Nakwisyncope vasovagal: incazelo izimbangela, izimpawu kanye nezici ukwelashwa

Abantu abaningi, ngenxa yezizathu ezihlukahlukene kwenzeke enganaki, okuyinto ukulahlekelwa okwesikhashana ukwazi. Sivusa isimo ukuphazamiseka yesikhashana kwegazi ebuchosheni. Kungase kubonise ukugula okungathí sina. Kwezokwelapha, kukhona into efana nakwisyncope vasovagal, okuyinto kuhambisana ukwehla elibukhali inhliziyo nomfutho wegazi lazo wawungcono iconsi.

Yena akubhekwa esisongela ukuphila, kodwa uma lihlale lisematheni, izinga lempilo is kakhulu ziyancipha. Kukhona uphawu ingane, kanye nesimo kuhlaselwa ukuphila akashintshi. Sizama bacabangele lokho nakwisyncope vasovagal, izimpawu, izimbangela zazo.

ukugula Izici

isimo esinjalo sokugembula libhekene ukulahlekelwa okwesikhashana ukwazi, ngokuvamile, uma umuntu imile. Kubonakala kanje: ngenxa iphansana ukubuya emithambo yegazi iqala ukwandisa ithoni nozwela. Abantu abaphethwe yokufikelwa njalo yalolu hlobo, lokhu kwanda mikhulu, elibangela i ukushaya kwenhliziyo owengeziwe. Ubuchopho kusukela ezinzwa amaza eza ngomfutho, okuholela ukunciphisa anda ithoni parasympathetic futhi enozwela. Lokhu kuphumela bradycardia, ukwehlisa umfutho wegazi, ngenxa okwenzekayo nokuquleka.

izizathu

nakwisyncope vasovagal ngokuvamile kuphakama ngenxa impendulo engalungile omzimba ukukhuthazwa receptor ezithile autonomic nesimiso sezinzwa.

Yezimbangela ezivame kakhulu lesi sifo yilezi:

• Imizwelo enamandla, ezifana ukwesaba;
• ukuthatha igazi umunwe noma umthambo, ubuhlungu;
• Ukuchayeka imile;
• nokuvivinya umzimba ngendlela elinganiselayo stop okungazelelwe;
• egqoke uthayi Friend noma entanyeni;
• Ukwesaba ngokuvakashela wamazinyo.

Ngakho, uma kwakukhona nakwisyncope vasovagal, ingase ibe khona ehlukile izizathu lokhu. Kunoma ikuphi, kuhambisana ukwanda abukhali imithambo yegazi, nokuncipha kwenhliziyo kuze kube ukuboshwa inhliziyo, kanye ekunqandeni ukuphefumula. Consciousness ebuyiselwa angesabi emasekhondini ambalwa.

Abantu abaphethwe izifo cardio-semithambo, ngokuvamile contraindicated isikhathi eside ukuba ukushisa imile, njengoba ematfuba okuvela nakwisyncope.

izimpawu

nakwisyncope vasovagal kuhambisana zimpawu ezilandelayo:

• ngokushesha ngaphambi nokulahlekelwa ukwazi kwenzeka ukujuluka, isicanucanu, singagqunqi kwamehlo, enkeneneza ezindlebeni;
• isikhumba iba luhlaza eliphaphathekile;
• kakhulu ziyancipha inhliziyo nomfutho wegazi lazo wawungcono,
• yokufikelwa njalo kwenzeka uma umuntu esesikhundleni ziqondile, futhi uma ekuqaleni kuhlasela ngiyibeka nendawo, bese lesi sifo ngeke ashona.

ukuhlola

Ukuze udokotela kufanele uxhumane ngokushesha njengoba kwakukhona Esigamekweni sokuqala. Ngokuvamile izizathu lokhu asesabi yokufikelwa, kodwa ngezinye izikhathi zingase zibe Indlela iziyaluyalu ezibucayi emzimbeni. Ngokwesibonelo, isimila kanye izifo zenhliziyo engaholela ekufeni.

Okokuqala, udokotela uthola isiguli lapho uhlobo olufanayo angaphambi kwe- nokulahlekelwa ukwazi nalokho ukugeleza nesineke waqala niphele amandla, ungakwazi uxhumano nomsebenzisi nesenzakalo yabo. Ngemva kwalokho, lo dokotela le mibuzo sebeqala ukuzibuza:

• umsebenzi lesiguli kanye kungaba lihlotshaniswa ingozi ekuphileni (umshayeli, umshayeli, diver, roofer);
• kungakhathaliseki ukuthi izihlobo of isiguli isifo senhliziyo ukuthi kwenzeka uma ngaquleka njengoba nakwisyncope vasovagal okuthwala sitholwa njengefa.

