Ukuphelelwa amandla, okwaziwa ngokuba yi-syncope, kubhekisa ekulahlekelweni ngesiquphe nangokwexeshana kwengqondo, ngesiqhelo ngenxa yokungabikho kweoksijini kwingqondo. Ukuthothwa kweoksijini kwingqondo kunezizathu ezininzi ezinokubangela, ezinje nge-hypotension okanye uxinzelelo lwegazi olusezantsi.
Amaxesha amaninzi, isiqendu esityhafayo asibalulekanga kwezonyango, kodwa ngamanye amaxesha sisisiphumo sokugula kakhulu, imeko, okanye ukuphazamiseka. Onke amatyala okuphelelwa ngamandla kufuneka aphathwe njengonxakeko lwezonyango de kube kwaziwa isizathu kwaye kunyangiwe iimpawu. Nabani na ophindaphindeneyo isiqaqa kufuneka abonane nogqirha.
I-Syncope ilahleko yethutyana yokuqonda, ihlala inxulumene nokungoneli kwegazi kwingqondo. Ikwabizwa ngokuba kukufa isiqaqa. Kwenzeka rhoqo xa uxinzelelo lwegazi lusezantsi kakhulu (hypotension) kwaye intliziyo ayimpompi ioksijini eyaneleyo kwingqondo. Ingaba yinto enobungozi okanye impawu yeemeko zonyango.
Izizathu
I-Syncope luphawu olunokubangelwa zizizathu ezahlukeneyo, ukusukela kwiimeko ezinobungozi ukuya kwizifo ezisongela ubomi. Izinto ezininzi ezingoyikisi ubomi, ezinjengokufudumeza umzimba, ukuphelelwa ngamanzi emzimbeni, ukubila kakhulu, ukudinwa, okanye ukudibana kwegazi emilenzeni ngenxa yotshintsho ngequbuliso kwindawo yomzimba, kunokubangela i-syncope. Kubalulekile ukumisela unobangela we-syncope kunye neemeko ezisisiseko sokwazi ukuba ngaba ubomi bomntu ochaphazelekayo busemngciphekweni okanye hayi.
Kukho iimeko ezininzi zentliziyo ezinjenge-bradycardia, i-tachycardia, okanye ukuhamba kwegazi okuvalelweyo okunokubangela i-syncope.
Iindidi zesyncope
I-syncope ehambelana nemithambo-luvo
Eyona ndlela ixhaphakileyo yokuphelelwa ngamandla yi-syncope Mediated Mediated (SMN), eneneni olu hlobo lokuphelelwa ngamandla lolona hlobo luqhele ukubonwa kumagumbi kaxakeka. Kukwaziwa nangokuthi yi-reflex, neurocardiogenic, vasovagal, okanye vasodepressor syncope. Kuyinto enobungozi kwaye kunqabile ukuba ifune unyango.
I-SMN ithande ukwenzeka rhoqo kubantwana nakubantu abadala abancinci, kodwa enyanisweni inokwenzeka nangaliphi na ixesha nangaliphi na ixesha ebomini. Xa isenzeka, kungenxa yenxalenye yenkqubo yemithambo-luvo elawula uxinzelelo lwegazi kunye nokungasebenzi kakuhle kwentliziyo xa kukho uxinzelelo lweemvakalelo oluqatha okanye iintlungu eziqatha. Eyona nto ixhaphakileyo kukuba olu hlobo lwe-syncope lwenzeka ngexa umi naphambi kokuba umntu azokuziva eshushu, isicaphucaphu, intloko engenasiphako, umbono wetonela, ukungeva kakuhle, njl. Xa umntu eqala ukuba nezi mpawu kubalulekile ukuba azibeke kwindawo ethe xhaxhe ngokukhawuleza ukuze igazi lihambe kakuhle kwaye nokulahleka kwengqondo akulahlekanga.
I-SMN ihlala inxulumene nemisebenzi yomzimba enjengokukhohlela ngogonyamelo, ukuhleka, okanye ukuginya. Kukho iingxaki ezinokubangela, njengeengxaki zokuzilolonga, iingxaki zentliziyo, okanye ukuphazamiseka okunxulumene nembali yosapho ye-syncope okanye ukufa ngesiquphe.
