Ukuhlupheka Kwe-Vasovagal Syncope? Izimpawu, Izimbangela, Nokwelapha

I-Vasovagal syncope iyimbangela evamile kakhulu yokuphelelwa amandla, ithinta izigidi zabantu emhlabeni jikelele. Kwenzeka lapho umzimba wakho uphendula ngokweqile ezintweni ezithile ezikukhuthazayo, kubangele ukuba izinga lokugijima kwenhliziyo yakho kanye nokucindezeleka kwegazi wehle ngokuzumayo, okunciphisa okwesikhashana ukugeleza kwegazi ebuchosheni bakho futhi kukwenze ulahlekelwe ukwazi okwesikhashana.

Cabanga ngakho njengokuphendula komzimba wakho okukhulu kodwa okungenangozi ngokuvamile ekuhluphekeni, ebuhlungwini, noma kwezinye izinto ezikukhuthazayo. Ngesikhathi ukuphelelwa amandla kungase kuzwakale kukhulu, i-vasovagal syncope ngokuvamile ayinangozi futhi ayibonisi inkinga enkulu yenhliziyo.

Iyini i-vasovagal syncope?

I-Vasovagal syncope ivela lapho inzwa yakho ye-vagus ikhuthazwa ngokweqile futhi ithumela imiyalezo ehlangene enhliziyweni yakho nasemiphini yegazi. Inzwa ye-vagus ifana nomgwaqo wokuxhumana womzimba wakho phakathi kobuchopho bakho namanye amalungu amaningi, kufaka phakathi inhliziyo yakho.

Lapho lenzwa ikhuthazwa, litshela inhliziyo yakho ukuba ihambe kancane futhi imiphini yegazi yakho ibe banzi ngesikhathi esifanayo. Lo mhlanganiso ubangela ukuba ukucindezeleka kwegazi wehle ngokushesha, kunciphisa ukugeleza kwegazi ebuchosheni bakho futhi kukwenze ulahlekelwe ukwazi.

Izindaba ezinhle ukuthi i-vasovagal syncope ngokuvamile ifushane, ihlala imizuzwana embalwa kuya kwimizuzu embalwa. Umzimba wakho ngokuvamile uziphilisa wedwa uma ulele phansi, okusiza ekubuyiseni ukugeleza kwegazi okujwayelekile ebuchosheni bakho.

Ziyini izimpawu ze-vasovagal syncope?

Ngaphambi kokuphelelwa amandla, umzimba wakho ngokuvamile uyakunika izimpawu zokuqala zokuthi okuthile kusondele ukwenzeka. Lezi zimpawu zokuqala zingakusiza ukuba uqaphele isigameko futhi uthathe izinyathelo zokuvimbela ukuwa noma ukulimala.

Izimpawu zokuqala ezivamile zihlanganisa:

• Ukuzizwa ukhanyile noma ukhuluphuka
• Ukuphelelwa amandla noma ukuzizwa usisiguluku
• Ukubila okungaqondakali, ikakhulukazi ukubila okubandayo
• Ukuzizwa ufudumala noma ushisa kakhulu
• Ukubona okuphazamisekile noma okufana nethoni
• Ukuzwa imisindo ebonakala ikude noma ithulile
• Ukuzizwa ubuthakathaka noma uthuthumela
• Ukukhazimula noma ukuba mnyama kwesikhumba

Phakathi nesigameko sokuphelelwa amandla, uzolahlekelwa ukwazi futhi ungase uwa. Abanye abantu bahlangabezana nokuthuthumela okufushane, okungase kubukeke njengezifo, kodwa lokhu kuhlukile emisebenzini yangempela yezifo.

Ngemva kokuvuka, ungase uzizwe udidekile, ukhathele, noma usisiguluku imizuzu embalwa kuya emahoreni amaningana. Lesi sikhathi sokuphulukana siyamukelwa ngokuphelele futhi amandla akho kufanele abuyele kancane kancane.

Ziyini izinhlobo ze-vasovagal syncope?