Khona-ke udokotela ehlola isiguli, wathi ibala lakhe lesikhumba, ukubukeka izinzipho, izinwele, Izinga lokuphefumula, khona nokububula inhliziyo, futhi kwesifuba. Umisa jikelele kanye kwamakhemikhali kwegazi.

Ngaphezu kwalokho, ukuxilongwa kuhlanganisa le nqubo elandelayo:

• Electrocardiography (ECG), ebheka ukusebenza inhliziyo.
• kukulandzelela kwemalanga onkhe ECG Holter (HMEKG). Phakathi namahora angu-24-72 ukuthumela umsebenzi ECG, futhi uma kungenzeka ulungise nakwisyncope ke ubonisa izinguquko ezithile. Beyond iphuzu niphele amandla amazinga evamile.
• Echocardiography (echocardiography). Isilawuli Samandla kwenziwa kuphela ukuze kuvinjelwe semithambo kanye senhliziyo.
• ukuhlolwa Orthostatic. Ngosizo le ndlela uxilongwe "nakwisyncope vasovagal". Ingqikithi yale nqubo kuba ukuthi isiguli amanga ngombhede okhethekile i-engela degrees 60 imizuzu engu-30. Phakathi nalesi sikhathi, ususe imingcele ECG, ngokuzenzekelayo noma ngesandla ukukala blood pressure. Phakathi yokufikelwa, ehlome ingcindezi iconsi futhi ukuphazamiseka inhliziyo.

nakwisyncope vasovagal kungenziwa ekhishwe inyumbazane. Akunjalo ngempela ingqondo yabo yisiphi isifo, ngokuvamile nokulahlekelwa ukwazi kwenzekani kubantu ephelele.

Usizo lokuqala for yokufikelwa

Uma isiguli sibe lightheadedness , noma wayekade ngaquleka, kufanele ibekwe endaweni evundlile, unbutton noma akhumule wakhe - ke constrains ukuphefumula kwakhe - futhi imilenze yakhe ukubeka egqumeni, ukuqinisekisa ukugeleza kwegazi ekhanda. Ezimweni eziningi, lokhu usizo evumela umuntu ukuba ngokushesha alulame.

Kodwa kukhona yokuthi kuqhubeka ukuba sisesimweni sokungazi lutho. Kulokhu, izwe ngaphandle ukuhambisa ubuchopho kuwuphawu lokuthi asabela futhi waqala lonke "uhlelo". Lokhu kudinga noma ecasulayo eqinile. Ngokwesibonelo, ungakwazi amnike ehogela ammonia, ufafaze ubuso bakho ngamanzi abandayo noma duduza kancane esihlathini.

Ningamniki nesineke ngokushesha uthole ngemva nakwisyncope vasovagal iphutha, njengoba igazi eligciniwe akakabi ngokugcwele walulama. Kuyadingeka ukuba alethwe esanguluka kancane kancane, ngezinga okungenzeka ngalo ngokulawula isimo sakhe. Uma lezo zindlela musa asize, kufanele ngokushesha shayela i-ambulense, njengoba eside ubuchopho hypoxia zingabangela nezinguquko engelapheki, noma ukufa.

imithi

Uma sisheshe vasovagal ukwelashwa nakwisyncope incike ngobucayi isifo. Kwezinye izimo, nokulahlekelwa ukwazi zenzeka kaningi kakhulu, kodwa kwenzeka ngezinye izikhathi ukuthi pass yokufikelwa bebodwa. Ukwelashwa ngokuvamile elibekelwe labo isimo sokugembula kwenzeka kaningi ukuthi neyomuntu oba ehlatshwa.

ukwelashwa kuhlanganisa nokusetshenziswa beta-blocker ngokuthi "Atenol" futhi "Metoprolol". Ngalezi izinqubo imikhiqizo ziyancipha ukusikwa esivimba amanzi futhi inhliziyo uvinjelwe kusebenze ngokweqile mechanoreceptors.

Bradycardia iphathwa M-holinoblokatorami. Lezi ikakhulukazi nezimagqabhagqabha, ehlanganisa scopolamine. Kufanele ingasetshenziswa kanye ngezinsuku ezintathu. Ukuze wehlise okuvela udokotela nakwisyncope sinquma "Dizopiramid", okuyinto kunemiphumela M-anticholinergic nemibi inotropic. Okuningi mancane amathuba okuthi ukusebenzisa "Theophylline".

