Abaningi bangabhaliswa ngokungafaneleki njengokungathi bahlushwa
Uma wena noma othandekayo engumuntu osemusha oye wathola ukuthi unesithuthwane , kufanele uqaphele ukuthi ngezinye izikhathi lokhu ukuxilongwa kuyiphutha. Akuyona into engavamile ukuba abantu abasha banikwe ukuxilongwa kwesifo sokufa (noma ukugula kwesifo) lapho bengenaso isithuthwane nhlobo. Kunalokho, bangase babe nesimo esibizwa ngokuthi i- syncope .
I-Syncope ilahlekelwa yilapho ehlala khona ekukhunjweni okuvame ukubangelwa ukuphazanyiswa kwegazi ukufika ebuchosheni.
Abantu abane-syncope kaningi bangabonisa umsebenzi wokuthinta (okungukuthi, ukuxhaphazwa kwemisipha), okungahle kwenziwe iphutha ngenxa yokuphuza.
Umthelela Wokulahla Ukuxilongwa
Ukubizwa ngokuthi unesifo sokuphuza kungashintsha ngokuphawulekayo ukuphila komuntu osemusha, hhayi okungenani ngenxa yesithunzi esingafanelekile esisekelwe kulokho kutholakala. Okubaluleke nakakhulu, ukwenza ukutholakala okungafaneleki kwesithuthwane kuvame ukuholela ekwelapheni okungeke kwenzeke, futhi lokho kubonisa abantu imiphumela emibi engadingekile. Ngenxa yokuthi lezi ziqephu zingase ziqhubeke, izidakamizwa ezingenamsebenzi zingasetshenziswa.
Futhi, ngoba ukuxilongwa kwangempela - i-syncope - ilahlekelwe, imbangela eyinhloko ye-syncope ngeke ifunwe. Ezinye zalezi zimbangela eziyinhloko, njenge- arrhythmias ye-cardiac , zithwala izingozi ezinkulu uma zingahambi kahle. .
Uhlobo Olubili Lwe-Syncope Ngokuvame Ukungaqondakali Ngokuthi Uyisifo Sesifo
Kubonakala sengathi izimbangela ezimbili ezibalulekile ze-syncope zivame ukubhekwa kabi njenge-epilepsy ezinganeni nakubantu abadala: i- syncope ye-vasovagal ne- long-QT syndrome .
I-syncope ye-Vasovagal (ebizwa nangokuthi i-spelling elula yokuphefumula) iyenzeka ngenxa ye-reflex ye-neurological evame ukubangelwa ubuhlungu, ukwesaba, isisu esithukuthele, noma ezinye izinto eziningi.
Lesi sakhiwo senza ukuthi imithwalo yegazi emilenzeni ihlise. Igazi livele likhuphuke emilenzeni, linciphise inani legazi elibuyela enhliziyweni futhi linciphise ukucindezeleka kwegazi - okwenza ukuba isisulu siphumelele.
Uma esebenza phezulu (ngokuvamile avame ukuwa phansi), amandla adonsela phansi avumela igazi ukuba libuyele enhliziyweni, futhi ulwazi luphinde lubuyele ngokushesha.
Isikhathi eside se-QT syndrome yisifo esiwuzuzile se- cardiac kagesi (okulawula ukushaya kwenhliziyo). Abantu abanesifo eside se-QT syndrome bangakha iziqephu ezingalindelekile, ezingalindelekile zezinhlobo ezihlukahlukene ze -tachycardia ye- ventricular (isisindo esingaba yingozi esisheshayo), okuvame ukuholela ekuvumelaneni okungazelelwe, futhi lokho kungaholela ekuboshweni komzimba ngokuzumayo nokufa.
Abantu abane-syncope ye-vasovagal noma i-QT syndrome eside bangaphathwa ngendlela ephumelelayo, uma ukuxilongwa kwenziwa ngendlela efanele. Futhi imingcele eminingi engase ibekwe kubantu abanesithuthwane, njengemikhawulo yokushayela, ngokuvamile ayidingi emva kokuthola isifo esifanelekile, futhi ukwelashwa okuphumelelayo kusungulwe.
Lokhu kwenzeka Kanjani?
Ukungazi kahle kahle kwesifo sokuphuza kubonakala sengathi kwenzeka ngokuphazamiseka njalo.
Esinye isifundo, ku-222 iziguli ezine-syncope ye-vasovagal, u-8% unomsebenzi onjenge-seizure uma belahlekelwa ulwazi phakathi nesifundo setafula elithambile . Akekho kulezi ziguli ezibonakale ukuthi zikhona izifo zokuhlukunyezwa kweqiniso ngemva kokuhlolwa okukhulu kwegazi, kuhlanganise nokuhlolwa kwe-EEG ( ukuhlolwa kwe -electroencephalogram, okuvame ukukhombisa umsebenzi ongavamile kubantu abanesithuthwane).
Abaningi balaba bantu babenikwe ukuxilongwa okungalungile kokufa kwesibhamu ngaphambi kokuhlolwa kwetafula lokuthambekela, futhi abaningi babethole imithi yokulwa nokuphuza engasebenzi, kanye nemikhawulo ejulile yokushayela esekelwe ekuhloleni okungafaneleki.
Kwesinye isifundo, uphenyo ubuyekeze ukubhalisa kwe-New Zealand Cardiac Inherited Disease Registry, futhi bathola ukuthi kubantu abangu-31 abathola ukuthi banesifo eside se-QT syndrome, abangu-13 babhekene nokulibaziseka isikhathi eside ekutholeni ukuxilongwa okulungile (ukulibaziseka okungenani kweminyaka engama-2.4, kodwa kuze kufike ku-20.7 iminyaka). Eziningi zalezi zikhathi zokulibaziseka zazihlobene nokuxilongwa okungalungile kwesithuthwane.
Futhi phakathi nalezi zikhathi zokulibaziseka, zonke lezi ziguli zazisengozini yokufa okungazelelwe. (Ngokusobala, noma ngubani owake wafa ngokuzumayo ngemva kokuxilongwa okungalungile akasoze athola ukuxilongwa okulungile, futhi ngabe akafakiwe kulokhu kubhaliswa.)
Izwi elivela
Uma wena noma othandekayo unikezwe ukuxilongwa nge-seizure disorder noma isithuthwane, futhi ukuhlola kwe-EEG kuyinto evamile - ikakhulukazi uma iziqephu ezinjenge-seizure ziqhubeka naphezu kokwelashwa - kufanele ucindezele ukuhlolwa kabusha. Ngokuqondile, kufanele ubuze udokotela wakho ukuba acabangele i-syncope ye-vasovagal ne-QT syndrome eside njengezifo zokuhlola.
> Imithombo:
> Krumholz A, Wiebe S, Gronseth GS, et al. Umhlahlandlela osuselwe ebufakazini: Ukuphathwa kwe-Seizure yokuqala engavinjelwe kubantu abadala: Umbiko weKomidi elincane le-Guideline Development Development of the American Academy of Neurology kanye ne-American Epilepsy Society. I-Neurology 2015; 84: 1705.
> MacCormick JM, McAlister H, Crawford J, et al. I-Mis-diagnosis ye-Long-QT Syndrome njenge-Epilepsy ku-Present Presentation. U-Ann Emerg Med 2009; 54: 26-32.
> Passman R, uHorvath G, uThomas j, et al. Itheksthi yezokwelapha kanye nokuvama kwemicimbi ye-neurological eyenziwe yi-Tilt Tableing Testing. I-Archives of Medicine yangaphakathi. 2003; 163: 1945-1948.