Ukuba unesiqhelo se syncope (ukulahleka kwexesha elide lokubhekisela kwintsimi ekubhekiselele kuyo kwakhona kubhekiswe njengokuphelelwa amandla), kubalulekile kuwe kunye nogqirha wakho ukuba uqonde oko kubangele isiqephu. Kukho ezininzi ezinokubangela i-syncope, kwaye ngaphandle kokuba ugqirha wakho asondela kwi-diagnostic ngendlela echanekileyo, izinto zingadideka ngokukhawuleza. Eli nqaku lixubusha indlela echanekileyo kunye neenkqubo zokuxilongwa kwe syncope.
Izinto zokuQala kuqala
Ekuhloliseni imbangela ye syncope, ugqirha wakho unemibuzo esheshayo ukuphendula: Ngaba i-syncope kwimeko yakho ibonisa ingozi eyongeziweyo yokufa ngokukhawuleza? Ngethamsanqa, ukufika kwimpendulo yalo mbuzo kudla ngokuthe tye, kwaye ngokunenhlanhla, kwiimeko ezininzi kwiimpendulo kulo mbuzo "Hayi." Sekunjalo, kubalulekile ukulungisa lo mbuzo kwangoko. Ekubeni i-syncope yokusongela ubomi isoloko isifo senhliziyo, oku kuthetha ukuba ugqirha wakho kufuneka aqinisekise ukuba unayo, okanye mhlawumbi unokufumana, imeko ebalulekileyo yenyama. Ukuba ugqirha wakho ugqiba ukuba i-syncope ingaba yimeko ngenxa yesimo senhliziyo, kufuneka uvavanyo olukhawulezayo - kwaye kunokuba lunyanzelekile ukuba ulalise esibhedlele kuze kube yinto ebangela ukuba usongela ubomi, okanye uphathwe ngokwaneleyo.
Ukuba (njengokuba kunjalo njalo) ugqirha wakho akafumani naluphi na uphawu lobungozi obusongela ubomi, ngoko unako ukwenza uvavanyo oluphantsi kancinci ukufumana imbangela ye syncope yakho, kwaye ukulaliswa kwezibhedlele akufunwa kangangoko.
Indlela ePhasayo emiBini yokuVavanya iSyncope
IsiGaba esisodwa - iMbali yezoNyango kunye noVavanyo lweMpilo
Oku, kude nakude, kuyona nyathelo ebalulekileyo ekufumaneni i-syncope. Imbali kunye nokuhlolwa kwangokwenyama kunika izixhobo ezibalulekileyo ekufumaneni ukuba ziphantse zonke izizathu ze syncope. Nangona kunjalo, ngelixa bonke oogqirha bafundiswa oku, baninzi, ngelanga, akalibonakali ukuba bafunde.
Yingakho kufuneka uqaphele oku: Ininzi lamatyala, ugqirha kufuneka abe neengcamango ezintle malunga nesibindi se-synncope emva kokuthetha nawe kwaye akuhlolisise. Ngoko ukuba ugqirha wakho uhluleka ukwenza imbali yonyango ecacileyo (echazwe apha ngezantsi), kwaye wenza kuphela uvavanyo olusesikweni, kwaye ke akanalo ingcamango yokuba yintoni eyenza i-syncope yakho, ngoko kufuneka ucinge ngokubona omnye ugqirha.
Ukuthatha imbali yonyango ngokucophelela kufuneka kubandakanye ukufumana iinkcukacha malunga nayiphi na imbali yengqondo onokuyenza, kubandakanya: a) yonke ingcaciso ephathelene nayo nayiphina imbali yesifo senhliziyo; b) ukuba awunayo imbali yesifo senhliziyo, ke uvavanye ingozi yakho yesifo senhliziyo ; kunye c) ukubuza malunga nayiphi na imbali yentsapho enokuba nayo yesifo senhliziyo, ingakumbi nayiphina imbali yentsapho yokufa ngokukhawuleza. Ukongezelela, ugqirha kufuneka akucele iinkcukacha zee-episodes zakho nganye - zonke iindlela zokubuyela kumntwana, ukuba kuyimfuneko-kuquka iinkcukacha malunga nokuba yeyiphi enye eyenzekayo, yintoni oyenzayo ngexesha, nokuba kukho naluphi na isilumkiso, sasihlala ixesha elide kangakanani, nokuba wawubuye uqaphele ngokukhawuleza xa uwa phantsi, nokuba ngaba ufumene indlela yokukhupha iziqendu xa uziva uvela.
Uvavanyo loqobo lufanele lubandakanye iimvavanyo ze-neurological and cardiac. Ugqirha wakho kufuneka athathe uxinzelelo lwegazi kwisalathu ngasinye, kwaye kufuneka ulinganise uxinzelelo lwegazi kunye ne-pulse ngexesha ulala phantsi, kwaye kwakhona xa umile.
