Yini i-syncope?

Yini i-syncope?

I-Syncope ukulahlekelwa ukwazi okudlulayo, okufushane okuphela ngokuzenzakalelayo. Kungenxa yokwehla okungazelelwe futhi okwesikhashana ekujikelezeni kwegazi ebuchosheni.

Lokhu kuntuleka kwesikhashana komoya-mpilo ebuchosheni kwanele ukubangela ukulahlekelwa ukwazi kanye nokuwa kwethoni yemisipha, okubangela ukuba umuntu awe.

I-Syncope imele i-1,21% yokungeniswa egumbini lezimo eziphuthumayo futhi imbangela yabo yaziwa ku-75% yamacala.

kwesifo

Ukuze anqume ukuthi kube khona i-syncope, udokotela usekelwe ekuxoxweni komuntu owayene-syncope kanye ne-entourage yakhe, ehlinzeka ngolwazi olubalulekile ngezimbangela ze-syncope.

Ukuhlolwa komtholampilo nakho kwenziwa udokotela, kanye ne-electrocardiogram, ngisho nezinye izivivinyo (i-electroencephalogram) njalo ukufuna ukuqonda isizathu sale syncope.

Imibuzo, ukuhlolwa komtholampilo kanye nokuhlolwa okwengeziwe kuhloswe ukuhlukanisa i-syncope yeqiniso kwezinye izinhlobo zokulahlekelwa ukwazi okuhlobene nokudakwa yisidakamizwa, into enobuthi, noma into ethinta ingqondo (utshwala, izidakamizwa), ekubanjweni kwesithuthwane, unhlangothi, ushevu wotshwala, i-hypoglycemia, njll.

Isizathu se-syncope

I-syncope ingaba nezimbangela eziningana:

 

  • Imvelaphi ye-reflex, futhi empeleni i-syncope ye-vasovagal. Le syncope ye-reflex kwenzeka ngenxa yokukhuthazwa kwe-vagal nerve, isibonelo ngenxa ubuhlungu noma imizwelo enamandla, ukucindezeleka, noma ukukhathala. Lokhu kushukumisa kunciphisa kakhulu izinga lokushaya kwenhliziyo okungaholela ku-syncope. Lawa ama-benign syncopes, aphela ngokwawo.
  • I-Arterial hypotension, ethinta kakhulu abantu asebekhulile. Lawa ama-orthostatic syncope (ngesikhathi sezinguquko endaweni, ikakhulukazi lapho esuka ekulaleni aye ekumeni noma ekujuleni kuye ekumeni) noma i-syncope yangemva kokudla (ngemuva kokudla).
  • Imvelaphi yenhliziyo, ehlobene nesifo sesigqi senhliziyo noma isifo semisipha yenhliziyo.

Okuvame kakhulu i-vasovagal syncope. Kungathinta abantu abasha, kusukela ebusheni futhi sivame ukuthola isici esivusa amadlingozi (ubuhlungu obukhulu, imizwelo ebukhali, ukuhlaselwa kokukhathazeka). Lesi sici esivusayo sivame ukufana kumuntu ofanayo futhi ngokuvamile sandulelwa izimpawu eziyisixwayiso, ngokuvamile ezenza kube nokwenzeka ukugwema ukuwa okubuhlungu.

Le syncope ye-vasovagal iphinde ithinte asebekhulile kodwa, kulokhu, izici ezivusa amadlingozi zitholakala kakhulu kakhulu futhi ukuwa kuvame ukuba nonya kakhulu (okungaholela engozini yokulimala kwamathambo).

I-syncope yangempela kufanele ihlukaniswe kwezinye izinhlobo zokulahlekelwa ukwazi, isibonelo, lezo ezixhunywe nesifo sokuwa, unhlangothi, ukudakwa utshwala, i-hypoglycemia, njll.

 

shiya impendulo