Yintoni iVasovagal syncope kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Uqinisekisa njani
• Zintoni izizathu
• Unyango lwenziwa njani

I-Vasovagal syncope, ekwabizwa ngokuba yi-vasovagal syndrome, i-reflex syncope okanye i-neuromedical syncope, ilahleko ngesiquphe nangokwexeshana yolwazi, ebangelwa kukuncitshiswa okufutshane kokuhamba kwegazi ukuya kwingqondo.

Esi sesona sizathu sixhaphakileyo se-syncope, ekwabizwa ngokuba kukutyhafa okuqhelekileyo, kwaye kuyenzeka xa kukho ukwehla koxinzelelo lwegazi kunye nokubetha kwentliziyo ngenxa yesikhuthazi esingafanelekanga kwi-vagus nerve, umthambo osuka kwingqondo uye esiswini, kwaye kubaluleke kakhulu ukulawula imisebenzi emininzi ebalulekileyo. Qonda imisebenzi kunye nokwakheka kwale luvo.

Nangona i-vasovagal syncope ilungile kwaye ayibeki mngciphekweni omkhulu wempilo, inokungonwabi kakhulu kwaye ibange neziphumo ezixhalabisayo ezinokubangela ukuwa kunye nokuqhekeka. Akukho lonyango luthile kule meko, kodwa kunokwenzeka ukwamkela amanyathelo okuthintela i-syncope, njengokunciphisa uxinzelelo, ukuhlala unamanzi kunye nokwenza umthambo.

Izizathu ezichanekileyo ezikhokelela ekuqaleni kwe-vasovagal syndrome azikacaci, kodwa olu tshintsho luxhaphake kubantu abancinci abaneminyaka engama-20 ukuya kwengama-30, nakubantu abadala kuneminyaka engama-70 ubudala.

Iimpawu eziphambili

Kwi-vasovagal syncope kukho ukulahleka okufutshane kokuqonda, okuhlala ukusuka kwimizuzwana embalwa ukuya kwimizuzu. Nangona ihlala ibonakala ngesiquphe, ezinye iimpawu kunye neempawu zinokubonakala ngaphambi kwe-syncope, enje:

• Ukudinwa kunye nokuba buthathaka;
• Ukubila;
• Isicaphucaphu;
• Utshintsho olubonakalayo;
• Isiyezi;
• IPallor;
• Intloko ebuhlungu;
• Dysarthria, ukuba kunzima ukubiza amagama. Bona ngakumbi malunga nokuba yintoni kunye nonobangela wedysarthria;
• Ukudinwa okanye ukuba ndindisholo emzimbeni wonke.

Ukuchacha emva kokuphelelwa ngamandla kuhlala kukhawuleza kwaye abanye abantu, ngakumbi abantu abadala, banokufumana iimpawu emva kokuvuka, njengokuphazamiseka engqondweni, ukudideka kwengqondo, intloko ebuhlungu, isicaphucaphu kunye nesiyezi.

Uqinisekisa njani

Ukuchonga i-vasovagal syndrome, kwaye uyihlule kwezinye iintlobo zesiyezi, ugqirha kufuneka enze uvavanyo ngononophelo lweklinikhi, echonga iimpawu, uvavanyo lomzimba, ukujonga amayeza asetyenzisiweyo kunye noku-odola iimvavanyo, ezinje nge-electrocardiogram, holter kunye nohlalutyo lwelebhu.

O Tilt uvavanyo luvavanyo olunokubonakaliswa ukunceda ukuqinisekisa, xa kukho amathandabuzo malunga nonobangela we syncope. Luvavanyo olwenziwa ngugqirha wezifo zentliziyo, njengoko izama ukulinganisa imeko eya kuthi ibangele ilahleko yokuqonda, ngakumbi xa ivela ngenxa yotshintsho kwindlela omi ngayo. Ke, ngexesha lovavanyo, isigulana silele kwi-stretcher, eya kuthi ithambeke kwindawo enokubangela utshintsho kuxinzelelo lwegazi, kwaye inokuba nayo inkuthazo kwiziyobisi.

Jonga ezinye iimvavanyo ezivavanya impilo yentliziyo.

Zintoni izizathu

I-Vasovagal syncope ibangelwa kukuhla koxinzelelo lwegazi kunye nenqanaba lentliziyo ngenxa yesithintelo esithile kwi-vagus nerve. Esona sizathu sikhokelela kuphuhliso lokuphendula komzimba asikacaci, nangona kunjalo, ezinye zeemeko eziphambili ezibangela olu tshintsho zezi:

• Ixhala;
• Uxinzelelo olukhulu lweemvakalelo;
• Uloyiko;
• Ache;
• Utshintsho kubushushu begumbi;
• Ukuma ixesha elide;
• Ukuzivocavoca umzimba.

Ukongeza, kubalulekile ukuba uqaphele ukuba ngaba isigulana sisebenzisa nawaphi na amayeza anokukhuthaza ukuqala kokubanjwa, njenge-diuretics okanye i-beta-blocking antihypertensives, umzekelo.

Ukongeza, ugqirha kufuneka aphande ezinye izizathu zokuphelelwa ngamandla ezinokudideka ne-vasovagal syndrome, enje nge-arrhythmias okanye isifo sokuwa, umzekelo. Jonga oyena nobangela wokuphelelwa ngamandla nendlela yokuyiphepha.

Unyango lwenziwa njani

Olona hlobo lonyango lonyango lwe-vasovagal syndrome kukumkelwa kwamanyathelo okuphepha oonobangela kunye nokuthintela iingxaki ezintsha, njengokungahlali ixesha elide, ukuvuka ngokukhawuleza, ukuhlala kwindawo eshushu kakhulu okanye uxinzelelo.

Ukongeza, ukuzigcina unamanzi amaninzi, ukusela i-1.5 2 yeelitha zamanzi ngosuku, kunye nokususa iziyobisi ezichaphazela uxinzelelo lwegazi ezinokuthi ziyenze mandundu imeko yakho, ngamanyathelo abaluleke kakhulu. Ukuba kubonakala iimpawu ezibonisa ingxaki, unokufumana indawo yokunciphisa imeko, njengokulala unemilenze ephakamileyo, ukwenza ukunyanzeliswa kwemisipha kunye nokuphefumla.

Ukusetyenziswa kwamayeza kungaboniswa ngugqirha kwimeko ezingaphuculiyo kunyango lokuqala, njengeFludrocortisone, eyi-mineralocorticoid eyonyusa ukugcinwa kwamanzi kunye nesodiyam egazini, okanye iMyodrine, eliyeza elonyukayo imithambo yegazi yentliziyo kunye nentliziyo, inceda ukugcina uxinzelelo lwegazi luzinzile.