Ukufundiswa kwetafile ye-tilt isetyenziselwa ukuhlola izigulane ezine- syncope (ukulahlekelwa kwengqondo) ekhankanywa ukuba ibangelwa ziziqephu ze-vasovagal . Kuyinto elula kakhulu ukufunda, kwaye kwiimeko ezininzi zikhuselekile.
Uvavanyo luyenziwa njani
Kwisifundo setafile esithambileyo, isigulane sixutywe kwitheyibhile, leyo isetyenziswe ngokufanelekileyo kwisithuba esithe tye.
Nangona ukujonga i-pulse, uxinzelelo lwegazi, i- electrocardiogram , ne-blood oxygen saturation , isigulane sishiywe "kwindawo yokuma engahambelani" imizuzu eyi-10 ukuya kweyimi-60.
Kwomntu onesifo se-vasovagal syncope, isifundo setafile esilungeleyo siya kuvelisa isiqhelo se syncopal. Ukuba oko kwenzeka, isifundo sithathwa njengesimo esihle, kwaye ukuxilongwa kwe-vasovagal syncope kuqinisekiswa.
U vavanyo lusebenza njani
Ngethuba lokuzenzekela ngokuthe tye-okanye malunga naloo nto ngelixa-ukuma-nkqubo ye-cardiovascular system kufuneka ilungelelanise ngokwabo ukuze inqande inxalenye ebalulekileyo yegazi legazi ukusuka kwiimilenze.
Ezi zihlengahlengiso ziquka ukwanda okwenene kwintliziyo yenhliziyo kunye ne-constriction yemida yegazi kwimilenze. Xa umntu oqhelekileyo efakwe kwisalathiso esilungileyo, ezi zihlengahlengiso zentliziyo zenzeke ngokukhawuleza, kwaye akukho nto iphosakeleyo kwixinzelelo legazi.
Nangona kunjalo, kwizigulane ezineentlobo ezimbini ze-syncope- orthostatic hypotension kunye ne-vasovagal syncope - ukulungiswa kwe-cardiovascular to rotten upright does not work normally.
Kwi -hypotension ye-orthostatic , amandla omzimba wokutshintshela ukunyaniseka okuthe tye akuqhelekanga. Xa aba bantu bemi (okanye xa banesifundo setafile ejikelezayo), i-pulse yabo iyanda ngokukhawuleza, kwaye uxinzelelo lwayo lwegazi luyehla ngokukhawuleza. Ezi zi gulane azikwazi ukulungelelanisa isikhundla esithe tye.
Nangona kunjalo, izigulane ezine- orthostatic hypotension azifuneki ukufundwa kwetafile ye-table for diagnostic, kuba oogqirha banokwenza lula ukuxilongwa kwiofisi yabo nje ngokuthatha uxinzelelo lwegazi kuqala xa isigulane silele kwaye emva kokuma.
Ukufundiswa kwetafile ye-tilt kudla ngokuqhelekileyo kubantu abane- vasovagal syncope kodwa ngendlela efihlekileyo. Ngokuqhelekileyo, ezi zigulane ziqale zilungise ngokuqhelekileyo ukuba zenzeke ngokuthe tye, kodwa ngaphakathi kwemizuzu engama-20 ukuya kwimizuzu engama-30 ziyakwazi ukutshintshwa ngokukhawuleza kwaye ziphawuleke kwiimpawu ezibalulekileyo - uxinzelelo lwegazi luyehla kakhulu; i-pulse yabo iyancipha, kwaye idlula. Baphinda emva kwemizuzwana emva kokuba ithebula libuyiselwe phantsi, kwaye babuyiselwa kwindawo yokulala.
I-syncope yeVasovagal ingenxa yecala elibangelwa ukuhluthwa ngokukhawuleza kwemithambo yegazi emilenzeni, kunye nokunciphisa izinga lentliziyo, zombini ezo zibangela ukuwa okukhulu kwixinzelelo legazi. Iziganeko ezinokubangela ezininzi zingabangela le nto ebizwa ngokuba yi-"vasomotor" reflex, kuquka izinto ezinjengokwesaba, intlungu, kunye nesishukumisayo (njengobona begazi). Uvavanyo lwetafile lwe-tilt luvelisa uxinzelelo kwi-cardiovascular system eyenziwa njenge-trigger. Ukufundiswa kwetafile ye-tilt, ke, ivavanya ukuba umntu unesifo se-vasomotor engathandabuzekiyo, kunye nekhono lokuphuhlisa i-vasovagal syncope.
Ukusetyenziswa okufanelekileyo kweTest Table Test
Nangona isifundo setafula esilungelelweyo singasetyenziselwa ukuxilonga i-hypotension ye-orthostatic, lo vavanyo alungaze lube luyimfuneko kwizigulane ezile meko, efunyanwa lula kwiofisi yeseli. Ubuncedo obuphambili boluhlu lwetafile ejikelezayo luqinisekisa ukuxilongwa kwe-syncope ye-vasovagal. Ukuqwalasela isiqhelo esicacileyo se-vasovagal ngexesha lokubheka ngokuthe tye kungaqinisa ukuxilongwa okwangaphambili kungaqinisekanga, kwaye ngenxa yeso sizathu, ukufundiswa kwetafile ye-tilt kunokuba luncedo.
Uvavanyo lwetafile lwe-tilt lunokuthi luncedo ekuthintela ukuphazamiseka ngokungahambi kakuhle kwesifo sokuhluthwa okukuthi , ekuhlukaniseni ukuhluthwa kwi-vasovagal syncope ehambelana nokunyuka kwama-jerky.
Nangona kunjalo, uvavanyo kufuneka lusetyenziswe ngokucokisekileyo. I-syncope yeVasovagal inokuthi ifumaneke lula kwiimeko ezininzi ngokuthatha imbali yonyango nokwenza uvavanyo lomzimba.
Ngaphezu koko, nakubantu abane-syncope ye-vasovagal ecacileyo, ukufundiswa kwetafile ye-tilt kuvelisa iimpawu zabo kuphela malunga ne-70-75% yexesha. Ngamanye amazwi, i-25-30% yezi zi gulane "zifundo ezimbi". Ukufundisisa ukutshintsha, ngoko ke, akufanele kuthathwa njengesiqhelo "segolide" ekuxilongweni kwe-vasovagal syncope. "Imilinganiselo yegolide" isengumgulana onogqirha kwaye uyigqirha.
Ukuhlolwa kwetafile ye-tilt kusetyenziswe kakuhle kwizigulane ezinembali yazo ezibonisa iziqephu ze-vasovagal, kodwa apho kukho ukungathandabuzeki. Kulezi zigulane, ukufundisisa okutyebileyo kunokuhamba ixesha elide ukucima ukuxilongwa kwe- vasovagal syncope .
Imithombo:
Igqiza lokuSebenza kunye noLawulo lweSyncope, i-European Society of Cardiology (ESC), i-European Heart Rhythm Association (EHRA), et al. Izikhokelo zokuxilongwa nokuphathwa kwe syncope (inguqulelo 2009). I-Eur Heart J 2009; 30: 2631.
ULeonelli FM, Wang K, Evans JM, et al. Ukunyuka kwentloko-intle-ntle: iprofayili ye-hemodynamic ne-neurohumoral. J Am Coll Cardiol 2000; 35: 188.