Vasovagal Syncope ni iki? Ibimenyetso, Impamvu, n'Uko Ivurwa

Vasovagal syncope ni yo mpamvu isanzwe yo kugwa, ikaba igira ingaruka kuri miliyoni z'abantu ku isi hose. Bibaho iyo umubiri wawe udasubiza neza ibintu bimwe na bimwe, bigatuma umuvuduko w'amaraso n'umutima bigabanuka cyane, bigatuma amaraso ajya mu bwonko agabanuka by'agateganyo, bikakurinda gutakaza ubwenge gato.

Tekereza ko ari uburyo umubiri wawe usubiza nabi ariko busanzwe budakomeye ku guhangayika, kubabara cyangwa ibindi bintu bibitera. Nubwo kugwa bishobora gutera ubwoba, vasovagal syncope ntibisanzwe ari bibi kandi ntibigaragaza ikibazo gikomeye cy'umutima.

Vasovagal syncope ni iki?

Vasovagal syncope ibaho iyo umutsi wa vagus ukorerwa cyane ukohereza ubutumwa butandukanye ku mutima n'imijyana y'amaraso. Umutsi wa vagus ni nk'umuhanda w'itumanaho w'umubiri wawe hagati y'ubwonko n'imigongo myinshi, harimo n'umutima.

Iyo uwo mutsi ukorerwa, ubwira umutima wawe kugabanya umuvuduko n'imijyana y'amaraso kugira ngo igabanuke icyarimwe. Iyi mpinduka ituma umuvuduko w'amaraso ugabanuka vuba, bigatuma amaraso ajya mu bwonko agabanuka bikakurinda kugwa.

Inkuru nziza ni uko vasovagal syncope isanzwe iba igihe gito, imara amasegonda make cyangwa iminota mike. Umubiri wawe usanzwe ukira wenyine umaze kuryama, ibyo bigafasha gusubiza amaraso mu bwonko mu buryo busanzwe.

Ibimenyetso bya vasovagal syncope ni ibihe?

Mbere yo kugwa, umubiri wawe ubusanzwe uguhera ibimenyetso bigaragaza ko hari ikintu kigiye kuba. Ibyo bimenyetso bya mbere bishobora kugufasha kumenya igihe cy'ikibazo no gufata ingamba zo kwirinda kugwa cyangwa gukomereka.

Ibimenyetso bisanzwe birimo:

• Kumva utuje cyangwa ufite iseseme
• Isesemi cyangwa kumva ubimwe mu nda
• Kunyara cyane, cyane cyane ibyuya bikonje
• Kumva ushyushye cyangwa ufite ubushyuhe
• Kubona bituje cyangwa ubonye ibintu bike
• Kumva amajwi asa n'ayakuze cyangwa adasobanuka
• Kumva unaniwe cyangwa uhindagurika
• Uruhu rurahinduka rwera cyangwa rwijimye

Mu gihe cyo kugwa, uzatakaza ubwenge kandi ushobora kugwa. Bamwe mu bantu bagira imyigaragarire migufi, ishobora kumera nk'indwara z'ubwonko, ariko ibyo bitandukanye n'ibikorwa by'ubwonko nyabyo.

Umaze kubyuka, ushobora kumva udasobanukiwe, unaniwe, cyangwa ufite isesemi iminota mike cyangwa amasaha menshi. Icyo gihe cyo gukira ni ibisanzwe kandi imbaraga zawe zigomba gusubira buhoro buhoro.

Ubwoko bwa vasovagal syncope ni ubuhe?

Vasovagal syncope ishobora kugabanywamo ubwoko butandukanye bushingiye ku bintu bitera ikibazo. Gusobanukirwa ibintu byihariye bigutera ikibazo bishobora kugufasha kwirinda ibintu bishobora gutera kugwa.

Ubwoko nyamukuru burimo:

• Situational syncope: Iterwa n'ibikorwa byihariye nko gukorora, kunyara, cyangwa kugira ikibazo cyo mu nda
• Emotional syncope: Iterwa n'amarangamutima akomeye, guhangayika, cyangwa umunaniro
• Orthostatic syncope: Ibaho iyo uhagurutse vuba
• Medical procedure syncope: Iba mu gihe cyo kuvurwa, gufata amaraso, cyangwa kubona inshinge

Bamwe mu bantu bagira imvange y'ubwoko bwose, abandi bagira ikintu kimwe cyihariye kibatera ibibazo. Kumenya uko ibintu bigenda bishobora kugufasha cyane mu kwirinda.

