I-Vasovagal (i-Neurocardiogenic) i-Syncope

by URichard N. Fogoros, MD, udokotela oqinisekiswe yibhodi

Isizathu Esivamile Kunazo zonke

I-Syncope - evame ukubizwa ngokuthi i-fainting - yigama lezokwelapha lokulahlekelwa kwesikhashana okwesikhashana. Noma yikuphi isiqephu se-syncope kubalulekile okungenani izizathu ezimbili. Okokuqala, i-syncope ingabangela ukulimala, ngakho-ke kubalulekile ukuzama ukuyivimbela ukuthi ingabuyeli. Futhi okwesibili, i-syncope ngezinye izikhathi ingabonakalisa inkinga yezokwelapha engathí sina. Nakuba izimo eziningi zezokwelapha zingaholela ku-syncope, uhlobo oluvame kakhulu lwe-syncope yi-syncope ye-vasovagal.

Funda mayelana nezimbangela eziningi ze-syncope.

Sibutsetelo se-Vasovagal Syncope

I-syncope ye-Vasovagal (ebizwa nangokuthi i- neurocardiogenic syncope ) ukulahlekelwa okwesikhashana kwesikhashana kubangelwa ukucabanga komzimba okukhiqiza ngokungazelelwe imithwalo yegazi emilenzeni, noma izinga lentliziyo elincane kakhulu (bradycardia), noma kokubili.

I-syncope ye-Vasovagal ibamba ngaphezulu kwengxenye yazo zonke iziqephu ze-syncope. Ngenkathi odokotela bevame ukubhekisela kulo "njengendlela elula yokuphelelwa amandla," indlela yokwenza i-vasovagal syncope empeleni akuyona yonke into elula. Futhi ukungaqondi ukuthi i-vasovagal syncope isebenza kanjani ingaholela ezinkingeni ekwenzeni ukuxilongwa okufanele noma ekukhetheni ukwelashwa okwanele.

Izimbangela ze-Vasovagal Syncope

I-syncope ye-Vasovagal ivela lapho into edala i- reflex ye-vasovagal , okwenza ukuthi imithwalo yegazi iqhubeke ngokuzumayo. Ukwehla kwemithambo yegazi kubangela ukuba ingxenye enkulu yevolumu yegazi igxume emilenzeni. Lokhu ukuhlanganisa igazi kuvame ukuhambisana nokuncipha kwenhliziyo.

Ngenxa yalokho, ukucindezeleka kwegazi kungazelelwe. Uma ukwehla kwengcindezi yesikhukhula kuyanele ukuphanga ubuchopho bokugeleza kwegazi okudingekayo, ukuphelelwa amandla kuvele.

I-reflex ye-vasovagal isebenza kanje: Okokuqala, umuntu ubhekene nesimo esithile esiyingozi (njengenaliti ehlunguzayo emunwe) okubangela ukucabanga.

Isenzakalo eshukumisayo sivuselela izinzwa ezithile (izinzwa zomunwe zomzimba), ezithumela isignali kagesi esikhungweni se-vasomotor ebuchosheni, ingxenye yobuchopho obunquma ithoni yomzimba (i-blood vessel) ithoni. Isikhungo se-vasomotor, ngokuphendula, sithumela izitshengiselo emithanjeni yegazi, okwenza ukuba bahlaziye. Lokhu kuveza ukuhlanganisa igazi, okuholela ekuvumelaneni kwe-syncope. Ukuvuselela okufanayo kwe-brainstem kungase futhi kuthumele izimpawu enhliziyweni (ngokusebenzisa i- vagus nerve ) ukukhiqiza ukwehla kwenhliziyo.

Kubantu abaningi abane-syncope ye-vasovagal, ukuthungulwa kwemithambo yegazi kubonakala sengathi yiyona nto ebangela ukulahlekelwa kokuqonda. Kodwa kwabanye abantu, ukuncipha kwenhliziyo kuyindima enkulu.