Uma ngesikhathi uphethwe zihlonzwe nokwephula kwenhliziyo, Micronutrient kwamaphutha noma isimila, ukuphathwa udokotela kufanele aqoke, ngokuhambisana nalezi zifo.

ukwelashwa kuhlinzwa

Le ndlela yokwelapha ihilela ukufakwa umshini wokulawula ukushaya kwenhliziyo. Lokhu kudinga inhlanganisela lezi zinto ezilandelayo:

• yobudala nesineke abaneminyaka engama-40;
• yokufikelwa njalo;
• kungekho harbingers nokulahlekelwa ukwazi (ugesi wawuphela, isiyezi, enkeneneza ezindlebeni);
• okungaguquki ukuboshwa inhliziyo.

Syncope ngemva kokuvivinya umzimba

Kunezimo ezenzeka nakwisyncope vasovagal ngemva kokuzivivinya. Kulokhu, izici letsintsa yilezi: a collar ezihambisanayo, ube esejika ikhanda, umphongolo kokucindezelwa eqinile, ukugandeleleka carotid itheku esifundeni itheku.

nakwisyncope vasovagal kwenzeka abasubathi kanje:

• reflex kwenzeka ukwanda okungazelelwe yegazi neuropathy, okuholela sanciphisa kangcono okukhipha zenhliziyo athuthukile hypoxia cerebral ;
• Kungenze ukucindezelwa okungazelelwe we vagus nerve reflex umsebenzi inhliziyo kuze ukuboshwa umnyuziki inhliziyo.

Esimweni sokuqala, kukhona swoon abavamile, kanti eyesibili - ngokuzumayo eyeka ukugeleza kwegazi, edinga usizo lwezempilo ngokushesha.

izinyathelo

Uma-ke akuzange kutholakale ukuthi une-iyiphi ukugula okungathí sina, kufanele icabangisise ukuqaliswa izinyathelo zokuvimbela, okuyinto zimi kanje:

• Sidinga ukugwema izimo ezingase zibangele nokulahlekelwa ukwazi;
• Awukwazi ukuhlala isikhathi eside ukushisa, indlala, ukubhema, ukuphuza utshwala, peretruzhdaetsya;
• Sidinga nomkhawulo ukuzivocavoca izinyanga ezintathu;
• Sidinga ukuthi zithuthukisa impilo - ezenzweni ezithile ukugijima ukukhanya ekuseni, ukubhukuda, amanzi Ukuvivinya umzimba ngendlela;
• nomthelela omuhle imithambo yegazi douches futhi eyenza lukhuni;
• ukuze wegazi wayehlale evamile, kubalulekile ukugcina umbuso kosuku, okungukuthi, ukuba kunzima ukulinganisela phakathi umsebenzi nokungcebeleka, ozokusiza ukulondoloza amandla ..;
• akunakwenzeka ukugoba ngokucijile futhi uvuke kusuka isikhundla ezithandwa, njengoba kungase kube nciphisa orthostatic ;
• normalizes kahle blood pressure ukuphuza itiye herbal of chamomile kanye peppermint, St John sika wort futhi lemon namafutha.

Niphele amandla sokukhulelwa

Ngezinye izikhathi nakwisyncope vasovagal zenzeka ngesikhathi sokukhulelwa. Isimo abesifazane esimweni ezithakazelisayo, ngokuvamile obuhambisana nokuthanda ukucobeka jikelele kanye ubuthakathaka yanda, futhi lokhu kungenxa umthwalo anda umzimba. Ukuvela yokufikelwa kubangela ukukhathazeka okukhulu. Kuphakama kulezi zimo ezilandelayo:

• ushintsho elibukhali ukuzungeza;
• ushukela wegazi ophansi;
• ukunyakaza kungazelelwe;
• nokushisa kanye nomswakama;
• eside futhi njalo amanga emhlane wakhe;
• toxicosis.

Njalo yokufikelwa esiyingozi ngokuwa kwakhe, ngakho qiniseka ukuthi wazise udokotela-wezifo zabesifazane.

isiphetho

Ngakho, nakwisyncope vasovagal kungaba avuse sina isifo ngokwanele, ngakho qiniseka ukuthi xhumana nodokotela ukuxilongwa kanye nokwelashwa. Ngo abantu abayimiqemane, nabo ngezinye izikhathi zenzeka. Ngenxa izinyathelo zokuvimbela ungagwema lesi sifo.