Yonke into ekufuneka uyazi ngeVasovagal Syncope

Umxholo

• Yintoni ebangela ivasovagal syncope?
• Isishwankathelo
• Ziintoni iimpawu?
• Nini ukubona ugqirha
• Ufumana nini unyango kwangoko
• Kufunyaniswa njani?
• Zithini iindlela zokhetho zonyango?
• Ngaba i-vasovagal syncope inokuthintelwa?
• Umgca wezantsi

ISyncope kuthetha ukuquleka okanye ukudlula. Xa ukuphelelwa ngamandla kubangelwa zizinto ezithile, njengokujonga igazi okanye inaliti, okanye iimvakalelo ezinje ngoloyiko okanye uloyiko, ibizwa ngokuba yi-vasovagal syncope. Ngoyena nobangela uqhelekileyo wokuphelelwa ngamandla.

I-Vasovagal syncope ngamanye amaxesha ibizwa ngokuba yi-neurocardiogenic okanye reflex syncope.

Nabani na onokufumana i-vasovagal syncope, kodwa ihlala ixhaphake ebantwaneni nakubantu abadala abancinci. Olu hlobo lokuphelelwa ngamandla lwenzeka kumadoda nabasetyhini ngamanani alinganayo.

Nangona abanye oonobangela bokuphelelwa ngamandla kunokuba luphawu lwengxaki yezempilo ebaluleke kakhulu, akunjalo nge-vasovagal syncope.

Eli nqaku liza kubandakanya izizathu, ukuxilongwa, kunye nokunyangwa kwe-vasovagal syncope, kunye neempawu zokuba kufuneka ubone ugqirha.

Yintoni ebangela ivasovagal syncope?

Kukho imithambo-luvo ekhethekileyo emzimbeni wakho ethi incede ukulawula ukuba intliziyo yakho ibetha ngokukhawuleza kangakanani na. Bakwasebenza ukulawula uxinzelelo lwegazi ngokulawula ububanzi bemithambo yakho yegazi.

Ngokwesiqhelo, le mithambo-luvo isebenza kunye ukuqinisekisa ukuba ingqondo yakho ihlala ifumana igazi elaneleyo elineoksijini.

Kodwa, ngamanye amaxesha, banokudibanisa imiqondiso yabo, ngakumbi xa unokusabela kwinto ebangela ukuba imithambo yegazi yakho ivule ngequbuliso kwaye uxinzelelo lwegazi lwakho lwehle.

Indibaniselwano yokwehla koxinzelelo lwegazi kunye nokuhamba kancinci kwentliziyo kunokunciphisa inani legazi elibaleka liye kwingqondo yakho. Yile nto ibangela ukuba udlule.

Ngaphandle kokuphendula kumbono wento eyoyikisayo, okanye ukuba novakalelo olunamandla, ezinye izinto ezinokubangela i-vasovagal syncope ibandakanya:

• ukuma emva kokuhlala, ukugoba, okanye ukulala phantsi
• zime ixesha elide
• ukuba nobushushu
• umsebenzi onzima womzimba
• intlungu ebuhlungu
• ukukhohlela kakhulu

Isishwankathelo

I-Vasovagal syncope ibangelwa kukuhla ngesiquphe koxinzelelo lwegazi, kuhlala kubangelwa kukusabela kwinto ethile. Oku kubangela ukuba intliziyo yakho icothe ixesha elifutshane. Ngenxa yoko, ingqondo yakho ayinakufumana igazi elaneleyo eline-oksijini, ekubangela ukuba udlule.

I-Vasovagal syncope ayisiyiyo imeko yezempilo.

Ziintoni iimpawu?

Usenokungabinaso isalathiso sokuba uza kufa isiqaqa de kwenzeke loo nto. Kodwa abanye abantu banemiqondiso emifutshane ebonisa ukuba banokuphelelwa ngamandla. Oku kubandakanya:

• ijongeka iluthuthu okanye ingwevu
• intloko elula okanye isiyezi
• ndiziva ndibile okanye ndibumbile
• isicaphucaphu
• ukungaboni kakuhle
• ubuthathaka

Ukuba uqhele ukufumana le miqondiso yokulumkisa ngaphambi kokuphelelwa ngamandla, licebo elihle ukuba ulale phantsi ukunceda ukwandisa ukuhamba kwegazi kwingqondo yakho. Oku kunokukuthintela ukuba ungapheli amandla.

