Yini Ukuhlolwa Kwetafula Lokuthambisa? Inhloso, Inqubo & Imiphumela

Ukuhlolwa kwetafula lokuthambisa kuyinqubo elula, engahlaseli esiza odokotela ukuthi baqonde ukuthi kungani ungase uhlangabezane nokuquleka noma isiyezi. Ngesikhathi sokuhlolwa, uzolala etafuleni elikhethekile elingathambiswa ngama-engeli ahlukene ngenkathi izinga lokushaya kwenhliziyo yakho nomfutho wegazi kuqashwa ngokucophelela. Lokhu kulingisa okumnene kusiza ukudalula ukuthi umzimba wakho usabela kanjani ezingeni lokushintsha kwesimo, okunganikeza imininingwane ebalulekile ezimweni ezinjenge-vasovagal syncope noma i-postural orthostatic tachycardia syndrome (POTS).

Yini ukuhlolwa kwetafula lokuthambisa?

Ukuhlolwa kwetafula lokuthambisa kuyinqubo yokuxilonga eqapha ukushaya kwenhliziyo yakho nomfutho wegazi ngenkathi ususwa ekulaleni phansi uye ekumeni uqonde. Ukuhlolwa kusebenzisa itafula elinamandla elinemichilo yokuphepha nezinyawo zokunqamula ukuze kuguqulwe kancane isikhundla somzimba wakho sisuka sivundlile siye cishe siqonde, ngokuvamile ngama-engeli angama-60 kuya kwangama-80 degree.

Lokhu kunyakaza okulawulwayo kuvumela odokotela ukuthi babone ukuthi uhlelo lwakho lwe-cardiovascular lusabela kanjani ekucindezelekeni kokuma. Umzimba wakho ngokuvamile wenza izinguquko ezisheshayo uma umile, kodwa abanye abantu bahlangabezana nezinkinga ngalolu hlobo lokusabela oluzenzakalelayo. Ukuhlolwa kungathatha noma yikuphi kusuka kumizuzu engama-30 kuya ehoreni elilodwa, kuye ngezimpawu zakho ezithile kanye nomlando wezokwelapha.

Inqubo ayinabuhlungu ngokuphelele futhi ithathwa njengephephile kakhulu. Uzoxhunywa kuma-monitor enhliziyo kanye nama-cuffs omfutho wegazi kuyo yonke inhlolokhono, ngakho-ke abasebenzi bezokwelapha bangakwazi ukulandelela noma yiziphi izinguquko ngesikhathi sangempela futhi baqinisekise ukuphepha kwakho.

Kungani kwenziwa ukuhlolwa kwetafula lokuthambisa?

Udokotela wakho angase ancome ukuhlolwa kwetafula lokuthambisa uma uke wahlangabezana neziqephu zokuquleka ezingachazeki, isiyezi esivamile, noma ukukhathala lapho usukuma. Lezi zimpawu zingathinta kakhulu impilo yakho yansuku zonke futhi zingase zibonise isimo esingaphansi esithinta indlela imithambo yakho yegazi nenhliziyo esebenza ngayo ndawonye.

Lolu vivinyo lusiza kakhulu ekuxilongeni i-vasovagal syncope, okuyimbangela evame kakhulu yokuphelelwa amandla. Lesi simo senzeka lapho umzimba wakho usabela ngokweqile ezintweni ezithile ezibangela ukuthi izinga lokushaya kwenhliziyo yakho lehle futhi umfutho wegazi wehle ngokuphazima kweso. Ukuhlolwa kwetafula lokuthambisa kungakwazi ukukhiqiza lezi ziqephu endaweni elawulwayo, ephephile.

Odokotela futhi basebenzisa lolu vivinyo ukuhlola i-postural orthostatic tachycardia syndrome (POTS), isimo lapho izinga lokushaya kwenhliziyo yakho likhuphuka kakhulu uma usukuma. Ngaphezu kwalokho, kungasiza ukuhlonza i-orthostatic hypotension, lapho umfutho wegazi wehla kakhulu lapho usukuma, okubangela isiyezi noma ukuquleka.

