Syncope (sin-co-pee) inorasikirwa kwenguva pfupi yekuziva, inowanzonzi kudonha, kana kubuda. Icho chiitiko chakajairika - ruzhinji rwevanhu runodarika kamwe kamwe muhupenyu hwavo. Kunyange zvakadaro, syncope nguva dzose inogona kukanganisa, zvose nokuti inogona kuratidzira chinetso chikuru chakakosha, uye nokuti chero kurasikirwa kwekuziva kunogona kukuvadza.
Saka, kana uine chikamu che syncope, unofanira kuongororwa nachiremba wako kuti aone chikonzero chacho.
Kutsungirira
Syncope inoitika apo ropa rinoyerera kusvika kuuropi rinowanikwa zvakaderedzwa, nokuti sevashoma semaminitsi mashanu kana matanhatu. Ropa reuropi rinogona kuparadzaniswa nekuda kwezvikonzero zvakasiyana-siyana. Nenzira inofadza, kakawanda, syncope inopera mamiriro ezvinhu asingaoneki nechinetso chakakomba chorwere. Saka mune dzimwe nguva, chero bedzi sachivande che syncopal pachayo chakanga chisina kukuvadza zvakakomba, chiitiko chacho hachine kukosha kwenguva refu.
Zvisinei, pane dzimwe nguva syncope chiratidzo chokuti kune ngozi kana kuti inotyisa hupenyu huripo hunogona kuvapo. Ichi ndicho chikonzero, kana iwe uine chikamu che syncope, zvinokosha kwauri kuti utaure nachiremba wako.
Associated Conditions
Syncope inogona kuguma kubva kune zvakasiyana siyana zvehutano. Kutaura zvazviri, nhamba yakawanda yezviitiko inogona kuita kuti kuongorora kwe syncope kuve kwakaoma uye kunotyisa tariro kune vanachiremba vasingatauri nechinetso nenzira yakarongeka, yakarongeka.
Vanachiremba vanoziva pakuongorora syncope vanowanzogadzira zvikonzero zvinogona kuita zvikamu zviviri zvakasiyana - syncope nekuda kwechirwere chemwoyo, uye syncope nekuda kwechikonzero chisina mwoyo. Zvinenge zvese zvinogona kutyisa upenyu hwe syncope zviri mumoyo wemoyo. Nenzira inofadza, zvikonzero zvemoyo zve syncope zvinowanzova nyore kuona nekutarisa zvakanyatsoongorora - kunyanya, nekutora nhoroondo yakanaka yezvokurapa nekuita kunyatsoongorora kwepanyama.
Uye kana chikonzero chemwoyo chave chichibudiswa kunze, iwe nachiremba wako unogona kunyatsovimbiswa kuti chero chii chinokonzera kuvapo, iwe haunakwanisi kuva nehupenyu hunotyisa - uye zvakasara zvekuongorora kwako zvinogona kuitwa pasina pfungwa yekukurumidzira zvakanyanya.
Zvinokonzera
Cardiac Causes
Zvichida mumwe muvanhu vana vane syncope vacharatidza kuva nechikonzero chemoyo. Mhando mbiri dzezvinetso zvepfungwa dzinogona kubudisa syncope - zvinetso zvemoyo zvinogona kuita kuti pasave nekuyerera kweropa kuburikidza nemwoyo, uye chirwere chemwoyo .
Kuvhara chirwere chemwoyo:
Kuvhiringidzwa kweropa rinoyerera kuburikidza nemoyo kunogona kukonzera kudonha muhuwandu hweropa mwoyo uri kuputika, nokudaro kubata uropi kukwana kweropa. Zvinetso zvemwoyo zvakasiyana zvinogona kubvisa chikamu kubuda kweropa kuburikidza nemoyo . Izvi zvinosanganisira:
- Chirwere chepachivha chemoyo chinobereka stenosis, kunyanya aortic stenosis uye mitral stenosis
- Hypertrophic cardiomyopathy , iyo, pane dzimwe nguva, inogona kuderedza kuyerera kweropa mukati memagetsi e aortic
- Kuvhiringidzika muropa guru remudziyo pedyo nemwoyo (zvakadai sekukura kukuru kwemapapupa )
- Huru dzomukati (dzakadai seyetrial myxoma, tumor inobata iyo inogona kudzivisa mitral valve)
Cardiac arrhythmias:
Cardiac arrhythmias inowanzoita chikonzero chinowanzovhiringidza che syncope pane zvinokanganisa mamiriro emwoyo. Zvinosuruvarisa, inenge chero chirongwa chinogona kukonzera syncope chinogona kukonzera kufa kamwe kamwe, kana arthmia ichiramba kwemaminitsi anoverengeka.