Ukuba uyaphuma, uya kuphinda ubuyele ezingqondweni kwimizuzu embalwa, kodwa unokuziva:

• ndidiniwe
• ukucaphukisa
• unentloko elula

Usenokuziva udidekile kancinci okanye ucacile "ngaphandle kwayo" okwemizuzu embalwa.

Nini ukubona ugqirha

Ukuba ukhe wambona ugqirha ngaphambili kwaye uyazi ukuba une-vasovagal syncope, akufuneki ubuye umva ngalo lonke ixesha usifa isiqaqa.

Ngokuqinisekileyo kufuneka ugcine ugqirha wakho kwi-loop, nangona kunjalo, ukuba uhlakulela iimpawu ezintsha okanye ukuba unamaqhekeza amaninzi aphelayo nangona ususile ezinye zezinto zakho ezibangela.

Ukuba awuzange ufe isiqaqa ngaphambili, kwaye ngesiquphe ube nesiqendu esityhafileyo, qiniseka ukuba ufumana unyango. Ezinye zeemeko ezinokukwenza ukuba uthambekele ekuphelelweni zezi:

• isifo seswekile
• isifo sentliziyo
• Isifo sikaParkinson

Ukuphelelwa ngamandla kunokuba sisiphumo esisecaleni samayeza, ngakumbi amayeza okulwa uxinzelelo kunye neziyobisi ezichaphazela uxinzelelo lwegazi. Ukuba ucinga ukuba kunjalo, musa ukuyeka ukuthatha amayeza akho ungakhange uthethe nogqirha wakho ngezinye iindlela.

Ukuba ugqirha wakho ucinga ukuba amayeza akho anokubangela ukuba ufe isiqaqa, baya kusebenza nawe ukuze bafumane indlela yokuphepha ngokukhuselekileyo ngaphandle kwabo ngaphandle kokubangela ezinye iziphumo ebezingalindelekanga.

Ufumana nini unyango kwangoko

Funa uncedo lonyango olungxamisekileyo ukuba (okanye omnye umntu) ulahlekelwe sisazela kwaye:

• iwe kubude obuphakamileyo, okanye wenzakalise intloko xa usifa isiqaqa
• kuthatha ngaphezulu komzuzu ukubuyela ezingqondweni
• unengxaki yokuphefumla
• unentlungu esifubeni okanye uxinzelelo
• unengxaki ngentetho, ukuva, okanye umbono
• isinyi esivulekileyo okanye ulawulo lwamathumbu
• kubonakala ngathi baxhuzula
• ukhulelwe
• ndiziva ndididekile emva kokuquleka

Kufunyaniswa njani?

Ugqirha wakho okanye umboneleli wezempilo uya kuqala ngembali yezonyango eneenkcukacha kunye novavanyo lomzimba ngokubanzi. Olu vavanyo lunokubandakanya ukufundwa koxinzelelo lwegazi okuthathiweyo ngelixa uhleli, ulele phantsi, kwaye umile.

Uvavanyo lokuchonga lunokubandakanya i-electrocardiogram (ECG okanye i-EKG) ukuvavanya isingqi sentliziyo yakho.

Oko kunokuba yiyo yonke into efunekayo ukufumanisa i-vasovagal syncope, kodwa ugqirha wakho unokufuna ukulawula ezinye izizathu ezinokubakho. Ngokuxhomekeka kwiimpawu zakho ezithile kunye nembali yonyango, ukuvavanywa okungaphaya kokuqonda kungabandakanya:

• Uvavanyo lwetheyibhile. Olu vavanyo luvumela ugqirha wakho ukuba ajonge ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi xa ukwindawo ezahlukeneyo.
• Ukubeka iliso kwiHolter ephathekayo. Esi sisixhobo onxiba esivumela uhlalutyo lwesingqisho senhliziyo lweyure ezingama-24.
• Echocardiogram. Olu vavanyo lusebenzisa amaza esandi ukuvelisa imifanekiso yentliziyo yakho kunye nokuhamba kwegazi.
• Zilolonge uvavanyo loxinzelelo. Olu vavanyo luhlala lubandakanya ukuhamba ngokukhawuleza okanye ukubaleka kwindawo yokunyathela ukubona indlela esebenza ngayo intliziyo yakho ngexesha lomsebenzi womzimba.

