Luthini uvavanyo lokuthambeka, luyintoni kwaye lwenziwa njani

Umxholo

• Yenzelwe ntoni
• Kufuneka ukuba amalungiselelo abe njani
• Injani iTilt uvavanyo
• Inkathalo emva koviwo
• Ukungqinelana

O Tilt uvavanyo, ekwabizwa ngokuba luvavanyo lokuthambeka okanye kuvavanyo lwasemva kovavanyo, luvavanyo olungelulo olungenelelayo kunye nolongezelelweyo olwenziweyo ukuphanda iziqendu ze-syncope, ezenzeka xa umntu ephelelwa ngamandla kwaye ephulukana ngesiquphe okanye okwethutyana.

Ngokubanzi, olu vavanyo lwenziwa kwilabhoratri ye-electrophysiology esibhedlele okanye eklinikhi kwaye kufuneka lwenziwe kunye nesazi seentliziyo kunye nochwepheshe wobongikazi okanye umongikazi kwaye ukuze kwenziwe oko umntu kufuneka azile ukutya ubuncinci iiyure ezi-4, ukunqanda i-malaise kunye ne-nausea ngexesha lovavanyo. Emva koviwo kuyacetyiswa ukuba uphumle kwaye uphephe ukuqhuba okungenani iiyure ezi-2.

Yenzelwe ntoni

O Tilt uvavanyo luvavanyo oluboniswe ngugqirha wezifo zentliziyo ukuncedisa ekufumaniseni ezinye izifo kunye neemeko ezinje:

• I-Vasovagal okanye i-syncope ye-neuromediated;
• Isiyezi esiphindaphindayo;
• I-postural orthostatic tachycardia syndrome;
• I-Presyncope,
• Ukungafani.

I-Vasovagal syncope ihlala ingunobangela ophambili wokuphelelwa ngamandla kubantu abangenazo iingxaki zentliziyo kwaye inokubangelwa kukutshintsha kobume bomzimba, ke Tilt uvavanyo luvavanyo oluphambili lokuchonga le meko. Qonda ukuba yintoni vasovagal syncope kwaye uyiphatha njani.

Ukongeza, ugqirha unokuyalela ezinye iimvavanyo ukuba zikhuphe ezinye izifo, ezinje ngeengxaki zezivalo zentliziyo, umzekelo, kunye novavanyo lwegazi, i-electrocardiogram, i-echocardiography, iiyure ezingama-24 iHolter okanye i-ABPM inokuboniswa.

Kufuneka ukuba amalungiselelo abe njani

Ukwenza ifayile Tilt uvavanyo Kubalulekile ukuba umntu azile ukutya ngokupheleleyo, kubandakanya ukungabinamanzi aselwayo, ubuncinci iiyure ze-4, kuba njengoko utshintsho luzakwenziwa kwindawo yolula, umntu unokufumana isicaphucaphu kunye nokuqaqanjelwa sisisu ukuba isisu sakhe sigcwele. Kukwacetyiswa ukuba umntu lowo aye kwigumbi lokuhlambela ngaphambi koviwo, ukuze kungaphazanyiswa ngesiqingatha.

Phambi kokuqala uviwo, ugqirha uya kuba nakho ukubuza ukuba ngawaphi amayeza umntu awasebenzisayo mihla le kwaye uya kubuza nemibuzo malunga nokuqala kweempawu kwaye ukuba ngaba kukho nayiphi na imeko apho iimpawu ziba mandundu.

Injani iTilt uvavanyo

Uviwo lwe Tilt uvavanyo yenziwa kwilabhoratri ye-electrophysiology esibhedlele okanye eklinikhi kwaye kufuneka yenziwe phantsi kweliso lwe-cardiologist kunye nomongikazi okanye ingcali yokonga.

Ixesha elipheleleyo loviwo lijikeleze imizuzu engama-45 kwaye lwenziwa ngezigaba ezibini ezahlukeneyo, elokuqala eliqukethe ukulala kwi-stretcher, iqhotyoshelwe kwezinye iibhanti, kwaye umongikazi utshintsha indawo yetafile, ayitshekele phezulu kwangaxeshanye izixhobo zibekwe esifubeni nakwingalo zilinganisa uxinzelelo lwegazi kunye nenqanaba legazi ukukhangela utshintsho ngexesha lovavanyo.

Kwinxalenye yesibini, umongikazi unika iyeza alibekayo phantsi kolwimi, elibizwa ngokuba yi-isosorbide dinitrate, ngedosi encinci kakhulu, ukuze ibonwe ukuba umzimba uphendula njani kunyango, ukuba uxinzelelo lwegazi kunye nokubetha kwentliziyo kuyatshintsha kakhulu , Kweli nyathelo umongikazi ukwatshintsha indawo yokuluka.

Eli yeza lisetyenziswe kwi Tilt uvavanyo Isebenza njenge-adrenaline kwaye ke umntu unokuziva enexhala okanye azive ngokufanayo xa esenza umsebenzi othile. Ukuba uxinzelelo lwegazi luphantsi kakhulu okanye umntu akaphilanga, ugqirha angaluyekisa uvavanyo, ngoko ke kubalulekile ukuba unxibelelane nendlela oziva ngayo.

Inkathalo emva koviwo

Emva Tilt uvavanyo Umntu angaziva ediniwe kwaye egula kancinci, ke kufuneka alale phantsi kangangemizuzu engama-30 ukuze abonwe ngumongikazi okanye yingcali yokonga.

Emva kweli xesha, umntu ukhululekile ukuba aqhubeke kwakhona nemisebenzi yesiqhelo, nangona kunjalo, kuyacetyiswa ukuthintela ukuqhuba ubuncinci iiyure ezi-2. Ukuba umntu unesifo se-malaise, uxinzelelo lwegazi oluphantsi kakhulu okanye udlulile ngexesha loviwo, banokufuna ukuchitha ixesha elininzi phantsi kolawulo lukagqirha nomongikazi.

Iziphumo zovavanyo zihlala zithatha ukuya kwiintsuku ezi-5 kwaye zithathwa njengezingalunganga ukuba bekungekho lutshintsho lukhulu kuxinzelelo lwegazi ngexesha lotshintsho kwindawo yokolula, nangona kunjalo xa iziphumo zilungile oko kuthetha ukuba uxinzelelo lwegazi lutshintshe kakhulu ngexesha lovavanyo.

Ukungqinelana

O Tilt uvavanyo ayiboniswanga kwabasetyhini abakhulelweyo, abantu abanobunzima okanye izithintelo ze-carotid okanye i-aortic artery okanye notshintsho lwamathambo olukhusela umntu ukuba eme. Ukongeza, abantu abaye bahlaselwa sistroke kufuneka banikwe ingqwalaselo eyongezelelweyo ngexesha loviwo.