I-Vasovagal syncope ingaqoqwa ezinhlotsheni ezahlukene ngokusekelwe ekutheni yini ekhuthaza isigameko. Ukuqonda izinto ezikukhuthazayo ezithile kungakusiza ukuba ugweme izimo ezingase zibangele ukuphelelwa amandla.

Izinhlobo eziyinhloko zihlanganisa:

• I-syncope yesimo: Ikhuthazwa imisebenzi ethile efana nokukhokha, ukuthamba, noma ukuya esitulumeni
• I-syncope yothando: Ibangelwa imizwa enamandla, ukucindezeleka, noma ukukhathazeka
• I-syncope ye-Orthostatic: Kwenzeka uma ukuma ngokushesha kakhulu
• I-syncope yenqubo yezokwelapha: Kwenzeka ngesikhathi senqubo yezokwelapha, ukukhipha igazi, noma ekubona izimpumputhe

Abanye abantu bahlangabezana nomhlanganiso walolu hlobo, kanti abanye banezinto ezikhuthazayo ezithile ezihlala zibangela izigameko zabo. Ukuqonda iphethini yakho kungaba usizo kakhulu ekunqobeni.

Yini ebangela i-vasovagal syncope?

I-Vasovagal syncope ivela lapho uhlelo lwakho oluzenzakalelayo lwezinzwa luphendula ngokweqile ezintweni ezithile ezikukhuthazayo. Uhlelo lwakho lwezinzwa ngokuvamile lugcina ibhalansi enhle phakathi kwenhliziyo yakho kanye nokucindezeleka kwegazi, kodwa ngezinye izikhathi lohlelo luhlulwa.

Izinto ezivamile ezikhuthazayo ezingase ziqalise isigameko zihlanganisa:

• Ukuma isikhathi eside, ikakhulukazi ezindaweni ezishisayo
• Ukucindezeleka okungaqondakali, ukwesaba, noma ukukhathazeka
• Ukubona igazi, izimpumputhe, noma izinqubo zezokwelapha
• Ukuhlupheka ubuhlungu obukhulu
• Ukucindezela ngesikhathi sokuya esitulumeni
• Ukukhokha noma ukuphefumula ngamandla
• Ukuba ezindaweni ezikhulu, ezishisayo, noma ezinomoya omubi
• Ukuphelelwa amanzi noma ukungadli isikhathi eside

Izinto ezikhuthazayo ezingavamile zingase zihlanganise imithi ethile, ukusebenzisa utshwala, noma izimo zezokwelapha eziphakathi ezihlasela uhlelo lwakho lwezinzwa. Isizathu esiqondile sokuthi kungani abanye abantu benesizathu esiningi kulezi zinto ezikhuthazayo kunabanye asiqondakali ngokuphelele.

Kwezinye izikhathi ezingavamile, i-vasovagal syncope ingase ikhuthazwe imisebenzi ethile efana nokugwinya, ukuhleka, noma ngisho nokudlala izitho ezithile zomculo. Lezi zinto ezikhuthazayo ezingavamile kufanele zixoxwe nodokotela wakho uma uqaphela iphethini.

Nini okumele ubone udokotela nge-vasovagal syncope?

Kufanele ubone udokotela ngemva kwesigameko sakho sokuqala sokuphelelwa amandla ukuqinisekisa ukuthi empeleni yi-vasovagal syncope hhayi okuthile okukhulu. Nakuba i-vasovagal syncope ngokuvamile ayinangozi, ezinye izimo zingase zibangele izimpawu ezifanayo futhi zidinga ukwelashwa okuhlukile.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Ukuphelelwa amandla ngesikhathi sokuzivocavoca noma umsebenzi womzimba
• Ubuhlungu besifuba, ukushaya kwenhliziyo okungavamile, noma ukuphefumula okunzima ngesikhathi sokuphelelwa amandla
• Ukuphelelwa amandla okwenzeka ngokuzumayo ngaphandle kwezimpawu zokuqala
• Ukwenzakala kwekhanda ngokuwa ngesikhathi sesigameko sokuphelelwa amandla
• Izigameko zokuphelelwa amandla ezithatha isikhathi eside kunimizuzu embalwa
• Izigameko eziningi zokuphelelwa amandla esikhathini esifushane

Hlela i-aphoyintimenti ejwayelekile nodokotela wakho uma unezigameko ezivamile ezihlupha imisebenzi yakho yansuku zonke, umsebenzi, noma ukuqhuba. Ngisho noma i-vasovagal syncope ayinangozi, izigameko ezivamile zingathinta ikhwalithi yokuphila kwakho.