Impamvu za vasovagal syncope ni izihe?

Vasovagal syncope ibaho iyo sisitemu y'ubwonko y'umubiri isubiza nabi ibintu bimwe na bimwe. Sisitemu y'ubwonko isanzwe ikurikirana umuvuduko w'amaraso n'umutima, ariko rimwe na rimwe iyo sisitemu ishobora kunanirwa.

Ibintu bisanzwe bishobora gutera ikibazo birimo:

• Guhagarara igihe kirekire, cyane cyane mu bihe by'ubushyuhe
• Guhangayika gitunguranye, ubwoba, cyangwa umunaniro
• Kubona amaraso, inshinge, cyangwa kuvurwa
• Kubabara cyane
• Gukora cyane mu gihe cyo kunyara
• Gukorora cyangwa guhisha cyane
• Kuba ahantu hahuriye abantu benshi, hashyushye, cyangwa hafunze
• Kumara igihe kirekire utanyoye amazi cyangwa utariye

Ibintu biterwa n'imiti, kunywa inzoga, cyangwa ibibazo by'ubuzima bishobora kugira ingaruka ku bwonko. Impamvu nyayo ituma bamwe mu bantu bagira ubukana kurusha abandi ntibirasobanuka neza.

Mu bihe bidasanzwe, vasovagal syncope ishobora guterwa n'ibikorwa byihariye nko kurya, guseka, cyangwa no gukina ibikoresho bimwe na bimwe bya muzika. Ibyo bintu bidasanzwe ni byiza kubivuga na muganga wawe niba ubona ko hari ibintu byihariye.

Ni ryari ukwiye kujya kwa muganga kubera vasovagal syncope?

Ukwiye kujya kwa muganga nyuma yo kugwa bwa mbere kugira ngo ube wizeye ko ari vasovagal syncope kandi atari ikindi kibazo gikomeye. Nubwo vasovagal syncope isanzwe idakomeye, ibindi bibazo bishobora gutera ibimenyetso nk'ibyo kandi bikeneye ubundi buryo bwo kuvura.

Shaka ubufasha bwa muganga vuba niba ufite:

• Kugwa mu gihe cyo gukora imyitozo ngororamubiri
• Kubabara mu gituza, guhindagurika kw'umutima, cyangwa guhumeka nabi mu gihe cyo kugwa
• Kugwa kiba gitunguranye nta bimenyetso bya mbere
• Gukomereka mu mutwe kubera kugwa
• Kugwa bikomeza igihe kirekire kurusha iminota mike
• Kugwa kenshi mu gihe gito

Kandi utegure gahunda yo kujya kwa muganga niba ufite ibibazo byinshi bigira ingaruka ku mirimo yawe ya buri munsi, akazi, cyangwa gutwara imodoka. Nubwo vasovagal syncope idakomeye, ibibazo byinshi bishobora kugira ingaruka ku mibereho yawe.

Ibyago bya vasovagal syncope ni ibihe?

Ibintu bimwe na bimwe bishobora gutuma ugira vasovagal syncope, nubwo ufite ibyo bibazo ntibisobanura ko uzagira ibibazo. Gusobanukirwa ibyo bintu bishobora kugufasha wowe na muganga wawe gushyiraho ingamba zo kwirinda.

Ibintu bisanzwe by'ibyago birimo:

• Kuba muto (bisanzwe bibaho mu rubyiruko n'abakiri bato)
• Kugira amateka yo mu muryango yo kugwa
• Kuba umugore (bisanzwe bibaho cyane mu bagore)
• Kugira imihangayiko cyangwa ibibazo by'umutima
• Kuba ufite ubukana ku bubabare cyangwa kuvurwa
• Kugira ibibazo by'ubuzima nka diyabete cyangwa ibibazo by'umutima

Ibintu by'ibidukikije n'imibereho bishobora kongera ibyago. Ibyo birimo kutagira amazi ahagije, guhagarara mu gihe cy'ubushyuhe, kudakora ifunguro, cyangwa kuba munsi y'umunaniro ukomeye.

Imiti imwe na imwe, cyane cyane iyagabanya umuvuduko w'amaraso cyangwa igira ingaruka ku mutima, ishobora gutuma ibibazo bya vasovagal biba byinshi. Itegura kuvugana na muganga wawe niba utangiye kugwa.