Isyncope yentliziyo
I-Cardiac okanye i-cardiovascular syncope ibangelwa ziimeko ezithile zentliziyo ezifana ne-tachycardia, i-bradycardia okanye i-hypotension. Abantu abanokuthi banolu hlobo lwe-syncope kodwa bengenayo imeko ebaluleke kakhulu banokuphatha imeko ye-syncope ngaphandle kwesigulana. Kwelinye icala, ukuba uneemeko ezinobuzaza, kufuneka kwenziwe uvavanyo lonyango.
Abantu abaneemeko ezinzima baquka: ii-arrhythmias, ischemias, aortic stenosis, kunye ne-pulmonary embolism. Ukungaphumeleli kwentliziyo, ukulungiswa kwe-atrial, kunye nezinye iimeko ezinzulu zentliziyo kunokubangela i-syncope kubantu abadala, ngakumbi emva kweminyaka engama-70.
Imiba yengozi
Njengazo zonke iimeko, kukho izinto ezinobungozi ekufanele ukuba zithathelwe ingqalelo ukuze kuthintelwe ukuba kunokwenzeka. I-syncope eqhelekileyo kubantu abadala ngaphezulu kwama-80 kunokuba lula ukuba ife. Abantu abancinci kodwa abanangxaki zentliziyo kwaye abanamava e-syncope ngelixa bemi okanye bephantsi koxinzelelo kwiimeko ezithile, abanakulindeleka ukuba bafumane ukuvumelanisa kwentliziyo.
Eminye yemingcipheko ekufuneka uyiqwalasele yile:
- Unokuba ngaphezu kwe-60 iminyaka
- Ukuba yindoda
- Yiba neengxaki zentliziyo
- Ulahlekelwe sisazela
- Amaxesha amaninzi ukuphelelwa ngamandla okanye ukuziva ufe isiqaqa ngexesha lomthambo
- Ukutyhafa kwindawo ephezulu
- Uvavanyo lwentliziyo engaqhelekanga
- Imvelaphi yosapho
- Iimeko zofuzo
Kufuneka wenze ntoni xa ufumana iimpawu
Ukuba ufumanisa ukuba uhlangabezana neempawu ezandulela i-syncope, kuyakufuneka uhlale phantsi okanye ungqengqe ngokukhawuleza. Emva koko kuya kufuneka uye kugqirha uhlalutyo lomzimba nolwezonyango. Uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho kuya kulinganiswa.
Kukwacetyiswa ukuba une-electrocardiogram ukwazi izizathu ezinokubangela ukuba utyhafe. Oku kunokubonelela ngolwazi ngesizathu esithile se syncope kwaye ukuba ezinye iimvavanyo ziyafuneka ugqirha uya kuzixoxa. ukwenza njenge-echocardiogram, uvavanyo loxinzelelo, njl.
Ukuba uvavanyo lokuqala alwazi ukuba yintoni ebangela i-syncope, kunokuba luncedo ukuba umntu ochaphazelekayo avavanywe. Uxinzelelo lwegazi kunye nokubetha kwentliziyo kuya kulinganiswa ngelixa umntu elele etafileni. Abantu abane-SMN bahlala bephuma ngexesha lokuncipha kuba uxinzelelo lwegazi kunye nentliziyo yabo yehla ... xa zibekwe emqolo, ukuhamba kwegazi kunye nokuqonda kubuyela esiqhelweni.
Kuxhomekeka koonobangela be-syncope, olona nyango lufanelekileyo kufuneka luqwalaselwe, umzekelo, ukuba unobangela kukungabikho kwamanzi, kuya kufuneka basele amanzi umzekelo. Amayeza kuphela Kufuneka zithathwe ukuba ugqirha uyamisela kwaye kufanelekile kwisigulana ekuthethwa ngaso.
Ukubaluleka komgangatho wobomi obulungileyo
Nje ukuba oonobangela be-syncope baziwa, ukuba unyango alufuneki kuba sisizathu esiqhelekileyo, kuyakufuneka ukwazi ukuthatha ingqalelo yokugcina impilo esempilweni kunokunciphisa ubungakanani be-syncope. Kwakhona, ukuba umntu uyazi ukuba angayifumana i-syncope ekusebenzeni okanye ekuphakameni ngokukhawuleza okukhulu, ezi meko ziya kufuna ukuthintelwa okanye ukuthintelwa.
Kwimeko apho i-syncope ibangelwa ziimeko zonyango, izizathu ezingunobangela kufuneka ziphathwe ukuze i-syncope ingabi yingxaki yobomi bomntu ochaphazelekayo.