Yini engabangela i-vasovagal syncope? "I-trigger" eqala i-reflex ye-vasovagal ingaba yiziphi zezinto ezihlukahlukene. Izimbangela ezivamile zihlanganisa:

Ubuhlungu, ikakhulu ubuhlungu obunzima ekuqaleni.
Ukuba negazi lakho lidonsa.
Ukuvezwa ekuboneni kwegazi, noma kwezinye izinto eziyingozi.
Ukuba nokuvinjelwa okunzima noma ukuhlukunyezwa.
Ukupela okujulile kokukhwehlela.
Ukugwinya okubuhlungu.
Ukuthola izindaba ezicasulayo noma ezishaqisayo.
Ukwesaba okungazelelwe.
Ukuma ngaphandle kokuhamba isikhathi eside. (Yingakho amasosha ayemi ekuphumuleni, noma abaculi be-choir, ngezinye izikhathi bayaphela.)

Uma isiqephu esishaqisayo silandela noma iyiphi yalezi zenzakalo, i-vasovagal syncope cishe iyimbangela.

Izimpawu Ezihambisana Nezokwenza I-Vasovagal Syncope

Ngenkathi ukulahlekelwa kolwazi nge-syncope ye-vasovagal kungahle kwenzeke ngokuzumayo, ngaphezulu kwe-charateristically kulandelwa imizuzwana embalwa noma imizuzu embalwa yezixwayiso. Lezi zimpawu zokuxwayisa ngezinye izikhathi zibizwa ngokuthi "i-prodrome" ye-syncope.

Lezi zimpawu ze-prodromal zivame ukufaka:

Lightheadedness.
Ukukhala noma ukuguqula ezindlebeni.
Ukuphazanyiswa okubonakalayo, njengokubukeka kombono noma umhubhe umbono.
Ukuthuthumela okungazelelwe.
Isiyaluyalu esingazelelwe.

Lezi zimpawu ze-prodromal zilandelwa ukuzwa "ukukhishwa," ekugcineni ngokulahlekelwa ulwazi.

Isikhathi esiphakathi kokuqala kwezimpawu ze-prodromal futhi empeleni kudlula kungase kube imizuzu embalwa, noma nje okwesibili noma ezimbili.

I-syncope ngokwayo inezici eziningana zezici:

I-syncope ye-Vasovagal cishe ivela njalo uma isisulu simile, noma ihlezi iqondile (lapho igazi lihlanganisa emilenzeni lingahle livele), futhi cishe akasoze kwenzeka ngenkathi elele phansi.
Abantu abane-vasovagal syncope ngokuvamile bavuselela ngemva kwemizuzwana embalwa, uma bewile (noma, uma benenhlanhla, basizwa) emhlabathini. Lokhu kungenxa yokuthi ngesikhathi esisemhlabathini, amandla adonsela phansi awabangela ukuthi igazi lizibambe emilenzeni futhi ukucindezeleka kwegazi kuthuthuke ngokushesha.
Ngakolunye uhlangothi, uma isisulu sigcinwe siqondile ngumbheki onomqondo omuhle, ukungazi kahle kungasetshenziswa isikhathi eside. Lesi simo esingase sibe yingozi, ngoba uma nje isisulu siqondile futhi singazi, ubuchopho bakhe abukhathele ngokwanele ngegazi.

Okubalulekile ukuthi uma ubona umuntu ehluleka, kufanele uwasize aphule ikhanda futhi aphakamise imilenze yakhe. Ukubamba endaweni eqondile - ngisho noma ungeza "ukwelashwa" okwengeziwe kokukhala ezindlebeni noma ukuwashaya - akusizi, futhi kungase kube yingozi.

Izimpawu ze-Postdromal. Ngemuva kwesiqephu se-syncope ye-vasovagal, abantu abaningi bazozizwa besabeka amahora ambalwa noma ngisho nezinsuku ezimbalwa ezizayo, noma ngisho nangaphezulu. Phakathi nale nkathi "yokuthunyelwa kwesikhathi" bavame ukuzwa ukukhathala okukhulu, ukuhlukumeza, isizungu nokulahlekelwa ukudla.