Ziyini izinto ezikukhuthazayo ze-vasovagal syncope?

Ezinye izinto zingakwenza kube lula ukuba uhlangabezane ne-vasovagal syncope, nakuba ukuba nalezi zinto ezikukhuthazayo akusho ukuthi ngokuqinisekile uzoba nezigameko. Ukuqonda lezi zinto kungakusiza wena nodokotela wakho ukuba nendlela engcono kakhulu yokunqoba.

Izinto ezikukhuthazayo ezivamile zihlanganisa:

• Ukuba musha (kuvamile kubantu abasebasha nabasha)
• Ukuba nomlando womndeni wezigameko zokuphelelwa amandla
• Ukuba owesifazane (kuvamile kakhulu kwabesifazane)
• Ukuba nokukhathazeka noma izifo zokukhathazeka
• Ukuba unomuzwa wokuzwa ubuhlungu noma izinqubo zezokwelapha
• Ukuba nezimo zezokwelapha ezithile njengesihlalo noma izinkinga zenhliziyo

Izinto zendawo kanye nempilo zingase zikhulise ingozi yakho. Lokhu kuhlanganisa ukuphelelwa amanzi, ukuqina esimweni esishisayo, ukweqa ukudla, noma ukuba ngaphansi kokucindezeleka okukhulu.

Eminye imithi, ikakhulukazi leyo ephansi ukucindezeleka kwegazi noma ethinta izinga lokugijima kwenhliziyo, ingase yenze izigameko ze-vasovagal kube lula. Hlala uxoxa ngemithi yakho nodokotela wakho uma uqala ukuba nezigameko zokuphelelwa amandla.

Ziyini izinhlupheko ezingase zenzeke nge-vasovagal syncope?

Ukukhathazeka okuyinhloko nge-vasovagal syncope akuyona ukuphelelwa amandla ngokwalo, kodwa kunokuba yingozi yokulimaza uma uwa. Izigameko eziningi zifushane futhi azibangeli izinkinga zempilo ezihlala njalo, kodwa ukuwa ngezinye izikhathi kungase kube yimbangela yokuqhekeka, ukugqwala, noma ukulimala okukhulu.

Izinhlupheko ezingase zenzeke zihlanganisa:

• Ukuqhekeka, ukugqwala, noma ukukhazimula ngokuwa
• Ukulimala kwekhanda uma ubetha ikhanda uma uwa
• Amathambo asele, ikakhulukazi uma uwa ezindaweni ezinzima
• Izingozi zezimoto uma ukuphelelwa amandla kwenzeka ngesikhathi sokuqhuba
• Ukukhathazeka ngezigameko zesikhathi esizayo ezihlasela imisebenzi yansuku zonke

Ngokuvamile, izigameko ezivamile ze-vasovagal zingase ziholele esimweni esibizwa nge "convulsive syncope," lapho ukuthuthumela komsipha okufushane kwenzeka ngesikhathi sokuphelelwa amandla. Nakuba lokhu kungase kubukeke kukhulu, kuhlukile ezifweni ze-epileptic futhi ngokuvamile akudingi ukwelashwa okuthile.

Abanye abantu bathuthukisa ukukhathazeka okuqala, beba nokukhathazeka kakhulu ngokuphelelwa amandla kangangokuba ukwesaba ngokwalo kuba yinto ekhuthazayo. Lokhu kudala isakhiwo esingaphazanyiswa ngokwelashwa okufanele kanye nezindlela zokubhekana nazo.

I-vasovagal syncope ingavikeleka kanjani?

Indlela engcono kakhulu yokuvimbela i-vasovagal syncope ukubona nokuqeda izinto ezikukhuthazayo ngokwakho uma kungenzeka. Uma usuqonde ukuthi yini eqala izigameko zakho, ungathatha izinyathelo zokunciphisa ingozi yakho.

