Chilichonse Chimene Muyenera Kudziwa Zokhudza Vasovagal Syncope

Zamkati

• Nchiyani chimayambitsa vasovagal syncope?
• Chidule
• Zizindikiro zake ndi ziti?
• Nthawi yoti muwonane ndi dokotala
• Nthawi yoti mulandire chithandizo chamankhwala msanga
• Kodi amapezeka bwanji?
• Kodi njira zamankhwala ndi ziti?
• Kodi vasovagal syncope ingapewe?
• Mfundo yofunika

Syncope amatanthauza kukomoka kapena kufa. Kukomoka kumachitika chifukwa cha zovuta zina, monga kuwona magazi kapena singano, kapena kutengeka kwakukulu monga mantha kapena mantha, amatchedwa vasovagal syncope. Ndicho chomwe chimayambitsa kukomoka.

Vasovagal syncope nthawi zina amatchedwa neurocardiogenic kapena reflex syncope.

Aliyense atha kukhala ndi vasovagal syncope, koma imakhala yofala kwambiri kwa ana komanso achikulire. Kukomoka kotere kumachitika kwa amuna ndi akazi mofanana.

Ngakhale zina zomwe zimayambitsa kukomoka zitha kukhala chizindikiro cha vuto lalikulu la thanzi, sizomwe zimachitika ndi vasovagal syncope.

Nkhaniyi ikufotokoza zomwe zimayambitsa, kuzindikira, komanso chithandizo cha vasovagal syncope, komanso zizindikilo zomwe muyenera kuwona dokotala.

Nchiyani chimayambitsa vasovagal syncope?

Pali mitsempha yapadera mthupi lanu lonse yomwe imathandizira kuwongolera momwe mtima wanu umagunda. Amagwiritsanso ntchito kuchepetsa kuthamanga kwa magazi mwa kuwongolera kuchuluka kwa mitsempha yanu.

Nthawi zambiri, mitsempha imeneyi imagwirira ntchito limodzi kuonetsetsa kuti ubongo wanu umakhala ndi magazi okwanira okosijeni nthawi zonse.

Koma, nthawi zina, amatha kusokoneza ma sign awo, makamaka mukakumana ndi china chake chomwe chimapangitsa mitsempha yanu kutseguka mwadzidzidzi komanso kuthamanga kwa magazi kwanu.

Kuphatikiza kwa kutsika kwa kuthamanga kwa magazi ndi kuchepa kwa mtima kumachepetsa kuchuluka kwa magazi omwe akuyenda kupita ku ubongo wanu. Izi ndizomwe zimakupangitsani kuti muzitha.

Kuphatikiza pa kuchitapo kanthu mukawona china chake chomwe chimakuwopsani, kapena kukhudzidwa kwambiri, zina zomwe zingayambitse vasovagal syncope ndi monga:

• kuyimirira atakhala, kuwerama, kapena kugona pansi
• kuyimirira kwa nthawi yayitali
• kutentha kwambiri
• kulimbitsa thupi kwambiri
• kupweteka kwambiri
• kutsokomola kwambiri

Chidule

Vasovagal syncope imayamba chifukwa chotsika mwadzidzidzi kuthamanga kwa magazi, komwe kumayambitsidwa chifukwa cha chinthu china. Izi zimapangitsa mtima wanu kuchepa kwakanthawi. Zotsatira zake, ubongo wanu sungapeze magazi okwanira okosijeni okwanira, omwe amakupangitsani kutaya mtima.

Vasovagal syncope nthawi zambiri siyodwala.

Zizindikiro zake ndi ziti?

Mwina simungakhale ndi chisonyezo chilichonse chakuti mudzakomoka mpaka zitachitika. Koma anthu ena amakhala ndi zizindikilo zazifupi zosonyeza kuti atha kukomoka. Izi zikuphatikiza:

• akuwoneka wotuwa kapena imvi
• mutu wopepuka kapena chizungulire
• Kumva thukuta kapena phokoso
• nseru
• kusawona bwino
• kufooka

Ngati nthawi zambiri mumakhala ndi zidziwitso izi musanakomoke, ndibwino kugona pansi kuti muthandize kuwonjezera magazi kulowa muubongo wanu. Izi zingakulepheretseni kukomoka.

