Ngaba wakha wafa okanye waphaphaza ngexesha lakho? Ndibuza ukuba oko kuqhelekileyo?
Ewe, inyaniso kukuba ukuba utshintsho oluqhelekileyo olwenzeka emzimbeni wakho ngexesha lokuhamba kwimizuzu kunokukwenza ukuba ukhululeke ekuphelelweni ngexesha lakho.
Kutheni Uphosakele
Ukutyhafa okanye ukuphuma, kwaziwa ngokuba yi-syncope, yindlela yakho yengqondo yokuthetha nomzimba wakho ukuba ayifumani inani le-oksijini eliyidingayo.
Ingqondo yakho iyancipha kakhulu kumanqanaba e-oxygen kwaye umzimba wakho unamacebo amaninzi okuzakhela okanye iingcamango zokuqinisekisa ukuba ubuchopho bakho bufumana oko kuyifunayo. Ngamanye amaxesha utshintsho emzimbeni wakho lubangela le ngcamango kwaye ngenxa yoko, uyaphuma. Yiyo kanye eyenzekayo kwindawo eqhelekileyo yokuphazamiseka okubizwa ngokuba yi- neurocardiogenic okanye i- vasovagal syncope .
I-syncope yeVasovagal ibangelwa ukuphendula okutshintshileyo kwiimeko ezithile ngeyona nqubo ye-nerve elawula ngokuzenzekelayo imisebenzi emzimbeni ebalulekileyo. Asizi kakuhle ukuba kwenzeka ntoni kodwa ukuxilongwa kubangela ukuba utshintsho kwizinga lentliziyo yakho kunye negazi legazi elibangelwa ukunciphisa ukuhamba kwegazi kwingqondo yakho. Njengoko ezi nguqu zenzekayo zenza iimpawu eziqhelekileyo eziyaziwa ngokuba yimpawu zokungena kwi-presyncopal kubandakanya:
- isicaphulelo
- ukuthuka
- u bunzima
- Umbono obolileyo
- iintliziyo zentliziyo okanye intliziyo esheshayo
- i-paresthesia okanye uvakalelo lwentsimbi
- iphosa okanye ikhangeleka
Ngendlela, ezi zimpawu ziyisilumkiso sokuba uzame ukutshintsha oko ukwenzayo. Ngokuqhelekileyo isiqephu se syncopal sinokuphetshwa njengoko utshintsha oko wenzayo ngenxa yokuba ungeva kakuhle. Kodwa ngamanye amaxesha, ezi zimpawu ziza ngokukhawuleza kwaye awukwazi ukuzikhusela ekuphelelwe amandla.
Kutheni i-Périod yakho ingakhokelela ukutyhafaza
Utshintsho emzimbeni wakho olunokubangela i-neurocardiogenic okanye i-vasovagal syncope ikhuliswa ngexesha lakho. Ngamanye amazwi, ezinye zenguqu ezenzeka emzimbeni wakho inyanga nganye ngexesha lakho liyakwandisa ithuba lokuphelelwa amandla okanye ukuphelelwa yintsipho.
Iiperidi ezibuhlungu
Ubuhlungu, ngokuqhelekileyo, yi-trigger eyaziwayo ye-vasovagal syncope. Nje ngezinye iintlobo zentlungu, impendulo yakho kwiintlungu zentlungu ingabangela ukuba utshintsho olwenziwe emzimbeni wakho lubangela ukuba uphelelwe amandla. Kodwa kukho enye into malunga neentlungu zakho zonyango ezandisa ithuba lokuphelelwa amandla.
