Uke waphazamiseka noma waphazamiseka ngesikhathi sakho? Uzibuza ukuthi lokho kuyinto evamile?
Iqiniso liwukuthi ushintsho olujwayelekile olwenzeka emzimbeni wakho ngesikhathi sokuya esikhathini ungakwenza ube namandla okudangala ngesikhathi sakho.
Okwenza Ufezeke
Ukuphelelwa amandla noma ukuphuma, okubizwa nangokuthi i-syncope, kuyindlela yakho yobuchopho yokuxhumana emzimbeni wakho ukuthi ayitholi inani le-oksijini eliyidingayo.
Ubuchopho bakho bubucayi kakhulu emazingeni e-oksijeni futhi umzimba wakho unezinhlelo eziningi ezakhelwe ngaphakathi noma izinkomba zokuqinisekisa ukuthi ubuchopho bakho buthola lokho okukudingayo. Ngezinye izikhathi izinguquko emzimbeni wakho ziqala lezi zinkinga futhi ngenxa yalokho, udlula. Yilokho okwenzekayo kuhlobo oluvame kakhulu lokuphelelwa amandla okuthiwa i- neurocardiogenic noma i- vasovagal syncope .
I-syncope ye-Vasovagal ibangelwa ukusabela okuguquliwe ezimweni ezithile ngengxenye yesistimu yakho yezinzwa ezilawula ngokuzenzakalelayo imisebenzi eminingi ebalulekile yomzimba. Asazi kahle ukuthi kwenzeka kanjani kodwa ukukhungatheka kubangelwa ukushintsha izinguquko zenhliziyo yakho nokucindezela kwegazi okuholela ekunciphiseni ukugeleza kwegazi ebuchosheni bakho. Njengoba lezi zinguquko zenzekayo zibangela izimpawu ezijwayelekile ezaziwa ngokuthi izimpawu ze-presyncopal ezifaka:
- isiyaluyalu
- ukuthuthumela
- ikhanda elikhanyayo
- umbono ongenalutho
- izinhliziyo zomzimba noma ukushaya kwenhliziyo ngokushesha
- i-paresthesia noma ukuzwa kwe-numbness
- i-pallor noma ibukeka ibheke
Ngandlela-thile, lezi zimpawu ziyisibonakaliso sokuxwayisa ukuthi uzame futhi ushintshe okwenzayo. Ngokuvamile isiqephu se-syncopal singagwenywa njengoba ushintsha okwenzayo ngoba awuzwa kahle. Kodwa ngezinye izikhathi, lezi zimpawu zifika ngokushesha kakhulu futhi awukwazi ukuzivimbela ekuphefumuleni.
Okwenza I-Period Yakho Ikwazi Ukuqala Ukweqa
Izinguquko emzimbeni wakho ezingabangela i-syncope ye-neurocardiogenic noma i-vasovagal zikhuliswa ngesikhathi sakho. Ngamanye amazwi, ezinye izinguquko ezenzeka emzimbeni wakho inyanga ngayinye phakathi nenkathi yakho zingandisa amathuba okufa noma ukuphelelwa amandla.
Izikhathi ezibuhlungu
Ubuhlungu, ngokujwayelekile, yinhlamba eyaziwayo ye-syncope ye-vasovagal. Njengezinye izinhlobo zobuhlungu, impendulo yakho ebuhlungu besinye isikhathi ingabangela ushintsho oluguquguqukayo emzimbeni wakho okubangela ukuba uphelelwe amandla. Kodwa kungase kube khona okunye mayelana nobuhlungu besikhathi sakho okwandisa amathuba okufa.