Kubaluleke kakhulu ukuphawula ukuthi, kuze kube yilapho lezi zimpawu eziqhubekayo (futhi ezicasula kakhulu) zokudlula emuva zinyamalala, abantu bajwayele ukuphazamiseka-ngakho-ke badinga ukuba baqaphele ikakhulu izimpawu zokuxwayisa ezingase zibonise ukuthi isiqephu se-syncope sesiseduze.

Abantu asebevele benayo i-syncope ye-vasovagal. Abantu abaye babe neziqephu ezimbili noma ezimbili ze-syncope ye-vasovagal bavame ukubona izimpawu zokuxwayisa, ngakho bazokwazi ukuthi ngabe omunye umcimbi uzokwenzeka nini. Okubaluleke nakakhulu, uma bebona izimpawu zokuxwayisa, bangavimbela umnyama ngokulala nokuphakamisa imilenze yabo. (Ukumisa isiqephu akunakwenzeka ngezinye izinhlobo eziningi ze-syncope.) Ngaphezu kwalokho, uma bekwazi ukugwema empeleni ukukhishwa, bangakwazi futhi ukugwema isikhathi esilandelayo se-post-vagal esilandela njalo isiqephu esinjalo.

Ngakolunye uhlangothi, uzama "ukulwa" nesiqephu esilandelayo se-syncope ye-vasovagal ngokuziphoqa ukuba uhlale uqotho futhi uzimisele ukuthi ungapheli amandla cishe ungalokothi usebenze kahle kakhulu.

Abantu asebekhulile abane-syncope ye-vasovagal banamathuba amaningi okuba nezimpawu ze-atypical. I-syncope yabo ingenzeka ngaphandle kwe-trigger ebonakalayo, futhi ngaphandle kwempawu zokuxwayisa. Ukuthola ukuxilongwa okufanele kulezi zimo kungabonisa inselele yangempela kudokotela.

Ngokuvamile, i-syncope ye-vasovagal ayiyona eyingozi yokuphila - kodwa ukulimala okubangelwa ukuwa kungase kube. Futhi uma iziqephu zivame ngokwanele le nkinga ngokuqinisekile ingabaphazamisa empilweni evamile.

Ubani Othintekayo?

I-reflex ebangela ukuba i-vasovagal syncope ingenzeke kunoma yikuphi kuwo wonke umuntu, ngakho-ke cishe noma ubani angaba nesiqephu se-vasovagal uma kwenzeka umcimbi oshukumisayo okwanele. Ngempela, kungenzeka ukuthi abantu abaningi bayoba nesiqephu esishaywa phansi ngesikhathi esithile sempilo yabo.

I-syncope ye-Vasovagal ingenzeka kunoma yikuphi ubudala, kodwa ivame kakhulu kubantu abasebancane nasebancane abasebasha kunabantu abadala.

Abanye abantu basondelene kakhulu neziqephu ze-vasovagal, futhi bangase bahluleke ngisho nezenzakalo ezivusa ukukhanya. Laba bantu bathanda iziqephu eziphindaphindiwe ze-syncope, kusukela ekukhuleni. Bazovame ukuzwa i-syncope ilandela izinhlobo ezihlukahlukene zokuvusa izenzakalo.

Kubantu abangavamile, i-vasovagal syncope iningi futhi kunzima kakhulu ukuphatha ukuthi bayakhubazwa yiyo. Laba bantu bavame ukuba nesimo se- dysautonomia (ukungalingani kwesistimu ye-neon autonomic) eyenza bajwayele kakhulu ukucabanga kwe-vasovagal okubangela lesi simo. Kanti futhi kaningi kunezinye izimpawu eziphikisanayo ezivamile zezidysautonomi, ezifana nokuqhaqha kwesisu noma izimpande, isifo sohudo, ukuqothulwa, ukukhathala ngokweqile kanye nezinhlungu nezinhlungu ezihlukahlukene.