I- dysmenorrhea yeprayimari okanye ixesha elibuhlungu ngaphandle kwesizathu esibangelwayo lihambelana nokuvelisa i- prostaglandin . I-Prostaglandins iveliswa kwi- endometrium okanye kwisibilini sesisu sakho kwisigaba sokugqibela se-luteal okanye kwisiqingatha sesibini somjikelezo wakho ngaphambili kwaye nje njengoko ixesha lakho liqala. Ukuba unexesha elibuhlungu kakhulu kucingelwa ukuba uveliso lwakho lwe-prostaglandin lunyuselwa. I-Prostaglandins ibandakanyeka kwimisebenzi emininzi ebalulekileyo emzimbeni wakho enxulumene nokuphatha isifo kunye nokulimala. Enye yale mi sebenzi ibangela ukuba imivenge yakho yegazi ihlaziye inkqubo eyaziwa ngokuba yi-vasodilation.
Ewe, kwenzeka nje ukuba enye yenguqu eguqule emzimbeni wakho onokukhokelela kwi-vasovagal syncope yi-vasodilation.
Kucatshangelwa ukuba mhlawumbi ukwanda kwe-prostaglandin kubangela ukugqithisa okuphawulekayo okwehla kwegazi lakho. Oku kubeka isigaba somphendvulo ogqithiseleyo kunye nethuba elongezelelweyo lokuphelelwa yintlungu ebangelwa zizikhwama zenyanga.
Ukuthatha imithi ebizwa ngokuba yi-nonsteroidal anti-inflammatory drug okanye i- NSAID efana ne-ibuprofen ukunciphisa umveliso wakho we-prostaglandin mhlawumbi ukhetho lwakho olungcono kunyango. Akuyikuphela nje oku kuya kunciphisa intlungu yakho ngokunciphisa umveliso we-prostaglandin kunokubangela iziphumo ze-vasodilatory ze-prostaglandins ezingaphezu kwenkqubo yakho.
Iimviwo eziPhezulu
Ngokuqhelekileyo, ukuhamba kwexesha elinzima kunxulumene nokwakhiwa kwe-endometrial lining of your uterus ngexesha lokuhamba kwimizuzu. Njengoko kuphawuliwe ngasentla, izicubu ezingaphezulu kwe-endometrial zikhulu kakhulu ekuveliseni i-prostaglandin. I-Prostaglandins icingelwa ukuba ikhulise enye yeenguqu ezinokukhokelela kwi-vasovagal syncope.
Ukongeza kwi-prostaglandins, ixesha elibi linokubangela ukulahleka kwegazi okungapheliyo okubangelwa i- anemia . Xa unomdlavuza, ekugqibeleni unciphisa inani le-oksijini apho igazi lakho lingakwazi ukuthwala umzi wakho. Xa ubuchopho bakho bubona nokuba uyancitshisa kakhulu oksijini, kubangela ukuba utshintsho olunokuthi lukhokelela kwi-vasovagal syncope.
Ukutya ukutya okunesitye okanye ukuthatha izongezo zetsimbi ukukunceda ukwandisa amandla okhejini okwenza iiselom zegazi ezibomvu kunokukunceda ukuba ugweme le sizathu sokuphazamiseka ngexesha lakho.
IHormone Changes
Amanqanaba e-hormone ahlalutyayo isiseko somjikelezo wakho wokuya esikhathini. Ukuba unemijikelezo yexesha eliqhelekileyo, ukuxinwa kwe-estrogen kunye neprogesterone emzimbeni wakho kuyahluke kwisiqingatha sokuqala komjikelezo wakho, umjikelezo phakathi, kunye nesiqingatha sesibini somjikelezo wakho.
Ngethuba lokuqala kwexesha lakho, zombini isrogen kunye neprogesterone emzimbeni wakho kusezingeni labo eliphantsi. Kwamanye amabhinqa, oku kutshintshwa kwe-hormonal kungabangela utshintsho kwi-insulin ye-sensitivity engakhokelela kwiziqwenga zeeshukela ephantsi kwegazi ezibizwa ngokuba yi-hypoglycemia. Ezi ziqendu ze- hypoglycemia zenzeka nangona ungenayo isifo sikashukela. I-Hypoglycemia yinto enye inguqu emzimbeni wakho onokubangela ukuba utshintsho oluthile lubangele i-vasovagal syncope.
