Za Kuyesedwa Kwama tebulo

Zamkati

• Mfundo zachangu
• Zomwe zimachita
• Hypotension yokhazikika
• Syncope yoyimira pakati
• Matenda a postural orthostatic tachycardia (POTS)
• Zotsatira zoyipa
• Momwe mungakonzekerere
• Tsatirani malangizo pa nthawi yoti mudye
• Lankhulani za mankhwala omwe mukumwa
• Ganizirani ngati mungayendetse nokha kapena kukwera
• Kodi chimachitika ndi chiani poyesa tebulo?
• Pambuyo pa mayeso
• Zotsatira zoyeserera patebulo
• Zomwe zoipa zikutanthauza
• Zomwe zabwino zikutanthauza
• Kutenga

Mfundo zachangu

• Kuyesa kwa tebulo kumaphatikizapo kusintha momwe munthu akuyimira mwachangu ndikuwona momwe kuthamanga kwa magazi ndi kugunda kwa mtima kumayankhira.
• Kuyesaku kumalamulidwa kwa anthu omwe ali ndi zizindikilo ngati kugunda kwamtima mwachangu kapena omwe nthawi zambiri amakomoka akamachoka pampando kupita pamalo oimirira. Madokotala amatcha chikhalidwe ichi syncope.
• Zowopsa zomwe zingayesedwe ndikuphatikizanso nseru, chizungulire, ndi kukomoka.

Zomwe zimachita

Madokotala amalimbikitsa kuyesa patebulo la odwala omwe akuwakayikira kuti atha kukhala ndi matenda, kuphatikiza:

Hypotension yokhazikika

Madokotala amatchulanso vutoli ngati kukomoka kapena kusayenda bwino. Zimapangitsa kugunda kwa mtima kwa munthu kudekha m'malo mothamanga akaimirira, komwe kumalepheretsa magazi kuphatikizana m'miyendo ndi mikono. Zotsatira zake, munthu amamva kukomoka.

Syncope yoyimira pakati

Munthu amene ali ndi matendawa amatha kukhala ndi zipsinjo monga mseru, mutu wopepuka, ndi khungu lotumbululuka, kenako ndikumwalira.

Matenda a postural orthostatic tachycardia (POTS)

Vutoli limachitika munthu akasintha pomwe wayimirira modzidzimutsa. Madokotala amagwirizanitsa Miphika ndi kuwonjezeka kwa kugunda kwa mtima mpaka 30 kumenyedwa ndikumva kukomoka mkati mwa mphindi 10 kuchokera pomwe mwakhala.

Amayi azaka zapakati pa 15 ndi 50 ali ndi mwayi wokumana ndi POTS, malinga ndi National Institute of Neurological Disorder and Stroke.

Kuyeserera kwa tebulo kumatha kutsanzira zotsatira zakukhala ndikuyimilira m'malo olamulidwa, kotero dokotala amatha kuwona momwe thupi la munthu limayankhira.

Zotsatira zoyipa

Cholinga cha kuyeserera kwa tebulo ndikuti dokotala adziwonere yekha zomwe mumakumana nazo mukasintha mawonekedwe.

Mwina simungamve zowawa panthawiyi, koma mutha kukhala ndi zizindikilo monga chizungulire, kukomoka, kapena kukomoka. Muthanso kumva kunyansidwa kwambiri.

Momwe mungakonzekerere

Tsatirani malangizo pa nthawi yoti mudye

Chifukwa anthu ena amadzimva kuti amanyansidwa akamachoka pamalopo ndikuyimirira, dokotala akhoza kukupemphani kuti musadye maola awiri kapena asanu musanayezedwe. Izi zimathandiza kuchepetsa mwayi womwe mungakhale wodwala m'mimba mwanu.

Lankhulani za mankhwala omwe mukumwa

Dokotala wanu awunikiranso mankhwala omwe mukumwa pakadali pano ndikupatsirani malingaliro omwe muyenera kumwa usiku watha kapena m'mawa wa mayeso anu. Ngati muli ndi funso lokhudza mankhwala enaake, funsani dokotala wanu.

Ganizirani ngati mungayendetse nokha kapena kukwera

Mungafune kuti munthu akuyendetseni kunyumba mukamaliza. Ganizirani zokonzekera ulendo pasadakhale kuti muwonetsetse kuti wina alipo.

Kodi chimachitika ndi chiani poyesa tebulo?

Gome loyendetsa limachita chimodzimodzi monga dzinalo likusonyezera. Amalola katswiri wazachipatala kuti asinthe mbali yomwe ili pamwamba pomwe mukugona.

