Ukufa isiqaqa

Ukuphelelwa ngamandla kukulahleka okufutshane kwengqondo ngenxa yokwehla kwegazi kwingqondo. Isiqendu sihlala sihlala ngaphantsi kwemizuzu embalwa kwaye uhlala uchacha ngokukhawuleza. Igama lonyango lokuphelelwa amandla yi-syncope.

Xa uphelelwa ngamandla, akupheleli nje ekucingeni, uphulukana nethoni yezihlunu kunye nombala ebusweni bakho. Ngaphambi kokuba ufe isiqaqa, unokuziva ubuthathaka, ubile, okanye ubucaphucaphu. Unokuba nembono yokuba umbono wakho uyanyanzeleka (umbono wetonela) okanye ingxolo iyatshona ngasemva.

Ukuphelelwa ngamandla kunokwenzeka emva okanye emva kwakho:

• Khohlela kakhulu
• Yiba nokuhamba kwamathumbu, ngakumbi ukuba uyaxinana
• Ndime ndaweni nye ixesha elide
• Chama

Ukutyhafa kunokunxulumana ne:

• Uxinzelelo ngokweemvakalelo
• Uloyiko
• Intlungu ebuhlungu

Abanye oonobangela bokuphelelwa ngamandla, ezinye zazo ezinokuba zibi kakhulu, zibandakanya:

• Amayeza athile, kubandakanya lawo asetyenziselwa uxinzelelo, uxinzelelo, kunye noxinzelelo lwegazi. La mayeza anokubangela ukwehla koxinzelelo lwegazi.
• Ukusetyenziswa kweziyobisi okanye utywala.
• Isifo sentliziyo, esifana nesingqisho sentliziyo esingaqhelekanga okanye isifo sentliziyo kunye nokubetha.
• Ukukhawuleza kunye nokuphefumla nzulu (hyperventilation).
• Iswekile esezantsi yegazi.
• Ukuxhuzula.
• Ukuhla ngesiquphe koxinzelelo lwegazi, njengokuphuma kwegazi okanye ukomisa kakhulu emzimbeni.
• Ukuma ngequbuliso kwindawo yokulala.

Ukuba unembali yokuphelelwa ngamandla, landela imiyalelo yomboneleli wakho wezempilo ngendlela yokuthintela ukuphelelwa ngamandla. Umzekelo, ukuba uyazazi iimeko ezibangela ukuba uphelelwe ngamandla, ziphephe okanye uzitshintshe.

Vuka kwindawo olele kuyo okanye ohleli phantsi kancinci. Ukuba ukutsalwa kwegazi kukwenza utyhafe, xelela umboneleli wakho phambi kovavanyo lwegazi. Qiniseka ukuba uyangqengqa xa kwenziwe uvavanyo.

Ungawasebenzisa la manyathelo onyango kwangoko xa umntu ephelelwe ngamandla:

• Jonga indlela yokuphefumla yomntu nokuphefumla kwakhe. Ukuba kukho imfuneko, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo kwaye uqale ukuphefumla ngokuhlangula kunye neCPR.
• Khulula iimpahla ezixineneyo entanyeni.
• Phakamisa iinyawo zomntu ngaphezulu kwenqanaba lentliziyo (malunga nee-intshi ezili-12 okanye iisentimitha ezingama-30).
• Ukuba umntu ugabhe, mphendule macala abo ukuthintela ukuminxeka.
• Gcina umntu olele phantsi kangangesithuba semizuzu eli-10 ukuya kweli-15, ngokukhethekileyo kwindawo epholileyo nezolileyo. Ukuba oku akunakwenzeka, hlala umntu lowo phambili ngentloko phakathi kwamadolo abo.

Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ukuba umntu oqulekile:

• Yawa ukusuka phezulu, ngakumbi ukuba wenzakele okanye wopha
• Musa ukulumkisa ngokukhawuleza (kwimizuzu embalwa)
• Ukhulelwe
• Ingaphezulu kweminyaka engama-50
• Isifo seswekile (jonga isacholo sonyango)
• Uziva iintlungu zesifuba, uxinzelelo, okanye ukungonwabi
• Ngaba ukubetha kwentliziyo okanye ukubetha kwentliziyo ngendlela engaqhelekanga
• Unokuphulukana nentetho, iingxaki zombono, okanye akakwazi ukuhambisa ilungu elinye okanye angaphezulu
• Ukuxhuzula, ukulimala kolwimi, okanye ukulahleka kwesinyi okanye ukulawula amathumbu

Nokuba ayisiyiyo imeko engxamisekileyo, kuya kufuneka ubonwe ngumboneleli ukuba awukhe wafa isiqaqa ngaphambili, ukuba uyaphela isiqaqa rhoqo, okanye ukuba uneempawu ezintsha zokuphelelwa ngamandla. Biza idinga ukuze ubonwe ngokukhawuleza.

Umboneleli wakho uya kubuza imibuzo ukumisela ukuba uphelelwe ngamandla na, okanye ukuba ikho enye into eyenzekileyo (njengokuphazamiseka okanye ukuphazamiseka kwisingqi sentliziyo), kunye nokufumanisa unobangela wesiqendu esityhafileyo. Ukuba umntu ubone isiqendu esityhafayo, inkcazo yabo yomsitho inokuba luncedo.

Uvavanyo lomzimba luya kugxila entliziyweni yakho, kwimiphunga, nakwinkqubo yemithambo-luvo. Uxinzelelo lwegazi lunokujongwa ngelixa ukwindawo ezahlukeneyo, njengokulala phantsi nokuma. Abantu abane-arrhythmia ekrokrelwayo banokufuna ukwamkelwa esibhedlele ukuze kuvavanywe.

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lwegazi lwe-anemia okanye ukungalingani kwemichiza yomzimba
• Ukubeka iliso kwisingqi senhliziyo
• Echocardiogram
• I-Electrocardiogram (ECG)
• I-Electroencephalogram (i-EEG)
• Ukubeka iliso kwiHolter
• X-ray esifubeni

Unyango luxhomekeke kwisizathu sokufa isiqaqa.

Tiphile; Ubumhlophe - ukuphelelwa ngamandla; ISyncope; Isiqendu seVasovagal

Iicalkins H, iZipes DP. Hypotension kunye ne syncope. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 43.

UDe Lorenzo RA. Syncope. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 12.

UWalsh K, uHoffmayer K, uHamdan MH. I-Syncope: ukufumanisa isifo kunye nolawulo. I-Curr Probl Cardiol. 2015; 40 (2): 51-86. IINKCUKACHA: 25686850 pubmed.ncbi.nlm.nih.gov/25686850/.