Izizathu Zokuba Siphuma
Ukutshatyalaliswa (syncope) ukulahlekelwa ngokukhawuleza kokuqonda ngenxa yokungahambi kwegazi ukuya kwiingqondo. Abantu abaphelelwa amandla bavuswa ngokukhawuleza emva kokuwa. Ulawulo lokutyhafaza lulula: Makheke isiguli xa elele esicatshulwa (sondeza). Kubaluleke ngakumbi kunokuba ulawulo olukhawulezileyo lugqirha imbangela yokuphelelwa amandla.
Iimpawu
Iifolda ezilungele ukuvumelanisa i-syncope ziqala ukuphazamiseka kwiminyaka engama-13 ubudala kwaye ziqhubeke nobomi babo bonke.
Isigulane sivakalelwa (ukufudumala okanye ukutshisa kunesimo esifanayo) esilandelwa kukungabi nakubuthathaka kunye nokulahlekelwa yintsholongwane. Baya kuhlamba kwaye bavame ukugquma kwi- sweat . Abantu abemi xa bephelile, okanye "baphume," baya kuwela phantsi. Kweminye abantu abanentsholongwane yentsholongwane yegazi, ukuvuselela kubangela ukuba intliziyo igxininise kakhulu. Nangona kunjalo, xa isigulane siphelile, imbilini yesisu iyayeka ukwenza into yayo kwaye intliziyo yesigulane iqala ukukhawuleza ukuze kulungiswe umxhesho wegazi ophantsi.
Ngaphambi kokuphelelwa amandla, isigulane sinokubonisa okanye ukuziva konke okanye ezinye zezi zibonakaliso neempawu, kuxhomekeke kwisizathu sokuphelelwa amandla:
- utywala okanye uvakale
- kudideka
- isicaphulelo
- ukuva ngokukhawuleza
- umboniso wombono okanye umbono obonakalayo
- ukuthuka
- umbala ogqabileyo okanye obala
- uzive ushushu
- ubuthathaka
- ukuthuthumela okanye ukuthuthumela
- Ukugubha kwamehlo (nystagmus)
- intloko
- ukuqhawukelwa ngumphefumlo
Kwiimeko zokuphazamiseka okubangelwa kukugqugquzelwa kwentsholongwane ye-vagus (uhlobo oluqhelekileyo lokuphelelwa amandla), izigulane zinokuba neenkampu okanye inqweno yokuba neentshukumo zokuhamba ngaphambi kokuba zidlule.
Ukutyhafa Kubukeka njani
Kwiimifanekiso, ukuphelelwa amandla kuhlale kuqhutywe ngokuwa phezu kolukhuni njengoko ibhodi kunye nokuhlalisa ubuso okanye ubuso. Kwiifilimu, ukugqithiswa kwe-melodramatic yakudala kwakunokutshabalalisa, isandla kwisabunzana kunye nokuwa kwiingalo zentliziyo yesondlo esondelene nayo.
Ubomi bobubomi, iindawo eziphazamisayo zivela kwizinto ezifihlakeleyo ezinobundlobongela.
Njengoko ingqondo iyeka ukufumana ukuhamba kwegazi okwaneleyo ukuhlala uqikelele, iyeka ukuthumela iimpawu kwiiseli zomzimba. Iimisipha zilahlekelwa yintetho kunye nomzimba uvele uqubuke kunoma yiyiphi inqwaba yokuvutha.
Ngamanye amaxesha, ukuphuma ngokukhawuleza kwegazi ebuchosheni kukukhokelela kwintshukumo encinci yokukhathazeka efana ne-static ngokusebenzisa umgca wefowuni. Kungabangela ukuthuthumela okanye ukugubha. Ngamanye amaxesha kubonakala ngathi ukugubha; maxa wambi kubonakala ngathi ukutshatyalaliswa (nakuba kukufutshane). Ngaba uvakalelwa ukuba ungeyinto engathandabuzekiyo kwiingalo okanye imilenze yakho njengoko ulala? Oko kubizwa ngokuthi ukuchithwa kwe-myoclonic, kwaye kunjalo kanye uhlobo olufanayo lokutshatyalaliswa kwezigulane ezibonisa ukugula.
Nangona ukuqhekeka kwe-myoclonic akuyiyo inxungulo, ukuxhamla ngokwenene kunokubangela ukulahlekelwa ngokukhawuleza kokuqonda. Nangona kunjalo, iimpawu zokutshatyalaliswa ziyahluka. Njalo unyango lweengxaki .
Iimpawu emva kokutyhafaza
Xa umntu ehamba esuka kwi-vertical ukuya kwi-horizontal, igazi liqala ukubuyela emuva kwingqondo kwaye baqala ukuvuka. Inokukhawuleza okanye ingathatha ixesha; wonke umntu.