Izindlela zokunqoba ezisebenzayo zihlanganisa:

• Ukuhlala unamanzi amaningi, ikakhulukazi esimweni esishisayo
• Ukudla ukudla okujwayelekile ukuze ugcine ushukela egazini uzinzile
• Ukuma kancane ngokuphuma ekuhlaleni noma ekuphumuleni
• Ukuqeda ukuqina isikhathi eside, ikakhulukazi ezindaweni ezishisayo
• Ukufunda ukuqaphela izimpawu zokuqala
• Ukuqeqesha ukuphatha ukucindezeleka kanye nezindlela zokupumula

Uma uzizwa izimpawu zokuqala ziqala, hlala phansi noma ulele ngezinyawo zakho eziphakanyisiwe. Lesi simo sisiza ukugeleza kwegazi kubuyele ebuchosheni bakho futhi kungavimbela isigameko sokuphelelwa amandla ukuba senzeke.

Abanye abantu bazuza ngokugqoka izokisi zokucindezela, eziqeda ukugeleza kwegazi ekuhlanganeni ezinyaweni zakho uma ukuma. Udokotela wakho angakuncoma uhlobo olufanele kanye nezinga lokucindezela ezidingweni zakho.

I-vasovagal syncope ihlonishwa kanjani?

Ukuhlola i-vasovagal syncope ngokuvamile kuqala ngengxoxo eningiliziwe mayelana nezimpawu zakho, izinto ezikukhuthazayo, nomlando wakho wezokwelapha. Udokotela wakho uzothanda ukuzwa ngokuqondile ukuthi kwenzekani ngaphambi, phakathi, nangemva kwezigameko zakho zokuphelelwa amandla.

Udokotela wakho cishe uzokwenza ukuhlolwa komzimba futhi angase ayalele ukuhlolwa okuningi ukuze akhiphe ezinye izimbangela zokuphelelwa amandla. Lokhu kungase kuhlanganise i-electrocardiogram (ECG) ukuhlola izinga lokugijima kwenhliziyo yakho, ukuhlolwa kwegazi ukuhlola i-anemia noma izinkinga zeshukela egazini, kanye nokulinganiswa kokucindezeleka kwegazi.

Kwezinye izikhathi, udokotela wakho angase akuncome ukuhlolwa kwe-tilt table. Ngalesi sihloko, ulele etafuleni elingase libe phezulu ngesikhathi izinga lokugijima kwenhliziyo yakho kanye nokucindezeleka kwegazi kuqapha. Lesi sihloko singasiza ekuqinisekiseni i-vasovagal syncope ngokubuyisela izimpawu zakho endaweni elawulwayo.

Ezinye izivivinyo njenge-echocardiograms, i-Holter monitors, noma izivivinyo zokucindezela komzimba zingase zidingeke uma udokotela wakho ekrotha izinkinga zenhliziyo. Noma kunjalo, abantu abaningi abane-vasovagal syncope evamile abadingi ukuhlolwa okuningi.

Ukuphathwa kwe-vasovagal syncope kuyini?

Ukuphathwa kwe-vasovagal syncope kugxile ikakhulu ekuvinjeni izigameko ngokushintsha indlela yokuphila nokuqeda izinto ezikukhuthazayo. Njengoba lesi simo ngokuvamile ayinangozi, umgomo ukunciphisa ukuthi izigameko zenzeka kangakanani nokuncipha ingozi yokulimaza.

Ukuphathwa kokugcina kuhlanganisa:

• Ukwandisa ukusetshenziswa kwamanzi kanye nengqamuzana ukuze ugcine ubuningi begazi
• Ukufunda izindlela zokucindezela komzimba njengokucindezela imisipha yemilenze
• Ukuqeda izinto ezikukhuthazayo uma kungenzeka
• Ukugqoka izokisi zokucindezela uma kunconywe
• Ukuqeqesha ukuphumula okuhle nokuphatha ukucindezeleka

Kwabantu abanezimo ezivamile, ezinzima ezingaphenduli ekushintsheni indlela yokuphila, imithi ingase ibe usizo. Lokhu kungase kuhlanganise i-beta-blockers, i-fludrocortisone, noma i-midodrine, nakuba imithi ngokuvamile ayilona ikhetho lokuqala lokwelapha.