Ukukhumbula ukutya kwesidlo sakusasa, ukutya ukutya okuncinci rhoqo emini, kunye nokunciphisa ukutya okuphezulu kwiishukela ezilula kunokunceda ukunciphisa iziqwenga ze-hypoglycemia.
Kuye kucatshangelwa ukuba amanqanaba e-hormonal aphantsi ngexesha lokuya esikhathini angabangela ukutshintsha kwamanzi omzimba kwamanye amabhinqa njengokuba umlambo egazini uhamba emathanjeni omzimba. Oku kubangela i-edema okanye ukuvuvukala ngokukodwa kwimilenze kunye ne-ankle kunye ne-fluid encinci kwimithambo yegazi. Umzimba wakho uphendukela kule nto injengoko uyenzayo ekudambiseni amanzi. Ngenxa yokuba umthamo wentsholongwane egazini lakho uncinci umzimba wakho awukwazi ukulungelelanisa ukutshintsha kweemeko kunye nokunyanzeliswa kwegazi lakho. Oku kubizwa ngokuba yi-orthostatic hypotension kwaye oku kwehla kwixinzelelo lwegazi kunokubangela ukuba utshintsho olungenza uphelelwe amandla.
Ezi zitshintshi ezinokukhutshwa kwamanzi ezinokwenziwa kwamanzi ziyakwazi ukwandisa imeko ethile kubasetyhini abaselula abathiwa yiPostural Orthostatic Tachycardia Syndrome . I-POTS yintlupheko ephazamisa inxalenye yesimo sakho senzwa esilawula ngokuzenzekelayo imisebenzi emzimbeni ebalulekileyo njengezinga lentliziyo yakho kunye noxinzelelo lwegazi. Abasetyhini abanePOTS banamava, utywala, kunye nokuphelelwa yintlungu rhoqo okunyuka ngexesha lokuya esikhathini.
Ukwenza uqiniseke ukuba uhlala uphephile kakuhle ngokusela amanzi amaninzi, ugweme ukuxhalabisa kwaye ugweme ukuma ixesha elide kuya kunceda ukunciphisa amathuba akho okuphazamiseka ngexesha lakho.
ILizwi
Umzimba wakho uphantsi kweenguqu ezininzi kwixesha eliqhelekileyo lokuhamba. Ngamanye amaxesha olo tshintsho lunokuphakamisa iimpendulo emzimbeni wakho okwandisa umngcipheko wokuphelelwa amandla ngexesha lakho. Ukuba unokukhulelwa ngexesha lakho, ukwenza utshintsho oluthile kwixesha lakho kunokunceda ukunciphisa umngcipheko. Kodwa, kubalulekile ukuba uxoxe ngokuphelelwa amandla ngexesha lakho kunye nomboneleli wakho wezempilo njengoko kungabonakalisa ingxaki enkulu.
> Imithombo:
> Chen-Scarabelliv, C., Scarabelli, T. Neurocardiogenic Syncope. BMJ, 2004; 329 (7) 336-41.
> Muppa, P., Sheldon, RS, McRae, M., Keller, NR, Ritchie, D., Krahn, AD, ... URaj, SR kunye nokuphazamiseka kwemizi kwabesetyhini kunye neVasovagal Syncope. Uphando lwezonyango lwe-Autonomic: I-Official Journal ye-Clinical Autonomic Research Society , ngo-2013; 23 (3), 117-122. http://doi.org/10.1007/s10286-013-0190-1
> Nwazue, VC, Raj, SR Ukudibanisa kweVasovagal Syncope: I-Postural Tachycardia Syndrome. Iikliniki zeCardiology , ngo-2013; 31 (1), 101-109. http://doi.org/10.1016/j.cci2012.09.004