Ezinye zeempawu eziqhelekileyo ezingenzeka emva kokuphelelwa amandla:
- i swe sweka
- Umbala uqala ukubuyela
- ipulse ngokukhawuleza okanye "intliziyo yokugijima"
- ukulahleka kwesibilini okanye ukulawula isisu (ukunganyani)
Izizathu
Ininzi yokuphazamiseka ibangelwa yi-vagus nererve. Idibanisa inkqubo yokugaya ingqondo, kwaye umsebenzi wayo ukulawula ukuhamba kwegazi ukuya emanzini. Xa ukutya kungena kwinkqubo, i-vagus nerve igxotha igazi kwisisu nasemathunjini, ukuyikhupha kwezinye izicubu zomzimba, kuquka ingqondo. Ngelishwa, i-vagus nererve ingakwazi ukufumana into encinci kakhulu kwaye idonsa igazi elininzi kwiqondo. Ezinye izinto zenza kube nzima, ezifana nokubethelela ukuhamba okanye ukuhlanza. Izimo zonyango eziye zinciphisa uxinzelelo lwegazi zikhulisa imiphumo yentsholongwane ye -vagus- kunye nobuhlungu obukhulu obuvela kwimizi yokuya esikhathini .
Ukuditywa kwamanzi
Amanzi amancinci egazini aphantsi kwegazi, kunye nokuvuselela iimbilini zesisu xa isisetyenzisi se-quart esiphantsi sikhokelela ekutheni utyhefu kunye nokuphelelwa amandla. Kukho izimbangela ezininzi zokungcoliswa kwamanzi: ukuhlanza okanye urhudo , ukugqithisa ukushisa , ukutshisa kunye nokunye. Ukuvuthwa kunye nehudo, ngokukodwa, kukhuthaza ukuthetha nge-vagus ne-double whammy.
Iingxaki Zengqondo
Ngaba uyaphuma xa ubona igazi? Ukuxhalabisa, ukuphazamiseka kwengxaki, kunye nokuxininisa kunokuvuselela i-vagus nerve kwabanye abantu kwaye kukhokelela ekulahlekelweni kokuqonda.
Ukutshitshiswa
Ayikho yonke ilahleko yokuqonda idibene ne-vagus nererve. Ukutshitshiswa yimeko ebonakaliswe ngumxhesho ophantsi wegazi odla ngokukhokelela ekulahlekelweni kokuqonda. Njengomphakathi, siyazi kakuhle imiphumo emide yexesha elide loxinzelelo lwegazi , kodwa uxinzelelo oluphantsi kakhulu lwegazi luyingozi kakhulu.
Ukutshatyalaliswa kwimeko engxamisekileyo esongela ubomi esoloko iphuma ekuphumeni kwegazi, kodwa inokuvela kwi-allergia ( severely-fat ) okanye isifo esinamandla. Abantu abanokutshitshiswa baya kudideka, baze balahleke ingqondo njengoko imeko yabo iqhubeka ngakumbi. Konke kwenzeka ngokukhawuleza, kwaye nangona kungakhathaliseki ukuba yiyonto, asikwazi ukuthetha ngaphandle kokuba isiguli sigugu. Ukuthatha isimo sengqondo sokulinda nokubona kunokuyingozi.
Iziyobisi okanye utywala
Uninzi lwabantu lulahlekelwa ingqalelo ngenxa yokusetyenziswa kotywala, kwaye asiyikuthi igule (nangona ukuphuma kusasa kubonakala kulungile). Ngaphandle kwendlela ebonakalayo yokwenyusa, utywala uyanceda ugule, ekugqibeleni ekukhokelela ekudambiseni amanzi. Kananjalo iyanciphisa imithana yegazi, eyanciphisa uxinzelelo lwegazi. Ukudibanisa loo miphumo idonsa ingqondo kwaye ikhanyise izibane.
Ukutshitshiswa, ukulahlekelwa ingqalelo ngenxa yobutywala akubheki njengokwenkcenkceshe, kodwa kunokwenzeka okanye kungabi yimbangela yokukhathazeka. Kungenzeka ukuba ufe ngenxa yobuthi obungcolileyo , kwaye ukudlula luphawu lotywala obukhulu. Ezinye iziyobisi-zomthetho kunye nokungekho mthethweni-zingakunqumla ngenxa yezizathu ezahlukeneyo, kwaye ezinye zizinto ezibangeleyo zokungcoliswa kwamanzi okanye ukuhla kwegazi.
