Vasovagal syncope ndi chiyani?

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Zomwe zimayambitsa
• Momwe mankhwalawa amachitikira

Vasovagal syncope, yomwe imadziwikanso kuti vasovagal syndrome, reflex syncope kapena neuromedical syncope, ndikutaya mwadzidzidzi kwakanthawi kochepa, komwe kumachitika chifukwa chakuchepetsa kwakanthawi kwamagazi kupita muubongo.

Ichi ndiye chifukwa chodziwika kwambiri cha syncope, chomwe chimadziwikanso kuti kukomoka wamba, ndipo zimachitika pakachepetsa kuthamanga kwa magazi ndi kugunda kwa mtima chifukwa chazomwe zimakhudza mitsempha ya vagus, mitsempha yomwe imachokera kuubongo kupita m'mimba, ndi ndikofunikira kuwongolera ntchito zingapo zofunika. Mvetsetsani ntchito ndi momwe thupi limagwirira ntchito.

Ngakhale vasovagal syncope ndiyabwino ndipo siyiyika pachiwopsezo cha thanzi, imatha kukhala yovuta kwambiri ndipo imayambitsa zovuta monga kuyambitsa kugwa ndi kuphwanya. Palibe chithandizo chenicheni cha vutoli, koma ndizotheka kutsatira njira zopewera syncope, monga kuchepetsa kupsinjika, kukhala ndi madzi ambiri komanso kuchita masewera olimbitsa thupi.

Zomwe zimayambitsa zomwe zimayambitsa matenda a vasovagal sizikudziwika bwinobwino, koma kusintha kumeneku kumachitika makamaka kwa achinyamata azaka zapakati pa 20 mpaka 30, komanso okalamba azaka zopitilira 70.

Zizindikiro zazikulu

Mu vasovagal syncope pamakhala kuchepa kwakanthawi kochepa, komwe kumatha kuchokera pamasekondi pang'ono mpaka mphindi. Ngakhale zimangowoneka mwadzidzidzi, zizindikilo ndi zizindikilo zina zitha kuwonekera pamaso pa syncope, monga:

• Kutopa ndi kufooka;
• Thukuta;
• Nseru;
• Zosintha zowoneka;
• Chizungulire;
• Zovuta;
• Mutu;
• Dysarthria, kuti ndikovuta kutchula mawu. Onani zambiri pazomwe zimachitika komanso zomwe zimayambitsa dysarthria;
• Kuuma kapena dzanzi m'thupi lonse.

Kuchira pambuyo pakukomoka nthawi zambiri kumafulumira ndipo anthu ena, makamaka okalamba, amatha kukhala ndi zizindikilo akagalamuka, monga kusokonezeka, kusokonezeka m'maganizo, kupweteka mutu, mseru komanso chizungulire.

Momwe mungatsimikizire

Kuti adziwe matenda a vasovagal, ndikuwasiyanitsa ndi mitundu ina ya chizungulire, adotolo amayenera kuwunika mosamala, kuzindikira zizindikilo, kuwunika kwakuthupi, kuwunika mankhwala omwe agwiritsidwa ntchito ndikulamula mayeso, monga electrocardiogram, holter ndi kusanthula labotale.

O kuweramira mayeso ndi mayeso omwe angawonetsedwe kuti athandize kutsimikizira, pomwe pali kukayikira pazomwe zimapangitsa syncope. Ndimayeso omwe amachitidwa ndi katswiri wazachipatala, chifukwa amayesa kuyerekeza zomwe zimayambitsa kutaya chidziwitso, makamaka zikawuka chifukwa cha kusintha kwa mkhalidwe. Chifukwa chake, poyesa, wodwalayo amagona pakama, kamene kamapendekedwa pamalo omwe angayambitse kuthamanga kwa magazi, komanso atha kukhala ndi chidwi ndi mankhwala.

Onaninso mayeso ena omwe amayesa thanzi la mtima.

Zomwe zimayambitsa

Vasovagal syncope imayamba chifukwa cha kutsika kwa magazi ndi kugunda kwa mtima chifukwa cha zomwe zimapangitsa chidwi cha vagus. Zomwe zimayambitsa kubweretsa zomwe thupi limachita sizikudziwika bwinobwino, zina mwazinthu zazikulu zomwe zimayambitsa kusinthaku ndi izi:

• Nkhawa;
• Kupsinjika kwamaganizidwe;
• Mantha;
• Ache;
• Kusintha kwa kutentha;
• Kuyimirira kwa nthawi yayitali;
• Zochita zolimbitsa thupi.

Kuphatikiza apo, ndikofunikira kudziwa ngati wodwalayo amagwiritsa ntchito mankhwala aliwonse omwe angalimbikitse kuyambika, monga ma diuretics kapena beta-blocking antihypertensives, mwachitsanzo.

Kuphatikiza apo, adotolo amayenera kufufuza zina zomwe zimayambitsa kukomoka zomwe zimatha kusokonezedwa ndi vasovagal syndrome, monga arrhythmias kapena khunyu, mwachitsanzo. Onani zomwe zimayambitsa kukomoka ndi momwe mungapewere.

Momwe mankhwalawa amachitikira

Njira yayikulu yothandizira vasovagal syndrome ndikukhazikitsa njira zopewera zomwe zimayambitsa komanso kupewa zovuta zatsopano, monga osayimirira kwa nthawi yayitali, kudzuka mwachangu, kukhala pamalo otentha kwambiri kapena kupsinjika kwambiri.

Kuphatikiza apo, kudzisunga kuti mukhale ndi madzi okwanira, kumwa 1.5 malita a madzi patsiku, ndikuchotsa mankhwala omwe amapititsa patsogolo matenda anu omwe atha kukulitsa matenda anu, ndizofunikira kwambiri. Ngati zizindikiro zikuwoneka kuti zikuwonetsa zovuta, mutha kukhala ndi maudindo omwe amachepetsa vutoli, monga kugona ndi miyendo yanu itakwezedwa, kuyendetsa minyewa yopumira ndi kupuma kwambiri.

Kugwiritsa ntchito mankhwala kumatha kuwonetsedwa ndi dokotala ngati sizikusintha ndi mankhwala oyamba, monga Fludrocortisone, yomwe ndi mineralocorticoid yomwe imakulitsa kusungidwa kwa madzi ndi sodium m'magazi, kapena Myodrine, omwe ndi mankhwala omwe amachulukitsa Mitsempha yamagazi yamtima ndi mtima, zothandiza kuti kuthamanga kwa magazi kukhale kolimba.