Izizathu Zokuthi Sifinyelele Kanjani
Ukwehluleka (syncope) ukulahlekelwa okungazelelwe kokuqwashiswa ngenxa yokuntuleka kwegazi ukugeleza kuya ebuchosheni. Abantu abaphelelwa yisikhathi ngokuvamile bavuke ngokushesha ngemva kokuwa. Ukuphathwa kokuphelelwa amandla kulula: Vumela isiguli sibuyele lapho silele phansi (siphezulu). Okubaluleke ngaphezu kokuphathwa okusheshayo ukuphatha imbangela yokuphelelwa amandla.
Izimpawu
Abantu abajwayele ukuvumelanisa i-syncope bavame ukuqala ukudikibala cishe eminyakeni engama-13 ubudala bese beqhubeka nokuphila kwabo bonke.
Isiguli sizozizwa (ukufudumala noma ukushisa kunemizwelo evamile) kulandelwa ukubuthakathaka okungazelelwe nokulahlekelwa ukwazi. Zizohamba zihlwitha futhi zivame ukuphumula ngokuthuthumela okubandayo . Abantu abemi lapho bephelile, noma "baphume," bazowela phansi. Kwamanye abantu abanezinzwa ze-hyper vagus, ukuvuselela kubangela inhliziyo ukuba ihambe kancane. Kodwa-ke, uma isiguli siphelile, i-vagus nererve iyayeka ukwenza into yayo futhi inhliziyo yesiguli iqala ukusheshisa ukuze ilungise ukucindezeleka kwegazi eliphansi.
Ngaphambi kokuphelelwa amandla, isiguli singabonisa noma sizizwe konke noma ezinye zalezi zimpawu nezimpawu, kuye ngokuthi imbangela yokuphelelwa amandla:
- ukuzondwa noma ukuzwa ikhanda elincane
- ukudideka
- isiyaluyalu
- ukuzwa okungazelelwe kokukhathazeka
- umhubhe umbono noma umbono obonakalayo
- ukuthuthumela
- umbala ogqamile noma obala
- uzizwa ushisayo
- ubuthakathaka
- ukuthuthumela noma ukuthuthumela
- iso liyathuthumela (nystagmus)
- ikhanda
- ukuphelelwa umoya
Ezimweni zokuphelelwa amandla okubangelwa ukugqugquzelwa kwe-vagus nerve (uhlobo oluvame kakhulu lokuphelelwa amandla), iziguli zingase zibe nezikhwama noma isifiso sokuba nokunyakaza kwamathumbu ngaphambi kokuba zidlule.
Ukuphelelwa Kanjani Ukubukeka
Emakhathuni, ukuphelelwa yisikhathi kuyenziwa njalo ngokuwela ngokunamandla njengebhodi futhi ukufika kube flat phezu kobuso bakho noma emuva. Emabhayisikobho, ukuphazamiseka okuyingqayizivele kwemisindo kwakunesifo esithile, isandla ebunzini futhi siwela ezandleni zomuntu wesilisa oseduze.
Ekuphileni kwangempela, imigqa yokuphefumula esuka ekucashile kuya ekudleni.
Njengoba ubuchopho buyeka ukugeleza kwegazi okwanele ukuze uhlale uqaphela, luyeka ukuthumela izimpawu kumaseli omzimba. Imisipha ilahlekelwa ithoni yayo futhi umzimba uvele ugoqe kunoma yikuphi ukucwiliswa kwamandla okudonsa umzimba.
Ngezinye izikhathi, lokho kuphuma okungazelelwe kwegazi ebuchosheni kuholela ekutheni kube nokukhathazeka okuncane okufana nokugxila emgqeni wefoni. Kungabangela ukuthuthumela noma ukuzamazama. Ngezinye izikhathi kubonakala sengathi ukuthuthumela; ngezinye izikhathi kubonakala sengathi ukuthunjwa (nanyana kufushane kakhulu). Uke wazizwa ungenakuzikhethela ezandleni zakho noma emilenzeni njengoba ulala? Lokhu kubizwa ngokuthi ukuchithwa kwe-myoclonic, futhi yilokho uhlobo oluthile lokutshengisa ukuboniswa kweziguli ezidangayo.
Ngenkathi ukuvinjelwa kwe-myoclonic akuyona ukuthunjwa, ukungena kwangempela kungabangela nokulahlekelwa okungazelelwe. Kodwa-ke, izimpawu zokuthunjwa zihlukile. Njalo ukwelashwa kokutholwa .
Izimpawu Ngemva Kokwehluleka
Uma umuntu ehamba esuka obala ukuya ohlangothini, igazi liqala ukubuyela emuva ebuchosheni futhi baqala ukuvuka. Kungasheshisa noma kungathatha isikhashana; wonke umuntu uhlukile.