Kwezinye izimo, lolu vivinyo lungase-odayizwe ukuba kuqedwe izinkinga zesigqi senhliziyo noma ukuhlola ukuthi imithi isebenza kahle kangakanani kubantu asebevele betholakele ukuthi banokuquleka.

Yini inqubo yokuhlolwa kwetafula lokuthambisa?

Ukuhlolwa kwetafula lokuthambisa kwenzeka ekamelweni elikhethekile elinemishini yezimo eziphuthumayo eduze, nakuba izinkinga ezingathi sína zingavamile kakhulu. Uzoza endaweni yokuhlola futhi ucelwe ukuthi uguqulele ezingutsheni zasemtholampilo ukuze kube lula ukufinyelela emishinini yokuqapha.

Okokuqala, abasebenzi bezokwelapha bazonamathisela amadivaysi amaningana okuqapha emzimbeni wakho. Lokhu kuhlanganisa ama-electrocardiogram (EKG) ama-electrode esifubeni sakho ukuze kulandelwe isigqi senhliziyo yakho, i-blood pressure cuff engalweni yakho, futhi ngezinye izikhathi iziqaphi ezengeziwe zokukala amazinga omoya-mpilo. Uzobe uselala etafuleni lokuthambisa, elibukeka njengombhede omncane onamabhande okuphepha kanye nendawo yokubeka izinyawo.

Isigaba sokuqala sihlanganisa ukulala ngendlela eyisicaba imizuzu engaba ngu-15 kuya kwengu-20 ngenkathi izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kurekhodwa. Lesi sikhathi sokuphumula sisiza ukusungula amanani akho avamile ngaphambi kokuba kwenzeke izinguquko kunoma iyiphi indawo. Ngesikhathi salokhu, ungase uzizwe ukhathazekile kancane, okujwayelekile ngokuphelele.

Okulandelayo, itafula lizokuthambekisa kancane kancane liye endaweni eqondile, ngokuvamile phakathi kwama-degree angu-60 kuya kwangu-80. Lokhu kunyakaza kwenzeka kancane kancane futhi kulawulwa, kuthatha imizuzwana embalwa kuphela ukuqeda. Uzohlala kule ndawo ethambekile imizuzu engama-20 kuya kwengama-45 ngenkathi abasebenzi beqhubeka nokuhlola izimpawu zakho ezibalulekile.

Uma ungaqali ukuzwa izimpawu ngesikhathi sokuhlolwa okuyisisekelo, udokotela wakho angase anikeze umthamo omncane womuthi obizwa ngokuthi i-isoproterenol nge-IV. Lo muthi ungenza inhliziyo yakho izwele kakhulu ekushintsheni kwesimo futhi ungase usize ukuqala izimpawu uma unesifo sokuphelelwa amandla. Isigaba somuthi ngokuvamile sithatha imizuzu eyi-15 kuya kwengama-20 eyengeziwe.

Kuyo yonke inqubo, abasebenzi bezokwelapha bazokubuza ukuthi uzizwa kanjani futhi baqaphele noma yiziphi izimpawu zokugajwa, isicanucanu, noma ezinye izimpawu. Uma uba nokuphelelwa amandla noma izimpawu ezinzima, itafula lizobuyiselwa ngokushesha endaweni eyisicaba, futhi ngokuvamile uzozizwa ungcono ngemizuzwana.

Ungalungiselela kanjani ukuhlolwa kwetafula lokuthambekisa?

Ukulungiselela ukuhlolwa kwetafula lokuthambekisa kulula, kodwa ukulandela imiyalelo kadokotela wakho ngokucophelela kuzosiza ekuqinisekiseni imiphumela enembile. Abahlinzeki bezempilo abaningi bazokucela ukuthi uzile okungenani amahora angu-4 ngaphambi kokuhlolwa, okusho ukuthi akukho ukudla noma iziphuzo ngaphandle kokuthatha amanzi amancane ukuze uthathe imithi edingekayo.