Ukubona i-Vasovagal Syncope

Odokotela abanobuchwepheshe ekutholeni kahle i-syncope ye-vasovagal bayaqonda ukuthi lesi simo cishe sinobuhle njalo. I-syncope ye-Vasovagal ingenzeka ikakhulukazi ngemva kokugula kwegciwane, ngemuva kokuzivocavoca, emva kokugeza okufudumele noma ekuseni - ngamanye amazwi, noma nini isikhathi sokungcola kwemvelo kungase kube khona. (Uma uphelelwa amandla, ukuhlanjululwa kwemithambo yegazi emilenzeni cishe kunomthelela owenziwe ngokucindezeleka okukhulu kwegazi lakho.)

Njengoba kunikezwe lezi zici eziphawulekayo kanye nesimo sengqondo salesi simo, odokotela kufanele bakwazi ukuxilongwa kahle kweziguli nje ngokubuza imibuzo efanele nokulalela ngokucophelela izimpendulo. Ngeshwa, odokotela abaningi bayehluleka ukuthatha umlando wokwelashwa okwanele; ngenxa yalokho, baqeda ukwenza izivivinyo nezinqubo ezingadingekile befuna isifo senhliziyo noma isifo senhliziyo.

Ukuhlolisisa ngokomzimba abantu abane-syncope ye-vasovagal ngokuvamile kuvamile. Noma kunjalo, ukuhlolwa kuyasiza kakhulu ekuhloleni izimo ezifanayo ze- orthostatic hypotension noma i- postural orthostatic tachycardia syndrome (i-POTS) , futhi kungaba usizo kakhulu ekuhlunguleni amathuba angenzeka.

Ngenkathi ezimweni eziningi ukwenza ukutholakala kwe-syncope ye-vasovagal kufanele kwenzeke ngokuthatha umlando wezokwelapha nokuhlola ukuhlolwa komzimba, ngezinye izikhathi ukuhlolwa ngewusizo. Ngokuyinhloko, ukutadisha kwetafula lokuthambekela kungasiza uma umlando wezokwelapha ungavamile ukuvumelanisa i-vasovagal syncope, noma uma kunzima ukuhlukanisa phakathi kwe-syncope ye-vasovagal ne-hypotension ye-orthostatic.

Ukuphatha i-Vasovagal Syncope

Abantu abanesiqephu esisodwa, esiyingqayizivele se-vasovagal syncope ngokuvamile abadingi noma yikuphi ukwelashwa kwezokwelapha nhlobo.

Kodwa uma uye neziqephu eziphindaphindiwe, cishe uzoba neziqephu eziningi ngisho nangaphandle kokuthi uphathwe kahle. Futhi, njengoba noma ubani onesifo se-vasovagal syncope uyazi, lezi ziqephu eziphazamisayo zivame ukufika ezikhathini ezingathandeki noma ezingenakwenzeka, futhi zingaphazamisa impilo yakho. Ngenhlanhla, ukwelashwa ngokuvamile kuyasiza kakhulu.

Kunezinhlobo ezine ezijwayelekile zokwelashwa kwe-vasovagal syncope: imfundo, imithi, ukuzivocavoca kanye nezikhumbuza. Kulezi, imfundo iphumelela kakhulu kubantu abaningi.