Kwezinye izikhathi ezingavamile lapho izigameko zivame kakhulu futhi zikhubaza, i-pacemaker ingase icatshangelwe. Noma kunjalo, lokhu kugcinelwe izimo ezithile futhi abantu abaningi abane-vasovagal syncope abadingi leli zinga lokungenelela.

Indlela yokuphatha i-vasovagal syncope ekhaya?

Ukuphatha i-vasovagal syncope ekhaya kuhilela ukudala indawo ephephile nokwenza izindlela zokuvimbela nokubhekana nezigameko. Okubalulekile ukulungela nokukwazi ukuthi yini okufanele uyenzani lapho izimpawu zokuqala zivele.

Dala uhlelo lokunciphisa oluhlanganisa ukuphuza amanzi amaningi usuku lonke, ukudla ukudla okujwayelekile, nokuqeda izinto ezikukhuthazayo uma kungenzeka. Gcina idayari yokuphelelwa amandla ukuze uqaphele izigameko futhi uqonde izimo ongasaziboni.

Uma uzizwa izimpawu zokuqala, ngokushesha:

• Hlala phansi noma ulele ngezinyawo zakho eziphakanyisiwe
• Khulula izingubo ezinzima ezinqenqemeni lakho
• Faka izindwangu ezibandayo, ezimanzi ebusweni naseqenqemeni lakho
• Phakama kancane, uthathe umoya ojulile
• Hlala kulesi simo kuze kube yilapho izimpawu zidlula ngokuphelele

Qinisekisa ukuthi amalungu omndeni nabangane abasondelene nawe bayazi ngesimo sakho futhi baqonde ukuthi yini okufanele bayenze uma uwa. Kufanele bakusize ulele ngokuphepha, uphakamise izinyawo zakho, futhi bangazami ukukwenza uhlale kuze kube yilapho ukhona ngokuphelele.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungasiza ekuqinisekiseni ukuthi uthola ukuxilongwa okuchane kakhulu kanye nelenqubo yokwelapha engcono kakhulu. Woza ulungele ukuxoxa ngezimpawu zakho ngokuningiliziwe futhi unikeze ulwazi oluqondile mayelana nezigameko zakho.

Ngaphambi kwendwendwelo yakho, bhala phansi:

• Nini isigameko ngasinye sokuphelelwa amandla senzeke nokuthi wawenzani
• Ziyini izimpawu zokuqala ozihlangabezane nazo ngaphambi kokuphelelwa amandla
• Ube ungazi kangakanani
• Ubezizwa kanjani ngemva kwalokho nokuthi ukuphulukana kuthathe isikhathi esingakanani
• Yonke imithi kanye nezinye izinto ozithathayo
• Nomlando womndeni wokuphelelwa amandla noma izinkinga zenhliziyo

Letha uhlu lwemibuzo ofuna ukuyibuza, njengokuthi udinga yini ukuqeda imisebenzi ethile, nini okumele ufune ukunakekelwa okusheshayo, noma uma udinga ukuhlolwa okulandelayo. Unganqikazi ukucela incazelo uma okuthile akucaci.

Cabanga ngokuletha ilungu lomndeni noma umngane obonile isigameko, njengoba bengase bakhumbule imininingwane ongayikhumbuli. Ukubona kwabo kungaba usizo ekulinganisweni lodokotela wakho.

Iyini into ebalulekile mayelana ne-vasovagal syncope?

I-Vasovagal syncope iyisimo esivamile, esingenangozi ngokuvamile esibangela izigameko ezifushane zokuphelelwa amandla. Nakuba kungase kube ukwesaba ukuhlangabezana noma ukubona, ngokuvamile akubonisi inkinga enkulu yempilo futhi ingaphathwa kahle ngezindlela ezifanele.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa ekubhekaneni nalesi simo. Izigidi zabantu zihlangabezana ne-vasovagal syncope, futhi ngokuqonda nokuphathwa okuhle, abantu abaningi bangqhubeka bephila impilo egcwele, esebenzayo.