Udokotela wakho cishe uzobuyekeza imithi yakho yamanje futhi angase akucele ukuthi uyeke okwesikhashana eminye engase ithinte imiphumela yokuhlolwa. Imithi yokwehlisa umfutho wegazi, imithi yenhliziyo, kanye neminye imithi yokucindezeleka kungenzeka idinge ukuthi imiswe amahora angu-24 kuya kwangu-48 ngaphambi kokuhlolwa. Kodwa-ke, ungalokothi uyeke ukuthatha imithi enqunyiwe ngaphandle kwemiyalelo ecacile evela kumhlinzeki wakho wezempilo.

Ngosuku lokuhlolwa kwakho, gqoka izingubo ezikhululekile, ezingaqinile ezingasuswa kalula kusuka okhalweni kuya phezulu. Gwema ukugqoka ubucwebe, ikakhulukazi entanyeni nasezihlakaleni, njengoba kungase kuphazamise imishini yokuqapha. Kubuye kuhlakaniphile ukuhlela ukuthi othile akuqhubele ekhaya, njengoba ungase uzizwe ukhathele noma unesiyezi ngemva kwenqubo.

Zama ukulala kahle ebusuku ngaphambi kokuhlolwa kwakho futhi gwema i-caffeine okungenani amahora angu-12 ngaphambili. I-Caffeine ingathinta izinga lokushaya kwenhliziyo yakho nomfutho wegazi, okungenzeka kuphazamise imiphumela enembile. Uma uzizwa ukhathazekile ngempela ngenqubo, unganqikazi ukuxoxa ngezinkathazo zakho nethimba lakho lezempilo.

Letha uhlu lwazo zonke izidakamizwa zakho zamanje, okuhlanganisa izithasiselo ezingathengiswa ngaphandle kwemvume kadokotela namavithamini. Futhi, yazisa udokotela wakho nganoma yiziphi izifo zakamuva, njengoba ukoma noma ukululama esifweni esithathelwanayo kungathinta imiphumela yakho yokuhlolwa.

Ungayifunda kanjani imiphumela yakho yokuhlolwa kwetafula lokuthambisa?

Ukuqonda imiphumela yakho yokuhlolwa kwetafula lokuthambisa kuhilela ukubheka ukuthi izinga lokushaya kwenhliziyo yakho nomfutho wegazi kusabele kanjani ekushintsheni kwesimo. Umphumela ojwayelekile usho ukuthi uhlelo lwakho lwe-cardiovascular luvumelane ngempumelelo nesimo esiqondile ngaphandle kokubangela izimpawu ezibalulekile noma izinguquko eziyingozi ezimpawini ezibalulekile.

Uma une-vasovagal syncope, ukuhlolwa ngokuvamile kuzokhombisa ukwehla okungazelelwe kokubili izinga lokushaya kwenhliziyo nomfutho wegazi uma uthambekele phezulu. Le pattern, ebizwa ngokuthi i-vasovagal response, ivame ukwenzeka kanye nezimpawu ezinjengokucasuka, ukujuluka, noma ukuzizwa udidekile. Izinga lokushaya kwenhliziyo lingancipha liye ngaphansi kwama-60 beats ngomzuzu, kuyilapho umfutho wegazi ungawehla ngamaphuzu angu-20 kuya kwangu-30 noma ngaphezulu.

Nge-postural orthostatic tachycardia syndrome (POTS), lolu vivinyo luveza ukwanda okuqhubekayo kwesilinganiso senhliziyo okungenani okungu-30 beats ngomzuzu (noma ama-beats angu-40 ngomzuzu uma ungaphansi kweminyaka engu-19) kungakapheli imizuzu eyi-10 ngemuva kokusukuma, ngaphandle kokwehla okukhulu kwengcindezi yegazi. Isilinganiso senhliziyo yakho singase siqongelele sisuke kuma-beats angu-70 ngomzuzu ngenkathi ulele siye kuma-120 noma ngaphezulu uma uqonde.