1) Ukuzifundisa Nge-Vasovagal Syncope

Abantu abajwayele ukuvumelanisa i-vasovagal syncope badinga ukwazi amaqiniso ayisihlanu abalulekile ngalesi simo, esesixoxe ngakho kakade. Ngokufingqa, lokhu kungukuthi:

I-syncope ye-Vasovagal ikhiqizwa yi-reflex ebangela ukukhuphuka okungazelelwe kwemithwalo yegazi emilenzeni, okwenza igazi lizibambe emaphethelweni aphansi.
Noma yisiphi isimo esibangele ukuphelelwa amandla kwamanzi (okunciphisa ivolumu yegazi) kuzokukwenza ulungele ukuba nesiqephu se-syncopal.
Izimpawu ze-prodromal zinikeza isixwayiso esibalulekile ukuthi i-syncope kungenzeka ukuthi yenzeke okwesikhashana.
Uma ulala phansi futhi uphakamisa imilenze yakho uma uhlangabezana neprodrome, ungavimbela isiqephu se-syncopal.
Abantu bavame ukuba nezikhathi ezithile zezinsuku noma amasonto lapho zijwayele khona iziqephu ze-vasovagal. Lokhu kungase kwenzeke, isibonelo, emva kokugula kwegciwane, noma emva kwezinkathi zokucindezeleka isikhathi eside noma ukulahlwa kokulala. Udinga ukuba ikakhulukazi uqaphele izimpawu ze-prodromal ngezikhathi ezinjalo.

Indlela engcono kakhulu yokuvimbela i-syncope ye-vasovagal ukugwema izimo ezikhiqiza i-syncope. Uma uqonda amaqiniso ayisihlanu ashiwo ohlwini, iziqondiso ezilandelayo zibonakala ngokushesha.

Okokuqala futhi okuphambili, gwema ukuphelelwa yisisu . Ukwehla kwamanzi (futhi ngakho-ke i-syncope) kuvame kakhulu kwenzeka emva kokuzivocavoca okunamandla, emva kwanoma yiluphi uhlobo lokugula, nasekuseni ekuseni ngemuva kokudla okusheshayo. Ikhofi, itiye kanye nezidakamizwa ezidliwayo kungenza futhi ukuphelelwa amandla kwamanzi. Uma usesimweni lapho kungenzeka khona ukuphelelwa yisiqu kwamanzi, kufanele uthathe ubuhlungu ukuze uzivuselele kabusha. Kufanele uphuze uketshezi oluningi ngokujwayelekile, kodwa uma ucabanga ukuthi ungase uphelelwe amandla lokhu kubaluleke kakhulu. Futhi kufanele ugweme ukuma isikhathi eside ngenkathi usuphelile amandla.
Hlala uqaphele kunoma yiziphi izimpawu ze-prodromal ongazithola. Lezi zimpawu ze-prodromal - ukuphazanyiswa okubukwayo, ukubukeka ezindlebeni, ukukhanya okukhazimulayo, ukujuluka, kanye / noma izinambuzane - zivame ukuhlukahluka komunye nomuntu. Kodwa abantu abaye babhekana neziqephu ze-syncopal ngokuvamile banombono omuhle kakhulu wokuthi yiziphi izimpawu ezenzekayo okufanele zizilindele.
Kubalulekile ukuqaphela izimpawu zakho ze-prodromal, ngoba uma wenza, ungagwema ukuvumelanisa ngokulala nokuphakamisa imilenze yakho. Ngakolunye uhlangothi, uma ukhetha ukungayinaki izimpawu zokuxwayisa, cishe uzophuma esigabeni sokudla esiqandishiwe, futhi umphathi wesitolo uzodinga (ngezizathu ezisemthethweni ezisemthethweni) ekuthumeleni kwakho ku-ER ku-ambulensi , lapho uzobe ubhekene nebhethri yokuhlolwa okungadingekile futhi mhlawumbe ukuhlala ubusuku esibhedlela. Enye inzuzo yokugwema i-syncope yangempela ngokulala phansi yilapho lapho uyenzayo, uzogwema isikhathi eside sokugula okuthunyelwe okuvame ukulandela isiqephu se-vasovagal.
Abanye abantu baye bakwazi ukukhipha isiqephu se-syncope ye-vasovagal (noma kaningi, ukulibambe isikhathi eside ukuze uthole indawo elula yokulala) ngokuzibandakanya ngokushesha ekuzivocavoca umzimba . Lezi zivocavoca zinciphisa umkhumbi wegazi wegazi futhi ukwandise inani legazi elibuyiselwa enhliziyweni. Ukuzivocavoca okunjalo kungabandakanya ukuhamba ngomlenze ngenkathi kuphuza imilenze, indawo yesisu kanye nezintambo; ukuphulukisa izingalo ngezibhamu eziboshiwe; ukuqhuma komlenze; noma ucindezela amabhola enjoloba.
Abantu abajwayele ukuvumelanisa i-vasovagal syncope bangase bahlangane nezinkathi zesikhathi, izinsuku ezihlala njalo noma amasonto, lapho i-syncope iyakwenzeka khona. Lezi "zinkathi ezibucayi" ngokuvamile zibonakala zingenzeki ngenxa yezizathu ezibonakalayo. Ngezinye izikhathi, noma kunjalo, kungenzeka ukuthi ihlobene nokugula kwegciwane, ukuya emijikelezweni yokuya esikhathini, ngezikhathi zokukhathala noma ukugijima; noma izinkinga zamathunjini, zokuvuthwa noma zezinkinga zomzimba. Uma ngabe unesiqephu esisodwa noma ezimbili se-syncopal yamuva nje, kuhlawuleka ukuba siqaphe ikakhulukazi izimpawu ze-prodromal ezingase zibike esinye isiqephu. Ibuye ikhokhe ngalezi zikhathi ukwenza imizamo ekhethekile yokuhlala ihlanzekile ngokuphuza amanzi amaningi.