Ezi mvavanyo zinokukunceda uqinisekise ukuba une-vasovagal syncope okanye ukhombe kolunye uxilongo.

Zithini iindlela zokhetho zonyango?

I-Vasovagal syncope ayibizi nyango. Kodwa ngumbono olungileyo ukuzama ukunqanda ezo meko zibangela ukuba ufe isiqaqa kwaye uthathe amanyathelo okuthintela ukwenzakala ngenxa yokuwa.

Akukho lonyango oluqhelekileyo olunokunyanga zonke izizathu kunye neentlobo ze-vasovagal syncope. Unyango lomntu ngamnye lusekwe kwisizathu seempawu zakho eziphindaphindayo. Olunye uvavanyo lwezonyango lwe-vasovagal syncope luye lwavelisa iziphumo ezidanisayo.

Ukuba ukuquleka rhoqo kuchaphazela umgangatho wobomi bakho, thetha nogqirha wakho. Ngokusebenza kunye, unokufumana unyango oluncedo.

Amanye amayeza asetyenziselwa ukunyanga i-vasovagal syncope ibandakanya:

• i-alpha-1-adrenergic agonists, ephakamisa uxinzelelo lwegazi
• i-corticosteroids, enceda ukuphakamisa amanqanaba esodiyam kunye nolwelo
• i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo, enceda ukulawula impendulo yenkqubo yeemvakalelo

Ugqirha wakho uya kwenza ingcebiso ngokusekwe kwimbali yakho yezonyango, ubudala, kunye nempilo iyonke. Kwiimeko ezinzima kakhulu, ugqirha wakho unokufuna ukuxoxa ngeenzuzo kunye neengxaki zokufumana i-pacemaker.

Ngaba i-vasovagal syncope inokuthintelwa?

Akunakwenzeka ukuba unqande ngokupheleleyo i-vasovagal syncope, kodwa unokukwazi ukunciphisa ixesha ophelelwa ngamandla ngalo.

Elona nyathelo libalulekileyo kukuzama ukumisela okubangela kwakho.

Ngaba uhlala uquleka xa utsale igazi lakho, okanye xa ubukele iimovie ezoyikisayo? Okanye uqaphele ukuba uziva utyhafile xa unxunguphele kakhulu, okanye umile ixesha elide?

Ukuba uyakwazi ukufumana ipateni, zama ukuthatha amanyathelo ukunqanda okanye ukusebenza ngeenxa zonke izinto zakho.

Xa uqala ukuziva utyhafile, kwangoko lala phantsi okanye uhlale kwindawo ekhuselekileyo ukuba unako. Inokukunceda ukuba uphephe ukuphelelwa ngamandla, okanye ubuncinci ukuthintela ukwenzakala ngenxa yokuwa.

Umgca wezantsi

IVasovagal syncope yeyona nto ixhaphakileyo yokuphelelwa ngamandla. Ngokuqhelekileyo ayixhunyiwe kwingxaki enkulu yempilo, kodwa kubalulekile ukubona ugqirha onokulawula naziphi na iimeko ezingabangela ukuba uphelelwe amandla.

Olu hlobo lwesiqendu esityhafileyo sihlala sibangelwa zizinto ezithile ezibangela, njengokubona kwento eyoyikisayo, imvakalelo ebukhali, ukuba nobushushu, okanye ukuma ixesha elide.

Ngokufunda ukuchonga oonobangela bakho, unokukwazi ukunciphisa ukuphelelwa ngamandla kwaye uphephe ukuzenzakalisa xa ulahlekelwa sisazela.

Ngenxa yokuba ukuphelelwa ngamandla kunokuba nezinye izizathu, kubalulekile ukubona ugqirha wakho ukuba ngequbuliso unesiqendu esityhafayo, okanye khange ube naso ngaphambili.

Fumana ukhathalelo lonyango kwangoko ukuba uyenzakalisa intloko xa uphuma, kunzima ukuphefumla, iintlungu esifubeni, okanye ingxaki ngentetho yakho ngaphambi okanye emva kokuphelelwa ngamandla.