Kuyesa koyeserera ndi chiyani, kumapangidwira chiyani komanso momwe kumachitikira

Zamkati

• Ndi chiyani
• Momwe kukonzekera kuyenera kukhalira
• Kodi fayilo yakuweramira mayeso
• Kusamalira pambuyo pa mayeso
• Zotsutsana

O kuweramira mayeso, yomwe imadziwikanso kuti test tilt test kapena postural stress test, ndiyeso yovuta komanso yothandizirana yochitidwa kuti ifufuze magawo a syncope, omwe amapezeka munthu akakomoka ndikutaya mwadzidzidzi kapena kwakanthawi.

Nthawi zambiri, kuyezetsa kumeneku kumachitika mu labotale yamagetsi ku chipatala kapena kuchipatala ndipo kuyenera kuchitidwa ndi a cardiologist ndi namwino kapena namwino ndipo kuti izi zichitike munthuyo ayenera kusala kudya kwa maola osachepera 4, kuti apewe malaise ndi nseru panthawi yamayeso. Pambuyo pa mayeso ndikulimbikitsidwa kupumula ndikupewa kuyendetsa kwa maola osachepera 2.

Ndi chiyani

O kuweramira mayeso ndi mayeso omwe adawonetsedwa ndi katswiri wamtima kuti athandizire kuzindikira matenda ena ndi mikhalidwe monga:

• Vasovagal kapena neuromediated syncope;
• Chizungulire chobwereza;
• Postural orthostatic tachycardia matenda;
• Presyncope,
• Kusadziletsa.

Vasovagal syncope nthawi zambiri imayambitsa kukomoka mwa anthu omwe alibe mavuto amtima ndipo imatha kuyambitsidwa ndikusintha kwa thupi, motero kuweramira mayeso ndiye mayeso akulu kuti azindikire vutoli. Mvetsetsani chomwe vasovagal syncope ndi momwe mungachitire.

Kuphatikiza apo, adotolo amatha kuyitanitsa mayeso ena kuti athetse matenda ena, monga mavuto amagetsi a mtima, mwachitsanzo, komanso kuyesa magazi, electrocardiogram, echocardiography, 24-hour Holter kapena ABPM zitha kuwonetsedwa.

Momwe kukonzekera kuyenera kukhalira

Kuchita kuweramira mayeso Ndikofunikira kuti munthuyo asala kudya kwathunthu, kuphatikiza kusakhala ndi madzi akumwa, kwa maola osachepera 4, chifukwa kusintha komwe kudzapangidwe pakachikidwe kake, munthuyo amatha kukhala ndi mseru komanso kufooka ngati m'mimba mwakhuta. Zimalimbikitsidwanso kuti munthuyo apite kubafa asanayese mayeso, kuti asadodometsedwe.

Asanayese mayeso, adokotala azitha kufunsa mankhwala omwe munthuyo amagwiritsa ntchito tsiku lililonse komanso amafunsa mafunso okhudza kuyambika kwa zizindikilo komanso ngati pali zovuta zina zomwe zizindikirazo zikuipiraipira.

Kodi fayilo yakuweramira mayeso

Kuyesa kwa kuweramira mayeso imagwiridwa mu labotale ya electrophysiology kuchipatala kapena kuchipatala ndipo imayenera kuchitika moyang'aniridwa ndi katswiri wamtima ndi namwino kapena namwino.

Nthawi yonse yamayeso ili pafupi mphindi 45 ndipo imachitika m'magawo awiri osiyana, woyamba wake amakhala atagona pakama, womangirizidwa ndi malamba ena, ndipo namwino amasintha patebulo, ndikupendekera pamwamba nthawi yomwe zida zimayikidwa pachifuwa ndi mkono kuyeza kuthamanga kwa magazi ndi kuchuluka kwa magazi kuti muwone zosintha poyesa.

Gawo lachiwiri, namwino amapereka mankhwala oti aike pansi pa lilime, otchedwa isosorbide dinitrate, pamlingo wocheperako, kuti athe kuwona momwe thupi limagwirira ntchito ndi mankhwalawo, ngati kuthamanga kwa magazi ndi kugunda kwa mtima kumasintha kwambiri , munthawi imeneyi namwino amasinthanso pomwe panali machirawo.

Mankhwalawa amagwiritsidwa ntchito mu kuweramira mayeso imakhala ngati adrenaline choncho munthuyo amatha kukhala ndi nkhawa kapena kumva chimodzimodzi akamachita masewera olimbitsa thupi. Ngati kuthamanga kwa magazi kuli kotsika kwambiri kapena munthuyo akudwala kwambiri, adokotala akhoza kuyimitsa mayeso, chifukwa chake ndikofunikira kufotokoza zomwe mukumva.

Kusamalira pambuyo pa mayeso

Pambuyo pake kuweramira mayeso munthuyo atha kumva kutopa ndikudwala pang'ono, chifukwa chake ayenera kugona pansi kwa mphindi 30 kuti amuwone namwino kapena namwino.

Pambuyo pa nthawi imeneyi, munthuyo ndi womasuka kuyambiranso ntchito zake, komabe, tikulimbikitsidwa kuti tipewe kuyendetsa galimoto kwa maola osachepera 2. Ngati munthuyo ali ndi malaise, kuthamanga kwambiri kwa magazi kapena wapita panthawi yoyezetsa magazi, angafunike kuthera nthawi yochuluka akuyang'aniridwa ndi adotolo ndi namwino.

Zotsatira zoyeserera nthawi zambiri zimatenga masiku 5 ndipo zimawerengedwa kuti sizabwino ngati sipadakhala kusintha kwakukulu pakuthyoka kwamagazi pakusintha kwa malo otambasula, komabe zotsatira zake zikakhala zabwino zikutanthauza kuti kuthamanga kwa magazi kumasintha kwambiri pakuyesedwa.

Zotsutsana

O kuweramira mayeso sichiwonetsedwa kwa amayi apakati, anthu omwe ali ndi zopapatiza kapena zotchinga za carotid kapena aortic artery kapena osintha mafupa omwe amalepheretsa munthuyo kuyimirira. Kuphatikiza apo, anthu omwe adadwala matenda opha ziwalo ayenera kupatsidwa chisamaliro chowonjezeka poyesa.