Fanizo la Diego Sabogal

Mukapita kukayezetsa tebulo, izi ndi zomwe mungayembekezere:

1. Mudzagona pa tebulo lapadera, ndipo katswiri wazachipatala adzalumikiza oyang'anira osiyanasiyana mthupi lanu. Izi zikuphatikiza khafu ya magazi, ma electrocardiogram (ECG), ndi kafukufuku wofufuzira mpweya. Wina amathanso kuyamba kulowetsa mtsempha (IV) m'manja mwanu kuti mutha kulandira mankhwala, ngati angafunike.
2. Namwino amapendeketsa kapena kusuntha tebulo kuti mutu wanu ukweze pafupifupi madigiri 30 pamwamba pa thupi lanu lonse. Namwino amayang'ana zizindikiro zanu zofunikira.
3. Namwino adzapitiliza kupendeketsa tebulo mmwamba pafupifupi madigiri 60 kapena kupitilira apo, makamaka kukupangitsani kukhala owongoka. Adzayeza mobwerezabwereza kuthamanga kwa magazi, kugunda kwa mtima, komanso kuchuluka kwa mpweya kuti aone ngati pali zosintha zilizonse.
4. Ngati nthawi iliyonse kuthamanga kwa magazi kutsika kwambiri kapena mukumva kukomoka, namwino amabwezera tebulo poyambira. Izi, zidzakuthandizani kuti mukhale bwino.
5. Ngati mulibe kusintha kwa zizindikilo zanu zofunika ndipo mukumvabe bwino gome litasuntha, mupita gawo lachiwiri la mayeso. Komabe, anthu omwe ali ndi zizindikiro kale safuna gawo lachiwiri la mayeso kuti asonyeze momwe zizindikilo zawo zofunika zimasinthira akamasunthira.
6. Namwino adzakupatsani mankhwala otchedwa isoproterenol (Isuprel) omwe amachititsa mtima wanu kugunda mofulumira komanso mwamphamvu. Izi ndizofanana ndi zolimbitsa thupi zolimbitsa thupi.
7. Namwino abwereza kuyeserera kwa tebulo powonjezera mbali mpaka madigiri 60. Muyenera kuti mukhalebe pamtunda uwu kwa mphindi pafupifupi 15 kuti muwone ngati mungayankhe kusintha kwamalowo.

Chiyesocho chimakhala pafupifupi ola limodzi ndi theka ngati simusintha pazizindikiro zanu zofunika. Ngati zizindikiro zanu zofunika zisintha kapena simukumva bwino panthawi yoyezetsa magazi, namwino adzaletsa kuyesaku.

Pambuyo pa mayeso

Chiyeso chatha, kapena ngati mukumva kukomoka panthawi yoyezetsa magazi, namwino ndi akatswiri ena azachipatala atha kukusunthirani ku bedi kapena mpando wina. Mwinamwake mudzafunsidwa kuti mukhalebe m'malo opezera malo kwa mphindi 30 mpaka 60.

Nthawi zina, anthu amadzimva kuti ali ndi nsanje akamaliza mayeso oyeserera. Namwino akhoza kukupatsani mankhwala oletsa kunyansidwa ngati zili choncho.

Nthawi zambiri, mutha kuyendetsa nokha kunyumba mutayesedwa. Komabe, ngati mwakomoka kapena mukukomoka panthawi yoyezetsa magazi, dokotala wanu angafune kuti mugone usiku kuti muwone kapena wina akutsogolereni kunyumba.

Zotsatira zoyeserera patebulo

Zomwe zoipa zikutanthauza

Ngati mulibe chochita pakusintha kwa magome, madokotala amawona kuti mayeserowo ndiabwino.

Muthabe kuti muli ndi matenda okhudzana ndi kusintha kwamalo. Zotsatira izi zikutanthauza kuti mayeserowa sanawonetse kusintha.

Dokotala wanu angakulimbikitseni mitundu ina yoyesera kuti muwone momwe mtima wanu uliri, monga Holter polojekiti yomwe mumavala kuti muwone kuchuluka kwa mtima wanu pakapita nthawi.

Zomwe zabwino zikutanthauza

Magazi anu akasintha pakuyesedwa, zotsatira zake zimakhala zabwino. Malangizo a dokotala wanu atengera momwe thupi lanu lidachitiramu.

Mwachitsanzo, kugunda kwa mtima wanu kukamachepa, adokotala angakupatseni mayeso ena kuti ayang'ane mtima wanu. Amatha kukupatsirani mankhwala otchedwa midodrine oletsa kuthamanga kwa magazi.

Ngati kugunda kwa mtima kwanu kukufulumira, dokotala akhoza kukupatsani mankhwala - monga fludrocortisone, indomethacin, kapena dihydroergotamine - kuti muchepetse mwayi woti mayankhowo achitike.

Ngati mwalandira zotsatira zabwino, mayeso ena angafunike kuti muwone zamumtima.

Kutenga

Ngakhale pali mayeso angapo kuti athe kuyeza kusintha kwa kuthamanga kwa magazi komwe kumadza chifukwa cha kusintha kwa malo, kuyerekezera kwa tebulo kumatha kukhala njira yoyenera kupezera achikulire, malinga ndi nkhani ina munyuzipepalayi.

Asanayesedwe, dokotala amakambirana momwe zingakuthandizireni kukudziwitsani ndikudziwitsani za zoopsa zilizonse zomwe zingachitike.

Ngati mayeso anu anali olakwika koma mukukhalabe ndi zizindikiro, lankhulani ndi dokotala wanu pazomwe zingayambitse. Akhoza kuwunikiranso mankhwala anu kapena angakupatseni mayeso ena.