I- dysmenorrhea eyinhloko noma isikhathi esibuhlungu ngaphandle kwesizathu esiyinhloko sihlobene nokukhiqizwa kwe- prostaglandin . Ama-prostaglandin akhiqizwa ku- endometrium noma emgqeni wesibeletho sakho esiqeshini se-luteal sekwephuzile noma ingxenye yesibili yomjikelezo wakho ngaphambili futhi njengoba nje isikhathi sakho siqala. Uma unenkathi ebuhlungu kakhulu kucatshangwa ukuthi ukukhiqizwa kwakho kwe-prostaglandin kunganda. I-Prostaglandin ibandakanyeka emisebenzini eminingi ebalulekile emzimbeni wakho ehlobene nokuphatha ukugula nokulimala. Omunye walezi zinto kubangela ukuthi izitsha zakho zegazi zihlanza inqubo eyaziwa ngokuthi i-vasodilation.
Kanjalo nje kwenzeka ukuthi enye yezinguquko eziguquguqukayo emzimbeni wakho ongaholela ku-vasovagal syncope yi-vasodilation.
Kucatshangwa ukuthi mhlawumbe ukwanda kwe-prostaglandin kubangela ukuhlaselwa okuphawulekayo okwehlisela ukucindezelwa kwegazi. Lokhu kubeka isiteji sempendulo engaphezu kokugcizelela kanye nethuba elikhudlwana lokuphelelwa amandla ebuhlungu obubangelwa ukukhwabanisa kokuya esikhathini.
Ukuthatha imithi ebizwa ngokuthi i-nonsteroidal anti-inflammatory drugs noma i- NSAID efana ne-ibuprofen ukunciphisa ukukhiqizwa kwakho kwe-prostaglandin mhlawumbe kungcono ukhetho lwakho lwezokwelapha. Lokhu kungeke kube lula ukunciphisa ubuhlungu bakho ngokunciphisa ukukhiqizwa kwe-prostaglandin kungavimbela imiphumela ye-vasodilatory ye-prostaglandin engaphezu kwesistimu yakho.
Izikhathi ezinzima
Ngokuvamile, ukugeleza kokuya esikhathini esibi kakhulu kuhlotshaniswa nokwakhiwa okungaphezulu kwesilwane se-endometrial sesibeletho sakho ngesikhathi sokuya esikhathini. Njengoba kuphawuliwe ngenhla, izicubu eziningi ze-endometrial zikhulu kakhulu ekukhiqizeni i-prostaglandin. I-Prostaglandin icatshangwa ukuthi ingeza enye yezinguquko ezingaholela ekuvumelaneni kwe-vasovagal.
Ngaphezu kwe-prostaglandins, izikhathi ezinzima zingabangela ukulahlekelwa igazi okungapheli okubangelwa i- anemia . Uma une-anemic, ekugcineni unciphisa inani le-oksijethi igazi lakho elingathwala umzimba wakho. Uma ubuchopho bakho buzwa ngisho nokunciphisa kancane kwe-oxygen kubangela izinguquko ezingaguquki ezingaholela ekuvumelaneni kwe-vasovagal.
Ukudla ukudla okunensimbi noma ukuthatha izithako zensimbi ukusiza ukwandisa amandla okwenza oksijeni amangqamuzana akho abomvu angakusiza ukuba ugweme lesi sizathu sokuphelelwa amandla ngesikhathi sakho.
Ama-Hormone Changes
Amazinga e-hormone aguquguqukayo ayisisekelo somjikelezo wakho wokuya esikhathini. Uma unemijikelezo ejwayelekile ye-ovulatory, ukuxilongwa kwe-estrogen ne-progesterone emzimbeni wakho kuhluke engxenyeni yokuqala yomjikelezo wakho, umjikelezo phakathi nendawo yesibili yomjikelezo wakho.
Ngesikhathi sokuqala kwenkathi yakho, kokubili inani le-estrogen ne-progesterone emzimbeni wakho kusezingeni labo eliphansi kakhulu. Kwabesifazane abathile, lezi zinguquko ze-hormone zingabangela ushintsho ekwehleni kwe-insulin engabangela iziqephu ze-ushukela wegazi eliphansi okuthiwa i-hypoglycemia. Lezi ziqephu ze- hypoglycemia zingenzeka ngisho noma ungenayo isifo sikashukela. I-Hypoglycemia enye inguquko emzimbeni wakho engabangela ushintsho oluguquguqukayo olubangela i-vasovagal syncope.
