Ukuquleka, okwaziwa nangokuthi i-syncope, kubhekisa ekulahlekelweni okungazelelwe nokwesikhashana kokwazi, imvamisa kungenxa yokushoda komoya-mpilo ebuchosheni. Ukuncishwa komoya-mpilo ebuchosheni kunezimbangela eziningi ezingaba khona, njenge-hypotension noma umfutho ophansi wegazi.
Izikhathi eziningi, isiqephu esiphelelwa amandla asibalulekile kwezokwelapha, kepha kwesinye isikhathi singaba ngumphumela wesifo esibi, isimo, noma ukuphazamiseka. Zonke izimo zokuquleka kufanele ziphathwe njengesimo esiphuthumayo sezokwelapha kuze kube yilapho kwaziwa imbangela nezimpawu sezelashwa. Noma ngubani oneziphonso eziquleka njalo kufanele abonane nodokotela.
I-Syncope ukulahleka kwesikhashana kokuqonda, imvamisa kuhlobene nokugeleza kwegazi okunganele ebuchosheni. Kubizwa nangokuthi ukuquleka. Kwenzeka kaningi lapho umfutho wegazi uphansi kakhulu (i-hypotension) futhi inhliziyo ingafaki i-oxygen eyanele ebuchosheni. Kungaba nobungozi noma uphawu lwesimo sezempilo esiyisisekelo.
Izimbangela
I-Syncope yisifo esingaba ngenxa yezimbangela ezahlukahlukene, kusuka ezimweni ezinobungozi kuya ezifweni ezisongela impilo. Izinto eziningi ezingasongeli impilo, njengokushisa ngokweqile, ukuphelelwa amanzi emzimbeni, ukujuluka okusindayo, ukukhathala, noma ukuhlangana kwegazi emilenzeni ngenxa yokushintsha okungazelelwe kokuma komzimba, kungadala i-syncope. Kubalulekile ukuthola imbangela ye-syncope nezimo ezingaphansi ukuze wazi ukuthi ngabe impilo yomuntu othintekile isengozini noma cha.
Kunezimo eziningana zenhliziyo ezinzima njenge-bradycardia, i-tachycardia, noma ukugeleza kwegazi okuvinjiwe okungadala ne-syncope.
Izinhlobo ze-syncope
I-syncope eqondiswe ngokusebenza kwengqondo
Indlela ejwayelekile yokuquleka yi-syncope mediated neutral (SMN), empeleni lolu hlobo lokuquleka luhlobo oluvame ukubonakala emakamelweni okuphuthumayo. Kuyaziwa nangokuthi i-reflex, i-neurocardiogenic, i-vasovagal, noma i-vasodepressor syncope. Kuyinto enobungozi futhi ayidingi ukwelashwa.
I-SMN ivame ukwenzeka kaningi ezinganeni nakubantu abadala abancane, kepha empeleni, kungenzeka noma nini futhi nganoma yisiphi isikhathi empilweni. Uma kwenzeka, kungenxa yokuthi ingxenye yesistimu elawula ukucindezelwa kwegazi kanye nokungasebenzi kahle kwenhliziyo lapho kwenzeka ukucindezeleka okukhulu ngokomzwelo noma ubuhlungu obukhulu. Okuvame kakhulu ukuthi lolu hlobo lwe-syncope lwenzeka ngenkathi lumile futhi ngaphambi nje kokuba umuntu ozoba nalo ngokuvamile ezwe kushisa, isicanucanu, ikhanda elikhanyayo, umbono womhubhe, ukungezwa kahle, njll. Lapho umuntu eqala ukuba nalezi zimpawu kubalulekile ukuzibeka esimweni esinciphile ngokushesha ngangokunokwenzeka ukuze igazi ligeleze kahle futhi ukwazi kungalahleki.
I-SMN ivame ukuhlobene nemisebenzi yomzimba njengokukhwehlela okunodlame, ukuhleka, noma ukugwinya. Kukhona nokunye ukuphazamiseka okungayibangela, njengezinkinga zokuvivinya umzimba, izinkinga zenhliziyo, noma ukuphazamiseka okuhlobene nomlando womndeni we-syncope noma ukufa okungazelelwe.