Arrhythmias inogona kuderedza kushanda kwemwoyo munzira mbiri dzakasiyana - nokuita kuti mwoyo wekurati uite zvishoma, kana kuti nekuita kuti uwedzere zvakanyanya.
Slow heart arrhythmias (inonzi bradycardia) inogona kubudisa syncope nekungoita kuti mwoyo urove zvishoma nezvishoma zvokuti uropi hahuwani kuwana ropa rakakwana. Kana bradycardia inowanikwa kuti ndiyo inokonzera syncope, uye kana bradycardia inofungidzirwa kuti inogona kudzoka, mushonga unoshanda unogona kugoverwa nekuisa moyo wemhepo yemhepo.
Chero sinus bradycardia kana mwoyo bhokisi rinogona kuburitsa bhardycardia inokosha.
Rapid mwoyo arrhythmias (inonzi tachycardia) inogonawo kukonzera syncope nekuita kuti mwoyo urove zvakakurumidza zvokuti haugoni kupedza kuputira zvakanaka. Nepo kune marudzi akasiyana siyana e tachycardia, iyo inowanzokonzera syncope ndeye ventricular tachycardia uye ventricular fibrillation . Aya magythmimu anosangana nehupenyu hunotyisidzira uye kazhinji huri kubudisa kufa kamwe kamwe .
Nhoroondo yezvechiremba yakangwarira uye kuongorora mumuviri - pamwe chete ne electrocardiogram (ECG) - inofanira kupa chiremba wako zvigadziro zvakakwana kuti utonge kana chimwe chezvinhu izvi zvemwoyo chiri chikonzero chinokonzera syncope yako. Uye kana mwoyo wepfungwa uchifungidzirwa kuti inogona kunge yakangoerekana yakangoerekana yaitika, kuongorora kwemoyo kunoshandiswa, izvo zvinogona kusanganisira echocardiogram , kuongorora kwepfungwa , kana mamwe maitiro ekuongorora. Chiremba wako angatotorawo kuti iwe unofanirwa kupinda muchipatara kuti udzivirire iwe pachako kusvikira kuongororwa kwaiswa pasi, uye kurapa kwakakodzera kunopiwa.
Nenzira yakanaka, zvisinei, mumatambudziko akawanda, chirongwa chekutanga chekurapa chinoratidzira chikonzero chepfungwa che syncope. Chiremba wako anogona kubva atora pfungwa yake kune zvisiri izvo zvinokonzera moyo.
Kwete-Maitiro eCardiac
Pane zvikamu zvitatu zvakasiyana zvehutano husina hukama hwemwoyo hunokonzera syncope - neurological zvinokonzera, zvinokonzera kushandiswa kwemagetsi, uye vasomotor zvinokonzera.
Neurological Zvinokonzera:
Zvinetso zvehutano zvinokonzera kukanganisa kusinganzwisisiki kwe syncope, kubhadhara kwe 1% chete yezvikamu zve syncopal. Pane maitiro matatu chete emagetsi anokonzerwa nekubudisa syncope:
- Kurwisa kwechiIschemic (TIAs) zvishoma , kazhinji zvinosanganisira vertebrobasilar arteries . Ive vertebrobasilar arteries ndiyo mishonga yeropa mushure mehuro, pedyo nemutsipa wepelinha, iyo inopa brainstro - chikamu cheropi, iyo, pakati pezvimwe zvinhu, inokonzera kuchengeta zivo. Kuvhara ropa kweropa mukati me vertebrobasilar arteries kunogona kukonzera syncope.
- Subclavia kubata chirwere
- Kazhinji kushungurudzwa hydrocephalus (NPH)
Mamiriro ehutano ayo anowanzovhiringidzika ne syncope isupfupa . Kuvhiringidzika kunokonzerwa nokuti kuora kwepfungwa kunobata, kufanana ne syncope, kunokonzera kukanganisa kwekupedzisira kwekuziva. Asi kukanganisa hakuwanzokonzerwa nekuvhiringidzika kwekuyerera kweropa kuuropi-pane kudaro, zvinokonzerwa nekuita kwemazuva ese kusina magetsi muuropi. Chiremba achawanzofungidzira kuti chirwere chekubata chikonzero ndicho chikonzero chekurasikirwa kwekuziva apo chiitiko chacho chinowirirana nemafambiro evanhu vanozvipira anowanzoitika nekutora. Kunyatsoongororwa kwekufa kwechifufu kunowanzosimbiswa ne electroencephalogram (EEG) - muedzo unonyora basa remagetsi rehuropi. Zvakakosha kuita zvirongwa zvakakodzera uye kuti izvi zviongororwe zvakanaka, sezvo kurapa kwekushungurudzika kwekutambudza kwakasiyana zvikuru nekurapa syncope. Zvinosuruvarisa, vanhu vane maitiro akasiyana-siyana e syncope (kazhinji vechidiki) vanowanzosarudzwa kuti vane chirwere chekubata.