Ukukhumbula ukudla isidlo sasekuseni, ukudla ukudla okuncane njalo usuku lonke, nokunciphisa ukudla okuphezulu ushukela olulula kungasiza ukunciphisa iziqephu ze-hypoglycemia.
Kucatshangwa ukuthi amazinga e-hormonal aphansi ngesikhathi sokuya esikhathini angabangela ukuguqulwa komzimba kwamanzi kwamanye amantombazane njengoba uketshezi egazini kuhamba emathisini omzimba. Lokhu kubangela i-edema noma ukuvuvukala ikakhulukazi emilenzeni nasemagqatsheni kanye nangoketshezi oluncane emithanjeni yegazi. Umzimba wakho uphendukela kulokhu okufana nokukwenza ekuqedeni amanzi emzimbeni. Ngenxa yokuthi umthamo wetshezi egazini lakho lingaphansi komzimba wakho awukwazi ukulungisa izinguquko zesimo kanye nokucindezela kwegazi lakho. Lokhu kubizwa ngokuthi i-orthostatic hypotension futhi lokhu kwehlisa ukucindezeleka kwegazi kungabangela izinguquko ezingabangela ukuba ufezeke.
Lezi zinguquko ezithinta ama-hormonal fluid zingase zenze isimo esithile senzeke kubantu besifazane abasha okuthiwa i- Postural Orthostatic Tachycardia Syndrome . I-POTS yinkinga ephazamisa ingxenye yesistimu yakho yezinzwa ezilawula ngokuzenzakalelayo imisebenzi eminingi yomzimba ebalulekile njengezinga lakho lenhliziyo nokucindezela kwegazi. Abesifazane abane-POTS bakuthola ukukhathala, isizungu, nokukhulelwa njalo okuvame ukwanda ngesikhathi sokuya esikhathini.
Ukuqinisekisa ukuthi uhlala kahle ngokuphuza amanzi amaningi, ugweme ukugudluleka futhi ugweme ukuma isikhathi eside kuzokusiza ukunciphisa amathuba akho okuphelelwa amandla ngesikhathi sakho.
Izwi elivela
Umzimba wakho uthola izinguquko eziningi phakathi nomjikelezo ojwayelekile wokuya esikhathini. Ngezinye izikhathi lezi zinguquko zingakhulisa izimpendulo emzimbeni wakho okwandisa ingozi yokuphelelwa yisikhathi phakathi nenkathi yakho. Uma ungase ukhulelwe ngesikhathi sakho, ukwenza izinguquko ezincane kumkhuba wakho kungasiza ukunciphisa ingozi. Kodwa-ke, kubalulekile ukuthi uxoxe ngokudangala phakathi nenkathi yakho nomhlinzeki wakho wezempilo njengoba kungaba isibonakaliso senkinga enkulu kakhulu.
> Imithombo:
> Chen-Scarabelliv, C., Scarabelli, T. Neurocardiogenic Syncope. BMJ, 2004; 329 (7) 336-41.
> Muppa, P., Sheldon, RS, McRae, M., Keller, NR, Ritchie, D., Krahn, AD, ... Raj, SR Ukucindezeleka Kwemvelo Nokuya esikhathini kwabesifazane abane-Vasovagal Syncope. Ucwaningo lwe-Clinical Autonomic: Journal Official of the Clinical Autonomic Research Society , 2013; 23 (3), 117-122. http://doi.org/10.1007/s10286-013-0190-1
> Nwazue, VC, Raj, SR Ukuqinisekiswa kwe-Vasovagal Syncope: I-Postural Tachycardia Syndrome. Imitholampilo yezinhliziyo , 2013; 31 (1), 101-109. http://doi.org/10.1016/j.cci2012.09.004