I-Orthostatic hypotension iveza ukwehla okukhulu kwengcindezi yegazi kungakapheli imizuzu emi-3 ngemuva kokusukuma, ngokuvamile ukwehla okungenani kwamaphuzu angu-20 engcindezi ye-systolic noma amaphuzu angu-10 engcindezi ye-diastolic. Lokhu kwehlela kuvame ukubangela isiyezi, ukukhathala, noma izimpawu zokuquleka.

Abanye abantu banento ebizwa ngokuthi impendulo

Izindlela zokulwa nokucindezela ngokomzimba zingakusiza ukuthi ugweme ukuquleka lapho uzwa izimpawu ziqala. Lokhu kufaka phakathi ukuwela imilenze yakho nokwenza imisipha yakho iqine, ukuqina izibhakela zakho, noma ukucindezela izandla zakho ndawonye ngaphezu kwekhanda lakho. Ukufunda ukuqaphela izimpawu zokuqala zokuxwayisa njengokucasuka, ukufudumala, noma izinguquko ezibonakalayo kukunika isikhathi sokusebenzisa lezi zindlela.

Uma izinguquko zendlela yokuphila zinganele, udokotela wakho angase anqume imithi. I-Fludrocortisone isiza umzimba wakho ukuthi ugcine usawoti namanzi, kanti ama-beta-blockers angavimbela izinguquko zesilinganiso senhliziyo ebangela ukuquleka. I-Midodrine iyinye inketho esiza ukugcina umfutho wegazi lapho umile.

Ukuphathwa kwe-POTS, ukwelashwa kugxila ekuthuthukiseni ukuhamba kwegazi nokunciphisa izimpawu. Amasokisi okucindezela afika okhalweni akusiza ukuvimbela igazi ukuthi lingaqongeleli emilenzeni yakho. Ukuzivocavoca njalo, ikakhulukazi ukubhukuda noma ukugwedla, kungathuthukisa ukuqina kwenhliziyo yakho futhi kunciphise izimpawu ngokuhamba kwesikhathi.

Ukwelashwa kwe-orthostatic hypotension kuncike embangweni obangela. Uma imithi inegalelo enkingeni, udokotela wakho angase alungise imithamo noma ashintshele kwezinye izinketho. Ukudla ukudla okuncane, okuvame kakhulu nokugwema utshwala obuningi kungasiza ekuvikeleni ukwehla komfutho wegazi.

Ezimweni ezinzima, ukwelashwa okuningi kungase kudingeke. Abanye abantu bayazuza ekuqeqeshweni kokutsheka, lapho bekhuphula kancane isikhathi esichithwa bemi nsuku zonke. Ngokungavamile, i-pacemaker ingase inconywe kubantu abanezinkinga ezinkulu zesilinganiso senhliziyo.

Yiziphi izici eziyingozi zemiphumela yokuhlolwa kwetafula lokutsheka okungajwayelekile?

Izici eziningana zingakhuphula amathuba akho okuba nokuhlolwa kwetafula lokutsheka okungajwayelekile, futhi ukuqonda lokhu kungakusiza wena nodokotela wakho ukuthi nihumushe imiphumela yakho ngokunembile. Ubudala budlala indima ebalulekile, njengoba abadala bangase bathole izinkinga zokulawula umfutho wegazi ngenxa yezinguquko zemvelo ekuguquguqukeni kwemithambo yegazi kanye nomsebenzi wesimiso sezinzwa.

Ukomiswa amanzi ngesinye sezinto ezivame kakhulu ezingathinta imiphumela yokuhlolwa. Ngisho nokomiswa amanzi okuncane kungenza uhlelo lwakho lwe-cardiovascular lungakwazi ukuzivumelanisa nezinguquko zesikhundla, okungenzeka kuholele ekufundweni okungajwayelekile. Yingakho ukuthatha amanzi ngendlela efanele ngaphambi kokuhlolwa kubaluleke kakhulu.