Ekupheleni kwembali kunye nomzimba, ugqirha wakho kufuneka abe neengcamango ezigqwesileyo malunga noko kubangela ukuba i-syncope yakho. Ngokukodwa, ubuncinci ugqirha wakho kufuneka azi ukuba kunokwenzeka ukuba unengxaki yesifo esibangela ukuba i-syncope - kwimeko apho, ukufa ngokukhawuleza kuyinkxalabo. Ukuba isifo sengqondo asikrokrwanga, ngoko ngokugqirha ugqirha uya kufuna ukuba angabi myalelo ngaphezu kweyodwa okanye ezimbini ezibhekiswe kwiimvavanyo zokuqinisekisa ukuba unolumkiso.
Kufuneka akwazi ukukuxelela oko acinga ukuba yingxaki, kwaye kufuneka ukuba akunike ngcamango ethile yonyango oluya kubandakanya.
Ngakolunye uhlangothi, ukuba ugqirha ugqibile kunye nawe kwaye emele apho, enyikima intloko, eyala ibhetri yonke yeemvavanyo kunye neenkqubo, i-shotgun-like, idibanisa iinkqubo ezininzi zequmrhu, ngoko ungoko kunzima kakhulu ixesha. Eli liza kuba lixesha lokuqwalasela ukufuna umbono wesibini .
IsiGaba sesiBini-UkuVavanywa koLawulo
Emva kwembali kunye nokuhlolwa komzimba:
- Ukuba ugqirha wakho uphonsela isifo senhliziyo yakho ye-synncope , ukukhutshwa komzimba okungafunekiyo kufuneka kwenziwe ngokukhawuleza. Kwiimeko ezininzi, lo msebenzi uza kuba ne- echocardiogram , kwaye kwezinye iimeko uvavanyo lokuxinezeleka . Ukuba kukho uhlobo oluthile lwesifo senhliziyo esisiphazamisayo (njenge- aortic stenosis ), ke unyango lokuphelisa umqobo kufuneka lucwangciswe ngokukhawuleza. Ukuba olu vavanyo lokuqala lukhomba kwi- cardiac arrhythmia njengesizathu se syncope yakho, unokufuna ukuhlolwa kwe-electrophysiologic . Kule meko, mhlawumbi kuya kufuneka ukuba uhlale kwisitoreji sesibhedlele uze ufumane unyango oluchanekileyo. Funda malunga neemeko zesifo se-syncope.
- Ukuba ugqirha ugxeka imbangela yegazi, mhlawumbi uya ku-intanethi ye- CT yesibindi okanye i- electroencephalogram (i-EEG) , okanye kwezinye iimeko, i-angiography (i-dye study study to reflect the arteries to the brain) ukuqinisekisa ukuxilongwa. I-Syncope ngenxa yeengxaki zeengxaki, nangona kunjalo, ziqhelekanga.
- Ukuba ugqirha wakho ufumene okanye uyakrokraza i-vasomotor syncope (oko kukuthi, i -hypotension orthostatic , i- POTS , okanye i- vasovagal syncope ), ngokuqhelekileyo akukho mfuneko yokuvavanya kuyimfuneko. Kwezinye iimeko, ukufundiswa kwetafile ye-tilt kungaba luncedo ekuqinisekiseni ukuxilongwa. Kodwa ngokuqhelekileyo, xa olu hlobo lwe syncope luchongiwe, ugqirha wakho unokuhamba ngokukhawuleza ekumiseni unyango. Uninzi lwabantu abane syncope luya kuba ne- vasovagal syncope .
- Ukuba ugqirha wakho-nangona uthatha imbali yonyango ngokunyanisekileyo kwaye wenza uvavanyo olusisigxina - ungenakho ukucacisa kakuhle i-syncope yakho, ngokuqhelekileyo unengcamango efanelekileyo yokwenza uvavanyo olwenyathelo lokungavumelani nesifo senhliziyo. Olu vavanyo ngokubanzi luya kuba ne-echocardiogram, ngokubhekisele ukujonga iliso (apho unxiba umlindi wenyama kwintsuku eziliqela okanye iiveki), kunye nokuvavanywa koxinzelelo . Uphononongo oluthile lwetafile luyakunceda. Ukuba i-syncope ihlala ingaziwa emva kwezi zifundo, ukuhlolwa kwe-electrophysiologic kunokuqwalaselwa.
Isishwankathelo
Ukusebenzisa le ndlela yesibini ibinzana, kunokwenzeka ukuba ugqirha wakho uya kukwazi ukuxilonga imbangela ye syncope yakho ngokukhawuleza nangokuchanekileyo, kwaye uya kukwazi ukuqala unyango olufanelekileyo ngexesha elifutshane.
Imithombo:
Strickberger SA, uBenson DW, Biaggioni I, et al. I-AHA / i-ACCF yeSecent Statement malunga nokuvavanya kwe-syncope: ukusuka kwi-American Heart Association Councils kwiCliniological Cardiology, Nursing Cardiovascular, I-Cardiovascular Disease in Young, kunye neSroroke, kunye neQhinga loKhathalelo kunye neziPhulo zeCandelo loLwazi oluPhezulu loPhando; kunye ne-American College of Cardiology Foundation: ngokubambisana ne-Heart Rhythm Society: ivunywe yi-American Autonomic Society. Uhambo luka-2006; 113: 316.