Ezinye zezimpawu ezivamile ezingenzeka ngemva kokuphelelwa amandla:
- ukujuluka kuyeka
- umbala uqala ukubuya
- ukushayela okusheshayo noma "ukugijima kwenhliziyo"
- ukulahlekelwa kwesilonda noma ukulawula isisu (ukungabi khona)
Izimbangela
Ukuphelelwa amandla okukhulu kubangelwa yi-vagus nerve. Ixhuma uhlelo lokugaya emqondweni, futhi umsebenzi wayo ukuphatha ukugeleza kwegazi kuya emanzini. Uma ukudla kungena ohlelweni, i-vagus nerve iqondisa igazi esiswini nasemathunjini, ikudonsa kwezinye izicubu zomzimba, kuhlanganise nobuchopho. Ngeshwa, i-vagus nererve ingathola kancane kakhulu futhi idonsa igazi eliningi ebuchosheni. Ezinye izinto zenza kube nzima kakhudlwana, njengokuthi kunomthelela wokuhamba noma ukuhlanza. Izimo zezokwelapha ezishiya ukucindezelwa kwegazi zikhulisa imiphumela ye -vagus nerve- ngisho nobuhlungu obungathí sina kusukela ezinkampanini zokuya esikhathini .
Ukwehla kwamanzi
Amanzi amancane kakhulu emgodleni wegazi anciphisa ukucindezeleka kwegazi, futhi ukuvuselela i-vagus nerve lapho isistimu isivele i-quart low iholela ekutholeni isizungu nokuphelelwa amandla. Kunezimbangela eziningi zokuphelelwa yisisu: ukuhlanza noma uhudo , ukushisa ukushisa , ukushisa nokuningi. Ukuvuthwa nokuhuda, ikakhulukazi, futhi kukhuthaza inkulumo-mgomo ye-vagus nge-double whammy.
Izinkinga Zengqondo
Ingabe udlula uma ubona igazi? Ukukhathazeka, ukuphazamiseka kwesifo, nokucindezeleka kungashukumisela isifo samagciwane kwabanye abantu futhi kuholele ekulahlekelweni komqondo.
Shock
Akuwona wonke ukulahleka kokuqaphela okuhlobene ne-vagus nerve. Ukwethuka yisimo esibonakala ngegazi eliphansi elivame ukuholela ekulahlekelweni komqondo. Njengomphakathi, siyazi kahle imiphumela yesikhathi eside yomsindo wegazi ophezulu , kodwa ukucindezeleka kwegazi kakhulu kakhulu kuyingozi kakhulu.
Ukwethuka kuyisimo esiphuthumayo sokuphila esivame ukuvela ekuphumeni kwegazi, kodwa futhi singabhekana nokucindezeleka okukhulu ( anaphylaxis ) noma ukutheleleka okukhulu. Abantu abashaqekayo cishe bazodideka, bese balahlekelwa isimo njengoba isimo sabo siba sibi nakakhulu. Kungenzeka konke kwenzeke masinyane, futhi nakuba kungaphumeleli nge-se, asikwazi ngempela ukusitshela ngaphandle kokuthi isiguli siphakamise. Ukuthatha isimo sengqondo sokulinda nokubona kungaba yingozi.
Izidakamizwa noma Utshwala
Abaningi balahlekelwa ulwazi ngenxa yokusetshenziswa kotshwala, futhi asibizi ukuthi liyaphela (nakuba kudlula nje kubonakala kubalulekile). Ngaphandle komphumela we-sedation ocacile, utshwala buyakwenza ukuba ugugile, okuzogcina ekuholele ekudambiseni amandla emzimbeni. Liphinde linciphise imithwalo yegazi, eyanciphisa ukucindezelwa kwegazi. Ukuhlanganisa lawo miphumela kudonsa ubuchopho futhi kukhanyise izibani.
Njengokwesabisa, ukulahlekelwa yilazi ngenxa yotshwala akubhekwa njengokuthi ukuphelelwa amandla, kodwa kungenzeka noma kungabi isizathu sokukhathazeka. Kungenzeka ukuthi ufe ngokushisa utshwala , futhi ukudlula kuyisibonakaliso sokudakwa ngokweqile. Ezinye izidakamizwa-zomthetho kanye nokungekho emthethweni-zingakunikela ngezizathu ezihlukahlukene, kanti ezinye zimbangela ezinkulu zokuphelelwa amandla kwamanzi noma ukuwa kwegazi.