Gxilisa ekuqondeni izinto ezikukhuthazayo, ukufunda izindlela zokunqoba, nokudala indawo ephephile kuwe. Sebenza nodokotela wakho ukwenza uhlelo lokuphathwa olufanele indlela yakho yokuphila nezidingo zakho ezithile.

Khumbula ukuthi ngesikhathi i-vasovagal syncope ingase ibe yinkinga, ngokuvamile ayinangozi uma ilawulwa kahle. Ngesikhathi nokunakekelwa kwezindlela zokunqoba, abantu abaningi bathola ukuthi izigameko zabo ziyaqala ukuncishiswa noma ziyeke ngokuphelele.

Imibuzo evamile ebuzwa mayelana ne-vasovagal syncope

Ingaphiliswa ngokuphelele yini i-vasovagal syncope?

I-Vasovagal syncope ayikwazi "ukwelashwa" ngendlela evamile, kodwa ingaphathwa kahle kakhulu. Abantu abaningi bathola ukuthi izigameko zabo ziyaqala ukuncishiswa noma ziyeke ngokuphelele ngokuphathwa okuhle kwempilo nokuqeda izinto ezikukhuthazayo. Abanye abantu ngokwemvelo bayakhula lesi simo njengoba bekhula, ikakhulu labo ababekuthuthukisile ngesikhathi sobuntwana babo noma ekuqaleni kobudala babo.

Kuphephile yini ukuqhuba uma une-vasovagal syncope?

Ukuphepha ekuqhumeni kuncike ekutheni izigameko zakho zivame kangakanani nokuthi uthola yini izimpawu zokuqala ngaphambi kokuphelelwa amandla. Uma unezimpawu zokuqala eziqondile futhi ungakwazi ukuqeda ngokuphepha lapho ziqala, ukuqhuba kungase kube kuhle ngemvume yodokotela wakho. Noma kunjalo, uma izigameko zakho zenzeka ngokuzumayo ngaphandle kokuxwayisa noma zivame kakhulu, kungase kudingeke uqede ukuqhuba okwesikhashana kuze kube yilapho isimo sakho silawulwa kangcono.

Ingase yenzeke yini i-vasovagal syncope ngesikhathi sokulala?

I-Vasovagal syncope ayenzeki ngesikhathi sokulala ngoba uselele phansi, okusiza ngokwemvelo ekuqondeni ukugeleza kwegazi ebuchosheni bakho. Uma izigameko zokuphelelwa amandla zenzeka ngesikhathi ulele noma ngesikhathi ulele, lokhu kungase kubonise uhlobo oluhlukile lwe-syncope oludinga ukulinganiswa kwezokwelapha ukuze kuqale izinkinga zokugijima kwenhliziyo noma ezinye izimo.

Ingabe abantwana bami bazokwazi ukudlulisela i-vasovagal syncope uma nginayo?

Kubonakala sengathi kunengxenye yofuzo kwi-vasovagal syncope, njengoba ngokuvamile iqhubeka emindenini. Noma kunjalo, ukuba nomzali onalesi simo akusho ukuthi abantwana bazokuthuthukisa. Uma umntanakho ehlangabezana nezigameko zokuphelelwa amandla, kubalulekile ukuba ahlolwe yisazi sezokwelapha ukuze kuqale imbangela nokuphathwa okuhle.

Ingabe ukuzivocavoca kungasiza ekuvinjeni izigameko ze-vasovagal syncope?

Ukuzivocavoca okujwayelekile, okulinganiselwe kungaba usizo kwabantu abaningi abane-vasovagal syncope ngoba kuthuthukisa impilo enhle yomzimba ngokujwayelekile futhi kusiza ekulawuleni ukucindezeleka kwegazi. Noma kunjalo, kufanele ugweme ukuzivocavoca okukhulu okungase kukhuthaze izigameko, futhi uhlale unamanzi amaningi. Ukuzivocavoca okuthile njengokuqeqeshwa kwe-tilt noma izindlela zokucindezela komzimba kungaba usizo kakhulu uma kufundwe ngendlela efanele ngaphansi kokunakekelwa kwezokwelapha.