2) Ukwelashwa Kwezidakamizwa

Kwamanye abantu, i-syncope ye-vasovagal iyenzeka ngezimvamisa eziphazamisayo ngisho noma zonke izinyathelo ezifanele zithathwe. Kulaba bantu ngabanye, ukwelapha izidakamizwa ngokuvamile kuyasiza.

Esikhathini esedlule, izidakamizwa ezazisetshenziswa kakhulu kwi-syncope ye-vasovagal zaziyi- blocka blockers , kodwa izifundo eziningana zehlulekile ukubonisa noma yikuphi ukuzuzwa futhi lezi zidakamizwa okwamanje azikhuthazwa.

Izidakamizwa eziye zaboniswa ukuthi okungenani usizo oluthile zifaka phakathi i-midodrine (umuthi ovame ukunciphisa ukugeleza kwemithambo yegazi), i-disopyramide (i-Norpace, i- antiarrhythmic drug ) enezici ezithile zokuvimbela igagasi), i-serotonin yokubuyisela kabusha ama-inhibitors (izidakamizwa esigabeni se-Prozac) ne- theopylline (umuthi ovame ukusetshenziselwa ukwelapha i- asthma ).

Ngenkathi eyodwa noma ngaphezulu yalezi zidakamizwa ngokuvamile zizosiza ukunciphisa iziqephu ze-syncope, ukuthola inhlanganisela "yokunene" yezidakamizwa ngokuvamile kuyindaba yokulinga nephutha. Ukubekezela kuyadingeka kokubili odokotela nesiguli ukuze uthole ukwelashwa okungcono kakhulu.

3) Ukwelapha Ukuzivocavoca

Abantu abaningi abane-dysautonomia nabo babonisa ukuthambekela kokuba ne-vasovagal syncope; empeleni, kubonakala sengathi abantu abaningi abaye bavameva syncope (esikhundleni sezingqayizivele, iziqephu ezingasodwa), empeleni banehlobo lokudysautonomia. Njengoba amanye ama-dysautonomiya ayaziwa ngokuphendula ukuqeqeshwa (okungahle kuthuthukise umsebenzi we-vascular futhi "ukulungisa" isimiso sezinzwa esizimele), abanye ochwepheshe baye basikisela ukuthi ukuvivinya umzimba kungazuzisa abantu abane-syncope ye-vasovagal. Futhi ngempela, idatha elinganiselwe okwamanje etholakalayo isikisela ukuthi lokhu kuyinkinga. Ngakho-ke, uma une-syncope ye-vasovagal ephindaphindiwe, kufanele uxoxe ngokuqeqeshwa kokuvivinya umzimba (njengokuhamba, ukugijima noma ibhayisikili) nodokotela wakho.