Zvinokonzera Matamisiki:
Chishomanana kupfuura 1% yevanhu vane syncope vanova nemamiriro ezvinhu emagetsi sechikonzero. Zvinokonzera mishonga ye syncope zvinosanganisira hypoxia (yakaderedza oksijeni muropa, iyo inenge inoreva nguva dzose mapapu akakomba uye anooneka aripo); hyperventilation , iyo inowanikwa mukutambudzika kwakanyanya kunetseka kana kutyisidzira ; uye hypoglycemia yakasimba (shuga shoma yeropa), iyo inofanira kufungidzirwa muvanhu vane chirwere cheshuga, kunyanya avo vanotora insulini .
Vasomotor Zvinokonzera:
Nokuda kwehuzhinji rwevanhu vane syncope, iyi ndiyo iyo mari iri. Vasomotor syncope inoitika apo miitiro yakaoma yemuviri inochengetedza chirwere cheropa chinokonzera kukanganisa (zvichiitika kana nguva isingagumi), zvichiita kuti kudonhedzwa kweropa , izvo zvinozobvisa ubongo ropa rayo.
Pane maviri maitiro akazara evasomotor syncope - orthostatic hypotension uye vasovagal (kana cardioneurogenic) syncope .
Orthostatic hypotension
Kazhinji paunomira, mishonga yeropa mumakumbo ako anowedzera, iyo inobatsira kuchengetedza ropa kubva "kubatanidza" mumakumbo ako, uye nokudaro kuchengetedza chirwere cheropa. Muvanhu vane hutano hwehutano , nokuda kwechimwe chezvikonzero zvakasiyana, chirwere cheropa chinowanzogadziriswa kana chichimirira. Kana ropa ravo rinodonha zvakakwana, vanogona kurasikirwa kana vakarurama. Orthostatic hypotension inonyanya kuonekwa kuvanhu vakwegura, uye inowanzokonzerwa nemishonga yemishonga. Asi zvinogonawo kukonzerwa nechirwere cheshuga, chirwere chePalinson, uye mune zvimwe zvinetso zvehutano.
Chimwe chiitiko chakafanana chinonzi postural orthostatic tachycardia syndrome, kana POTS . POTS yakasiyana nedzidziso dzehutano hwehutano mune: (a) inowanzoonekwa chete nevaduku (kunyanya vanhu vari pasi pemakore makumi maviri nemashanu), uye b) apo POTS inogonawo kubudisa kuderera kweropa, dambudziko guru rinomhanya zvikuru pamwoyo pakamira. Vanhu vane POTS vanoona zviratidzo zvizhinji pavanomira, kazhinji kacho kusanganisira marpitations , dutu uye utera - uye vanenge 40% vavo vachawana syncope kamwechete kamwe.
Vasovagal (cardioneurogenic) syncope
Vasovagal syncope (inozivikanwawo se cardioneurogenic syncope) ndiyo inonyanya kukonzera s syncope, zvichida kuverenga kune anopfuura 80% yezvikamu zvose zve syncopal. Inokonzerwa nekudengenyeka kwemidzi yeropa pamakumbo pamhinduro pamusana pekuwedzererwa kweurological reflex. Kana iwe une syncope uye usina ruzivo rwechirwere chepfungwa kana chirwere chakakosha chechirwere chemoyo, matambudziko akakwirira ndeokuti iwe uchatora kuva nevasovagal syncope - mune izvozvi unofanira kudzidza zvakawanda nezvechiitiko ichi sezvaunogona. Verenga pano pamusoro pokurapa vasovagal syncope .
Kuongorora
Iye zvino zvatakaongorora huwandu hwehutano hunogona kukonzera syncope, kana iwe kana munhu waunoda ane syncope zvingava zvinobatsira kuziva kuti vanachiremba vanofanira kutarisa sei kuburikidza nezvose zvingangodaro, uye zvinobudirira kusvika kune zvakakodzera kuongororwa.
Heino nhaurirano inokurukura nenzira yakananga uye yakarongeka yekutarisa kuongororwa kwe syncope .
> Sources:
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> Strickberger SA, Benson DW, Biaggioni I, et al. AHA / ACCF Scientific Statement pamusoro pekuongororwa kweSyncope: Kubva kuAmerican Heart Association Councils paKliniki Cardiology, Cardiovascular Nursing, Mwoyo Dzease muVechiduku, uye Stroke, uye Quality of Care and Outcomes Research Interdisciplinary Working Group; uye American College of Cardiology Foundation: muKubatana neMweya Rhythm Society: Yakagamuchirwa neAmerican Autonomic Society. Circulation 2006; 113: 316 .