Mukadutsa, mwina mudzayambiranso kuzindikira mumphindi zochepa, koma mutha kumva kuti:

• watopa
• kunyansidwa
• wamutu wopepuka

Mutha kukhala osokonezeka pang'ono kapena "osachokamo" kwa mphindi zochepa.

Nthawi yoti muwonane ndi dokotala

Ngati mwawonapo dokotala kale ndikudziwa kuti muli ndi vasovagal syncope, simuyenera kubwerera nthawi iliyonse mukakomoka.

Muyeneradi kusunga dokotala wanu, komabe, ngati mukukula zizindikilo zatsopano kapena ngati mukukhala ndi magawo ambiri okomoka ngakhale mwataya zina mwazomwe zimayambitsa.

Ngati simunakomoke kale, ndipo mwadzidzidzi muli ndi gawo lokomoka, onetsetsani kuti mwalandira chithandizo chamankhwala. Zina mwazomwe zingakupangitseni kukomoka ndi:

• matenda ashuga
• matenda amtima
• Matenda a Parkinson

Kukomoka kungakhalenso zotsatira zoyipa zamankhwala, makamaka antidepressants ndi mankhwala omwe amakhudza kuthamanga kwa magazi. Ngati mukuganiza kuti ndi choncho, osasiya kumwa mankhwala anu osalankhula ndi dokotala za njira zina.

Ngati dokotala akuganiza kuti mankhwala anu atha kukupangitsani kukomoka, adzagwira nanu ntchito kuti mudziwe momwe angakutetezereni popanda kuyambitsa zovuta zina.

Nthawi yoti mulandire chithandizo chamankhwala msanga

Funsani thandizo lachipatala ngati inu (kapena wina aliyense) mwadzidzidzi ndipo:

• kugwa kuchokera kutalika kwambiri, kapena kuvulaza mutu wanu mukakomoka
• Zimatenga nthawi yopitilira mphindi kuti mupezenso chidziwitso
• amavutika kupuma
• khalani ndi ululu pachifuwa kapena kukakamizidwa
• mukuvutika ndi kuyankhula, kumva, kapena masomphenya
• kutulutsa chikhodzodzo kapena matumbo
• akuwoneka kuti walandidwa
• ali ndi pakati
• kumva kusokonezeka patatha maola ambiri nditakomoka

Kodi amapezeka bwanji?

Dokotala wanu kapena wothandizira zaumoyo ayamba ndi mbiri yakale yazachipatala ndikuwunika. Kuyeza kumeneku kudzaphatikizaponso kuwerengetsa magazi kambiri mutakhala, kugona pansi, ndi kuyimirira.

Kuyezetsa matenda kumatha kuphatikizaponso electrocardiogram (ECG kapena EKG) kuti muwone momwe mtima wanu uliri.

Izi zikhoza kukhala zonse zomwe zimafunika kuti mupeze vasovagal syncope, koma dokotala wanu angafune kuthana ndi zifukwa zina zomwe zingayambitse. Kutengera ndi zizindikilo zanu komanso mbiri yazachipatala, kuyezetsa kwina kungaphatikizepo:

• Kuyesa patebulo. Kuyesaku kumalola dokotala wanu kuti awone kuchuluka kwa mtima wanu ndi kuthamanga kwa magazi mukakhala m'malo osiyanasiyana.
• Kuwunika kwa Holter kotheka. Ichi ndi chida chomwe mumavala chomwe chimalola kuwunikira mwatsatanetsatane wa maola 24.
• Zojambulajambula. Kuyesaku kumagwiritsa ntchito mafunde akumveka kuti apange zithunzi za mtima wanu komanso magazi ake.
• Chitani masewera olimbitsa thupi. Mayesowa nthawi zambiri amaphatikizapo kuyenda mofulumira kapena kuthamanga pa chopondera kuti muwone momwe mtima wanu umagwirira ntchito nthawi yolimbitsa thupi.