- I-nitrate iyanciphisa ngokukhawuleza uxinzelelo lwegazi
- I-Diuretics yenza ukuba ujike kwaye ingakhokelela ekudambiseni amanzi
- Izikhuthazo zomisa kwaye ziphakamisa ubushushu bakho
- I-Opiates engaphantsi kwengcinezelo yegazi kunye nokuphefumula
- Iidakamizwa zentliziyo zihlala zinciphisa uxinzelelo lwegazi
- Nasiphi na isilwanyana esisetyenziselwa ukulawula uxinzelelo lwegazi lusebenza ngandlela-thile ukunciphisa uxinzelelo lwegazi-amachiza amaninzi afana noxinzelelo oluphantsi lwegazi
Beat Beat
Intliziyo yakho yipompo eqhubhisa igazi ngeemvini zakho kunye nemithambo. Kuthatha umlinganiselo othile wexinzelelo kwigazi ukuze uqhubeke uhamba. Intliziyo efanelekileyo ngokufanelekileyo ibalulekile ukugcina uxinzelelo lwegazi olufanelekileyo. Ukuba intliziyo ibetha ngokukhawuleza okanye iphuphe kakhulu, ayikwazi ukugcina uxinzelelo lwegazi luphezulu njengoko lufuna ukuba. Igalelo legazi ukusuka ebuchosheni kwaye likhokelela ekuphelelweni. Ngexesha lokuhlaselwa kwentliziyo, isisu senhliziyo sinokuphelelwa amandla ukugcina uxinzelelo lwegazi.
Ukwenza isigqibo sokuba intliziyo ingaba yinto enecala, thatha i-pulse. Ukuba ihamba ngokukhawuleza (ngaphezulu kwama-150 ngeengqungquthela ngomzuzu) okanye iphosakeleyo kakhulu (ngaphantsi kwama-beat bees 50 ngomzuzu), krokreka ukuba intliziyo ibangele ukuphefumula. Kwakhona, ukuba isigulane sikhalaza ngentlungu yesifuba okanye ezinye iimpawu zesifo senhliziyo , kuthatha intliziyo engenamandla ukugcina igazi entloko.
Unyango
Yonke ngokwayo, ukuphelelwa amandla akuyiyo ingozi yokuphila. Nangona kunjalo, ukubanjwa ngokukhawuleza kwentliziyo kubonakala kunjengokuphazamiseka kwaye kufuna unyango olukhawuleza. Nanini na xa ubona umntu edlula, qiniseka ukuba isigulane siphefumula; ukuba akunjalo, biza 911 uze uqale iCPR .
Xa umntu ephosayo, fumana isigulane sithele kakuhle. Unako ukuphakamisa imilenze ukunceda ukuhamba kwegazi ubuyele ebuchosheni, kodwa ngokuqhelekileyo akuyimfuneko kwaye kukho ingxoxo enoba iyasebenza.
Utyando emva koko kuxhomekeke kwisizathu sokuphelelwa amandla. Ukuba okokuqala ngethuba lo mntu uphazamisekile-okanye ukuba awukwazi-biza 911. Kukho imeko enobungozi engabangela ukuphelelwa amandla kwaye kufuneka ihlolwe ngabaqeqeshi bezonyango ukuze baqonde indlela yokuqhubeka.
Ukuba isigulane sinomlando wokuphelelwa amandla, jonga ukuphefumula uze unike imizuzu embalwa ukuba uvuke. Ukuba isiguli asivuki kwimimitha emithathu yokulala, celela 911.
Kubaluleke ngakumbi kunokuba unyango olukhawulezileyo luyiphatha isizathu sokuphelelwa amandla. Ngokuqhelekileyo, indlela yodwa yokufumanisa imbangela kukujonga kwiingxaki zonyango ezingapheliyo, ukuba zikhona, kunye nemisebenzi yakutshanje okanye izifo.
Thintelo
Ngamanye amaxesha, akukho nto ungayenza ukuyeka ukuphelelwa amandla, kodwa ukuba uvakalelwa kukuba kuza kwizinto ezimbalwa ezinokukunceda. Ukuba uvakalelwa ngokukhawuleza, ushushu, utyumkile okanye uphumele kwi- sweat ekhuzileyo , musa ukuma. Lala phantsi ide idlule. Ukuba ayidluli kwiminithi embalwa okanye uqala ukufumana intlungu yesifuba okanye ukuphefumula okufutshane , fowuni 911 .
ILizwi
Ukuphuma, akungabazeki, isiganeko esiyingozi. Ulwazi luyingqingqo yemfazwe ekukhuseleni. Izigulane ezininzi eziphazamisayo kufuneka zibone ugqirha kwaye ziqikelele isizathu sokuphazamiseka (ukuba kukho). Izigulane ziza kufuthi zifunde iimpawu zokulumkisa kunye neempawu zokuphelelwa amandla kwaye zingafunda ukuwuphepha.
> Imithombo:
> Probst, M., Kanzaria, H., Gbedemah, M., Richardson, L., & Sun, B. (2015). Iintlobo zelizwe ekusebenziseni izixhobo ezinxulumene nohambo lwe-ED lwe syncope. I-American Journal Of Medicine eNgxamisekileyo , 33 (8), 998-1001.