Funda mayelana nokuthola imithi yokuthenga umzimba.

4) Ukwelashwa kwe-Pacemaker

Eminyakeni embalwa eyedlule kwakunentshiseko enkulu yokusebenzisa i- pacemakers ukuphatha i-syncope ye-vasovagal, ngoba i-vasovagal syncope ivame ukuhamba ngokungazelelwe kwenhliziyo. Umdlandla we-pacemaker therapy wehla ngokushesha, kodwa ekugcineni ekugcineni kwaphawula ukuthi iziguli eziningi ezine-syncope ye-vasovagal ezathola ama-pacemaker zaqhubeka zidlula-zivele zenze ngaphandle kwezinga lentliziyo elincane. Njengoba kuvela, kuningi, uma kungenjalo abantu abaningi abane-syncope ye-vasovagal, ukuhlanganiswa kwegazi emilenzeni, futhi hhayi izinga lentliziyo elincane, elikhiqiza i-syncope.

Noma kunjalo, kwabanye abantu abane-syncope ye-vasovagal, ukwehla kwenhliziyo kuyisizathu esikhulu sokudlula. Kulaba bantu, ama-pacemakers anganciphisa ngempela imvamisa ye-syncope episodes.

Njengamanje, kunconywa abantu abahambisana ne-vasovagal syncope kuphela uma: a) ukunciphisa okukhulu kwenhliziyo kuyabhalwa ngezikhathi ze-episodes, noma ngesikhathi sokuhlolwa kwetafula etafuleni noma ngesikhathi sokuqapha kwe-ECG , futhi b) ukuziphatha ukugwema (okungukuthi, ukuthatha izinyathelo ezichazwe ngenhla ukugwema noma ukukhipha ukuvumelanisa kwe-vasovagal) akusebenzi.

Izwi elivela

I-syncope ye-Vasovagal yisimo esijwayelekile kakhulu. Ngenhlanhla, kuvame ukuvela eziqhingini ezingavamile, eziqhelile noma esikhathini esilinganiselwe. Abantu abaningi abane-syncope ye-vasovagal bahola ukuphila okujwayelekile.

Uma ngabe ube ne-vasovagal syncope - ikakhulukazi isiqephu esisodwa - kufanele ufunde okuningi ngangokunokwenzeka ngalesi simo, kufaka phakathi ukuthi yiziphi izinhlobo zezinto eziyiphakamisa, ukuthi wazi kanjani izimpawu zokuxwayisa nokuthi ungayeka kanjani isiqephu.

Uma uneziqephu eziphindaphindiwe ze-syncope naphezu kokuthatha izinyathelo ezinjalo, kufanele ukhulume nodokotela wakho ngokuthi ngabe kukhona okungaphezu nje kokuthi "ukugwema ukwelashwa" kuyadingeka.

> Imithombo:

> Chen-Scarabelli C, i-Scarabelli TM. I-Syncope ye-Neurocardiogenic. BMJ 2004; 329: 336.

> Sumner GL, Rose MS, Koshman ML, et al. Umlando wakamuva we-Vasovagal Syncope e-Young People-Based Referral Population is Predicctor Stronger of Recurrent Syncope Than Lifetime Syncope Burden. J Cardiovasc Electrophysiol 2010; 21: 1375

> I-Task Force for the Diagnosis and Management of Syncope, i-European Society of Cardiology (ESC), i-European Heart Rhythm Association (EHRA), et al. Imihlahlandlela Yokuthola Ukuphathwa Nokuphathwa kweSyncope (ingu-2009). I-Eur Heart J 2009; 30: 2631.