I-syncope yenhliziyo
I-cardiac noma i-syncope yenhliziyo ibangelwa ezinye izimo zenhliziyo ezifana ne-tachycardia, i-bradycardia noma i-hypotension, lokhu kuyingozi ngoba kungandisa amathuba okuba nengozi yokufa okungazelelwe kwenhliziyo. Abantu okungenzeka babe nalolu hlobo lwe-syncope kodwa abangenazo izimo ezibucayi kakhulu bangalapha isimo se-syncope ngokugula okungalalisiwe. Ngakolunye uhlangothi, uma unezimo ezibucayi kakhulu, kufanele kwenziwe ukuhlolwa kwezokwelapha.
Abantu abanezimo ezibucayi bafaka: i-arrhythmias, ischemias, i-aortic stenosis enamandla, kanye ne-pulmonary embolism. Ukwehluleka kwenhliziyo, ukwenziwa kwe-atrial, nezinye izimo zenhliziyo ezibucayi kungadala i-syncope kubantu asebekhulile, ikakhulukazi ngemuva kweminyaka engama-70.
Izici zobungozi
Njengakuzo zonke izimo, kunezinto ezinobungozi okubalulekile ukuthi uzicabangele ukuze uzivimbele uma kungenzeka. I-syncope ejwayelekile kubantu abadala abaneminyaka engaphezu kwengu-80 ingahle ibe sethubeni lokufa. Abantu abasebasha kepha abanazinkinga zenhliziyo futhi abahlangabezane ne-syncope ngenkathi bemi noma bengaphansi kwengcindezi evela ezimweni ezithile, akunakwenzeka ukuthi zithole ukuvumelanisa kwenhliziyo.
Ezinye zezinto ezinobungozi okufanele uzicabangele yilezi:
- Iba ngaphezulu kweminyaka engu-60
- Ukuba yindoda
- Yiba nezinkinga zenhliziyo
- Yiba nokulahlekelwa ukwazi
- Imvamisa ukuquleka noma ukuzizwa uphela amandla ngesikhathi sokuzikhandla
- Ukuquleka endaweni ephakeme
- Ukuhlolwa kwenhliziyo okungavamile
- Umlando womndeni
- Izimo zefa
Okufanele ukwenze uma uhlangabezana nezimpawu
Uma uthola ukuthi uhlangabezana nezimpawu ezandulela i-syncope, kuzodingeka uhlale phansi noma ulale phansi ngokushesha okukhulu. Ngemuva kwalokho kuzodingeka uye kudokotela ukuze ahlaziyeke ngokomzimba nangokwezokwelapha. Umfutho wegazi nokushaya kwenhliziyo yakho kuzolinganiswa.
Kunconywa nokuthi wenze i-electrocardiogram ukuthola izimbangela okungenzeka ukuthi zidale ukuquleka. Lokhu kunganikeza imininingwane ngesizathu esithile se-syncope futhi uma kudingeka ezinye izivivinyo udokotela uzoxoxa ngazo. ukwenza njenge-echocardiogram, ukuhlolwa kwengcindezi, njll.
Uma ukuhlolwa kokuqala kungazi ukuthi yini ebangela i-syncope, kungasiza ukuthi umuntu othintekile ahlolwe ngokutsheka. Umfutho wegazi nokushaya kwenhliziyo kuzolinganiswa ngenkathi umuntu elele etafuleni. Abantu abane-SMN bavame ukudlula ngesikhathi sokuncika ngoba umfutho wegazi wabo nokushaya kwenhliziyo kwehla ... lapho zibekwa emihlane yazo, ukuhamba kwegazi nokwazi kubuyela kokujwayelekile.
Ngokuya ngezimbangela ze-syncope, izindlela zokwelashwa ezifanele kunazo zonke kufanele zibhekwe, isibonelo, uma imbangela ingekho kwamanzi, kuzodingeka baphuze amanzi ngokwesibonelo. Imithi iyodwa Kufanele zithathwe uma udokotela ekuyala futhi kufanele isiguli okukhulunywa ngaso.
Ukubaluleka kwekhwalithi enhle yempilo
Lapho izimbangela ze-syncope sezaziwa, uma ukwelashwa kungadingeki ngoba kuyimbangela ejwayelekile, kuzodingeka ukuthi ukwazi ukunaka ukuthi ukugcina impilo enempilo kunganciphisa imvamisa ye-syncope. Futhi, uma umuntu azi ukuthi angathola i-syncope ngokuzikhandla noma ngokusukuma ngokushesha okukhulu, lezi zimo zizodinga ukugwenywa noma ukuvinjelwa.
Uma kwenzeka ukuthi i-syncope ibangelwa izimo zezokwelapha, izimbangela eziyisisekelo kufanele zilashwe ukuze i-syncope ingabi yinkinga yokuphila yomuntu othintekile.