Vakawanda havakodzwi zvisina kufanira sevanotambudzwa
Kana iwe kana munhu waunoda ari wechiduku uyo akaonekwa kuti ane chirwere chekufa , unofanira kuziva kuti pane dzimwe nguva izvi zvinoratidzika zvinokanganisa. Hazvisizvo zvisinganzwisisiki kuti vechidiki vawane chirwere chekufa kwepachifu (kana kubatwa nedambudziko) kana vasina kuora mwoyo zvachose. Pane kudaro, vangave vane mamiriro ezvinhu anozivikanwa se syncope .
Syncope inorasikirwa kurasika kwekuziva iyo inowanzokonzerwa nekupererwa kweropa kuderera kuuropi.
Vanhu vane syncope kazhinji vanokwanisa kuratidza kufanana-kuita basa (kureva, kusvibiswa kwemisumbu), iyo inogona kukanganisa nehutupa.
Migumisiro yekunyengera kusarudzwa
Kuzvinyorwa sekuve nechirwere chekufa kunogona kuchinja zvakanyanya hupenyu hwomukomana, kwete pamusana pekunyadzisa kusina kukodzera kunowanzobatanidzwa kune izvo zvinorwara. Zvinonyanya kukosha, kuita kuti kuongororwa kwakaipa kwechifukidzo kazhinji kunotungamirira kurapwa izvo zvichange zvisingabatsiri, uye izvo zvinotsanangurira vanhu kumigumisiro yakaipa isingakoshi. Nemhaka yokuti zvikamu zvingangodaro zvinoramba zvichienderera mberi, kushandiswa kwemishonga isina maturo kunogona kushandiswa.
Uyewo, nokuti kunyatsoongorora - syncope - yakange isina kukwana, chinokonzera chikonzero che syncope hachizoshandurwi. Zvimwe zvezvinokonzera zvinokonzera, zvakadai seyordidi arrhythmias , zvinotakura njodzi dzakakura kana dzisina kuonekwa. .
Mhando mbiri dzeSyncope Kazhinji Kazhinji Hazvizivikanwi Sechifofu
Zvinoratidzika kuti zvikonzero zviviri zvinokonzera syncope zvinowanzonyatsorongororwa sekufa kwevana nevechidiki: vasovagal syncope uye kwenguva refu-QT syndrome .
Vasovagal syncope (iyo inonziwo nyore kupera kupereta) inowanzoitika nekuda kwehutano hwemagetsi hunowanzokonzerwa nekurwadziwa, kutya, kuvhiringidzika mudumbu, kana zvimwe zvinhu zvakawanda.
Izvi zvinokonzera mitsipa yeropa mumakumbo kuti iwedzere. Ropa rinononoka kumvura mumakumbo, kuderedza kuwanda kweropa kunodzokera kumwoyo nekuderedza kusimba kweropa-zvichiita kuti munhu wacho akaurayiwa ave neruzivo.
Kamwe kana iye achiva supine (kazhinji kacho nokuwa pasi), kukuvadza kunobvumira ropa kudzokera kumwoyo, uye kuziva kunowanikwa zvakare.
Yakareba QT syndrome idambudziko rakagara nhaka yenhengo yemagetsi yemagetsi (iyo inodzora kurohwa kwemwoyo). Vanhu vane kwenguva yakareba QT syndrome vanogona kukura zviitiko zvisingatarisirwi, zvisingatarisirwi zvezvimwe zvakasiyana-siyana zve ventricular tachycardia (inogona kunge ine ngozi inokurumidza mwoyo rhythm), iyo inowanzoendesa kune kamwe kamwe syncope, uye iyo inogona kutotungamirira kumusana pakarepo kusungwa nekufa.
Vanhu vane vasovagal syncope kana kuti kwenguva refu QT syndrome vanogona kutarisirwa zvakanaka, kana chirwere chacho chikaitwa zvakanaka. Uye zvipingamupinyi zvakawanda zvinogona kuiswa kune vanhu vane kurwadza, zvakadai sekudzivirira kwemotokari, kazhinji hazvidiwi mushure mokunge chirwere chinoratidzika chave chaitwa, uye kunyatsoshanda kurapwa.
Izvi Zvinowanzoitika Sei?
Iko kusagadziriswa kwekufa kwechirwere kunoratidzika kuti kunowanzovhiringidza nguva nenguva.
Mune imwe tsvakurudzo, muna 222 varwere vane vasovagal syncope, 8% vaiva nebasa rakafanana-shanduko pavakarasikirwa nepfungwa panguva yekudzidza kwemafura . Hapana kana mumwe wevarwere ava vakaratidza kuva nehumwe chokwadi chekushaya chirwere chechokwadi pashure pekuongorora kukuru kwehutano hwevanhu, kusanganisira EEG test (test electroencephalogram, iyo inonyanya kuratidza hutano husina kuchena kune vanhu vane hosha).
Vakawanda vevanhu ava vakapiwa chirwere chisina kunaka chekufa kwemafupa vasati vanyatsoongorora tafura, uye vazhinji vakanga vawana mishonga yekusagadzikana kwekushaya ropa, pamwe chete nemitemo yekutyaira zvakasimba zvichienderana nezvisina kunaka kuongororwa.
Mune imwe dzidzo, vatsvakurudzo vakaongorora zvakare muNew Zealand Cardiac Inherited Disease Registry, uye vakawana kuti muna vanhu 31 vakatsanangura avo vaiva kwenguva yakareba yeHT syndrome, 13 vakave vakatarisa kwenguva refu vachigamuchira kugadziriswa kwakakwana (kuenzana kwepakati peyaka 2.4, asi kusvika 20.7 makore). Zvakawanda zvekukurumidza kunonoka zvakabatana nekusaziva kusakanganiswa kwekufa kwekufa.
Uye munguva iyi inonoka, vose ava varwere vaiva pangozi yekufa kamwe kamwe. (Hazvina kujeka, ani zvake akanga afa kamwe kamwe mushure mekufungidzira kusakarurama haazombogoni kuwana chirwere chakakodzera, uye hake kunge akabatanidzwa mubhuku rino.)
Shoko Rinobva
Kana iwe kana munhu waunoda akapiwa chirwere chekubata chirwere kana kupera, uye kuongorora kweEEG kwakajairika - uye kunyanya kana zvikamu zvekutambudza-sezvikamu zvakaramba zvichiri pasinei nekurapwa-unofanira kufungidzira kuongorora zvakare. Kunyanya, unofanirwa kukumbira chiremba wako kuti afunge vasovagal syncope uye kwenguva refu QT syndrome seanokwanisa kuongororwa.
> Sources:
> Krumholz A, Wiebe S, Gronseth GS, et al. Nhungamiro inobva pahupupuriro: Kutungamirirwa kweChirangaridzo Chekutanga Chakanga Chisina Kuvhirwa Muvanhu Vakuru: Gwaro reMutungamiri Dare Rinotungamira Sangano reAmerican Academy of Neurology uye American Epilepsy Society. Neurology 2015; 84: 1705.
> MacCormick JM, McAlister H, Crawford J, et al. Misdiagnosis ye Long-QT Syndrome seEpilepsy Pakutanga Kwekutanga. Ann Emerg Med 2009; 54: 26-32.
> Passman R, Horvath G, Thomas j, et al. Clinical Spectrum uye Kuwanda kweZviitiko zveEurological Zvakaitwa neTilt Table Testing. Archives of Internal Medicine. 2003; 163: 1945-1948.