Ezinye izimo zezokwelapha zikhuphula ingozi yakho yemiphumela engajwayelekile. Isifo sikashukela singalimaza imizwa elawula ukulawulwa kwengcindezi yegazi, kanti isifo senhliziyo singathinta ikhono lohlelo lwakho lwe-cardiovascular lokuphendula izinguquko zesikhundla. Abantu abanesifo sokukhathala okungapheli, i-fibromyalgia, noma izimo ze-autoimmune nabo banamazinga aphezulu okuhlolwa kwetafula elitshekile okungajwayelekile.

Imithi ingathinta kakhulu imiphumela yokuhlolwa. Imithi yokwehlisa umfutho wegazi, ikakhulukazi lezo ezithinta uhlelo lwezinzwa, zingashintsha indlela umzimba wakho osabela ngayo ezingeni lezikhundla. Ama-antidepressants, ikakhulukazi ama-tricyclics kanye nama-SSRIs athile, angathinta izinga lokushaya kwenhliziyo nokulawulwa komfutho wegazi.

Ukugula kwakamuva, ikakhulukazi izifo ezibangelwa amagciwane, kungathinta okwesikhashana ikhono lohlelo lwakho lwe-cardiovascular lokugcina umfutho wegazi uma umile. Ukuphumula embhedeni isikhathi eside noma ukungasebenzi kungenza umzimba wakho ungakwazi ukuzivumelanisa nezinguquko zesikhundla.

Ukukhathazeka nokucindezeleka kungathinta imiphumela yokuhlolwa, yize lokhu kungasho ngempela inkinga yezokwelapha. Abanye abantu bazwa izimpawu ngesikhathi sokuhlolwa ngenxa yokukhathazeka kunokuba kube nesimo se-cardiovascular esingaphansi.

Ezimweni ezingavamile, izici zofuzo zingase zidlale indima. Eminye imindeni inamazinga aphezulu ezifo zokuquleka, okusikisela ingxenye yezofuzo ezinhlotsheni ezithile zemiphumela yokuhlolwa kwetafula elitshekile okungajwayelekile.

Ziyini izinkinga ezingaba khona zemiphumela yokuhlolwa kwetafula elitshekile okungajwayelekile?

Ngenkathi abantu abaningi abanemiphumela engavamile yokuhlolwa kwetafula lokuthambisa bengakwazi ukulawula izimo zabo ngempumelelo, kubalulekile ukuqonda izinkinga ezingaba khona ukuze ukwazi ukusebenza nethimba lakho lezempilo ukuzivimbela. Izindaba ezinhle ukuthi izinkinga ezinzima azivamile, ikakhulukazi ngemithi efanele kanye nokuguqulwa kwendlela yokuphila.

Into ekhathaza ngokushesha ukulimala okuvela ekuweni ngesikhathi sokuphelelwa amandla. Uma ulahlekelwa ukwazi, awukwazi ukuzivikela ekushayeni izindawo eziqinile noma izinto. Lolu hlobo lwengozi lukhathaza kakhulu uma ushayela, usebenzisa imishini, noma usebenza ezindaweni eziphakeme. Abanye abantu badinga ukuguqula imisebenzi yabo okwesikhashana kuze kube yilapho isimo sabo silawulwa kahle.

Ukuquleka njalo kungaholela ekukhathazekeni ngokuthi isigameko esilandelayo singenzeka nini, okudala umjikelezo lapho ukukhathazeka ngokuphelelwa amandla empeleni kuqala ezinye izigameko. Lo mphumela wengqondo ungathinta kakhulu izinga lempilo futhi kungadingeka ukwelulekwa noma izindlela zokulawula ukukhathazeka.

Kubantu abane-POTS, izinguquko ezisheshayo zesilinganiso senhliziyo ngezinye izikhathi zingaholela ebuhlungwini besifuba noma ukushaya kwenhliziyo okuzizwa kuyethusa, yize ngokuvamile kungabi yingozi. Kodwa-ke, imvelo engapheli ye-POTS ingaholela ekungahleleni, lapho ukuqina kwakho kwenhliziyo nemithambo kuwohloka kancane kancane ngenxa yokugwema imisebenzi ebangela izimpawu.

