Malunga noVavanyo lweTafile yeTilt

Umxholo

• Iinyani ezikhawulezayo
• Into eyenzayo
• I-hypotension engqinelanayo
• I-syncope engqinelanayo
• I-postural orthostatic tachycardia syndrome (IIPOTI)
• Imiphumela
• Indlela yokulungiselela
• Landela iingcebiso malunga nokutya nini
• Thetha ngamayeza owathathayo
• Cinga ukuba uya kuziqhuba okanye ufumane ukukhwela
• Kwenzeka ntoni ngexesha lovavanyo lwetheyibhile?
• Emva kovavanyo
• Iziphumo zovavanyo lwetheyibhile
• Zeziphi iindlela ezimbi
• Ziziphi iindlela ezintle
• Ukuthatha

Iinyani ezikhawulezayo

• Uvavanyo lweetafile ezibandakanya ukuthambeka kubandakanya ukutshintsha ukubekwa komntu ngokukhawuleza kwaye ubone ukuba uxinzelelo lwegazi kunye nenqanaba lentliziyo liphendula njani.
• Olu vavanyo luyalelwe kubantu abaneempawu ezinje ngokubetha kwentliziyo okukhawulezileyo okanye abahlala beziva bephelelwe ngamandla xa behleli behleli endaweni yokuma. Oogqirha babiza le meko syncope.
• Imingcipheko enokubakho yovavanyo ibandakanya isicaphucaphu, isiyezi, kunye nokuphelelwa ngamandla.

Into eyenzayo

Oogqirha bancomela uvavanyo lweetafile ezijolise kwizigulana abakrokrela ukuba zinokuba neemeko ezithile zonyango, kubandakanya:

I-hypotension engqinelanayo

Oogqirha bakwabiza le meko ukuba yi-reflex fainting okanye i-autonomic dysfunction. Kubangela ukuba ukubetha kwentliziyo yomntu kunciphise endaweni yokukhawulezisa xa emile, egcina igazi lingadibani emilenzeni nasezingalweni. Ngenxa yoko, umntu unokuziva etyhafile.

I-syncope engqinelanayo

Umntu onale syndrome unokufumana iimpawu ezinje ngokuba nesicaphucaphu, ukuba nentloko elula, kunye nolusu olukhanyayo, kulandele ukulahleka kwengqondo.

I-postural orthostatic tachycardia syndrome (IIPOTI)

Esi sifo senzeka xa umntu efumana utshintsho xa ngequbuliso esukuma. Oogqirha banxulumana nePOTS kunye nokunyuka kwentliziyo ukuya kuthi ga kwi-30 beats kunye nokuziva utyhafile kungaphelanga nemizuzu eli-10 yokuma endaweni yokuhlala.

Abasetyhini abaphakathi kweminyaka eli-15 nengama-50 kunokwenzeka ukuba bafumane i-POTS, ngokweZiko leSizwe lokuPhazamiseka kweNeurological and Stroke.

Uvavanyo lwetheyibhile yokulinganisa lunokulinganisa isiphumo sokuhlala kwindawo elawulwayo, ukuze ugqirha abone ukuba uphendula njani umzimba womntu.

Imiphumela

Injongo yovavanyo lwetheyibhile yokujonga ukuba ugqirha uzibonele ngokwakho iimpawu ozifumanayo xa utshintsha isikhundla.

Awunakuva ziphumo ezibi ngexesha lenkqubo, kodwa unokufumana iimpawu ezinje ngesiyezi, uziva utyhafile, okanye ude uphelelwe ngamandla. Unokuziva ukhathazwa kakhulu.

Indlela yokulungiselela

Landela iingcebiso malunga nokutya nini

Kuba abanye abantu baziva benesicaphucaphu xa behamba behleli endaweni yokuma, ugqirha unokukucela ukuba ungatyi iiyure ezimbini ukuya kwezisibhozo phambi kovavanyo. Oku kunceda ukunciphisa ithuba lokuba uya kugula kwisisu sakho.

Thetha ngamayeza owathathayo

Ugqirha wakho uya kuphinda awaphonononge amayeza owathathayo ngoku kwaye enze izindululo malunga nokuba zeziphi na ekufuneka uzithathile izolo ebusuku okanye kusasa kovavanyo lwakho. Ukuba unombuzo malunga nonyango oluthile, buza ugqirha wakho.

Cinga ukuba uya kuziqhuba okanye ufumane ukukhwela

Unokufuna umntu ukuba akugoduse emva kwenkqubo. Cinga ngokulungiselela ukukhwela kwangaphambili ukuze uqiniseke ukuba ukhona umntu okhoyo.

Kwenzeka ntoni ngexesha lovavanyo lwetheyibhile?

Itheyibhile yokuthambeka yenza kanye njengoko igama libonisa. Ivumela ugqirha wezonyango ukuba ahlengahlengise i-angle ye-flat top ngelixa ulele phantsi.