Mayeserowa angathandize kutsimikizira kuti muli ndi vasovagal syncope kapena kuloza ku matenda ena.

Kodi njira zamankhwala ndi ziti?

Vasovagal syncope sikuti imafuna chithandizo. Koma ndibwino kuyesa kupewa zinthu zomwe zimayambitsa kukomoka ndikuchitapo kanthu popewa kuvulala chifukwa chakugwa.

Palibe mankhwala ochiritsira omwe angachiritse zifukwa zonse ndi mitundu ya vasovagal syncope. Chithandizo chimasankhidwa payokha kutengera chifukwa cha zomwe mumakumana nazo. Mayesero ena azachipatala a vasovagal syncope adabweretsa zokhumudwitsa.

Ngati kukomoka pafupipafupi kumakhudza moyo wanu, kambiranani ndi dokotala. Pogwira ntchito limodzi, mutha kupeza chithandizo chomwe chingathandize.

Ena mwa mankhwala omwe amagwiritsidwa ntchito pochizira vasovagal syncope ndi awa:

• alpha-1-adrenergic agonists, omwe amakweza kuthamanga kwa magazi
• corticosteroids, yomwe imathandizira kukweza magawo a sodium ndi madzimadzi
• serotonin reuptake inhibitors (SSRIs) yosankha, yomwe imathandizira kuwongolera machitidwe amanjenje

Dokotala wanu apanga malingaliro kutengera mbiri yanu yazachipatala, zaka, komanso thanzi. Pazovuta kwambiri, dokotala angafune kukambirana zaubwino komanso zoyipa zopezera pacemaker.

Kodi vasovagal syncope ingapewe?

Sizingatheke kupewa vasovagal syncope, koma mutha kuchepetsa kuchuluka kwa nthawi yomwe mumakomoka.

Gawo lofunikira kwambiri ndikuyesa kudziwa zomwe zimayambitsa.

Kodi mumakonda kukomoka mukakoka magazi anu, kapena mukamawonera makanema owopsa? Kapena mwazindikira kuti mumakomoka mukakhala ndi nkhawa yochulukirapo, kapena mwakhala mukuyimirira kwa nthawi yayitali?

Ngati mutha kupeza pulogalamu, yesetsani kuchitapo kanthu kuti mupewe kapena kugwira ntchito mozungulira zomwe zimayambitsa.

Mukayamba kukomoka, nthawi yomweyo mugone pansi kapena khalani pamalo abwino ngati mungathe. Zitha kukuthandizani kuti musakomoke, kapena kupewa kuvulala chifukwa chakugwa.

Mfundo yofunika

Vasovagal syncope ndi yomwe imayambitsa kukomoka. Nthawi zambiri sizimalumikizidwa ndi vuto lalikulu lathanzi, koma ndikofunikira kuwona dokotala yemwe angathetse zovuta zilizonse zomwe zingakupangitseni kukomoka.

Nthawi yofookayi nthawi zambiri imayambitsidwa ndi zina zomwe zimayambitsa, monga kuwona kwa chinthu chomwe chimakuwopsani, kutengeka kwambiri, kutentha kwambiri, kapena kuyimirira motalika kwambiri.

Mukamaphunzira kuzindikira zomwe zimayambitsa, mutha kuchepetsa kukomoka ndikupewa kudzivulaza ngati mungataye chidziwitso.

Chifukwa kukomoka kumatha kukhala ndi zifukwa zina, ndikofunikira kuti muwone dokotala wanu ngati mwadzidzidzi mwayamba kukomoka, kapena simunakhalepo kale.

Pezani chithandizo chamankhwala mwachangu ngati muvulaza mutu mukamwalira, mukuvutika kupuma, kupweteka pachifuwa, kapena vuto ndi mawu musanakomoke kapena mutakomoka.