I-Orthostatic hypotension ingabangela okungaphezu nje kokugajezwa. Ukwehla okukhulu kwengcindezi yegazi kunganciphisa okwesikhashana ukugeleza kwegazi ebuchosweni, okungenzeka kubangele ukudideka noma ubunzima bokugxila. Kubantu abadala, lokhu ngezinye izikhathi kungase kudidaniswe nokuwohloka komqondo noma ezinye izinkinga zokuqonda.

Ezimweni ezingavamile, abantu abane-vasovagal syncope enzima bangase bathuthukise okubizwa ngokuthi

Abanye abantu bathuthukisa isimo esibizwa ngokuthi "i-situational syncope," lapho ukuquleka kwenzeka ngenxa yezinto ezithile ezibangela njengokudonswa kwegazi, izinqubo zezokwelapha, noma ngisho nezimo ezithile ezingokomzwelo. Lokhu kungenza ukunakekelwa kwezokwelapha okuvamile kube yinselele futhi kungadinga izinyathelo zokuphepha ezikhethekile.

Ngezikhathi ezingavamile, izinkinga ezingaphansi zokushaya kwenhliziyo ezitholwe ngesikhathi sokuhlolwa kwetafula lokutshekisa zingase zidinge ukwelashwa ngokushesha. Lawa macala awavamile kodwa agcizelela ukubaluleka kokuba nokuhlolwa okwenziwa endaweni yezokwelapha ehlome kahle.

Kufanele ngibone nini udokotela mayelana nemiphumela yokuhlolwa kwami kwetafula lokutshekisa?

Ngemuva kokuhlolwa kwakho kwetafula lokutshekisa, kufanele uthinte udokotela wakho uma uhlangabezana nanoma yiziphi izimpawu ezintsha noma eziqhubekayo, ngisho noma imiphumela yakho yokuqala ibinjalo. Umzimba wakho ungashintsha ngokuhamba kwesikhathi, futhi izimpawu ezintsha zingase zibonise ukuthi isimo sakho siyaqhubeka noma ukuthi uthuthukise enye inkinga.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana neziqephu zokuquleka ezingahlukile endleleni yakho ejwayelekile. Lokhu kufaka phakathi ukuquleka okwenzeka ngenkathi ulele phansi, iziqephu ezihlala isikhathi eside kunokujwayelekile, noma ukuquleka okuhambisana nobuhlungu besifuba, ikhanda elibuhlungu kakhulu, noma ubunzima bokukhuluma. Lezi zimpawu zingase zibonise isimo esingathi sína esidinga ukuhlolwa okusheshayo.

Uma unqunywe ukuthi unesimo esithile esisekelwe emiphumeleni yakho yokuhlolwa kwetafula lokutshekisa, kufanele ubone udokotela wakho uma ukwelashwa kwakho kwamanje kungalawuli izimpawu zakho ngokwanele. Lokhu kungase kusho ukuthi imithi yakho idinga ukulungiswa, noma ungase uzuze ekwelashweni okwengeziwe noma ekushintsheni indlela yokuphila.

Xhumana nomhlinzeki wakho wezempilo uma uhlangabezana nezimpawu ezintsha njengobuhlungu besifuba obuqhubekayo, ukuphefumula okunzima kakhulu, noma ukuvuvukala emilenzeni yakho noma ezinyaweni. Nakuba lokhu ngokuvamile kungahlobene nezimo ezitholwe ngokuhlolwa kwetafula lokutshekisa, kungase kubonise ezinye izinkinga zenhliziyo nemithambo yegazi ezidinga ukunakwa.

Uma usebenzisa imithi ngokusekelwe emiphumeleni yokuhlolwa kwakho, qaphela imiphumela engemihle bese uyibika kudokotela wakho. Eminye imithi esetshenziselwa ukwelapha izifo zokuquleka ingadala izinkinga ezinjengokugcinwa kwamanzi ngokweqile, ukungalingani kwama-electrolyte, noma ukusebenzisana neminye imithi.

