Kana iwe wakanga uine chikamu che syncope (kurasikirwa kwekuziva kwepakutanga kunonziwo kuneta), zvinokosha kuti iwe uye chiremba wako uone chakaita kuti chiitiko chacho chiite. Pane zvakawanda zvingaita zvinokonzera syncope, uye kunze kwokunge chiremba wako achisvika kugadziriswa nenzira yakarongeka, zvinhu zvinogona kuvhiringidza nokukurumidza. Nyaya ino inokurukura nzira yakananga uye yakarongeka yekuongororwa kwe syncope.
Kutanga Zvinhu Zvokutanga
Pakuongorora chikonzero che syncope, chiremba wako ane mubvunzo pakarepo kuti apindure: Ko syncope yako inoratidza here kuwedzera kungozi yekufa kamwe kamwe? Sezvineiwo, kusvika pamhinduro kumubvunzo uyu kazhinji kwakanaka kwazvo, uyewo nerufaro, muhuwandu hwemashoko mazhinji mhinduro kumubvunzo uyu ndi "Kwete." Kunyange zvakadaro, zvakakosha kugadzirisa mubvunzo uyu pakarepo. Sezvo upenyu hunotyisidzira syncope hunenge huri nguva dzose mumoyo mukati, izvo zvinoreva chiremba wako anoda kuziva kana iwe unenge, kana kuti unogona kunge une, chirwere chikuru chepfungwa. Kana chiremba wako achisarudza kuti syncope yako ingangodaro yakakonzerwa nemamiriro emwoyo, kuongorora nokukurumidza kunofanirwa - uye zvingave zvakakosha kukuchengetedza kusvikira chinopisa upenyu chinotarirwa kunze, kana iwe wakanyatsorapwa.
Kana (sezvinowanzoitika kakawanda) chiremba wako haawani chero chiratidzo chehupenyu hunotyisa, saka iye anogona kuita zvishoma zvakananga kuongororwa kuti awane chikonzero che syncope yako, uye hospitali inongowanzodiwa.
Nzira Yakapetwa Iviri-Kuongorora Syncope
Chikamu Chekutanga - Chiremba ZveMangariro uye Chiremba Kuongorora
Izvi, kure uye kure, ndiyo danho rinokosha pakuona chikonzero che syncope. Nhoroondo uye kuongorora kwepanyama kunopa mazano anokosha pakutsvaga zvinenge zvose zvinokonzera syncope. Zvisinei, kunyange zvazvo vanachiremba vose vachidzidziswa izvi, vazhinji, zvinosuruvarisa, havasati vaita sevanodzidza.
Ichi ndicho chikonzero iwe unofanirwa kuziva izvi: Muzvizhinji zvezviitiko, chiremba anofanira kuva nemafungiro akanaka kwazvo pamusoro pemhosva ye syncope mushure mokutaura newe nekukuongorora. Saka kana chiremba wako asingakwanisi kuita zvakakwana nhau yezvechiremba (iyo inotsanangurwa pasi apa), uye inoita kungofanirwa kuongororwa kwepanyama, uye zvino hauna pfungwa yeiyo yakakonzera syncope yako, saka iwe unofanira kufungidzira kuona imwe chiremba.
Kunyora nhoroondo yezvokurapa inofanirwa kunosanganisira kuwana tsanangudzo pamusoro pemamwe mararamiro emwoyo angave unogona, kusanganisira: a) ruzivo rune chokuita neyekutanga kare yepfungwa yemwoyo; b) kana usina hutano hwechirwere chemoyo, ipapo uongorore hutano hwako hwechirwere chemwoyo ; uye c) kukubvunza nezvemhuri chero ipi zvayo yemhuri iwe unogona kuva nechirwere chemwoyo, kunyanya chero nhoroondo yemhuri yekufa kamwe kamwe. Pamusoro pezvo, chiremba anofanira kukukumbira kuti uwane tsanangudzo yeiyo imwe neimwe ye syncopal episodes - yese nzira yekudzokera muhuduku, kana zvichidikanwa - kusanganisira mashoko pamusoro pei nguva imwe neimwe yaitika, zvawaiita panguva iyoyo, ingave kwaiva nekunye kunyeverwa, yakareba kwenguva yakareba sei, kana iwe wakadzokazve kuziva apo iwe wawira pasi, uye kana wakawana nzira yekubvisa zvikamu kana iwe unonzwa uchiuya.
Kuongorora kwepanyama kunofanirwa kusanganisira zvakajeka zvepurovhesi uye kuongorora kwemoyo. Chiremba wako anofanira kutora ropa rako muhuni rumwe, uye anofanirwa kuenzanisa ropa rako uye kupisa paunenge urere pasi, uye zvakare apo iwe wakamira.