Umzekeliso nguGeorge Sabogal

Xa usiya kuvavanyo lwetafile ethambekileyo, nantsi into onokuyilindela:

1. Uya kulala phantsi kwitafile ekhethekileyo, kwaye uchwepheshe wezonyango uya kunamathisela iindwendwe ezahlukeneyo emzimbeni wakho. Oku kubandakanya i-cuff yoxinzelelo lwegazi, i-electrocardiogram (ECG) ekhokelela, kunye neprojekhthi yokugcwalisa ioksijini. Omnye umntu unokuqala umgca we-intravenous (IV) engalweni yakho ukuze ufumane amayeza, ukuba ayimfuneko.
2. Umongikazi uya kuthoba okanye ahambise itafile ukuze intloko yakho inyuswe malunga ne-30 degrees ngaphezulu kwawo wonke umzimba wakho. Umongikazi uya kujonga iimpawu zakho ezibalulekileyo.
3. Umongikazi uya kuqhubeka nokuthambekisa itafile ukuya phezulu malunga nama-60 degrees okanye nangaphezulu, ngokuyintloko ukukwenza ume nkqo. Baza kuphinda balinganise uxinzelelo lwegazi, ukubetha kwentliziyo, kunye namanqanaba eoksijini ukuze babone ukuba akukho lutshintsho.
4. Ukuba nangaliphi na ixesha uxinzelelo lwegazi lwehla kakhulu okanye uziva utyhafile, umongikazi uya kuyibuyisela itafile kwindawo yokuqala. Oku kuya kuthi, ngokufanelekileyo, kukuncede uzive ungcono.
5. Ukuba awunalo utshintsho kwimiqondiso yakho ebalulekileyo kwaye uziva ulungile emva kokuba itheyibhile ihambile, uya kudlulela kwinxalenye yesibini yovavanyo. Nangona kunjalo, abantu esele benempawu abadingi icandelo lesibini lovavanyo ukubonisa ukuba iimpawu zabo ezibalulekileyo zitshintsha njani xa behamba ngesikhundla.
6. Umongikazi uya kunika amayeza abizwa ngokuba yi-isoproterenol (Isuprel) eya kubangela ukuba intliziyo yakho ibethe ngokukhawuleza kwaye ibenzima. Esi siphumo siyafana nomsebenzi onzima womzimba.
7. Umongikazi uya kuphinda uvavanyo lwetafile yokuthambisa ngokwandisa i-engile ukuya kuma-60 degrees. Uya kuhlala kule ndawo ukuphakama malunga nemizuzu eli-15 ukumisela ukuba uya kuba nempendulo kutshintsho lwesikhundla.

Uvavanyo luya kuhlala malunga neyure nesiqingatha ukuba awunalutshintsho kwiimpawu zakho ezibalulekileyo. Ukuba iimpawu zakho ezibalulekileyo ziyatshintsha okanye awuziva mnandi ngexesha lovavanyo, umongikazi uya kuyeka uvavanyo.

Emva kovavanyo

Emva kokuba uvavanyo luphelile, okanye ukuba uziva utyhafile ngexesha lovavanyo, umongikazi kunye nabanye oochwephesha bangakushukumisela kwenye ibhedi okanye isitulo. Uya kucelwa ukuba uhlale kwindawo yokubuyisela indawo kangangemizuzu engama-30 ukuya kwengama-60.

Ngamanye amaxesha, abantu baziva betshutshiswa emva kokuba begqibile kuvavanyo lwetafile. Umongikazi unokukunika amayeza okunyanga isicaphucaphu ukuba kunjalo.

Uninzi lwexesha, unokuziqhubela ekhaya emva kovavanyo. Nangona kunjalo, ukuba uthe wawa isiqaqa okanye waziva utyhafile ngexa lokuvavanywa, ugqirha wakho unokufuna ukuba uhlale ubusuku ukuze ubukele okanye ube nomntu okuqhubela ekhaya.

Iziphumo zovavanyo lwetheyibhile

Zeziphi iindlela ezimbi

Ukuba awunampendulo kutshintsho ekubekweni kwetafile, oogqirha bajonga uvavanyo njengolubi.

Usenokuba nemeko yonyango enxulumene notshintsho lwezikhundla. Esi siphumo sithetha ukuba uvavanyo aluzange lubonakalise utshintsho.

Ugqirha wakho unokucebisa ezinye iindlela zokuvavanya ukubeka esweni intliziyo yakho, njenge-Monitor yeHolter oyinxibayo ukulandelela ukubetha kwentliziyo yakho ngokuhamba kwexesha.

Ziziphi iindlela ezintle

Ukuba uxinzelelo lwegazi luyatshintsha ngexesha lovavanyo, iziphumo zovavanyo zilungile. Iingcebiso zikagqirha wakho ziya kuxhomekeka kwindlela osabele ngayo umzimba wakho.

Umzekelo, ukuba izinga lokubetha kwentliziyo yakho liyacotha, ugqirha unokucebisa iimvavanyo ezongezelelweyo ukujonga intliziyo yakho. Banokumisela amayeza abizwa ngokuba yi-midodrine ukuthintela uxinzelelo lwegazi.

Ukuba izinga lokubetha kwentliziyo yakho liyakhawuleza, ugqirha unokuyalela amayeza- anje nge-fludrocortisone, indomethacin, okanye i-dihydroergotamine- ukunciphisa amathuba okuphendula.

Ukuba ufumana iziphumo ezincumisayo, iimvavanyo ezongezelelweyo zinokufuneka ukujonga ngakumbi entliziyweni.

Ukuthatha

Ngelixa kukho uvavanyo oluninzi lokulinganisa utshintsho lwexinzelelo lwegazi oluziswe kukutshintsha kwesimo, uvavanyo lwetafile yokuthambeka inokuba yeyona ndlela ifanelekileyo yokufumanisa abantu abadala, ngokwenqaku elikwiphephancwadi.

Ngaphambi kovavanyo, ugqirha uya kuxoxa ngendlela enokukunceda ngayo kuxilongo lwakho kwaye akwazise ngayo nayiphi na ingozi enokubakho.

Ukuba uvavanyo lwakho belungalunganga kodwa useneempawu, thetha nogqirha wakho ngezinye izinto ezinokubangela. Banokuphonononga amayeza akho okanye bacebise ezinye iimvavanyo.