Abantu abanezimo ezingapheli njenge-POTS kufanele bagcine ama-aphoyintimenti okuqapha njalo, ngokuvamile njalo emva kwezinyanga ezi-3-6 ekuqaleni, bese kuthi ngonyaka uma izimpawu zilawulwa kahle. Udokotela wakho angase afune ukuphinda izivivinyo ezithile noma alungise ukwelashwa ngokusekelwe endleleni ozabela ngayo.

Uma uhlela ukukhulelwa futhi unesimo esitholwe ngokuhlolwa kwetafula lokutshekisa, xoxa ngalokhu nodokotela wakho kusenesikhathi. Ukukhulelwa kungathinta lezi zimo, futhi okunye ukwelashwa kungadingeka ukuthi kulungiswe ukuze kuphephe ngesikhathi sokukhulelwa.

Imibuzo evame ukubuzwa mayelana nokuhlolwa kwetafula lokutshekisa

Q1: Ingabe ukuhlolwa kwetafula lokutshekisa kubuhlungu noma kuyingozi?

Ukuhlolwa kwetafula lokutshekisa akubuhlungu futhi kubhekwa njengokuphephile kakhulu uma kwenziwa endaweni efanele yezokwelapha. Ungase uzizwe ungakhululekile noma ukhathazekile ngesikhathi senqubo, futhi ungase uzwe izimpawu ezakukuyisa ekuhlolweni ekuqaleni, kodwa lokhu kuyasiza ngempela ekuxilongweni.

Umuzwa ovamile kakhulu ukuzwa ukukhathala noma isiyezi lapho itafula lithambekela phezulu, okuyilokho kanye ukuhlolwa okwenzelwe ukukuthola. Uma uquleka ngesikhathi sokuhlolwa, abasebenzi bezokwelapha batholakala ngokushesha ukuze bakubuyisele endaweni eyisicaba, futhi ngokuvamile uzozizwa ungcono ngemizuzwana kuya emizuzwini.

Izinkinga ezingathi sína azivamile kakhulu, zenzeka ngaphansi kuka-1% wokuhlolwa. Igumbi lokuhlola lifakwe imishini esheshayo nabasebenzi abaqeqeshiwe abangakwazi ukusingatha noma yisiphi isimo esingase sivele. Abantu abaningi bazizwa bekhululekile ngokushesha ngemva kokuthi ukuhlolwa kuqediwe.

Q2: Ngingaba nokuhlolwa kwetafula lokutshekisa okuvamile kodwa ngibe nezinkinga zokuquleka?

Yebo, kungenzeka ukuthi ube nokuhlolwa okujwayelekile kwetafula lokuthambisa futhi usenezigameko zokuquleka. Lolu vivinyo luveza uhlobo olulodwa oluthile lokucindezeleka ohlelweni lwakho lwe-cardiovascular, kodwa ukuquleka kungaba nezimbangela eziningi ezingase zingabangwa yizimo zokuhlolwa.

Abanye abantu baquleka kuphela uma bephendula izinto ezithile ezibangela njengokubona igazi, ubuhlungu obukhulu, noma ukucindezeleka ngokomzwelo. Abanye bangase babe nezigameko zokuquleka ezihlobene nokuphelelwa amanzi emzimbeni, ushukela ophansi wegazi, noma imiphumela emibi yemithi okungenzeka ingabonakali ngesikhathi sokuhlolwa.

Uma ukuhlolwa kwakho kwetafula lokuthambisa kujwayelekile kodwa uqhubeka nokuba nezigameko zokuquleka, udokotela wakho cishe uzoncoma ukuhlolwa okwengeziwe ukuze afune ezinye izimbangela. Lokhu kungase kuhlanganise ukuhlolwa kwegazi, ukuqapha isigqi senhliziyo, noma izifundo zokuthwebula izithombe ukuze kuqedwe ezinye izimo.

Q3: Liyiqiniso kangakanani ivivinyo letafula lokuthambisa ekuxilongeni izifo zokuquleka?