Ingaruka zishoboka za vasovagal syncope ni izihe?

Ikibazo nyamukuru cya vasovagal syncope si ukugwa ubwayo, ahubwo ni uko ushobora gukomereka iyo uguye. Ibibazo byinshi biba bigufi kandi ntibitera ibibazo by'ubuzima bikomeye, ariko kugwa rimwe na rimwe bishobora gutera ibikomere, imikomere, cyangwa ibindi bikomere bikomeye.

Ingaruka zishoboka zirimo:

• Ibikomere, imikomere, cyangwa ibishishwa kubera kugwa
• Gukomereka mu mutwe niba ugiye mu mutwe
• Amagufwa yavunitse, cyane cyane niba uguye ahantu hakomereye
• Impanuka z'imodoka niba uguye mu gihe utwaye imodoka
• Ubwoba bw'ibibazo by'ejo hazaza bigira ingaruka ku mirimo ya buri munsi

Gake, ibibazo byinshi bya vasovagal bishobora gutera ikibazo cyitwa "convulsive syncope," aho imikurire migufi y'imitsi iba mu gihe cyo kugwa. Nubwo ibyo bishobora kugaragara nabi, bitandukanye n'indwara z'ubwonko kandi ntibisaba uburyo bwihariye bwo kuvura.

Bamwe mu bantu bagira ubwoba bwo kwitegura, bakaba bafite ubwoba bwo kugwa ku buryo ubwoba ubwayo buhinduka ikibazo. Ibyo bituma habaho ikibazo gishobora gukemurwa hakoreshejwe uburyo bwiza bwo kuvura n'uburyo bwo guhangana.

Vasovagal syncope ishobora kwirindwa gute?

Uburyo bwiza bwo kwirinda vasovagal syncope ni ukumenya no kwirinda ibintu bikutera ibibazo. Umaze gusobanukirwa ibyo bikutera ibibazo, ushobora gufata ingamba zo kugabanya ibyago.

Ingamba zo kwirinda zikora neza zirimo:

• Kunywa amazi ahagije, cyane cyane mu gihe cy'ubushyuhe
• Kurya ibiryo bisanzwe kugira ngo ugire isukari isanzwe mu maraso
• Guhaguruka buhoro buhoro uvuye mu myanya yo kwicara cyangwa kuryama
• Kwima amatsiko maremare, cyane cyane mu bihe by'ubushyuhe
• Kumenya ibimenyetso bya mbere
• Gukora imyitozo yo kugabanya umunaniro n'imyitozo yo kuruhuka

Niba wumva ibimenyetso bya mbere, wicare cyangwa uryame ukanamisha amaguru. Iyo myanya ifasha amaraso gusubira mu bwonko kandi ishobora kwirinda kugwa.

Bamwe mu bantu bagira akamaro ko kwambara imyenda ihambiriye, ibyo bigafasha kwirinda amaraso kujya mu maguru iyo uhagaze. Muganga wawe ashobora kugutegurira ubwoko bwiza n'uburyo bwo guhambira.

Vasovagal syncope ipima gute?

Kumenya vasovagal syncope bisanzwe bitangira hakoreshejwe ikiganiro kirambuye ku bimenyetso, ibintu bitera ibibazo, n'amateka y'ubuzima. Muganga wawe azashaka kumva neza ibyabaye mbere, mu gihe, na nyuma y'uko uguye.

Muganga wawe ashobora gukora isuzuma ry'umubiri kandi ashobora gutegeka ibizamini byinshi kugira ngo akureho ibindi bintu bishobora gutera kugwa. Ibyo bishobora kuba electrocardiogram (ECG) yo kugenzura umuvuduko w'umutima, ibizamini by'amaraso kugira ngo harebwe ikibazo cy'amaraso cyangwa isukari mu maraso, no kugenzura umuvuduko w'amaraso.

Mu bihe bimwe na bimwe, muganga wawe ashobora kugutegeka ikizamini cyo kuzamura umubiri. Muri icyo kizamini, uza kuryama ku meza ashobora kuzamuka mu gihe umuvuduko w'umutima n'umuvuduko w'amaraso bigenzurwa. Icyo kizamini gishobora kugufasha kwemeza vasovagal syncope hakoreshejwe ibimenyetso mu buryo bugenzurwa.

