeendlela ezinqabileyo ze- tachycardia (ingozi enokuyingozi yengqondo), oku kudla ngokukhokelela ekungeneni kwe-syncope, kwaye oko kunokukhokelela ekubanjweni kwenyama kunye nokufa.
Abantu abane-vasovagal syncope okanye i-long-term syndrome ye-QT banokuphathwa ngokufanelekileyo, xa ukuxilongwa kwenziwe ngokuchanekileyo. Kwaye izithintelo ezininzi ezinokuthi zibekwe kubantu abanesithuthwane, njengemingcele yokuqhuba imoto, ayidingekiyo emva kokuxilongwa ngokuchanekileyo kwenziwe, kwaye unyango olululo lubekwe.
Kwenzeka Kangakanani Oku?
Ukungahambi kakuhle kwesifo sokuhluthwa kubonakala kubonakala kuphazamiseka rhoqo.
Kwisifundo esinye, kwii-222 izigulane ezine-syncope ye-vasovagal, i-8% yayinomsebenzi onjenge-seizure xa belahlekelwa ingqalelo ngexesha lokufunda isitafula se- tilt . Akukho nanye kwezi zigulane abonakaliswe ubungqina benkinga yokubamba ingxaki emva kokuvavanywa kwe-neurological, kubandakanywa iimvavanyo ze-EEG ( uvavanyo lwe -electroencephalogram, oludla ngokubonisa ubungqina obungavamile kubantu abanesifo sokuhluthwa).
Abaninzi bala bantu babanikwe ukuxilongwa ngokuchanekileyo kokuhluthwa phambi kokuhlolwa kwetafile, kwaye abaninzi bebefumana imishanguzo yokulwa nokuphuza, kunye nemimiselo yokuqhuba imoto esekelwe kwi-diagnostic engalunganga.
Kwesinye isifundo, abaphandi baphinde bahlaziya iRejista ye-Cardiac Inherited Disease Registry, kwaye bafumanisa ukuba abantu abangama-31 bachonga ababenomdla wexesha elide, bafumana ukulibaziseka ixesha elide lokufumana ukuxilongwa ngokuchanekileyo (ukulibaziseka okuphakathi kweminyaka engama-2.4, kodwa ukuya kwi-20.7 minyaka). Uninzi lwezilibaziseko lwaludityaniswe nokuxilongwa ngokungafanelekanga kokuhluthwa.
Kwaye ngexesha leli lixesha, zonke izi gulane zazisengozini yokufa ngokukhawuleza. (Ngokuqinisekileyo, nabani na oye wafa ngokuzumkatha emva kokuxilongwa ngokungalunganga akaze athole ukuxilongwa ngokuchanekileyo, kwaye akayi kufakwa kule registry.)
ILizwi
Ukuba wena okanye othandekayo unikwe ukuxilongwa ngokugula kwesifo okanye ukuhluthwa, kwaye uvavanyo lwe-EEG luqhelekileyo - kwaye ngokukodwa ukuba izigulane ezifana nezigulane ziye zaqhubeka nangona unyango - kufuneka ugxininise ukuhlaziywa kwakhona. Ngokukodwa, kufuneka ucele ugqirha wakho ukuba acinge nge-syncope ye-vasovagal kunye ne-QT syndrome ephakamileyo njengengxaki yokufumanisa.
> Imithombo:
> Krumholz A, Wiebe S, Gronseth GS, et al. Isikhokelo esisekelwe kwiNkcazo: UkuLawula ukuKhuselwa kokuQala okungekho kuBantu abadala: Ingxelo yeKomidi eLawulayo iNkqubela ye-American Academy ye-Neurology kunye ne-American Epilepsy Society. Neurology 2015; 84: 1705.
> MacCormick JM, McAlister H, Crawford J, et al. I-Misdiagnosis ye-Long-QT Syndrome njenge-Epilepsy kwi-Present Presentation. UAn Ann Emerg Med 2009; 54: 26-32.
> Passman R, uHorvath G, uTomas j, et al. Uvavanyo lwezonyango kunye nokukhawuleza kweziganeko ze-Neurological Provoked by Tilt Table Testing. IiNcwadi zoLondolozo lwangaphakathi. 2003; 163: 1945-1948.