Uvivinyo lwetafula lokuthambisa luqinisile kakhulu ekuxilongeni izinhlobo ezithile zezifo zokuquleka, ikakhulukazi i-vasovagal syncope ne-POTS. Nge-vasovagal syncope, ukuhlolwa kulihlonza ngendlela efanele leli gama cishe kuma-60-70% abantu abanalo, ngamanani aqondile aphezulu uma imithi isetshenziswa ngesikhathi sokuhlolwa.

Ukuze kutholwe i-POTS, ukuhlolwa kuthembeke kakhulu uma kuhlangatshezwana nemibandela ethile, njengokwanda kwesigqi senhliziyo okungenani ngamabhithi angu-30 ngomzuzu ngaphakathi kwemizuzu eyi-10 yokuma. Uvivinyo luhle kakhulu futhi ekukhipheni lezi zimo uma imiphumela ijwayelekile.

Nokho, ukuhlolwa kungase kungatholi zonke izigameko zokuquleka, ikakhulukazi uma izigameko zakho zibangelwa izimo ezithile ezingenakulingiswa ngesikhathi sokuhlolwa. Yingakho udokotela wakho ecabangela umlando wakho wezokwelapha nezimpawu kanye nemiphumela yokuhlolwa lapho enza ukuxilongwa.

Q4: Ngizodinga yini ukuphinda ukuhlolwa kwetafula lokuthambisa?

Abantu abaningi badinga kuphela ukuhlolwa okukodwa kwetafula lokutshekisa ukuze bathole ukuxilongwa, kodwa zikhona izimo lapho udokotela wakho angase ancome ukuphinda ukuhlolwa. Uma izimpawu zakho zishintsha kakhulu noma uma uba nezimpawu ezintsha ezisikisela isimo esihlukile, ukuhlolwa okuphindiwe kungase kube usizo.

Ngezinye izikhathi odokotela baphinda ukuhlolwa ukuze bahlole ukuthi ukwelashwa kusebenza kahle kangakanani, ikakhulukazi uma uke waba nenqubo noma uqale umuthi omusha. Uma ukuhlolwa kwakho kokuqala kwakujwayelekile kodwa uqhubeka nezimpawu ezikhathazayo, udokotela wakho angase ancome ukukuphinda, mhlawumbe ngamaphrothokholi ahlukene noma imithi.

Ezindaweni zocwaningo, ukuhlolwa kwetafula lokutshekisa ngezinye izikhathi kuphindwa ukuze kufundwe ukuthi izimo ziqhubeka kanjani ngokuhamba kwesikhathi, kodwa lokhu akudingekile ekunakekelweni okujwayelekile kwesiguli. Udokotela wakho uzokwazisa uma ecabanga ukuthi ukuhlolwa okuphindiwe kungaba usizo esimweni sakho esithile.

Q5: Ingabe izingane zingaba nokuhlolwa kwetafula lokutshekisa?

Yebo, izingane zingaba nokuhlolwa kwetafula lokutshekisa, futhi inqubo ngokuvamile iphephile ezigulini ze-pediatric. Izingane nentsha, ikakhulukazi amantombazane, ingase ithuthukise izifo zokuquleka, futhi ukuhlolwa kwetafula lokutshekisa kungaba usizo ekuxilongweni ezigulini ezincane njengoba kunjalo kubantu abadala.

Inqubo yezingane empeleni iyafana neyabantu abadala, nakuba abasebenzi bezokwelapha ngokuvamile bethatha isikhathi esengeziwe ukuchaza ukuthi kwenzekani futhi basize ukugcina ingane izolile futhi ikhululekile. Abazali bavame ukuvunyelwa ukuhlala ekamelweni ngesikhathi sokuhlolwa.

Izindlela zokuthola imiphumela engajwayelekile zihluke kancane ezinganeni, ikakhulukazi ze-POTS, lapho ukwanda kwenhliziyo kufanele kube okungenani amabhithi angu-40 ngomzuzu ezigulini ezingaphansi kweminyaka engu-19 ubudala. Odokotela benhliziyo ye-pediatric kanye nezinye izazi ezinolwazi ekwelapheni izingane ezinokuquleka ngokuvamile benza lezi zivivinyo ezigulini ezincane.