Ibindi bizamini nka echocardiograms, Holter monitors, cyangwa ibizamini byo gukora siporo bishobora kuba bikenewe niba muganga wawe akeka ibibazo by'umutima. Ariko rero, abantu benshi bafite vasovagal syncope isanzwe ntibakenera ibizamini byinshi.

Uburyo bwo kuvura vasovagal syncope ni ubuhe?

Uburyo bwo kuvura vasovagal syncope bugamije cyane kwirinda ibibazo binyuze mu guhindura imibereho no kwirinda ibintu bitera ibibazo. Kubera ko iki kibazo gisanzwe kidakomeye, intego ni ugabanya uko ibibazo biba byinshi no kugabanya ibyago byo gukomereka.

Uburyo bwa mbere bwo kuvura burimo:

• Kongera amazi n'umunyu kugira ngo ugire amaraso ahagije
• Kwigira uburyo bwo gukoresha imbaraga zo mu maguru
• Kwima ibintu bizwi bitera ibibazo
• Kwambara imyenda ihambiriye niba byasabwe
• Gukora imyitozo myiza yo kuryama no kugabanya umunaniro

Ku bantu bafite ibibazo byinshi, bikomeye bidakemuka hakoreshejwe guhindura imibereho, imiti ishobora kugira akamaro. Ibyo bishobora kuba beta-blockers, fludrocortisone, cyangwa midodrine, nubwo imiti atari yo mbere yo kuvura.

Mu bihe bidasanzwe cyane aho ibibazo biba byinshi kandi bikomeye, pacemaker ishobora kugenzurwa. Ariko rero, ibyo bikoreshwa mu bihe byihariye kandi abantu benshi bafite vasovagal syncope ntibakenera ubwo buryo bwo kuvura.

Uko wakwitwara mu rugo ufite vasovagal syncope

Kwitwara mu rugo ufite vasovagal syncope bisobanura gukora ahantu heza no gushyiraho ingamba zo kwirinda no gusubiza ibibazo. Ikintu nyamukuru ni ukuba witeguye no kumenya icyo ukora iyo ibimenyetso bya mbere bigaragara.

Shyiraho gahunda yo kwirinda irimo kunywa amazi ahagije umunsi wose, kurya ibiryo bisanzwe, no kwirinda ibintu bizwi bitera ibibazo. Kora ibitabo byo kwandika ibibazo kugira ngo ugenzure ibibazo kandi umenye ibintu ushobora kuba utari warigeze ubona.

Iyo wumva ibimenyetso bya mbere, uhite:

• Wicara cyangwa uryame ukanamisha amaguru
• Kureka imyenda ihambiriye ku ijosi
• Koresha ibintu bikonje, byuzuye amazi ku maso no ku ijosi
• Guhumeka buhoro buhoro
• Gukomeza muri iyo myanya kugeza ibibazo byose birangiye

Kora uburyo abagize umuryango wawe n'inshuti zawe ba hafi bamenya uko uhagaze kandi basobanukirwa icyo bakora niba uguye. Bagomba kugufasha kuryama neza, kunamisha amaguru, kandi ntibagerageze kukwima amatsiko kugeza ubwo ubaye maso.

Uko wakwitegura kujya kwa muganga

Kwitwara neza mbere yo kujya kwa muganga bishobora kugufasha kugira ngo umenye neza uko uhagaze n'uburyo bwiza bwo kuvura. Tegura ikiganiro kirambuye ku bimenyetso byawe kandi utange amakuru yihariye ku bibazo byawe.

Mbere yo kujya kwa muganga, andika:

• Igihe buri kibazo cyabaye n'icyo wakoraga
• Ibimenyetso bya mbere wabonye mbere yo kugwa
• Igihe wari utazi
• Uko wumvaga nyuma n'igihe cyo gukira
• Imiti yose n'ibindi byongewemo ukoresha
• Amateka y'umuryango yo kugwa cyangwa ibibazo by'umutima

Zana urutonde rw'ibibazo ushaka kubaza, nko kumenya niba ugomba kwirinda ibikorwa bimwe na bimwe, igihe cyo gushaka ubufasha bwa muganga, cyangwa niba ukeneye ibizamini byongewemo. Ntugatinye gusaba ibisobanuro niba hari ikintu kidakumenyekanye.

Tegura kuzana umuntu wo mu muryango wawe cyangwa inshuti yabonye ikibazo, kuko bashobora kwibuka ibintu utari wibuka. Ibyo bashobora kubona bifasha muganga wawe mu isuzuma.

