Kukomoka

Kukomoka ndikutaya kwakanthawi kochepa chifukwa chakuchepa kwamagazi kupita kuubongo. Nkhaniyi nthawi zambiri imakhala yochepera mphindi zochepa ndipo nthawi zambiri mumachira msanga. Dzina lachipatala lakukomoka ndi syncope.

Mukakomoka, sikuti mumangotaya chidziwitso, mumatayikiranso mamvekedwe amtundu ndi nkhope pankhope panu. Musanakomoke, mungamve kukhala ofooka, otuluka thukuta, kapena nseru. Mutha kukhala ndi lingaliro loti masomphenya anu akulepheretsa (masanjidwe a tunnel) kapena phokoso likuchepa kumbuyo.

Kukomoka kumatha kuchitika mukatha kapena mutatha:

• Tsokomola kwambiri
• Khalani ndi matumbo, makamaka ngati mukuvutika
• Ndakhala pamalo amodzi kwakanthawi
• Kukodza

Kukomoka kungakhalenso kokhudzana ndi:

• Kuvutika maganizo
• Mantha
• Kupweteka kwambiri

Zina zomwe zimayambitsa kukomoka, zina mwazomwe zingakhale zoyipa kwambiri, ndizo:

• Mankhwala ena, kuphatikiza omwe amagwiritsidwa ntchito nkhawa, kukhumudwa, komanso kuthamanga kwa magazi. Mankhwalawa amatha kuyambitsa kuthamanga kwa magazi.
• Kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa.
• Matenda amtima, monga kuchepa kwa mtima kapena kupwetekedwa mtima ndi stroke.
• Kupuma mofulumira komanso kozama (hyperventilation).
• Shuga wamagazi ochepa.
• Kugwidwa.
• Kutaya mwadzidzidzi kuthamanga kwa magazi, monga kutuluka magazi kapena kutaya madzi m'thupi kwambiri.
• Kuyimirira modzidzimutsa kuchokera pamalo abodza.

Ngati muli ndi mbiri yakukomoka, tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungapewere kukomoka. Mwachitsanzo, ngati mukudziwa zomwe zimakupangitsani kukomoka, pewani kapena sinthani.

Dzukani pamalo abodza kapena pansi pang'onopang'ono. Ngati kukoka magazi kukupangitsani kukomoka, auzeni omwe akukuthandizani musanayezetse magazi. Onetsetsani kuti mwagona mayeso atachitika.

Mutha kugwiritsa ntchito izi posachedwa pomwe wina wakomoka:

• Onani momwe munthuyo akuyendera komanso kupuma. Ngati ndi kotheka, itanani 911 kapena nambala yadzidzidzi yakomweko ndikuyamba kupuma ndi CPR.
• Masulani zovala zolimba pakhosi.
• Kwezani mapazi a munthuyo pamwamba pamtima (pafupifupi mainchesi 12 kapena 30 sentimita).
• Ngati munthu wasanza, mutembenuzireni kumbali kuti apewe kutsamwa.
• Sungani munthu akugona kwa mphindi zosachepera 10 mpaka 15, makamaka pamalo ozizira ndi opanda phokoso. Ngati izi sizingatheke, khalani munthuyo patsogolo ndi mutu pakati pa mawondo awo.

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati munthu amene wakomoka:

• Anagwa kuchokera kutalika, makamaka ngati wavulala kapena akutuluka magazi
• Samakhala tcheru mwachangu (mphindi zochepa)
• Ali ndi pakati
• Waposa zaka 50
• Ali ndi matenda ashuga (fufuzani zibangili zachipatala)
• Amamva kupweteka pachifuwa, kupanikizika, kapena kusapeza bwino
• Amakhala ndi kugunda kwamtima kapena kosasinthasintha
• Ataya mawu, samatha kuwona bwino, kapena satha kusuntha phazi limodzi kapena angapo
• Amakhumudwa, kuvulala lilime, kapena kutayika kwa chikhodzodzo kapena matumbo

Ngakhale sizovuta, muyenera kuwonedwa ndi omwe amakupatsani ngati simunakomoke kale, ngati mwakomoka nthawi zambiri, kapena ngati muli ndi zisonyezo zatsopano mwakomoka. Itanani nthawi yoti muwonetsedwe kuti muwoneke posachedwa.

Wothandizira anu amafunsa mafunso kuti adziwe ngati mwangokomoka, kapena ngati china chake chachitika (monga kugwidwa kapena kusokonezeka kwamitima yamtima), ndikuzindikira chifukwa chakumwalira. Ngati wina awona zomwe zikukomoka, kufotokoza kwawo za mwambowu kungakhale kothandiza.

Kuyeza kwakuthupi kumayang'ana pa mtima wanu, mapapo, ndi dongosolo lamanjenje. Kuthamanga kwanu kwa magazi kumatha kuyang'aniridwa mukakhala m'malo osiyanasiyana, monga kugona pansi ndi kuyimirira. Anthu omwe ali ndi vuto loti arrhythmia angafunike kulowetsedwa kuchipatala kuti akayesedwe.

Mayeso omwe atha kulamulidwa ndi awa:

• Kuyezetsa magazi kwa kuchepa kwa magazi m'thupi kapena kusamvana kwamankhwala amthupi
• Kuwunika kwa mtima wamtima
• Zojambulajambula
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Woyang'anira Holter
• X-ray ya chifuwa

Chithandizo chimadalira chifukwa chakukomoka.

Watha; Kupepuka - kukomoka; Zogwirizana; Nkhani ya Vasovagal

Calkins H, Zipes DP. Kuthamanga ndi syncope. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 43.

Ndi Lorenzo RA. Kulunzanitsa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 12.

Walsh K, Hoffmayer K, Hamdan MH. (Adasankhidwa) Syncope: kuzindikira ndi kuwongolera. Wotsutsa Probl Cardiol. 2015; 40 (2): 51-86. PMID: 25686850 adasankhidwa.ncbi.nlm.nih.gov/25686850/.