Pakuguma kwenhoroondo uye mumuviri, chiremba wako anofanirwa kuva nemafungiro akanaka kwazvo pamusoro pezvinoita kuti iwe syncope. Kunyanya, pane zvishoma chiremba wako anofanira kuziva kuti zvingave sei kuti une chirwere chepfungwa chinokonzera syncope - mumamiriro ezvinhu akadaro, kufa kamwe kamwe kunonetseka. Kana chirwere chemwoyo chisingafungi, saka kazhinji chiremba wako achada kurongedza kupfuura imwe kana maviri miedzo inotungamirirwa kuti asimbise zvaanofungira.
Anofanira kunge akakwanisa kukuudza zvaanofunga kuti dambudziko racho, uye anofanira kunge achikupa imwe pfungwa yekuti mushonga wacho unogona kudii.
Kune rumwe rutivi, kana chiremba wako apedza newe uye akamira ipapo, achizunungusa musoro wake, achirayira bhati rose rekuedzwa uye nzira, mhondi-yakafanana, iyo inotaurira nhengo dzakawanda dzomuviri, saka iwe mose uri mune zvakaoma zvikuru nguva. Ino ndiyo nguva yekufunga nezvekutsvaga pfungwa yechipiri .
Chikamu Chechipiri - Kutungamirirwa Kuedzwa
Mushure mhoroondo uye kuongorora muviri:
- Kana chiremba wako achifungira chikonzero chemwoyo che syncope yako , kusagadzikana kwepfungwa yemwoyo kunofanira kuitwa pakarepo. Muzviitiko zvakawanda, basa iri-richave rine echocardiogram , uye mune dzimwe nguva dambudziko rekutsungirira . Kana imwe nzira yekuvhara chirwere chemwoyo inowanikwa (yakadai seaortic stenosis ), ipapo kurapwa kunoderedza kubviswa kunofanira kurongwa nekukurumidza. Kana iyi yekuongorora tsananguro inoratidza kuti chironga chemwoyo chinokonzera syncope yako, unogona kutsvaga electrophysiologic test . Muchiitiko ichi, zvichida iwe unoda kuramba uri muchipatara chekucherechedza kusvikira wagamuchira kurapwa kwakasimba. Verenga pamusoro pemigumisiro yemoyo ye syncope.
- Kana chiremba wako achishushikana nechinetso chepfungwa, ipapo angangodaro akagadzira CT scan yeuropi kana electroencephalogram (EEG) , kana pane dzimwe nguva, angiography (kuongorora dye kufungidzira maitiro europi) kusimbisa kuongororwa. Syncope inokonzerwa nehutano hwehutano, zvisinei, hazvisi zvisizvo.
- Kana chiremba wako akawana kana akanyatsotsinhira vasomotor syncope (kureva, orthostatic hypotension , POTS , kana vasovagal syncope ), kazhinji hapana kuongorora kunodiwa. Mune zvimwe zviitiko, kuongorora kwemafura ekugadzirira kunogona kubatsira pakutsigira kuongororwa. Asi kazhinji, kana rudzi urwu rwe syncope ruchinyatsoonekwa, chiremba wako anogona kubva pakarepo achienda kunotanga kurapa. Ruzhinji rwevanhu vane syncope vanotora vasovagal syncope .
- Kana chiremba wako - pasinei nekunyatsoongorora nhoroondo yezvokurapa uye kuita chiongorori chakakwana chemuviri-uchiri kusina tsanangudzo yakanaka yekudzivirira ye syncope yako, kazhinji kacho pfungwa yakanaka yekuita kuedza kusinganzwisisiki kwepfungwa kuti utonge kunze kwechirwere chepfungwa chepfungwa. Iyi kuedza kazhinji ichava ne echocardiogram, inowanzotarisirwa kutarisa (apo iwe unopfeka moyo wemaziso pamusha kwemazuva akawanda kana vhiki), uye zvichida kuongororwa kushandiswa . Chidzidzo chekudzidzira chetafura chinogonawo kubatsira. Kana syncope inoramba isingazivikanwe mushure mekudzidza uku, kushandiswa kwe electrophysiologic kunogona kuonekwa.
Summary
Uchishandisa izvi zvikamu zviviri zvepamusoro-soro, zvinenge zvichiitika kuti chiremba wako achakwanisa kuongorora chikonzero che syncope yako nokukurumidza uye yakarurama, uye achakwanisa kutanga chirongwa chakakodzera munguva pfupi.
Sources:
Strickberger SA, Benson DW, Biaggioni I, et al. AHA / ACCF Scientific Statement pamusoro pekuongororwa kwe syncope: kubva kuAmerican Heart Association Councils paKliniki Cardiology, Cardiovascular Nursing, Mwoyo Mwoyo muVechidiki, uye Stroke, uye Quality of Care uye Mitsva Inotsvakurudza Inyanzvi Dzemagariro Evanhu; uye American College of Cardiology Foundation: pamwe nekubatana ne Heart Rhythm Society: inotsigirwa neAmerican Autonomic Society. Circulation 2006; 113: 316.