Icyo ukwiye kumenya kuri vasovagal syncope

Vasovagal syncope ni ikibazo gisanzwe, gisanzwe kidakomeye gitera kugwa gato. Nubwo bishobora gutera ubwoba kubona cyangwa kubona, ntibisanzwe bigaragaza ikibazo gikomeye cy'ubuzima kandi bishobora gufashwa neza hakoreshejwe ingamba nziza.

Ikintu cy'ingenzi cyo kwibuka ni uko nturi wenyine mu guhangana n'iki kibazo. Abantu benshi bagira vasovagal syncope, kandi hakoreshejwe ubumenyi n'uburyo bwiza bwo kuyifata, abantu benshi bashobora gukomeza kubaho neza.

Fata umwanya wo kumenya ibintu bikutera ibibazo, kwiga uburyo bwo kwirinda, no gukora ahantu heza. Korana na muganga wawe kugira ngo ushyireho gahunda y'ubuvuzi ihuye n'imibereho yawe n'ibyo ukeneye.

Wibuke ko nubwo vasovagal syncope ishobora kuba ikibazo, ntibisanzwe ari bibi iyo ifashwe neza. Mu gihe n'ubwitonzi mu kwirinda, abantu benshi basanga ibibazo bigabanuka cyangwa bigahagarara burundu.

Ibibazo byakunda kubaho kuri vasovagal syncope

Vasovagal syncope ishobora gukira burundu?

Vasovagal syncope ntishobora "gukira" mu buryo busanzwe, ariko ishobora gufashwa neza. Abantu benshi basanga ibibazo bigabanuka cyane cyangwa bigahagarara burundu hakoreshejwe uburyo bwiza bwo kwitwara n'uburyo bwo kwirinda ibintu bitera ibibazo. Bamwe mu bantu bakuramo icyo kibazo uko bakura, cyane cyane ababaye bafite icyo kibazo mu gihe cy'ubwangavu cyangwa mu myaka yabo ya mbere.

Ni byiza gutwara imodoka niba ufite vasovagal syncope?

Umutekano wo gutwara imodoka uterwa n'uko ibibazo byawe biba byinshi niba ufite ibimenyetso bya mbere mbere yo kugwa. Niba ufite ibimenyetso bya mbere bisanzwe kandi ushobora guhagarara neza iyo bitangiye, gutwara imodoka bishobora kuba byiza muganga wawe abyemeje. Ariko rero, niba ibibazo byawe biba gitunguranye nta bimenyetso bya mbere cyangwa biba byinshi, ushobora kuba ugomba kwirinda gutwara imodoka by'agateganyo kugeza igihe uko uhagaze bigenzurwa.

Vasovagal syncope ishobora kuba mu gihe cyo kuryama?

Vasovagal syncope ntibisanzwe bibaho mu gihe cyo kuryama kuko umaze kuryama, ibyo bigafasha amaraso kugera mu bwonko. Niba ibibazo byo kugwa bibaho mu gihe uryamye cyangwa mu gihe cyo kuryama, ibyo bishobora kugaragaza ubundi bwoko bwa syncope bukenera isuzuma rya muganga kugira ngo akureho ibibazo by'umutima cyangwa ibindi bibazo.

Abana banjye bazasangira vasovagal syncope niba mfite?

Bisa nkaho hari igice cy'umurage muri vasovagal syncope, kuko isanzwe iba mu miryango. Ariko rero, kugira umubyeyi ufite icyo kibazo ntibihamya ko abana bazagira. Niba umwana wawe agize ibibazo byo kugwa, ni ngombwa kumujyana kwa muganga kugira ngo amenye icyo kibazo n'uburyo bwiza bwo kuvura.

Imikino ngororamubiri ishobora gufasha kwirinda ibibazo bya vasovagal syncope?

Imikino ngororamubiri isanzwe, ijyanye n'ubushobozi, ishobora gufasha abantu benshi bafite vasovagal syncope kuko iratera imbaraga umutima n'imijyana y'amaraso. Ariko rero, ukwiye kwirinda imikino ikomeye ishobora gutera ibibazo, kandi uhore ufite amazi ahagije. Imikino yihariye nko kwimenyereza guhagarara cyangwa uburyo bwo gukoresha imbaraga zo mu maguru ishobora kugira akamaro cyane iyo yigishijwe neza hakurikijwe amabwiriza ya muganga.