- I-nitrate isheshe yehlisa ukucindezeleka kwegazi
- I-Diuretics yenza ukuba uchama futhi ingaholela ekudambisweni kwamanzi
- Ama-stimulants ayomisa futhi akhulise izinga lokushisa
- I-opiates i-blood pressure ephansi futhi iphefumula kancane
- Izidakamizwa zenhliziyo zivame ukunciphisa ukucindezelwa kwegazi
- Noma imuphi umuthi okuhloswe ukulawula ukucindezela kwegazi eliphezulu wenza ngendlela ethile ukunciphisa ukucindezelwa kwegazi-imithi eningi kakhulu ilingana nomfutho wegazi ophansi kakhulu
I-Heart Beat
Inhliziyo yakho yipompo ephikisana negazi emithanjeni yakho nasemithanjeni yakho. Kuthatha isilinganiso esithile sokucindezela emgodleni wegazi ukuze uqhubeke ugeleza. Inhliziyo esebenza kahle ibalulekile ekugcineni umfutho wegazi owanele. Uma inhliziyo ishaya ngokusheshisa kakhulu noma ijule kakhulu, ayikwazi ukugcina ukucindezeleka kwegazi phezulu njengoba kudingeka ukuba kube. Igazi legazi lisuka ebuchosheni futhi liholele ekutheni liphelelwe amandla. Phakathi nesifo senhliziyo , imisipha yenhliziyo ingaba buthakathaka kakhulu ukugcina ingcindezi yegazi.
Ukuze unqume ukuthi inhliziyo ingase ibe yicala, thatha impulse. Uma kushesha kakhulu (ngaphezulu kuka-150 ukushaya ngomzuzu) noma kancane kakhulu (ngaphansi kwezingu-50 ngezimoto ngomzuzu), usola ukuthi inhliziyo ibangele ukupela ukuphelelwa amandla. Futhi, uma isiguli sikhala ngobuhlungu besifuba noma ezinye izimpawu zesifo senhliziyo , cabanga ukuthi inhliziyo inamandla kakhulu ukugcina igazi ekhanda.
Ukwelapha
Konke ngokwayo, ukwehluleka akuyona impilo esongelayo. Kodwa-ke, ukuboshwa kwe-cardiac okungazelelwe kubheka okuningi njengokuncipha futhi kudinga ukwelashwa okusheshayo. Noma nini lapho ubona othile ephuma, qiniseka ukuthi isiguli siyaphefumula; uma kungenjalo, shayela u-911 bese uqala i- CPR .
Uma umuntu ehluleka, thola isiguli kahle ngokulala phansi. Ungakwazi ukuphakamisa imilenze ukusiza ukugeleza kwegazi ukubuyela ebuchosheni, kepha ngokuvamile akudingekile futhi kukhona enye ingxoxo mayelana nokuthi iyasebenza yini.
Ukwelashwa emva kwalokho kuxhomeke esibangelwa ukuphelelwa amandla. Uma lokhu kungowokuqala lo muntu owake waphazamiseka-noma uma ungazi-shayela 911. Kunezimo ezithile eziyingozi ezingabangela ukudikibala futhi kufanele zihlolwe ochwepheshe bezokwelapha ukuze banqume ukuthi bangaqhubeka kanjani.
Uma isiguli sinomlando wokuphelelwa amandla, bukela ukuphefumula bese umnika imizuzu embalwa ukuvuka. Uma isiguli singavuki phakathi kwemizuzu emithathu yokulala phansi, shayela u-911.
Okubaluleke kakhulu ukwedlula ukwelashwa okusheshayo ukuphatha imbangela yokuphelelwa amandla. Ngokuvamile, indlela kuphela yokubona imbangela ukubuka izinkinga zezokwelapha ezingapheli, uma zikhona, nemisebenzi yakamuva noma izifo.
Ukuvimbela
Ngezinye izikhathi, akukho lutho ongakwenza ukuze unqande ukuphelelwa amandla, kodwa uma uzizwa ukuthi kufike kukhona izinto ezimbalwa ezingasiza. Uma uzizwa ngokuzumayo uphethiwe, ushisayo, ususwe noma uphuphuke emthunzini obandayo , ungabuki. Lala phansi uze udlule. Uma ingadluli emaminithini ambalwa noma uqala ukuzwa ubuhlungu besifuba noma ukuphefumula , shayela u-911 .
Izwi elivela
Ukuphuma, akungabazeki, isenzakalo esesabekayo. Ulwazi luyingxenye yempi ekuvimbeleni. Iziguli ezinamahloni amaningi okuphelelwa amandla kufanele nakanjani zibone udokotela futhi zithole imbangela yokuphelelwa amandla (uma ikhona). Iziguli zizofunda izibonakaliso nezixwayiso zokuphelelwa amandla futhi zingafunda ukukugwema.
> Imithombo:
> I-Probst, M., Kanzaria, H., Gbedemah, M., Richardson, L., & Sun, B. (2015). Izitayela zikazwelonke ekusetshenzisweni kwemithombo ehambisana nokuvakashelwa kwe-ED ye-syncope. I-American Journal Of Emergency Medicine , 33 (8), 998-1001.